Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
ROJAS-BOTERO, Maylen L.; BORRERO-RAMIREZ, Yadira E. and CACERES-MANRIQUE, Flor de María. Social inequalities in under-five mortality: a systematic review. Rev. salud pública [online]. 2020, vol.22, n.2, pp.220-237. Epub May 26, 2020. ISSN 0124-0064. https://doi.org/10.15446/rsap.v22n2.86964.
Objective
To identify the characteristics of the published studies on social inequalities in under-five mortality, their theoretical perspectives, axes of inequality, methods and results.
Method
We carried out a systematic literature review. We consulted four electronic databases and Google Scholar, for studies published between 2010 and 2018.
Results
We analyzed 126 articles. In 62.7%, territory was studied as the axis of inequality, followed by socioeconomic determinants (27.8%). Neonatal, infant and under-five mortality was analyzed as an output in health in 19.0%, 49.2% and 32.3%, respectively. It predominated ecological (62.7%) and longitudinal (50.0%) studies. Significant reductions in mortality rates were found, however, the decline was not homogeneous among subpopulations.
Conclusions
The literature reports a marked decrease in under-five mortality; however, the gaps between different axes of inequality continue and in some cases they have increased. Gaps varied according to time, place, axis of inequality and type of mortality analyzed.
Keywords : Social determinants of health; equity stratifiers; health status disparities; child mortality; systematic review (source: MeSH, NLM).