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Homoparenting as a public health issue: a scoping review. 同性恋作为一个公共卫生问题:范围界定综述。
IF 2.1 4区 医学
Revista de saude publica Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057005447
Romeu Gomes, Tereza Setsuko Toma, Jessica De Lucca Da Silva, Fernando Meirinho Domene, Adriano da Silva
{"title":"Homoparenting as a public health issue: a scoping review.","authors":"Romeu Gomes, Tereza Setsuko Toma, Jessica De Lucca Da Silva, Fernando Meirinho Domene, Adriano da Silva","doi":"10.11606/s1518-8787.2023057005447","DOIUrl":"10.11606/s1518-8787.2023057005447","url":null,"abstract":"<p><strong>Objective: </strong>To map global scientific production on homoparenting in the field of collective health or public health.</p><p><strong>Methods: </strong>In terms of methodological procedures, a scoping review was carried out, guided by the following question: What are the aspects addressed in global scientific production regarding homoparental families in the field of collective or public health? The searches were carried out in seven sources of scientific literature, including 58 studies, involving scientific articles and dissertations. The analytical treatment given to the studies, most of which were qualitative, followed the content analysis technique in the thematic modality.</p><p><strong>Results: </strong>The results indicate that the perceptions of homosexuals and professionals about the care provided and health services in general was the topic addressed by the largest number of studies (n = 31), followed by heteronormative context of health services (n = 26); disclosure of sexual orientation (n = 20); fertilization (n = 14); educational information and actions (n = 5).</p><p><strong>Conclusion: </strong>Although the issue of same-sex parenthood has been discussed in some health sectors, there is awareness that it is necessary to rely on a consolidated basis through numerous studies when discussing this issue. It is concluded that, among other aspects, the scope of this review is not sufficiently problematized within the scope of health professionals' training and performance.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"80"},"PeriodicalIF":2.1,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10609659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital syphilis: performance of primary care services in São Paulo, 2017. 先天性梅毒:2017年圣保罗初级保健服务的表现。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004965
Caroline Eliane Couto, Elen Rose Lodeiro Castanheira, Patrícia Rodrigues Sanine, Carolina Siqueira Mendonça, Luceime Olívia Nunes, Thais Fernanda Tortorelli Zarili, Adriano Dias
{"title":"Congenital syphilis: performance of primary care services in São Paulo, 2017.","authors":"Caroline Eliane Couto, Elen Rose Lodeiro Castanheira, Patrícia Rodrigues Sanine, Carolina Siqueira Mendonça, Luceime Olívia Nunes, Thais Fernanda Tortorelli Zarili, Adriano Dias","doi":"10.11606/s1518-8787.2023057004965","DOIUrl":"10.11606/s1518-8787.2023057004965","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate congenital syphilis prevention actions in primary health care services in the state of São Paulo.</p><p><strong>Methods: </strong>Cross-sectional evaluative research that used indicators extracted from the Survey of Evaluation and Monitoring of Primary Care Services ( Avaliação e Monitoramento de Serviços da Atenção Básica - QualiAB) in the state of São Paulo in 2017. An evaluative matrix composed of 31 indicators of prevention of congenital syphilis, categorized into four domains of analysis: diagnosis and treatment of acquired syphilis (10); basic infrastructure and resources (7); prevention of congenital syphilis during prenatal care (7); and educational actions and prevention of sexually transmitted infections (7). The frequency of services with positive responses for each indicator and the percentage of service performance were calculated based on the proportion of indicators reported per service and the overall average observed. Subsequently, services were classified into four quality groups, and associations between groups and each indicator, type of organizational arrangement and location were estimated.