Ecuadorian infant mortality linked to socioeconomic factors during the last 30 years

Author:

Romero-Sandoval Natalia1ORCID,Alcázar Diego Del1ORCID,Pastor Jacob2ORCID,Martín Miguel3ORCID

Affiliation:

1. Universidad Internacional del Ecuador, Ecuador

2. Instituto Geografico Militar, Ecuador

3. Universidad Autonoma de Barcelona, Spain

Abstract

Abstract Objectives: to analyze the difference among geographical units and the evolution of infant mortality rate (IMR) based on Ecuadorian censuses (1990-2001-2010). Methods: artificial Neural Network analyzed the impact of sociodemographic factors over the variability of IMR. Poisson regression analyzed the variation of the standardized IMR (sIMR). Results: the decrease in the national IMR was 63.8%; however, 42.8% provinces showed an increase in 2001-2010. The variability was explained mainly by illiteracy decrease. The adjusted RR between provincial sIMR with illiteracy and poverty revealed a trend towards the unit. Conclusions: the variation of IMR reflects a complex interaction of the sociodemographic factors.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference29 articles.

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3. Infant and child mortality in developing countries: Analysing the data for Robust determinants;Hanmer L;J Dev Stud,2003

4. Infant mortality and congenital anomalies from 1950 to 1994: an international perspective;Rosano A;J Epidemiol Community Health,2000

5. The impact of income inequality and national wealth on child and adolescent mortality in low and middle-income countries;Ward JL;BMC Public Health,2017

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