Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000500889 |
Resumo: | Abstract Objectives: to analyze the spatial distribution of fetal deaths before and after implementation of surveillance for this event in the city of Recife, in the Northeast Region of Brazil. Methods: an ecological study whose spatial analysis unit was the 94 neighborhoods. The gross fetal mortality rates were calculated and the local empirical Bayesian estimator was adopted to smooth out random fluctuations of such rates. To analyze the spatial autocorrelation, the Global Moran’s Index was used, and spatial clusters were located by the Local Moran’s Index. Results: during the period before implementation of death surveillance, 1,356 fetal deaths were reported, a coefficient of 9.9 deaths per thousand births. During the second period, 1,325 fetal deaths occurred, a coefficient of 9.6 deaths per thousand births. The Global Moran’s Indexes (I) were I=0.6 and I=0.4 for the first and second periods, respectively, with statistical significance (p<0.05). For both periods analyzed, spatial clusters of high-risk neighborhoods were identified in the northern and eastern regions of the city. Conclusion: the spatial analysis indicated areas that persist as priorities for planning surveillance and health assistance actions to reduce fetal mortality. |
id |
IMIPFF-1_73039d28e30c56ddd502b8f5db10e265 |
---|---|
oai_identifier_str |
oai:scielo:S1519-38292021000500889 |
network_acronym_str |
IMIPFF-1 |
network_name_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository_id_str |
|
spelling |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillanceFetal mortalitySpatial analysisFetal deathVital statisticsAbstract Objectives: to analyze the spatial distribution of fetal deaths before and after implementation of surveillance for this event in the city of Recife, in the Northeast Region of Brazil. Methods: an ecological study whose spatial analysis unit was the 94 neighborhoods. The gross fetal mortality rates were calculated and the local empirical Bayesian estimator was adopted to smooth out random fluctuations of such rates. To analyze the spatial autocorrelation, the Global Moran’s Index was used, and spatial clusters were located by the Local Moran’s Index. Results: during the period before implementation of death surveillance, 1,356 fetal deaths were reported, a coefficient of 9.9 deaths per thousand births. During the second period, 1,325 fetal deaths occurred, a coefficient of 9.6 deaths per thousand births. The Global Moran’s Indexes (I) were I=0.6 and I=0.4 for the first and second periods, respectively, with statistical significance (p<0.05). For both periods analyzed, spatial clusters of high-risk neighborhoods were identified in the northern and eastern regions of the city. Conclusion: the spatial analysis indicated areas that persist as priorities for planning surveillance and health assistance actions to reduce fetal mortality.Instituto de Medicina Integral Prof. Fernando Figueira2021-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000500889Revista Brasileira de Saúde Materno Infantil v.21 n.3 2021reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042021000300009info:eu-repo/semantics/openAccessSilva,Maria Carolina Lyra daOliveira,Conceição Maria deSilva,Amanda Priscila de Santana CabralBonfim,Cristine Vieira doeng2021-10-21T00:00:00Zoai:scielo:S1519-38292021000500889Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2021-10-21T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
title |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
spellingShingle |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance Silva,Maria Carolina Lyra da Fetal mortality Spatial analysis Fetal death Vital statistics |
title_short |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
title_full |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
title_fullStr |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
title_full_unstemmed |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
title_sort |
Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance |
author |
Silva,Maria Carolina Lyra da |
author_facet |
Silva,Maria Carolina Lyra da Oliveira,Conceição Maria de Silva,Amanda Priscila de Santana Cabral Bonfim,Cristine Vieira do |
author_role |
author |
author2 |
Oliveira,Conceição Maria de Silva,Amanda Priscila de Santana Cabral Bonfim,Cristine Vieira do |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Silva,Maria Carolina Lyra da Oliveira,Conceição Maria de Silva,Amanda Priscila de Santana Cabral Bonfim,Cristine Vieira do |
dc.subject.por.fl_str_mv |
Fetal mortality Spatial analysis Fetal death Vital statistics |
topic |
Fetal mortality Spatial analysis Fetal death Vital statistics |
description |
Abstract Objectives: to analyze the spatial distribution of fetal deaths before and after implementation of surveillance for this event in the city of Recife, in the Northeast Region of Brazil. Methods: an ecological study whose spatial analysis unit was the 94 neighborhoods. The gross fetal mortality rates were calculated and the local empirical Bayesian estimator was adopted to smooth out random fluctuations of such rates. To analyze the spatial autocorrelation, the Global Moran’s Index was used, and spatial clusters were located by the Local Moran’s Index. Results: during the period before implementation of death surveillance, 1,356 fetal deaths were reported, a coefficient of 9.9 deaths per thousand births. During the second period, 1,325 fetal deaths occurred, a coefficient of 9.6 deaths per thousand births. The Global Moran’s Indexes (I) were I=0.6 and I=0.4 for the first and second periods, respectively, with statistical significance (p<0.05). For both periods analyzed, spatial clusters of high-risk neighborhoods were identified in the northern and eastern regions of the city. Conclusion: the spatial analysis indicated areas that persist as priorities for planning surveillance and health assistance actions to reduce fetal mortality. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-01 |
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=S1519-38292021000500889 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000500889 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-93042021000300009 |
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 |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.21 n.3 2021 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
_version_ |
1752129930800398336 |