Iniquidade na assistência à gestação e ao parto em município do semiárido brasileiro
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , |
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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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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2012-09-27T17:53:10Z |
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info:eu-repo/semantics/article |
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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. |
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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. 10.1590/S1519-38292011000400004 |
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