da Silva Pedro Henrique Alcântara, Aiquoc Kezauyn Miranda, da Silva Nunes Aryelly Dayane, Medeiros Wilton Rodrigues, de Souza Talita Araujo, Jerez-Roig Javier, Barbosa Isabelle Ribeiro
Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia, Barcelona, Spain.
Public Health Rev. 2022 Jul 4;43:1604400. doi: 10.3389/phrs.2022.1604400. eCollection 2022.
To analyze the prevalence of access to prenatal care in the first trimester of pregnancy among black women compared to other races/ethnicities through a systematic review and meta-analysis. Searches were carried out at PUBMED, LILACS, Web of Science, Scopus, CINAHL, and in the grey literature. The quality of the studies and the risk of bias were analyzed using the Joanna Briggs Critical Appraisal Checklist for Analytical Cross-Sectional Studies instrument. The extracted data were tabulatesd and analyzed qualitatively and quantitatively through meta-analysis. Black women had the lowest prevalence of access to prenatal services in the first trimester, with prevalence ranging from 8.1% to 74.81%, while among white women it varied from 44.9 to 94.0%; 60.7% of black women started prenatal care in the first trimester, while 72.9% of white women did so. Black women compared to other racial groups had lower prevalence of access to prenatal care, with less chance of access in the first trimester, and it can be inferred that the issue of race/skin color is an important determinant in obtaining obstetric care. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020159968_, PROSPERO CRD42020159968.
通过系统评价和荟萃分析，比较黑人女性与其他种族/族裔群体在妊娠早期获得产前护理的情况。在PubMed、LILACS、科学网、Scopus、CINAHL以及灰色文献中进行了检索。使用乔安娜·布里格斯分析性横断面研究批判性评价清单工具分析研究质量和偏倚风险。提取的数据进行列表，并通过荟萃分析进行定性和定量分析。黑人女性在妊娠早期获得产前服务的比例最低，患病率在8.1%至74.81%之间，而白人女性的患病率在44.9%至94.0%之间；60.7%的黑人女性在妊娠早期开始接受产前护理，而白人女性这一比例为72.9%。与其他种族群体相比，黑人女性获得产前护理的比例较低，在妊娠早期获得护理的机会较少，可以推断种族/肤色问题是获得产科护理的一个重要决定因素。https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020159968_, PROSPERO CRD42020159968
