时间序列分析:巴西晚期孕产妇死亡率趋势,2010-2019年
Kelly Cristina Almeida Borgonove1, Sônia Lansky2, Vânia Muniz Nequer Soares3
1Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cadernos de saude publica
|August 28, 2024
概括
巴西的晚产妇死亡率从2010年到2019年大幅增加,主要是由于报告的改善和区域差异. 解决这些差距对于孕产妇健康平等和预防可避免的死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 晚期孕产妇死亡率 (LMMR) 是一个关键的,但经常被忽视的孕产妇健康指标.
- 了解LMMR的时间趋势和区域变异对于巴西的有针对性的干预措施至关重要.
- 以前的数据可能无法完全捕捉到由于报告挑战而导致的晚期孕产妇死亡的程度.
研究的目的:
- 分析2010年至2019年巴西及其地理区域晚期孕产妇死亡率 (LMMR) 的时间趋势.
- 为了确定巴西内LMMR的区域差异.
- 调查导致LMMR观察到的趋势的因素.
主要方法:
- 采用了生态时间序列研究设计.
- 关于晚产妇死亡率的数据来自巴西卫生部信息系统.
- 统计分析使用了普莱斯-温斯顿自回归模型.
主要成果:
- 报告共有1470例晚期产妇死亡,总LMMR为每10万活产5例死亡.
- 观察到显著的区域差异,南方地区的LMMR最高 (8.3/100,000),北方最低 (3.5/100,000).
- 在全国范围内,LMMR显示出显著的增长趋势 (年均变化9.79%),特别是在中西部 (26.06%),北部 (23.5%) 和东北部地区.
结论:
- 观察到的LMMR的增加归因于死亡登记质量的提高和产妇死亡率委员会加强的调查.
- 报告和调查的持续区域差异凸显了对孕产妇医疗保健更公平的方法的需要.
- 加强报告系统和实施综合战略对于预防可避免的晚产妇死亡率和促进健康公平至关重要.
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