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Journal article
Characterising variability and predictors of infant mortality in urban settings: findings from 286 Latin American cities
Journal of epidemiology and community health (1979), v 75(3), pp 264-270
Mar 2021
PMID: 33060193
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundUrbanisation in Latin America (LA) is heterogeneous and could have varying implications for infant mortality (IM). Identifying city factors related to IM can help design policies that promote infant health in cities.MethodsWe quantified variability in infant mortality rates (IMR) across cities and examined associations between urban characteristics and IMR in a cross-sectional design. We estimated IMR for the period 2014–2016 using vital registration for 286 cities above 100 000 people in eight countries. Using national censuses, we calculated population size, growth and three socioeconomic scores reflecting living conditions, service provision and population educational attainment. We included mass transit availability of bus rapid transit and subway. Using Poisson multilevel regression, we estimated the per cent difference in IMR for a one SD (1SD) difference in city-level predictors.ResultsOf the 286 cities, 130 had <250 000 inhabitants and 5 had >5 million. Overall IMR was 11.2 deaths/1000 live births. 57% of the total IMR variability across cities was within countries. Higher population growth, better living conditions, better service provision and mass transit availability were associated with 6.0% (95% CI −8.3 to 3.7%), 14.1% (95% CI −18.6 to −9.2), 11.4% (95% CI −16.1 to −6.4) and 6.6% (95% CI −9.2 to −3.9) lower IMR, respectively. Greater population size was associated with higher IMR. No association was observed for population-level educational attainment in the overall sample.ConclusionImproving living conditions, service provision and public transportation in cities may have a positive impact on reducing IMR in LA cities.
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Details
- Title
- Characterising variability and predictors of infant mortality in urban settings: findings from 286 Latin American cities
- Creators
- Ana F Ortigoza - Drexel UniversityJosé A Tapia Granados - Drexel UniversityJ Jaime Miranda - Cayetano Heredia UniversityMarcio Alazraqui - National University of LanúsDiana Higuera - Universidad de Los AndesGeorgina Villamonte - Cayetano Heredia UniversityAmélia Augusta de Lima Friche - School of Medicine, Universidade Federal de Minas Gerais Faculdade de Medicina, Belo Horizonte, BrazilTonatiuh Barrientos Gutierrez - Instituto Nacional de Salud Publica, Mexico DF, MexicoAna V Diez Roux - Drexel University
- Publication Details
- Journal of epidemiology and community health (1979), v 75(3), pp 264-270
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Politics; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000620158900009
- Scopus ID
- 2-s2.0-85093975415
- Other Identifier
- 991019169654904721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health