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Revista de Salud Pública
versão impressa ISSN 0124-0064
Resumo
ROJAS-BOTERO, Maylen L.; BORRERO-RAMIREZ, Yadira E. e 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 26-Maio-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.
Palavras-chave : Social determinants of health; equity stratifiers; health status disparities; child mortality; systematic review (source: MeSH, NLM).