Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil
Abstract Objectives: to describe the characteristics of pneumonia hospitalizations in children under five years of age across the State of Maranhão, Brazil, and explore patterns of spatial distribution of admissions. Methods: ecological study using data on occurrences (age, gender, skin color/race...
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| Format: | Article |
| Language: | English |
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Instituto Materno Infantil de Pernambuco
2020-05-01
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| Series: | Revista Brasileira de Saúde Materno Infantil |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000100081&tlng=pt |
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| author | Maria Augusta Ribeiro Gaspar Pedro Henrique Silva Barros Andréa Suzana Vieira Costa Fabiana Alves Soares Bruno Luciano Carneiro Alves de Oliveira |
| author_facet | Maria Augusta Ribeiro Gaspar Pedro Henrique Silva Barros Andréa Suzana Vieira Costa Fabiana Alves Soares Bruno Luciano Carneiro Alves de Oliveira |
| author_sort | Maria Augusta Ribeiro Gaspar |
| collection | DOAJ |
| description | Abstract Objectives: to describe the characteristics of pneumonia hospitalizations in children under five years of age across the State of Maranhão, Brazil, and explore patterns of spatial distribution of admissions. Methods: ecological study using data on occurrences (age, gender, skin color/race, month of occurrence, and municipality of residence) between 2012 and 2017 taken from the Unified Health System’s Hospital Information System and municipal level socioeconomic indicators for 2010. Each respiratory disease, including pneumonia, was presented as a percentage of overall admissions for respiratory tract diseases, together with the monthly distribution of admissions as a percentage of total annual cases, and annual rate of admissions by gender. The General G* statistic was calculated to identify significant clustering of municipalities with similar proportions of hospital admissions for pneumonia relative to overall hospital admissions. Results: pneumonia was the leading cause of admissions for respiratory disease, accounting for 57% of all cases and occurring with greater frequency in the rainy season (February to June) and in cities with lower socioeconomic indicator values. The rate of admissions decreased over the study period. Significant clusters (p<0.05) of municipalities with high proportions of hospital admissions for pneumonia relative to overall hospital admissions occurred predominantly in the south of the state, while clusters with low propor-tions were located mainly in and around the metropolitan region of the state capital São Luís. Conclusions: pneumonia was shown to be a key cause of hospitalization in children and its distribution was associated with contextual socioeconomic factors, reflecting the quality of life and health status of children in Maranhão. |
| first_indexed | 2024-12-20T19:08:01Z |
| format | Article |
| id | doaj.art-ef92cb790c4c4beeb66546f057dfa47d |
| institution | Directory Open Access Journal |
| issn | 1806-9304 |
| language | English |
| last_indexed | 2024-12-20T19:08:01Z |
| publishDate | 2020-05-01 |
| publisher | Instituto Materno Infantil de Pernambuco |
| record_format | Article |
| series | Revista Brasileira de Saúde Materno Infantil |
| spelling | doaj.art-ef92cb790c4c4beeb66546f057dfa47d2022-12-21T19:29:16ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042020-05-01201818910.1590/1806-93042020000100006Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, BrazilMaria Augusta Ribeiro Gasparhttps://orcid.org/0000-0001-5056-3301Pedro Henrique Silva Barroshttps://orcid.org/0000-0001-6389-1128Andréa Suzana Vieira Costahttps://orcid.org/0000-0003-4490-766XFabiana Alves Soareshttps://orcid.org/0000-0002-2940-8865Bruno Luciano Carneiro Alves de Oliveirahttps://orcid.org/0000-0001-8053-7972Abstract Objectives: to describe the characteristics of pneumonia hospitalizations in children under five years of age across the State of Maranhão, Brazil, and explore patterns of spatial distribution of admissions. Methods: ecological study using data on occurrences (age, gender, skin color/race, month of occurrence, and municipality of residence) between 2012 and 2017 taken from the Unified Health System’s Hospital Information System and municipal level socioeconomic indicators for 2010. Each respiratory disease, including pneumonia, was presented as a percentage of overall admissions for respiratory tract diseases, together with the monthly distribution of admissions as a percentage of total annual cases, and annual rate of admissions by gender. The General G* statistic was calculated to identify significant clustering of municipalities with similar proportions of hospital admissions for pneumonia relative to overall hospital admissions. Results: pneumonia was the leading cause of admissions for respiratory disease, accounting for 57% of all cases and occurring with greater frequency in the rainy season (February to June) and in cities with lower socioeconomic indicator values. The rate of admissions decreased over the study period. Significant clusters (p<0.05) of municipalities with high proportions of hospital admissions for pneumonia relative to overall hospital admissions occurred predominantly in the south of the state, while clusters with low propor-tions were located mainly in and around the metropolitan region of the state capital São Luís. Conclusions: pneumonia was shown to be a key cause of hospitalization in children and its distribution was associated with contextual socioeconomic factors, reflecting the quality of life and health status of children in Maranhão.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000100081&tlng=ptHospitalizationPneumoniaChild healthDevelopment indicatorsSocial inequality |
| spellingShingle | Maria Augusta Ribeiro Gaspar Pedro Henrique Silva Barros Andréa Suzana Vieira Costa Fabiana Alves Soares Bruno Luciano Carneiro Alves de Oliveira Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil Revista Brasileira de Saúde Materno Infantil Hospitalization Pneumonia Child health Development indicators Social inequality |
| title | Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil |
| title_full | Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil |
| title_fullStr | Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil |
| title_full_unstemmed | Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil |
| title_short | Social inequality and pneumonia hospitalization in children under five years of age in Maranhão, Brazil |
| title_sort | social inequality and pneumonia hospitalization in children under five years of age in maranhao brazil |
| topic | Hospitalization Pneumonia Child health Development indicators Social inequality |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000100081&tlng=pt |
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