Modest advances, persistent inequalities: child mortality in Brazil from 2010 to 2022.

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Revista de saude publica Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI:10.11606/s1518-8787.2025059006452
Antonio Fernando Boing, Alexandra Crispim Boing
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引用次数: 0

Abstract

Objective: To analyze the evolution of socioeconomic and regional inequalities in mortality among children under five years of age in Brazil between 2010 and 2022.

Methods: Data from 37,639,196 live births (LB) and 563,711 deaths among children under five years during the period were analyzed. Mortality rates for infants (

Results: The IMR decreased from 13.0 to 12.7 per thousand LB between 2010 and 2022, while mortality among children aged one to four years remained stable at 2.5 per thousand LB in 2010-2022. There was only a slight reduction in inequalities, with the SII oscillating from -5.63 to -4.91 in IMR and from -2.42 to -1.71 in mortality among children aged one to four years between 2010-2022. In 2022, municipalities with lower M-HDI had mortality rates 49.0% and 93.0% higher than those with higher M-HDI in IMR and mortality among children aged one to four years, respectively. Inequalities in IMR were more pronounced in nutritional, metabolic, and endocrine diseases, where mortality was four times higher in municipalities with lower M-HDI. There was an excess of 76,832 child deaths in Brazil between 2010-2022. In 2022, 42.2% of the microregions in the North were among the top 100 with the highest IMR, compared to only 3.2% in the South.

Conclusions: There was a slight reduction in child mortality, but significant socioeconomic and regional inequalities persisted in Brazil.

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进展缓慢,不平等现象持续:2010年至2022年巴西儿童死亡率。
目的:分析2010年至2022年巴西5岁以下儿童死亡率的社会经济和地区不平等演变。方法:对这一时期37,639,196例活产(LB)和563,711例5岁以下儿童死亡的数据进行分析。婴儿死亡率(结果:2010年至2022年期间,婴儿死亡率从13.0 /千磅降至12.7 /千磅,而2010年至2022年期间,1至4岁儿童死亡率稳定在2.5 /千磅。不平等现象仅略有减少,2010年至2022年期间,儿童死亡率的SII在-5.63至-4.91之间波动,1至4岁儿童死亡率的SII在-2.42至-1.71之间波动。2022年,平均人类发展指数较低的城市的儿童死亡率和1至4岁儿童死亡率分别比平均人类发展指数较高的城市高49.0%和93.0%。在营养、代谢和内分泌疾病方面,疾病死亡率的不平等更为明显,在人均人类发展指数较低的城市,这些疾病的死亡率要高出四倍。2010-2022年期间,巴西儿童死亡人数超过76,832人。2022年,北方微区中有42.2%的微区跻身IMR最高的前100名,而南方微区只有3.2%。结论:巴西的儿童死亡率略有下降,但显著的社会经济和地区不平等仍然存在。
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来源期刊
Revista de saude publica
Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
3.60%
发文量
93
审稿时长
4-8 weeks
期刊介绍: The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.
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