Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro

Detalhes bibliográficos
Autor(a) principal: Mano, Patricia de Souza
Data de Publicação: 2011
Outros Autores: Cesar, Juraci Almeida, González-Chica, David Alejandro, Neumann, Nelson Arns
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da FURG (RI FURG)
Texto Completo: http://repositorio.furg.br/handle/1/2602
Resumo: Objectives: to evaluate inequality in health care during gestation and delivery for women with children under five years of age resident in the Municipality of Caracol, in the Brazilian State of Piauí. Methods: a household questionnaire was applied to a cross-sectional systematic sample to collect data on the demographic characteristics of mothers and children, health care during pregnancy and deliver and socio-economic status. A tercile score was created using the principal component technique. The associations between this score and variables relating to health care for women during pregnancy and childbirth were evaluated using the chi-square and Kruskal-Wallis test. Results: all the 405 children covered by the study came from families with an income of less than one minimum wage per month; 65% lived in rural areas. Mothers belonging to the highest socioconomic tercile had a larger number of pre-natal consults; they had the largest number of urine tests, hemograms, cytopathological tests of the cervix and ultrasound, and their babies were delivered by a doctor with a higher frequency of caesarian sections. Conclusions: even among the poorest sectors of society there are enormous health inequalities. It is imperative that the factors determining this poverty be addressed with more aggressive social programs and priority given to caring for the poorest of the poor.
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spelling Mano, Patricia de SouzaCesar, Juraci AlmeidaGonzález-Chica, David AlejandroNeumann, Nelson Arns2012-09-27T17:53:10Z2012-09-27T17:53:10Z2011MANO, Patricia de Souza et al. Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 4, p.381-388, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n4/v11n4a04.pdf>. Acesso em: 05 set. 2012.http://repositorio.furg.br/handle/1/260210.1590/S1519-38292011000400004Objectives: to evaluate inequality in health care during gestation and delivery for women with children under five years of age resident in the Municipality of Caracol, in the Brazilian State of Piauí. Methods: a household questionnaire was applied to a cross-sectional systematic sample to collect data on the demographic characteristics of mothers and children, health care during pregnancy and deliver and socio-economic status. A tercile score was created using the principal component technique. The associations between this score and variables relating to health care for women during pregnancy and childbirth were evaluated using the chi-square and Kruskal-Wallis test. Results: all the 405 children covered by the study came from families with an income of less than one minimum wage per month; 65% lived in rural areas. Mothers belonging to the highest socioconomic tercile had a larger number of pre-natal consults; they had the largest number of urine tests, hemograms, cytopathological tests of the cervix and ultrasound, and their babies were delivered by a doctor with a higher frequency of caesarian sections. Conclusions: even among the poorest sectors of society there are enormous health inequalities. It is imperative that the factors determining this poverty be addressed with more aggressive social programs and priority given to caring for the poorest of the poor.Objetivos: avaliar a iniquidade na assistência à gestação e ao parto para menores de cinco anos residentes no município de Caracol, Piauí, Brasil. Métodos: usando delineamento transversal, amostragem sistemática e aplicação de questionário domiciliar foram coletadas informações sobre características demográficas de mães e crianças, assistência à gestação e ao parto e nível socioeconômico. Por meio da técnica de componentes principais, criou-se um escore em tercis. As associações deste escore com as variáveis relativas à assistência à gestação e ao parto foram avaliadas pelos testes qui-quadrado e Kruskal-Wallis. Resultados: todas as 405 crianças incluídas no estudo eram provenientes de famílias com renda inferior a um salário mínimo mensal; 65% residiam em área rural. Mães pertencentes ao maior tercil socioeconômico realizaram um maior número de consultas de pré-natal; realizaram maior número de exames de urina, hemograma, citopatológico de colo uterino e ultrassonografia, tiveram o parto realizado por médico e foram mais frequentemente submetidas à cesariana. Conclusões: mesmo entre os mais pobres, há enormes iniquidades em saúde. Combater os determinantes desta pobreza com programas sociais mais agressivos é imperativo, assim como priorizar o atendimento aos mais pobres dentre os pobres.porMaternal and child healthPrenatal