Effects of human development, primary care coverage and the COVID-19 pandemic on the fertility rate among adolescents in Brazil in the period 2012–2021

Rosa Maria Soares Madeira Domingues; Rafael Sant´Ana Herzog; Marcos Augusto Bastos Dias; Rossana Pulcineli Vieira Francisco; Agatha Sacramento Rodrigues

doi:10.1371/journal.pone.0327656

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Open Access

Peer-reviewed

Research Article

Effects of human development, primary care coverage and the COVID-19 pandemic on the fertility rate among adolescents in Brazil in the period 2012–2021

Rosa Maria Soares Madeira Domingues ,

Contributed equally to this work with: Rosa Maria Soares Madeira Domingues, Rafael Sant´Ana Herzog, Marcos Augusto Bastos Dias, Rossana Pulcineli Vieira Francisco, Agatha Sacramento Rodrigues

Roles Conceptualization, Funding acquisition, Methodology, Writing – original draft

* E-mail: rosa.domingues@ini.fiocruz.br

Affiliation Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro (RJ), Brasil

https://orcid.org/0000-0001-5722-8127

⨯
Rafael Sant´Ana Herzog ,

Contributed equally to this work with: Rosa Maria Soares Madeira Domingues, Rafael Sant´Ana Herzog, Marcos Augusto Bastos Dias, Rossana Pulcineli Vieira Francisco, Agatha Sacramento Rodrigues

Roles Data curation, Formal analysis, Visualization, Writing – original draft

Affiliation Universidade Federal do Espírito Santo, Vitória (ES), Brasil
⨯
Marcos Augusto Bastos Dias ,

Contributed equally to this work with: Rosa Maria Soares Madeira Domingues, Rafael Sant´Ana Herzog, Marcos Augusto Bastos Dias, Rossana Pulcineli Vieira Francisco, Agatha Sacramento Rodrigues

Roles Validation, Writing – review & editing

Affiliation Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Rio de Janeiro (RJ), Brasil
⨯
Rossana Pulcineli Vieira Francisco ,

Contributed equally to this work with: Rosa Maria Soares Madeira Domingues, Rafael Sant´Ana Herzog, Marcos Augusto Bastos Dias, Rossana Pulcineli Vieira Francisco, Agatha Sacramento Rodrigues

Roles Validation, Writing – review & editing

Affiliation Universidade de São Paulo, São Paulo (SP), Brasil

https://orcid.org/0000-0002-9981-8069

⨯
Agatha Sacramento Rodrigues

Contributed equally to this work with: Rosa Maria Soares Madeira Domingues, Rafael Sant´Ana Herzog, Marcos Augusto Bastos Dias, Rossana Pulcineli Vieira Francisco, Agatha Sacramento Rodrigues

Roles Conceptualization, Data curation, Formal analysis, Visualization, Writing – original draft

Affiliation Universidade Federal do Espírito Santo, Vitória (ES), Brasil
⨯

Effects of human development, primary care coverage and the COVID-19 pandemic on the fertility rate among adolescents in Brazil in the period 2012–2021

Rosa Maria Soares Madeira Domingues,
Rafael Sant´Ana Herzog,
Marcos Augusto Bastos Dias,
Rossana Pulcineli Vieira Francisco,
Agatha Sacramento Rodrigues

Published: October 9, 2025
https://doi.org/10.1371/journal.pone.0327656

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Fertility rates
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Pandemics
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Age groups
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Brazil
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Adolescents
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COVID 19
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Pregnancy
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Spatial analysis
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