scholarly journals Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

2019 ◽  
pp. tobaccocontrol-2019-054923 ◽  
Author(s):  
Thomas Hone ◽  
Andre Salem Szklo ◽  
Filippos T Filippidis ◽  
Anthony A Laverty ◽  
Isabela Sattamini ◽  
...  
Keyword(s):  
Experimental Study ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Fixed Effects ◽  
Infant Health ◽  
Infant Mortality Rate ◽  
Infant Deaths ◽  
Quasi Experimental ◽  
Fixed Effects Regression

ObjectiveTo examine the associations of partial and comprehensive smoke-free legislation with neonatal and infant mortality in Brazil using a quasi-experimental study design.DesignMonthly longitudinal (panel) ecological study from January 2000 to December 2016.SettingAll Brazilian municipalities (n=5565).ParticipantsInfant populations.InterventionSmoke-free legislation in effect in each municipality and month. Legislation was encoded as basic (allowing smoking areas), partial (segregated smoking rooms) or comprehensive (no smoking in public buildings). Associations were quantified by immediate step and longer term slope/trend changes in outcomes.Statistical analysesMunicipal-level linear fixed-effects regression models.Main outcomes measuresInfant and neonatal mortality.ResultsImplementation of partial smoke-free legislation was associated with a −3.3 % (95% CI −6.2% to −0.4%) step reduction in the municipal infant mortality rate, but no step change in neonatal mortality. Comprehensive smoke-free legislation implementation was associated with −5.2 % (95% CI −8.3% to −2.1%) and −3.4 % (95% CI −6.7% to −0.1%) step reductions in infant and neonatal mortality, respectively, and a −0.36 (95% CI −0.66 to−0.06) annual decline in the infant mortality rate. We estimated that had all smoke-free legislation introduced since 2004 been comprehensive, an additional 10 091 infant deaths (95% CI 1196 to 21 761) could have been averted.ConclusionsStrengthening smoke-free legislation in Brazil is associated with improvements in infant health outcomes—particularly under comprehensive legislation. Governments should accelerate implementation of comprehensive smoke-free legislation to protect infant health and achieve the United Nation’s Sustainable Development Goal three.

scholarly journals Assessing the impact of rising child poverty on the unprecedented rise in infant mortality in England, 2000–2017: time trend analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029424 ◽  
Author(s):  
David Taylor-Robinson ◽  
Eric T C Lai ◽  
Sophie Wickham ◽  
Tanith Rose ◽  
Paul Norman ◽  
...  
Keyword(s):  
Infant Mortality ◽  
Fixed Effects ◽  
Child Poverty ◽  
Infant Mortality Rate ◽  
Historical Trends ◽  
Local Authorities ◽  
Infant Deaths ◽  
Live Births ◽  
Fixed Effects Regression ◽  
The Impact

ObjectiveTo determine whether there were inequalities in the sustained rise in infant mortality in England in recent years and the contribution of rising child poverty to these trends.DesignThis is an analysis of trends in infant mortality in local authorities grouped into five categories (quintiles) based on their level of income deprivation. Fixed-effects regression models were used to quantify the association between regional changes in child poverty and regional changes in infant mortality.Setting324 English local authorities in 9 English government office regions.ParticipantsLive-born children under 1 year of age.Main outcome measureInfant mortality rate, defined as the number of deaths in children under 1 year of age per 100 000 live births in the same year.ResultsThe sustained and unprecedented rise in infant mortality in England from 2014 to 2017 was not experienced evenly across the population. In the most deprived local authorities, the previously declining trend in infant mortality reversed and mortality rose, leading to an additional 24 infant deaths per 100 000 live births per year (95% CI 6 to 42), relative to the previous trend. There was no significant change from the pre-existing trend in the most affluent local authorities. As a result, inequalities in infant mortality increased, with the gap between the most and the least deprived local authority areas widening by 52 deaths per 100 000 births (95% CI 36 to 68). Overall from 2014 to 2017, there were a total of 572 excess infant deaths (95% CI 200 to 944) compared with what would have been expected based on historical trends. We estimated that each 1% increase in child poverty was significantly associated with an extra 5.8 infant deaths per 100 000 live births (95% CI 2.4 to 9.2). The findings suggest that about a third of the increases in infant mortality between 2014 and 2017 can be attributed to rising child poverty (172 deaths, 95% CI 74 to 266).ConclusionThis study provides evidence that the unprecedented rise in infant mortality disproportionately affected the poorest areas of the country, leaving the more affluent areas unaffected. Our analysis also linked the recent increase in infant mortality in England with rising child poverty, suggesting that about a third of the increase in infant mortality from 2014 to 2017 may be attributed to rising child poverty.

