This article is a Preprint
Preprints are preliminary research reports that have not been certified by peer review. They should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Preprints posted online allow authors to receive rapid feedback and the entire scientific community can appraise the work for themselves and respond appropriately. Those comments are posted alongside the preprints for anyone to read them and serve as a post publication assessment.
Associated factors to spatial variation of pregnancy in adolescence in Brazil, 2014: ecological study of spatial aggregates / Factores asociados a la variación espacial del embarazo en la adolescencia en Brasil, 2014: estudio ecológico de agregados espaciales / Fatores associados à variação espacial da gravidez na adolescência no Brasil, 2014: estudo ecológico de agregados espaciais
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-1396
Responsible library:
BR1.1
ABSTRACT
Objective. To identify socioeconomic and health care determinants of the spatial variation of teenage pregnancy in Brazil in 2014. Methods. Spatial ecological study with municipalities as units of analysis. Spatial linear regression was used to verify the association between fertility in adolescence (15-19 years) and socioeconomic and health variables. Results. Fertility rate in adolescence was negatively associated with greater coverage of the Family Health Strategy (ß = -0.011 95%CI -0.017;-0.005), an adequate number of prenatal consultations (ß = -0.122 95%CI -0.132;-0.224) and low per capita average family income (ß = -0.104 95%CI -0.105;-0.103). This association was positive in relation to the Gini index (ß = 7.031 95%CI 95%CI 4.793;9.269), low income (ß = 0.127 95%CI 0.108;0.145), household crowding (ß = 6.292 95%CI 5.062;7.522) and less education (ß = 0.260 95%CI 0.224;0.295). Conclusion. Lack of access to primary care and lower income are associated with higher fertility in adolescence. Worse socioeconomic and health care indicators are associated with higher fertility rate in adolescence.
RESUMO
Objetivo. Identificar determinantes socioeconômicos e de atenção à saúde na variação espacial da gravidez na adolescência, Brasil, 2014. Métodos. Estudo ecológico espacial com municípios como unidades de análise. Utilizou-se regressão linear espacial para verificar associações entre taxa de fecundidade aos 15-19 anos e variáveis socioeconômicas e de saúde. Resultados. A fecundidade na adolescência associou-se negativamente a maior cobertura da Estratégia Saúde da Família (ß = -0,011 IC95% -0,017;-0,005), número adequado de consultas de pré-natal (ß = -0,122 IC95% -0,224;-0,132) e menor renda familiar média per capita (ß = -0,104 IC95% -0,105;-0,103); e positivamente, ao índice de Gini (ß = 7,031 IC95% 4,793;9,269), baixa renda (ß = 0,127 IC95% 0,108;0,145), maior densidade domiciliar (ß = 6,292 IC95% 5,062;7,522) e baixa escolaridade (ß = 0,260 IC95% 0,224;0,295). Conclusão. Menor acesso a atenção básica e renda associam-se a maior taxa de fecundidade na adolescência. Piores indicadores socioeconômicos e de atenção à saúde associam-se a maior taxa de fecundidade na adolescência.
Full text:
Available
Collection:
Preprints
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
Health problem:
Adolescent Pregnancy
/
Safe Abortion Services
/
Multisectoral Coordination
/
Goal 11: Inequalities and inequities in health
Database:
SciELO Preprints
Type of study:
Prognostic study
/
Risk factors
Aspects:
Equity and inequality
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2020
Document type:
Preprint