{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:42:05Z","timestamp":1793868125520,"version":"4.6.1"},"reference-count":43,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>RESUMO:  Objetivo:  Analisar as taxas de mortalidade e as principais causas de morte na inf\u00e2ncia no Brasil e estados, entre 1990 e 2015, utilizando estimativas do estudo Carga Global de Doen\u00e7a (Global Burden of Disease - GBD) 2015.  M\u00e9todos:  As fontes de dados foram \u00f3bitos e nascimentos estimados com base nos dados do Sistema de Informa\u00e7\u00f5es sobre Mortalidade (SIM), censos e pesquisas. Foram calculadas propor\u00e7\u00f5es e taxas por mil nascidos vivos (NV) para o total de \u00f3bitos e as principais causas de morte na inf\u00e2ncia.  Resultados:  O n\u00famero estimado de \u00f3bitos para menores de 5 anos, no Brasil, foi de 191.505, em 1990, e 51.226, em 2015, sendo cerca de 90% mortes infantis. A taxa de mortalidade na inf\u00e2ncia no Brasil sofreu redu\u00e7\u00e3o de 67,6%, entre 1990 e 2015, cumprindo a meta estabelecida nos Objetivos de Desenvolvimento do Mil\u00eanio (ODM). A redu\u00e7\u00e3o total das taxas foi, em geral, acima de 60% nos estados, sendo maior na regi\u00e3o Nordeste. A disparidade entre as regi\u00f5es foi reduzida, sendo que a raz\u00e3o entre o estado com a maior e a menor taxa diminuiu de 4,9, em 1990, para 2,3, em 2015. A prematuridade, apesar de queda de 72% nas taxas, figurou como a principal causa de \u00f3bito em ambos os anos, seguida da doen\u00e7a diarreica, em 1990, e das anomalias cong\u00eanitas, da asfixia no parto e da sepse neonatal, em 2015.  Conclus\u00e3o:  A queda nas taxas de mortalidade na inf\u00e2ncia representa um importante ganho no per\u00edodo, com redu\u00e7\u00e3o de disparidades geogr\u00e1ficas. As causas relacionadas ao cuidado em sa\u00fade na gesta\u00e7\u00e3o, no parto e no nascimento figuram como as principais em 2015, em conjunto com as anomalias cong\u00eanitas. Pol\u00edticas p\u00fablicas intersetoriais e de sa\u00fade espec\u00edficas devem ser aprimoradas.<\/jats:p>","DOI":"10.1590\/1980-5497201700050005","type":"journal-article","created":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T14:13:00Z","timestamp":1498227180000},"page":"46-60","source":"Crossref","is-referenced-by-count":119,"title":["Principais causas da mortalidade na inf\u00e2ncia no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doen\u00e7a"],"prefix":"10.1590","volume":"20","author":[{"given":"Elisabeth Barboza","family":"Fran\u00e7a","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f4nia","family":"Lansky","sequence":"additional","affiliation":[{"name":"Secretaria Municipal de Sa\u00fade de Belo Horizonte,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Albertina Santiago","family":"Rego","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah Carvalho","family":"Malta","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Santiago","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Porto","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia Furquim de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria de Fatima Marinho de","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9lia Landman","family":"Szwarcwald","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Mooney","sequence":"additional","affiliation":[{"name":"University of Washington,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Naghavi","sequence":"additional","affiliation":[{"name":"University of Washington,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria 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