Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil.
Center of Health Sciences, Universidade Federal do Recôncavo da Bahia, Santo Antônio de Jesus 44574-490, BA, Brazil.
Int J Environ Res Public Health. 2022 Apr 28;19(9):5345. doi: 10.3390/ijerph19095345.
This study aimed to assess the impact of the Bolsa Familia Program on perinatal outcomes of pregnant women. A cohort study was conducted with pregnant women supported by prenatal services at 17 Family Health Units in Bahia, Brazil. A previously tested structured questionnaire, which has sociodemographic, economic, prenatal care, lifestyle, and nutritional variables, has been used to collect data. The outcomes included premature birth and low birth weight. A hierarchical conceptual model was constructed, and logistic regression analysis was performed. From a total of 1173 pregnant women, the identified average age was 25.44 years and 34.10% had pre-gestational overweight. The non-beneficiary pregnant women presented a 1.54 (95% CI = 0.46-5.09) times higher chance of giving birth to children with low weight and a 1.03 (95% CI = 95% CI = 0.53-2.00) times chance of premature birth when compared to the beneficiary group. In the multilevel model, some variables were statistically significant, such as age between 18 and 24 years ( = 0.003), age greater than or equal to 35 years ( = 0.025), family income ( = 0.008), employment status ( = 0.010), and maternal height ( = 0.009). The Bolsa Familia Program, as an integrated strategy of social inclusion and economic development, is suggested to exert a protective effect on the health of mother-concept binomial.
本研究旨在评估“家庭强化方案”对孕妇围产期结局的影响。采用队列研究方法，对巴西巴伊亚州 17 个家庭健康单位接受产前服务的孕妇进行研究。使用了经过先前测试的结构化问卷，收集了社会人口学、经济、产前保健、生活方式和营养变量等数据。研究结局包括早产和低出生体重。构建了分层概念模型，并进行了逻辑回归分析。在总共 1173 名孕妇中，平均年龄为 25.44 岁，34.10%的孕妇孕前超重。与受益组相比，非受益组孕妇所生孩子体重较低的可能性高 1.54 倍（95%CI=0.46-5.09），早产的可能性高 1.03 倍（95%CI=0.53-2.00）。在多层次模型中，一些变量具有统计学意义，例如 18-24 岁年龄组（ = 0.003）、年龄大于或等于 35 岁组（ = 0.025）、家庭收入（ = 0.008）、就业状况（ = 0.010）和产妇身高（ = 0.009）。“家庭强化方案”作为社会包容和经济发展的综合战略，被认为对母婴健康具有保护作用。
