Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
Texto Completo: | http://www.repositorio.ufc.br/handle/riufc/9353 |
Resumo: | OBJECTIVE: To analyze temporal trends and distribution patterns of unsafe abortion in Brazil. METHODS: Ecological study based on records of hospital admissions of women due to abortion in Brazil between 1996 and 2012, obtained from the Hospital Information System of the Ministry of Health. We estimated the number of unsafe abortions stratified by place of residence, using indirect estimate techniques. The following indicators were calculated: ratio of unsafe abortions/100 live births and rate of unsafe abortion/1,000 women of childbearing age. We analyzed temporal trends through polynomial regression and spatial distribution using municipalities as the unit of analysis. RESULTS: In the study period, a total of 4,007,327 hospital admissions due to abortions were recorded in Brazil. We estimated a total of 16,905,911 unsafe abortions in the country, with an annual mean of 994.465 abortions (mean unsafe abortion rate: 17.0 abortions/1,000 women of childbearing age; ratio of unsafe abortions: 33.2/100 live births). Unsafe abortion presented a declining trend at national level (R2: 94.0%, p < 0.001), with unequal patterns between regions. There was a significant reduction of unsafe abortion in the Northeast (R2: 93.0%, p < 0.001), Southeast (R2: 92.0%, p < 0.001) and Central-West regions (R2: 64.0%, p < 0.001), whereas the North (R2: 39.0%, p = 0.030) presented an increase, and the South (R2: 22.0%, p = 0.340) remained stable. Spatial analysis identified the presence of clusters of municipalities with high values for unsafe abortion, located mainly in states of the North, Northeast and Southeast Regions. CONCLUSIONS: Unsafe abortion remains a public health problem in Brazil, with marked regional differences, mainly concentrated in the socioeconomically disadvantaged regions of the country. Qualification of attention to women’s health, especially to reproductive aspects and attention to pre- and post-abortion processes, are necessary and urgent strategies to be implemented in the country. |
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Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012Temporal trends and spatial distribution of unsafe abortion in Brazil, 1996-2012Aborto induzidoAnálise Espaço-TemporalOBJECTIVE: To analyze temporal trends and distribution patterns of unsafe abortion in Brazil. METHODS: Ecological study based on records of hospital admissions of women due to abortion in Brazil between 1996 and 2012, obtained from the Hospital Information System of the Ministry of Health. We estimated the number of unsafe abortions stratified by place of residence, using indirect estimate techniques. The following indicators were calculated: ratio of unsafe abortions/100 live births and rate of unsafe abortion/1,000 women of childbearing age. We analyzed temporal trends through polynomial regression and spatial distribution using municipalities as the unit of analysis. RESULTS: In the study period, a total of 4,007,327 hospital admissions due to abortions were recorded in Brazil. We estimated a total of 16,905,911 unsafe abortions in the country, with an annual mean of 994.465 abortions (mean unsafe abortion rate: 17.0 abortions/1,000 women of childbearing age; ratio of unsafe abortions: 33.2/100 live births). Unsafe abortion presented a declining trend at national level (R2: 94.0%, p < 0.001), with unequal patterns between regions. There was a significant reduction of unsafe abortion in the Northeast (R2: 93.0%, p < 0.001), Southeast (R2: 92.0%, p < 0.001) and Central-West regions (R2: 64.0%, p < 0.001), whereas the North (R2: 39.0%, p = 0.030) presented an increase, and the South (R2: 22.0%, p = 0.340) remained stable. Spatial analysis identified the presence of clusters of municipalities with high values for unsafe abortion, located mainly in states of the North, Northeast and Southeast Regions. CONCLUSIONS: Unsafe abortion remains a public health problem in Brazil, with marked regional differences, mainly concentrated in the socioeconomically disadvantaged regions of the country. Qualification of attention to women’s health, especially to reproductive aspects and attention to pre- and post-abortion processes, are necessary and urgent strategies to be implemented in the country.OBJETIVO: Analisar tendências temporais e padrões de distribuição espacial do aborto inseguro no Brasil. MÉTODOS: Estudo ecológico realizado com base nos registros das internações hospitalares de mulheres por abortamento no Brasil, no período de 1996-2012, obtidos do Sistema de Informações Hospitalares do Ministério da Saúde. Estimou-se o número de abortos inseguros segundo local de residência, utilizando-se técnicas de estimativas indiretas. Foram calculados os indicadores: razão de aborto inseguro por 100 nascidos vivos e coeficiente de aborto inseguro por 1.000 mulheres em idade fértil. As tendências temporais foram analisadas por regressão polinomial e a distribuição espacial utilizando os municípios brasileiros como unidade de análise. RESULTADOS: Foram registradas 4.007.327 internações hospitalares por abortamento no Brasil no período. Estimou-se um total de 16.905.911 abortos inseguros, com média anual de 994.465 abortos (coeficiente médio de aborto inseguro de 17,0 abortos/1.000 mulheres em idade fértil e razão de 33,2 abortos inseguros/100 nascidos vivos). O aborto inseguro apresentou tendência de declínio em nível nacional (R2: 94,0%; p < 0,001), com padrões desiguais entre as regiões. As regiões Nordeste (R2: 93,0%; p < 0,001), Sudeste (R2: 92,0%; p < 0,001) e Centro-Oeste (R2: 64,0%; p < 0,001) apresentaram tendência de declínio, enquanto a região Norte (R2: 39,0%; p = 0,030), tendência de aumento, e a região Sul (R2: 22,0%; p = 0,340), de estabilidade. A análise espacial identificou a presença de clusters de municípios com altos valores de abortos inseguros, localizados especialmente em estados das regiões Norte, Nordeste e Sudeste. CONCLUSÕES: O aborto inseguro se mantém como problema de saúde pública no Brasil, com marcantes diferenças regionais e concentradas nas regiões socioeconomicamente menos favorecidas do País. A qualificação da atenção à saúde da mulher, em especial aos aspectos reprodutivos e de atenção aos processos pré e pós-abortamento, são estratégias necessárias e urgentes.Revista de Saúde Pública2014-10-08T13:26:01Z2014-10-08T13:26:01Z2014-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfMARTINS-MELO, Francisco Rogerlândio et al. Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012. Revista de Saúde Pública, São Paulo, v. 48, n. 3, p. 508-520, jun. 2014.0034-8910 Impressohttp://www.repositorio.ufc.br/handle/riufc/9353Martins- Melo, Francisco RogerlândioLima, Mauricélia da SilveiraAlencar, Carlos HenriqueRamos Júnior, Alberto NovaesCarvalho, Francisco Herlânio CostaMachado, Márcia Maria TavaresHeukelbach, Jorgporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2022-05-20T14:21:01Zoai:repositorio.ufc.br:riufc/9353Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:39:33.552973Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 Temporal trends and spatial distribution of unsafe abortion in Brazil, 1996-2012 |
title |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
spellingShingle |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 Martins- Melo, Francisco Rogerlândio Aborto induzido Análise Espaço-Temporal |
title_short |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
title_full |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
title_fullStr |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
title_full_unstemmed |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
title_sort |
Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012 |
author |
Martins- Melo, Francisco Rogerlândio |
author_facet |
Martins- Melo, Francisco Rogerlândio Lima, Mauricélia da Silveira Alencar, Carlos Henrique Ramos Júnior, Alberto Novaes Carvalho, Francisco Herlânio Costa Machado, Márcia Maria Tavares Heukelbach, Jorg |
author_role |
author |
author2 |
Lima, Mauricélia da Silveira Alencar, Carlos Henrique Ramos Júnior, Alberto Novaes Carvalho, Francisco Herlânio Costa Machado, Márcia Maria Tavares Heukelbach, Jorg |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Martins- Melo, Francisco Rogerlândio Lima, Mauricélia da Silveira Alencar, Carlos Henrique Ramos Júnior, Alberto Novaes Carvalho, Francisco Herlânio Costa Machado, Márcia Maria Tavares Heukelbach, Jorg |
dc.subject.por.fl_str_mv |
Aborto induzido Análise Espaço-Temporal |
topic |
Aborto induzido Análise Espaço-Temporal |
description |
OBJECTIVE: To analyze temporal trends and distribution patterns of unsafe abortion in Brazil. METHODS: Ecological study based on records of hospital admissions of women due to abortion in Brazil between 1996 and 2012, obtained from the Hospital Information System of the Ministry of Health. We estimated the number of unsafe abortions stratified by place of residence, using indirect estimate techniques. The following indicators were calculated: ratio of unsafe abortions/100 live births and rate of unsafe abortion/1,000 women of childbearing age. We analyzed temporal trends through polynomial regression and spatial distribution using municipalities as the unit of analysis. RESULTS: In the study period, a total of 4,007,327 hospital admissions due to abortions were recorded in Brazil. We estimated a total of 16,905,911 unsafe abortions in the country, with an annual mean of 994.465 abortions (mean unsafe abortion rate: 17.0 abortions/1,000 women of childbearing age; ratio of unsafe abortions: 33.2/100 live births). Unsafe abortion presented a declining trend at national level (R2: 94.0%, p < 0.001), with unequal patterns between regions. There was a significant reduction of unsafe abortion in the Northeast (R2: 93.0%, p < 0.001), Southeast (R2: 92.0%, p < 0.001) and Central-West regions (R2: 64.0%, p < 0.001), whereas the North (R2: 39.0%, p = 0.030) presented an increase, and the South (R2: 22.0%, p = 0.340) remained stable. Spatial analysis identified the presence of clusters of municipalities with high values for unsafe abortion, located mainly in states of the North, Northeast and Southeast Regions. CONCLUSIONS: Unsafe abortion remains a public health problem in Brazil, with marked regional differences, mainly concentrated in the socioeconomically disadvantaged regions of the country. Qualification of attention to women’s health, especially to reproductive aspects and attention to pre- and post-abortion processes, are necessary and urgent strategies to be implemented in the country. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-08T13:26:01Z 2014-10-08T13:26:01Z 2014-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MARTINS-MELO, Francisco Rogerlândio et al. Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012. Revista de Saúde Pública, São Paulo, v. 48, n. 3, p. 508-520, jun. 2014. 0034-8910 Impresso http://www.repositorio.ufc.br/handle/riufc/9353 |
identifier_str_mv |
MARTINS-MELO, Francisco Rogerlândio et al. Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012. Revista de Saúde Pública, São Paulo, v. 48, n. 3, p. 508-520, jun. 2014. 0034-8910 Impresso |
url |
http://www.repositorio.ufc.br/handle/riufc/9353 |
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por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Revista de Saúde Pública |
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Revista de Saúde Pública |
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reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
instname_str |
Universidade Federal do Ceará (UFC) |
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UFC |
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UFC |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
repository.mail.fl_str_mv |
bu@ufc.br || repositorio@ufc.br |
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1813028895370248192 |