Trends and inequalities in maternal and child health in a Brazilian city: methodology and sociodemographic description of four population-based birth cohort studies, 1982-2015

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBERTOLDI, Andrea Damaso
dc.contributor.authorBARROS, Fernando C.
dc.contributor.authorHALLAL, Pedro R. C.
dc.contributor.authorMIELKE, Gregore I.
dc.contributor.authorOLIVEIRA, Paula D.
dc.contributor.authorMAIA, Maria Fatima S.
dc.contributor.authorHORTA, Bernardo L.
dc.contributor.authorGONCALVES, Helen
dc.contributor.authorBARROS, Aluisio J. D.
dc.contributor.authorTOVO-RODRIGUES, Luciana
dc.contributor.authorMURRAY, Joseph
dc.contributor.authorVICTORA, Cesar G.
dc.contributor.authorMENEZES, Ana M. B.
dc.contributor.authorMATIJASEVICH, Alicia
dc.contributor.authorBASSANI, Diego
dc.contributor.authorWEHRMEISTER, Fernando C.
dc.contributor.authorSANTOS, Ina S.
dc.contributor.authorASSUNCAO, Maria Cecilia F.
dc.contributor.authorSILVEIRA, Mariangela F.
dc.contributor.authorDOMINGUES, Marlos Rodrigues
dc.contributor.groupauthorPelotas Cohorts Study Grp
dc.date.accessioned2019-06-26T17:31:48Z
dc.date.available2019-06-26T17:31:48Z
dc.date.issued2019
dc.description.abstractBackground Few low-middle-income countries have data from comparable birth cohort studies spanning over time. We report on the methods used by the Pelotas cohorts (1982, 1993, 2004 and 2015) and describe time trends in sociodemographic characteristics of the participant families. Methods During the four study years, all maternity hospitals in the city were visited daily, and all urban women giving birth were enrolled. Data on socioeconomic and demographic characteristics were collected using standardized questionnaires, including data on maternal and paternal skin colour, age and schooling, maternal marital status, family income and household characteristics. The analyses included comparisons of time trends and of socioeconomic and ethnic group inequalities. Results Despite a near 50% increase in the city's population between 1982 and 2015, the total number of births declined from 6011 to 4387. The proportion of mothers aged 35years increased from 9.9% to 14.8%, and average maternal schooling from 6.5 [standard deviation (SD) 4.2] to 10.1 (SD 4.0) years. Treated water was available in 95.3% of households in 1982 and 99.3% in 2015. Three-quarters of the families had a refrigerator in 1982, compared with 98.3% in 2015. Absolute income-related inequalities in maternal schooling, household crowding, household appliances and access to treated water were markedly reduced between 1982 and 2015. Maternal skin colour was associated with inequalities in age at childbearing and schooling, as well as with household characteristics. Conclusions During the 33-year period, there were positive changes in social and environmental determinants of health, including income, education, fertility and characteristics of the home environment. Socioeconomic inequality was also reduced.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipWellcome Trust
dc.description.sponsorshipInternational Development Research Center
dc.description.sponsorshipWorld Health Organization
dc.description.sponsorshipOverseas Development Administration of the United Kingdom
dc.description.sponsorshipEuropean Union
dc.description.sponsorshipBrazilian National Support Program for Centers of Excellence (PRONEX)
dc.description.sponsorshipBrazilian National Council for Scientific and Tehcnological Development (CNPq)
dc.description.sponsorshipScience and Technology Department (DECIT) of the Brazilian Ministry of Health
dc.description.sponsorshipBrazilian Pastorate of the Child
dc.description.sponsorshipBrazilian Association for Collective Health (ABRASCO)
dc.description.sponsorshipResearch Support Foundation of the State of Rio Grande do Sul (FAPERGS)
dc.identifier.citationINTERNATIONAL JOURNAL OF EPIDEMIOLOGY, v.48, suppl.1, p.i4-i15, 2019
dc.identifier.doi10.1093/ije/dyy170
dc.identifier.eissn1464-3685
dc.identifier.issn0300-5771
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32513
dc.language.isoeng
dc.publisherOXFORD UNIV PRESSeng
dc.relation.ispartofInternational Journal of Epidemiology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright OXFORD UNIV PRESSeng
dc.subjectMaternal healtheng
dc.subjectchild healtheng
dc.subjectsocioeconomic factorseng
dc.subjectcohort studieseng
dc.subjecthealth surveyseng
dc.subject.otherprofile updateeng
dc.subject.othergenome-wideeng
dc.subject.otherpelotaseng
dc.subject.othersmokingeng
dc.subject.othercausaleng
dc.subject.otherageeng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titleTrends and inequalities in maternal and child health in a Brazilian city: methodology and sociodemographic description of four population-based birth cohort studies, 1982-2015eng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalBERTOLDI, Andrea Damaso:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalBARROS, Fernando C.:Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Pelotas, Brazil
hcfmusp.author.externalHALLAL, Pedro R. C.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalMIELKE, Gregore I.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalOLIVEIRA, Paula D.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalMAIA, Maria Fatima S.:Fed Univ Rio Grande, Inst Human Sci & Informat, Rio Grande, Brazil
hcfmusp.author.externalHORTA, Bernardo L.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalGONCALVES, Helen:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalBARROS, Aluisio J. D.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalTOVO-RODRIGUES, Luciana:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalMURRAY, Joseph:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalVICTORA, Cesar G.:Univ Fed Pelotas, Postgrad Program Epidemiol, Marechal Deodoro 1160, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalMENEZES, Ana M. B.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalBASSANI, Diego:Univ Toronto, Toronto, ON, Canada
hcfmusp.author.externalWEHRMEISTER, Fernando C.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalSANTOS, Ina S.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalASSUNCAO, Maria Cecilia F.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalSILVEIRA, Mariangela F.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalDOMINGUES, Marlos Rodrigues:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.citation.scopus34
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.description.beginpagei4
hcfmusp.description.endpagei15
hcfmusp.description.issuesuppl 1
hcfmusp.description.volume48
hcfmusp.origemWOS
hcfmusp.origem.pubmed30883654
hcfmusp.origem.scopus2-s2.0-85063289247
hcfmusp.origem.wosWOS:000463818000002
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
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