Diferenças no padrão de ocorrência da mortalidade neonatal e pós-neonatal no Município de Goiânia, Brasil, 1992-1996: análise espacial para identificação das áreas de risco

Cadernos de Saúde Pública

Otaliba Libânio De Morais Neto²  Marilisa Berti De Azevedo Barros¹  Celina Maria Turchi Martelli²  Simonne Almeida E Silva²  Suzana Marta Cavenaghi¹  João Bosco Siqueira Jr.¹ 

[1] ,Universidade Federal de Goiás Instituto de Patologia Tropical e Saúde Pública Goiânia GO ,Brasil

关键词: Spatial Analysis;    Infant Mortality;    Neonatal Mortality;    Análise Espacial;    Mortalidade Infantil;    Mortalidade Neonatal;   

DOI  :  10.1590/S0102-311X2001000500024

来源: SciELO

【 摘 要 】

The aim of this study was to investigate the spatial pattern of neonatal and post-neonatal mortality in the city of Goiânia, Central Brazil. Analyses were based on linked birth and death certificates relating to 101,000 in-hospital live births from mothers residing in the city of Goiânia over the 1992-1996 period. Overall neonatal and post-neonatal mortality probabilities were calculated using the linked database. The empirical Bayes method was applied to smooth the estimated rates and minimize random fluctuation. Spatial units of analysis were 65 urban districts, corresponding to the urban planning sectors. The following exploratory spatial analyses were applied: "global" Moran's I statistic, local Moran LISA map, and Gi* local statistics. For both neonatal and post-neonatal mortality there was statistically significant spatial autocorrelation. Results of post-neonatal mortality showed a high-risk cluster located on the outskirts of the city. For the neonatal period, a heterogeneous mortality pattern was found with high-risk districts in all regions, including central areas.

【 授权许可】

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