Factors associated with inadequacy of prenatal care utilization

Detalhes bibliográficos
Autor(a) principal: Coimbra, Liberata C
Data de Publicação: 2003
Outros Autores: Silva, Antônio A M, Mochel, Elba G, Alves, Maria T S S B, Ribeiro, Valdinar S, Aragão, Vânia M F, Bettiol, Heloisa
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 (
id USP-23_7643a0229a377141784f6349e8273b7f
oai_identifier_str oai:revistas.usp.br:article/31615
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling 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
_version_ 1800221781335736320

Registros relacionados