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LBW and IUGR temporal trend in 4 population-based birth cohorts: the role of economic inequality.
Sadovsky, Ana D I; Matijasevich, Alicia; Santos, Iná S; Barros, Fernando C; Miranda, Angelica E; Silveira, Mariangela F.
Afiliación
  • Sadovsky AD; Department of Pediatrics, Federal University of Espírito Santo (UFES), Marechal Campos Ave., 1468 - Maruipe, Vitória, ES, Zip code: 29040-091, Brazil. adisadovsky@gmail.com.
  • Matijasevich A; Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil. adisadovsky@gmail.com.
  • Santos IS; Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil.
  • Barros FC; Department of Preventive Medicine, University of São Paulo (USP), São Paulo, SP, Brazil.
  • Miranda AE; Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil.
  • Silveira MF; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil.
BMC Pediatr ; 16: 115, 2016 07 29.
Article en En | MEDLINE | ID: mdl-27473678
BACKGROUND: Low/medium income countries, with health inequalities present high rates of neonates having low birthweight and/or are small for the gestational age. This study aims to analyze the absolute and relative income inequality in the occurrence of low birthweight and small size for gestational age among neonates in four birth cohorts from southern Brazil in 1982, 1993, 2004, and 2011. METHODS: The main exhibit was monthly family income. The outcomes were birth with low birthweight or small for the gestational age. The inequalities were calculated using the Slope Index of Inequality and the Relative Index of Inequality adjusted for maternal skin color, schooling, age, and marital status. RESULTS: In all birth cohorts, poorer mothers were at greater odds of having neonates with low birthweight or small for the gestational age. There was a tendency to decrease the prevalence of small for gestational age in poorer families associated with the reduction of inequalities over the past decades, which was not observed regarding low birthweight. CONCLUSIONS: Economic inequalities occurred in neonates with low birthweight and with intrauterine growth restriction in the four studies, with a higher incidence of inadequate neonatal outcomes in the poorer families.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Recién Nacido de Bajo Peso / Recién Nacido Pequeño para la Edad Gestacional / Nacimiento Prematuro / Disparidades en el Estado de Salud / Retardo del Crecimiento Fetal / Renta Tipo de estudio: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2016 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Recién Nacido de Bajo Peso / Recién Nacido Pequeño para la Edad Gestacional / Nacimiento Prematuro / Disparidades en el Estado de Salud / Retardo del Crecimiento Fetal / Renta Tipo de estudio: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2016 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido