Department of Maternal and Child's Health, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Buenos Aires, Argentina.
Department of Global Community Health & Behavioural Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
BJOG. 2018 Sep;125(10):1263-1270. doi: 10.1111/1471-0528.15294. Epub 2018 Jun 29.
To describe country-level stillbirth rates and their change over time in Latin America, and to measure the association of stillbirth rates with socio-economic and health coverage indicators in the region.
Ecological study.
20 countries of Latin America.
Aggregated data from pregnant women with countries as units of analysis.
We used stillbirth estimates, and socio-economic and healthcare coverage indicators reported from 2006 to 2016 from UNICEF, United Nations Development Programme and World Bank datasets. We calculated Spearman's correlation coefficients between stillbirths rates and socioeconomic and health coverage indicators.
National estimates of stillbirth rates in each country.
The estimated stillbirth rate for Latin America for 2015 was 8.1 per 1000 births (range 3.1-24.9). Seven Latin America countries had rates higher than 10 stillbirths per 1000 births. The average annual reduction rate for the region was 2% (range 0.1-3.8%), with the majority of Latin America countries ranging between 1.5 and 2.5%. National stillbirth rates were correlated to: women's schooling (rS = -0.7910), gross domestic product per capita (rS = -0.8226), fertility rate (rS = 0.6055), urban population (rS = -0.6316), and deliveries at health facilities (rS = -0.6454).
Country-level estimated stillbirth rates in Latin America varied widely in 2015. The trend and magnitude of reduction in stillbirth rates between 2000 and 2015 was similar to the world average. Socio-economic and health coverage indicators were correlated to stillbirth rates in Latin America.
Stillbirth rates decreased in Latin America but remain relatively high, with wide variations among countries.
描述拉丁美洲的国家层面的死产率及其随时间的变化，并衡量该地区的死产率与社会经济和健康覆盖指标之间的关联。
生态研究。
拉丁美洲 20 个国家。
以国家为分析单位的孕妇汇总数据。
我们使用了来自联合国儿童基金会、联合国开发计划署和世界银行数据集的 2006 年至 2016 年的死产估计数以及社会经济和医疗保健覆盖指标。我们计算了死产率与社会经济和健康覆盖指标之间的斯皮尔曼相关系数。
每个国家的国家估计死产率。
拉丁美洲 2015 年估计的死产率为每 1000 例活产 8.1 例（范围 3.1-24.9）。拉丁美洲有 7 个国家的死产率高于每 1000 例活产 10 例。该地区的年平均下降率为 2%（范围 0.1-3.8%），大多数拉丁美洲国家的下降率在 1.5%至 2.5%之间。国家死产率与以下因素相关：女性受教育程度（rS =-0.7910）、人均国内生产总值（rS =-0.8226）、生育率（rS =0.6055）、城市人口（rS =-0.6316）和在医疗机构分娩（rS =-0.6454）。
2015 年，拉丁美洲国家层面的估计死产率差异很大。2000 年至 2015 年期间，死产率的趋势和下降幅度与世界平均水平相似。社会经济和健康覆盖指标与拉丁美洲的死产率相关。
拉丁美洲的死产率有所下降，但仍相对较高，各国之间差异较大。
