Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

• Main Authors: Cristine Vieira do Bonfim (Author), Amanda Priscila de Santana Cabral Silva (Author), Conceição Maria de Oliveira (Author), Mirella Bezerra Rodrigues Vilela (Author), Neison Cabral Ferreira Freire (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2020-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2019-0088
• Keywords: Vital Statistics; Infant Mortality; Fetal Mortality; Spatial Analysis; Social Inequity; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 73, Iss suppl 4 (2020)

ABSTRACT Objectives: to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence. Methods: avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index. Results: out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%. Conclusions: in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.