Spatial and Temporal Analysis of Hospitalizations Due to Primary Care–Sensitive Conditions Related to Diabetes Mellitus in a State in the Northeast of Brazil

Afonso Abreu Mendes Júnior, Álvaro Francisco Lopes de Sousa (), Guilherme Reis de Santana Santos, Shirley Verônica Melo Almeida Lima, Allan Dantas dos Santos, Valdemar Silva Almeida, Ernanes Menezes dos Santos, Maria Idelcacia Nunes Oliveira, José Cleyton Santana Góis, Regina Cláudia Silva Souza, Liliane Moretti Carneiro, Maria do Carmo de Oliveira, Emerson Lucas Silva Camargo and Caíque Jordan Nunes Ribeiro
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Afonso Abreu Mendes Júnior: Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil
Álvaro Francisco Lopes de Sousa: Institute of Teaching and Research, Hospital Sírio-Libanês, São Paulo 01308-050, SP, Brazil
Guilherme Reis de Santana Santos: Department of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil
Shirley Verônica Melo Almeida Lima: Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil
Allan Dantas dos Santos: Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil
Valdemar Silva Almeida: Department of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil
Ernanes Menezes dos Santos: Department of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil
Maria Idelcacia Nunes Oliveira: Department of Nursing, Federal University of Sergipe, Aracaju 49060-025, SE, Brazil
José Cleyton Santana Góis: Department of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil
Regina Cláudia Silva Souza: Institute of Teaching and Research, Hospital Sírio-Libanês, São Paulo 01308-050, SP, Brazil
Liliane Moretti Carneiro: Postgraduate Program in Nursing, Federal University of Mato Grosso do Sul, Três Lagoas 79613-000, MS, Brazil
Maria do Carmo de Oliveira: Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil
Emerson Lucas Silva Camargo: Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-903, SP, Brazil
Caíque Jordan Nunes Ribeiro: Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil

IJERPH, 2024, vol. 21, issue 11, 1-15

Abstract: Hospitalizations due to primary care–sensitive conditions (PCSCs) can be considered a proxy for the effectiveness of primary healthcare (PHC), especially diabetes mellitus (DM). The aim of this study was to analyze the temporal, spatial, and space–time patterns of PCSCs associated with DM in a state in Northeast Brazil from 2008 to 2022. An ecological and time–series study that included all records related to PCSCs–DM from the 75 municipalities of Sergipe was conducted. Segmented linear regression, global (I) and local (LISA) Moran indices, spatial scanning, Spearman correlation tests, bivariate I, and LISA were used in our analysis to examine the temporal trends and clusters of high spatial risk. Overall, 14,390 PCSCs–DM were recorded between 2008 and 2022. There was a higher prevalence of PCSCs–DM among women (53.75%) and individuals over 70 years old (57.60%). Temporal trends in PCSCs–DM were increasing with regard to the overall rate (AAPC: 2.39); males (AAPC: 3.15); age groups ≤ 19 years (AAPC: 6.13), 20–39 years (AAPC: 4.50), and 40–59 years (AAPC: 2.56); and 3 out of the 7 health regions. There was a positive spatial correlation between per capita income (I = −0.23; p = 0.004) and diabetic foot examination being performed by a nurse in a PHC (I = −0.18; p = 0.019) setting. The heterogeneous spatial distribution of DM hospitalizations demonstrated that this condition is a persistent public health problem in Sergipe.

Keywords: spatial analysis; diabetes mellitus; chronic disease; primary care–sensitive conditions; morbidity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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