Spatial dynamics of fetal mortality and the relationship with social vulnerability.

Autor:	Silva MO; Social Research Department, Joaquim Nabuco Foundation, Recife, Pernambuco, Brazil., Macedo VC; Department of Nursing, Health Sciences Center, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil., Canuto IMB; Graduate Program in Public Health, Aggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil., Silva MC; Social Research Department, Joaquim Nabuco Foundation, Recife, Pernambuco, Brazil., da Costa HVV; Computer Science Center, Graduate Program in Computer Science, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil., do Bonfim CV; Social Research Department, Joaquim Nabuco Foundation, Recife, Pernambuco, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of perinatal medicine [J Perinat Med] 2021 Dec 10; Vol. 50 (6), pp. 645-652. Date of Electronic Publication: 2021 Dec 10 (Print Publication: 2022).
DOI:	10.1515/jpm-2021-0444
Abstrakt:	Objectives: To analyze the spatial-temporal patterns of fetal mortality according to its relationship with social vulnerability, identifying priority areas for intervention. Methods: Ecological study conducted in the state of Pernambuco, Northeast region of Brazil, from 2011 to 2018. The mean fetal mortality rate per city was calculated for the studied period. A cluster analysis was performed to select cities with homogeneous characteristics regarding fetal mortality and social vulnerability, then the Attribute Weighting Algorithm and Pearson correlation techniques were employed. In the spatial analysis it was used the local empirical Bayesian modeling and global and local Moran statistics. Results: Twelve thousand nine hundred and twelve thousand fetal deaths were registered. The fetal mortality rate for the period was 11.44 fetal deaths per 1,000 births. The number of groups formed was 7, in which correlation was identified between fetal mortality and dimensions, highlighting the correlations between fetal mortality rate and the Index of Social Vulnerability urban infrastructure for the municipalities in group 1 and 5, the values of the correlations found were 0.478 and 0.674 respectively. The spatial analysis identified areas of higher risk for fetal mortality distributed in regions of medium, high and very high social vulnerability. Conclusions: The study allowed observing the existing correlations between fetal mortality and social vulnerability and identifying priority areas for intervention, with a view to reducing fetal mortality in the state. (© 2021 Walter de Gruyter GmbH, Berlin/Boston.)
Databáze:	MEDLINE
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