red (one district was coloured in Fig. 8 in the study). The LISA
significance map can provide additional information on the
significance of the identified local clusters and spatial outliers.
Nearly all detected spatial outliers are significant at the 5% level
(light green). According to the results obtained from the LISA
statistics, attention was drawn to Kandıra district. Despite the
fact that mortality rates for this district were not higher than
those for the other districts, the spatial clustering map and
significancemap showed the spatial relationship of districts for
the rate of perinatal deaths among livebirths. Thus, future
research should be undertaken on regional health parameters
related to mortality rates in the district.