Sustainable development and child health in the Curitiba metropolitan mesoregion, State of Paraná, Brazil
The purpose of this study was to analyze social determinants of health through the relationship between Sustainable Development and child health outcomes. The population studied lives in 37 municipalities of the Curitiba mesoregion, in the State of Paraná, Brazil. It is a cross-cutting ecological st...
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| Veröffentlicht in: | Health & place 2013-01, Vol.19, p.167-173 |
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| creator | Bueno, Roberto Eduardo Tetu Moysés, Simone Reis Bueno, Paula Alexandra Jorge Moysés, Samuel de Carvalho, Max Luiz Sottile França, Beatriz Helena |
| description | The purpose of this study was to analyze social determinants of health through the relationship between Sustainable Development and child health outcomes. The population studied lives in 37 municipalities of the Curitiba mesoregion, in the State of Paraná, Brazil. It is a cross-cutting ecological study. In the 1st phase of the study, 16 contextual indicators were obtained from the 2010 demographic census performed by the Brazilian Institute of Geography and Statistics. Principal Components Factor Analysis was undertaken to demonstrate possible correlations between social determinants of health, resulting in Sustainable Development indices for the places where the children live. In the 2nd phase the mortality rate in children aged under 5 was obtained from the Ministry of Health database. Pearson's correlation demonstrated statistically significant, moderate and negative association between the mortality rate in children aged under 5 (2001–2010) and the Sustainable Development Index (r=−0.62, p |
| doi_str_mv | 10.1016/j.healthplace.2012.10.007 |
| format | Article |
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The population studied lives in 37 municipalities of the Curitiba mesoregion, in the State of Paraná, Brazil. It is a cross-cutting ecological study. In the 1st phase of the study, 16 contextual indicators were obtained from the 2010 demographic census performed by the Brazilian Institute of Geography and Statistics. Principal Components Factor Analysis was undertaken to demonstrate possible correlations between social determinants of health, resulting in Sustainable Development indices for the places where the children live. In the 2nd phase the mortality rate in children aged under 5 was obtained from the Ministry of Health database. Pearson's correlation demonstrated statistically significant, moderate and negative association between the mortality rate in children aged under 5 (2001–2010) and the Sustainable Development Index (r=−0.62, p<0.01); with the Equity component (r=−0.70, p<0.01); and with the clusters (r=−0.68, p<0.01). Contextual indicators of Sustainable Development for the places where the children live showed themselves to be associated with the child health outcome. As such, equitable and sustainable social policies, based on inclusive health promotion strategies, need to be integrated into the children's life context.</description><identifier>ISSN: 1353-8292</identifier><identifier>EISSN: 1873-2054</identifier><identifier>DOI: 10.1016/j.healthplace.2012.10.007</identifier><identifier>PMID: 23262454</identifier><identifier>CODEN: HEPLFG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Brazil ; Brazil - epidemiology ; Census ; Child health ; Child Mortality ; Child Welfare - statistics & numerical data ; Child, Preschool ; Children ; Conservation of Natural Resources - methods ; Conservation of Natural Resources - statistics & numerical data ; Cross-Sectional Studies ; Determinants ; Ecological and Environmental Phenomena ; Environment ; Epidemiology ; Equity ; Factor analysis ; Factor Analysis, Statistical ; General aspects ; Health ; Health promotion ; Health Promotion - methods ; Health status ; Health Status Disparities ; Health technology assessment ; Humans ; Medical sciences ; Metropolitan areas ; Miscellaneous ; Outcome Assessment (Health Care) ; Paraná ; Principal components analysis ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Social determinants of health ; Social factors ; Social indicators ; Social policy ; Socioeconomic Factors ; Sociology, Medical ; Spatial analysis ; Sustainable development</subject><ispartof>Health & place, 2013-01, Vol.19, p.167-173</ispartof><rights>2012 Elsevier Ltd</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd. 