Ciências Biológicas, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
J Pediatr (Rio J). 2010 Jan-Feb;86(1):80-4. doi: 10.2223/JPED.1966.
Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families.
Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritional intervention. The study began in the Brazilian Unified Health System (Sistema Unico de Saúde, SUS) of the maternity hospital in the city of São Leopoldo, state of Rio Grande do Sul, Brazil. Children were examined regarding child care follow-up and vaccination schedule by checking the immunization chart. Data were analyzed using statistical tests Pearson's chi square and prevalence ratio (PR) with respective 95% confidence interval.
The frequency of children who were not continuously taken to the child care service was 53.2%. Multivariate analysis suggests that the factors associated with the lack of continuous use of the service were: mother's educational level <or= 8 years (PR 1.32 95%CI 1.02-1.71), non-nuclear family structure (PR 1.32 95%CI 1.10-1.59) and not being an only child (PR 1.38 95%CI 1.10-1.72). The reasons for lack of follow-up, according to the mothers were: the fact that they thought it unnecessary for 66.2%, problems with the service for 21.7%, difficulties related to their jobs for 6.05%, and other reasons for 6.05%.
The high frequency of children who were not taken to the child health care service for follow-up is associated with low maternal educational level and family structure, as well as the perception that follow-up visits are not necessary when the child does not have a disease.
评估与低收入家庭使用儿童保育服务频率相关的产妇社会人口学因素。
对 393 名 12 至 16 个月大的儿童进行横断面分析，这些儿童在其生命的第一年参加了一项营养干预随机现场试验，该研究始于巴西圣莱奥波尔多市的巴西统一卫生系统（Sistema Unico de Saúde，SUS）的妇产医院。通过检查免疫图表，对儿童的儿童保健随访和疫苗接种计划进行检查。使用统计检验皮尔逊卡方检验和患病率比（PR）及其 95%置信区间分析数据。
未连续前往儿童保育服务的儿童频率为 53.2%。多变量分析表明，与连续使用该服务缺乏相关的因素包括：母亲的教育水平<=8 年（PR 1.32 95%CI 1.02-1.71）、非核心家庭结构（PR 1.32 95%CI 1.10-1.59）和不是独生子（PR 1.38 95%CI 1.10-1.72）。根据母亲的说法，缺乏随访的原因是：她们认为这是不必要的占 66.2%、服务问题占 21.7%、与工作相关的困难占 6.05%、其他原因占 6.05%。
未带孩子去儿童保健服务进行随访的儿童比例较高，这与母亲教育水平和家庭结构较低以及当孩子没有疾病时认为随访访问不是必要的观点有关。
