Trends in socioeconomic inequalities in mortality in developing countries: the case of child survival in São Paulo, Brazil

Demography. 2004 Aug;41(3):443-64. doi: 10.1353/dem.2004.0027.


I examined trends in socioeconomic inequalities in under-five mortality for the state of São Paulo, Brazil, over a 21-year period from 1970 to 1991, during which much of the mortality transition unfolded. During this time, there was a decline in inequality in under-five mortality by household wealth but a substantial increase by mother's education. Improvements in infrastructure and economic development were associated with lower levels of socioeconomic inequality in under-five mortality. Mother's education emerged as the key factor underlying socioeconomic inequalities in under-five mortality even as levels of education for women increased and inequality in schooling fell.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Brazil / epidemiology
  • Child, Preschool
  • Developing Countries
  • Health Surveys
  • Humans
  • Income
  • Infant
  • Infant Mortality / trends*
  • Mothers / education
  • Parity
  • Rural Health / trends
  • Social Class
  • Socioeconomic Factors*
  • Survival Analysis*
  • Urban Health / trends