Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UEFS |
Texto Completo: | http://localhost:8080/tede/handle/tede/80 |
Resumo: | Introduction: According to the World Health Organization, maternal morbidity is understood as the occurrence of complications during pregnancy, childbirth, or puerperium that if untreated can complicate and lead to death. Maternal mortality, in turn, is defined as the death of women of childbearing age (15 - 49 years) during pregnancy or within 42 days after delivery. Objective: To analyze maternal mortality in the state of Bahia in 2010, according to differences in race/sk in color. Methods: Descriptive and ecological study of multiple groups, of the maternal mortality in the 49 most populous cities in Bahia in 2010, according to race / skin color. Secondary data available in Health information systems (SIS), the mortality information system (MIS); Information System on Live Births (SINASC); Hospital information system (HIS) of the department of the SUS (SUS Date) and socioeconomic data from the Brazilian Institute of Geography and Statistics (IBGE) were used. To analyze the association between the independent and dependent variables, we used the logistic regression model of Poisson through of software STATA version 10 and R version 2.15.2. In spatial data was used ARCGIS application 10.0 Results: In 2010, Bahia, 209 444 hosp italizations of women of childbearing age were recorded. In the 49 municipalities with the highest population density 118,773 admissions occurred. Of these, 57,173 (48.1%) occurred in the black population, 6,938 (5.8%) in the white population; 54,551 (45.9%) without race / skin color information. The total number of maternal deaths in MIS aged 15- 49 years accounted for 154 deaths, with 85 of these deaths occurred in the 49 municipalities (55.2%). The Maternal Mortality Ratio (MMR) in Bahia was 72.5 / 100,000 live births (LB) as in the cities studied was 71.9 / 100,000 (LB). In the bivariate and multivariate analyzes of association was observed that the number of maternal deaths was positively associated with the proportion of black population, since, as the proportion of blacks increased 5%, the risk of maternal death increased to 25.2 % (p <0.0278) and 26.6% (p <0.0366), respectively. In the bivariate analysis of HDI and Gini index also associated, but were not statistically significant. The multivariate analysis showed that there was increased risk of death even when adjusted for variable water rate (WR), and this result was statistically significant. Conclusion: The analyzed data revealed higher incidence and prevalence of maternal mortality in the black population. Underreporting related to completing the race / skin color variable records hinders a more precise analysis of morbidity and mortality and represents a gap due to the effectiveness of health interventions for vulnerable groups of women. The red uction of maternal morbidity and mortality should be a universal and emergency commitment. Investments in humanization and universalization of quality maternal health care constitute a significant affirmative action against exclusion and social injustice. |
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Araujo, Edna Mariahttp://lattes.cnpq.br/0617756911001509Ribeiro, Luciane Alves2015-07-23T13:30:33Z2013-07-13RIBEIRO, Luciene Alves. Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele. 2013. 75 f. Dissertação (Mestrado Profissional em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2013.http://localhost:8080/tede/handle/tede/80Introduction: According to the World Health Organization, maternal morbidity is understood as the occurrence of complications during pregnancy, childbirth, or puerperium that if untreated can complicate and lead to death. Maternal mortality, in turn, is defined as the death of women of childbearing age (15 - 49 years) during pregnancy or within 42 days after delivery. Objective: To analyze maternal mortality in the state of Bahia in 2010, according to differences in race/sk in color. Methods: Descriptive and ecological study of multiple groups, of the maternal mortality in the 49 most populous cities in Bahia in 2010, according to race / skin color. Secondary data available in Health information systems (SIS), the mortality information system (MIS); Information System on Live Births (SINASC); Hospital information system (HIS) of the department of the SUS (SUS Date) and socioeconomic data from the Brazilian Institute of Geography and Statistics (IBGE) were used. To analyze the association between the independent and dependent variables, we used the logistic regression model of Poisson through of software STATA version 10 and R version 2.15.2. In spatial data was used ARCGIS application 10.0 Results: In 2010, Bahia, 209 444 hosp italizations of women of childbearing age were recorded. In the 49 municipalities with the highest population density 118,773 admissions occurred. Of these, 57,173 (48.1%) occurred in the black population, 6,938 (5.8%) in the white population; 54,551 (45.9%) without race / skin color information. The total number of maternal deaths in MIS aged 15- 49 years accounted for 154 deaths, with 85 of these deaths occurred in the 49 municipalities (55.2%). The Maternal Mortality Ratio (MMR) in Bahia was 72.5 / 100,000 live births (LB) as in the cities studied was 71.9 / 100,000 (LB). In the bivariate and multivariate analyzes of association was observed that the number of maternal deaths was positively associated with the proportion of black population, since, as the