在COVID-19大流行之前和期间,Pernambuco的孕产妇死亡率的空间分析
Henry Johnson Passos de Oliveira1, Cristine Vieira do Bonfim2, Amanda Priscila de Santana Cabral Silva3
1Instituto Aggue Magalhães - FIOCRUZ. Recife, Pernambuco, Brazil.
Revista brasileira de enfermagem
|October 31, 2025
概括
在COVID-19大流行期间, Pernambuco的孕产妇死亡率有所增加,Agreste地区被确定为持续的高风险地区. 有针对性的干预措施对于降低孕产妇死亡率和实现可持续发展目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 孕产妇死亡率仍然是一个重大的全球卫生挑战.
- 全球范围内,COVID-19大流行影响了医疗保健系统和孕产妇健康状况.
- 了解产妇死亡的时空模式对于有效的公共卫生干预至关重要.
研究的目的:
- 分析巴西珀南布科州孕产妇死亡的流行病学特征和空间分布.
- 为了比较COVID-19大流行之前 (2017-2019) 和期间 (2020-2022) 的孕产妇死亡率模式.
- 确定减少孕产妇死亡率的优先领域.
主要方法:
- 使用空间分析技术进行生态研究.
- 数据来源于死亡率和活产信息系统.
- 使用局部经验贝叶斯方法计算和平滑产妇死亡率.
- 使用莫兰指数评估空间自相关性.
主要成果:
- 报告共有467例孕产妇死亡.
- 在COVID-19大流行期间,孕产妇死亡的发生率较高,成为导致产妇死亡的主要原因.
- 空间分析显示,在两项研究期间,持续存在的高风险地区集中在珀南布科的阿格雷斯特地区.
结论:
- 确定产妇死亡率的优先领域对于实施有针对性的地方行动至关重要.
- 有效的政策和战略投资可以显著减少孕产妇死亡率.
- 减少孕产妇死亡率对于实现与健康和福祉相关的可持续发展目标至关重要.
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