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Racial and Ethnic Health Disparities"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze the profile and temporal trend of hospitalizations due to abortion complications in the Northeast region of Brazil from 2014 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A time-series study using data from the Unified Health System\u2019s Hospital Information System (SIH). Hospitalizations of women of childbearing age (10 to 49 years) were analyzed. Hospitalization rates were calculated per 10,000 women of childbearing age, and the temporal trend was analyzed using the Prais-Winsten regression model with robust variance, allowing for the estimation of slope coefficients (\u03b2), coefficients of determination (R\u00b2), and statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) using R software.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 685,569 hospitalizations due to abortion complications were identified. A statistically significant downward trend was observed in most states, except in Piau\u00ed (p-value\u2009=\u20090.106). The highest mean hospitalization rates occurred in Bahia (38.1\u2009\u00b1\u20092.6 per 10,000 women) and Piau\u00ed (38.1\u2009\u00b1\u20092.0 per 10,000 women), while the lowest was in Pernambuco (30.9\u2009\u00b1\u20093.2 per 10,000 women). Hospitalizations were most frequent in the 20\u201329 age group (58.3\/10,000; p\u2009&lt;\u20090.0001), with significant reductions among the 10\u201329 age groups (\u03b2 ranging from \u2212\u20090.217 to \u2212\u20092.164) and an increase among women aged 40\u201349 (\u03b2\u2009=\u20090.171; p\u2009=\u20090.0079). Analysis by race\/color revealed significant disparities: while hospitalization rates among White women showed a stable trend (\u03b2\u2009=\u20090.116; p\u2009=\u20090.322), there was a significant increase in records for Brown (\u03b2\u2009=\u20093.259; p\u2009=\u20090.0017) and Black women (\u03b2\u2009=\u20090.347; p\u2009=\u20090.0011). For analytical purposes, these two groups (Brown and Black) are presented separately in the Results to maintain statistical precision but are combined into the single category of \u2018Black Women\u2019 in the Discussion to address structural inequalities, following IBGE conventions. Concurrently, a marked reduction was observed in cases lacking race\/color information (\u03b2 = \u22123.702;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0010), which may indicate progressive improvement in the quality of SIH\/UHS data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the overall reduction, regional, age-related, and racial disparities persist, underscoring the need for reproductive health policies targeted at the most vulnerable groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40615-026-03164-y","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:19:46Z","timestamp":1788801586000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospitalizations For Abortion Complications in Northeast Brazil, 2014\u20132024: A Temporal Analysis"],"prefix":"10.1007","author":[{"given":"Ana Gabriela","family":"da Silva Nascimento","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isa Gabrielle Ferreira","family":"R\u00eago","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haylane Nunes","family":"da Concei\u00e7\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00cdtalo Rafael Costa","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian Jhemes Oliveira","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Lopes Gomes","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Beatriz Mendes","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9173-5795","authenticated-orcid":false,"given":"Francielle","family":"Borba dos Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-8280","authenticated-orcid":false,"given":"Hayla Nunes","family":"da Concei\u00e7\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"10041","key":"3164_CR1","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/S0140-6736(16)30380-4","volume":"388","author":"G Sedgh","year":"1990","unstructured":"Sedgh G, Bearak J, Singh S, Bankole A, Popinchalk A, Ganatra B, et al. 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In accordance with the ethical guidelines established by the National Health Council (Resolution 466\/2012), this research was exempt from submission to an Ethics Committee, as it does not involve the direct participation of human subjects or individual identification.","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. (As this study relies on secondary, anonymized public data, individual consent for publication was not required).","order":2,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"In compliance with CAPES Resolution N\n                      o\n                      . 232\/2024, the authors declare that generative artificial intelligence tools were employed exclusively for linguistic refinement, grammatical correction, and reference formatting. The authors maintain full responsibility for the intellectual integrity, data analysis, and final content of this manuscript, ensuring that the use of AI did not replace the original analytical work required for this research.","order":4,"name":"Ethics","label":"Use of Generative Artificial Intelligence","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":5,"name":"Ethics","label":"Conflicts of interest\/Competing interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}