Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079 |
Resumo: | This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits. |
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Cadernos de Saúde Pública |
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Individual and local level factors and antenatal care use in Colombia: a multilevel analysisPrenatal CareHealth Services AccessibilityMultilevel AnalysisThis paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2014-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079Cadernos de Saúde Pública v.30 n.5 2014reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311X00073513info:eu-repo/semantics/openAccessOsorio,Ana MaríaTovar,Luis MiguelRathmann,Katharinaeng2015-04-28T00:00:00Zoai:scielo:S0102-311X2014000501079Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2015-04-28T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
spellingShingle |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis Osorio,Ana María Prenatal Care Health Services Accessibility Multilevel Analysis |
title_short |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_full |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_fullStr |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_full_unstemmed |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_sort |
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
author |
Osorio,Ana María |
author_facet |
Osorio,Ana María Tovar,Luis Miguel Rathmann,Katharina |
author_role |
author |
author2 |
Tovar,Luis Miguel Rathmann,Katharina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Osorio,Ana María Tovar,Luis Miguel Rathmann,Katharina |
dc.subject.por.fl_str_mv |
Prenatal Care Health Services Accessibility Multilevel Analysis |
topic |
Prenatal Care Health Services Accessibility Multilevel Analysis |
description |
This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311X00073513 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.30 n.5 2014 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115734607233024 |