0205/2024 - FATORES ASSOCIADOS AO ÓBITO EM GESTANTES E PUÉRPERAS INDÍGENAS E NÃO INDÍGENAS HOSPITALIZADAS POR COVID-19, NO BRASIL FACTORS ASSOCIATED WITH DEATH IN INDIGENOUS AND NON-INDIGENOUS PREGNANT AND POSTPARTUM WOMEN HOSPITALIZED FOR COVID-19 IN BRAZIL
O objetivo deste manuscrito é analisar a associação entre as características sociodemográficas e de hospitalização com o desfecho de gestantes e puérperas indígenas e não indígenas e fatores associados aos óbitos entre as indígenas hospitalizadas por Síndrome Respiratória Aguda Grave (SRAG) pela COVID-19, no Brasil. Trata-se de estudo transversal e analítico, com dados secundários de gestantes e puérperas em idade reprodutiva, classificadas em raça/cor da pele (indígena e não indígena), extraídos do Observatório Obstétrico, que usa dados do Sistema de Informação de Vigilância Epidemiológica da Gripe. Foram analisadas as variáveis com o desfecho, por meio do teste do qui-quadrado ou Exato de Fisher e realizada regressão logística para os fatores associados ao óbito de indígenas. A maior proporção de óbito ocorreu entre as mulheres não indígenas que estavam no 2º trimestre de gestação (99,7%), residiam em zona urbana/periurbana (99,8%) e nas regiões Sul/Sudeste (99,8%) e Nordeste (99,5%). As indígenas que residiam em zona rural e nas regiões Norte e Centro-Oeste, possuem maiores chances de óbito, quando comparada às indígenas da zona urbana e das regiões Sul/Sudeste. A pandemia agudizou e aprofundou as desigualdades sociais e étnico-raciais no Brasil.
Palavras-chave:
Saúde de populações indígenas, Gestantes, Período Pós-Parto, COVID-19.
Abstract:
The objective of this article is to analyze the association between sociodemographic and hospitalization characteristics with the outcome of indigenous and non-indigenous pregnant and postpartum women and factors associated with deaths among indigenous women hospitalized for Severe Acute Respiratory Syndrome (SARS) due to COVID-19 in Brazil. This is a cross-sectional and analytical study, with secondary data of pregnant and postpartum women of reproductive age, classified into race/skin color (indigenous and non-indigenous), extractedthe Obstetric Observatory, which uses datathe Influenza Epidemiological Surveillance Information System. The variables with the outcome were analyzed using the chi-square test or Fisher\'s exact test and logistic regression was performed for the factors associated with the death of indigenous people. The highest proportion of deaths occurred among non-indigenous women who were in the 2nd trimester of pregnancy (99.7%), lived in urban/peri-urban areas (99.8%) and in the South/Southeast (99.8%) and Northeast (99.5%) regions. Indigenous people who lived in rural areas and in the North and Midwest regions increase the chances of death when compared to indigenous people in the urban area and in the South/Southeast regions. The pandemic has sharpened and deepened social and ethnic-racial inequalities in Brazil.
Keywords:
Health of indigenous populations, Pregnant women, Postpartum Period, COVID-19
FACTORS ASSOCIATED WITH DEATH IN INDIGENOUS AND NON-INDIGENOUS PREGNANT AND POSTPARTUM WOMEN HOSPITALIZED FOR COVID-19 IN BRAZIL
Resumo (abstract):
The objective of this article is to analyze the association between sociodemographic and hospitalization characteristics with the outcome of indigenous and non-indigenous pregnant and postpartum women and factors associated with deaths among indigenous women hospitalized for Severe Acute Respiratory Syndrome (SARS) due to COVID-19 in Brazil. This is a cross-sectional and analytical study, with secondary data of pregnant and postpartum women of reproductive age, classified into race/skin color (indigenous and non-indigenous), extractedthe Obstetric Observatory, which uses datathe Influenza Epidemiological Surveillance Information System. The variables with the outcome were analyzed using the chi-square test or Fisher\'s exact test and logistic regression was performed for the factors associated with the death of indigenous people. The highest proportion of deaths occurred among non-indigenous women who were in the 2nd trimester of pregnancy (99.7%), lived in urban/peri-urban areas (99.8%) and in the South/Southeast (99.8%) and Northeast (99.5%) regions. Indigenous people who lived in rural areas and in the North and Midwest regions increase the chances of death when compared to indigenous people in the urban area and in the South/Southeast regions. The pandemic has sharpened and deepened social and ethnic-racial inequalities in Brazil.
Palavras-chave (keywords):
Health of indigenous populations, Pregnant women, Postpartum Period, COVID-19
Moura, A. K. D, Freitas, G. A., PícolI, R. P.. FATORES ASSOCIADOS AO ÓBITO EM GESTANTES E PUÉRPERAS INDÍGENAS E NÃO INDÍGENAS HOSPITALIZADAS POR COVID-19, NO BRASIL. Cien Saude Colet [periódico na internet] (2024/mai). [Citado em 28/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-obito-em-gestantes-e-puerperas-indigenas-e-nao-indigenas-hospitalizadas-por-covid19-no-brasil/19253?id=19253&id=19253
