Objetivo: Nesta pesquisa, realizou-se um estudo para analisar a distribuição espacial da mortalidade neonatal e sua correlação com os fatores biológicos, socioeconômicos e de atenção à saúde materno-infantil, nos estados brasileiros, no período de 2006 a 2010. Método: Foram construídos mapas temáticos e de correlação (LISA) para verificação de dependência espacial e modelos de regressão linear múltipla. Resultados: Verificou-se que não há autocorrelação espacial para mortalidade neonatal nos estados brasileiros (I =0,002; p=0,48). A maioria das variáveis estavam correlacionadas (r >0,3, p<0,05) com a mortalidade neonatal, formando clusters em estados do Norte e Nordeste, com maiores taxas de mães adolescentes, renda domiciliar per capta baixa, menor realização de consultas de pré-natal e de leitos de UTI Neonatal. O número de leitos de UTI Neonatal manteve efeito independente após a análise de regressão. Conclusão: Conclui-se que as desigualdades regionais das condições de vida e principalmente de acesso aos serviços de saúde materno-infantil contribuem para a distribuição desigual da mortalidade neonatal no Brasil.
Palavras-chave:
Geografia MédicaMortalidade neonatalDesigualdades em Saúde
Abstract:
Objective: In this research, carried out a study to analyze the spatial distribution of neonatal mortality and its correlation with the biological, socioeconomic and attention to maternal and child health, in the Brazilian states in the period from 2006 to 2010. Method: The study made thematic maps and correlation (LISA) for verification of spatial dependence and multiple linear regression models. Results: It was found that there is no spatial autocorrelation for neonatal mortality in the Brazilian states (R = 0.002, p = 0.48). Most variables were correlated (r> 0.3, p <0.05) with neonatal mortality, forming clusters in the North and Northeast, with the highest rates of teenage mothers, low household income per capita, lower consultations prenatal and beds Neonatal Intensive Care Unit. The number of UCI beds Neonatal independent effect remained after regression analysis. Conclusion: It is concluded that regional inequalities in living conditions and especially access to maternal and child health contribute to the unequal distribution of neonatal mortality in Brazil.
Keywords:
Medical GeographyNeonatal mortality Inequalities in Health
SPATIAL INEQUALITY NEONATAL MORTALITY IN BRAZIL: 2006 to 2010.
Resumo (abstract):
Objective: In this research, carried out a study to analyze the spatial distribution of neonatal mortality and its correlation with the biological, socioeconomic and attention to maternal and child health, in the Brazilian states in the period from 2006 to 2010. Method: The study made thematic maps and correlation (LISA) for verification of spatial dependence and multiple linear regression models. Results: It was found that there is no spatial autocorrelation for neonatal mortality in the Brazilian states (R = 0.002, p = 0.48). Most variables were correlated (r> 0.3, p <0.05) with neonatal mortality, forming clusters in the North and Northeast, with the highest rates of teenage mothers, low household income per capita, lower consultations prenatal and beds Neonatal Intensive Care Unit. The number of UCI beds Neonatal independent effect remained after regression analysis. Conclusion: It is concluded that regional inequalities in living conditions and especially access to maternal and child health contribute to the unequal distribution of neonatal mortality in Brazil.
Palavras-chave (keywords):
Medical GeographyNeonatal mortality Inequalities in Health
