title: [Factors associated with precarious prenatal care in a sample of post-partum adolescent mothers in maternity hospitals in Rio de Janeiro, Brazil, 1999-2000].
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.
authors.affiliation: Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. granado@ensp.fiocruz.br
authors.forename: Silvana Granado Nogueira da
authors.initials: SG
authors.lastname: Gama
authors.forename: Célia Landmann
authors.initials: CL
authors.lastname: Szwarcwald
authors.forename: Adriane Reis
authors.initials: AR
authors.lastname: Sabroza
authors.forename: Viviane
authors.initials: V
authors.lastname: Castelo Branco
authors.forename: Maria do Carmo
authors.initials: Mdo C
authors.lastname: Leal
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002648:Child; D004522:Educational Status; D004812:Epidemiologic Methods; D005260:Female; D006771:Hospitals, Maternity / Q000592:standards; D006773:Hospitals, Municipal / Q000592:standards; D006801:Humans; D008019:Life Style; D050498:Live Birth; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data*; D011295:Prenatal Care / Q000592:standards / Q000706:statistics & numerical data*; D012944:Social Support