Drug use according to risk classification and associated factors among pregnant women: results from NISAMI cohort
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
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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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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1797052782702755840 |