Martinez Edson Zangiacomi, Roza Daiane Leite da, Caccia-Bava Maria do Carmo Gullaci Guimarães, Achcar Jorge Alberto, Dal-Fabbro Amaury Lelis
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil.
Cad Saude Publica. 2011 May;27(5):855-67. doi: 10.1590/s0102-311x2011000500004.
Teenage pregnancy is a common public health problem worldwide. The objective of this ecological study was to investigate the spatial association between teenage pregnancy rates and socioeconomic characteristics of municipalities in São Paulo State, Southeast Brazil. We used a Bayesian model with a spatial distribution following a conditional autoregressive (CAR) form based on Markov Chain Monte Carlo algorithm. We used data from the Live Birth Information System (SINASC) and the Brazilian Institute of Geography and Statistics (IBGE). Early pregnancy was more frequent in municipalities with lower per capital gross domestic product (GDP), higher poverty rate, smaller population, lower human development index (HDI), and a higher percentage of individuals with State social vulnerability index of 5 or 6 (more vulnerable). The study demonstrates a significant association between teenage pregnancy and socioeconomic indicators.
青少年怀孕是一个全球性的常见公共卫生问题。这项生态研究的目的是调查巴西东南部圣保罗州各市镇青少年怀孕率与社会经济特征之间的空间关联。我们使用了一个基于马尔可夫链蒙特卡罗算法的条件自回归(CAR)形式的空间分布的贝叶斯模型。我们使用了来自活产信息系统(SINASC)和巴西地理与统计研究所(IBGE)的数据。在人均国内生产总值(GDP)较低、贫困率较高、人口较少、人类发展指数(HDI)较低以及国家社会脆弱性指数为5或6(更脆弱)的个体比例较高的市镇,早孕更为常见。该研究表明青少年怀孕与社会经济指标之间存在显著关联。