{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:57:47Z","timestamp":1777985867244,"version":"3.51.4"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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:  To analyze the temporal trend of live premature births in the State of Esp\u00edrito Santo (Brazil) between 2012 and 2022 and to identify associated factors.  Methods:  Ecological study using secondary data from the Live Birth Information System (SINASC), covering premature births in Esp\u00edrito Santo between 2012 and 2022. Prais-Winsten regression was used to assess the temporal trend of the prematurity rate, and the Prevalence Ratio (PR) was used to identify factors associated with premature birth.  Results:  A higher prevalence of premature birth was observed among boys (PR=1.06) with weight &lt;2,500 g, Apgar score at one and five minutes &lt;7 (PR=3.10 and PR=4.05), and with the presence of congenital anomalies (PR=2.74). Among maternal factors, higher prevalences were found among mothers with no schooling (PR=1.51), without a partner (PR=1.11), aged &lt;19 years or &gt;35 years (PR 1.14; PR 1.32), who did not have prenatal care (PR=2.32), twin pregnancy (PR=6.21) and cesarean delivery (PR=1.05). In all analyses, statistical significance was p&lt;0.001. Regarding the temporal trend analysis, Barra de S\u00e3o Francisco, Santa Teresa, and Vit\u00f3ria showed an increasing prematurity rate (2012-2022). Alegre, Cachoeiro de Itapemirim, and Itapemirim showed decreasing rates. Esp\u00edrito Santo showed a stationary rate.  Conclusion:  Esp\u00edrito Santo has a stationary prematurity rate, with some microregions showing increasing or decreasing rates, indicating territorial heterogeneity and regional inequalities in access to health. Maternal and gestational socioeconomic risk factors stand out as indicators of a higher prevalence of prematurity.<\/jats:p>","DOI":"10.1590\/1980-549720260008","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T11:14:14Z","timestamp":1773659654000},"source":"Crossref","is-referenced-by-count":0,"title":["Temporal trends and factors associated with live preterm births in Esp\u00edrito Santo, 2012-2021"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4746-7270","authenticated-orcid":false,"given":"Marcone Marques da","family":"Rocha","sequence":"first","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3646-2621","authenticated-orcid":false,"given":"La\u00e9rcio da Silva","family":"Paiva","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio FMABC,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0335-3656","authenticated-orcid":false,"given":"Lara Bourguignon","family":"Lopes","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8843-4366","authenticated-orcid":false,"given":"Raiza Brito","family":"Cipriano","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1942-2363","authenticated-orcid":false,"given":"Lucca Tamara Alves","family":"Carretta","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-2072","authenticated-orcid":false,"given":"Fernando Rocha","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"2353","DOI":"10.25110\/arqsaude.v27i6.2023-015","article-title":"Fatores que influenciam a mortalidade infantil","volume":"27","author":"Fernandes MM","year":"2023","journal-title":"Arq Ci\u00eanc Sa\u00fade Unipar"},{"key":"ref2","first-page":"12","article-title":"Mortalidade fetal e os desafios para a aten\u00e7\u00e3o \u00e0 sa\u00fade da mulher no Brasil","volume":"53","author":"Barros PS","year":"2019","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1590\/S1519-38292015000200001","article-title":"Avan\u00e7os e desafios na sa\u00fade materna e infantil no Brasil","volume":"15","author":"Vanderlei LC","year":"2015","journal-title":"Rev Bras Saude Matern Infant"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1590\/1413-81232015216.06162015","article-title":"Aten\u00e7\u00e3o pr\u00e9-natal e fatores de risco associados \u00e0 prematuridade e baixo peso ao nascer em capital do nordeste brasileiro","volume":"21","author":"Gonzaga IC","year":"2016","journal-title":"Ci\u00ean Sa\u00fade Coletiva"},{"key":"ref5","series-title":"Estimativas da popula\u00e7\u00e3o residente para os munic\u00edpios e para as unidades da federa\u00e7\u00e3o brasileiros com data de refer\u00eancia em 1\u00ba de julho de 2022","year":"2022"},{"key":"ref6","series-title":"Born too soon: decade of action on preterm birth","year":"2023"},{"key":"ref7","series-title":"Sistema de Informa\u00e7\u00f5es sobre Nascidos Vivos - 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IFDM 2025","year":"2025"},{"issue":"1","key":"ref32","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1186\/s12889-022-13438-9","article-title":"Mediators of socioeconomic inequalities in preterm birth: a systematic review","volume":"22","author":"McHale P","year":"2022","journal-title":"BMC Public Health"},{"issue":"6","key":"ref33","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1007\/s00404-020-05759-0","article-title":"Community-based, population-focused preterm birth prevention programs: a review","volume":"302","author":"Vitner D","year":"2020","journal-title":"Arch. Gynecol. Obstet"},{"key":"ref34","series-title":"\u00cdndice Firjan de Desenvolvimento Municipal - IFDM 2025: An\u00e1lise Especial do Estado do Esp\u00edrito Santo","year":"2025"},{"key":"ref35","series-title":"Plano Regional Integrado - Esp\u00edrito Santo (PRI-ES): fortalecimento da rede de aten\u00e7\u00e3o \u00e0 sa\u00fade","year":"2025"},{"key":"ref36","first-page":"100053","article-title":"Data-driven risk stratification for preterm birth in Brazil: a population-based study to develop a machine learning risk assessment approach","volume":"3","author":"Rocha TAH","year":"2023","journal-title":"Lancet Reg Health Am"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Tend\u00eancia temporal e fatores associados ao nascimento de crian\u00e7as pr\u00e9-termo vivas no Esp\u00edrito Santo, 2012-2022"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2026000101005&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T11:14:18Z","timestamp":1773659658000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2026000101005&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":36,"alternative-id":["S1415-790X2026000101005"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720260008","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720260008.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720260008.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e260008"}}