RESUMO
Levels of women's empowerment (WE) can contribute to differences in infant mortality rates (IMRs) across cities. We used a cross-sectional multilevel study to examine associations of WE with IMRs across 286 cities in seven Latin American countries. We estimated IMRs for 2014-2016 period and combined city socioeconomic indicators into factors reflecting living conditions and service provision. WE was operationalized: (1) in cities, by using scores for women's labor force participation (WLFP) and educational attainment among women derived from education and employment indicators disaggregated by sex; (2) in countries, by including a scale of enforcements of laws related to women's rights. We estimated adjusted percent differences in IMRs associated with higher WE scores across all cities and stratified by country GDP. We found substantial heterogeneity in IMRs and WE across cities. Higher WLFP was associated with lower IMRs. Higher women's educational attainment was associated with lower IMRs only in cities from countries with lower GDP. Poorer national enforcement of laws protecting women's rights was associated with higher IMRs in all countries. Women's empowerment could have positive implications for population health. Fostering women's socioeconomic development and girls' education should be part of strategies to reduce IMRs in cities of Global South.
RESUMO
BACKGROUND: Global mortality trends highlight changing patterns in young people, especially young men, yet little evidence of long-term trends is available in Argentina. OBJECTIVE: Given the lack of published evidenced within the country, this work seeks to construct long-term mortality trends for young people in Argentina. METHODS: A descriptive mortality time series was developed for ages 1-24 years by sex and cause of death in Argentina during 1947-2012. Diverse international and domestic public data sources were used to calculate the specific mortality rates. Causes of death were classified into the 3 Global Burden of Disease groups to ensure comparability. FINDINGS: The greatest decline in mortality was found in the 1-4 year age group. Women and girls of all ages had large decreases in mortality. Mortality in boys and men aged 15-24 years declined, but much less than in all other groups; mortality in this group was twice that of women and girls by 2012. Mortality as a result of communicable, nutritional, and maternal causes declined in all groups, but in young men injury mortality increased. In all groups, reductions were greater during the first half of the period. CONCLUSIONS: Long-term trends offer a broader view of health phenomena-like injury mortality, disproportionately affecting young men-so as to better inform actions and policy that could change ways of living and dying in Argentina.
