巴西极南部青少年妇女的产前护理:覆盖率和相关因素

Q3 Medicine
Juraci Almeida Cesar, Janaína Salomão Saavedra, Luana Patricia Marmitt, Raúl Andrés Mendoza-Sassi
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引用次数: 0

摘要

摘要:目的:评估覆盖率,并确定在里约格兰德州,巴西南部,在为期13年的青春期母亲适当的产前护理相关的因素。方法:于2007年、2010年、2013年、2016年和2019年对全市所有医院级母亲采用单一标准化问卷。结果包括在妊娠早期开始产前护理、进行6次以上医疗访问、完成2次以上艾滋病毒、梅毒和尿液检查的产妇比例。比例采用卡方检验,多变量分析采用泊松回归,效果衡量采用患病率(PR)。结果:在12645名母亲中,2184名(17.3%)为青少年。其中,35.2% (CI95%= 33.2%-37.2%)获得了充分的产前护理,从2007年的13.8%(10.8%-16.7%)到2019年的52.5%(46.8%-58.1%)不等。调整后的分析显示,在年龄较大、受教育程度较高、肤色为白色/棕色、有伴侣、从未堕胎、初产和不吸烟的人群中,获得充分产前护理的概率较高。结论:在研究期间,充分产前护理的覆盖率有了实质性的提高,但仍有很长的路要走。这一覆盖范围的扩大取决于是否能够覆盖年龄较小、受教育程度较低、皮肤黝黑、没有伴侣、已产多胞胎和吸烟的青少年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prenatal care among adolescent women in the extreme South of Brazil: coverage and associated factors
Abstract Objectives: to evaluate coverage and identify factors associated with adequate prenatal care for adolescent mothers in Rio Grande, Southern Brazil, in a period of 13 years. Methods: over the years 2007, 2010, 2013, 2016 and 2019, a single standardized questionnaire was applied to all mothers at hospital level in this municipality. The outcome consisted of the proportion of puerperae women who started prenatal care in the first trimester and performed 6+ medical visits, completed 2+ HIV, syphilis, and urine tests. Chi-square test was used for proportions, Poisson regression in the multivariate analysis and the prevalence ratio (PR) as measure of effect. Results: among the 12,645 identified mothers, 2,184 (17.3%) were adolescents. Of this total, 35.2% (CI95%= 33.2%-37.2%) had received adequate prenatal care, ranging from 13.8% (10.8%-16.7%) in 2007 to 52,5% (46.8%-58.1%) in 2019. The adjusted analysis showed a higher PR for adequate prenatal care among those of older age and better schooling level, white/brown skin color, with a partner, never had an abortion, were primiparous and non-smokers. Conclusion: there was substantial improvement in coverage of adequate prenatal care over the period studied, but there is still a long way to go. The increase in this coverage depends on reaching adolescents who are younger, less educated, black skin color, living without a partner, multiparous and smokers.
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来源期刊
Revista Brasileira de Saude Materno Infantil
Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology
CiteScore
1.00
自引率
0.00%
发文量
24
审稿时长
12 weeks
期刊介绍: The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.
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