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Epidemiologia e Serviços de Saúde
versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622
Resumo
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-Fev-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.
Palavras-chave : Pregnancy in Adolescence; Spatial Analysis; Socioeconomic Factors; Primary Health Care.