Gama Silvana Granado Nogueira da, Szwarcwald Célia Landmann, Sabroza Adriane Reis, Castelo Branco Viviane, Leal Maria do Carmo
Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Cad Saude Publica. 2004;20 Suppl 1:S101-11. doi: 10.1590/s0102-311x2004000700011. Epub 2004 May 20.
This study characterizes the women receiving precarious prenatal care according to socio-demographic variables, mother's reproductive history, family support, satisfaction with pregnancy, and risk behavior during pregnancy. A total of 1,967 adolescents were interviewed in the immediate post-partum in public and outsourced maternity hospitals in the City of Rio de Janeiro. The dependent variable was the number of prenatal appointments (0-3; 4-6; 7 or more). The statistical analysis aimed to test the hypothesis of homogeneity of proportions, including bi- and multivariate analysis, using multinomial logistic regression, in which the reference category for the response variable was 7 or more prenatal visits. Higher (and statistically significant) proportions of insufficient number of prenatal visits (0-3) were associated with: precarious sanitation conditions; not living with the child's father; attempted abortion; and smoking, drinking, and/or drug use during pregnancy. The results strongly indicate that mothers with worse living conditions and risk behavior during pregnancy were the same who lacked access to prenatal care.
本研究根据社会人口统计学变量、母亲的生育史、家庭支持、对怀孕的满意度以及孕期风险行为，对接受不稳定产前护理的女性进行了特征描述。在里约热内卢市的公立和外包妇产医院，共对1967名青少年进行了产后即时访谈。因变量是产前检查次数（0 - 3次；4 - 6次；7次或更多）。统计分析旨在检验比例同质性假设，包括双变量和多变量分析，采用多项逻辑回归，其中响应变量的参考类别是7次或更多次产前检查。产前检查次数不足（0 - 3次）比例较高（且具有统计学意义）与以下因素相关：卫生条件差；未与孩子父亲同住；曾尝试堕胎；以及孕期吸烟、饮酒和/或吸毒。结果有力地表明，生活条件较差且孕期有风险行为的母亲正是那些无法获得产前护理的母亲。
