Maternal mortality in Northeast Brazil 2009-2019: spatial distribution, trend and associated factors

• Main Authors: Ianne Vitória Gomes Oliveira (Author), Thatiana Araújo Maranhão (Author), George Jó Bezerra Sousa (Author), Taynara Lais Silva (Author), Maria Izabel Félix Rocha (Author), Maria Madalena Cardoso da Frota (Author), Thalis Kennedy Azevedo de Araujo (Author), Maria Lúcia Duarte Pereira (Author)
• Format: Book
• Published: Ministério da Saúde do Brasil, 2023-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Abstract Objective: To analyze the spatio-temporal pattern of maternal mortality and associated factors in Northeast Brazil, from 2009 to 2019. Methods: This was an ecological study using the joinpoint method for temporal analysis and spatial autocorrelation and scan tests to identify clusters; regression models using the ordinary least squares and geographically weighted regression methods were used to identify factors associated with mortality, considering p-value < 0.05. Results: Maternal mortality decreased by 1.5% (95%CI; -2.5;-0.5) per year (p-value = 0.009); clusters, of deaths were found, mainly in Piauí and Maranhão, the variables associated with the maternal mortality ratio were Gini Index (β = 105.72; p-value < 0.001), municipal human development index (β = 190.91; p-value = 0.001), per capita income (β = -0.08; p-value = 0.001), Firjan Municipal Development Index-Health (β = -51.28; p-value < 0.001), life expectancy at birth (β = -3.50; p-value < 0.001). Conclusion: There was a reduction in mortality in the period studied, with a concentration of deaths, primarily in Piauí and Maranhão; socioeconomic indicators were associated with higher mortality in the region.

Item Description

2237-9622
10.1590/s2237-96222023000300009.en