SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/1604 |
Resumo: | 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 deficiency), 8.1 per thousand (average deficiency), 8.8 per thousand (high deficiency) and 10.7 per thousand (very high social need). 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 LACKPADRÕES ESPACIAIS DA MORTALIDADE FETAL EVITÁVEL E CARÊNCIA SOCIALMortalidade fetalEstatísticas vitaisAnálise espacialIniquidade socialFetal mortalityVital StatisticsSpatial AnalysisSocial InequityObjective: 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 deficiency), 8.1 per thousand (average deficiency), 8.8 per thousand (high deficiency) and 10.7 per thousand (very high social need). 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.Objetivo: elaborar um índice de carência social para a estratificação dos municípios e a identificação de áreas prioritárias para a redução da mortalidade fetal. Métodos: estudo ecológico, realizado no Estado de Pernambuco, entre 2010 e 2017. Utilizou-se a técnica de análise fatorial por componentes principais para a elaboração do índice de carência social. Na análise espacial, aplicou-se o estimador bayesiano empírico local e verificou-se a autocorrelação espacial de Moran. Resultados: o índice de carência social selecionou dois fatores que, juntos, explicaram 77,63% da variância total. A taxa de mortalidade fetal evitável apresentou aumento entre estratos de carência social, com taxas de 8,0 por mil nascimentos (baixa carência), 8,1 por mil (média carência), 8,8 por mil (alta carência) e 10,7 por mil (muito alta carência social). Alguns municípios das Mesorregiões São Francisco e Sertão tiveram simultaneamente elevada mortalidade fetal e fetal evitável, além de índice de carência social muito alto. Conclusão: a análise espacial identificou áreas com maior risco para a mortalidade fetal. O índice de carência social relacionou alguns determinantes das mortes fetais em áreas com piores condições de vida. Detectaram-se áreas prioritárias para a intervenção das políticas públicas de redução da mortalidade fetal e seus determinantes.SciELO PreprintsSciELO PreprintsSciELO Preprints2020-12-14info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/160410.1590/1980-549720210007.supl.1porhttps://preprints.scielo.org/index.php/scielo/article/view/1604/2539Copyright (c) 2020 Indianara Maria de Barros Canuto, Vilma Costa de Macêdo, Paulo Germano de Frias, Conceição Maria de Oliveira , Heitor Victor Veiga da Costa, José Luiz Portugal , Cristine Vieira do Bonfim https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCanuto, 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 reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2020-12-14T18:08:36Zoai:ops.preprints.scielo.org:preprint/1604Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2020-12-14T18:08:36SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK PADRÕES ESPACIAIS DA MORTALIDADE FETAL EVITÁVEL E CARÊNCIA SOCIAL |
title |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
spellingShingle |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK Canuto, Indianara Maria de Barros Mortalidade fetal Estatísticas vitais Análise espacial Iniquidade social Fetal mortality Vital Statistics Spatial Analysis Social Inequity |
title_short |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
title_full |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
title_fullStr |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
title_full_unstemmed |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
title_sort |
SPATIAL PATTERNS OF AVOIDABLE FETAL MORTALITY AND SOCIAL LACK |
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 |
Mortalidade fetal Estatísticas vitais Análise espacial Iniquidade social Fetal mortality Vital Statistics Spatial Analysis Social Inequity |
topic |
Mortalidade fetal Estatísticas vitais Análise espacial Iniquidade social Fetal mortality Vital Statistics Spatial Analysis Social Inequity |
description |
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 deficiency), 8.1 per thousand (average deficiency), 8.8 per thousand (high deficiency) and 10.7 per thousand (very high social need). 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 |
2020 |
dc.date.none.fl_str_mv |
2020-12-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/1604 10.1590/1980-549720210007.supl.1 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/1604 |
identifier_str_mv |
10.1590/1980-549720210007.supl.1 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/1604/2539 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints |
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SciELO Preprints |
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SciELO Preprints - SciELO |
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