scholarly journals The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Geographies ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 47-62
Author(s):  
Ujjwal Das ◽  
Barkha Chaplot ◽  
Hazi Mohammad Azamathulla
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Public Hospitals ◽  
Infant Mortality Rate ◽  
Private Institutions ◽  
Public And Private ◽  
Place Of Delivery ◽  
At Home

Skilled birth attendance and institutional delivery have been advocated for reducing maternal, neonatal mortality and infant mortality (NMR and IMR). This paper examines the role of place of delivery with respect to neo-natal and infant mortality in India using four rounds of the Indian National Family Health Survey conducted in 2015–2016. The place of birth has been categorized as “at home” or “public and private institution.” The role of place of delivery on neo-natal and infant mortality was examined by using multivariate hazard regression models adjusted for clus-tering and relevant maternal, socio-economic, pregnancy and new-born characteristics. There were 141,028 deliveries recorded in public institutions and 54,338 in private institutions. The esti-mated neonatal mortality rate in public and private institutions during this period was 27 and 26 per 1000 live births respectively. The study shows that when the mother delivers child at home, the chances of neonatal mortality risks are higher than the mortality among children born at the health facility centers. Regression analysis also indicates that a professionally qualified provider′s antenatal treatment and assistance greatly decreases the risks of neonatal mortality. The results of the study illustrate the importance of the provision of institutional facilities and proper pregnancy in the prevention of neonatal and infant deaths. To improve the quality of care during and imme-diately after delivery in health facilities, particularly in public hospitals and in rural areas, accel-erated strengthening is required.

scholarly journals Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil

2004 ◽  
Vol 38 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Valdinar S Ribeiro ◽  
Antônio A M Silva ◽  
Marco A Barbieri ◽  
Heloisa Bettiol ◽  
Vânia M F Aragão ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Protective Factor ◽  
Infant Mortality Rate ◽  
Northeast Brazil ◽  
Birth Cohorts ◽  
Neonatal Mortality Rate ◽  
Live Births

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.

scholarly journals KEGIATAN PENYULUHAN PADA REMAJA TENTANG PERSONAL HYGIENE DAN PUBERTAS DI KAMPUNG PAMEUNGPEUK DESA CIKUNIR KECAMATAN SINGAPARNA TASIKMALAYA TAHUN 2018

2019 ◽  
Vol 2 (1) ◽  
pp. 6-10
Author(s):  
Hapi Apriasih ◽  
Tupriliany Danefi
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Infant Mortality Rate ◽  
Personal Hygiene ◽  
Neonatal Mortality Rate ◽  
Postnatal Mortality ◽  
Hiv Aids

