巴西巴伊亚州 2000-2020 年青少年和年轻成年人产妇死亡率：时间趋势与产前保健覆盖率的相关性。
Maternal mortality in adolescents and young adults: temporal trend and correlation with prenatal care coverage in the state of Bahia, Brazil, 2000-2020.
机构信息
Universidade Estadual de Feira de Santana, Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana, BA, Brazil.
Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brazil.
出版信息
Epidemiol Serv Saude. 2023 Sep 18;32(2):e2023103. doi: 10.1590/S2237-96222023000200022. eCollection 2023.
MAIN RESULTS
From 2000 to 2020, maternal mortality among adolescents and young adults showed a decreasing trend in the state of Bahia. It could be seen an inverse and significant correlation between the highest number of prenatal care visits and maternal mortality in the studied groups.
IMPLICATIONS FOR SERVICES
The study suggests the importance of quality obstetric care during prenatal, childbirth, and postpartum period for reducing maternal mortality among adolescents and young adults, especially from preventable causes.
PERSPECTIVES
Improving the records of causes of death on information systems, enhancing obstetric care, and investing in sexual and reproductive health policies aimed at adolescents may contribute to the reduction of maternal deaths.
OBJECTIVE
to analyze the temporal trend of maternal mortality and correlate it with prenatal care coverage among adolescents and young adults, state of Bahia, Brazil, 2000-2020.
METHODS
this was an ecological time-series study and correlation between maternal deaths and prenatal care visits in 10-19 and 20-24 age groups, using the Mortality Information System; the trend analysis was performed by means of Prais-Winsten regression, according to race/skin color, timing and causes of death; and Spearman coefficient was used for correlation.
RESULTS
in the study period, 418 deaths among adolescents and 574 among young adults were recorded; maternal mortality ratio was 59.7 and 63.2 deaths/100,000 live births, with a significant decreasing trend (-2.2% and -2.9% respectively); it could be seen an inverse correlation between a higher number of prenatal care visits and maternal mortality in the age groups.
CONCLUSION
maternal mortality showed a decreasing trend in the study period, but with high proportions of death; there was a significant correlation between prenatal care coverage and maternal mortality among adolescents and young adults.
主要结果
2000 年至 2020 年期间，巴伊亚州青少年和青年女性的孕产妇死亡率呈下降趋势。在研究人群中，产前保健次数最多与孕产妇死亡率之间呈反比且有显著相关性。
对服务的影响
研究表明，在产前、分娩和产后期间提供优质产科护理对于降低青少年和青年女性的孕产妇死亡率至关重要，特别是降低可预防原因导致的孕产妇死亡率。
观点
改善信息系统中死因记录、加强产科护理以及投资于青少年性与生殖健康政策，可能有助于降低孕产妇死亡人数。
目的
分析巴伊亚州 2000-2020 年期间青少年和青年女性孕产妇死亡率的时间趋势，并将其与产前保健覆盖率相关联。
方法
这是一项生态时间序列研究，使用死亡率信息系统分析了 10-19 岁和 20-24 岁年龄组的孕产妇死亡与产前保健就诊次数之间的相关性；根据种族/肤色、死亡时间和死因，采用普赖斯-温斯坦回归进行趋势分析；采用斯皮尔曼系数进行相关性分析。
结果
在研究期间，记录了 418 例青少年和 574 例青年女性孕产妇死亡；孕产妇死亡率分别为 59.7 和 63.2/100,000 活产，呈显著下降趋势（分别下降 2.2%和 2.9%）；在两个年龄组中，产前保健就诊次数较多与孕产妇死亡率呈负相关。
结论
研究期间孕产妇死亡率呈下降趋势，但死亡比例仍然较高；产前保健覆盖率与青少年和青年女性的孕产妇死亡率之间存在显著相关性。
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