Maternal-child health: a critical view on determinants and care programs
Autor(a) principal: | |
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Data de Publicação: | 1983 |
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/23167 |
Resumo: | The social determinants of maternal-child health in American countries are discussed on the basis of the analysis of several papers and official recommendation. Many of these studies do not place due emphasis on social factors. Indeed, social factors are frequently put on the same level as biological ones. Therefore, the resulting understanding is distorted. Conclusions and recommendations from such studies should be accepted with some caution since they do not get to the root of the problems. Different social variables (like mother's education or medical care) are often associated with biological ones (like birth weight or nutritional status). However, this cannot be taken to establish a cause-effect relationship among those variables, but only the simultaneous occurrence of the characteristic features of social class. The authors maintain that different social classes be recognized and compared since such a comparison can better explain the results in this field. The necessity of new research which takes into account the social factors as more important than the biological ones is stressed. These would probably establish the social importance of the maternal-child health issue and avoid the recent purely technical guidelines and recommendations. |
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Maternal-child health: a critical view on determinants and care programs Saúde materno-infantil: visão crítica dos determinantes e dos programas assistenciais Saúde materno-infantil^i1^saspectos sociServiços de saúde materno-infantilProgramas de saúde^i1^savaliaMaternal health servicesChild health servicesHealth program^i2^sevaluat The social determinants of maternal-child health in American countries are discussed on the basis of the analysis of several papers and official recommendation. Many of these studies do not place due emphasis on social factors. Indeed, social factors are frequently put on the same level as biological ones. Therefore, the resulting understanding is distorted. Conclusions and recommendations from such studies should be accepted with some caution since they do not get to the root of the problems. Different social variables (like mother's education or medical care) are often associated with biological ones (like birth weight or nutritional status). However, this cannot be taken to establish a cause-effect relationship among those variables, but only the simultaneous occurrence of the characteristic features of social class. The authors maintain that different social classes be recognized and compared since such a comparison can better explain the results in this field. The necessity of new research which takes into account the social factors as more important than the biological ones is stressed. These would probably establish the social importance of the maternal-child health issue and avoid the recent purely technical guidelines and recommendations. Discute-se a determinação social da saúde materno-infantil nas Américas, a partir de inúmeras publicações e recomendações oficiais. Observou-se que nem todos os estudos valorizam apropriadamente as variáveis sociais e que muitos deles as consideram no mesmo nível de importância das variáveis biológicas. Como conseqüência, a compreensão final dos achados fica prejudicada e as conclusões e recomendações extraídas ficam longe de tocar a raiz dos problemas. Diferentes variáveis sociais (como escolaridade materna ou assistência médica) encontram-se freqüentemente associadas com variáveis biológicas (como peso ao nascer ou estado nutricional). Esta associação, no entanto, pode não representar uma relação causai, mas tão somente a ocorrência simultânea de características pertencentes a uma única classe social. Reitera-se a necessidade de estudos que reconheçam as classes sociais e analisem os resultados sobre saúde materno-infantil em relação às mesmas. Estes estudos provavelmente evidenciarão a importância social da saúde materno-infantil e evitarão as habituais diretrizes e recomendações restritas ao plano puramente técnico. Universidade de São Paulo. Faculdade de Saúde Pública1983-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2316710.1590/S0034-89101983000300003Revista de Saúde Pública; Vol. 17 No. 3 (1983); 208-220 Revista de Saúde Pública; Vol. 17 Núm. 3 (1983); 208-220 Revista de Saúde Pública; v. 17 n. 3 (1983); 208-220 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/23167/25193Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessOliveira, Luiz Roberto deRizzato, Águeda Beatriz PiresMagaldi, Cecília2012-05-28T15:07:05Zoai:revistas.usp.br:article/23167Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-28T15:07:05Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Maternal-child health: a critical view on determinants and care programs Saúde materno-infantil: visão crítica dos determinantes e dos programas assistenciais |
title |
Maternal-child health: a critical view on determinants and care programs |
spellingShingle |
Maternal-child health: a critical view on determinants and care programs Oliveira, Luiz Roberto de Saúde materno-infantil^i1^saspectos soci Serviços de saúde materno-infantil Programas de saúde^i1^savalia Maternal health services Child health services Health program^i2^sevaluat |
title_short |
Maternal-child health: a critical view on determinants and care programs |
title_full |
Maternal-child health: a critical view on determinants and care programs |
title_fullStr |
Maternal-child health: a critical view on determinants and care programs |
title_full_unstemmed |
Maternal-child health: a critical view on determinants and care programs |
title_sort |
Maternal-child health: a critical view on determinants and care programs |
author |
Oliveira, Luiz Roberto de |
author_facet |
Oliveira, Luiz Roberto de Rizzato, Águeda Beatriz Pires Magaldi, Cecília |
author_role |
author |
author2 |
Rizzato, Águeda Beatriz Pires Magaldi, Cecília |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Oliveira, Luiz Roberto de Rizzato, Águeda Beatriz Pires Magaldi, Cecília |
dc.subject.por.fl_str_mv |
Saúde materno-infantil^i1^saspectos soci Serviços de saúde materno-infantil Programas de saúde^i1^savalia Maternal health services Child health services Health program^i2^sevaluat |
topic |
Saúde materno-infantil^i1^saspectos soci Serviços de saúde materno-infantil Programas de saúde^i1^savalia Maternal health services Child health services Health program^i2^sevaluat |
description |
The social determinants of maternal-child health in American countries are discussed on the basis of the analysis of several papers and official recommendation. Many of these studies do not place due emphasis on social factors. Indeed, social factors are frequently put on the same level as biological ones. Therefore, the resulting understanding is distorted. Conclusions and recommendations from such studies should be accepted with some caution since they do not get to the root of the problems. Different social variables (like mother's education or medical care) are often associated with biological ones (like birth weight or nutritional status). However, this cannot be taken to establish a cause-effect relationship among those variables, but only the simultaneous occurrence of the characteristic features of social class. The authors maintain that different social classes be recognized and compared since such a comparison can better explain the results in this field. The necessity of new research which takes into account the social factors as more important than the biological ones is stressed. These would probably establish the social importance of the maternal-child health issue and avoid the recent purely technical guidelines and recommendations. |
publishDate |
1983 |
dc.date.none.fl_str_mv |
1983-06-01 |
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/23167 10.1590/S0034-89101983000300003 |
url |
https://www.revistas.usp.br/rsp/article/view/23167 |
identifier_str_mv |
10.1590/S0034-89101983000300003 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23167/25193 |
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. 17 No. 3 (1983); 208-220 Revista de Saúde Pública; Vol. 17 Núm. 3 (1983); 208-220 Revista de Saúde Pública; v. 17 n. 3 (1983); 208-220 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_ |
1800221771727634432 |