</p><p><strong>Results: </strong>2,565 services participated, located in 503 municipalities, with an overall average performance of 74.9%. The domain \"diagnosis and treatment of acquired syphilis\" had the highest performance (89.8%), followed by \"infrastructure and basic resources\" (79.5%), \"prevention of congenital syphilis in prenatal care\" (73.3%) and \"educational actions and prevention of sexually transmitted infections\" (56.8%). There was a significant difference between quality groups and all indicators and types of organizational arrangements.</p><p><strong>Conclusions: </strong>The evaluated services have limitations in the development of actions to prevent congenital syphilis, mainly related to health education and actions included in prenatal care, such as screening and adequate treatment of pregnant women and their partners. Changes are needed in the work process, with the expansion of educational and surveillance actions, as well as the qualification of the teams to effectively comply with the protocols.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"78"},"PeriodicalIF":2.8,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10609639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil. 巴西糖尿病的诊断、治疗和控制意识。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057005167
Luís Antônio Batista Tonaco, Gustavo Velasquez-Melendez, Alexandra Dias Moreira, Flávia Cristina Drumond Andrade, Deborah Carvalho Malta, Mariana Santos Felisbino-Mendes
{"title":"Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil.","authors":"Luís Antônio Batista Tonaco, Gustavo Velasquez-Melendez, Alexandra Dias Moreira, Flávia Cristina Drumond Andrade, Deborah Carvalho Malta, Mariana Santos Felisbino-Mendes","doi":"10.11606/s1518-8787.2023057005167","DOIUrl":"10.11606/s1518-8787.2023057005167","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population.</p><p><strong>Method: </strong>This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 2014/2015). Outcomes were defined based on glycated hemoglobin (HbA1c) measurements, self-reported DM diagnosis, and use of hypoglycemic agents or insulin. The proportion of DM awareness, treatment, and control was estimated according to sociodemographic characteristics, health conditions, and access to health services, and their respective 95% confidence intervals.</p><p><strong>Results: </strong>DM prevalence in the Brazilian population was of 8.6% (95%CI: 7.8-9.3): 68.2% (95%CI: 63.9-72.3) were aware of their diagnosis, 92.2% (95%CI: 88.6-94.7) of those who were aware were undergoing drug treatments, and, of these, 35.8% (95%CI: 30.5-41.6) had controlled HbA1c levels. The proportions of DM awareness, control, and treatment were lower in men aged 18 to 39 years, individuals with low education, without health insurance, and beneficiaries of the Bolsa Família program.</p><p><strong>Conclusion: </strong>Approximately one in ten Brazilians has DM. A little more than half of this population is aware of their diagnosis, a condition measured by HbA1c dosage and clinical diagnosis. Among those who know, the vast majority are undergoing drug treatments. However, less than half of these have their HbA1c levels controlled. Worse scenarios were found in subgroups with high social vulnerability.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"75"},"PeriodicalIF":2.8,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10609647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Folic acid supplementation during pregnancy and postpartum depressive symptoms. 孕期补充叶酸和产后抑郁症状。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004962
Bárbara Heather Lutz, Iná da Silva Dos Santos, Marlos Rodrigues Domingues, Joseph Murray, Mariângela Freitas da Silveira, Vanessa Irribarem Avena Miranda, Marysabel Pinto Telis Silveira, Sotero Serrate Mengue, Tatiane da Silva Dal Pizzol, Andréa Dâmaso Bertoldi
{"title":"Folic acid supplementation during pregnancy and postpartum depressive symptoms.","authors":"Bárbara Heather Lutz, Iná da Silva Dos Santos, Marlos Rodrigues Domingues, Joseph Murray, Mariângela Freitas da Silveira, Vanessa Irribarem Avena Miranda, Marysabel Pinto Telis Silveira, Sotero Serrate Mengue, Tatiane da Silva Dal Pizzol, Andréa Dâmaso Bertoldi","doi":"10.11606/s1518-8787.2023057004962","DOIUrl":"10.11606/s1518-8787.2023057004962","url":null,"abstract":"<p><strong>Objective: </strong>To verify whether folic acid supplementation during pregnancy is associated with the occurrence of maternal depressive symptoms at three months postpartum, in the 2015 Pelotas Birth Cohort.