Academic Journal
Clusters of cause specific neonatal mortality and its association with per capita gross domestic product: A structured spatial analytical approach
| العنوان: | Clusters of cause specific neonatal mortality and its association with per capita gross domestic product: A structured spatial analytical approach |
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| المؤلفون: | Testoni Costa-Nobre, Daniela, Kawakami, Mandira Daripa, Areco, Kelsy Catherina Nema, Sanudo, Adriana, Balda, Rita Cassia Xavier, Marinonio, Ana Sílvia Scavacini, Miyoshi, Milton Harumi, Konstantyner, Tulio, Bandiera-Paiva, Paulo, Freitas, Rosa Maria Vieira, Morais, Liliam Cristina Correia, Teixeira, Mônica La Porte, Waldvogel, Bernadette, Almeida, Maria Fernanda Branco de, Guinsburg, Ruth, Kiffer, Carlos Roberto Veiga |
| المساهمون: | Sung, Wen-Wei, FAPESP |
| المصدر: | PLOS ONE ; volume 16, issue 8, page e0255882 ; ISSN 1932-6203 |
| بيانات النشر: | Public Library of Science (PLoS) |
| سنة النشر: | 2021 |
| المجموعة: | PLOS Publications (via CrossRef) |
| الوصف: | Background Infant mortality rate is a measure of population health and neonatal mortality account for great proportion of these deaths. Underdevelopment might be associated to higher neonatal mortality risk due to assistant related factors. Spatial and temporal distribution of mortality help identifying and developing strategies for interventions. Objective To investigate the cluster areas of asphyxia-associated neonatal mortality and to explore its association with per capita gross domestic product (GDP) in São Paulo State (SP), Brazil. Methods Ecological study including live births residents in SP from 2004–2013. Neonatal deaths (0–27 days) with perinatal asphyxia were defined as intrauterine hypoxia, birth asphyxia or meconium aspiration syndrome written in any line of the Death Certificate. Geoprocessing analytical approach included detection of first order effects through quintiles and spatial moving average maps, followed by second order effects by global and local spatial autocorrelation (Moran and LISA, respectively) before and after smoothing with local Bayesian estimates. Finally, Spearman correlation was applied between asphyxia-associated neonatal mortality and mean per capita GDP rates for the municipalities with significant LISA. Results There were 6,713 asphyxia-associated neonatal deaths among 5,949,267 live births (rate: 1.13/1000) in SP. Spatial moving average maps showed a non-random distribution among municipalities, with presence of clusters ( I = 0.048; p = 0.023). LISA map identified clusters of asphyxia-associated neonatal mortality in the south, southeast and northwest. After applying local Bayes estimates, clusters were more pronounced ( I = 0.589; p = 0.001). There was a partial overlap of the areas of higher asphyxia-associated neonatal mortality and lower mean per capita GDP. Conclusions Spatial analysis identified cluster areas of high asphyxia-associated neonatal mortality and low per capita GDP rates, with a significant negative correlation. This optimized, structured, and ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1371/journal.pone.0255882 |
| الاتاحة: | http://dx.doi.org/10.1371/journal.pone.0255882 https://dx.plos.org/10.1371/journal.pone.0255882 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.D82A73F1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pone.0255882 |
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