the relationship between social capital, social support and the adequate use of prenatal care a relação entre capital social e suporte social com a adequação da utilização da atenção pré-natal

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ID: 225799
2011
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Abstract
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.
O objetivo deste estudo foi investigar a associação entre capital social e apoio social com a adequação da atenção pré-natal. Um estudo de seguimento que envolveu 1.485 gestantes foi realizado em duas cidades do Estado do Rio de Janeiro, Brasil. Características demográficas e socioeconômicas e dados de capital social e apoio social foram coletados no 1º trimestre da gestação. No pós-parto, registraram-se informações sobre adequação do pré-natal, redes sociais, risco obstétrico e gestacional e padrão de atendimento pré-natal. Regressão logística hierarquizada multinomial foi utilizada na análise. A utilização mais que adequada do pré-natal foi associada com maior capital social em nível de cidade (capital social agregado), status socioeconômico e trabalho durante a gravidez. Baixo capital social contextual não agregado e composicional, gestação de risco e padrão do uso do pré-natal foram associados com a utilização inadequada do pré-natal. O capital social contextual e o apoio social foram determinantes sociais para a adequação da utilização do pré-natal.
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leal2011cadernosthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Maria do Carmo Leal;Ana Paula Esteves Pereira;Gabriela de Almeida Lamarca;Mario Vianna Vettore
Journal iberian conference on information systems and technologies, cisti
Year 2011
DOI
10.1590/S0102-311X2011001400011
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001400011
Keywords
Prenatal care cuidado pré-natal

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