Factors associated with inadequacy of prenatal care utilization
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31615 |
Resumo: | OBJECTIVE: To identify factors associated with inadequacy of prenatal care utilization in urban community. METHODS: A cross-sectional study of a systematic sample stratified by maternity hospital, consisting of hospital births in the municipality of São Luís, Brazil, was carried out from March 1997 to February 1998. Socioeconomic and demographic factors, reproductive health, morbidity during pregnancy, and utilization of prenatal care services were studied. Mothers answered a standardized questionnaire before hospital discharge. The adequacy of prenatal care utilization was analyzed by means of two indexes: APNCU (Adequacy of Prenatal Care Utilization) and a new index based on the recommendations of the Brazilian Ministry of Health. RESULTS: There were interviewed 2,831 women who delivered at 10 public and private maternity hospitals. The inadequacy of prenatal care utilization was 49.2% according to the APNCU index and 24.5% when determined by the Brazilian index. Prenatal care at public services, low maternal schooling, low income, having no partner, and absence of maternal diseases during pregnancy were associated with inadequacy of prenatal care use according to both indexes. High parity and maternal age of 35 years or more were also associated with inadequacy, whereas primiparity, morbidity, and young maternal age ( |
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Factors associated with inadequacy of prenatal care utilization Fatores associados à inadequação do uso da assistência pré-natal Cuidado pré-natal^i1^sestatístServiços de saúde maternaCobertura de serviços de saúdeQualidade dos cuidados de saúdeFatores socioeconômicosFatores de riscoEstudos transversaisEqüidadePrenatal care^i2^sstatistMaternal health servicesHealth services coverageQuality of health careSocioeconomic factorsRisk factorsCross-sectional studiesEquity OBJECTIVE: To identify factors associated with inadequacy of prenatal care utilization in urban community. METHODS: A cross-sectional study of a systematic sample stratified by maternity hospital, consisting of hospital births in the municipality of São Luís, Brazil, was carried out from March 1997 to February 1998. Socioeconomic and demographic factors, reproductive health, morbidity during pregnancy, and utilization of prenatal care services were studied. Mothers answered a standardized questionnaire before hospital discharge. The adequacy of prenatal care utilization was analyzed by means of two indexes: APNCU (Adequacy of Prenatal Care Utilization) and a new index based on the recommendations of the Brazilian Ministry of Health. RESULTS: There were interviewed 2,831 women who delivered at 10 public and private maternity hospitals. The inadequacy of prenatal care utilization was 49.2% according to the APNCU index and 24.5% when determined by the Brazilian index. Prenatal care at public services, low maternal schooling, low income, having no partner, and absence of maternal diseases during pregnancy were associated with inadequacy of prenatal care use according to both indexes. High parity and maternal age of 35 years or more were also associated with inadequacy, whereas primiparity, morbidity, and young maternal age ( OBJETIVO: Identificar fatores associados à inadequação do uso da assistência pré-natal em comunidade urbana. MÉTODOS: Foi realizado estudo transversal em amostra sistemática, estratificada por maternidades, de todos os nascimentos hospitalares do município de São Luís, MA, no período de março de 1997 a fevereiro de 1998. Foram avaliados indicadores socioeconômicos e demográficos, de saúde reprodutiva, morbidade na gravidez e utilização de serviços pré-natais. Utilizou-se questionário padronizado respondido pelas puérperas antes da alta hospitalar. A adequação do uso da assistência pré-natal foi analisada pelo índice "Adequacy of Prenatal Care Utilization" (APNCU) e por um novo índice proposto, baseado nas recomendações do Ministério da Saúde, Brasil. RESULTADOS: Foram entrevistadas 2.831 puérperas, atendidas em dez unidades de saúde pública e privada. A inadequação do uso da assistência pré-natal foi de 49,2% pelo índice APNCU, e de 24,5% pelo novo índice proposto. Mulheres atendidas em serviços públicos de saúde, de baixa escolaridade e baixa renda familiar, sem companheiro ou com doença durante a gravidez, tiveram maiores percentuais de inadequação do uso do atendimento pré-natal, pelos dois índices analisados. Pelo novo índice proposto, maiores percentuais de inadequação foram associados à alta paridade e idade materna, enquanto baixa idade materna (Universidade de São Paulo. Faculdade de Saúde Pública2003-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3161510.1590/S0034-89102003000400010Revista de Saúde Pública; Vol. 37 No. 4 (2003); 456-462 Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 456-462 Revista de Saúde Pública; v. 37 n. 4 (2003); 456-462 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31615/33501Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCoimbra, Liberata CSilva, Antônio A MMochel, Elba GAlves, Maria T S S BRibeiro, Valdinar SAragão, Vânia M FBettiol, Heloisa2012-07-08T14:56:32Zoai:revistas.usp.br:article/31615Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:56:32Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with inadequacy of prenatal care utilization Fatores associados à inadequação do uso da assistência pré-natal |
