Similarity between neonatal profile and socioeconomic index: a spatial approach

Detalhes bibliográficos
Autor(a) principal: d'Orsi, Eleonora
Data de Publicação: 2005
Outros Autores: Carvalho, Marilia Sá, Cruz, Oswaldo Gonçalves
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422
Resumo: This study aims to compare neonatal characteristics and socioeconomic conditions in Rio de Janeiro city neighborhoods in order to identify priority areas for intervention. The study design was ecological. Two databases were used: the Brazilian Population Census and the Live Birth Information System, aggregated by neighborhoods. Spatial analysis, multivariate cluster classification, and Moran's I statistics for detection of spatial clustering were used. A similarity index was created to compare socioeconomic clusters with the neonatal profile in each neighborhood. The proportions of Apgar score above 8 and cesarean sections showed positive spatial correlation and high similarity with the socioeconomic index. The proportion of low birth weight infants showed a random spatial distribution, indicating that at this scale of analysis, birth weight is not sufficiently sensitive to discriminate subtler differences among population groups. The observed relationship between the neighborhoods' neonatal profile (particularly Apgar score and mode of delivery) and socioeconomic conditions shows evidence of a change in infant health profile, where the possibility for intervention shifts to medical services and the Apgar score assumes growing significance as a risk indicator.
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spelling Similarity between neonatal profile and socioeconomic index: a spatial approachSpatial AnalysisLive BirthSocioeconomic FactorsThis study aims to compare neonatal characteristics and socioeconomic conditions in Rio de Janeiro city neighborhoods in order to identify priority areas for intervention. The study design was ecological. Two databases were used: the Brazilian Population Census and the Live Birth Information System, aggregated by neighborhoods. Spatial analysis, multivariate cluster classification, and Moran's I statistics for detection of spatial clustering were used. A similarity index was created to compare socioeconomic clusters with the neonatal profile in each neighborhood. The proportions of Apgar score above 8 and cesarean sections showed positive spatial correlation and high similarity with the socioeconomic index. The proportion of low birth weight infants showed a random spatial distribution, indicating that at this scale of analysis, birth weight is not sufficiently sensitive to discriminate subtler differences among population groups. The observed relationship between the neighborhoods' neonatal profile (particularly Apgar score and mode of delivery) and socioeconomic conditions shows evidence of a change in infant health profile, where the possibility for intervention shifts to medical services and the Apgar score assumes growing significance as a risk indicator.Este estudo foi realizado com o objetivo de comparar o perfil de nascimentos e as condições sócio-econômicas nos bairros do Município do Rio de Janeiro, Brasil, identificando áreas de risco prioritárias para atuação. Utilizou-se desenho de estudo ecológico. As fontes de dados foram o Censo Demográfico do Instituto Brasileiro de Geografia e Estatística e o Sistema de Informações sobre Nascidos Vivos, agregados por bairros. Foi realizada análise espacial, classificação multivariada pela técnica de "cluster" e estatística "I" de Morin para detecção de autocorrelação espacial. Foi criado índice de similaridade para comparar a classificação sócio-econômica com o perfil de nascimentos. As proporções de nascidos vivos com Apgar acima de 8 e cesáreas por bairros apresentaram autocorrelação espacial positiva e alta similaridade com a classificação sócio-econômica. A proporção de nascidos vivos com baixo peso apresentou distribuição espacial aleatória indicando que, nesta escala de análise, o peso ao nascer não é suficientemente sensível para discriminar diferenças entre subgrupos populacionais. As relações observadas sugerem mudanças no perfil de saúde materno-infantil, com necessidade de intervenções voltadas para uso de serviços e crescente importância do escore de Apgar como indicador de risco.Reports in Public HealthCadernos de Saúde Pública2005-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422Reports in Public Health; Vol. 21 No. 3 (2005): May/JuneCadernos de Saúde Pública; v. 21 n. 3 (2005): Maio/Junho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422/4848https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422/4849d'Orsi, EleonoraCarvalho, Marilia SáCruz, Oswaldo Gonçalvesinfo:eu-repo/semantics/openAccess2024-03-06T15:27:01Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2422Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:02:50.177860Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Similarity between neonatal profile and socioeconomic index: a spatial approach
title Similarity between neonatal profile and socioeconomic index: a spatial approach
spellingShingle Similarity between neonatal profile and socioeconomic index: a spatial approach
d'Orsi, Eleonora
Spatial Analysis
Live Birth
Socioeconomic Factors
title_short Similarity between neonatal profile and socioeconomic index: a spatial approach
title_full Similarity between neonatal profile and socioeconomic index: a spatial approach
title_fullStr Similarity between neonatal profile and socioeconomic index: a spatial approach
title_full_unstemmed Similarity between neonatal profile and socioeconomic index: a spatial approach
title_sort Similarity between neonatal profile and socioeconomic index: a spatial approach
author d'Orsi, Eleonora
author_facet d'Orsi, Eleonora
Carvalho, Marilia Sá
Cruz, Oswaldo Gonçalves
author_role author
author2 Carvalho, Marilia Sá
Cruz, Oswaldo Gonçalves
author2_role author
author
dc.contributor.author.fl_str_mv d'Orsi, Eleonora
Carvalho, Marilia Sá
Cruz, Oswaldo Gonçalves
dc.subject.por.fl_str_mv Spatial Analysis
Live Birth
Socioeconomic Factors
topic Spatial Analysis
Live Birth
Socioeconomic Factors
description This study aims to compare neonatal characteristics and socioeconomic conditions in Rio de Janeiro city neighborhoods in order to identify priority areas for intervention. The study design was ecological. Two databases were used: the Brazilian Population Census and the Live Birth Information System, aggregated by neighborhoods. Spatial analysis, multivariate cluster classification, and Moran's I statistics for detection of spatial clustering were used. A similarity index was created to compare socioeconomic clusters with the neonatal profile in each neighborhood. The proportions of Apgar score above 8 and cesarean sections showed positive spatial correlation and high similarity with the socioeconomic index. The proportion of low birth weight infants showed a random spatial distribution, indicating that at this scale of analysis, birth weight is not sufficiently sensitive to discriminate subtler differences among population groups. The observed relationship between the neighborhoods' neonatal profile (particularly Apgar score and mode of delivery) and socioeconomic conditions shows evidence of a change in infant health profile, where the possibility for intervention shifts to medical services and the Apgar score assumes growing significance as a risk indicator.
publishDate 2005
dc.date.none.fl_str_mv 2005-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422/4848
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2422/4849
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 21 No. 3 (2005): May/June
Cadernos de Saúde Pública; v. 21 n. 3 (2005): Maio/Junho
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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