0119/2022 - PRÉ-NATAL DA MULHER BRASILEIRA: DESIGUALDADES RACIAIS E SUAS IMPLICAÇÕES PARA O CUIDADO PRENATAL FOR BRAZILIAN WOMEN: RACIAL INEQUALITIES AND ITS IMPLICATIONS FOR CARE
Esta investigação teve como objetivo caracterizar as mulheres que realizaram o pré-natal no Brasil segundo raça/cor e variáveis sociodemográficas e verificar associação entre os indicadores de processo do cuidado no pré-natal e a raça/cor das mulheres. Estudo transversal de base populacional realizado com dados da Pesquisa Nacional de Saúde de 2013. Realizou-se análise bivariada mediante modelo de regressão logística multinível, estimando-se as odds ratio (OR) para medir a associação entre os indicadores de processo do cuidado pré-natal adequado e raça/cor das mulheres e verificando os respectivos intervalos de confiança de 95%. Os achados evidenciaram que mulheres negras possuem menor chance de iniciar o pré-natal antes das 12 semanas de gestação, ter 6 ou mais consultas, realizar teste HIV, realizar exame VDRL e receber orientações referentes aos cuidados na gestação e parto. Identificamos desigualdades na atenção à saúde das mulheres brasileiras atendidas no pré-natal, relacionadas à raça/cor e outras características sociodemográficas. Com isso conclui-se que ser negra e ocupar lugares sociais desfavoráveis acarretam desvantagens para as mulheres quanto ao acesso a um pré-natal considerado adequado segundo os critérios estabelecidos pelo Ministério da Saúde do Brasil.
Palavras-chave:
cuidado pré-natal; saúde da mulher; saúde da população negra; racismo.
Abstract:
The present study aimed to characterize women that attended prenatal care in Brazil according to race/color and socio-demographic variables and to verify the association between the indicators of the prenatal care process and the women’s’ race/color. A population based cross-sectional study performed with datathe National Health Survey of 2013. A bivariate analysis was performed using the multilevel logistic regression model, estimating the odds ratio (OR) and the respective confidence intervals of 95% to test association between the indicators of the adequate prenatal care process and the women’s race/color. The findings evidenced that black women have less chance of beginning prenatal care before 12 weeks of gestation, have 6 or more consultations, carry out the HIV test, perform VDRL exam or receive guidance in relation to the care during gestation and childbirth. Inequalities were identified in the healthcare of Brazilian women during prenatal care, related to race/color and other socio-demographic characteristics. It was thus concluded that being black and living in a socially unfavorable location entails disadvantages for women regarding access to a prenatal care considered as adequate according to the criteria established by the Brazilian Ministry of Health.
Keywords:
prenatal care; women’s health; health of the black population; racism.
PRENATAL FOR BRAZILIAN WOMEN: RACIAL INEQUALITIES AND ITS IMPLICATIONS FOR CARE
Resumo (abstract):
The present study aimed to characterize women that attended prenatal care in Brazil according to race/color and socio-demographic variables and to verify the association between the indicators of the prenatal care process and the women’s’ race/color. A population based cross-sectional study performed with datathe National Health Survey of 2013. A bivariate analysis was performed using the multilevel logistic regression model, estimating the odds ratio (OR) and the respective confidence intervals of 95% to test association between the indicators of the adequate prenatal care process and the women’s race/color. The findings evidenced that black women have less chance of beginning prenatal care before 12 weeks of gestation, have 6 or more consultations, carry out the HIV test, perform VDRL exam or receive guidance in relation to the care during gestation and childbirth. Inequalities were identified in the healthcare of Brazilian women during prenatal care, related to race/color and other socio-demographic characteristics. It was thus concluded that being black and living in a socially unfavorable location entails disadvantages for women regarding access to a prenatal care considered as adequate according to the criteria established by the Brazilian Ministry of Health.
Palavras-chave (keywords):
prenatal care; women’s health; health of the black population; racism.
Lessa, M. S. A., Nascimento, E. R., Coelho, E.A.C., Soares, I. J., Rodrigues, Q. P., Santos, C. A. de S. T., Nunes, I. M.. PRÉ-NATAL DA MULHER BRASILEIRA: DESIGUALDADES RACIAIS E SUAS IMPLICAÇÕES PARA O CUIDADO. Cien Saude Colet [periódico na internet] (2022/Mai). [Citado em 07/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prenatal-da-mulher-brasileira-desigualdades-raciais-e-suas-implicacoes-para-o-cuidado/18375?id=18375
