Analysis of adolescent fertility rates and temporal trend in Brazil (2008 to 2017)

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15664

Keywords:

Teenage pregnancy; Maternal and child health; Health surveillance.

Abstract

This study aims to estimate the adolescent fertility rates in Brazil and regions, providing the time trend, between 2008 and 2017. This is an ecological study of time series. The data were collected from the Live Birth Informational System (SINASC) and the Department of Informatics of the Unified Health System (DATASUS). The time trend of the adolescent fertility rates was calculated using polynomial regression, with a significance level of 5%. For all years studied and all age groups (10 to 19, 10 to 14, and 15 to 19 years old), the North, Northeast, and Midwest regions showed higher rates than Brazil, whereas the South and Southeast regions had lower rates than national. The Northern region had the highest fertility rates, varying from 103.2 per 1,000 adolescent women in 2008 to 80.9 per 1,000 adolescent women in 2017, for the aged 15-19 years. Brazil and other regions showed a significant decreasing trend in fertility rates for all age groups. However, the rates remain high, particularly in the North and the Northeast regions. We emphasize the necessity of specific actions towards adolescents, considering the regional differences and the equity in health care.

References

Aragão, V. M. F., Silva, A. A. M., Aragão, L. F., Barbieri, M. A., Bettiol, H., Coimbra, L. C., et al. (2004). Risk factors for preterm births in São Luís, Maranhão, Brazil. Cadernos de Saúde Pública, 20(1), p.57-63.

Bonilha, E. A., Vico, E. S. R., Freitas, M., Barbuscia, D. M., Galleguillos, T. G. B., et al. (2018). Coverage, completeness and reliability of the data in the Information System on Live Births in public maternity wards in the municipality in São Paulo, Brazil, 2011. Epidemiologia e Serviços de Saúde, 27(1), e201712811. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222018000100310&lng=en&nrm=iso

Borges, A. L. V., Chofakian, C. B. N., Sato, A. P. S, Fujimori, E., Duarte, L. S., Novaes, M., et al. (2016). Fertility rates among very young adolescent women: temporal and spatial trends in Brazil. BioMed Central Pregnancy and Childbirth, 16(57). https://doi.org/10.1186/s12884-016-0843-x

Brasil. (2006). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Marco teórico e referencial: saúde sexual e saúde reprodutiva de adolescentes e jovens / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas - Brasília. http://www.fametro.com.br/downloads/manuais-biblioteca/marco_teorico_referencial.pdf

Brasil. (2021). Ministério da Saúde. Rede Integrada de Informações para a Saúde. Taxa específica de fecundidade. http://fichas.ripsa.org.br/2011/a-6/?l=pt_BR

Cesar, J. A., Mendoza-Sassi, R. A., Gonzalez-Chica D. A., Mano P. S. & Goulart-Filha S. M. (2011). Socio-demographic characteristics and prenatal and childbirth care in southern Brazil. Cadernos de Saúde Pública, 27(5), 985-994.

Fundo de População das Nações Unidas. UNFPA. (2021). Gravidez na adolescência. https://brazil.unfpa.org/pt-br/gravidez-na-adolesc%C3%AAncia

Goldenberg, P., Figueiredo, M. C. T., & Silva, R. S. (2005). Adolescent pregnancy, prenatal care, and perinatal outcomes in Montes Claros, Minas Gerais, Brazil. Cadernos de Saúde Pública, 21(40, 1077-1086. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000400010

Gómez, O. S. M., & Gonzáles, O. K. (2018). Fertility in adolescent women and social inequalities in Mexico, 2015. Revista Panamericana de Salud Pública, 42. https://scielosp.org/article/rpsp/2018.v42/e99/#

Latorre, M. R. D. O, & Cardoso, M. R. A. (2001). Time series analysis in epidemiology: an introduction to methodological aspects. Revista Brasileira de Epidemiologia, 4(3), 145-152. https://www.scielo.br/scielo.php?pid=S1415-790X2001000300002&script=sci_abstract&tlng=pt

Leftwich, H. K., & Alves, M. V. (2017). Adolescent Pregnancy. Pediatrics Clinics of North American, 64, 2, 381-388. https://pubmed.ncbi.nlm.nih.gov/28292453/

Martin, J. A., Brady, E. H., Michelle, J. K., Osterman, A. K. D., & Patrick, D. (2018). Births: Final Data for 2017. National Vital Statistics Reports, 67(8). https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf

Martinez, E. Z., Roza, D. L., Cassi-Bava, M. C. G. G., Achcar, J. A., & Dal-Fabbro, A. L. (2011). Teenage pregnancy rates and socioeconomic characteristics of municipalities in São Paulo State, Southeast Brazil: a spatial analysis. Cadernos de Saúde Pública, 27(5), 855-867. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011000500004

Organización Panamericana de la Salud. (2016). Organización Mundial de la Salud. Acelerar el progreso hacia la reducción del embarazo en la adolescencia en América Latina y el Caribe. Informe de consulta técnica, Washington, D.C., EE. UU. 56 p. https://iris.paho.org/bitstream/handle/10665.2/34853/9789275319765_spa.pdf?sequence=1&isAllowed=y

Part, K., Moreau, C., Donati, S., Gissler, M., Fronteira, I., Karro, H., et al. (2013).Teenage pregnancies in the European Union in the context of legislation and youth sexual and reproductive health services. Acta Obstetricia et Gynecologica Scandinavica, 92(12). https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12253

Pereira, M. G. Epidemiologia: teoria e prática. Rio de Janeiro: Guanabara Koogan, 2002. 596p.

Pochmann, M., & Silva, L. C. (2020). Spatial concentration of production and social inequalities. Revista Brasileira de Estudos Urbanos e Regionais, 22, e202004. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-15292020000100402&lng=en&nrm=iso

Ramos, H. A. C., & Cuman, R. K. N. (2009). Risk factors for prematurity: document search. Escola Anna Nery - Revista de Enfermagem, 27(2), 297-304. https://www.scielo.br/scielo.php?pid=S1414-81452009000200009&script=sci_abstract&tlng=pt

Santelli, J. S., Song, X., Garbers, S., Sharma, V., Viner, R. M. (2017). Global Trends in Adolescent Fertility, 1990-2012, in Relation to National Wealth, Income Inequalities, and Educational Expenditures. Journal of Adolescent Health, 60, 161-168. https://www.jahonline.org/article/S1054-139X(16)30320-2/fulltext

United Nations Population Division. (2019). World Population Prospects. The World Bank Data. Adolescent fertility rate (births per 1,000 women ages 15-19). https://data.worldbank.org/indicator/SP.ADO.TFRT?view=chart

World Health Organization. (2004). WHO. Adolescent pregnancy-issues in adolescent health and pregnancy. Geneva (Switzerland): Department of child and adolescent health and development, Department of reproductive health and research; 84 p.

Published

27/05/2021

How to Cite

DECHANDT, M. J.; KLUTHCOVSKY, A. C. G. C. .; PEREIRA, B. L. R.; WOSNIAK, E. J. M. Analysis of adolescent fertility rates and temporal trend in Brazil (2008 to 2017). Research, Society and Development, [S. l.], v. 10, n. 6, p. e19710615664, 2021. DOI: 10.33448/rsd-v10i6.15664. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15664. Acesso em: 23 jun. 2021.

Issue

Section

Health Sciences