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[巴西新生儿听力筛查覆盖率的时空分析(2008 - 2015年)]

[Spatial and temporal analysis of the coverage for neonatal hearing screening in Brazil (2008-2015)].

作者信息

Paschoal Monique Ramos, Cavalcanti Hannalice Gottschalck, Ferreira Maria Ângela Fernandes

机构信息

Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.

Departamento de Fonoaudiologia, Universidade Federal da Paraíba. João Pessoa PB Brasil.

出版信息

Cien Saude Colet. 2017 Nov;22(11):3615-3624. doi: 10.1590/1413-812320172211.21452016.

DOI:10.1590/1413-812320172211.21452016
PMID:29211167
Abstract

This article seeks to establish the coverage of neonatal hearing screening in Brazil between January 2008 and June 2015. It is an ecological study that uses the country, through the Urban Articulation Regions, as a base. To calculate the screening coverage percentage, the Live Births Information System, the Outpatient Information System and the Beneficiaries of the National Supplementary Health Agency Information System were used. An exploratory analysis of maps and spatial statistical analysis was conducted using TerraView 4.2.2 software. The coverage of neonatal hearing screening saw an increase of 9.3% to 37.2% during the study period. In 2008-2009 it was observed that the percentage of coverage ranged from 0% to 79.92%, but most areas received coverage from 0% to 20%, though in 2014-2015 coverage ranged from 0% to 171.77%, and there was a visible increase in the percentage of coverage in the country, mainly in the Southern Region. The screening coverage has increased over time, but is still low with an uneven distribution in the territory, which may be explained by local laws and policies and by the existence of different types of auditory health service in the country.

摘要

本文旨在确定2008年1月至2015年6月期间巴西新生儿听力筛查的覆盖范围。这是一项生态学研究,以该国城市衔接区域为基础。为计算筛查覆盖率,使用了活产信息系统、门诊信息系统和国家补充卫生机构信息系统的受益人信息系统。使用TerraView 4.2.2软件进行了地图探索性分析和空间统计分析。在研究期间,新生儿听力筛查覆盖率从9.3%提高到了37.2%。在2008 - 2009年期间,观察到覆盖率从0%到79.92%不等,但大多数地区的覆盖率为0%到20%,而在2014 - 2015年期间,覆盖率从0%到171.77%不等,该国的覆盖率有明显提高,主要集中在南部地区。筛查覆盖率随时间有所增加,但仍然较低,且在全国范围内分布不均,这可能是由地方法规政策以及该国存在不同类型的听力健康服务所导致的。

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