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Epidemiologia e Serviços de Saúde
versión impresa ISSN 1679-4974versión On-line ISSN 2237-9622
Resumen
NASCIMENTO, Thiago Luis Cardoso et al. Associated factors with spatial variation of adolescent pregnancy in Brazil, 2014: an ecological study of spatial clusters. Epidemiol. Serv. Saúde [online]. 2021, vol.30, n.1, e201953. Epub 02-Feb-2021. ISSN 1679-4974. http://dx.doi.org/10.1590/s1679-49742021000100003.
Objective
To identify socioeconomic and health care determinants of spatial variation in adolescent pregnancy in Brazil in 2014.
Methods
This was a spatial ecological study having municipalities as units of analysis. Spatial linear regression was used to verify association between the fertility rate in 15-19 year-old women and socioeconomic and health variables.
Results
The adolescent fertility rate was negatively associated with higher Family Health Strategy coverage (β = -0.011 – 95%CI -0.017;-0.005), an adequate number of prenatal consultations (β = -0.122 – 95%CI -0.132;-0.224) and low average family income per capita (β = -0.104 – 95%CI -0.105;-0.103). Association was positive in relation to the Gini index (β = 7.031 – 95%CI 4.793;9.269), low income (β = 0.127 – 95%CI 0.108;0.145), higher household density (β = 6.292 – 95%CI 5.062;7.522) and less schooling (β = 0.260 – 95%CI 0.224;0.295).
Conclusion
Reduced access to primary care and lower income are associated with higher adolescent fertility rates. Poorer socioeconomic and health care indicators are associated with higher adolescent fertility rates.
Palabras clave : Pregnancy in Adolescence; Spatial Analysis; Socioeconomic Factors; Primary Health Care.