The COVID-19 pandemic and the changes in the birth rate in the city of Fortaleza

Authors

DOI:

https://doi.org/10.33448/rsd-v13i1.44873

Keywords:

COVID-19; Brazil; Births; Birth rate; HDI.

Abstract

COVID-19, initially identified in China, is a coronavirus causing systemic damage with a high potential for morbidity and mortality. Given the pandemic's magnitude, societal changes are suggested, as observed in other historical catastrophes, particularly impacting health and birth rates. Thus, the objective of this study was to analyze birth rates in Fortaleza during the pandemic through socio-epidemiological profiles of women and pregnant individuals. It is an observational, retrospective, descriptive, quantitative study conducted with data from 2016 to 2021 obtained from Fortaleza's SINASC. Between 2016 and 2019, a significant reduction (p<0.001) in the monthly average of live births in Fortaleza was observed compared to 2020 and 2021. Additionally, the group of neighborhoods classified with Very Low HDI was the only one that showed a significant increase in the average (p=0.02). The decrease in birth rates was consistent across all age groups, with a higher prevalence of children born to women with 8-11 years of education. Post-pandemic, there was a decline among younger women and an increase among those aged 35 to 44. Regarding prenatal visits, there was an absolute reduction, corresponding to the overall decrease in the number of births. Although many theories could explain the factors contributing to this outcome, such as increased symptoms of anxiety and depression, economic impact, and unemployment, new studies are necessary to elucidate the causes and consequences of the COVID-19 pandemic on a population's birth rate.

References

Adserà, A. & Mendes, A. (2011). Fertility changes in Latin America in periods of economic uncertainty. Population Studies. 65(1), 37-56. 10.1080/00324728.2010.530291.

Arcêncio, R. A., et al. (2021). Reiterando o sentido da epidemiologia social na compreensão das desigualdades e avanço da equidade em tempos da COVID-19. Anais do Instituto de Higiene e Medicina Tropical, 20, 74-77.

Barros, M. B. A., et al. (2020). Relato de tristeza/depressão, nervosismo/ansiedade e problemas de sono na população adulta brasileira durante a pandemia de COVID-19. Epidemiologia e Serviços de Saúde, 29(4). http://dx.doi.org/10.1590/s1679-49742020000400018.

Bilhim, J. A. F. (2021). Impacto da pandemia COVID-19 no sistema público de saúde em Portugal e Brasil. Revista Gestão & Saúde, 12(1), 1-4. https://doi.org/10.26512/gs.v12i01.37724.

Boberg-Fazlic, N., et al. (2017). Disease and Fertility: Evidence from the 1918 Influenza Pandemic in Sweden, IZA DP, Bonn, 10834.

Brasil. (2020). Orientações gerais sobre a atuação do ACS frente à pandemia de Covid-19 e os registros a serem realizados no e-SUS APS. Brasília, DF: MS. http://189.28.128.100/dab/docs/portaldab/documentos/esus/Orientacoes_ACS_COVID_19.pdf.

Brasil. Ministério da Saúde. (1985). Assistência Integral à Saúde da Mulher: bases de ação programática. Brasília, Centro de Documentação do Ministério da Saúde.

Brasil. Ministério da Saúde. (2022). Painel Coronavírus. Brasília, DF: MS, https://covid.saude.gov.br.

Brooks, S. K., et al. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395, 912-920. 10.1016/S0140-6736(20)30460-8.

Carcedo, R. J., et al. (2020). International Journal of Environmental Research and Public Health, 17(841). 10.3390/ijerph17030841.

Castro, M. C., et al. (2018). Implications of Zika virus and congenital Zika syndrome for the number of live births in Brazil. Proc Natl Acad Sci U S A, 12(24), 6177-6182. 10.1073/pnas.1718476115.

Cito, G., et al. (2021). The Impact of the COVID-19 Quarantine on Sexual Life in Italy. Urology, 147, 37-42. 10.1016/j.urology.2020.06.101.

Demenech, L. M., et al. (2020). Desigualdade econômica e risco de infecção e morte por COVID-19 no Brasil. Revista Brasileira de Epidemiologia, 23.

Fernandes, F. C. G. M., Santos, E. G. de O. & Barbosa, I. R. (2019). A idade da primeira gestação no Brasil: dados da pesquisa nacional de saúde. J. Hum. Growth Dev. 29(3), 304-12. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-12822019000300002&lng=pt&nrm=iso.

