Associations between primary healthcare and infant health outcomes

Detalhes bibliográficos
Autor(a) principal: Hone, Thomas
Data de Publicação: 2023
Outros Autores: Been, Jasper V., Saraceni, Valeria, Coeli, Claudia Medina, Trajman, Anete, Rasella, Davide, Durovni, Betina, Millett, Christopher
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/154152
Resumo: Funding Information: This study was supported by the UK’s Joint Health Systems Research Initiative (DFID/MRC/Wellcome Trust/ESRC) grant number MR/P014593/1. This funder had no role in the study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the paper for publication. Funding Information: This work was supported by a grant from the Health Systems Research Initiative with funding from the Foreign, Commonwealth and Development Office , the UK Medical Research Council and Wellcome , in collaboration with the UK Economic and Social Research Council (grant no. MR/P014593/1 ). Publisher Copyright: © 2023 The Author(s)
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spelling Associations between primary healthcare and infant health outcomesa cohort analysis of low-income mothers in Rio de Janeiro, BrazilBrazilInfant healthInfant mortalityPrimary careUniversal health coverageInternal MedicineHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: This study was supported by the UK’s Joint Health Systems Research Initiative (DFID/MRC/Wellcome Trust/ESRC) grant number MR/P014593/1. This funder had no role in the study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the paper for publication. Funding Information: This work was supported by a grant from the Health Systems Research Initiative with funding from the Foreign, Commonwealth and Development Office , the UK Medical Research Council and Wellcome , in collaboration with the UK Economic and Social Research Council (grant no. MR/P014593/1 ). Publisher Copyright: © 2023 The Author(s)Background: Expanding primary healthcare to urban poor populations is a priority in many low-and middle-income countries and is essential to achieve universal health coverage (UHC). Between 2008 and 2016 the city of Rio de Janeiro undertook an ambitious programme to rapidly expand primary care to low-income areas through the family health strategy (FHS). Infant health impacts of this roll out are unknown. This study examines associations between maternal FHS utilisation and birth outcomes, neonatal and infant mortality. Methods: A cohort of 75,339 live births (January 2009–December 2014) to low-income mothers in Rio de Janeiro was linked to primary care, birth, hospital and death records. The relationship between maternal FHS use and infant health outcomes was assessed through logistic regression with inverse probability treatment weighting and regression adjustment. Socioeconomic inequalities in the associations between FHS use and outcomes were explored through interactions. Primary outcomes were neonatal and infant death. Thirteen secondary outcomes were also examined to explore other important health outcomes and potential mechanisms. Results: A total of 9002 (12.0%) infants were born to mothers in the cohort who used FHS services either before pregnancy or in the first two trimesters. There was a total of 527 neonatal and 893 infant deaths. Maternal FHS usage during the first two trimesters was associated with substantial reductions in neonatal [adjusted odds ratio (aOR): 0.527, 95% confidence interval (95% CI): 0.345; 0.806] and infant mortality (aOR: 0.672, 95% CI: 0.48; 0.924). Infants born to lower-income mothers and those without formal employment had larger reductions in neonatal and infant mortality associated with FHS use. Maternal FHS in the first two trimesters use was also associated with more antenatal care consultations and a lower risk of low birth weight and preterm birth. Interpretation: Expanding primary care to low-income populations in Rio de Janeiro was associated with improved infant health and health equity benefits. Funding: DFID/ MRC/ Wellcome Trust/ ESRC.Centro de Investigação em Saúde Pública (CISP/PHRC)Comprehensive Health Research Centre (CHRC) - Pólo ENSPEscola Nacional de Saúde Pública (ENSP)RUNHone, ThomasBeen, Jasper V.Saraceni, ValeriaCoeli, Claudia MedinaTrajman, AneteRasella, DavideDurovni, BetinaMillett, Christopher2023-06-19T22:20:42Z2023-062023-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/154152eng2667-193XPURE: 64100984https://doi.org/10.1016/j.lana.2023.100519info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:36:36Zoai:run.unl.pt:10362/154152Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:55:30.458613Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Associations between primary healthcare and infant health outcomes
a cohort analysis of low-income mothers in Rio de Janeiro, Brazil
title Associations between primary healthcare and infant health outcomes
spellingShingle Associations between primary healthcare and infant health outcomes
Hone, Thomas
Brazil
Infant health
Infant mortality
Primary care
Universal health coverage
Internal Medicine
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Associations between primary healthcare and infant health outcomes
title_full Associations between primary healthcare and infant health outcomes
title_fullStr Associations between primary healthcare and infant health outcomes
title_full_unstemmed Associations between primary healthcare and infant health outcomes
title_sort Associations between primary healthcare and infant health outcomes
author Hone, Thomas
author_facet Hone, Thomas
Been, Jasper V.
Saraceni, Valeria
Coeli, Claudia Medina
Trajman, Anete
Rasella, Davide
Durovni, Betina
Millett, Christopher
author_role author
author2 Been, Jasper V.
Saraceni, Valeria
Coeli, Claudia Medina
Trajman, Anete
Rasella, Davide
Durovni, Betina
Millett, Christopher
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Hone, Thomas
Been, Jasper V.
Saraceni, Valeria
Coeli, Claudia Medina
Trajman, Anete
Rasella, Davide
Durovni, Betina
Millett, Christopher
dc.subject.por.fl_str_mv Brazil
Infant health
Infant mortality
Primary care
Universal health coverage
Internal Medicine
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Brazil
Infant health
Infant mortality
Primary care
Universal health coverage
Internal Medicine
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Funding Information: This study was supported by the UK’s Joint Health Systems Research Initiative (DFID/MRC/Wellcome Trust/ESRC) grant number MR/P014593/1. This funder had no role in the study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the paper for publication. Funding Information: This work was supported by a grant from the Health Systems Research Initiative with funding from the Foreign, Commonwealth and Development Office , the UK Medical Research Council and Wellcome , in collaboration with the UK Economic and Social Research Council (grant no. MR/P014593/1 ). Publisher Copyright: © 2023 The Author(s)
publishDate 2023
dc.date.none.fl_str_mv 2023-06-19T22:20:42Z
2023-06
2023-06-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/154152
url http://hdl.handle.net/10362/154152
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2667-193X
PURE: 64100984
https://doi.org/10.1016/j.lana.2023.100519
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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