Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFMA |
Texto Completo: | https://tedebc.ufma.br/jspui/handle/tede/tede/3982 |
Resumo: | INTRODUCTION: Early discontinuation of the gestational period causes serious harm to the child, their families and society. Premature Birth (PB) is the greatest prenatal health issue due to its high morbidity and mortality. Identify the conditions that favor the occurrence of PB is a global challenge. Psychosocial factors, such as violence during pregnancy, stress, depression, risk behavior and social support, have been identified as risk factors for PB. GOALS: The first article proposed to verify the validity of the Social questionnaire Medical Outcomes Study (MOS) and its multidimensional characteristics in a sample of pregnant women using confirmatory factor analysis. The second article had as goal to analyze the association between psychosocial factors and the duration of gestation, from a proposed model, based on structural equation modeling. METHOD: Cohort study in two Brazilian cities, São Luís–MA e Ribeirão Preto–SP. A study sample of pregnant women and their newborn babies was used. Data was collected from February of 2010. Data collection consisted of interviews, gynecological exams, dental evaluation, anthropometry, and a self reported survey. Women were interviewed both before and after giving birth. A total of 1447 women participated in the study in the city of São Luís and 1400 in Ribeirão Preto. RESULTS: The first paper identified that, in São Luís, the MOS scale with three dimensions obtained the best index values (RMSA=0.077, CFI=0.977, TLI=0.973, WRMR=1.694). The application of the same model in Ribeirão Preto did not replicate the same goodness of fit (RMSA=0.099, CFI=0.968, TLI=0.963, WRMR=2.015). The second paper demonstrated that the theoretical model is well adjusted. The factors that had an effect on gestational age were socioeconomic status (EP=-0.153; p=0.006), women’s age (EP=- 0.075; p=0.012), the number of prenatal care visits (EP=0.139; p<0.001), and previous premature births (EP=-0.451; p<0.001). CONCLUSION: Social support is a multidimensional construct of second order, which is constituted by a material, affective/interactive, and emotional/informational dimensions. After using the modification index, the MOS scale presented an acceptable fit in São Luís, but not in Ribeirão Preto. Factors associated with a lower gestational age were, higher socioeconomic status, older women, and previous history of PB . Pregnant women who performed a greater number of consultations during the prenatal care visits had an association with a higher gestational age. Knowledge of the risk factors associated with early childbirth helps to identify women in situations of vulnerability. Therefore, it allows the elaboration of preventive strategies for the PT as, orientation on the risks for the older pregnant women, more attention the women with history of previous PB and the importance of the adequate prenatal care. |
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SILVA, Antônio Augusto Moura dahttp://lattes.cnpq.br/8652081312944025SILVA, Antônio Augusto Moura dahttp://lattes.cnpq.br/8652081312944025REICHENHEIM, Michael Eduardohttp://lattes.cnpq.br/5771380219935512CARDOSO, Viviane Cunhahttp://lattes.cnpq.br/9472547924584965ALVES, Maria Tereza Seabra Soares de Britto eTOMAZ, Erika Barbara Abreu Fonsecahttp://lattes.cnpq.br/3644251156905353http://lattes.cnpq.br/7896013787505970MACIEL, Monyk Neves de Alencar2022-08-17T13:56:07Z2018-02-22MACIEL, Monyk Neves de Alencar. Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa. 2018. 171 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2018.https://tedebc.ufma.br/jspui/handle/tede/tede/3982INTRODUCTION: Early discontinuation of the gestational period causes serious harm to the child, their families and society. Premature Birth (PB) is the greatest prenatal health issue due to its high morbidity and mortality. Identify the conditions that favor the occurrence of PB is a global challenge. Psychosocial factors, such as violence during pregnancy, stress, depression, risk behavior and social support, have been identified as risk factors for PB. GOALS: The first article proposed to verify the validity of the Social questionnaire Medical Outcomes Study (MOS) and its multidimensional characteristics in a sample of pregnant women using confirmatory factor analysis. The second article had as goal to analyze the association between psychosocial factors and the duration of gestation, from a proposed model, based on structural equation modeling. METHOD: Cohort study in two Brazilian cities, São Luís–MA e Ribeirão Preto–SP. A study