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The population studied lives in 37 municipalities of the Curitiba mesoregion, in the State of Paraná, Brazil. It is a cross-cutting ecological study. In the 1st phase of the study, 16 contextual indicators were obtained from the 2010 demographic census performed by the Brazilian Institute of Geography and Statistics. Principal Components Factor Analysis was undertaken to demonstrate possible correlations between social determinants of health, resulting in Sustainable Development indices for the places where the children live. In the 2nd phase the mortality rate in children aged under 5 was obtained from the Ministry of Health database. Pearson's correlation demonstrated statistically significant, moderate and negative association between the mortality rate in children aged under 5 (2001–2010) and the Sustainable Development Index (r=−0.62, p<0.01); with the Equity component (r=−0.70, p<0.01); and with the clusters (r=−0.68, p<0.01). Contextual indicators of Sustainable Development for the places where the children live showed themselves to be associated with the child health outcome. As such, equitable and sustainable social policies, based on inclusive health promotion strategies, need to be integrated into the children's life context.</description><subject>Biological and medical sciences</subject><subject>Brazil</subject><subject>Brazil - epidemiology</subject><subject>Census</subject><subject>Child health</subject><subject>Child Mortality</subject><subject>Child Welfare - statistics & numerical data</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Conservation of Natural Resources - methods</subject><subject>Conservation of Natural Resources - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Determinants</subject><subject>Ecological and Environmental Phenomena</subject><subject>Environment</subject><subject>Epidemiology</subject><subject>Equity</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>General aspects</subject><subject>Health</subject><subject>Health promotion</subject><subject>Health Promotion - methods</subject><subject>Health status</subject><subject>Health Status Disparities</subject><subject>Health technology assessment</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Metropolitan areas</subject><subject>Miscellaneous</subject><subject>Outcome Assessment (Health Care)</subject><subject>Paraná</subject><subject>Principal components analysis</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Social determinants of health</subject><subject>Social factors</subject><subject>Social indicators</subject><subject>Social policy</subject><subject>Socioeconomic Factors</subject><subject>Sociology, Medical</subject><subject>Spatial analysis</subject><subject>Sustainable development</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNksluFDEQQFsIRELgF5A5IHFID17b9hFGYZEigRQ4W253NeORe8F2R4K_ybfwY3g0w3JLn7y9cpXLr6peELwhmDSv95sd2JB3c7AONhQTWvY3GMsH1TlRktUUC_6wzJlgtaKanlVPUtpjjBvFyePqjDLaUC74ebW_WVK2frRtANTBLYRpHmDMyI4dcjsfOnTMhfyI8g7Qdok--9aiAXKc5in4bMeySFOEb34aL9FNthnQ1KPPNtrx190lehvtTx-eVo96GxI8O40X1dd3V1-2H-rrT-8_bt9c167BItcOMLTYWqcISEclUM14y8BqKrXCbXmf6HvlHG0laTQDanVDRS-d6AF4xy6qV8d75zh9XyBlM_jkIAQ7wrQkQwTHlDLC1Qq0NFWywt-Pcq41F0TLFShTTcO4JGtQrARRAt-PUsVx-dU1BVDJaOkBbQqqj6iLU0oRejNHP9j4wxBsDrKZvflPNnOQ7XBU-lJin5_SLO0A3d_IP3YV4OUJsMnZ0BcdnE__OEmwwEoXbnvkoGhx6yGa5DyMDjofwWXTTX5FOb8BmoP2xg</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Bueno, Roberto Eduardo</creator><creator>Tetu Moysés, Simone</creator><creator>Reis Bueno, Paula Alexandra</creator><creator>Jorge Moysés, Samuel</creator><creator>de Carvalho, Max Luiz</creator><creator>Sottile França, Beatriz Helena</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7ST</scope><scope>7T2</scope><scope>7U2</scope><scope>7U6</scope><scope>C1K</scope><scope>7QJ</scope></search><sort><creationdate>201301</creationdate><title>Sustainable development and child health in the Curitiba metropolitan mesoregion, State of Paraná, Brazil</title><author>Bueno, Roberto Eduardo ; Tetu Moysés, Simone ; Reis Bueno, Paula Alexandra ; Jorge Moysés, Samuel ; de Carvalho, Max Luiz ; Sottile França, Beatriz Helena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c605t-ce0eb0aac81e7c27e2934b3ea927980b8735ff8cc2b71693e2a9625f7c5fee4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biological and medical sciences</topic><topic>Brazil</topic><topic>Brazil - epidemiology</topic><topic>Census</topic><topic>Child health</topic><topic>Child Mortality</topic><topic>Child Welfare - statistics & numerical data</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Conservation of Natural Resources - methods</topic><topic>Conservation of Natural Resources - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>Determinants</topic><topic>Ecological and Environmental Phenomena</topic><topic>Environment</topic><topic>Epidemiology</topic><topic>Equity</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>General