Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort

Detalhes bibliográficos
Autor(a) principal: Costa, Débora Bomfim
Data de Publicação: 2020
Outros Autores: Castro, Caroline Tianeze de, Gama, Romana Santos, Santos, Djanilson Barbosa dos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/11247
Resumo: This study aimed to investigate the factors associated with drug use in pregnancy by risk categories in pregnant women from Santo Antônio de Jesus, Bahia. It is a cross-sectional cohort study with 1,091 pregnant women attended in primary health care between 2012 and 2014. Drug use during pregnancy was classified according to the FDA’s pregnancy risk classification. Prevalence ratios and respective 95% confidence intervals were adjusted by Poisson regression with robust error variance. The prevalence of drug use was more pronounced in risk categories A, B, C, D, and X, respectively. The use of safe medication was associated with education, number of prenatal consultations, and health problems after data adjustment. Age greater than 24 years, onset of prenatal care during the first trimester, and have any health problem were factors associated with the use of risk medication. Quality prenatal care is important to ensure the safe and conscious use of drugs. Furthermore, investments in continuing vocational education that promote rational antenatal drug use are needed.
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spelling Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohortUtilización de medicamentos según clasificación de riesgo y factores asociados en embarazadas: resultados de la cohorte NISAMIUso de medicamentos segundo classificação de risco e fatores associados entre gestantes: resultados da coorte NISAMIUtilización de medicamentosEmbarazoAtención prenatalBrasilFarmacoepidemiología.Uso de medicamentosGravidezCuidado pré-natalBrasilFarmacoepidemiologia.Drug utilizationPregnancyPrenatal careBrazilPharmacoepidemiology.This study aimed to investigate the factors associated with drug use in pregnancy by risk categories in pregnant women from Santo Antônio de Jesus, Bahia. It is a cross-sectional cohort study with 1,091 pregnant women attended in primary health care between 2012 and 2014. Drug use during pregnancy was classified according to the FDA’s pregnancy risk classification. Prevalence ratios and respective 95% confidence intervals were adjusted by Poisson regression with robust error variance. The prevalence of drug use was more pronounced in risk categories A, B, C, D, and X, respectively. The use of safe medication was associated with education, number of prenatal consultations, and health problems after data adjustment. Age greater than 24 years, onset of prenatal care during the first trimester, and have any health problem were factors associated with the use of risk medication. Quality prenatal care is important to ensure the safe and conscious use of drugs. Furthermore, investments in continuing vocational education that promote rational antenatal drug use are needed.Este estudio tuvo como objetivo investigar los factores asociados al uso de medicamentos en el embarazo por categorías de riesgo en gestantes del municipio de Santo Antônio de Jesus, Bahía. Se trata de un estudio transversal anidado en la cohorte prospectiva con 1.091 gestantes atendidas en atención primaria de salud entre 2012 y 2014. El uso de medicamentos durante el embarazo siguió la clasificación de medicamentos según los criterios de riesgo de la FDA. Las razones de prevalencia y sus respectivos intervalos de confianza del 95% se ajustaron mediante regresión de Poisson con varianza robusta. La prevalencia del uso de medicamentos fue más pronunciada en las categorías de riesgo A, B, C, D y X, respectivamente. Después del ajuste, el uso de medicamentos seguros se asoció con educación, número de consultas prenatales y problemas de salud. Tener más de 24 años, iniciar la atención prenatal en el primer trimestre y tener un problema de salud fueron factores asociados al uso de medicamentos de riesgo. La atención prenatal de calidad es importante para garantizar el uso seguro y consciente de los medicamentos. Además, se necesitan inversiones en educación profesional continua para promover el uso racional de los medicamentos en el período prenatal.Este estudo teve como objetivo investigar os fatores associados ao uso de medicamentos na gestação por categorias de risco em gestantes do município de Santo Antônio de Jesus, Bahia. Trata-se de um estudo transversal aninhado à coorte prospectiva com 1.091 gestantes atendidas na atenção primária à saúde entre 2012 e 2014. A utilização de medicamentos durante a gestação seguiu a classificação dos medicamentos segundo critérios de risco da FDA. As razões de prevalência e seus respectivos intervalos de confiança de 95% foram ajustados por regressão de Poisson com variância robusta. A prevalência do uso de