Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil
Abstract Objectives: to analyze the spatial distribution for stillbirth and spatial association with women’s health and social vulnerability indicators in the city of São Paulo, Brazil. Methods: ecological study of administrative districts of the city of Sao Paulo, from 2014 to 2021. The outcome i...
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| Language: | English |
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Instituto Materno Infantil de Pernambuco
2024-12-01
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| Series: | Revista Brasileira de Saúde Materno Infantil |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100440&lng=en&tlng=en |
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| _version_ | 1846119136508248064 |
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| author | Andressa Kutschenko Nahas Gizelton Pereira Alencar |
| author_facet | Andressa Kutschenko Nahas Gizelton Pereira Alencar |
| author_sort | Andressa Kutschenko Nahas |
| collection | DOAJ |
| description | Abstract Objectives: to analyze the spatial distribution for stillbirth and spatial association with women’s health and social vulnerability indicators in the city of São Paulo, Brazil. Methods: ecological study of administrative districts of the city of Sao Paulo, from 2014 to 2021. The outcome is the stillbirth rate, and covariates are mother’s age, inadequate prenatal care, the Paulistan Social Vulnerability Index (PSVI), women in childbearing age, mortality rate and birth rate. Exploratory spatial analyses included crude and Bayesian stillbirth rates. Spatial autocorrelation was tested using t Moran’s index and Geary’s coefficients. Local Indicator of Spatial Association and Moran scatterplot were used to identify the risk areas. The Lee coefficient was used to correlate the indicators with stillbirth. Results: a total of 39 low-risk clusters were identified in the central region, while 40 high-risk clusters were identified, primarily in the eastern region (p<0.05). Higher social vulnerability, higher proportions of adolescent mothers, and higher mortality rates among women of childbearing age were significantly correlated with higher stillbirth rates (p<0.05). Conclusions: the analysis identified the areas where higher social vulnerability, higher proportions of adolescent mothers and higher mortality rates of women of reproductive age are correlated with higher stillbirth rates. |
| format | Article |
| id | doaj-art-c92d19cf0fde4e49865f6bc8fadba943 |
| institution | Kabale University |
| issn | 1806-9304 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Instituto Materno Infantil de Pernambuco |
| record_format | Article |
| series | Revista Brasileira de Saúde Materno Infantil |
| spelling | doaj-art-c92d19cf0fde4e49865f6bc8fadba9432024-12-17T07:52:07ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042024-12-012410.1590/1806-9304202400000138-enSpatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, BrazilAndressa Kutschenko Nahashttps://orcid.org/0000-0002-4103-7593Gizelton Pereira Alencarhttps://orcid.org/0000-0002-2354-9050Abstract Objectives: to analyze the spatial distribution for stillbirth and spatial association with women’s health and social vulnerability indicators in the city of São Paulo, Brazil. Methods: ecological study of administrative districts of the city of Sao Paulo, from 2014 to 2021. The outcome is the stillbirth rate, and covariates are mother’s age, inadequate prenatal care, the Paulistan Social Vulnerability Index (PSVI), women in childbearing age, mortality rate and birth rate. Exploratory spatial analyses included crude and Bayesian stillbirth rates. Spatial autocorrelation was tested using t Moran’s index and Geary’s coefficients. Local Indicator of Spatial Association and Moran scatterplot were used to identify the risk areas. The Lee coefficient was used to correlate the indicators with stillbirth. Results: a total of 39 low-risk clusters were identified in the central region, while 40 high-risk clusters were identified, primarily in the eastern region (p<0.05). Higher social vulnerability, higher proportions of adolescent mothers, and higher mortality rates among women of childbearing age were significantly correlated with higher stillbirth rates (p<0.05). Conclusions: the analysis identified the areas where higher social vulnerability, higher proportions of adolescent mothers and higher mortality rates of women of reproductive age are correlated with higher stillbirth rates.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100440&lng=en&tlng=enSpatial analysisFetal mortalitySocial vulnerabilityCorrelation of data |
| spellingShingle | Andressa Kutschenko Nahas Gizelton Pereira Alencar Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil Revista Brasileira de Saúde Materno Infantil Spatial analysis Fetal mortality Social vulnerability Correlation of data |
| title | Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil |
| title_full | Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil |
| title_fullStr | Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil |
| title_full_unstemmed | Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil |
| title_short | Spatial distribution of fetal mortality and correlation with indicators on women’s health and vulnerability in São Paulo city, Brazil |
| title_sort | spatial distribution of fetal mortality and correlation with indicators on women s health and vulnerability in sao paulo city brazil |
| topic | Spatial analysis Fetal mortality Social vulnerability Correlation of data |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100440&lng=en&tlng=en |
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