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Fertility rates among very young adolescent women: temporal and spatial trends in Brazil
BACKGROUND: We assessed whether the reported decrease in fertility rates among 15 to 19 years old Brazilian adolescents has met with a parallel decrease in very young adolescent (10 to 14 years old) fertility rates. So we explored temporal trends for fertility rates among very young adolescents betw...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797224/ https://www.ncbi.nlm.nih.gov/pubmed/26992396 http://dx.doi.org/10.1186/s12884-016-0843-x |
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author | Borges, Ana Luiza Vilela Chofakian, Christiane Borges do Nascimento Sato, Ana Paula Sayuri Fujimori, Elizabeth Duarte, Luciane Simões Gomes, Murilo Novaes |
author_facet | Borges, Ana Luiza Vilela Chofakian, Christiane Borges do Nascimento Sato, Ana Paula Sayuri Fujimori, Elizabeth Duarte, Luciane Simões Gomes, Murilo Novaes |
author_sort | Borges, Ana Luiza Vilela |
collection | PubMed |
description | BACKGROUND: We assessed whether the reported decrease in fertility rates among 15 to 19 years old Brazilian adolescents has met with a parallel decrease in very young adolescent (10 to 14 years old) fertility rates. So we explored temporal trends for fertility rates among very young adolescents between 2000 and 2012 for Brazil as a whole, its regions and states; and also analyzed the spatial distribution of fertility rates among Brazilian municipalities in the years 2000 and 2012. METHODS: We used data from the Information System on Live Births to calculate the rates. To examine the temporal trends, we used linear regression for time series with Prais-Winsten estimation, including the annual percentage change, for the country, regions, and states. To analyze the spatial distribution among Brazilian municipalities, we calculated the Global Moran Index and created a local Moran significance and cluster map through Local Indicators of Spatial Association (LISA). We also elaborated a thematic map with the rates using empirical Bayesian estimation. RESULTS: Brazilian very young adolescent fertility rates remained high and stable throughout the 2000 to 2012 period, and significantly decreased in three out of 26 states, and in the federal district. On the other hand, an increase was observed in two Northern and Northeastern states. The rates were spatially dependent in Brazilian municipalities (Moran Index = 0.22 in 2012; p = 0.05). The maps indicated a heterogeneous distribution of the rates, with high-rate clusters predominant in the North and low-rate clusters predominant in the South, Southeast, and Midwest. CONCLUSIONS: Our findings indicate that Brazilian very young adolescent fertility rates have not decreased in parallel with adolescent fertility rates as they remain high and did not decrease from 2000 and 2012, even though a few states presented a decrease. Thus, these phenomena probably have distinct underlying causes that warrant further elucidation. Progress in this field is crucial for the development of specific policies and programs focused on very young adolescents. |
format | Online Article Text |
id | pubmed-4797224 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47972242016-03-19 Fertility rates among very young adolescent women: temporal and spatial trends in Brazil Borges, Ana Luiza Vilela Chofakian, Christiane Borges do Nascimento Sato, Ana Paula Sayuri Fujimori, Elizabeth Duarte, Luciane Simões Gomes, Murilo Novaes BMC Pregnancy Childbirth Research Article BACKGROUND: We assessed whether the reported decrease in fertility rates among 15 to 19 years old Brazilian adolescents has met with a parallel decrease in very young adolescent (10 to 14 years old) fertility rates. So we explored temporal trends for fertility rates among very young adolescents between 2000 and 2012 for Brazil as a whole, its regions and states; and also analyzed the spatial distribution of fertility rates among Brazilian municipalities in the years 2000 and 2012. METHODS: We used data from the Information System on Live Births to calculate the rates. To examine the temporal trends, we used linear regression for time series with Prais-Winsten estimation, including the annual percentage change, for the country, regions, and states. To analyze the spatial distribution among Brazilian municipalities, we calculated the Global Moran Index and created a local Moran significance and cluster map through Local Indicators of Spatial Association (LISA). We also elaborated a thematic map with the rates using empirical Bayesian estimation. RESULTS: Brazilian very young adolescent fertility rates remained high and stable throughout the 2000 to 2012 period, and significantly decreased in three out of 26 states, and in the federal district. On the other hand, an increase was observed in two Northern and Northeastern states. The rates were spatially dependent in Brazilian municipalities (Moran Index = 0.22 in 2012; p = 0.05). The maps indicated a heterogeneous distribution of the rates, with high-rate clusters predominant in the North and low-rate clusters predominant in the South, Southeast, and Midwest. CONCLUSIONS: Our findings indicate that Brazilian very young adolescent fertility rates have not decreased in parallel with adolescent fertility rates as they remain high and did not decrease from 2000 and 2012, even though a few states presented a decrease. Thus, these phenomena probably have distinct underlying causes that warrant further elucidation. Progress in this field is crucial for the development of specific policies and programs focused on very young adolescents. BioMed Central 2016-03-18 /pmc/articles/PMC4797224/ /pubmed/26992396 http://dx.doi.org/10.1186/s12884-016-0843-x Text en © Borges et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Borges, Ana Luiza Vilela Chofakian, Christiane Borges do Nascimento Sato, Ana Paula Sayuri Fujimori, Elizabeth Duarte, Luciane Simões Gomes, Murilo Novaes Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title | Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title_full | Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title_fullStr | Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title_full_unstemmed | Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title_short | Fertility rates among very young adolescent women: temporal and spatial trends in Brazil |
title_sort | fertility rates among very young adolescent women: temporal and spatial trends in brazil |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797224/ https://www.ncbi.nlm.nih.gov/pubmed/26992396 http://dx.doi.org/10.1186/s12884-016-0843-x |
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