Perinatal mortality and socio-spatial inequalities

• Main Authors: Eunice Francisca Martins, Edna Maria Rezende, Maria Cristina de Mattos Almeida, Francisco Carlos Felix Lana
• Format: Article
• Language: English
• Published: Universidade de São Paulo 2013-09-01
• Series: Revista Latino-Americana de Enfermagem
• Subjects: Mortalidad Perinatal; Desigualdades en la Salud; Distribucion Espacial de la Poblacion; Enfermeria en Salud Publica
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692013000501062&lng=en&tlng=en

OBJECTIVE: to analyze the social inequalities in the distribution of perinatal mortality in Belo Horizonte. MATERIAL AND METHODS: the perinatal deaths of residents in Belo Horizonte in the period 2003 to 2007 were studied on the basis of the Information Systems on Mortality and Newborns. The space analysis and the Health Vulnerability Index were used to identify existing inequalities in the sanitary districts regarding coverage and risk, determined by the Odds Ratio and a value p<0.05. The multivariate analysis was used to describe a model for perinatal mortality. RESULTS: there was a proved variation in the numbers of perinatal mortality per one thousand total births in the sanitary districts (12.5 to 19.4), coverage areas (5.3 to 49.4) and areas of risk (13.2 to 20.7). The mortality rate diminished as the maternal schooling increased. The death rates deriving from asphyxia/hypoxia and non-specified fetal death grew with the increase of risk in the area. CONCLUSION: it was verified that the perinatal deaths are distributed in a differentiated form in relation to the space and the social vulnerabilities. The confrontation of this complex problem requires the establishment of intersecting partnerships.