sample of pregnant women and their newborn babies was used. Data was collected from February of 2010. Data collection consisted of interviews, gynecological exams, dental evaluation, anthropometry, and a self reported survey. Women were interviewed both before and after giving birth. A total of 1447 women participated in the study in the city of São Luís and 1400 in Ribeirão Preto. RESULTS: The first paper identified that, in São Luís, the MOS scale with three dimensions obtained the best index values (RMSA=0.077, CFI=0.977, TLI=0.973, WRMR=1.694). The application of the same model in Ribeirão Preto did not replicate the same goodness of fit (RMSA=0.099, CFI=0.968, TLI=0.963, WRMR=2.015). The second paper demonstrated that the theoretical model is well adjusted. The factors that had an effect on gestational age were socioeconomic status (EP=-0.153; p=0.006), women’s age (EP=- 0.075; p=0.012), the number of prenatal care visits (EP=0.139; p<0.001), and previous premature births (EP=-0.451; p<0.001). CONCLUSION: Social support is a multidimensional construct of second order, which is constituted by a material, affective/interactive, and emotional/informational dimensions. After using the modification index, the MOS scale presented an acceptable fit in São Luís, but not in Ribeirão Preto. Factors associated with a lower gestational age were, higher socioeconomic status, older women, and previous history of PB . Pregnant women who performed a greater number of consultations during the prenatal care visits had an association with a higher gestational age. Knowledge of the risk factors associated with early childbirth helps to identify women in situations of vulnerability. Therefore, it allows the elaboration of preventive strategies for the PT as, orientation on the risks for the older pregnant women, more attention the women with history of previous PB and the importance of the adequate prenatal care.INTRODUÇÃO: A interrupção precoce do período gestacional traz sérios agravos para a criança, suas famílias e toda a sociedade. O Nascimento Pré-termo (NPT) é o maior problema de saúde perinatal, por sua alta morbimortalidade. Identificar as condições que favorecem a ocorrência de NPT é um desafio global. Fatores psicossociais, como violência durante a gestação, estresse, depressão, comportamento de risco e apoio social, têm sido apontados como fatores de risco para o NPT. OBJETIVOS: O primeiro artigo se propôs a verificar a validade do questionário de apoio social Medical Outcomes Study (MOS) e suas características multidimensionais em uma amostra de gestantes utilizando a análise fatorial confirmatória. O segundo artigo teve como objetivo analisar a associação entre fatores psicossociais e a duração da gestação, a partir de um modelo proposto, via modelagem de equações estruturais. MÉTODO: Estudo de coorte realizado em duas cidades brasileiras, São Luís–MA e Ribeirão Preto–SP. A amostra do estudo foi composta por gestantes e seus recém nascidos. Utilizou-se uma amostra de conveniência. A coleta de dados iniciou em fevereiro/2010. Foram critérios de inclusão, gravidez única, ter uma ultrassonografia obstétrica antes da 20ª semana de gestação, não ter ultrapassado a 25ª semana gestacional na ocasião da coleta de dados. A gravidez múltipla foi critério de não inclusão. Os dados foram coletados através de entrevista, exame ginecológico, avaliação odontológica, antropometria e preenchimento de questionário autoaplicado. Na ocasião do nascimento, as mulheres foram entrevistadas novamente. Participaram do estudo 1447 mulheres na cidade de São Luís e 1400 em Ribeirão Preto. RESULTADOS: O primeiro artigo identificou que, em São Luís, o modelo da escala MOS constituído por três dimensões obteve os melhores valores dos índices (RMSA=0.077, CFI=0.977, TLI=0.973, WRMR=1.694). Um modelo idêntico foi verificado em Ribeirão Preto, entretanto, não apresentou bom ajuste (RMSA=0.099, CFI=0.968, TLI=0.963, WRMR=2.015). O segundo artigo mostrou que o modelo teórico proposto apresentou um bom ajuste. Os fatores psicossociais analisados não foram associados à duração da gestação. Os fatores que demostraram um efeito direto na Idade Gestacional (IG) foram o status socioeconômico (EP=-0.153; p=0.006), a idade da gestante (EP=-0.075; p=0.012), o número de consultas pré-natais (EP=0.139; p<0.001) e NPT anterior (EP=-0.451; p<0.001). CONCLUSÃO: O apoio social se mostrou um construto multidimensional de segunda ordem formado pelas dimensões material, afetiva/interação social positiva e emocional/informação. Após utilização de sugestão do índice de modificação, a escala MOS apresentou um ajuste aceitável em São Luís, entretanto, permaneceu ruim em