proportion of blacks increased 5%, the risk of maternal death increased to 25.2 % (p <0.0278) and 26.6% (p <0.0366), respectively. In the bivariate analysis of HDI and Gini index also associated, but were not statistically significant. The multivariate analysis showed that there was increased risk of death even when adjusted for variable water rate (WR), and this result was statistically significant. Conclusion: The analyzed data revealed higher incidence and prevalence of maternal mortality in the black population. Underreporting related to completing the race / skin color variable records hinders a more precise analysis of morbidity and mortality and represents a gap due to the effectiveness of health interventions for vulnerable groups of women. The red uction of maternal morbidity and mortality should be a universal and emergency commitment. Investments in humanization and universalization of quality maternal health care constitute a significant affirmative action against exclusion and social injustice.Introdução : De acordo com a organização Mundial de Saúde, a morbidade materna é compreendida como a ocorrência de complicação durante a gestação, parto, ou puerpério que, se não tratadas podem complicar e levar à morte. A mortalidade materna, por sua vez, é definida como a morte de mulheres em idade fértil (15 - 49 anos) durante a gestação ou nos 42 dias após o parto. Objetivo: analisar a morbimortalidade materna no estado da Bahia em 2010, segundo diferenciais de raça/cor da pele. Métodos: Estudo descritivo e ecológico, de múltiplos grupos, da morbimortalidade materna nos 49 municípios mais populosos da Bahia, em 2010, segundo a raça/cor da pele. Foram utilizados dados secundários disponibilizados nos Sistemas de informação em Saúde (SIS), Sistema de informação sobre mortalidade (SIM); Sistema de informação sobre Nascidos Vivos (SINASC); Sistema de informação hospitalar (SIH) do departamento de informática do SUS (Data SUS) e dados socioeconômicos do Instituto Brasileiro de Geografia e Estatística (IBGE). Para análise da associação entre as variáveis independentes e dependentes utilizou- se o modelo de regressão logística de Poisson através do software STATA versão 10 e R versão 2.15.2. Na espacialização dos dados foi usado aplicativo ARCGIS 10.0 Resultados : Em 2010, na Bahia, foram registrados 209.444 internamentos de mulheres em idade fértil. Nos 49 municípios com maior densidade populacional ocorreram 118.773 internamentos. Destes, 57.173 (48,1%) ocorreram na população negra, 6.938 (5,8%) na população branca; 54.551(45,9%) sem informação da raça/cor da pele. O total de óbitos maternos registrados no SIM na faixa etária de 15 - 49 anos correspondeu a 154 óbitos, sendo que 85 destes óbitos ocorreram nos 49 municípios (55,2%). A Razão de Mortalidade Materna (RMM) na Bahia foi 72,5/100.000 Nascidos vivos (NV) enquanto nos municípios estudados foi 71,9/100.000(NV). Nas análises de associação bivariada e multivariada observou- se que o número de mortes maternas associou- se positivamente com proporção de população negra, já que, à medida que a proporção de população negra aumentou 5%, o risco de morte materna aumentou para a 25.2% (p < 0.0278) e 26.6%(p<0.0366) respectivamente. Na análise bivariada Índice de Gini e IDH também se associaram, mas não foram estatisticamente significantes. Na análise multivariada foi observado que houve aumento no risco de morte mesmo quando ajustado pela variável taxa de água (TXAG), sendo esse resultado es tatisticamente significante. Conclusão : Os dados analisados revelaram maior incidência e prevalência de morbimortalidade materna na população negra. A subnotificação de registros relacionados ao preenchimento da variável raça/cor da pele dificulta uma análise mais precisa da morbimortalidade e representa uma lacuna face à efetividade das ações em saúde para grupos de mulheres mais vulneráveis. A redução da morbidade e mortalidade materna deve ser um compromisso universal e emergencial. Investimentos em humanização e universalização da qualidade da assistência à saúde materna constituem uma significativa ação afirmativa contra a exclusão e a injustiça social.Submitted by Verena Bastos (verena@uefs.br) on 2015-07-23T13:30:33Z No. of bitstreams: 1 Defesa_Luciane_16-09_14.pdf_2.pdf: 2365834 bytes, checksum: 5a75302c6266c54eadad17662f0f7dfb (MD5)Made available in DSpace on 2015-07-23T13:30:33Z (GMT). No. of bitstreams: 1 Defesa_Luciane_16-09_14.pdf_2.pdf: 2365834 bytes, checksum: 5a75302c6266c54eadad17662f0f7dfb (MD5) Previous issue date: 2013-07-13application/pdfporUniversidade Estadual de Feira de SantanaMestrado Profissional em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDEMorbidadeMortalidade maternaEpidemiologiaRaça e etniaPopulação negraSistemas de Informação em SaúdeMorbidityMaternal mortalityEpidemiologyRace and ethnicityBlacksHealth Information SystemsCIENCIAS DA SAUDE::SAUDE COLETIVAMorbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da peleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-66315970262216627316006006008549511740116106200-6173167103754495199info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALDefesa_Luciane_16-09_14.pdf_2.pdfDefesa_Luciane_16-09_14.pdf_2.pdfapplication/pdf2365834http://tede2.uefs.br:8080/bitstream/tede/80/2/Defesa_Luciane_16-09_14.pdf_2.pdf5a75302c6266c54eadad17662f0f7dfbMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://tede2.uefs.br:8080/bitstream/tede/80/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/802015-08-05 19:03:08.772oai:tede2.uefs.br:8080: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2015-08-05T22:03:08Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false |
