Preprint has been published in a journal as an article
DOI of the published article https://doi.org/10.1590/s2237-96222022000300006
Preprint / Version 1

Trends in sociodemographic inequalities in prenatal care in ‘Baixada Litorânea’ of the State of Rio de Janeiro, Brazil, 2000-2020: an ecological study

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DOI:

https://doi.org/10.1590/s2237-62222022000300006

Keywords:

Prenatal Care, Healthcare Disparities, Quality of Health Care, Ecological study, Time Series Studies

Abstract

Objective: To analyze trends of sociodemographic inequalities in access and utilization of prenatal care in the ‘Baixada Litorânea’ of Rio de Janeiro, 2000-2020. Methods: Ecological study –Time series – of number of visits and adequacy of access to prenatal care. Absolute (differences) and relative (ratios) inequalities were estimated between extreme variable categories. Trends were estimated by Joinpoint regression. Results: 185,242 women were studied. The proportion of ≥7 visits increased, 2.9% (CI95% 0.7;5.1), annually, between 2013 (54.4%) and 2020 (64.7%), stable for women with < 8 years of education. Adequacy of access increased 2.6% (CI95% 1.2;4.0), stable in ≥35 years-old women, and in those with ≥12 years of education. Absolute inequalities decreased (from 3.5 to 6.4%) for age and skin color, and relative inequalities (from 7.7 to 20.0%) for all
variables. Conclusion: Access and number of visits increased, but persisted lower for adolescents, women with low-education, and who self-reported skin color/race brown/black women.

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Posted

08/30/2022

How to Cite

Fonseca, S. C., Carvalho, Z. S. B. de, Kale, P. L., Boschi-Pinto, C., & Guimarães, J. C. C. (2022). Trends in sociodemographic inequalities in prenatal care in ‘Baixada Litorânea’ of the State of Rio de Janeiro, Brazil, 2000-2020: an ecological study. In SciELO Preprints. https://doi.org/10.1590/s2237-62222022000300006

Section

Health Sciences

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