0450/2016 - Tendência temporal e distribuição espacial da sífilis congênita no estado do Rio Grande do Sul entre 2001 e 2012 Trend time and spatial distribution of congenital syphilis in the state of Rio Grande do Sul between 2001 and 2012 year
• Lisiane Ortiz Teixeira - Teixeira, Lisiane Ortiz - Universidade Federal do Rio Grande - FURG, Faculdade de Medicina - <lisiane_ortiz@yahoo.com.br>
Coautor(es):
• Raul Andres Mendoza Sassi - Mendoza-Sassi, RA - Universidade Federal do Rio Grande - FURG, População e Saúde - <dmiraul@furg.br>
• Carla Vitola - Vitola, Carla - Universidade Federal do Rio Grande, Faculdade de Medicina - <carlavg@brturbo.com.br>
• Vanusa Belarmino - Belarmino, Vanusa - Universidade Federal do Rio Grande, Faculdade de Medicina - <vanusa.cassino@gmail.com>
Área Temática:
Epidemiologia
Resumo:
Objetivou-se avaliar a tendência temporal e a distribuição espacial da Sífilis Congênita (SC) no estado do Rio Grande do Sul. Todos os casos notificados pelo Sistema Nacional de Agravos de Notificação entre 2001 e 2012 foram incluídos. Os números de nascidos vivos foram obtidos do SINASC/DATASUS. As taxas de incidência de SC foram agrupados conforme as microrregiões do IBGE e analisados para todo o período e em triênios. A correlação espacial foi analisada pelo índice de Moran global (I) e local. Foram notificados 3.613 casos. Entre 2007 e 2012 morreram 89 neonatos (3,6%). As taxas de SC variaram de 1,03 em 2001 a 5,1 casos por 1.000 nascidos vivos em 2012, com um incremento anual de 0,84 casos por 1.000 nascidos vivos (p<0,01) e 93,88% da variação explicada. As microrregiões foram espacialmente independentes (I=0,06; p=0,25), tendo Porto Alegre a maior incidência (4,19 casos/1.000 nascidos vivos) e Jaguarão a menor (0,23 casos/1.000 nascidos vivos). Observaram-se microrregiões com dependência espacial local significativa. O aumento dos casos de SC salienta um déficit na qualidade do pré-natal. A identificação das microrregiões com maior incidência é essencial para focalizar as políticas públicas sobre esse tema.
Palavras-chave:
Análise EspacialEstudos de Séries TemporaisSífilis CongênitaTransmissão Vertical de Doença InfecciosaVigilância Epidemiológica
Abstract:
The aim of the study was to evaluate the temporal trend and spatial distribution of congenital syphilis (CS) in the state of Rio Grande do Sul. All cases reported by the SINASC/DATASUS between 2001 and 2012 were included. The number of live births was obtained from DATASUS. Incidence rates of CS were grouped according to micro-regions of IBGE and analyzed for all the period and for trienniums. The spatial correlation was analyzed by global Moran index (I) and local index. Were reported 3.613 cases. Between 2007 and 2012 died 89 (3.6%) neonates . Rates varies from to 1.03 in 2001 to 5.1 cases per 1000 live birth in 2012, with an annual increase of 0.84 cases per 1000 live birth (p<0.01) and 93.88% of the variance explained. The micro-regions were spatially independent (I = 0.06; p = 0.25), having Porto Alegre the highest incidence (4.19 cases / 1000 live births) and Jaguarão the lowest (0.23 cases / 1000 live births). Micro regions with significant local spatial dependence were observed. The increase in cases of CS highlights a poor prenatal care quality. Recognition of the micro-regions with the highest incidence is essential to focus public policy about this health problem.
Keywords:
Spatial AnalysisTime Series StudiesSyphilis, CongenitalVertical Infectious Diseases TransmissionEpidemiological Surveillance
Trend time and spatial distribution of congenital syphilis in the state of Rio Grande do Sul between 2001 and 2012 year
Resumo (abstract):
The aim of the study was to evaluate the temporal trend and spatial distribution of congenital syphilis (CS) in the state of Rio Grande do Sul. All cases reported by the SINASC/DATASUS between 2001 and 2012 were included. The number of live births was obtained from DATASUS. Incidence rates of CS were grouped according to micro-regions of IBGE and analyzed for all the period and for trienniums. The spatial correlation was analyzed by global Moran index (I) and local index. Were reported 3.613 cases. Between 2007 and 2012 died 89 (3.6%) neonates . Rates varies from to 1.03 in 2001 to 5.1 cases per 1000 live birth in 2012, with an annual increase of 0.84 cases per 1000 live birth (p<0.01) and 93.88% of the variance explained. The micro-regions were spatially independent (I = 0.06; p = 0.25), having Porto Alegre the highest incidence (4.19 cases / 1000 live births) and Jaguarão the lowest (0.23 cases / 1000 live births). Micro regions with significant local spatial dependence were observed. The increase in cases of CS highlights a poor prenatal care quality. Recognition of the micro-regions with the highest incidence is essential to focus public policy about this health problem.
Palavras-chave (keywords):
Spatial AnalysisTime Series StudiesSyphilis, CongenitalVertical Infectious Diseases TransmissionEpidemiological Surveillance
Teixeira, Lisiane Ortiz, Mendoza-Sassi, RA, Vitola, Carla, Belarmino, Vanusa. Tendência temporal e distribuição espacial da sífilis congênita no estado do Rio Grande do Sul entre 2001 e 2012. Cien Saude Colet [periódico na internet] (2016/out). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/tendencia-temporal-e-distribuicao-espacial-da-sifilis-congenita-no-estado-do-rio-grande-do-sul-entre-2001-e-2012/15876?id=15876&id=15876
