Gravidez na adolescÃncia: diferenciais na distribuiÃÃo espacial na Cidade do Recife

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

The pregnancy in the adolescence represents a world problem of interest for the public health politics, because of its magnitude and the complications for mother and son, related to socio-economic factors and the health services system. With the objective of characterizing the pregnancy in the adolescence and some of its negative consequences for the newly born, it was analyzed the relationship among magnitude of the pregnancy in the adolescence and life condition s in Recife, in the period of 1995-2001. This study can subsidize the definition of public health policies that seeks justness in the city of Recife. It is an ecological study, with two units of analysis: neighborhood and stratum of life condition s. It was used as independent variable the Composed Indicator of Life Condition s (IC-CV), constituted by five indicators related to sanitation, education and income. The data had proceeded from the Demographic Census 2000 and it was obtained through factorial analysis for the census sections of the city. Further, it was obtained the IC-CV of the neighborhoods through the arithmetic average of ICCV of the census sections of each neighborhood. The indicators related to the pregnancy in the adolescence were obtained from the Brazilian system of information on livebirths: proportion of adolescent s pregnancy, age specific fertility rate (TFE), proportion of low weight in born alive and of premature livebirth s. That neighborhoods with less than 5 born alive of mothers from 10 to 14 were grouped, resulting in 67 space units. Based on the IC-CV, the neighborhoods were grouped in three strata, using the cluster analyses. For the dependent variables the ratio was calculated among the indicators of the strata, being adopted as reference the indicator high life condition s and the correlation with IC-CV. For the indicators with significant correlation, it took place simple lineal regression. Great heterogeneity was observed into the life condition s of the population of Recife, with variation of IC-CV among -1.40 (Aflitos, better situation) and 2.29 (Centro do Recife, worse situation). The stratum of better life condition s was constituted by 16.42% of neighborhoods, the one with intermediate life condition s responds for 29.85% and the one with worse life conditions responds for 53.73% of the neighborhoods. The proportion of pregnancy in adolescent was of 23.66% (0.93% of precocious adolescents and 22.74% of late adolescents). It was found a TFE 10 - 19 of 44.98/000 adolescents, TFE 10 - 14 of 3.69/000 and TFE 15 - 19 of 82.70/000. In the neighborhoods, it was relevant the amplitude of the following indicators: proportions of adolescent s pregnancy (9.70 - 37.12), proportions of late adolescent s pregnancy (9.50 - 34.90), TFE 10 - 19 (13.02 - 114.05), and TFE 15 - 19 (22.15 - 201.14). Larger proportions and higher rates were observed in the neighborhoods of the stratum of low life condition. The ratio between the worst stratum and the one of better life condition s for the adolescent s pregnancy proportion and TFE was around 2.00, in all the age groups. The correlations reinforced the relationship among the pregnancy in the adolescence and the life condition s (r among 0.32 to 0.88). In the regression models used, the life condition s indicator played important part in the prediction of the pregnancy in the adolescence. The proportion of low weight born alives and of prematureness was respectively 1.28 and 1.22 times larger, among livebirths from the adolescent women s in relation to livebirths from non-adolescents. Finally, an increasing gradient of adolescents pregnancy was observed related with the worsening of life condition s, and it may be playing a role in maintenance of poverty

ASSUNTO(S)

space condition of life saude coletiva espaÃo condiÃÃo de vida fecundidade na adolescÃncia fecundity in the adolescence pregnancy in the adolescence gravidez na adolescÃncia

ACESSO AO ARTIGO

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