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巴西因新冠肺炎住院的土著和非土著孕妇及产后妇女中与死亡相关的因素。

Factors associated with death among indigenous and non-indigenous pregnant and postpartum women hospitalized for COVID-19 in Brazil.

作者信息

Moura Adryelle Katheline D'Elia de, Freitas Glênio Alves de, Pícoli Renata Palópoli

机构信息

Programa de Pós-Graduação em Saúde da Família, Universidade Federal de Mato Grosso do Sul. Av. Costa e Silva s/n, Cidade Universitária. 79070-900 Campo Grande MS Brasil.

Departamento de Saúde Coletiva, Universidade Federal de Uberlândia. Uberlândia MG Brasil.

出版信息

Cien Saude Colet. 2024 Dec;29(12):e07432024. doi: 10.1590/1413-812320242912.07432024. Epub 2024 May 2.

Abstract

The present article aimed to analyze the association between sociodemographic and hospitalization characteristics with the outcome of indigenous and non-indigenous pregnant and postpartum women, as well as factors associated with deaths among indigenous women hospitalized for Severe Acute Respiratory Syndrome (SARS) due to COVID-19 in Brazil. This is a cross-sectional and analytical study, with secondary data of pregnant and postpartum women of reproductive age, classified into race/skin color (indigenous and non-indigenous), extracted from the Obstetric Observatory, which uses data from the Influenza Epidemiological Surveillance Information System. The outcome variables were analyzed using the chi-square test or Fisher's exact test, and logistic regression was performed for the factors associated with the death of indigenous people. The highest proportion of deaths occurred among non-indigenous women who were in the 2nd trimester of pregnancy (99.7%), who lived in urban/peri-urban areas (99.8%), as well as in the South/Southeast (99.8%) and Northeast (99.5%) regions. Indigenous people who lived in rural areas and in the North and Midwest regions have a greater chance of death when compared to indigenous people who lived in urban areas and in the South/Southeast regions.

摘要

本文旨在分析社会人口统计学和住院特征与土著和非土著孕妇及产后妇女结局之间的关联,以及巴西因新冠肺炎感染严重急性呼吸综合征(SARS)住院的土著妇女死亡相关因素。这是一项横断面分析研究,使用从产科观察站提取的育龄孕妇和产后妇女的二手数据,这些数据按种族/肤色(土著和非土著)分类,该观察站采用了流感流行病学监测信息系统的数据。使用卡方检验或费舍尔精确检验分析结局变量,并对与土著人死亡相关的因素进行逻辑回归分析。死亡比例最高的是非土著妇女,她们处于妊娠中期(99.7%),居住在城市/城郊地区(99.8%),以及南部/东南部(99.8%)和东北部(99.5%)地区。与居住在城市地区以及南部/东南部地区的土著人相比,居住在农村地区以及北部和中西部地区的土著人死亡几率更大。

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