IDH

Mortalidade por abdome agudo por causas ginecológicas em mulheres em idade fértil e o IDH das regiões brasileiras (2010-2019): um estudo ecológico

Resumo: INTRODUCTION: The acute abdomen is characterized by acute and sudden pain, with high incidence and mortality rates, and may be caused by gynecological conditions, with the quality of the service offered and timely access indicative of a good prognosis. The Human Development Index (HDI) is a measure that evaluates the human condition in three dimensions: income, education and health. OBJECTIVE: Analyze the correlation between  mortality of women of childbearing age (FIM) due to gynecological acute abdomen and the HDI of the Brazilian regions from 2010 to 2019.MATERIAL AND METHODS: Ecological study, which used data from DATASUS and the United Nations Development Plan. To analyze the correlation between HDI and mortality in FIM, the Spearman correlation test was performed. It was considered statistically significant p<0.05. RESULTS AND DISCUSSION: 635 FIM deaths were identified in Brazil due to causes related to gynecological acute abdomen in the period. Of these, most were concentrated in the Southeast region (312 deaths) and, lastly, in the Midwest (48 deaths). However, when we stratify these data by the population exposed to risk, we observe that the North region stands out. When analyzing the HDI, we noticed significant discrepancies between the states of the Northeast and Southeast. When comparing HDIs and FIM mortality through Spearman's correlation, a correlation coefficient of R=0.038 and p value=0.835 was identified, thus highlighting that there is no correlation between these variables. FINAL CONSIDERATIONS: We conclude that there was a paucity of data in the analyzed period, especially in the North region. And, although no correlations were found between mortality and the HDIs of the Brazilian regions, it is emphasized that low human development  reflects a negative impact on the health of communities. Keywords: acute abdômen, HDI, mortality. Expandir Resumo Acessar Texto Completo