Spatial patterns of avoidable fetal mortality and social deprivation
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000200412 |
Resumo: | ABSTRACT: Objective: To develop a social need index for stratification of municipalities and identification of priority areas for reducing fetal mortality. Methods: ecological study, carried out in the state of Pernambuco, between 2010 and 2017. The technique of factor analysis by main components was used for the elaboration of the social need index. In the spatial analysis, the local empirical Bayesian estimator was applied and Moran's spatial autocorrelation was verified. Results: The social deprivation index selected two factors that, together, explained 77.63% of the total variance. The preventable fetal mortality rate increased among strata of social need, with rates of 8.0 per thousand births (low deprivation), 8.1 per thousand (medium deprivation), 8.8 per thousand (high deprivation), and 10.7 per thousand (very high social deprivation). Some municipalities in the São Francisco and Sertão Mesoregions had both high fetal and preventable fetal mortality, in addition to a very high social deprivation rate. Conclusion: The spatial analysis identified areas with the highest risk for fetal mortality. The social deprivation index listed some determinants of fetal deaths in areas with worse living conditions. Priority areas for intervention in public policies to reduce fetal mortality and its determinants were detected. |
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Spatial patterns of avoidable fetal mortality and social deprivationFetal mortalityVital statisticsSpatial analysisSocial inequityABSTRACT: Objective: To develop a social need index for stratification of municipalities and identification of priority areas for reducing fetal mortality. Methods: ecological study, carried out in the state of Pernambuco, between 2010 and 2017. The technique of factor analysis by main components was used for the elaboration of the social need index. In the spatial analysis, the local empirical Bayesian estimator was applied and Moran's spatial autocorrelation was verified. Results: The social deprivation index selected two factors that, together, explained 77.63% of the total variance. The preventable fetal mortality rate increased among strata of social need, with rates of 8.0 per thousand births (low deprivation), 8.1 per thousand (medium deprivation), 8.8 per thousand (high deprivation), and 10.7 per thousand (very high social deprivation). Some municipalities in the São Francisco and Sertão Mesoregions had both high fetal and preventable fetal mortality, in addition to a very high social deprivation rate. Conclusion: The spatial analysis identified areas with the highest risk for fetal mortality. The social deprivation index listed some determinants of fetal deaths in areas with worse living conditions. Priority areas for intervention in public policies to reduce fetal mortality and its determinants were detected.Associação Brasileira de Saúde Coletiva2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000200412Revista Brasileira de Epidemiologia v.24 suppl.1 2021reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-549720210007.supl.1info:eu-repo/semantics/openAccessCanuto,Indianara Maria de BarrosMacêdo,Vilma Costa deFrias,Paulo Germano deOliveira,Conceição Maria deCosta,Heitor Victor Veiga daPortugal,José LuizBonfim,Cristine Vieira doeng2021-04-14T00:00:00Zoai:scielo:S1415-790X2021000200412Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2021-04-14T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Spatial patterns of avoidable fetal mortality and social deprivation |
title |
Spatial patterns of avoidable fetal mortality and social deprivation |
spellingShingle |
Spatial patterns of avoidable fetal mortality and social deprivation Canuto,Indianara Maria de Barros Fetal mortality Vital statistics Spatial analysis Social inequity |
title_short |
Spatial patterns of avoidable fetal mortality and social deprivation |
title_full |
Spatial patterns of avoidable fetal mortality and social deprivation |
title_fullStr |
Spatial patterns of avoidable fetal mortality and social deprivation |
title_full_unstemmed |
Spatial patterns of avoidable fetal mortality and social deprivation |
title_sort |
Spatial patterns of avoidable fetal mortality and social deprivation |
author |
Canuto,Indianara Maria de Barros |
author_facet |
Canuto,Indianara Maria de Barros Macêdo,Vilma Costa de Frias,Paulo Germano de Oliveira,Conceição Maria de Costa,Heitor Victor Veiga da Portugal,José Luiz Bonfim,Cristine Vieira do |
author_role |
author |
author2 |
Macêdo,Vilma Costa de Frias,Paulo Germano de Oliveira,Conceição Maria de Costa,Heitor Victor Veiga da Portugal,José Luiz Bonfim,Cristine Vieira do |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Canuto,Indianara Maria de Barros Macêdo,Vilma Costa de Frias,Paulo Germano de Oliveira,Conceição Maria de Costa,Heitor Victor Veiga da Portugal,José Luiz Bonfim,Cristine Vieira do |
dc.subject.por.fl_str_mv |
Fetal mortality Vital statistics Spatial analysis Social inequity |
topic |
Fetal mortality Vital statistics Spatial analysis Social inequity |
description |
ABSTRACT: Objective: To develop a social need index for stratification of municipalities and identification of priority areas for reducing fetal mortality. Methods: ecological study, carried out in the state of Pernambuco, between 2010 and 2017. The technique of factor analysis by main components was used for the elaboration of the social need index. In the spatial analysis, the local empirical Bayesian estimator was applied and Moran's spatial autocorrelation was verified. Results: The social deprivation index selected two factors that, together, explained 77.63% of the total variance. The preventable fetal mortality rate increased among strata of social need, with rates of 8.0 per thousand births (low deprivation), 8.1 per thousand (medium deprivation), 8.8 per thousand (high deprivation), and 10.7 per thousand (very high social deprivation). Some municipalities in the São Francisco and Sertão Mesoregions had both high fetal and preventable fetal mortality, in addition to a very high social deprivation rate. Conclusion: The spatial analysis identified areas with the highest risk for fetal mortality. The social deprivation index listed some determinants of fetal deaths in areas with worse living conditions. Priority areas for intervention in public policies to reduce fetal mortality and its determinants were detected. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000200412 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000200412 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-549720210007.supl.1 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.24 suppl.1 2021 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212956853239808 |