Skip to main content
. 2025 Sep 8;39:e090. doi: 10.1590/1807-3107bor-2025.vol39.090

Table 2. Prevalence of children with Down syndrome according to birth weight, ethnicity, gender, and preterm birth from 2010 to 2020 by states in Brazil.

Variables Children with low-birth weight (up to 2.500 grams) Children classified as White Male children Proportion of preterm births (up to 37 weeks)
Federative unit (Abbreviation) Down % No Down % Down % No Down % Down % No Down % Down % No Down %
(CI95%) (CI95%) (CI95%) (CI95%) (CI95%) (CI95%) (CI95%) (CI95%)
p-value p-value p-value p-value
North Region
Rondônia (RO) 20.68 6.82 15.51 24.30 39.65 51.33 8.62 8.95
(9.68–31.7) (0.00–13.67) (5.68–25.36) (12.64–35.96) ( 26.36–52.96 ) ( 37.75–64.93 ) ( 0.99–16.25 ) ( 1.19–16.71 )
p <0.05 p > 0.05 p > 0.05 p > 0.05
Acre (AC) 23.33 7.51 6.67 7.37 45 51.45 33.33 12.12
(0.0–52.3) (1.9–10.8) (73.9–100.0) (78.9–97.9) (0.0–100.0) (49.1–56.4) (0.0–100.0) (7.2–17.2)
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Amazonas (AM) 17.98 7.5 8.99 6.33 43.82 51.21 17.98 11.05
(5.66–41) (0.00–18.54) (0.00–17.1) (0.00–18.29) ( 24.21–65.79 ) ( 30.57–72.33 ) ( 13.63–53.03 ) ( 0.00–25.76 )
p >0.05 p > 0.05 p > 0.05 p > 0.05
Roraima (RR) 20.59 8.18 5.88 7.98 41.18 51.4 8.82 13.65
(0.13–41.05) (0.00–22.05) (0.00–17.79) (0.00–21.69) ( 16.27–66.09 ) ( 26.11–76.69 ) ( 0.00–23.17 ) ( 0.00–31.02 )
p > 0.05 p > 0.05 p > 0.05 p > 0.05
Pará (PA) 18.68 7.54 8.06 7.46 46.52 51.29 17.22 11.11
(12.31–25.05) (3.23–11.85) (3.61–12.51) (3.17–11.75) ( 38.37–54.67 ) ( 43.13–59.45 ) ( 11.05–23.39 ) ( 5.98–16.24 )
p <0.05 p > 0.05 p > 0.05 p > 0.05
Amapá (AP) 12.9 8.2 11.29 10.18 58.06 51.27 6.45 12.22
(0.00–29.32) (0.00–21.64) (0.00–26.8) (0.00–25) ( 33.88–82.24 ) ( 26.78–75.76 ) ( 0.00–18.49 ) ( 0.00–28.27 )
p < 0.05 p > 0.05 p > 0.05 p > 0.05
Tocantins (TO) 20 7.42 20 13.4 66.67 51.2 24.44 10.65
(13.35–26.65) (3.06–11.78) (13.35–26.65) (7.74–19.06) ( 58.83–74.51 ) ( 42.89–59.51 ) ( 17.3–31.58 ) ( 5.52–15.78 )
p <0.05 p > 0.05 p < 0.05 p < 0.05
Northeast Region
Maranhão (MA) 18.37 7.32 13.61 8.57 36.05 51.33 21.09 10.21
(13.22–23.52) (3.85–10.79) (9.05–18.17) (4.85–12.29) ( 29.66–42.44 ) ( 44.68–57.98 ) ( 15.66–26.52 ) ( 6.18–14.24 )
p < 0.05 p > 0.05 p < 0.05 p < 0.05
Piauí (PI) 34.38 7.72 3.13 11.33 40.63 51.19 26.56 10.19
(28.16–40.6) (4.22–11.22) (0.85–5.41) (7.18–15.48) ( 34.2–47.06 ) ( 44.64–57.74 ) ( 20.78–32.34 ) ( 6.23–14.15 )
p < 0.05 p < 0.05 p < 0.05 p < 0.05
Ceará (CE) 19.33 8.03 8.36 9.08 48.51 51.26 21.93 11.08
(13.62–25.04) (4.1–11.96) (4.36–12.36) (4.93–13.23) ( 41.29–55.73 ) ( 44.04–58.48 ) ( 15.95–27.91 ) ( 6.54–15.62 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Rio Grande do Norte (RN) 15.43 8.25 40.74 29.99 48.15 51.19 18.52 12.27
(9.95–20.91) (4.08–12.42) (33.29–48.19) (23.04–36.94) ( 40.57–55.73 ) ( 43.61–58.77 ) ( 12.63–24.41 ) ( 7.29–17.25 )
p < 0.05 p < 0.05 p > 0.05 p > 0.05
Paraíba (PB) 19.47 7.22 13.16 13.86 49.47 51.24 24.21 10.41
(14.27–24.67) (3.82–10.62) (8.72–17.6) (9.32–18.4) ( 42.91–56.03 ) ( 44.68–57.8 ) ( 18.59–29.83 ) ( 6.4–14.42 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Pernambuco (PE) 19.8 7.79 28.12 21.11 41.32 51.16 18.83 10.8
(14.04–25.56) (3.92–11.66) (21.62–34.62) (15.21–27.01) ( 34.21–48.43 ) ( 43.94–58.38 ) ( 13.18–24.48 ) ( 6.32–15.28 )
p <0.05 p > 0.05 p > 0.05 p < 0.05
Alagoas (AL) 17.02 7.74 8.51 7.66 44.68 51.19 24.82 10.22