</p><p><strong>Methods: </strong>This study included 4,046 women, who were classified into three groups: did not use folic acid supplementation during pregnancy; used during only one trimester of pregnancy; and used for two or three trimesters. Depressive symptoms were assessed at three months postpartum using the Edinburgh Postnatal Depression Scale (EPDS), at cutoff points ≥ 10 (mild symptoms) and ≥ 13 (moderate to severe intensity).</p><p><strong>Results: </strong>The overall prevalence of mild symptoms was of 20.2% (95%CI 19.0-21.5), and moderate and severe was 11% (95%CI 10.0-12.0). The prevalence of EPDS ≥ 10 was of 26.8% (95%CI 24.0-29.5) among women who did not use folic acid and 18.1% for both those who used it during one trimester of pregnancy (95%CI 16.1-20.1) and those who used it for two or three trimesters (95%CI 16.0-20.2). The prevalence of EPDS ≥ 13 was of 15.7% (95%CI 13.5-17.9) in those who did not use folic acid, 9.1% (95%CI 7.5-10.6) in those who used it for one trimester, and 9.4% (95%CI 7.8-11.0) in those who used it for two or three trimesters. In the adjusted analyses, there was no statistically significant association between the use of folic acid during pregnancy and the occurrence of depressive symptoms at three months postpartum.</p><p><strong>Conclusion: </strong>There was no association between folic acid supplementation during pregnancy and postpartum depression at three months.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"76"},"PeriodicalIF":2.8,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10609648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HPV immunization in Brazil and proposals to increase adherence to vaccination campaigns. 巴西的HPV免疫接种和加强疫苗接种运动的建议。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057005410
Wagner Mesojedovas Santos, Debora Mesojedovas Santos, Márcia Santana Fernandes
{"title":"HPV immunization in Brazil and proposals to increase adherence to vaccination campaigns.","authors":"Wagner Mesojedovas Santos, Debora Mesojedovas Santos, Márcia Santana Fernandes","doi":"10.11606/s1518-8787.2023057005410","DOIUrl":"10.11606/s1518-8787.2023057005410","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the possible causes of low adherence to vaccination campaigns in Brazil, find and analyze campaigns regarding human papillomavirus (HPV) in Brazil and abroad, and apply quality tools to prepare proposals to increase vaccination coverage (VC) and prevent HPV in the country.</p><p><strong>Method: </strong>This is a qualitative and deductive-hypothetical research. A narrative review of the literature (especially on the narratives and formats applied in vaccination campaigns in Brazil) was the technique used to develop our method.</p><p><strong>Results: </strong>Brazil had a 49.6% VC in 2019, unlike countries such as Australia (80.2% in 2017), Mexico (97.5% in 2019), and Peru (91% in 2019). This study found evidence of the use of social marketing strategies to engage communities as good practices in the vaccination campaigns of these countries.</p><p><strong>Conclusion: </strong>With the retrieved information, three quality tools (Ishikawa diagram, Pareto graph, and 5W2H) classified and quantified the causes of low VC in Brazil and enabled proposals that can direct its Ministry of Health to take more effective strategies to achieve the HPV VC goal recommended by the WHO.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"79"},"PeriodicalIF":2.8,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10609638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of household availability of regional foods in Amazonas. 亚马逊地区家庭食物供应情况的演变。
IF 2.1 4区 医学
Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004804
Rita de Cássia de Assunção Monteiro, Eliseu Verly Júnior
