Evidence map›Paper›PMID 38855020›Full record

ArticleJournal of multidisciplinary healthcare2024

Racial Disparities in Medication Use During Pregnancy: Results from the NISAMI Cohort.

Caroline Tianeze de Castro, Lisiane Freitas Leal, Dandara de Oliveira Ramos, Jerusa da Mota Santana, Rosa Cândida Cordeiro, Maria da Conceição Costa Rivemales, Edna Maria de Araújo, Carlos Alberto Lima da Silva, Marcos Pereira, Djanilson Barbosa Dos Santos

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Caroline Tianeze de CastroInstitute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.ORCID 0000-0002-9445-8842
Lisiane Freitas LealCentre Hospitalier Universitaire Sainte-Justine Centre de Recherche, Montreal, Quebec, Canada.
Dandara de Oliveira RamosInstitute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
Jerusa da Mota SantanaCenter for Health Sciences, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil.
Rosa Cândida CordeiroCenter for Health Sciences, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil.
Maria da Conceição Costa RivemalesCenter for Health Sciences, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil.
Edna Maria de AraújoState University of Feira de Santana, Feira de Santana, Bahia, Brazil.
Carlos Alberto Lima da SilvaState University of Feira de Santana, Feira de Santana, Bahia, Brazil.
Marcos PereiraInstitute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
Djanilson Barbosa Dos SantosCenter for Health Sciences, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate racial disparities in medication use and associated factors among pregnant women receiving prenatal care at Brazilian Unified Health System primary care health units in the northeast region. Patients and Methods: A total of 1058 pregnant women in the NISAMI Cohort were interviewed between June 2012 and February 2014. Medicines used during pregnancy were classified according to the Anatomical Therapeutic Chemical (ATC) classification system and ANVISA pregnancy risk categories. Prevalence ratios (crude and adjusted) and 95% confidence intervals (CIs) were estimated using Poisson regression with robust error variance. All analyses were stratified by race (Asian, black, brown/mixed, Brazilian indigenous, and white). Results: Approximately 84% of the pregnant women used at least one medication, with a lower proportion among white women. The most reported medications were antianemic preparations (71.08%; 95% CI 68.27-73.72%), analgesics (21.74%; 95% CI 19.36-24.32%), and drugs for functional gastrointestinal disorders (18.81%; 95% CI 16.57-21.28%). Approximately 29% of women took potentially risky medications during pregnancy, with a higher prevalence among Asian and white women. Factors associated with medication use during pregnancy include a greater number of prenatal consultations, higher education levels, health problems, and smoking. In addition, maternal age above 25 years, smoking status, and two or more previous pregnancies were associated with potentially risky medication use during pregnancy. Conclusion: A high prevalence of medication use during pregnancy was found; however, this prevalence was lower among white women. Nonetheless, black and brown women used antianemic preparations less frequently. This finding suggests that race is a factor of inequity in prenatal care, demanding public policies to mitigate it.

Indexed as

cohort studiesdrug utilizationpharmacoepidemiologypregnancyracial groups

Identifiers

PMID38855020
PMCPMC11162620

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.