Navegando por Palavras-chave "health indicators"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Condições de vida e mortalidade infantil no município do Embu, São Paulo
    (Sociedade de Pediatria de São Paulo, 2008-09-01) Ventura, Renato Nabas [UNIFESP]; Oliveira, Eleonora Menicucci de [UNIFESP]; Silva, Edina Mariko Koga da [UNIFESP]; Silva, Nilza Nunes da; Puccini, Rosana Fiorini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    OBJECTIVE: To describe the infant mortality coefficient and its components in the municipality of Embu, São Paulo, Brazil, between 1995 and 1998, according to strata of living conditions. METHODS: A cross-sectional descriptive study was conducted using cluster analysis in the 135 census session of the municipality of Embu, grouped into four strata of living conditions: stratum 1, with the best living, income and schooling conditions; strata 2 and 3 with regular conditions; and stratum 4, in which all houses were subnormal agglomerates or slums. The neonatal, post-neonatal and infant mortality rates, the population's ascribable risk, the ratio between neonatal and post-neonatal deaths and the mortality due to ascribable causes were calculated for 1995 to 1998, for each stratum. RESULTS: In all studied years, the stratum 4 presented the highest infant mortality rates and higher population's ascribable risk compared to intermediate strata. This stratum has also presented the lowest ratio between neonatal and post-neonatal mortality. The population's attributable risk in the stratum 4 was higher for perinatal affections (159.4), respiratory (271.4) and infectious (415.6) diseases. Similar demographic data in areas close to the geographically limits of the study and heterogeneity of events in the same territory were present. CONCLUSIONS: Relationship between social inequality and infant mortality was identified according to the living conditions criteria. However, heterogeneous distribution was shown within each stratum, precluding its use for evaluating social inequalities in big urban centers.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Frequency of public child care service use and associated factors
    (Soc Brasil Pediatria, 2010-01-01) Vitolo, Márcia Regina; Gama, Cintia Mendes [UNIFESP]; Campagnolo, Paula Dal Bó; Universidade Federal de São Paulo (UNIFESP); UFCSPA
    Objective: Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families.Methods: Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritional intervention. the study began in the Brazilian Unified Health System (Sistema Unico de Saude, SUS) of the maternity hospital in the city of Sao Leopoldo, state of Rio Grande do Sul, Brazil. Children were examined regarding child care follow-up and vaccination schedule by checking the immunization chart. Data were analyzed using statistical tests Pearson's chi square and prevalence ratio (PR) with respective 95% confidence interval.Results: the frequency of children who were not continuously taken to the child care service was 53.2%. Multivariate analysis suggests that the factors associated with the lack of continuous use of the service were: mother's educational level <= 8 years (PR 1.32 95%CI 1.02-1.71), non-nuclear family structure (PR 1.32 95%CI 1.10-1.59) and not being an only child (PR 1.38 95%CI 1.10-1.72). the reasons for lack of follow-up, according to the mothers were: the fact that they thought it unnecessary for 66.2%, problems with the service for 21.7%, difficulties related to their jobs for 6.05%, and other reasons for 6.05%.Conclusion: the high frequency of children who were not taken to the child health care service for follow-up is associated with low maternal educational level and family structure, as well as the perception that follow-up visits are not necessary when the child does not have a disease.