The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community

Detalhes bibliográficos
Autor(a) principal: Moura,Erly Catarina
Data de Publicação: 1998
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de epidemiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X1998000100008
Resumo: The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.
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spelling The relationship between the use of primary health care and infant health status at 12 months in a Brazilian communityEpidemiologyHealth careInfant healthHealth statusBrazilThe Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.Associação Brasileira de Saúde Coletiva1998-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X1998000100008Revista Brasileira de Epidemiologia v.1 n.1 1998reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/S1415-790X1998000100008info:eu-repo/semantics/openAccessMoura,Erly Catarinaeng2005-08-02T00:00:00Zoai:scielo:S1415-790X1998000100008Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2005-08-02T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false
dc.title.none.fl_str_mv The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
title The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
spellingShingle The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
Moura,Erly Catarina
Epidemiology
Health care
Infant health
Health status
Brazil
title_short The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
title_full The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
title_fullStr The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
title_full_unstemmed The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
title_sort The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
author Moura,Erly Catarina
author_facet Moura,Erly Catarina
author_role author
dc.contributor.author.fl_str_mv Moura,Erly Catarina
dc.subject.por.fl_str_mv Epidemiology
Health care
Infant health
Health status
Brazil
topic Epidemiology
Health care
Infant health
Health status
Brazil
description The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.
publishDate 1998
dc.date.none.fl_str_mv 1998-04-01
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dc.relation.none.fl_str_mv 10.1590/S1415-790X1998000100008
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dc.publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
dc.source.none.fl_str_mv Revista Brasileira de Epidemiologia v.1 n.1 1998
reponame:Revista brasileira de epidemiologia (Online)
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