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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: Dados sobre aborto inseguro s\u00e3o escassos e estimativas baseadas em interna\u00e7\u00f5es apontaram decr\u00e9scimo nos \u00faltimos anos. O objetivo foi analisar a evolu\u00e7\u00e3o temporal de aborto inseguro no Estado do Rio de Janeiro, Brasil, de 2008 a 2017. Utilizamos dados secund\u00e1rios de interna\u00e7\u00f5es hospitalares no Sistema \u00danico de Sa\u00fade (SUS) por complica\u00e7\u00f5es de aborto, para mulheres em idade f\u00e9rtil de 15-44 anos. Aplicamos estimativa indireta com fator de corre\u00e7\u00e3o baseado em dados nacionais e do estado. Calculamos: taxa de abortos inseguros por mulheres em idade f\u00e9rtil (TAI-MIF), raz\u00e3o de abortos inseguros por nascidos vivos (RAI-NV), segundo faixa et\u00e1ria. Adicionalmente, calculamos novos indicadores: taxa de aborto espont\u00e2neo (TAE) e n\u00e3o especificado (TANE) por mulheres em idade f\u00e9rtil; raz\u00e3o de aborto espont\u00e2neo (RAE) e n\u00e3o especificado (RANE) por nascidos vivos, independentemente da idade. A tend\u00eancia temporal foi por regress\u00e3o Joinpoint, calculando a mudan\u00e7a percentual anual (MPA) e intervalo de 95% de confian\u00e7a (IC95%). As mulheres que mais induziram aborto t\u00eam de 20-24 anos: TAI de 8 por mil. Gesta\u00e7\u00f5es terminaram em aborto inseguro mais frequentemente na faixa de 40-44 anos: RAI entre 16 e 20 por 100 nascidos vivos. As adolescentes tiveram redu\u00e7\u00e3o da TAI entre 2015 e 2017 (MPA = -10; IC95%: -18,2; -1,1), e houve aumento para aquelas de 40-44 anos, entre 2008 e 2017(MPA = 2,2; IC95%: 0,5; 4,0). Para outras faixas e para o indicador RAI-NV houve estabilidade. A TAE (MPA = -3,5; IC95%: -5,9; -1,0), e a RAE (MPA = -3,8; IC95%: -6,3; -1,2) reduziram enquanto a TANE (MPA = 6,6; IC95%: 1,7; 11,8) e a RANE (MPA = 6,4; IC95%: 1,6; 11,3) aumentaram no per\u00edodo. O aborto inseguro no Estado do Rio de Janeiro mostrou magnitude e evolu\u00e7\u00e3o temporal diferenciadas segundo faixas et\u00e1rias e c\u00f3digo da CID-10.<\/jats:p>","DOI":"10.1590\/0102-311x00299720","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T12:30:33Z","timestamp":1635510633000},"source":"Crossref","is-referenced-by-count":1,"title":["Aborto inseguro no Estado do Rio de Janeiro, Brasil: magnitude e evolu\u00e7\u00e3o de 2008 a 2017"],"prefix":"10.1590","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8270-069X","authenticated-orcid":false,"given":"St\u00e9phanie Chaves","family":"Paes","sequence":"first","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0541-4686","authenticated-orcid":false,"given":"Nat\u00e1lia Santana","family":"Paiva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9lia","family":"Kawa","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5493-494X","authenticated-orcid":false,"given":"Sandra Costa","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","article-title":"Unintended pregnancy and abortion by income, region, and the legal status of abortion estimates from a comprehensive model for 1990-2019","volume":"8","author":"Bearak J","year":"2020","journal-title":"Lancet Glob Health"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ijgo.2015.11.017","article-title":"Insights from an expert group meeting on the definition and measurement of unsafe abortion","volume":"134","author":"Sedgh G","year":"2016","journal-title":"Int J Gynaecol Obstet"},{"key":"ref3","article-title":"Aborto inseguro no Brasil revis\u00e3o sistem\u00e1tica da produ\u00e7\u00e3o cient\u00edfica, 2008-2018","volume":"36","author":"Domingues RMSM","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2307\/2133213","article-title":"Estimating abortion levels in Brazil, Colombia and Peru, using hospital admissions and fertility survey data","volume":"17","author":"Singh B","year":"1991","journal-title":"Int Fam Plan Perspect"},{"key":"ref5","article-title":"Aborto e sa\u00fade no Brasil desafios para a pesquisa sobre o tema em um contexto de ilegalidade","volume":"36","author":"Menezes GMS","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S99","DOI":"10.1016\/S0020-7292(12)60007-1","article-title":"Trends in hospitalization for abortion-related complications in Brazil, 1992-2009: why the decline in numbers and severity?","volume":"118","author":"Singh S","year":"2012","journal-title":"Int J Gynaecol Obstet"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"168","DOI":"10.5020\/18061230.2015.p168","article-title":"Estimativas e tend\u00eancias de aborto provocado no Piau\u00ed um estudo ecol\u00f3gico no per\u00edodo de 2000-2010","volume":"28","author":"Madeiro A","year":"2015","journal-title":"Rev Bras Promo\u00e7 Sa\u00fade"},{"key":"ref8","first-page":"508","article-title":"Tend\u00eancia temporal e distribui\u00e7\u00e3o espacial do aborto inseguro no Brasil, 1996-2012","volume":"48","author":"Martins-Melo FR","year":"2014","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1590\/S0102-311X2011000100009","article-title":"Magnitude do aborto inseguro em Pernambuco, Brasil, 1996 a 2006","volume":"27","author":"Mello FMB","year":"2011","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref10","first-page":"11","article-title":"Atualiza\u00e7\u00e3o das estimativas da magnitude do aborto induzido, taxas por mil mulheres e raz\u00f5es por 100 nascimentos vivos do aborto induzido por faixa et\u00e1ria e grandes regi\u00f5es Brasil, 1995 a 2013","volume":"30","author":"Monteiro MFG","year":"2015","journal-title":"Reprod Clim"},{"series-title":"Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008.","key":"ref11"},{"edition":"10\u00aa revis\u00e3o","year":"2010","series-title":"CID-10. 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