Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil
ABSTRACT Objective: Low birth weight (LBW) is a public health problem strongly associated with infant mortality. This study aimed to identify the spatial distribution of infant mortality in newborns with LBW (750–2,500 g) at term (≥37 weeks of gestation), due to their being small for gestational ag...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Pós-Graduação em Saúde Coletiva
2023-07-01
|
| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2023000100432&lng=en&tlng=en |
| _version_ | 1827904196275339264 |
|---|---|
| author | Elen Yanina Aguirre Rodríguez Elias Carlos Aguirre Rodríguez Fernando Augusto Silva Marins Aneirson Francisco da Silva Luiz Fernando Costa Nascimento |
| author_facet | Elen Yanina Aguirre Rodríguez Elias Carlos Aguirre Rodríguez Fernando Augusto Silva Marins Aneirson Francisco da Silva Luiz Fernando Costa Nascimento |
| author_sort | Elen Yanina Aguirre Rodríguez |
| collection | DOAJ |
| description | ABSTRACT Objective: Low birth weight (LBW) is a public health problem strongly associated with infant mortality. This study aimed to identify the spatial distribution of infant mortality in newborns with LBW (750–2,500 g) at term (≥37 weeks of gestation), due to their being small for gestational age, analyzing its association with mother-related determinants, as well as to identify priority areas of mortality in the State of São Paulo, 2010–2019. Methods: Infant mortality rate was analyzed in the division of neonatal mortality and postneonatal mortality of newborns with LBW at term. The empirical Bayesian method smoothed the rates, the univariate Moran index was used to measure the degree of spatial association between the municipalities, and the bivariate Moran index was employed to identify the existence of a spatial association between the rates and the selected determinants. Thematic maps of excess risk and local Moran were prepared to identify spatial clusters, adopting 5% as a significance level. Results: The excess risk map showed that more than 30% of the municipalities had rates above the state rate. High-risk clusters were identified in the southwest, southeast, and east regions, mainly among more developed municipalities. The determinants of adolescent mothers, mothers over 34 years of age, low education, human development index, social vulnerability index, gross domestic product, physicians, and pediatric beds showed a significant association with the rates evaluated. Conclusions: Priority areas and significant determinants associated with reduced mortality in newborns with LBW were identified, suggesting the need for intervention measures to achieve the Sustainable Development Goal. |
| first_indexed | 2024-03-13T00:24:01Z |
| format | Article |
| id | doaj.art-40687bddb3a9431c938d1e51186ca279 |
| institution | Directory Open Access Journal |
| issn | 1980-5497 |
| language | English |
| last_indexed | 2024-03-13T00:24:01Z |
| publishDate | 2023-07-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj.art-40687bddb3a9431c938d1e51186ca2792023-07-11T07:51:43ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972023-07-012610.1590/1980-549720230034Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, BrazilElen Yanina Aguirre Rodríguezhttps://orcid.org/0000-0002-3829-4118Elias Carlos Aguirre Rodríguezhttps://orcid.org/0000-0003-1120-1708Fernando Augusto Silva Marinshttps://orcid.org/0000-0001-6510-9187Aneirson Francisco da Silvahttps://orcid.org/0000-0002-2215-0734Luiz Fernando Costa Nascimentohttps://orcid.org/0000-0001-9793-750XABSTRACT Objective: Low birth weight (LBW) is a public health problem strongly associated with infant mortality. This study aimed to identify the spatial distribution of infant mortality in newborns with LBW (750–2,500 g) at term (≥37 weeks of gestation), due to their being small for gestational age, analyzing its association with mother-related determinants, as well as to identify priority areas of mortality in the State of São Paulo, 2010–2019. Methods: Infant mortality rate was analyzed in the division of neonatal mortality and postneonatal mortality of newborns with LBW at term. The empirical Bayesian method smoothed the rates, the univariate Moran index was used to measure the degree of spatial association between the municipalities, and the bivariate Moran index was employed to identify the existence of a spatial association between the rates and the selected determinants. Thematic maps of excess risk and local Moran were prepared to identify spatial clusters, adopting 5% as a significance level. Results: The excess risk map showed that more than 30% of the municipalities had rates above the state rate. High-risk clusters were identified in the southwest, southeast, and east regions, mainly among more developed municipalities. The determinants of adolescent mothers, mothers over 34 years of age, low education, human development index, social vulnerability index, gross domestic product, physicians, and pediatric beds showed a significant association with the rates evaluated. Conclusions: Priority areas and significant determinants associated with reduced mortality in newborns with LBW were identified, suggesting the need for intervention measures to achieve the Sustainable Development Goal.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2023000100432&lng=en&tlng=enLow birth weightInfant mortalitySpatial analysisPublic health policyGeographic information systemsGeographic mapping |
| spellingShingle | Elen Yanina Aguirre Rodríguez Elias Carlos Aguirre Rodríguez Fernando Augusto Silva Marins Aneirson Francisco da Silva Luiz Fernando Costa Nascimento Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil Revista Brasileira de Epidemiologia Low birth weight Infant mortality Spatial analysis Public health policy Geographic information systems Geographic mapping |
| title | Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil |
| title_full | Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil |
| title_fullStr | Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil |
| title_full_unstemmed | Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil |
| title_short | Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil |
| title_sort | spatial patterns of mortality in low birth weight infants at term and its determinants in the state of sao paulo brazil |
| topic | Low birth weight Infant mortality Spatial analysis Public health policy Geographic information systems Geographic mapping |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2023000100432&lng=en&tlng=en |
| work_keys_str_mv | AT elenyaninaaguirrerodriguez spatialpatternsofmortalityinlowbirthweightinfantsattermanditsdeterminantsinthestateofsaopaulobrazil AT eliascarlosaguirrerodriguez spatialpatternsofmortalityinlowbirthweightinfantsattermanditsdeterminantsinthestateofsaopaulobrazil AT fernandoaugustosilvamarins spatialpatternsofmortalityinlowbirthweightinfantsattermanditsdeterminantsinthestateofsaopaulobrazil AT aneirsonfranciscodasilva spatialpatternsofmortalityinlowbirthweightinfantsattermanditsdeterminantsinthestateofsaopaulobrazil AT luizfernandocostanascimento spatialpatternsofmortalityinlowbirthweightinfantsattermanditsdeterminantsinthestateofsaopaulobrazil |