aspects</topic><topic>Health</topic><topic>Health promotion</topic><topic>Health Promotion - methods</topic><topic>Health status</topic><topic>Health Status Disparities</topic><topic>Health technology assessment</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Metropolitan areas</topic><topic>Miscellaneous</topic><topic>Outcome Assessment (Health Care)</topic><topic>Paraná</topic><topic>Principal components analysis</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Social determinants of health</topic><topic>Social factors</topic><topic>Social indicators</topic><topic>Social policy</topic><topic>Socioeconomic Factors</topic><topic>Sociology, Medical</topic><topic>Spatial analysis</topic><topic>Sustainable development</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bueno, Roberto Eduardo</creatorcontrib><creatorcontrib>Tetu Moysés, Simone</creatorcontrib><creatorcontrib>Reis Bueno, Paula Alexandra</creatorcontrib><creatorcontrib>Jorge Moysés, Samuel</creatorcontrib><creatorcontrib>de Carvalho, Max Luiz</creatorcontrib><creatorcontrib>Sottile França, Beatriz Helena</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Environment Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Sustainability Science Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bueno, Roberto Eduardo</au><au>Tetu Moysés, Simone</au><au>Reis Bueno, Paula Alexandra</au><au>Jorge Moysés, Samuel</au><au>de Carvalho, Max Luiz</au><au>Sottile França, Beatriz Helena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sustainable development and child health in the Curitiba metropolitan mesoregion, State of Paraná, Brazil</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2013-01</date><risdate>2013</risdate><volume>19</volume><spage>167</spage><epage>173</epage><pages>167-173</pages><issn>1353-8292</issn><eissn>1873-2054</eissn><coden>HEPLFG</coden><abstract>The purpose of this study was to analyze social determinants of health through the relationship between Sustainable Development and child health outcomes. The population studied lives in 37 municipalities of the Curitiba mesoregion, in the State of Paraná, Brazil. It is a cross-cutting ecological study. In the 1st phase of the study, 16 contextual indicators were obtained from the 2010 demographic census performed by the Brazilian Institute of Geography and Statistics. Principal Components Factor Analysis was undertaken to demonstrate possible correlations between social determinants of health, resulting in Sustainable Development indices for the places where the children live. In the 2nd phase the mortality rate in children aged under 5 was obtained from the Ministry of Health database. Pearson's correlation demonstrated statistically significant, moderate and negative association between the mortality rate in children aged under 5 (2001–2010) and the Sustainable Development Index (r=−0.62, p<0.01); with the Equity component (r=−0.70, p<0.01); and with the clusters (r=−0.68, p<0.01). Contextual indicators of Sustainable Development for the places where the children live showed themselves to be associated with the child health outcome. As such, equitable and sustainable social policies, based on inclusive health promotion strategies, need to be integrated into the children's life context.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>23262454</pmid><doi>10.1016/j.healthplace.2012.10.007</doi><tpages>7</tpages></addata></record> |
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| ispartof | Health & place, 2013-01, Vol.19, p.167-173 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biological and medical sciences Brazil Brazil - epidemiology Census Child health Child Mortality Child Welfare - statistics & numerical data Child, Preschool Children Conservation of Natural Resources - methods Conservation of Natural Resources - statistics & numerical data Cross-Sectional Studies Determinants Ecological and Environmental Phenomena Environment Epidemiology Equity Factor analysis Factor Analysis, Statistical General aspects Health Health promotion Health Promotion - methods Health status Health Status Disparities Health technology assessment Humans Medical sciences Metropolitan areas Miscellaneous Outcome Assessment (Health Care) Paraná Principal components analysis Public health. Hygiene Public health. Hygiene-occupational medicine Social determinants of health Social factors Social indicators Social policy Socioeconomic Factors Sociology, Medical Spatial analysis Sustainable development |
| title | Sustainable development and child health in the Curitiba metropolitan mesoregion, State of Paraná, Brazil |
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