{"title":"Evolution of household availability of regional foods in Amazonas.","authors":"Rita de Cássia de Assunção Monteiro, Eliseu Verly Júnior","doi":"10.11606/s1518-8787.2023057004804","DOIUrl":"10.11606/s1518-8787.2023057004804","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the evolution of household availability of regional foods in the state of Amazonas, their distribution according to sociodemographic characteristics, and potential differences when compared to the remaining areas of Brazil.</p><p><strong>Methods: </strong>Data on food acquisition for home consumption from the 2002-2003, 2008-2009, and 2017-2018 Pesquisa de Orçamentos Familiares (POFs - Consumer Expenditure Surveys) were analyzed, covering, respectively, 48,470, 55,970, and 57,920 households in Brazil, of which 1,075, 1,344, and 1,833 are in Amazonas. Foods were categorized into three groups: cassava and its derivatives, freshwater fish, and regional fruits. The study analyzed the amount of regional food purchased, expressed in relative household caloric share, for the entire area of Amazonas. Additionally, the data was stratified and analyzed according to sociodemographic variables, with differences assessed through the overlapping of 95% confidence intervals.</p><p><strong>Findings: </strong>The household caloric share of the total regional foods in Amazonas was 22.54% in 2002-2003, 18.18% in 2008-2009, and 6.49% in 2017-2018. Across Brazil, those percentages were much lower in the same period: 3.67%, 3.34%, and 1.82%, respectively. Changes in Amazonas were primarily attributed to the steep drop in the cassava and derivatives group, which decreased from 14.30% in 2002-2003 to 12.74% in 2008-2009 and further declined to 3.09% in 2017-2018. Additionally, there was a gradual decline in household availability of freshwater fish, decreasing from 7.30% in 2002-2003 to 4.85% in 2008-2009 and reaching 2.90% in 2017-2018. Households in rural areas and with lower per capita income presented a higher proportion of calories from total regional foods; this particular stratum also experienced the most significant reductions in their consumption.</p><p><strong>Conclusion: </strong>During the study period, there was a significant decrease in the consumption of regional foods in Amazonas, particularly in lower income households in rural areas. Among them, the family reference person was typically a younger male with a lower educational background.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"69"},"PeriodicalIF":2.1,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50162731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Iron salt supplementation during gestation and gestational diabetes mellitus. 妊娠期补充铁盐和妊娠期糖尿病。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004871
Vanessa Iribarrem Avena Miranda, Tatiane da Silva Dal Pizzol, Marysabel Pinto Telis Silveira, Sotero Serrate Mengue, Mariângela Freitas da Silveira, Bárbara Heather Lutz, Andréa Dâmaso Bertoldi
{"title":"Iron salt supplementation during gestation and gestational diabetes mellitus.","authors":"Vanessa Iribarrem Avena Miranda, Tatiane da Silva Dal Pizzol, Marysabel Pinto Telis Silveira, Sotero Serrate Mengue, Mariângela Freitas da Silveira, Bárbara Heather Lutz, Andréa Dâmaso Bertoldi","doi":"10.11606/s1518-8787.2023057004871","DOIUrl":"10.11606/s1518-8787.2023057004871","url":null,"abstract":"","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"71"},"PeriodicalIF":2.8,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50162736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proadi-SUS: analysis of financial resources in the three-year periods 2009-2011, 2012-2014 and 2015-2017. Proadi SUS:2009-2011年、2012-2014年和2015-2017年三年期财政资源分析。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004385
Julia Amorim Santos, Luciana Palhares, Aquilas Mendes
{"title":"Proadi-SUS: analysis of financial resources in the three-year periods 2009-2011, 2012-2014 and 2015-2017.","authors":"Julia Amorim Santos,&nbsp;Luciana Palhares,&nbsp;Aquilas Mendes","doi":"10.11606/s1518-8787.2023057004385","DOIUrl":"10.11606/s1518-8787.2023057004385","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the tax exemption resources used in the Support Program for Institutional Development of the Unified Health System (Proadi-SUS) in the 3-year periods 2009-2011, 2012-2014, 2015-2017, considering the total volume of resources linked to the debate on tax expenditures on health and the constitution of a \"new form of philanthropy\" in the sector.</p><p><strong>Methods: </strong>To understand the philanthropic sector, tax expenditures between 2001 and 2017 were analyzed. To evaluate the resources used in the program, the values of projects and areas of activity were examined.