Seiring dengan  perkembangan zaman, masalah remaja makin bertambah di mana-mana khususnya di Indonesia.  Masa remaja adalah masa peralihan dari masa anak-anak ke masa dewasa. Masalah remaja di zaman ini bukanlah baru terjadi, tapi dari tahun sebelum-sebelumnya sudah sering terjadi, dimana masalah pada remaja yaitu pergaulan bebas,  tawuran, memakai narkoba, menonton film porno, meminum minuman alkohol, pesta pora dan masih banyak lagi masalah yang terjadi pada remaja.  Dan sekarang ini ada juga anak-anak yang masih duduk di bangku sekolah seperti SD, maupun SMP dan SMA sudah ada yang merokok, pergaulan bebas, meminum alkohol, menonton film porno, dan bahkan ada yang sudah hamil di luar nikah. Ini semua terjadi karena kurang adanya pengawasan dari orangtua atau keluarga, guru, dan pemerintah.  Masalah remaja tentunya  tak jarang lagi mendengar atau menonton dan bahkan melihat yang terjadi disekitar kita. Berdasarkan hasil Survei Kesehatan berbasis Sekolah di Indonesia tahun 2015 (GSHS) dapat terlihat gambaran faktor risiko kesehatan pada pelajar uisa 12-18 tahun secara nasional sebanyak 41,8 % laki-laki dan 4,1 % perempuan mengaku pernah merokok, 32,82 % doantara merokok pertama kali pada umur < 13 tahun. Gambaran faktor resiko kesehatan lainnya adalah perilaku seksual dimana didapatkan 8,26 % pelajara laki-laki dan 4,17 pelajara perempuan usia 12-18 tahun pernah melakukan hubungan seksual. Perilaku seks pranikah tentunya memberikan dampak yang luas pada remaja terutama berkaitan dengan penularan penyakit dan kehamilan yang tidak diinginkan serta aborsi. Kehamilan pada remaja tidak hanya berpengaruh terhadap kondisi fisik, mental dan sosial remaja tetapi juga meningkatkan resiko kematian bayi dan balita, seperti yang ditunjukkan SDKI 2012 dimana kehamilan dan persalinan pada ibu dibawah umur 20 tahun memiliki kontribusi dalam tingginya Neonatal Mortality Rate (34/1000 KH), Postnatal Mortality Rate (16/1000 KH), Infant Mortality Rate (50/1000 KH) dan under -5 Mortality Rate (61/1000 KH). Laporan triwulan Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan (Ditjen P2PL) mulai 1987 sampai dengan Maret 2017 menunjukkan bahwa tingginya angka kejadian AIDS di kelompok usia 20-29 tahun mengindikasikan kelompok tersebut pertama kali terkena HIV pada usia remaja. Di Desa Cikunir merupakan desa di wilayah Puskesmas Singaparna yang terdiri dari 3 dusun yaitu Gunung Kawung, Pameungpeuk, dan Anggaraja. Melalui kegiatan praktik kerja nyata mahasiswa Program Studi Kebidanan STIKes Respati Tasikmalaya melalui focus grup discucion (FGD) diperoleh informasi dari 35 responden remaja sebagai berikut 48,7 % belum mengetahui kesehatan reproduksi khususnya terkait infeksi menular seksual, 45,71 % sudah mempunyai pcar, 51,43 % tidak mengetahui tentang HIV/AIDS, 22,86% tidak mengetahui dampai pernikahan dini, dan 11,43 % setuju dengan pernikahan dini. Berdasarkan data tersebut diketahui bahwa pengetahuan remaja tentang kesehatan reproduksi remaja masih kurang dan akan berdampak pada permasalahan yang serius maka menjadi hal yang sangat penting untuk adanya upaya dalam hal peningkatan pengetahuan remaja , oleh karena diselenggarakan kegiatan penyuluhan tentang personal higyene dan masa pubertas pada remaja.

scholarly journals Socio-demographic determinants of under-five mortality in rural Agra

2017 ◽  
Vol 4 (9) ◽  
pp. 3108
Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Nuclear Family ◽  
Well Being ◽  
Infant Mortality Rate ◽  
Age Group ◽  
Neonatal Mortality Rate ◽  
Important Indicator ◽  
Live Births

Background: One of the most important indicator or index of socio-economic development of a country or region is infant mortality rate. The present study was undertaken to assess the quantum of childhood mortality and to find out the social factors associated with these deaths by verbal autopsies. Methods: This one year cross-sectional study was undertaken in a purposively selected community Development Block Sainyan, district Agra among children aged between 0-5 years using multistage random sampling technique. Suitable statistical methods were applied. Results: Out of total 8355 families surveyed, a total of 185 deaths were reported among children. Number of deaths was higher among those belonging to nuclear family and lower socioeconomic status. The neonatal mortality rate was estimated to be 33.55/1000 live births. The post neonatal mortality rate was found to be 40.78/1000 live births and infant mortality rate was 74.33/1000 live births. Mortality rate in 1-5 year age group children was 10.6/1000 same age group children, while 0-5 yrs. mortality was estimated to be 22.39/1000 children of same age group. Out of 185 children who died, 52.7% were unimmunized and another 35.67% were partially immunized. Conclusions: Female education and socioeconomic well-being should be strengthened. 

