Temporal-spatial analysis of mortality from cardiovascular diseases in the State of Ceará, Brazil, between 2009-2019.

OBJECTIVE: To analyze the spatial distribution of mortality from cardiovascular diseases in the municipalities of the state of Ceará, Brazil, between 2009-2019. METHODS: This is an ecological study with a spatial focus on the state of Ceará, considering the period from 2009 to 2019. Death data from the Brazilian Mortality Information System and population data from the Brazilian Institute of Geography and Statistics were used to calculate crude and standardized mortality rates from cardiovascular diseases. Temporal analysis was carried out using the Joinpoint Regression Program 4.9.0 software and spatial analysis of the municipalities' average mortality. The values were smoothed by the local empirical Bayesian method using QGIS 3.16. For spatial clusters, the Global and Local Moran Index was used through Moran Map and LISA Map, with analyses carried out in TerraView 4.2.2. RESULTS: A total of 132,145 deaths from cardiovascular diseases were recorded in the period, with an average increase of 3% per year. Higher mortality rates were observed in men, people aged ≥80 years, mixed-race ethnicity/skin color, married, and with lower level of education. There was the formation of clusters of municipalities with high mortality rates in the regions of Vale do Jaguaribe, Sertão Central, Centro Sul, Sertão dos Inhamuns and Serra da Ibiapaba. CONCLUSION: This study identified municipalities with high mortality and exposed the need for strategies aligned with the reality and particularities of these locations.

Temporal-spatial analysis of mortality from cardiovascular diseases in the State of Ceará, Brazil, between 2009-2019 / Análise têmporo-espacial da mortalidade por doenças cardiovasculares no Estado do Ceará, Brasil, entre 2009 e 2019

ABSTRACT Objective: To analyze the spatial distribution of mortality from cardiovascular diseases in the municipalities of the state of Ceará, Brazil, between 2009-2019. Methods: This is an ecological study with a spatial focus on the state of Ceará, considering the period from 2009 to 2019. Death data from the Brazilian Mortality Information System and population data from the Brazilian Institute of Geography and Statistics were used to calculate crude and standardized mortality rates from cardiovascular diseases. Temporal analysis was carried out using the Joinpoint Regression Program 4.9.0 software and spatial analysis of the municipalities' average mortality. The values were smoothed by the local empirical Bayesian method using QGIS 3.16. For spatial clusters, the Global and Local Moran Index was used through Moran Map and LISA Map, with analyses carried out in TerraView 4.2.2. Results: A total of 132,145 deaths from cardiovascular diseases were recorded in the period, with an average increase of 3% per year. Higher mortality rates were observed in men, people aged ≥80 years, mixed-race ethnicity/skin color, married, and with lower level of education. There was the formation of clusters of municipalities with high mortality rates in the regions of Vale do Jaguaribe, Sertão Central, Centro Sul, Sertão dos Inhamuns and Serra da Ibiapaba. Conclusion: This study identified municipalities with high mortality and exposed the need for strategies aligned with the reality and particularities of these locations.

RESUMO Objetivo: Analisar a distribuição espacial da mortalidade por doenças cardiovasculares nos municípios do Ceará entre 2009 e 2019. Métodos: Estudo ecológico com enfoque espacial no estado do Ceará, considerando o período de 2009 a 2019. Utilizaram-se dados de óbito do Sistema de Informação sobre Mortalidade e dados populacionais do Instituto Brasileiro de Geografia e Estatística para cálculos de taxas brutas e padronizadas de mortalidade por doenças cardiovasculares. Realizaram-se a análise temporal, pelo software Joinpoint Regression Program 4.9.0, e a espacial da mortalidade média dos municípios. Os valores foram suavizados pelo método bayesiano empírico local utilizando-se o QGIS 3.16. Para os aglomerados espaciais, adotou-se o Índice de Moran Global e Local por meio do Moran Map e LISA Map, sendo as análises realizadas no TerraView 4.2.2. Resultados: Foram registrados 132.145 óbitos por doenças cardiovasculares no período, com crescimento médio de 3% ao ano. Maiores taxas de mortalidade foram observadas em homens, pessoas com idade ≥80 anos, raça/cor parda, casados, com menor escolaridade. Houve formação de aglomerados de municípios com altas taxas de mortalidade nas regiões do Vale do Jaguaribe, Sertão Central, Centro Sul, Sertão dos Inhamuns e Serra da Ibiapaba. Conclusão: Este estudo identificou os municípios com elevada mortalidade e expôs a necessidade de estratégias alinhadas com a realidade e particularidades desses locais.

Conteúdos sobre prematuros veiculados por familiares em mídia social: estudo qualitativo / Social media contents about premature infants reported by family members: qualitative study / Contenidos sobre prematuros veiculados por familiares en midia social: investigación cualitativa

Objetivo: analisar os conteúdos sobre criança prematura, veiculados por familiares, em uma mídia social, por meio de textos de imagem e escritos. Método: estudo qualitativo, de análise de imagem e de grupo social, em mídia social. A população do estudo foi comporta por posts em mídia social e a amostra, por posts em mídia social postados por familiares de crianças prematuras que se engajaram em uma campanha na mídia social para divulgar as experiências no cuidado à criança prematura. O corpus textual e imagético deste estudo consta de 21 textos escritos e de imagem. Resultados: emergiram duas categorias simbólicas: Cuidado à criança prematura doente e Vínculo mãe e filho prematuro. Conclusão: os familiares compartilharam conteúdos escritos e de imagem relacionados aos cuidados com a criança prematura, sobretudo, no ambiente hospitalar.(AU)

Aim: to analyze contents about the premature child, linked by family members, in social media, through written and image texts. Method: qualitative study, of image analysis and of social groups, in social media. Study population was composed of posts made by family members of premature children, engaged in a social media campaign to share experiences on caring for the premature children, in the social media. Textual and imagetic corpus of this study was composed by 21 written and image texts. Results: two symbolic categories emerged: Care to the sick premature child and Mother and premature child bond. Conclusion: family members shared written and image contents families related to the premature child, above all, in the hospital setting. Descriptors: Infant, Premature; Family Relations; Social Media; Pediatric Nursing; Critical Care; Qualitative Research.(AU)

Objetivo: analizar contenidos sobre prematuros reportados por familiares a través de redes sociales por medio de imágenes y textos escritos. Método: se trata de un estudio cualitativo que utilizó análisis de imágenes y grupos sociales de las redes sociales. La población de estudio consistió en publicaciones en redes sociales y la muestra por publicaciones en redes sociales publicadas por familiares de niños prematuros que participaron en una campaña en las redes sociales para difundir experiencias en el cuidado de niños prematuros. El corpus textual e imaginario de este estudio consta de 21 textos escritos con imágenes. Resultados: surgieron las siguientes dos categorías simbólicas: Cuidado del lactante prematuro y Vínculo madre-lactante prematuro. Conclusión: los miembros de la familia compartieron contenido escrito y imágenes relacionados con el cuidado del prematuro, especialmente en el ámbito hospitalario.(AU)