Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
Rev. saúde pública (Online)
; 51: 73, 2017. tab, graf
Article
em En
| LILACS
| ID: biblio-903206
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT 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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Mortalidade Perinatal
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Análise Espacial
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Morte Perinatal
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Infant
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Newborn
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Pregnancy
País/Região como assunto:
America do sul
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Brasil
Idioma:
En
Revista:
J. public health
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Journal of public health
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Rev Saude Publica
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Rev. saúde pública
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Rev. saúde pública (Online)
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Revista de saúde pública (Impresso)
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Revista de saúde pública (Online)
Assunto da revista:
Sa£de P£blica
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Brasil