Tendência da incompletude da escolaridade e raça/cor materna no sistema de informação sobre nascidos vivos do Brasil

• Autor(a) principal: Santana, Bárbara Estevam Ferreira
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMT
• Texto Completo: http://ri.ufmt.br/handle/1/5730
• topic: Sistemas de informação; Declaração de nascido vivo; Escolaridade materna; Estudos de séries temporais; Brasil; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; Information systems; Birth certificates; Maternal educational status; Time series studies; Brazil

The Health Information Systems (HIS) were created due to the need to obtain data that characterize the population's health situation. Among the SIS, the Information System on Live Births (SINASC in Portuguese) stands out, since its data are used to formulate birth and infant mortality indicators, in addition to allowing the analysis and monitoring of the population's health situation. Given this importance, the need to search for the quality of these data is highlighted. Therefore, the objective of this study is to analyze the incompleteness of maternal education and skin color in SINASC in Brazil. We analyzed the incompleteness of the variables of maternal schooling and skin color of SINASC from 2012 to 2020 in Brazil, large regions, federation units (FU) and Federal District. The temporal trend analysis of incompleteness was performed using the Joinpoint Regression software. Incompleteness was classified as excellent (<5%); good (5.0 to 9.9%); regular (10.0 to 19.9%); bad (20.0 to 49.9%); and very bad (50.0% or more). There were 26,112,301 births registered in Brazil between 2012 and 2020, with an average of 2,901,367 births per year. The maternal schooling variable showed excellent completeness in all FUs in 2020, with only Bahia, Roraima and Minas Gerais considered as regular in 2012. However, for maternal skin color, poor and regular completeness was observed in six federation units in 2012 This scenario was better in the last year evaluated, in which Brazil was classified as excellent in terms of completeness of information and only Ceará and the Federal District with regular completeness. Incomplete maternal schooling showed a downward trend for Brazil (APC: -8.1%; 95%CI: -10.9; -5.3) and Southeast and Midwest regions, with half of the FUs showing a stationary trend (13) and the Federal District with a downward trend. The states of Pará and Piauí stood out with a trend of increasing incompleteness in the period from 2012 to 2020 and between 2016 and 2020, respectively. As for skin color, a downward trend was observed for Brazil and all regions, except for the Northeast, which showed a stationary trend. Among the FUs, five states stood out with a trend of increasing incompleteness, either in the full period (Alagoas), in the first period of the trend break (Ceará, Sergipe and Mato Grosso), or in the second period of the break (Piauí). Nine FUs and the Federal District showed a steady trend in the incompleteness of maternal skin color. Therefore, in general, there was an improvement in filling out the SINASC, but there was still a need for improvement regarding the completeness of the maternal skin color, with verification of intensifying actions to improve the completeness of these relevant data in some regions and states