圣保罗州可预防的新生儿死亡率:一个空间方法
Julia Ferreira Gomes Pereira1, Luiz Fernando Costa Nascimento2
1Universidade de Taubaté, Taubaté, SP, Brazil.
概括
在圣保罗,可预防的新生儿死亡集中在南部地区,与社会脆弱性和不充分的产前护理有关. 这些发现强调了对母婴健康服务进行有针对性的投资的必要性.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 新生儿死亡率 新生儿死亡率
背景情况:
- 新生儿死亡率在全球范围内仍然是一个重大的公共卫生挑战.
- 了解可预防新生儿死亡的空间差异对于有针对性的干预至关重要.
- 社会经济因素显著影响新生儿健康结果.
研究的目的:
- 确定圣保罗市政府 (2015-2019) 中可预防的新生儿死亡的空间模式.
- 探索这些死亡与社会经济/人口统计指数之间的相关性.
- 为公共卫生政策和资源分配提供信息.
主要方法:
- 使用DATASUS (SIM和SINASC) 数据进行的生态研究.
- 对每千活产婴儿可预防新生儿死亡的分析.
- 统变和双变莫兰指数的计算,其中包括青少年母亲,不充分的产前护理,低出生体重和低Apgar分数等变量.
- 包括社会脆弱性指数 (SVI) 和市政人类发展指数 (MHDI).
主要成果:
- 在可预防的新生儿死亡和SVI,MHDI,不充分的产前护理和低Apgar分数之间发现了显著的空间自相关性.
- 在圣保罗州南部地区发现了可预防的新生儿死亡的明显集中.
- 主题和框图可视化了这些空间模式和相关性.
结论:
- 该研究确定了在圣保罗导致可预防的新生儿死亡率的关键领域和因素.
- 研究结果强调了对母婴健康计划进行战略投资的必要性.
- 数据支持市政管理人员优先考虑针对弱势群体的干预措施.
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