Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2011;27 Suppl 2:S237-53. doi: 10.1590/s0102-311x2011001400011.
This study investigated the relationship between social capital and social support and the adequate use of prenatal care. A follow-up study involving 1,485 pregnant women was conducted in two cities in the Rio de Janeiro State, Brazil. Demographic and socioeconomic characteristics, social support and social capital data were collected during the first trimester of pregnancy. The post-partum period included information on levels of prenatal care utilization, social networks, parity, obstetric and gestational risk and prenatal care attendance. Hierarchized multinomial logistic regression was used in the statistical analysis. Prenatal care use above adequate levels was associated with high social capital at the city level (aggregated social capital), socioeconomic status and working during pregnancy. Lower non-aggregated contextual and compositional social capital, gestational risk and pattern of prenatal care were associated with inadequate prenatal care utilization. Contextual social capital and social support were found to be social determinants for the appropriate use of prenatal care.
本研究旨在探讨社会资本和社会支持与产前护理充分利用之间的关系。在巴西里约热内卢州的两个城市进行了一项随访研究，共纳入了 1485 名孕妇。在妊娠早期收集了人口统计学和社会经济特征、社会支持和社会资本数据。在产后阶段，收集了产前护理利用水平、社会网络、产次、产科和妊娠风险以及产前护理就诊情况的信息。在统计分析中使用了分层多项逻辑回归。产前护理利用水平高于适当水平与城市层面的高社会资本（聚合社会资本）、社会经济地位和孕期工作相关。较低的非聚合情境和构成性社会资本、妊娠风险以及产前护理模式与产前护理利用不足相关。情境性社会资本和社会支持被认为是产前护理适当利用的社会决定因素。
