{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T15:44:55Z","timestamp":1763480695104,"version":"3.41.2"},"reference-count":47,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"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>ABSTRACT  Objective: Low birth weight (LBW) is a public health problem strongly associated with infant mortality. This study aimed to identify the spatial distribution of infant mortality in newborns with LBW (750\u20132,500 g) at term (\u226537 weeks of gestation), due to their being small for gestational age, analyzing its association with mother-related determinants, as well as to identify priority areas of mortality in the State of S\u00e3o Paulo, 2010\u20132019.  Methods: Infant mortality rate was analyzed in the division of neonatal mortality and postneonatal mortality of newborns with LBW at term. The empirical Bayesian method smoothed the rates, the univariate Moran index was used to measure the degree of spatial association between the municipalities, and the bivariate Moran index was employed to identify the existence of a spatial association between the rates and the selected determinants. Thematic maps of excess risk and local Moran were prepared to identify spatial clusters, adopting 5% as a significance level.  Results: The excess risk map showed that more than 30% of the municipalities had rates above the state rate. High-risk clusters were identified in the southwest, southeast, and east regions, mainly among more developed municipalities. The determinants of adolescent mothers, mothers over 34 years of age, low education, human development index, social vulnerability index, gross domestic product, physicians, and pediatric beds showed a significant association with the rates evaluated.  Conclusions: Priority areas and significant determinants associated with reduced mortality in newborns with LBW were identified, suggesting the need for intervention measures to achieve the Sustainable Development Goal.<\/jats:p>","DOI":"10.1590\/1980-549720230034","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T17:13:00Z","timestamp":1689009180000},"source":"Crossref","is-referenced-by-count":3,"title":["Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of S\u00e3o Paulo, Brazil"],"prefix":"10.1590","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3829-4118","authenticated-orcid":false,"given":"Elen Yanina Aguirre","family":"Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Universidade Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1120-1708","authenticated-orcid":false,"given":"Elias Carlos Aguirre","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Universidade Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-9187","authenticated-orcid":false,"given":"Fernando Augusto Silva","family":"Marins","sequence":"additional","affiliation":[{"name":"Universidade Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2215-0734","authenticated-orcid":false,"given":"Aneirson Francisco da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-750X","authenticated-orcid":false,"given":"Luiz Fernando Costa","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Universidade Estadual de S\u00e3o Paulo,  Brazil; Universidade de Taubat\u00e9,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"issue":"9890","key":"ref1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/S0140-6736(13)60993-9","article-title":"Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries: a pooled country analysis","volume":"382","author":"Katz J","year":"2013","journal-title":"Lancet"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1590\/S0103-05822014000400014","article-title":"Spatial analysis of neonatal mortality in the state of S\u00e3o Paulo, 2006-2010","volume":"32","author":"Almeida MCS","year":"2014","journal-title":"Rev Paul Pediatr"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1186\/s12884-020-03226-x","article-title":"Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort","volume":"20","author":"Falc\u00e3o IR","year":"2020","journal-title":"BMC Pregnancy and Childbirth"},{"year":"2014","series-title":"Global nutrition targets 2025: low birth weight policy brief [Internet]","key":"ref4"},{"issue":"7","key":"ref5","doi-asserted-by":"crossref","first-page":"e849","DOI":"10.1016\/S2214-109X(18)30565-5","article-title":"National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis","volume":"7","author":"Blencowe H","year":"2019","journal-title":"Lancet Glob Health"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s10995-016-2131-9","article-title":"2500-g low birth weight cutoff: history and implications for future research and policy","volume":"21","author":"Hughes MM","year":"2017","journal-title":"Matern Child Healt J"},{"year":"2015","series-title":"Transforming our world: the 2030 Agenda for Sustainable Development [Internet]","key":"ref7"},{"issue":"5","key":"ref8","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1590\/S0034-89102010005000033","article-title":"The epidemiologic paradox of low birth weight in Brazil","volume":"44","author":"Silva AAM","year":"2010","journal-title":"Rev Saude Publica"},{"year":"2019","series-title":"Minist\u00e9rio da Sa\u00fade. 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PL","year":"2021","journal-title":"Rev Bras Epidemiol"},{"issue":"1","key":"ref46","first-page":"94","article-title":"Spatial analysis of neonatal mortality in Para\u00edba Valley, Southeastern Brazil, 1999 to 2001","volume":"41","author":"Nascimento LFC","year":"2007","journal-title":"Rev Saude Publica"},{"issue":"4","key":"ref47","first-page":"4467","article-title":"Methods for assessing the completeness of data in health information systems in Brazil: a systematic review","volume":"19","author":"Correia LOS","year":"2014","journal-title":"Cien Saude Colet"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Padr\u00f5es espaciais de mortalidade em rec\u00e9m-nascidos de baixo peso a termo e seus determinantes no Estado de S\u00e3o Paulo, Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2023000100432&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T17:13:35Z","timestamp":1689009215000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2023000100432&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":47,"alternative-id":["S1415-790X2023000100432"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720230034","relation":{},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"type":"electronic","value":"1980-5497"},{"type":"print","value":"1415-790X"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e230034"}}