(9.73–24.31) (2.55–12.93) (3.09–13.93) (2.5–12.82) ( 35.03–54.33 ) ( 41.49–60.89 ) ( 16.44–33.2 ) ( 4.34–16.1 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Sergipe (SE) 16.23 8.06 15.58 10.49 43.51 51.3 14.94 9.39
(7.89–24.57) (1.9–14.22) (7.37–23.79) (3.56–17.42) ( 32.29–54.73 ) ( 39.99–62.61 ) ( 6.87–23.01 ) ( 2.79–15.99 )
p > 0.05 p > 0.05 p > 0.05 p > 0.05
Bahia (BA) 21.16 8.44 9.57 8.16 46.1 51.15 20.4 10.22
( 17.24–25.08) ( 5.77–11.11) ( 6.75–12.39) ( 5.53–10.79) ( 41.32–50.88 ) ( 46.35–55.95 ) ( 16.53–24.27 ) ( 7.31–13.13 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Southeast Region
Minas Gerais (MG) 23.6 9.37 45.82 34.49 47.59 51.13 25.03 10.76
( 20.75–26.45) ( 7.41–11.33) ( 42.48–49.16) ( 31.3–37.68) ( 44.24–50.94 ) ( 47.78–54.48 ) ( 22.12–27.94 ) ( 8.68–12.84 )
p < 0.05 p < 0.05 p > 0.05 p < 0.05
Espírito Santo (ES) 21.82 7.98 39.55 27.09 49.09 51.33 25.91 9.33
( 12.65–30.99) ( 1.97–13.99) ( 28.7–50.4) ( 17.23–36.95) ( 38–60.18 ) ( 40.24–62.42 ) ( 16.19–35.63 ) ( 2.88–15.78 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Rio de Janeiro (RJ) 20.79 9.13 46.45 37.01 47.56 51.1 20 10.78
( 12.5–29.08) ( 3.24–15.02) ( 36.26–56.64) ( 27.14–46.88) ( 37.36–57.76 ) ( 40.89–61.31 ) ( 11.83–28.17 ) ( 4.44–17.12 )
p < 0.05 p > 0.05 p > 0.05 p > 0.05
São Paulo (SP) 25.27 9.2 66.46 60.04 49.25 51.21 26.27 10.93
( 21.92–28.62) ( 6.97–11.43) ( 62.82–70.1) ( 56.26–63.82) ( 45.39–53.11 ) ( 47.35–55.07 ) ( 22.87–29.67 ) ( 8.52–13.34 )
p < 0.05 p < 0.05 p > 0.05 p < 0.05
South Region
Paraná (PR) 23.43 8.51 81.38 78.41 48.15 51.24 20.87 9.93
( 19.27–27.59) ( 5.77–11.25) ( 77.56–85.2) ( 74.37–82.45) ( 43.25–53.05 ) ( 46.34–56.14 ) ( 16.88–24.86 ) ( 7–12.86 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Santa Catarina (SC) 22.81 7.87 87.84 86.05 47.95 51.33 27.68 10.37
( 18.02–27.6) ( 4.8–10.94) ( 84.11–91.57) ( 82.1–90) ( 42.25–53.65 ) ( 45.63–57.03 ) ( 22.57–32.79 ) ( 6.89–13.85 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Rio Grande do Sul (RS) 22.95 9.35 84.02 82.74 52.46 51.29 24.18 11.58
( 19.25–26.65) ( 6.79–11.91) ( 80.8–87.24) ( 79.42–86.06) ( 48.07–56.85 ) ( 46.9–55.68 ) ( 20.42–27.94 ) ( 8.77–14.39 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Midwest Region
Mato Grosso do Sul (MS) 23.81 7.91 36.9 37.97 38.1 51.19 22.62 11.13
( 14.42–33.2) ( 1.96–13.86) ( 26.26–47.54) ( 27.27–48.67) ( 27.39–48.81 ) ( 40.17–62.21 ) ( 13.39–31.85 ) ( 4.19–18.07 )
p < 0.05 p > 0.05 p > 0.05 p = 0.05
Mato Grosso (MT) 17.91 7.48 25.37 25.67 47.76 51.2 21.64 10.29
( 11.58–24.24) ( 3.14–11.82) ( 18.19–32.55) ( 18.46–32.88) ( 39.52–56 ) ( 42.95–59.45 ) ( 14.84–28.44 ) ( 5.28–15.3 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Goiás (GO) 17.92 8.39 30.81 27.75 51.45 51.1 17.34 10.02
( 13.13–22.71) ( 4.93–11.85) ( 25.04–36.58) ( 22.15–33.35) ( 45.2–57.7 ) ( 44.85–57.35 ) ( 12.61–22.07 ) ( 6.27–13.77 )
p < 0.05 p > 0.05 p > 0.05 p < 0.05
Federal District (DF) 20 9.52 30.48 23.29 51.43 51.12 16.19 10.96
* * * * * * * *
* * * * * * * *
Brazil 22.25 8.49 48.79 36.71 47.97 51.21 23.05 10.7
( 21.16–23.34) ( 7.76–9.22) ( 47.48–50.1) ( 35.44–37.98) ( 46.66–49.28 ) ( 49.9–52.52 ) ( 21.94–24.16 ) ( 9.89–11.51 )
p < 0.05 p < 0.05 p < 0.05 p < 0.05

*Confidence interval 95% not calculated because the values are constant (a single municipality); Down: individuals with Down syndrome; No Down: individuals without Down syndrome. p < 0.05. Z-test was used for comparison between the Down and No Down groups.

Source: SINASC.