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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

MALLMANN, Mariana Borsa et al. Evolution of socioeconomic inequalities in conducting prenatal consultations among Brazilian parturient women: analysis of the period 2000-2015. Epidemiol. Serv. Saúde [online]. 2018, vol.27, n.4, e2018022.  Epub Nov 20, 2018. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742018000400014.

Objective:

to analyze evolution as to conducting seven or more prenatal consultations with pregnant women in Brazil, in the period 2000-2015 according to maternal education level and race/skin color of the newborn baby.

Methods:

this was a time series study based on Live Births Information System (SINASC) data; relative and absolute inequalities were investigated, adjusted for maternal age and gestational week in which childbirth occurred.

Results:

we analyzed approximately 48 million births; the proportion of seven or more prenatal consultations increased nationally (from 46.0% to 66.9%) in all groups analyzed; the relative difference between the extremes of education level ranged from 3.0 to 2.0, while the absolute difference ranged from 53.1 to 47.7 percentage points; the adjusted ratio between White/Black race/skin color was 1.4 in 2000 and 1.2 in 2015.

Conclusion:

the proportion of pregnant women having seven or more prenatal consultations has increased in Brazil, although inequalities are still found.

Keywords : Prenatal Care; Socioeconomic Factors; Educational Status; Ethnicity and Health; Health Status Disparities; Time Series Studies.

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