ArticleBMC pregnancy and childbirth2014
Inadequate prenatal care utilization and associated factors in São Luís, Brazil.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Spatial clustering and determinants of zero-utilization of antenatal care among pregnant women in Ethiopia.Scientific reports · 2025Article
- Impact of peer interaction on maternal health service utilization in rural northwest China.Frontiers in public health · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Timely initiation of first antenatal care visit and associated factors among pregnant women in the Amhara Region, North-west Ethiopia: a comparative cross-sectional study.The Pan African medical journal · 2023Article
- Ineffective penicillin treatment and absence of partner treatment may drive the congenital syphilis epidemic in Brazil.AJOG global reports · 2022Article
- Evolution of care during pregnancy and childbirth in the extreme south of Brazil.Revista de saude publica · 2021Article
- Article
- Prenatal evaluation in primary care in Northeast Brazil: factors associated with its adequacy.Revista de saude publica · 2019Article
- Prenatal care in Southern Brazil: coverage, trend and disparities.Revista de saude publica · 2019Article
- Changes in inequality of childhood morbidity in Bangladesh 1993-2014: A decomposition analysis.PloS one · 2019Article
- Prediction of Adequate Prenatal Care Utilization Based on the Extended Parallel Process Model.International journal of community based nursing and midwifery · 2017Article
- Association between maternal social deprivation and prenatal care utilization: the PreCARE cohort study.BMC pregnancy and childbirth · 2017Article
- Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil.International journal for equity in health · 2017Article
- Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012.Reproductive health · 2016Article
- Fetal Deaths in Brazil: Historical Series Descriptive Analysis 1996-2012.Maternal and child health journal · 2016Article
- Prenatal care and childbirth assistance in Amazonian women before and after the Pacific Highway Construction (2003-2011): a cross-sectional study.BMC women's health · 2016Article
- Inadequate prenatal care use among Canadian mothers: findings from the Maternity Experiences Survey.Journal of perinatology : official journal of the California Perinatal Association · 2016Article
- Examining inequalities in uptake of maternal health care and choice of provider in underserved urban areas of Mumbai, India: a mixed methods study.BMC pregnancy and childbirth · 2015Article
- Under-utilization of antenatal care services in Timor-Leste: results from Demographic and Health Survey 2009-2010.BMC pregnancy and childbirth · 2015Article
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9 authors.
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Abstract
backgroundOver the last decades there has been a reduction of social inequalities in Brazil, as well as a strong expansion of health services, including prenatal care. The objective of the present study was to estimate the rate of inadequate prenatal care utilization and its associated factors in São Luís, Brazil, in 2010 and to determine whether there was a reduction of inequity in prenatal care use by comparing the present data to those obtained from a previous cohort started in 1997/98.
methodsData from the BRISA (Brazilian birth cohort studies of Ribeirão Preto and São Luís) population-based cohort, which started in 2010 (5067 women), were used. The outcome variable was the inadequate utilization of prenatal care, classified according to the recommendations of the Brazilian Ministry of Health. The explanatory variables were organized into three hierarchical levels based on the Andersen's behavioral model of the use of health services: predisposing, enabling and need factors.
resultsOnly 2.0% of the women did not attend at least one prenatal care visit. The rate of inadequate prenatal care utilization was 36.7%. Despite an improved adequacy of prenatal care use from 47.3% in 1997/98 to 58.2% in 2010, social inequality persisted: both low maternal schooling (prevalence ratio (PR) = 2.78; 95% confidence interval (95% CI) 2.23-3.47 for 0 to 4 years of study) and low family income, less than 0.5 monthly minimum wage per capita (PR = 1.37; 95% CI 1.22-1. 54), continued to be associated with higher rates of inadequate prenatal care utilization. Racial disparity regarding adequate utilization of prenatal services was detected, with black (PR = 1.19; 95% CI 1.04-1.36) and mulatto (PR = 1.14; 95% CI 1.02-1.26) women showing higher rates of inadequate use. On the other hand, women covered by the FHP - Family Health Program (PR = 0.92; 95% CI 0.85-0.98) showed a lower rate of inadequate prenatal care utilization.
conclusionsDespite strong expansion of health services and expressive improvements in adequate prenatal care use and social indicators, inequalities in prenatal care use still persist. The FHP seems to be effective in reducing inadequate prenatal care utilization.
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