巴西胎儿死亡率的时空趋势,1996-2021年
João Batista Francalino da Rocha1, Italla Maria Pinheiro Bezerra2, Elyecleyde Katiane da Silva Oliveira3
1Faculdade de Medicina do ABC. Centro Universitário. Programa de Pós-Graduação em Ciências da Saúde. Santo André, SP, Brasil.
Revista de saude publica
|April 2, 2025
概括
巴西的胎儿死亡率在1996-2021年间显著下降,尽管与大流行有关的减速. 地区差异仍然存在,北部,东北部和中西部的比例更高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 在全球范围内,胎儿死亡率仍然是一个重大的公共卫生问题.
- 了解时空趋势对于有针对性的干预至关重要.
- 巴西在降低胎儿死亡率方面面临着挑战.
研究的目的:
- 分析1996年至2021年间巴西胎儿死亡率的时空趋势.
- 评估COVID-19大流行对胎儿死亡率趋势的影响.
- 为了确定巴西胎儿死亡率的区域差异.
主要方法:
- 生态时间序列研究利用来自巴西死亡率信息系统 (SIM) 的二次数据.
- 从1996年至2021年期间,对妊娠年龄≥20周的胎儿死亡情况进行分析,包括大流行前和大流行期间.
- 结点回归分析用于计算胎儿死亡率 (FMR) 的百分比变化 (PC),年百分比变化 (APC) 和平均年百分比变化 (AAPC).
主要成果:
- 胎儿死亡占1.14%的出生和58%的产前死亡;93%是产前死亡.
- 总体FMR在评估的妊娠年龄 (≥20,≥22,≥28周) 中下降了20-41%,AAPC范围从-1.00到-1.89.
- 随着COVID-19的流行,FMR的减少和增加有所放缓,但并没有打断整体下降趋势.
结论:
- 巴西的胎儿死亡率在国家和地区表现出长期下降趋势,中西部地区的趋势停滞不前.
- 虽然COVID-19大流行暂时影响了FMR,但整体减少趋势仍然存在.
- 观察到FMR和减少率的显著区域不平等,特别是在北方,东北和中西部地区.
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