</p><p><strong>Results: </strong>A real increase in the values of general tax expenses and tax expenses referring to the philanthropic sector was found. There was also a real increase in the program's resources. A total of 407 projects were carried out, amounting to R$ 3.4 billion for the period. An analysis of the average value of the projects shows an increase in values for all hospitals included in the program, with the exception of one of the institutions. In the 2009-2011 and 2012-2014 periods, the area with the highest number of projects and the most resources was \"Management techniques and operation in health services\". In the 3-year period 2015-2017, however, the sector that received the most investments and the largest number of projects developed was \"Human Resources Training\".</p><p><strong>Conclusion: </strong>The program characterizes a different expression of the public-private partnership in the health sector linked to the principles of the new public management. As a development for future investigations, a qualitative characterization of the projects developed and the actions' impact on the public sector demands is necessary.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"61"},"PeriodicalIF":2.8,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50162740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adequacy of prenatal care and associated factors in the State of Rio Grande do Sul, Brazil. 巴西南里奥格兰德州产前护理的充分性及相关因素。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057005146
Aline De Gregori Adami, Leonardo Rapone da Motta, Rosa Dea Sperhacke, Sérgio Kakuta Kato, Gerson Fernando Mendes Pereira, Rosa Maria Rahmi
{"title":"Adequacy of prenatal care and associated factors in the State of Rio Grande do Sul, Brazil.","authors":"Aline De Gregori Adami,&nbsp;Leonardo Rapone da Motta,&nbsp;Rosa Dea Sperhacke,&nbsp;Sérgio Kakuta Kato,&nbsp;Gerson Fernando Mendes Pereira,&nbsp;Rosa Maria Rahmi","doi":"10.11606/s1518-8787.2023057005146","DOIUrl":"10.11606/s1518-8787.2023057005146","url":null,"abstract":"ABSTRACT OBJECTIVE This study aims to assess the degree of adequacy of prenatal care (PNC) in the state of Rio Grande do Sul (RS) and in its 7 macro-regions considering the time of PNC initiation and the number of appointments attended. It also aims to verify the mode of delivery prevalence and the factors associated with PNC adequacy by mode of delivery. METHODS Sub analysis from a cross-sectional study conducted among 13,432 childbearing women aged 15–49 years assisted in 66 maternity hospitals of the Unified Health System (SUS) and private associated facilities from September 2017 to October 2019. A standardized form was used to collect sociodemographic data, and information about PNC and delivery from the childbearing women’s prenatal cards, hospital records, and medical reports. RESULTS The PNC coverage was (98.4%), but only 57.5% of the participants had an adequate PNC defined as the one initiated until the 12th gestational week, with attendance of at least 6 appointments. The cesarean rate was 57.2%. Among women who performed vaginal delivery, multivariate analysis showed that for each 1-year increase in the age of the parturient, the chance of having an adequate PNC increased by 5%. White parturients with higher education and fewer deliveries residing in the macro-region of Valleys were more likely to have an adequate PNC when compared with non-white parturients, who were illiterate and/or had incomplete elementary school, with 3 or more deliveries and who resided in other macro-regions. During pregnancy, 96.0% of the women performed at least one anti-HIV test, 55.8% a rapid test for syphilis, and 75.0% a Venereal Disease Research Laboratory test (VDRL). CONCLUSIONS Despite the almost universal PNC coverage in RS, the PNC offered by the SUS was adequate for just half of the population, therefore public health policies targeted at women receiving care in this setting shall be revisited.","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"57 ","pages":"68"},"PeriodicalIF":2.8,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50162707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case-Finding tool for COPD in LMIC (COLA) - translation and cross-cultural adaptation into Brazilian Portuguese language. LMIC中COPD的病例发现工具(COLA)——翻译和跨文化适应巴西葡萄牙语。
IF 2.8 4区 医学
Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.11606/s1518-8787.2023057004904
Erika Zavaglia Kabbach, Naiara Tais Leonardi, Trishul Siddharthan, Audrey Borghi-Silva, Jaber Saud Alqahtani, John R Hurst, Renata Gonçalves Mendes
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