Tendência temporal e distribuição espacial do aborto inseguro no Brasil, 1996-2012

Detalhes bibliográficos
Autor(a) principal: Martins- Melo, Francisco Rogerlândio
Data de Publicação: 2014
Outros Autores: Lima, Mauricélia da Silveira, Alencar, Carlos Henrique, Ramos Júnior, Alberto Novaes, Carvalho, Francisco Herlânio Costa, Machado, Márcia Maria Tavares, Heukelbach, Jorg
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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spelling 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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language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Revista de Saúde Pública
publisher.none.fl_str_mv Revista de Saúde Pública
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
repository.name.fl_str_mv 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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