title: [Maternal near misses and health inequalities: an analysis of contextual determinants in the State of Rio Grande do Norte, Brazil].
abstract: The scope of this study was to identify socioeconomic contextual and health care factors in primary care associated with maternal near misses and their marker conditions. This is an ecological study that used aggregated data of 63 clusters formed by the municipalities of State of Rio Grande do Norte, Brazil, using the Skater method of area regionalization, as the unit of analysis. The ratio of maternal near misses and their marker conditions were obtained from the Hospital Information System of the Brazilian Unified Health System. In multiple linear regression analysis, there was a significant association between maternal near misses and variables of poverty and poor primary health care. Hypertensive disorders were also associated with poverty and poor primary care and the occurrence of hemorrhaging was associated with infant mortality. It was observed that the occurrence of maternal near misses is linked to unfavorable socioeconomic conditions and poor quality health care that are a reflection of public policies that accentuate health inequalities.
authors.affiliation: Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil, tatyana.ufrn@hotmail.com.
authors.forename: Tatyana Maria Silva de Souza
authors.initials: TM
authors.lastname: Rosendo
authors.affiliation: Departamento de Odontologia, UFRN, Brasil.
authors.forename: Angelo Giuseppe
authors.initials: AG
authors.lastname: Roncalli
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002947:Cities; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D008428:Maternal Mortality; D011203:Poverty; D011247:Pregnancy; D011320:Primary Health Care; D012959:Socioeconomic Factors