title: [Inequalities in prenatal care in a southeastern city in Brazil].
abstract: The scope of this article is to evaluate the association between adequate prenatal care and sociodemographic variables in Niterói in the state of Rio de Janeiro. It involved a cross-sectional study conducted between 2000 and 2009 evaluating 62,449 live births using data from the Brazilian Live Birth Information System (SINASC). Multivariate analysis by logistic regression was performed considering quantitatively adequate prenatal care - seven or more visits - as the dependent variable, and maternal age, educational level and skin color as independent variables. The time trends of mother's age, educational level and prenatal visits were also analyzed. The significance level was 5%. There was an improvement in educational level, reduction in adolescent pregnancy and an increase in mothers aged over 35 in Niterói. Women who attended seven or more prenatal visits remained above 80%, though with differences according to age, education and skin color. Adult women (OR = 1.4; IC95% 1.39-1.56). women with eight or more years of schooling (OR = 2.5; IC95% 2.45-2.70) and white women (OR = 2.4; IC95% 2.30-2.53) had more chances of adequate prenatal care. Health inequalities in maternal health care on offer in Niterói were identified, despite improvements in social and demographic indicators in the city.
authors.affiliation: Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense, Niterói, RJ, Brasil, sandracfonseca@yahoo.com.br.
authors.forename: Sandra Costa
authors.initials: SC
authors.lastname: Fonseca
authors.affiliation: Hospital Universitário Antônio Pedro.
authors.forename: Daniela da Silva Alves
authors.initials: Dda S
authors.lastname: Monteiro
authors.affiliation: Prefeitura Municipal Angra dos Reis.
authors.forename: Camila Moraes de Souza Camacho
authors.initials: CM
authors.lastname: Pereira
authors.affiliation: Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense, Niterói, RJ, Brasil, sandracfonseca@yahoo.com.br.
authors.forename: Ana Carolina Daflon
authors.initials: AC
authors.lastname: Scoralick
authors.affiliation: Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense, Niterói, RJ, Brasil, sandracfonseca@yahoo.com.br.
authors.forename: Mariana Gomes
authors.initials: MG
authors.lastname: Jorge
authors.affiliation: Instituto Nacional do Câncer.
authors.forename: Suelem
authors.initials: S
authors.lastname: do Rozario
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D054625:Healthcare Disparities / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards* / Q000706:statistics & numerical data; D014504:Urban Health; D055815:Young Adult