{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:26:17Z","timestamp":1772234777172,"version":"3.50.1"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>RESUMO:  Objetivo: Identificar padr\u00f5es espaciais em casos de lactentes com altera\u00e7\u00f5es de crescimento e desenvolvimento relacionadas \u00e0 infec\u00e7\u00e3o pelo v\u00edrus Zika e outras etiologias infecciosas (neste trabalho denominado de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika), notificados no Maranh\u00e3o de 2015 a 2018 e sua rela\u00e7\u00e3o com vari\u00e1veis socioecon\u00f4micas e demogr\u00e1ficas.  M\u00e9todos: Estudo ecol\u00f3gico de casos suspeitos notificados de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika nos 217 munic\u00edpios do Maranh\u00e3o, Brasil. Calculou-se a autocorrela\u00e7\u00e3o espacial pelos \u00edndices de Moran local e global (I) univariado e bivariado da taxa de detec\u00e7\u00e3o de casos suspeitos de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika com \u00edndice de desenvolvimento humano municipal, densidade demogr\u00e1fica, \u00edndice de Gini e tempo de emancipa\u00e7\u00e3o pol\u00edtico-administrativa dos munic\u00edpios. O \u00edndice de Moran local foi calculado para localizar clusters com autocorrela\u00e7\u00e3o espacial significativa.  Resultados: Houve autocorrela\u00e7\u00e3o espacial na an\u00e1lise univariada da taxa municipal de detec\u00e7\u00e3o de casos suspeitos de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika (I=0,494; p=0,001) e, na an\u00e1lise bivariada, correla\u00e7\u00e3o positiva da taxa de detec\u00e7\u00e3o de casos suspeitos com \u00edndice de desenvolvimento humano municipal (I=0,252; p=0,001), densidade demogr\u00e1fica (I=0,338; p=0,001) e tempo de emancipa\u00e7\u00e3o dos munic\u00edpios (I=0,134; p=0,001). N\u00e3o houve correla\u00e7\u00e3o significativa da taxa de detec\u00e7\u00e3o de casos suspeitos com o \u00edndice de Gini (I= -0,033; p=0,131). Cinco clusters de alta detec\u00e7\u00e3o de casos suspeitos foram encontrados em \u00e1reas distintas do estado.  Conclus\u00f5es: Os munic\u00edpios com maior \u00edndice de desenvolvimento humano municipal, maior densidade demogr\u00e1fica e mais tempo de emancipa\u00e7\u00e3o pol\u00edtico-administrativa tiveram mais casos suspeitos notificados de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika.<\/jats:p>","DOI":"10.1590\/1980-549720220002","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T19:34:17Z","timestamp":1644867257000},"source":"Crossref","is-referenced-by-count":2,"title":["An\u00e1lise espacial da taxa de detec\u00e7\u00e3o de casos suspeitos de s\u00edndrome cong\u00eanita pelo v\u00edrus Zika, Maranh\u00e3o, 2015 a 2018"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-8920","authenticated-orcid":false,"given":"Paulo Afonso de Oliveira","family":"Falc\u00e3o Neto","sequence":"first","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o,  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