de Oliveira Genyklea Silva, Lima Marina Clarissa Barros de Melo, Lyra Clélia de Oliveira, Oliveira Angelo Giuseppe Roncalli da Costa, Ferreira Maria Angela Fernandes
Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, RN, 59.056-000, Brazil.
Cien Saude Colet. 2013 Aug;18(8):2431-41. doi: 10.1590/s1413-81232013000800028.
The objective of this study is to analyze the spatial distribution of neonatal mortality and its correlation with the biological and socioeconomic factors and maternal and child health care in the Brazilian states in the period from 2006 to 2010. Thematic and correlation (LISA) maps were created for verification of spatial dependence as well as multiple linear regression models. It was found that there is no specific spatial correlation for neonatal mortality in the Brazilian states (R = 0.002, p = 0.48). The majority of the variables were correlated (r > 0.3, p < 0.05) with neonatal mortality, forming clusters in the North and Northeast, with higher rates for teenage mothers, low household income per capita, lower prenatal consultations and less Neonatal Intensive Care Unit beds. The number of Neonatal ICU beds maintained an independent effect after regression analysis. The conclusion reached was that regional inequalities in living conditions and especially access to maternal and child health contribute to the unequal distribution of neonatal mortality in Brazil.
本研究的目的是分析2006年至2010年期间巴西各州新生儿死亡率的空间分布及其与生物和社会经济因素以及母婴保健的相关性。创建了专题图和相关性（局部空间自相关）图以验证空间依赖性，并建立了多元线性回归模型。结果发现，巴西各州的新生儿死亡率不存在特定的空间相关性（R = 0.002，p = 0.48）。大多数变量与新生儿死亡率相关（r > 0.3，p < 0.05），在北部和东北部形成集群，青少年母亲比例较高、人均家庭收入较低、产前检查次数较少以及新生儿重症监护病房床位较少的地区死亡率较高。经过回归分析，新生儿重症监护病房床位数量保持独立影响。得出的结论是，生活条件的区域不平等，尤其是获得母婴保健服务的机会不平等，导致了巴西新生儿死亡率的不平等分布。