Ribeirão Preto. Os fatores associados à uma menor IG foram, maior status socioeconômico, mulheres mais velhas e histórico positivo de NPT anterior. Gestantes que realizaram um maior número de consultas durante o pré-natal apresentaram associação com maior IG. O conhecimento dos fatores de risco associados ao parto precoce auxilia na identificação das mulheres em situações de vulnerabilidade. Permitindo, portanto, a elaboração de estratégias preventivas para o NPT como, orientação sobre os riscos para as gestantes mais velhas, maior atenção as mulheres com histórico de NPT anterior e a importância do acompanhamento pré-natal adequado.Submitted by Daniella Santos (daniella.santos@ufma.br) on 2022-08-17T13:56:07Z No. of bitstreams: 1 MONYKNEVESMACIEL.pdf: 1623218 bytes, checksum: 6b49e09bf8cf40c333bd0e3d8f67677e (MD5)Made available in DSpace on 2022-08-17T13:56:07Z (GMT). No. of bitstreams: 1 MONYKNEVESMACIEL.pdf: 1623218 bytes, checksum: 6b49e09bf8cf40c333bd0e3d8f67677e (MD5) Previous issue date: 2018-02-22FAPEMACAPESapplication/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBSUFMABrasilDEPARTAMENTO DE SAÚDE PÚBLICA/CCBSnascimento pré-termo;fatores de risco;apoio social;medical outcomes study;preterm birth;risk factor;social support;medical outcomes stud.Saúde ColetivaAssociação entre fatores psicossociais e duração da gestação na coorte pré-natal brisaAssociation between psychosocial factors and duration of pregnancy in the brisa prenatal cohortinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALMONYKNEVESMACIEL.pdfMONYKNEVESMACIEL.pdfapplication/pdf1623218http://tedebc.ufma.br:8080/bitstream/tede/3982/2/MONYKNEVESMACIEL.pdf6b49e09bf8cf40c333bd0e3d8f67677eMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82255http://tedebc.ufma.br:8080/bitstream/tede/3982/1/license.txt97eeade1fce43278e63fe063657f8083MD51tede/39822022-08-17 10:56:07.309oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttps://tedebc.ufma.br/jspui/PUBhttp://tedebc.ufma.br:8080/oai/requestrepositorio@ufma.br||repositorio@ufma.bropendoar:21312022-08-17T13:56:07Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA)false |
dc.title.por.fl_str_mv |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
dc.title.alternative.eng.fl_str_mv |
Association between psychosocial factors and duration of pregnancy in the brisa prenatal cohort |
title |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
spellingShingle |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa MACIEL, Monyk Neves de Alencar nascimento pré-termo; fatores de risco; apoio social; medical outcomes study; preterm birth; risk factor; social support; medical outcomes stud. Saúde Coletiva |
title_short |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
title_full |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
title_fullStr |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
title_full_unstemmed |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
title_sort |
Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa |
author |
MACIEL, Monyk Neves de Alencar |
author_facet |
MACIEL, Monyk Neves de Alencar |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
SILVA, Antônio Augusto Moura da |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8652081312944025 |
dc.contributor.referee1.fl_str_mv |
SILVA, Antônio Augusto Moura da |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/8652081312944025 |
dc.contributor.referee2.fl_str_mv |
REICHENHEIM, Michael Eduardo |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/5771380219935512 |
dc.contributor.referee3.fl_str_mv |
CARDOSO, Viviane Cunha |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/9472547924584965 |
dc.contributor.referee4.fl_str_mv |
ALVES, Maria Tereza Seabra Soares de Britto e |
dc.contributor.referee5.fl_str_mv |
TOMAZ, Erika Barbara Abreu Fonseca |
dc.contributor.referee5Lattes.fl_str_mv |
http://lattes.cnpq.br/3644251156905353 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7896013787505970 |
dc.contributor.author.fl_str_mv |
MACIEL, Monyk Neves de Alencar |
contributor_str_mv |
SILVA, Antônio Augusto Moura da SILVA, Antônio Augusto Moura da REICHENHEIM, Michael Eduardo CARDOSO, Viviane Cunha ALVES, Maria Tereza Seabra Soares de Britto e TOMAZ, Erika Barbara Abreu Fonseca |
dc.subject.por.fl_str_mv |
nascimento pré-termo; fatores de risco; apoio social; medical outcomes study; |
topic |
nascimento pré-termo; fatores de risco; apoio social; medical outcomes study; preterm birth; risk factor; social support; medical outcomes stud. Saúde Coletiva |
dc.subject.eng.fl_str_mv |
preterm birth; risk factor; social support; medical outcomes stud. |
dc.subject.cnpq.fl_str_mv |
Saúde Coletiva |
