The relationship between socioeconomic indicators during pregnancy and gynecological appointment at any time after childbirth

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art_FAISAL-CURY_The_relationship_between_socioeconomic_indicators_during_pregnancy_and_2015.PDF (384 KB)
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0
Tipo de produção
article
Data de publicação
2015
Editora
BIOMED CENTRAL LTD
DOI
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Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
MARQUES, Tatiana
Autor de Grupo de pesquisa
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Citação
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, v.14, article ID 64, 7p, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The rates of receipt of postnatal care vary widely between high and low-middle income countries. This study aimed to examine the association between indicators of socioeconomic status during pregnancy and gynecological appointment at any time after childbirth (GA). Methods: a prospective cohort study with pregnant women recruited from 10 primary care clinics of the public sector in the city of Sao Paulo, Brazil. Socioeconomic characteristics and obstetric information were obtained through a questionnaire administered during pregnancy and in the postpartum period. Adjusted risk ratios (RR) with 95 % confidence intervals (CI) were calculated using Poisson regression. Results: Eight hundred and thirty one pregnant women were included in the study during the antenatal period and 701 were re-assessed during the postnatal period. Among them, 283 (59.6) attended a gynecological consultation. After adjusting for covariates, higher socioeconomic status during pregnancy was associated with greater risk of having a GA (RR: 1.23, CI 95 %: 1.05: 1.45 for family per capita monthly income; RR: 1.19, CI 95 % 1.01: 1.40 for asset score). Conclusion: In this sample, the attendance for GA was above average and women with higher socio-economic status were more likely to have receipt of such care. Special efforts should be made to improve the attendance and frequency of gynecological consultations after childbirth among poorer women.
Palavras-chave
Inequality, Gynecological appointment, Maternal postnatal visits, Common mental disorders, Perinatal depression, Maternal health
URI
https://observatorio.fm.usp.br/handle/OPI/11756
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - LIM/39
Artigos e Materiais de Revistas Científicas - ODS/03