Universidade Federal da Bahia, Maternidade Climério de Oliveira, Salvador, BA, Brasil.
Universidade Federal da Bahia,Instituto de Saúde Coletiva, Salvador, BA, Brasil.
Epidemiol Serv Saude. 2021 Feb 5;30(1):e201953. doi: 10.1590/S1679-49742021000100003. eCollection 2021.
To identify socioeconomic and health care determinants of spatial variation in adolescent pregnancy in Brazil in 2014.
This was a spatial ecological study having municipalities as units of analysis. Spatial linear regression was used to verify association between the fertility rate in 15-19 year-old women and socioeconomic and health variables.
The adolescent fertility rate was negatively associated with higher Family Health Strategy coverage (β = -0.011 - 95%CI -0.017;-0.005), an adequate number of prenatal consultations (β = -0.122 - 95%CI -0.132;-0.224) and low average family income per capita (β = -0.104 - 95%CI -0.105;-0.103). Association was positive in relation to the Gini index (β = 7.031 - 95%CI 4.793;9.269), low income (β = 0.127 - 95%CI 0.108;0.145), higher household density (β = 6.292 - 95%CI 5.062;7.522) and less schooling (β = 0.260 - 95%CI 0.224;0.295).
Reduced access to primary care and lower income are associated with higher adolescent fertility rates. Poorer socioeconomic and health care indicators are associated with higher adolescent fertility rates.
确定 2014 年巴西青少年妊娠空间差异的社会经济和医疗保健决定因素。
这是一项具有市镇为分析单位的空间生态学研究。采用空间线性回归检验 15-19 岁女性生育率与社会经济和健康变量之间的关系。
青少年生育率与家庭健康战略覆盖率较高（β=-0.011，95%CI：-0.017；-0.005）、产前咨询次数充足（β=-0.122，95%CI：-0.132；-0.224）和人均家庭收入较低（β=-0.104，95%CI：-0.105；-0.103）呈负相关。与基尼指数（β=7.031，95%CI：4.793；9.269）、低收入（β=0.127，95%CI：0.108；0.145）、较高的家庭密度（β=6.292，95%CI：5.062；7.522）和较少的受教育程度（β=0.260，95%CI：0.224；0.295）呈正相关。
初级保健服务获取减少和收入较低与青少年生育率较高有关。较差的社会经济和医疗保健指标与青少年生育率较高有关。