Fujimori, E., Oliveira, I. M. V., Lima, A. R., Cassana, L. M. N., Szarfarc, S. C. (1997). Perfil Socioeconomico y biológico de embarazadas adolescentes de uma maternidade de beneficência em São Paulo, Brasil. Cuad Méd Soc., 38(2), 97-104.

Güner, H. R., Hasanoğlu, İ., Aktaş, F. (2020). COVID-19: Prevention and control measures in community. Turkish Journal of Medical Sciences, 50(SI-1), 571-577. 10.3906/sag-2004-146.

Li, G., et al. (2020). Impact of the COVID-19 Pandemic on Partner Relationships and Sexual and Reproductive Health: Cross-Sectional, Online Survey Study. J Med Internet Res, 22(8), e20961. 10.2196/2096.

Lin, T., et al. (2021). The impact of the COVID-19 pandemic on economic security and pregnancy intentions among people at risk of pregnancy. Contraception, 103(6), 380-385. 10.1016/j.contraception.2021.02.001.

Mendoza, V., et al. (2021). Impact of the Covid-19 Pandemic on Birth Rates in 2020: The Case of Colombia. Rev Brasileira de Ginecologia e Obstetrícia, 43(6), 492-494.

Micelli, E., et al. (2020). Desire for parenthood at the time of COVID-19 pandemic: an insight into the Italian situation. Journal of Psychosomatic Obstetrics & Gynecology, 41(3), 183-190.

Ministério da Economia. (2020). Ministério da Economia avalia impacto econômico do coronavírus. https://www.gov.br/pt-br/noticias/financas-impostos-e-gestao-publica/2020/03/ministerio-da-economia-avalia-impacto-economico-do-coronavirus-no-brasil.

Muise, A., et al. (2015). Sexual Frequency Predicts Greater Well-Being, But More is Not Always Better. Social Psychological and Personality Science, 7(4). https://doi.org/10.1177/1948550615616462.

Patel, J. A., et al. (2020). Poverty, inequality and COVID-19: the forgotten vulnerable. Public Health, 183, 110-111. 10.1016/j.puhe.2020.05.006.

IBGE. (2023). Pesquisa Nacional por Amostra de Domicílios Contínua. Instituto Brasileiro de Geografia e Estatística. https://www.ibge.gov.br/estatisticas/sociais/populacao/9171-pesquisa-nacional-por-amostra-de-domicilios-continua-mensal.html?=&t=resultados.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Reis, A. P. dos, et al. (2020). Informação sobre gênero, raça/etnia e posição social para o controle da pandemia de COVID-19 no Brasil. Nota técnica. https://ds.saudeindigena.icict.fiocruz.br/handle/bvs/2802?mode=full.

Sanhueza-Sanzana, C., et al. (2021). Desigualdades sociais associadas com a letalidade por COVID-19 na cidade de Fortaleza, Ceará, 2020. Epidemiologia e Serviços de Saúde, 30(3). https://doi.org/10.1590/S1679-49742021000300022.

Torales, J., et al. (2020). Self-perceived stress during the quarantine of COVID-19 pandemic in Paraguay: an exploratory survey. Frontiers in Psychiatry, 11(558691). 10.3389/fpsyt.2020.558691.

Ullah, A., et al. (2020). Potential Effects of the COVID-19 Pandemic on Future Birth Rate. Frontiers in Public Health, 8(578438). 10.3389/fpubh.2020.578438.

Viellas, E. F., et al. (2014). Assistência pré-natal no Brasil. Cadernos de Saúde Pública, 30, S85-S100.

Vigl, J., et al. (2021). Relationship Satisfaction in the Early Stages of the COVID-19 Pandemic: A Cross-National Examination of Situational, Dispositional, and Relationship Factors. OSF Preprints. https://doi.org/10.31219/osf.io/b5c8g.

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Published

30/01/2024

How to Cite

SILVA, A. G. S. da .; VIANA , F. A. N. .; GUERREIRO, G. da C. .; OLIVEIRA, R. H. de .; SILVA, C. J. da .; SANTOS, S. G. M. .; OLIVEIRA, A. B. T. de . The COVID-19 pandemic and the changes in the birth rate in the city of Fortaleza . Research, Society and Development, [S. l.], v. 13, n. 1, p. e14313144873, 2024. DOI: 10.33448/rsd-v13i1.44873. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/44873. Acesso em: 14 may. 2024.

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Section

Health Sciences