[Factors associated with precarious prenatal care in a sample of post-partum adolescent mothers in maternity hospitals in Rio de Janeiro, Brazil, 1999-2000]

Cad Saude Publica. 2004:20 Suppl 1:S101-11. doi: 10.1590/s0102-311x2004000700011. Epub 2004 May 20.
[Article in Portuguese]

Abstract

This study characterizes the women receiving precarious prenatal care according to socio-demographic variables, mother's reproductive history, family support, satisfaction with pregnancy, and risk behavior during pregnancy. A total of 1,967 adolescents were interviewed in the immediate post-partum in public and outsourced maternity hospitals in the City of Rio de Janeiro. The dependent variable was the number of prenatal appointments (0-3; 4-6; 7 or more). The statistical analysis aimed to test the hypothesis of homogeneity of proportions, including bi- and multivariate analysis, using multinomial logistic regression, in which the reference category for the response variable was 7 or more prenatal visits. Higher (and statistically significant) proportions of insufficient number of prenatal visits (0-3) were associated with: precarious sanitation conditions; not living with the child's father; attempted abortion; and smoking, drinking, and/or drug use during pregnancy. The results strongly indicate that mothers with worse living conditions and risk behavior during pregnancy were the same who lacked access to prenatal care.

MeSH terms

  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Child
  • Educational Status
  • Epidemiologic Methods
  • Female
  • Hospitals, Maternity / standards
  • Hospitals, Municipal / standards
  • Humans
  • Life Style*
  • Live Birth
  • Pregnancy
  • Pregnancy Outcome*
  • Pregnancy in Adolescence / statistics & numerical data*
  • Prenatal Care / standards
  • Prenatal Care / statistics & numerical data*
  • Social Support