medicamentos foi mais pronunciada nas categorias de risco A, B, C, D e X, respectivamente. Após o ajuste, o uso de medicamentos seguros foi associado à escolaridade, número de consultas pré-natal e problemas de saúde. Idade superior a 24 anos, início do pré-natal no primeiro trimestre e ter algum problema de saúde foram fatores associados ao uso de medicamentos de risco. O pré-natal de qualidade é importante para garantir o uso seguro e consciente dos medicamentos. Além disso, são necessários investimentos em educação profissional continuada que promova o uso racional de medicamentos no período pré-natal.Research, Society and Development2020-12-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1124710.33448/rsd-v9i12.11247Research, Society and Development; Vol. 9 No. 12; e43691211247Research, Society and Development; Vol. 9 Núm. 12; e43691211247Research, Society and Development; v. 9 n. 12; e436912112472525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/11247/10084Copyright (c) 2020 Débora Bomfim Costa; Caroline Tianeze de Castro; Romana Santos Gama; Djanilson Barbosa dos Santoshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCosta, Débora BomfimCastro, Caroline Tianeze deGama, Romana SantosSantos, Djanilson Barbosa dos2020-12-30T23:32:22Zoai:ojs.pkp.sfu.ca:article/11247Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:33:07.508605Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
Utilización de medicamentos según clasificación de riesgo y factores asociados en embarazadas: resultados de la cohorte NISAMI
Uso de medicamentos segundo classificação de risco e fatores associados entre gestantes: resultados da coorte NISAMI
title Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
spellingShingle Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
Costa, Débora Bomfim
Utilización de medicamentos
Embarazo
Atención prenatal
Brasil
Farmacoepidemiología.
Uso de medicamentos
Gravidez
Cuidado pré-natal
Brasil
Farmacoepidemiologia.
Drug utilization
Pregnancy
Prenatal care
Brazil
Pharmacoepidemiology.
title_short Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
title_full Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
title_fullStr Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
title_full_unstemmed Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
title_sort Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
author Costa, Débora Bomfim
author_facet Costa, Débora Bomfim
Castro, Caroline Tianeze de
Gama, Romana Santos
Santos, Djanilson Barbosa dos
author_role author
author2 Castro, Caroline Tianeze de
Gama, Romana Santos
Santos, Djanilson Barbosa dos
author2_role author
author
author
dc.contributor.author.fl_str_mv Costa, Débora Bomfim
Castro, Caroline Tianeze de
Gama, Romana Santos
Santos, Djanilson Barbosa dos
dc.subject.por.fl_str_mv Utilización de medicamentos
Embarazo
Atención prenatal
Brasil
Farmacoepidemiología.
Uso de medicamentos
Gravidez
Cuidado pré-natal
Brasil
Farmacoepidemiologia.
Drug utilization
Pregnancy
Prenatal care
Brazil
Pharmacoepidemiology.
topic Utilización de medicamentos
Embarazo
Atención prenatal
Brasil
Farmacoepidemiología.
Uso de medicamentos
Gravidez
Cuidado pré-natal
Brasil
Farmacoepidemiologia.
Drug utilization
Pregnancy
Prenatal care
Brazil
Pharmacoepidemiology.
description This study aimed to investigate the factors associated with drug use in pregnancy by risk categories in pregnant women from Santo Antônio de Jesus, Bahia. It is a cross-sectional cohort study with 1,091 pregnant women attended in primary health care between 2012 and 2014. Drug use during pregnancy was classified according to the FDA’s pregnancy risk classification. Prevalence ratios and respective 95% confidence intervals were adjusted by Poisson regression with robust error variance. The prevalence of drug use was more pronounced in risk categories A, B, C, D, and X, respectively. The use of safe medication was associated with education, number of prenatal consultations, and health problems after data adjustment. Age greater than 24 years, onset of prenatal care during the first trimester, and have any health problem were factors associated with the use of risk medication. Quality prenatal care is important to ensure the safe and conscious use of drugs. Furthermore, investments in continuing vocational education that promote rational antenatal drug use are needed.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11247
10.33448/rsd-v9i12.11247
url https://rsdjournal.org/index.php/rsd/article/view/11247
identifier_str_mv 10.33448/rsd-v9i12.11247
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11247/10084
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 12; e43691211247
Research, Society and Development; Vol. 9 Núm. 12; e43691211247
Research, Society and Development; v. 9 n. 12; e43691211247
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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