Prenatal care of Brazilian women: racial inequalities and their implications for care

Ciencia e Saude Coletiva

article

Lessa, Millani Souza de Almeida¹  Nascimento, Enilda Rosendo¹  Coelho, Edméia de Almeida Cardoso¹  Soares, Ieda de Jesus²  Rodrigues, Quessia Paz³  Santos, Carlos Antônio de Souza Teles⁴  Nunes, Isa Maria¹ 

[1] Universidade Federal da Bahia;Escola Bahiana de Medicina e Saúde Pública;Secretaria da Saúde do Estado da Bahia;Fundação Oswaldo Cruz

关键词: Prenatal care;    Women’s health;    Health of the black population;    Racism;   

DOI  :  10.1590/1413-812320222710.01282022EN

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

The study aimed to characterize women that attended prenatal care in Brazil according to ethnicity/skin color and sociodemographic variables and to verify the association between the indicators of the prenatal care process and the women’s ethnicity/skin color. This was a population based, cross-sectional study carried out with data from the National Health Survey of 2013. A bivariate analysis was performed using the multilevel logistic regression model, estimating the odds ratio and the respective 95% confidence intervals to test the association between the indicators of the adequate prenatal care process and the women’s ethnicity/skin color. The findings showed that black women have a lower chance of starting prenatal care before 12 weeks of gestation, having 6 or more consultations, performing the HIV test, performing the VDRL exam or receiving advice related to care during gestation and childbirth. Inequalities were identified in the healthcare of Brazilian women during prenatal care, related to ethnicity/skin color and other sociodemographic characteristics. It was concluded that being of black ethnicity and living in a socially disadvantaged area entails disadvantages for women regarding access to a prenatal care considered to be adequate according to the criteria established by the Brazilian Ministry of Health.

【 授权许可】

CC BY