careHealth inequalitiesComprehensive health careSaúde materno-infantilAssistência pré-natalDesigualdades em saúdeAssistência integral à saúde da criançaIniquidade na assistência à gestação e ao parto em município do semiárido brasileiroInequality in health care for women during gestation and delivery in a municipality in the semi-arid region of Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINAL08_Iniquidade na assistência à gestação.pdf08_Iniquidade na assistência à gestação.pdfapplication/pdf113589https://repositorio.furg.br/bitstream/1/2602/1/08_Iniquidade%20na%20assist%c3%aancia%20%c3%a0%20gesta%c3%a7%c3%a3o.pdf5e3ef6598671eebed23a1ff33fcca8b6MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81678https://repositorio.furg.br/bitstream/1/2602/2/license.txtd3be63d3b3eee02729709361dac69efeMD52open access1/26022012-09-27 14:53:10.061open accessoai:repositorio.furg.br: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ório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2012-09-27T17:53:10Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false
dc.title.pt_BR.fl_str_mv Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
dc.title.alternative.pt_BR.fl_str_mv Inequality in health care for women during gestation and delivery in a municipality in the semi-arid region of Brazil
title Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
spellingShingle Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
Mano, Patricia de Souza
Maternal and child health
Prenatal care
Health inequalities
Comprehensive health care
Saúde materno-infantil
Assistência pré-natal
Desigualdades em saúde
Assistência integral à saúde da criança
title_short Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
title_full Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
title_fullStr Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
title_full_unstemmed Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
title_sort Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
author Mano, Patricia de Souza
author_facet Mano, Patricia de Souza
Cesar, Juraci Almeida
González-Chica, David Alejandro
Neumann, Nelson Arns
author_role author
author2 Cesar, Juraci Almeida
González-Chica, David Alejandro
Neumann, Nelson Arns
author2_role author
author
author
dc.contributor.author.fl_str_mv Mano, Patricia de Souza
Cesar, Juraci Almeida
González-Chica, David Alejandro
Neumann, Nelson Arns
dc.subject.por.fl_str_mv Maternal and child health
Prenatal care
Health inequalities
Comprehensive health care
Saúde materno-infantil
Assistência pré-natal
Desigualdades em saúde
Assistência integral à saúde da criança
topic Maternal and child health
Prenatal care
Health inequalities
Comprehensive health care
Saúde materno-infantil
Assistência pré-natal
Desigualdades em saúde
Assistência integral à saúde da criança
description Objectives: to evaluate inequality in health care during gestation and delivery for women with children under five years of age resident in the Municipality of Caracol, in the Brazilian State of Piauí. Methods: a household questionnaire was applied to a cross-sectional systematic sample to collect data on the demographic characteristics of mothers and children, health care during pregnancy and deliver and socio-economic status. A tercile score was created using the principal component technique. The associations between this score and variables relating to health care for women during pregnancy and childbirth were evaluated using the chi-square and Kruskal-Wallis test. Results: all the 405 children covered by the study came from families with an income of less than one minimum wage per month; 65% lived in rural areas. Mothers belonging to the highest socioconomic tercile had a larger number of pre-natal consults; they had the largest number of urine tests, hemograms, cytopathological tests of the cervix and ultrasound, and their babies were delivered by a doctor with a higher frequency of caesarian sections. Conclusions: even among the poorest sectors of society there are enormous health inequalities. It is imperative that the factors determining this poverty be addressed with more aggressive social programs and priority given to caring for the poorest of the poor.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-09-27T17:53:10Z
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dc.identifier.citation.fl_str_mv MANO, Patricia de Souza et al. Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 4, p.381-388, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n4/v11n4a04.pdf>. Acesso em: 05 set. 2012.
dc.identifier.uri.fl_str_mv http://repositorio.furg.br/handle/1/2602
dc.identifier.doi.pt_BR.fl_str_mv 10.1590/S1519-38292011000400004
identifier_str_mv MANO, Patricia de Souza et al. Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 4, p.381-388, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n4/v11n4a04.pdf>. Acesso em: 05 set. 2012.
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