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International Journal of Population Studies

                                    RESEARCH ARTICLE

                                    Maternal characteristics and the risk

                                    of neonatal mortality in Brazil between

                                    2006 and 2016


                                    Pedro Henrique Costa , Luciana Correia Alves *,
                                                          1
                                                                                 1
                                    Carlos Eduardo Beluzo , Natalia Martins Arruda ,
                                                           2
                                                                                    2
                                    Rodrigo Campos Bresan , Tiago Carvalho   2
                                                            2
                                    1 Department of Demography at the Institute of Philosophy and Human Sciences,
                                    Population Studies Center Elza Berquó — NEPO, University of Campinas (Unicamp),
           ARTICLE INFO
                                    Campinas-SP, Brazil
           Received: May 13, 2019   2 Federal Institute of São Paulo, Campinas-SP, Brazil
           Accepted: June 29, 2019
           Published: July 6, 2019
           *CORRESPONDING AUTHOR
                                    Abstract: Neonatal deaths account for more than 60% of infant deaths and are a major concern
           Luciana Correia Alves,   in Brazil. The reduction of the occurrence of these events appears to be more challenging than
           Department of Demography   post-neonatal deaths, as such a reduction depends more on factors related to the pregnancy and
           at the Institute of Philosophy   childbirth than sanitary and health conditions. The aim of the present study was to evaluate the
           and Human Sciences,      influence of maternal factors (schooling, marital status, and age) on the risk of neonatal mortality in
           Population Studies Center Elza   Brazil between 2006 and 2016. Data were collected from the Brazilian Institute of Geography and
           Berquó – NEPO, University of
           Campinas – Unicamp, Cidade   Statistics as well as two information systems of the public health-care system: Mortality Information
           Universitária Zeferino Vaz.   System and Live Birth Information System. The total valid sample size was 28,362,359 children.
           Av. Albert Einstein, 1300 —   Visualization and classification methods were performed. The results revealed a considerably higher
           Sala 24, CEP: 13081-970,   risk of neonatal deaths when the mothers were unmarried, had a low level of schooling, and were
           Campinas – SP, Brazil.   outside the 20-34-year-old age group. Different demographic profiles in Brazil exert an influence
           lcalves@unicamp.br       on neonatal health. The identification of the risk factors of neonatal mortality can assist in ensuring
           CITATION                 pregnancy, delivery, and a neonatal period of greater quality.
           Costa PH, Alves LC,      Keywords: Infant mortality; Neonatal mortality; Maternal age; Risk factors; Brazil
           Beluzo CE, Arruda NM,
           Bresan RC, Carvalho T. (2019).
           Maternal characteristics and   1. Introduction
           the risk of neonatal mortality
           in Brazil between 2006 and   The infant mortality rate (IMR) is considered one of the best indicators of a population’s
           2016. International Journal of   standard of living and social well-being. The decline in this rate constitutes a remarkable
           Population Studies, 5(2):24-33.    success of governments, civil society, and academia and health professionals in the past
           doi: 10.18063/ijps.v5i2.1130  two centuries. Global mortality has declined 5 times in the past 65 years, reaching 4.5%
           Copyright: © 2019        in 2015. Particularly in Brazil, the reduction was greater than 10 times in the same period
           Costa PH, Alves LC,      (World Bank, 2019). Nonetheless, disparities between developed and developing countries
           Beluzo CE, Arruda NM,    demonstrate that there is much work left to do. The fact that mortality rates in developing
           Bresan RC, Carvalho T. This
           is an Open-Access article   countries can be 10 times higher than those in developed countries is proof that we are
           distributed under the terms   dealing with a high percentage of avoidable deaths.
           of the Creative Commons    A reduction in child mortality rates is listed as one of United Nations (UN) Sustainable
           Attribution-Non Commercial
           4.0 International License   Development Goals for 2030 (UN Resolution, 2015) and was also listed as one of UN’s
           (http://creativecommons.org/  Millennium Development Goals for 2015, which aimed to reduce Child Mortality Rates
           licenses/by-nc/4.0/), permitting   by two-thirds between 1990 and 2015, a goal that Brazil achieved in 2011. The global
           all noncommercial use,   IMR declined from 65 deaths per 1000 live births in 1990 to less than 30 by 2018, which is
           distribution, and reproduction
           in any medium, provided the   a considerable improvement, but still far from the rate considered acceptable by the World
           original work is properly cited.  Health Organization (WHO), which is 12 neonatal deaths per 1000 live births by 2030.

           24                                              International Journal of Population Studies | 2019, Volume 5, Issue 2
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