scholarly journals Impact of federal transfers upon US infant mortality rates: a secondary analysis using a fixed effects regression approach

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021533
Author(s):  
Michael McLaughlin ◽  
Mark R Rank
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Fixed Effects ◽  
State Level ◽  
Well Being ◽  
Mortality Rates ◽  
Postneonatal Mortality ◽  
Per Capita ◽  
Fixed Effects Regression ◽  
The Impact

ObjectivesIn order to improve health outcomes, the federal government allocates hundreds of billions of annual dollars to individual states in order to further the well-being of its citizens. This study examines the impact of such federal intergovernmental transfers on reducing state-level infant mortality rates.SettingAnnual data are collected from all 50 US states between 2004 and 2013.ParticipantsEntire US population under the age of 1 year between 2004 and 2013.Primary and secondary outcome measuresState-level infant mortality rate, neonatal mortality rate and postneonatal mortality rate.ResultsUsing a fixed effects regression model to control for unmeasurable differences between states, the impact of federal transfers on state-level infant mortality rates is estimated. After controlling for differences across states, increases in per capita federal transfers are significantly associated with lower infant, neonatal and postneonatal mortality rates. Holding all other variables constant, a $200 increase in the amount of federal transfers per capita would save one child’s life for every 10 000 live births.ConclusionsConsiderable debate exists regarding the role of federal transfers in improving the well-being of children and families. These findings indicate that increases in federal transfers are strongly associated with reductions in infant mortality rates. Such benefits should be carefully considered when state officials are deciding whether to accept or reject federal funds.

Gambaran Kesehatan Reproduksi Remaja di Panembong Girang Desa Mekarsari Cianjur

2020 ◽  
Vol 3 (2) ◽  
pp. 382-387
Author(s):  
Helvy Yunida
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Data Collection ◽  
Initial Data ◽  
Preliminary Data ◽  
Community Health Center ◽  
Infant Mortality Rate ◽  
Face To Face ◽  
Infant Deaths ◽  
Quantitative And Qualitative Methods

Abstrak: AKI (Angka Kematian Ibu) dan AKB (Angka Kematian Bayi)  di wilayah kerja Puskesmas Nagrak  masih tinggi  pada umumnya dan wilayah Desa Mekarsari pada khususnya. Salah satu Penyebab  tidak langsung kematian  ibu dan bayi karena  masih rendahnya pengetahuan remaja tentang reproduksi remaja. Sehingga remaja tersebut sebagai calon ibu kurang mempersiapkan dirinya menyongsong masa hamil dan masa memiliki  anak  setelah menikah. Penelitian ini menggunakan metode  kuantitatif dan kualitatif. Tempat penelitan di Panembong girang, sample 30 orang remaja.  Data awal diambil dari profil Desa Mekarsari, profil Pusksmas Nagrak dan tatap muka dengan 32 orang remaja untuk menggali masalah sebagai  pengumpulan data awal yang didokumentasikan dalam bentuk photo. Abstract: MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate) in the working area of the Nagrak Community Health Center are still high in general and the Mekarsari Village area in particular. One of the indirect causes of maternal and infant deaths is due to the low knowledge of adolescents about adolescent reproduction. So that the teenager as a prospective mother is less prepared to welcome pregnancy and having children after marriage. This research uses quantitative and qualitative methods. Research place in Panembong excited, sample of 30 teenagers. Preliminary data were taken from the Mekarsari Village profile, the Nagrak Pusksmas profile and face to face with 32 teenagers to explore the problem as initial data collection documented in the form of photos.

Infant Mortality

2021 ◽  
Keyword(s):  
Preterm Birth ◽  
Child Health ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Infant Mortality Rate ◽  
First Year ◽  
Long Term Effects ◽  
Development Goal ◽  
Infant Deaths ◽  
One Year

A child younger than one year of age (i.e., birth to twelve months) is termed an infant. Nearly 5.2 million children less than five died in 2019, with close to 75 percent dying in the first year. The infant mortality rate (IMR) is the probability of dying between birth and exactly one year of age expressed per one thousand live births and remains a key indicator to track child health and survival. Globally, infant deaths have markedly decreased during the Millennium Development Goal (MDG) period and beyond. The IMR is closely linked to the neonatal period as the greatest risk of mortality in the first year is during the first twenty-eight days of life. Out of the 3.9 million infants who died in 2019, nearly 2.4 million (61.5 percent) died in the first month. Globally, the leading causes of neonatal mortality are complications from preterm birth, intrapartum-related neonatal events, and neonatal infections. Preterm birth complications, the leading cause of under-five and infant deaths, account for nearly 35 percent of all neonatal deaths. Addressing causes of neonatal mortality is critical in reducing global infant mortality and achieving the Sustainable Development Goal (SDG) 3.2. With the COVID-19 pandemic and its predicted long-term effects on maternal and child health, health systems, and food security this challenge is all the greater.

PUBLIC HEALTH, NURSING, MEDICAL SOCIAL WORK

PEDIATRICS ◽  
1958 ◽  
Vol 22 (6) ◽  
pp. 1189-1192
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
The United States ◽  
Vital Statistics ◽  
Infant Mortality Rate ◽  
Final Report ◽  
Infant Deaths ◽  
National Office ◽  
Health Nursing ◽  
First Time

FOR THE first time in many years, it is necessary to report that the infant mortality rate has increased over the preceding year. From 1936 through 1956 the infant mortality rate had declined steadily each year, decreasing 54% during this period from the figure of 57.1 per 1,000 live births for 1936 to 26.1 in 1956. These and other basic data on vital statistics in the United States are reported each year in preliminary form by the National Office of Vital Statistics in its regular publication Monthly Vital Statistics Report. The data in this column are taken from this year's summary, published in Volume 6, No. 13, of Monthly Vital Statistics Report on April 9, 1958, from which Figure 1 and Table I (abridged) are reproduced. It is to be noted that although this report is based on estimates they are nevertheless considered quite reliable. Previous experience has shown that the final report is not significantly different from the estimates and for all practical purposes the latter present the correct situation. In 1956, for example, the final report indicated that the actual number of infant deaths was approximately one-tenth of 1% below the estimate. NATURE AND SOURCE OF DATA Birth and death figures in the Monthly Vital Statistics Report summarize information from monthly reports of the numbers of birth and death certificates received in registration offices between two dates a month apart, regardless of when the events occurred. Final figures, by contrast, are obtained from copies of certificates received in the National Office of Vital Statistics for events actually occurring in the reporting year.

scholarly journals Understanding State-Level Variations in the US Infant Mortality: 2000 to 2015

2018 ◽  
Vol 36 (12) ◽  
pp. 1271-1277
Author(s):  
Alireza Ebrahimvandi ◽  
Niyousha Hosseinichimeh ◽  
Jay Iams
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
State Level ◽  
Infant Mortality Rate ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Infant Deaths ◽  
Factors Associated ◽  
Effect Regression ◽  
Causes Of Mortality

Objective To exploit state variations in infant mortality, identify diagnoses that contributed to reduction of the infant mortality rate (IMR), and examine factors associated with preterm-related mortality rate (PMR). Study Design Using linked birth-infant deaths files, we examined patterns in the leading causes of IMR. We compared these rates at both national and state levels to find reduction trends. Creating a cross-sectional time series of states' PMR and some explanatory variables, we implemented a fixed-effect regression model to examine factors associated with PMR at the state level. Results We found substantial state-level variations in changes of the IMR (range =  − 2.87–2.08) and PMR (−1.77–0.67). Twenty-one states in which the IMR declined more than the national average of 0.99 (6.89–5.90) were labeled as successful. In the successful states, we found reduction in the PMR accounted for the largest decline in the IMR—0.90 fewer deaths. Changes in the other subgroups of leading causes did not differ significantly in successful and unsuccessful states. Conclusion Trends in the causes of mortality are heterogeneous across states. Although its impact is not large, reducing the percentage of pregnant women with inadequate care is one of the mechanisms through which the PMR decrease.

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