Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil

Detalhes bibliográficos
Autor(a) principal: Nascimento, Rita de Cássia de Sousa
Data de Publicação: 2017
Outros Autores: Costa, Maria da Conceição Nascimento, Braga, José Uéleres, Natividade, Márcio Santos da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/138336
Resumo: OBJECTIVE To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets) of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.
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spelling Spatial patterns of preventable perinatal mortality in Salvador, Bahia, BrazilPerinatal Deathprevention & controlPerinatal MortalityRisk FactorsSpatial Analysis OBJECTIVE To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets) of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.Universidade de São Paulo. Faculdade de Saúde Pública2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/13833610.11606/s1518-8787.2017051007076Revista de Saúde Pública; Vol. 51 (2017); 73Revista de Saúde Pública; Vol. 51 (2017); 73Revista de Saúde Pública; v. 51 (2017); 731518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/138336/133816Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessNascimento, Rita de Cássia de SousaCosta, Maria da Conceição NascimentoBraga, José UéleresNatividade, Márcio Santos da2017-12-14T10:16:02Zoai:revistas.usp.br:article/138336Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-12-14T10:16:02Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
title Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
spellingShingle Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
Nascimento, Rita de Cássia de Sousa
Perinatal Death
prevention & control
Perinatal Mortality
Risk Factors
Spatial Analysis
title_short Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
title_full Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
title_fullStr Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
title_full_unstemmed Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
title_sort Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
author Nascimento, Rita de Cássia de Sousa
author_facet Nascimento, Rita de Cássia de Sousa
Costa, Maria da Conceição Nascimento
Braga, José Uéleres
Natividade, Márcio Santos da
author_role author
author2 Costa, Maria da Conceição Nascimento
Braga, José Uéleres
Natividade, Márcio Santos da
author2_role author
author
author
dc.contributor.author.fl_str_mv Nascimento, Rita de Cássia de Sousa
Costa, Maria da Conceição Nascimento
Braga, José Uéleres
Natividade, Márcio Santos da
dc.subject.por.fl_str_mv Perinatal Death
prevention & control
Perinatal Mortality
Risk Factors
Spatial Analysis
topic Perinatal Death
prevention & control
Perinatal Mortality
Risk Factors
Spatial Analysis
description OBJECTIVE To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets) of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/138336
10.11606/s1518-8787.2017051007076
url https://www.revistas.usp.br/rsp/article/view/138336
identifier_str_mv 10.11606/s1518-8787.2017051007076
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/138336/133816
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 51 (2017); 73
Revista de Saúde Pública; Vol. 51 (2017); 73
Revista de Saúde Pública; v. 51 (2017); 73
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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