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妇女和儿童健康不平等状况评估:为何、如何以及为谁评估?对巴西活产信息系统的分析

Assessment of inequalities in women's and children's health: Why, how, and for whom? Analyses of the Brazilian Live Birth Information System.

作者信息

Wehrmeister Fernando César, Costa Janaína Calu, Silva Luiza Eunice Sá da, Lima Natalia Peixoto, Costa Francine Dos Santos, Barros Aluísio Jardim Dornellas de

机构信息

Universidade Federal de Pelotas, International Center for Equity in Health, Graduate Program in Epidemiology - Pelotas (RS), Brazil.

Universidade de São Paulo, School of Public Health, Department of Epidemiology - São Paulo (SP), Brazil.

出版信息

Rev Bras Epidemiol. 2025 May 30;28:e250029. doi: 10.1590/1980-5497202500XX. eCollection 2025.

DOI:10.1590/1980-5497202500XX
PMID:40465969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12124669/
Abstract

In this manuscript we discuss the importance of monitoring the analyses on health inequalities in women's and children's health. Data from the Brazilian Live Birth Information System were used to introduce the main inequality measures. The years from 2020 to 2022 were combined and at least one and eight or more antenatal care visits were considered as outcomes. As inequality measures, simple (ratios and differences) and complex measures for ordered (slope index of inequality and concentration index) and unordered (weighted and unweighted mean absolute difference from the mean) outcomes were presented. We discuss the strengths, limitations, and importance of inequality monitoring for researchers and policymakers.

摘要

在本手稿中,我们讨论了监测妇女和儿童健康方面健康不平等分析的重要性。利用巴西活产信息系统的数据介绍了主要的不平等衡量指标。将2020年至2022年的数据合并,并将至少一次和八次或更多次产前检查视为结果。作为不平等衡量指标,呈现了简单指标(比率和差异)以及针对有序结果(不平等斜率指数和集中指数)和无序结果(与均值的加权和非加权平均绝对差)的复杂指标。我们讨论了不平等监测对研究人员和政策制定者的优势、局限性及重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad7/12124669/250488df0271/1980-5497-rbepid-28-e250029-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad7/12124669/2a0a347b220d/1980-5497-rbepid-28-e250029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad7/12124669/250488df0271/1980-5497-rbepid-28-e250029-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad7/12124669/2a0a347b220d/1980-5497-rbepid-28-e250029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad7/12124669/250488df0271/1980-5497-rbepid-28-e250029-gf02.jpg

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本文引用的文献

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BMC Public Health. 2020 Nov 23;20(1):1771. doi: 10.1186/s12889-020-09912-x.
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Measurement of social inequalities in health: concepts and methodological approaches in the Brazilian context.健康领域社会不平等的衡量:巴西背景下的概念与方法路径
Epidemiol Serv Saude. 2018 Mar 5;27(1):e000100017. doi: 10.5123/S1679-49742018000100017.
3
Socioeconomic inequalities in the access to and quality of health care services.
获得医疗保健服务的机会以及医疗保健服务质量方面的社会经济不平等。
Rev Saude Publica. 2014 Dec;48(6):968-76. doi: 10.1590/S0034-8910.2014048005388.
4
Measuring coverage in MNCH: determining and interpreting inequalities in coverage of maternal, newborn, and child health interventions.测量母婴、新生儿和儿童健康干预措施的覆盖情况:确定和解释覆盖不平等。
PLoS Med. 2013;10(5):e1001390. doi: 10.1371/journal.pmed.1001390. Epub 2013 May 7.