dc.title.por.fl_str_mv |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
title |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
spellingShingle |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele Ribeiro, Luciane Alves Morbidade Mortalidade materna Epidemiologia Raça e etnia População negra Sistemas de Informação em Saúde Morbidity Maternal mortality Epidemiology Race and ethnicity Blacks Health Information Systems CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
title_full |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
title_fullStr |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
title_full_unstemmed |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
title_sort |
Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele |
author |
Ribeiro, Luciane Alves |
author_facet |
Ribeiro, Luciane Alves |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Araujo, Edna Maria |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0617756911001509 |
dc.contributor.author.fl_str_mv |
Ribeiro, Luciane Alves |
contributor_str_mv |
Araujo, Edna Maria |
dc.subject.por.fl_str_mv |
Morbidade Mortalidade materna Epidemiologia Raça e etnia População negra Sistemas de Informação em Saúde |
topic |
Morbidade Mortalidade materna Epidemiologia Raça e etnia População negra Sistemas de Informação em Saúde Morbidity Maternal mortality Epidemiology Race and ethnicity Blacks Health Information Systems CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Morbidity Maternal mortality Epidemiology Race and ethnicity Blacks Health Information Systems |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
Introduction: According to the World Health Organization, maternal morbidity is understood as the occurrence of complications during pregnancy, childbirth, or puerperium that if untreated can complicate and lead to death. Maternal mortality, in turn, is defined as the death of women of childbearing age (15 - 49 years) during pregnancy or within 42 days after delivery. Objective: To analyze maternal mortality in the state of Bahia in 2010, according to differences in race/sk in color. Methods: Descriptive and ecological study of multiple groups, of the maternal mortality in the 49 most populous cities in Bahia in 2010, according to race / skin color. Secondary data available in Health information systems (SIS), the mortality information system (MIS); Information System on Live Births (SINASC); Hospital information system (HIS) of the department of the SUS (SUS Date) and socioeconomic data from the Brazilian Institute of Geography and Statistics (IBGE) were used. To analyze the association between the independent and dependent variables, we used the logistic regression model of Poisson through of software STATA version 10 and R version 2.15.2. In spatial data was used ARCGIS application 10.0 Results: In 2010, Bahia, 209 444 hosp italizations of women of childbearing age were recorded. In the 49 municipalities with the highest population density 118,773 admissions occurred. Of these, 57,173 (48.1%) occurred in the black population, 6,938 (5.8%) in the white population; 54,551 (45.9%) without race / skin color information. The total number of maternal deaths in MIS aged 15- 49 years accounted for 154 deaths, with 85 of these deaths occurred in the 49 municipalities (55.2%). The Maternal Mortality Ratio (MMR) in Bahia was 72.5 / 100,000 live births (LB) as in the cities studied was 71.9 / 100,000 (LB). In the bivariate and multivariate analyzes of association was observed that the number of maternal deaths was positively associated with the proportion of black population, since, as the proportion of blacks increased 5%, the risk of maternal death increased to 25.2 % (p <0.0278) and 26.6% (p <0.0366), respectively. In the bivariate analysis of HDI and Gini index also associated, but were not statistically significant. The multivariate analysis showed that there was increased risk of death even when adjusted for variable water rate (WR), and this result was statistically significant. Conclusion: The analyzed data revealed higher incidence and prevalence of maternal mortality in the black population. Underreporting related to completing the race / skin color variable records hinders a more precise analysis of morbidity and mortality and represents a gap due to the effectiveness of health interventions for vulnerable groups of women. The red uction of maternal morbidity and mortality should be a universal and emergency commitment. Investments in humanization and universalization of quality maternal health care constitute a significant affirmative action against exclusion and social injustice. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-07-13 |
dc.date.accessioned.fl_str_mv |
2015-07-23T13:30:33Z |
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RIBEIRO, Luciene Alves. Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele. 2013. 75 f. Dissertação (Mestrado Profissional em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2013. |
dc.identifier.uri.fl_str_mv |
http://localhost:8080/tede/handle/tede/80 |
identifier_str_mv |
RIBEIRO, Luciene Alves. Morbimortalidade materna no Estado da Bahia: diferenciais segundo a raça/cor da pele. 2013. 75 f. Dissertação (Mestrado Profissional em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2013. |
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UEFS |
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