Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Braz J Med Biol Res. 2021 Mar 10;54(1):e11274. doi: 10.1590/1414-431X202111274. eCollection 2021.
This thematic issue consists of 14 articles derived from studies of the BRISA birth cohort (Ribeirão Preto, State of São Paulo and São Luís, State of Maranhão, northeastern Brazil, a socially and economically less developed region). In these more than 40 years of existence, these cohorts have been able to document the increase in women's education, the improvement of health conditions, the creation of a public Unified Health System (SUS) that provides universal and free access to health care, eradication of hunger, and transition of the nutritional status characterized by a decrease in malnutrition rates and an increase in obesity in Brazil. Particularly in reproductive health, the country experienced a significant drop in fertility, a decrease in maternal and child mortality, and an increase in breastfeeding rates. Universal access to prenatal care and hospital delivery was accompanied by an excessive number of cesareans without clinical indication and early-term births and premature births, largely due to scheduled cesareans. Articles with a longitudinal and transversal methodological approach are presented, using structural equation analysis and propensity score, together with multivariate regressions, which gave a robust analytical treatment to articles in this thematic issue.
本专题由 14 篇文章组成,这些文章来源于 BRISA 出生队列研究(巴西东北部的累西腓和圣路易斯,这是一个社会和经济欠发达地区)。在这些超过 40 年的存在中,这些队列已经能够记录妇女教育水平的提高、健康状况的改善、创建一个提供普遍和免费医疗保健的公共统一卫生系统 (SUS)、消除饥饿以及巴西营养状况的转变,表现为营养不良率下降和肥胖率上升。特别是在生殖健康方面,该国的生育率显著下降,母婴死亡率下降,母乳喂养率上升。普遍获得产前护理和住院分娩的同时,也伴随着大量没有临床指征的剖腹产以及早产和早产,这在很大程度上是由于计划剖腹产。本专题中呈现了具有纵向和横向方法学方法的文章,使用结构方程分析和倾向评分,以及多元回归,为这些文章提供了强有力的分析处理。