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Previous issue date: 2013-07-13 / Introduction: According to the World Health Organization, maternal morbidity is understood as the occurrence of complications during pregnancy, childbirth, or puerperium that if untreated can complicate and lead to death. Maternal mortality, in turn, is defined as the death of women of childbearing age (15 - 49 years) during pregnancy or within 42 days after delivery. Objective: To analyze maternal mortality in the state of Bahia in 2010, according to differences in race/sk in color. Methods: Descriptive and ecological study of multiple groups, of the maternal mortality in the 49 most populous cities in Bahia in 2010, according to race / skin color. Secondary data available in Health information systems (SIS), the mortality information system (MIS); Information System on Live Births (SINASC); Hospital information system (HIS) of the department of the SUS (SUS Date) and socioeconomic data from the Brazilian Institute of Geography and Statistics (IBGE) were used. To analyze the association between the independent and dependent variables, we used the logistic regression model of Poisson through of software STATA version 10 and R version 2.15.2. In spatial data was used ARCGIS application 10.0 Results: In 2010, Bahia, 209 444 hosp italizations of women of childbearing age were recorded. In the 49 municipalities with the highest population density 118,773 admissions occurred. Of these, 57,173 (48.1%) occurred in the black population, 6,938 (5.8%) in the white population; 54,551 (45.9%) without race / skin color information. The total number of maternal deaths in MIS aged 15- 49 years accounted for 154 deaths, with 85 of these deaths occurred in the 49 municipalities (55.2%). The Maternal Mortality Ratio (MMR) in Bahia was 72.5 / 100,000 live births (LB) as in the cities studied was 71.9 / 100,000 (LB). In the bivariate and multivariate analyzes of association was observed that the number of maternal deaths was positively associated with the proportion of black population, since, as the proportion of blacks increased 5%, the risk of maternal death increased to 25.2 % (p <0.0278) and 26.6% (p <0.0366), respectively. In the bivariate analysis of HDI and Gini index also associated, but were not statistically significant. The multivariate analysis showed that there was increased risk of death even when adjusted for variable water rate (WR), and this result was statistically significant. Conclusion: The analyzed data revealed higher incidence and prevalence of maternal mortality in the black population. Underreporting related to completing the race / skin color variable records hinders a more precise analysis of morbidity and mortality and represents a gap due to the effectiveness of health interventions for vulnerable groups of women. The red uction of maternal morbidity and mortality should be a universal and emergency commitment. Investments in humanization and universalization of quality maternal health care constitute a significant affirmative action against exclusion and social injustice. / Introdu??o : De acordo com a organiza??o Mundial de Sa?de, a morbidade materna ? compreendida como a ocorr?ncia de complica??o durante a gesta??o, parto, ou puerp?rio que, se n?o tratadas podem complicar e levar ? morte. A mortalidade materna, por sua vez, ? definida como a morte de mulheres em idade f?rtil (15 - 49 anos) durante a gesta??o ou nos 42 dias ap?s o parto. Objetivo: analisar a morbimortalidade materna no estado da Bahia em 2010, segundo diferenciais de ra?a/cor da pele. M?todos: Estudo descritivo e
ecol?gico, de m?ltiplos grupos, da morbimortalidade materna nos 49 munic?pios mais populosos da Bahia, em 2010, segundo a ra?a/cor da pele. Foram utilizados dados secund?rios disponibilizados nos Sistemas de informa??o em Sa?de (SIS), Sistema de informa??o sobre mortalidade (SIM); Sistema de informa??o sobre Nascidos Vivos (SINASC); Sistema de informa??o hospitalar (SIH) do departamento de inform?tica do SUS (Data SUS) e dados socioecon?micos do Instituto Brasileiro de Geografia e Estat?stica (IBGE). Para an?lise da associa??o entre as vari?veis independentes e dependentes utilizou- se o modelo de regress?o log?stica de Poisson atrav?s do software STATA vers?o 10 e R vers?o 2.15.2. Na espacializa??o dos dados foi usado aplicativo ARCGIS 10.0 Resultados : Em 2010, na Bahia, foram registrados 209.444 internamentos de mulheres em idade f?rtil. Nos 49 munic?pios com maior densidade populacional ocorreram 118.773 internamentos. Destes, 57.173 (48,1%) ocorreram na popula??o negra, 6.938 (5,8%) na popula??o branca; 54.551(45,9%) sem informa??o da ra?a/cor da pele. O total de ?bitos maternos registrados no SIM na faixa et?ria de 15 - 49 anos correspondeu a 154 ?bitos, sendo que 85 destes ?bitos ocorreram nos 49 munic?pios (55,2%). A Raz?o de Mortalidade Materna (RMM) na Bahia foi 72,5/100.000 Nascidos vivos (NV) enquanto nos munic?pios estudados foi 71,9/100.000(NV). Nas an?lises de associa??o bivariada e
multivariada observou- se que o n?mero de mortes maternas associou- se positivamente com propor??o de popula??o negra, j? que, ? medida que a propor??o de popula??o negra aumentou 5%, o risco de morte materna aumentou para a 25.2% (p < 0.0278) e 26.6%(p<0.0366) respectivamente. Na an?lise bivariada ?ndice de Gini e IDH tamb?m se associaram, mas n?o foram estatisticamente significantes. Na an?lise multivariada foi observado que houve aumento no risco de morte mesmo quando ajustado pela vari?vel
taxa de ?gua (TXAG), sendo esse resultado es tatisticamente significante. Conclus?o : Os dados analisados revelaram maior incid?ncia e preval?ncia de morbimortalidade materna na popula??o negra. A subnotifica??o de registros relacionados ao preenchimento da vari?vel ra?a/cor da pele dificulta uma an?lise mais precisa da morbimortalidade e representa uma lacuna face ? efetividade das a??es em sa?de para grupos de mulheres mais vulner?veis. A redu??o da morbidade e mortalidade materna deve ser um compromisso universal e emergencial. Investimentos em humaniza??o e universaliza??o da qualidade da assist?ncia ? sa?de materna constituem uma significativa a??o afirmativa contra a exclus?o e a injusti?a social.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.uefs.br:8080:tede/80 |
| Date | 13 July 2013 |
| Creators | Ribeiro, Luciane Alves |
| Contributors | Araujo, Edna Maria |
| Publisher | Universidade Estadual de Feira de Santana, Mestrado Profissional em Sa?de Coletiva, UEFS, Brasil, DEPARTAMENTO DE SA?DE |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UEFS, instname:Universidade Estadual de Feira de Santana, instacron:UEFS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -6631597026221662731, 600, 600, 600, 8549511740116106200, -6173167103754495199 |
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