Spatio-temporal analysis of infant mortality in the city of Rio de Janeiro, 2010–2019

IF 1.4 Q3 PEDIATRICS Revista Paulista De Pediatria Pub Date : 2022-06-10 DOI:10.1590/1984-0462/2022/40/2021061IN
V. Dutra, J. Sampaio, Camila de Souza Caputo, Raphael Mendonça Guimarães
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Abstract

ABSTRACT Objective: To describe the spatio-temporal distribution of infant mortality and its components in the city of Rio de Janeiro, Brazil, in 2010 and 2019. Methods: Infant mortality rate and the neonatal and postneonatal components were estimated. The standardized mortality rate was calculated to detect excess child mortality in the planning areas. Poisson regression was performed to estimate the effect of these planning areas on the years 2010 and 2019. Spatial analysis per neighborhoods was performed to identify the spatial autocorrelation rates, using the Moran’s Index and local indicator of spatial association (LISA). Results: The planning areas are very heterogeneous, depending on the history and evolution of occupation. There is an excess of mortality in planning areas with greater social vulnerability. In the Poisson model, it was observed that in all components, the planning area (PA) of residence was statistically significant as well as the year. Moran’s index did not show global spatial autocorrelation. However, when applying the LISA method, autocorrelation was observed at the local level and spatial clusters in the municipality of Rio de Janeiro. Conclusions: The spatial heterogeneity of the infant mortality rate in Rio de Janeiro suggests that local health policy strategies of each region consist in an efficient measure for reducing this rate.
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2010-2019年里约热内卢市婴儿死亡率的时空分析
摘要目的:描述2010年和2019年巴西里约热内卢市婴儿死亡率及其组成部分的时空分布。方法:估计婴儿死亡率以及新生儿和新生儿后的组成部分。计算标准化死亡率是为了检测规划地区的超额儿童死亡率。进行泊松回归以估计这些规划区域对2010年和2019年的影响。使用Moran指数和空间关联局部指标(LISA),对每个邻域进行空间分析,以确定空间自相关率。结果:根据职业的历史和演变,规划区域非常异质。在社会脆弱性较大的规划地区,死亡率过高。在泊松模型中,可以观察到,在所有组成部分中,住宅规划面积(PA)与年份一样具有统计学意义。莫兰指数没有显示出全球空间自相关。然而,在应用LISA方法时,在里约热内卢市的地方一级和空间集群中观察到了自相关。结论:里约热内卢婴儿死亡率的空间异质性表明,每个地区的地方卫生政策战略都包含降低婴儿死亡率的有效措施。
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来源期刊
Revista Paulista De Pediatria
Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.30
自引率
0.00%
发文量
100
审稿时长
11 weeks
期刊介绍: The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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