Fatores associados ao acesso anterior à gestação a serviços de saúde por adolescentes gestantes

• Autor(a) principal: Carvacho, Ingrid Espejo
• Data de Publicação: 2008
• Outros Autores: Mello, Maeve Brito de, Morais, Sirlei Siani, Silva, João Luiz Pinto e
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/32511
• topic: Adolescente; Gravidez na Adolescência; Acesso aos Serviços de Saúde; Fatores Socioeconômicos; Conhecimentos^i1^sAtitudes e Prática em Sa; Estudos Transversais; Adolescente; Embarazo en Adolescencia; Accesibilidad a los Servicios de Salud; Factores Socioeconómicos; Conocimientos^i3^sActitudes y Práctica en Sa; Estudios Transversales; Adolescent; Pregnancy in Adolescence; Health Services Accessibility; Socioeconomic Factors; Health Knowledge^i2^sAttitu; Health Knowledge^i2^sPract; Cross-Sectional Studies

OBJECTIVE: To assess determinants of access to primary care services prior to pregnancy by pregnant adolescents. METHODS: Theory-based cross-sectional study conducted to examine access to heath services at five dimensions: geographic, economic, administrative, psychosocial and information. There were included in the study 200 first-time pregnant adolescents (aged 10 to 19 years) who attended a primary care unit in the municipality of Indaiatuba, Southeastern Brazil, in 2003. Data was collected using a semi-structured questionnaire applied in face-to-face interviews conducted just before their first pre-natal care visit. Data analyses were performed through Person's chi-square or Fisher's exact test, and by a multivariate logistic regression model including all five dimensions of access. RESULTS: More than half (63.7%) of the adolescents utilized some gynecological care service. Information (43.8%) or psychosocial feelings of embarrassment or fear (37.0%) barriers were the most frequent reasons given for not having sought care before. The main barrier to health service access was related to the psychosocial dimension, reported by 77.0% of the adolescents studied. CONCLUSIONS: Among all barriers to health service access, the most important were those related to the psychosocial dimension. There is a need for new strategies to facilitate access to health services by adolescents, including actions to reduce gender-based barriers taking into consideration sociodemographic characteristics of this population and the relationship they have with their partners.