新生儿死亡率和可预防的新生儿死亡的趋势:时间序列分析,巴希亚,2010-2020年
Daiane Porto Nery1, Amanda Cristina de Souza Andrade2, Daniela Silva Rocha1
1Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista, BA, Brazil.
概括
巴伊亚州新生儿死亡率下降,但一些可预防的死亡,如先天性梅毒,增加. 这凸显了改善公共卫生政策和母婴护理的必要性,以解决区域差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 新生儿死亡率仍然是一个重大的全球卫生挑战.
- 了解新生儿死亡率的时间趋势及其原因对于有效的公共卫生干预至关重要.
研究的目的:
- 分析2010年至2020年巴西巴伊亚州新生儿死亡率和可预防新生儿死亡的时间趋势.
主要方法:
- 一项时间序列研究分析了巴伊亚 (2010-2020) 的26,661例新生儿死亡.
- 新生儿死亡率和组件根据社会人口统计学,产科和新生儿特征以及死亡原因进行评估.
- 结点回归分析估计了趋势,包括年度百分比变化 (APC) 和95%置信区间 (95%CI).
主要成果:
- 总体新生儿死亡率呈现下降趋势 (APC -1.9%),早期新生儿死亡率 (APC -2.2%).
- 晚期新生儿死亡率呈现出停滞不前的趋势 (APC -0.7%).
- 虽然可以预防的死亡情况有所改善,但由于先天性梅毒的新生儿死亡率呈上升趋势.
结论:
- 观察到的新生儿死亡率下降表明,产前和分娩护理方面取得了进展.
- 可预防死亡趋势的差异强调了需要加强公共卫生政策和服务的必要性.
- 加强全面的母婴健康护理对于解决区域不平等问题至关重要.
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