0177/2019 - Fatores associados à atividade educativa em saúde bucal na assistência pré-natal. Factors associated with educational activity in oral health in prenatal care.
Objetivo: verificar os fatores associados à realização de atividades educativas relacionadas à saúde bucal durante o acompanhamento pré-natal na Região Metropolitana da Grande Vitória - ES, Brasil. Métodos: estudo transversal com 1.035 puérperas em maternidades públicas ou conveniadas ao SUS, em 2010. Executou-se análise descritiva das principais informações educativas e regressão logística binomial associando-se variáveis individuais e contextuais com o desfecho “recebimento de atividade educativa por meio de reuniões e/ou grupo de gestante na unidade de saúde e/ou por meio de visita domiciliar”. Resultados: A informação mais recebida durante o pré-natal foi: “vantagem da amamentação exclusiva até os seis meses de vida” (52,0%) e a menos recebida foi “a importância do uso do flúor na saúde” (18,9%). Ter atendimento pela Estratégia Saúde da Família (OR=1,94), ter condições externas de moradia adequadas (OR=1,73) e aumento de 1 consulta pré-natal (OR=1,08) aumentaram a chance de realização de atividade educativa no pré-natal. Conclusões: Número elevado de consultas pré-natal, cobertura dos serviços de saúde nos moldes da ESF e condições externas de moradia adequadas foram fatores que se associaram positivamente às atividades educativas durante o pré-natal.
Palavras-chave:
Saúde Materno-Infantil; Educação Pré-natal; Sistema Único de Saúde; Saúde da Família.
Abstract:
Objective: to verify the associated factors to conducting educational activities related to oral health in the pre-natal care in the Metropolitan Region of Grater Vitória - ES, Brazil. Methods: cross-sectional study of 1,035 postpartum women in public hospitals or affiliate in the UHS, in 2010. We performed a descriptive analysis of the main educational information and binomial logistic regression to test the association between individual and contextual variables and \"receiving educational activity through meetings and/or pregnant group in the health unit and/or through home visits\". Results: The information most received during prenatal was \"advantage of exclusive breastfeeding until six months of life\" (52.0%) and the least was \"the importance of fluoride use in health\" (18.9%). Received coverage to Family Health Strategy (OR = 1.94), adequate outside conditions of women\'s and children\'s housing (OR = 1.73) and increased one prenatal visit (OR = 1.08), increased the chance of conducting educational activity in prenatal care. Conclusions: A high number of pre-natal visit, coverage of health services according to the FHS, and adequate outside conditions of women\'s housing were factors that positively associated in educational activities during prenatal care.
Keywords:
Maternal and Child Health; Prenatal Education; Unified Health System; Family Health
Factors associated with educational activity in oral health in prenatal care.
Resumo (abstract):
Objective: to verify the associated factors to conducting educational activities related to oral health in the pre-natal care in the Metropolitan Region of Grater Vitória - ES, Brazil. Methods: cross-sectional study of 1,035 postpartum women in public hospitals or affiliate in the UHS, in 2010. We performed a descriptive analysis of the main educational information and binomial logistic regression to test the association between individual and contextual variables and \"receiving educational activity through meetings and/or pregnant group in the health unit and/or through home visits\". Results: The information most received during prenatal was \"advantage of exclusive breastfeeding until six months of life\" (52.0%) and the least was \"the importance of fluoride use in health\" (18.9%). Received coverage to Family Health Strategy (OR = 1.94), adequate outside conditions of women\'s and children\'s housing (OR = 1.73) and increased one prenatal visit (OR = 1.08), increased the chance of conducting educational activity in prenatal care. Conclusions: A high number of pre-natal visit, coverage of health services according to the FHS, and adequate outside conditions of women\'s housing were factors that positively associated in educational activities during prenatal care.
Palavras-chave (keywords):
Maternal and Child Health; Prenatal Education; Unified Health System; Family Health