title |
Factors associated with inadequacy of prenatal care utilization |
spellingShingle |
Factors associated with inadequacy of prenatal care utilization Coimbra, Liberata C Cuidado pré-natal^i1^sestatíst Serviços de saúde materna Cobertura de serviços de saúde Qualidade dos cuidados de saúde Fatores socioeconômicos Fatores de risco Estudos transversais Eqüidade Prenatal care^i2^sstatist Maternal health services Health services coverage Quality of health care Socioeconomic factors Risk factors Cross-sectional studies Equity |
title_short |
Factors associated with inadequacy of prenatal care utilization |
title_full |
Factors associated with inadequacy of prenatal care utilization |
title_fullStr |
Factors associated with inadequacy of prenatal care utilization |
title_full_unstemmed |
Factors associated with inadequacy of prenatal care utilization |
title_sort |
Factors associated with inadequacy of prenatal care utilization |
author |
Coimbra, Liberata C |
author_facet |
Coimbra, Liberata C Silva, Antônio A M Mochel, Elba G Alves, Maria T S S B Ribeiro, Valdinar S Aragão, Vânia M F Bettiol, Heloisa |
author_role |
author |
author2 |
Silva, Antônio A M Mochel, Elba G Alves, Maria T S S B Ribeiro, Valdinar S Aragão, Vânia M F Bettiol, Heloisa |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Coimbra, Liberata C Silva, Antônio A M Mochel, Elba G Alves, Maria T S S B Ribeiro, Valdinar S Aragão, Vânia M F Bettiol, Heloisa |
dc.subject.por.fl_str_mv |
Cuidado pré-natal^i1^sestatíst Serviços de saúde materna Cobertura de serviços de saúde Qualidade dos cuidados de saúde Fatores socioeconômicos Fatores de risco Estudos transversais Eqüidade Prenatal care^i2^sstatist Maternal health services Health services coverage Quality of health care Socioeconomic factors Risk factors Cross-sectional studies Equity |
topic |
Cuidado pré-natal^i1^sestatíst Serviços de saúde materna Cobertura de serviços de saúde Qualidade dos cuidados de saúde Fatores socioeconômicos Fatores de risco Estudos transversais Eqüidade Prenatal care^i2^sstatist Maternal health services Health services coverage Quality of health care Socioeconomic factors Risk factors Cross-sectional studies Equity |
description |
OBJECTIVE: To identify factors associated with inadequacy of prenatal care utilization in urban community. METHODS: A cross-sectional study of a systematic sample stratified by maternity hospital, consisting of hospital births in the municipality of São Luís, Brazil, was carried out from March 1997 to February 1998. Socioeconomic and demographic factors, reproductive health, morbidity during pregnancy, and utilization of prenatal care services were studied. Mothers answered a standardized questionnaire before hospital discharge. The adequacy of prenatal care utilization was analyzed by means of two indexes: APNCU (Adequacy of Prenatal Care Utilization) and a new index based on the recommendations of the Brazilian Ministry of Health. RESULTS: There were interviewed 2,831 women who delivered at 10 public and private maternity hospitals. The inadequacy of prenatal care utilization was 49.2% according to the APNCU index and 24.5% when determined by the Brazilian index. Prenatal care at public services, low maternal schooling, low income, having no partner, and absence of maternal diseases during pregnancy were associated with inadequacy of prenatal care use according to both indexes. High parity and maternal age of 35 years or more were also associated with inadequacy, whereas primiparity, morbidity, and young maternal age ( |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-08-01 |
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://www.revistas.usp.br/rsp/article/view/31615 10.1590/S0034-89102003000400010 |
url |
https://www.revistas.usp.br/rsp/article/view/31615 |
identifier_str_mv |
10.1590/S0034-89102003000400010 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31615/33501 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 37 No. 4 (2003); 456-462 Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 456-462 Revista de Saúde Pública; v. 37 n. 4 (2003); 456-462 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221781335736320 |