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巴西堕胎所致孕产妇死亡：过去三十年的时间、区域及社会人口学分析

Maternal Mortality Due to Abortion in Brazil: A Temporal, Regional, and Sociodemographic Analysis over the Last Three Decades.

作者信息

Pereira Pedro Omar Batista, de Souza Mateus Pinheiro, Moreira Laura Beatriz Argôlo, Silva Filho Eumar Soares, da Silva Santos Edjan, Dos Santos Amanda Vitória Rodrigues, Asbeque Ana Clara Ferreira, Morais Mauro José de Deus, Pereira Júlio Eduardo Gomes, Leitão Francisco Naildo Cardoso

机构信息

Multidisciplinary Laboratory of Studies and Scientific Writing in Health Sciences (LAMEECCS), Federal University of Acre (UFAC), Rio Branco 69920-900, Acre, Brazil.

出版信息

Healthcare (Basel). 2025 Apr 21;13(8):951. doi: 10.3390/healthcare13080951.

DOI:10.3390/healthcare13080951
PMID:40281900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12026905/
Abstract

BACKGROUND/OBJECTIVES: Maternal mortality due to abortion in Brazil has shown a significant decline of 47.37% between 1996 and 2022. This study aims to analyze temporal trends in maternal mortality due to abortion across regions and sociodemographic groups, highlighting disparities and their implications for public health.

METHODS

Trends were assessed using Prais-Winsten regression models to estimate the annual percentage change (APC). Data were stratified by region and sociodemographic characteristics to identify vulnerable groups.

RESULTS

The findings reveal notable regional disparities, with some regions experiencing more pronounced declines than others. Vulnerable sociodemographic groups, including women with lower levels of education and younger age groups, exhibited persistently higher mortality rates.

CONCLUSIONS

Despite a significant overall reduction in maternal mortality due to abortion, disparities remain among regions and sociodemographic groups. These findings underscore the need for targeted public health policies aimed at reducing inequalities and addressing the needs of the most affected populations.

摘要

背景/目的：1996年至2022年间，巴西因堕胎导致的孕产妇死亡率显著下降了47.37%。本研究旨在分析各地区和社会人口群体中因堕胎导致的孕产妇死亡率的时间趋势，突出差异及其对公共卫生的影响。

方法

使用普赖斯-温斯坦回归模型评估趋势，以估计年度百分比变化（APC）。数据按地区和社会人口特征分层，以确定弱势群体。

结果

研究结果显示出显著的地区差异，一些地区的下降幅度比其他地区更为明显。包括教育程度较低的妇女和较年轻年龄组在内的弱势群体的死亡率持续较高。

结论

尽管因堕胎导致的孕产妇死亡率总体上大幅下降，但地区和社会人口群体之间的差异仍然存在。这些发现强调了制定有针对性的公共卫生政策的必要性，旨在减少不平等现象并满足受影响最严重人群的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/77f2f5763abb/healthcare-13-00951-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/9708eecd0225/healthcare-13-00951-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/39aba3659ee6/healthcare-13-00951-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/bfc8dca752f4/healthcare-13-00951-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/95a683cebf8a/healthcare-13-00951-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/77f2f5763abb/healthcare-13-00951-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/9708eecd0225/healthcare-13-00951-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/1df90d2c0ba6/healthcare-13-00951-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/39aba3659ee6/healthcare-13-00951-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/bfc8dca752f4/healthcare-13-00951-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/95a683cebf8a/healthcare-13-00951-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6032/12026905/77f2f5763abb/healthcare-13-00951-g006.jpg

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本文引用的文献

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Maternal mortality in Brazil: an analysis of temporal trends and spatial clustering.巴西的产妇死亡率：时间趋势和空间聚类分析。
Cien Saude Colet. 2024 Oct;29(10):e05012023. doi: 10.1590/1413-812320242910.05012023. Epub 2023 Sep 20.
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Maternal deaths among Brazilian indigenous women-Analysis from 2015 to 2021.巴西土著妇女的孕产妇死亡分析-2015 至 2021 年。
Int J Gynaecol Obstet. 2024 Nov;167(2):612-618. doi: 10.1002/ijgo.15607. Epub 2024 May 15.
3
Protocol of Birth in Brazil II: National Research on Abortion, Labor and Childbirth.
巴西生育方案 II：全国堕胎、分娩和生育研究。
Cad Saude Publica. 2024 Apr 29;40(4):e00036223. doi: 10.1590/0102-311XPT036223. eCollection 2024.
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Maternal mortality in adolescents and young adults: temporal trend and correlation with prenatal care coverage in the state of Bahia, Brazil, 2000-2020.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。
Epidemiol Serv Saude. 2023 Sep 18;32(2):e2023103. doi: 10.1590/S2237-96222023000200022. eCollection 2023.
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[Maternal morbidity and mortality in Brazil and the urgency of a national surveillance system for maternal near miss].[巴西的孕产妇发病率和死亡率以及建立全国孕产妇严重近危情况监测系统的紧迫性]
Cad Saude Publica. 2023 Aug 7;39(8):e00013923. doi: 10.1590/0102-311XPT013923. eCollection 2023.
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Epidemiol Serv Saude. 2022 Feb 28;31(1):e2021341. doi: 10.1590/S1679-49742022000100017. eCollection 2022.
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Maternal Mortality in Brazil, 1990 to 2019: a systematic analysis of the Global Burden of Disease Study 2019.巴西的孕产妇死亡率，1990 年至 2019 年：2019 年全球疾病负担研究的系统分析。
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