Desigualdades sociales y salud: nivel socioeconómico y mortalidad infantil en Chile, 1985-1995 / Socioeconomic level and infant mortality in Chile in the period 1985-1995

RESUMO

Background: The strong relationship between, social inequalities and health have extensively reported. Aim: to measure the effects of social inequalities, assessed through maternal educational level,on infant mortality in Chile. Material and methods: Using death and birth electronic databases of the Instituto Nacional de Estadísticas, the annual rates of infant mortality per years of approved studies of both parents and per cause were calculated. Results: In the 1990-1995 period,there is a clear gradient of infant mortality according to the level of education of the mother (38.2 per 1000 born alive among those without education versus 7.8 per 1000 born alive among those with university education). The same tendency is maintained for neonatal and post-neonatal mortality . All groups of causes had a similar affect, standing out disease of the respiratory system with a relative risk (RR) of 14.3 and a population attributable risk (PAR) of 73 percent, trauma with a RR of 11.3 and a PAR of 69 percent and infectious disease with a RR of 10.8 and a PAR of 62percent. Between 1985 and 1995, absolute inequalities decreased but relative inequalities remained constant. Conclusions: The great social inequality in infant mortality has persisted in Chile during the last years. To adequately asses the national progresses in population healt using infant mortality as an indicator, the gaps between social groups must be born in mind