description |
INTRODUCTION: Early discontinuation of the gestational period causes serious harm to the child, their families and society. Premature Birth (PB) is the greatest prenatal health issue due to its high morbidity and mortality. Identify the conditions that favor the occurrence of PB is a global challenge. Psychosocial factors, such as violence during pregnancy, stress, depression, risk behavior and social support, have been identified as risk factors for PB. GOALS: The first article proposed to verify the validity of the Social questionnaire Medical Outcomes Study (MOS) and its multidimensional characteristics in a sample of pregnant women using confirmatory factor analysis. The second article had as goal to analyze the association between psychosocial factors and the duration of gestation, from a proposed model, based on structural equation modeling. METHOD: Cohort study in two Brazilian cities, São Luís–MA e Ribeirão Preto–SP. A study sample of pregnant women and their newborn babies was used. Data was collected from February of 2010. Data collection consisted of interviews, gynecological exams, dental evaluation, anthropometry, and a self reported survey. Women were interviewed both before and after giving birth. A total of 1447 women participated in the study in the city of São Luís and 1400 in Ribeirão Preto. RESULTS: The first paper identified that, in São Luís, the MOS scale with three dimensions obtained the best index values (RMSA=0.077, CFI=0.977, TLI=0.973, WRMR=1.694). The application of the same model in Ribeirão Preto did not replicate the same goodness of fit (RMSA=0.099, CFI=0.968, TLI=0.963, WRMR=2.015). The second paper demonstrated that the theoretical model is well adjusted. The factors that had an effect on gestational age were socioeconomic status (EP=-0.153; p=0.006), women’s age (EP=- 0.075; p=0.012), the number of prenatal care visits (EP=0.139; p<0.001), and previous premature births (EP=-0.451; p<0.001). CONCLUSION: Social support is a multidimensional construct of second order, which is constituted by a material, affective/interactive, and emotional/informational dimensions. After using the modification index, the MOS scale presented an acceptable fit in São Luís, but not in Ribeirão Preto. Factors associated with a lower gestational age were, higher socioeconomic status, older women, and previous history of PB . Pregnant women who performed a greater number of consultations during the prenatal care visits had an association with a higher gestational age. Knowledge of the risk factors associated with early childbirth helps to identify women in situations of vulnerability. Therefore, it allows the elaboration of preventive strategies for the PT as, orientation on the risks for the older pregnant women, more attention the women with history of previous PB and the importance of the adequate prenatal care. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-02-22 |
dc.date.accessioned.fl_str_mv |
2022-08-17T13:56:07Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MACIEL, Monyk Neves de Alencar. Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa. 2018. 171 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2018. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/tede/3982 |
identifier_str_mv |
MACIEL, Monyk Neves de Alencar. Associação entre fatores psicossociais e duração da gestação na coorte pré-natal brisa. 2018. 171 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2018. |
url |
https://tedebc.ufma.br/jspui/handle/tede/tede/3982 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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.publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
dc.publisher.program.fl_str_mv |
PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBS |
dc.publisher.initials.fl_str_mv |
UFMA |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
DEPARTAMENTO DE SAÚDE PÚBLICA/CCBS |
publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFMA instname:Universidade Federal do Maranhão (UFMA) instacron:UFMA |
instname_str |
Universidade Federal do Maranhão (UFMA) |
instacron_str |
UFMA |
institution |
UFMA |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFMA |
collection |
Biblioteca Digital de Teses e Dissertações da UFMA |
bitstream.url.fl_str_mv |
http://tedebc.ufma.br:8080/bitstream/tede/3982/2/MONYKNEVESMACIEL.pdf http://tedebc.ufma.br:8080/bitstream/tede/3982/1/license.txt |
bitstream.checksum.fl_str_mv |
6b49e09bf8cf40c333bd0e3d8f67677e 97eeade1fce43278e63fe063657f8083 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA) |
repository.mail.fl_str_mv |
repositorio@ufma.br||repositorio@ufma.br |
_version_ |
1809926205843963904 |