Article ; Online: Infant mortality due to congenital malformations in the Autonomous City of Buenos Aires (1998-2015): Spatial, temporal analysis and relation to the socioeconomic status.
Archivos argentinos de pediatria
2019 Volume 117, Issue 3, Page(s) 171–178
Abstract: Introduction: In Argentina, congenital malformations (CM) account for the second cause of death among infants younger than 1 year.: Objective: To analyze spatial and temporal variation in infant mortality due to CM in the Autonomous City of Buenos ... ...
Title translation | Mortalidad infantil por malformaciones congénitas en la Ciudad Autónoma de Buenos Aires (1998-2015): Análisis espacial, temporal y relación con la condición socioeconómica. |
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Abstract | Introduction: In Argentina, congenital malformations (CM) account for the second cause of death among infants younger than 1 year. Objective: To analyze spatial and temporal variation in infant mortality due to CM in the Autonomous City of Buenos Aires and its relation to a socioeconomic development indicator. Materials and methods: Births and deaths among infants younger than 1 year were coded using the International Classification of Diseases (ICD-10); data were provided by the Ministry of Health. Geographical areas: northern, central and southern. The nervous system, the cardiovascular system, chromosomal abnormalities, and 28 specific malformations were evaluated. Infant mortality rate due to CM (IMR-CM) and the percentage of deaths from CM (PD-CM) were estimated in 3 periods (1998-2003, 2004-2009, 2010-2015). Secular trend and risk of death were estimated using the Poisson regression model. A socioeconomic development indicator correlated to the IMR-CM and the PD-CM was obtained by means of a principal component analysis. Results: The IMR-CM and the PD-CM had, respectively, a negative and positive secular trend with statistical significance, and exhibited a differentiation by areas. The IMR-CM values decreased for central nervous system and cardiovascular system malformations, and increased for chromosomal abnormalities (p < 0.05). The IMR-CM and the PD-CM were positively and negatively correlated, respectively, with the socioeconomic indicator (p < 0.05). Conclusion: Infant mortality indicators due to CM in the Autonomous City of Buenos Aires are spatially and temporally heterogeneous, and are related to the socioeconomic characteristics of the areas. |
MeSH term(s) | Argentina/epidemiology ; Cause of Death ; Congenital Abnormalities/mortality ; Humans ; Infant ; Infant Mortality/trends ; Infant, Newborn ; Socioeconomic Factors ; Spatio-Temporal Analysis |
Language | Spanish |
Publishing date | 2019-05-06 |
Publishing country | Argentina |
Document type | Journal Article |
ZDB-ID | 424449-7 |
ISSN | 1668-3501 ; 0325-0075 ; 0004-0487 |
ISSN (online) | 1668-3501 |
ISSN | 0325-0075 ; 0004-0487 |
DOI | 10.5546/aap.2019.eng.171 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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