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14岁以下女孩怀孕:巴西的空间分析,2011-2021年
Isabella Vitral Pinto1, Regina Tomie Ivata Bernal2, Juliana Bottoni Souza3
1Grupo de Pesquisa Violências, Gênero e Saúde, Instituto René Rachou - Fiocruz Minas. Av. Augusto de Lima 1715, Barro Preto. 30190-002 Belo Horizonte MG Brasil. isabella.pinto@fiocruz.br.
Ciencia & saude coletiva
|August 28, 2024
概括
10-14岁女孩的怀孕主要集中在巴西.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 童婚和青少年怀孕仍然是全球重要的健康问题.
- 早期怀孕与许多健康风险和社会经济脆弱性有关.
- 了解青少年怀孕的空间分布对于有针对性的干预至关重要.
研究的目的:
- 分析巴西14岁及6个月以下女孩怀孕的空间分布.
- 检查这些年轻孕妇及其活产儿的社会人口统计和健康特征.
- 为了确定巴西各市镇早期怀孕的区域差异.
主要方法:
- 2011-2021年使用活产信息系统 (SINASC) 数据进行的生态研究.
- 对三个年龄组的分析:<14岁6个月,15-19岁和20岁以上.
- 全球和局部莫兰斯I的应用,用于空间自相对应分析.
主要成果:
- 记录了127,022名10至14岁女孩的活产.
- 这些怀孕在黑人妇女中更为常见,那些在普通法律/婚姻关系中的妇女,以及北方和东北地区的居民.
- 年轻母亲的产前护理率较低,出生体重低和Apgar分数低的比例更高.
- 10-14岁儿童的活产率显示出显著的空间自相关性,特别是在中西部和北部地区.
结论:
- 10-14岁女孩的怀孕突出显著的脆弱性,包括增加了母亲和孩子的死亡率.
- 这些案例往往与社会经济不利,潜在的暴力以及受限于合法堕胎的机会有关.
- 空间分析揭示了关键热点,需要专注的公共卫生战略和支持系统.
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