Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil

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dc.contributor.authorNascimento, Rita de Cássia de Sousa
dc.contributor.authorCosta, Maria da Conceição Nascimento
dc.contributor.authorBraga, José Uéleres
dc.contributor.authorNatividade, Márcio Santos da
dc.date.accessioned2024-11-25T19:29:27Z
dc.date.available2024-11-25T19:29:27Z
dc.date.issued2017
dc.description.abstractOBJECTIVE: To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS: We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets) of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS: Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS: The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.
dc.identifier.citationNascimento RCS, Costa MDCN, Braga JU, Natividade MSD. Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil. Rev Saude Publica. 2017 Aug 17;51:73. doi: 10.11606/S1518-8787.2017051007076.
dc.identifier.otherDOI: 10.11606/S1518-8787.2017051007076
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/626
dc.language.isoen
dc.publisherRevista de Saúde Pública
dc.subjectPerinatal Deathen
dc.subjectprevention & controlen
dc.subjectPerinatal Mortalityen
dc.subjectRisk Factorsen
dc.subjectSpatial Analysisen
dc.titleSpatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil
dc.typeArticle
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