Freire MHDS, Barros APDMM, Andrade LD, Nihei OK, Fontes KB. Geospatial analysis of births with congenital disorders, Paraná, 2008-2015: ecological study.
Rev Bras Enferm 2020;
73:e20180741. [PMID:
32321126 DOI:
10.1590/0034-7167-2018-0741]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Accepted: 05/22/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE
analyze the pattern of spatial distribution of the prevalence rate of births with congenital disorders and its relationship with social, economic, health care and environmental indicators in Paraná, Brazil, from 2008 to 2015.
METHOD
ecological study with variables extracted from secondary banks, related to the births of children of mothers residing in Paraná, in two quadrennial (2008-2011 and 2012-2015). The analysis of the rates was performed with univariate spatial (Moran) and multivariate approach (Ordinary Least Squares and Geographically Weighted Regression).
RESULTS
the occurrence of congenital disorders presented a significant association (p<0.05) with: registration in primary care of pregnant women over 20 years of age; urbanization degree; consumption of pesticides; and balance of female formal employment.
CONCLUSION/FINAL CONSIDERATIONS
social, health care and environmental variables showed a non-stationary spatial pattern in the analyzed period and influenced positively and negatively the rates.
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