[脆弱的权利和深化的不平等:COVID-19社会卫生危机中孕妇和产后妇女的卫生保健]。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-05-17 DOI:10.1590/1413-81232025308.04202024
Claudia Bonan, Greice Menezes, Maria da Conceição Chagas de Almeida, Vânia de Matos Fonseca, Andreza Pereira Rodrigues, Ana Paula Dos Reis, Cecília Mccallum, Nanda Isele Gallas Duarte, Saint Clair Dos Santos Gomes Junior
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引用次数: 0

摘要

2019冠状病毒病大流行对妇女的影响严重。在性健康和生殖健康方面,它导致黑人妇女产妇死亡率上升。本研究旨在分析大流行期间孕妇和产后妇女的护理可及性和质量。它涉及一项在线调查,调查对象是在大流行期间分娩的324名妇女。采用logistic回归的双变量和多变量分析调查了社会人口因素与生殖结果之间的关系。产前护理不足与低学历(3.0;1.5-5.5)和抑郁(2.2;1.2-4.0)相关;出生≥3个孩子的住院困难(1.6;1.0-2.8);产后咨询困难为黑色(2.9;1.5-5.6),在SUS分娩困难(2.8;1.4-5.7)。在SUS中,缺乏COVID-19专业指导与非异性取向(2.5;1.0-5.9)和产前护理(1.7;1.0-2.8)相关;关于母乳喂养是黑人(2.3;1.3-3.9),≥3个孩子(1.8;1.2-2.7)和产前护理的信息不足(3.8;2.2-6.5)。在线调查限制了互联网接入差的人的参与,尽管有可能确定社会健康危机如何影响处于弱势地位的妇女的生殖权利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Fragile rights and deepened inequalities: health care for pregnant and postpartum women in the COVID-19 socio-health crisis].

The impact of the COVID-19 pandemic on women was severe. In sexual and reproductive health, it led to an increase in maternal deaths among black women. This study sought to analyze access and quality of care for pregnant and postpartum women during the pandemic. It involved an online survey, with 324 women who gave birth during the pandemic. Bivariate and multivariate analyses with logistic regression investigated the association between sociodemographic factors and reproductive outcomes. Inadequate prenatal care was associated with lower education (3.0; 1.5-5.5) and depression (2.2; 1.2-4.0); difficulty in hospitalization for the birth with ≥3 children (1.6; 1.0-2.8); difficulty in postpartum consultation being black (2.9; 1.5-5.6) and giving birth in the SUS (2.8; 1.4-5.7). Lack of professional guidance on COVID-19 was associated with non-heterosexual orientation (2.5; 1.0-5.9) and prenatal care in the SUS (1.7; 1.0-2.8); inadequate information about breastfeeding being black (2.3; 1.3-3.9), ≥3 children (1.8; 1.2-2.7) and prenatal care in the SUS (3.8; 2.2-6.5). Online surveys limit the participation of people with poor internet access, though it was possible to identify how the socio-health crisis affected women's reproductive rights in a situation of vulnerability.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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