[Maternal and child care in two population-based cohorts from southern Brazil: trends and differences]

Abstract:

:Two cohort studies of mothers and children (1982 and 1993) were used to document changes in health care utilization patterns. The cohorts included all hospital deliveries in the city of Pelotas, Southern Brazil, for the two years. Some 20% of the mothers and children were visited at home at a median interval of one year later. However, there was a reduction in the percentage of mothers seeking care after the fifth month of pregnancy. The mean number of prenatal consultations increased to 7.6. Prenatal care indicators were significantly worse for low-income and high-gestational-risk women. In 1993, caesarean sections accounted for 31% of deliveries. The proportions of deliveries assisted by medical doctors increased to 88%. Low-income and high-risk mothers were less likely to have a caesarean section or to be assisted by a medical doctor. Over half of the deliveries in the highest income group were caesareans. Vaccine coverage at 12 months increased over the decade. Socioeconomic differentials were also observed. The mean number of medical consultations during the first year of life decreased to 10.5, mainly due to a drop in preventive care. Although most health care indicators improved over the course of the decade, health services are still biased towards those who least need them.

journal_name

Cad Saude Publica

authors

Costa JS,Victora CG,Barros FC,Halpern R,Horta BL,Manzolli P

keywords:

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

59-66

eissn

0102-311X

issn

1678-4464

pii

S0102-311X1996000500009

journal_volume

12 Suppl 1

pub_type

杂志文章
  • Current status of human rabies transmitted by dogs in Latin America.

    abstract::Latin American countries made the political decision to eliminate human rabies transmitted by dogs by the year 2005. The purpose of the current study is to evaluate to what extent this goal has been reached. The epidemiological situation and control measures were analyzed and broken down within the countries by georef...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2007000900013

    authors: Schneider MC,Belotto A,Adé MP,Hendrickx S,Leanes LF,Rodrigues MJ,Medina G,Correa E

    更新日期:2007-09-01 00:00:00

  • [Brazilian policy for the distribution and production of antiretroviral drugs: a privilege or a right?].

    abstract::This article focuses on the Brazilian National AIDS Program and its policy of distributing and producing antiretroviral drugs, emphasizing links between local decisions and global HIV/AIDS policies. Emphasizing recent developments in the Brazilian and international scenario with regard to access to treatment for peopl...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2002000100022

    authors: Galvao J

    更新日期:2002-01-01 00:00:00

  • [Death from dengue fever as a sentinel event for evaluation of quality of healthcare: a case study in two municipalities in Northeast Brazil, 2008].

    abstract::Despite the existing resources for adequate dengue patient care in the Brazilian healthcare system, the case-fatality rate for the disease is still high in the country. In order to identify factors associated with dengue-related death, this study evaluated quality of care according to the degree of implementation of s...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2011001200009

    authors: Figueiró AC,Hartz ZM,Brito CA,Samico I,Siqueira Filha NT,Cazarin G,Braga C,Cesse EÂ

    更新日期:2011-12-01 00:00:00

  • [Cumulative annual incidence of disabling work-related musculoskeletal disorders in an urban area of Brazil].

    abstract::This study focused on the annual cumulative incidence (ACI) of disabling work-related musculoskeletal disorders affecting the neck and/or upper limbs (ULMSD) among workers covered by the National Social Insurance System in the city of Salvador, Bahia State, Brazil. Cases were workers who received disability compensati...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2011001100006

    authors: Souza NS,Santana VS

    更新日期:2011-11-01 00:00:00

  • [Dengue: sero-epidemiological survey and virological surveillance in Campinas, São Paulo, Brazil].

    abstract::The epidemiology of dengue in the municipality of Campinas, São Paulo, Brazil, was studied in 1998 using a randomized sero-epidemiological survey. Epidemiological surveillance data from 1996-2003 were also analyzed, with an emphasis on virological surveillance. 1,260 individuals participated in the survey and had bloo...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0102-311x2007000300025

    authors: Lima VL,Rangel O,Andrade VR,Silveira NY,Oliveira SS,Figueiredo LT

    更新日期:2007-03-01 00:00:00

  • [Age at natural menopause among Brazilian women: results from a population-based survey].

    abstract::A descriptive, exploratory, cross-sectional, population-based study was conducted to identify age at menopause and its associated factors as well as socio-cultural, demographic, and economic characteristics of climacteric women in Campinas, São Paulo State. Subjects were 456 Brazilian women between 45 to 60 years of a...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2003000100003

    authors: Pedro AO,Pinto Neto AM,Paiva LH,Osis MJ,Hardy E

    更新日期:2003-01-01 00:00:00

  • [Association between social deprivation and causes of mortality among elderly residents in the city of Recife, Pernambuco State, Brazil].

    abstract::This paper aims to analyze mortality among elderly residents in the city of Recife, Pernambuco State, Brazil, and its association with social deprivation (hardship) in the year 2000. An ecological study was performed, and 94 neighborhoods and 5 social strata were analyzed. The independent variable consisted of a compo...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2008000500008

    authors: Silva Vde L,Leal MC,Marino JG,Marques AP

    更新日期:2008-05-01 00:00:00

  • [Retrospective assessment of occupational exposure to carcinogens: an epidemiological approach and application to health surveillance].

    abstract::The proportion of cancer attributed to occupation varies, and estimates are partially dependent on the characteristics of exposed populations, type of tumor, and methodology. The main difficulty for estimating these proportions is the reconstruction of past individual occupational exposure. Appropriate methods for ret...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,评审

    doi:10.1590/s0102-311x2004000400002

    authors: Ribeiro FS,Wünsch Filho V

    更新日期:2004-07-01 00:00:00

  • [Breastfeeding from the perspective of programmatic vulnerability and care].

    abstract::Based on experiences and reflections reported by health professionals, the aim of this study was to critically analyze the actions, situations, and decisions in healthcare services that involve breastfeeding, examining aspects that favor or limit its possibilities. This was a qualitative study based on the conceptual ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:

    authors: Souza SN,Mello DF,Ayres JR

    更新日期:2013-06-01 00:00:00

  • [Relationship between the supply of syphilis diagnosis and treatment in primary care and incidence of gestational and congenital syphilis].

    abstract::Brazil has reported an increase in the incidence of both gestational and congenital syphilis, posing a serious public health problem in the country. The study aimed to analyze the relationship between the supply of syphilis diagnosis and treatment in primary care and the incidence rates of gestational and congenital s...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311X00074519

    authors: Figueiredo DCMM,Figueiredo AM,Souza TKB,Tavares G,Vianna RPT

    更新日期:2020-03-23 00:00:00

  • Teachers' work and health in Brazil: thoughts on the history of research, strides, and challenges.

    abstract::This Essay discusses the theme of teachers' work and health in Brazil. The objectives are to describe the initial history of research on teachers' health, discuss elements leading to a consensus on the characterization of the group's work and principal health problems, and systematize the main strides and challenges. ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311X00087318

    authors: Araújo TM,Pinho PS,Masson MLV

    更新日期:2019-05-30 00:00:00

  • [Prevalence of wheezing and associated factors in Guarani indigenous children hospitalized for acute respiratory infections in Southern and Southeastern Brazil].

    abstract::Prevalence of wheezing was studied in Guarani indigenous children hospitalized for acute lower respiratory tract infections in Southern and Southeastern Brazil, recruited by a surveillance routine established in villages from May 2007 to June 2008. Data were obtained from hospital records. Crude and adjusted prevalenc...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311x00155013

    authors: Souza PG,Cardoso AM,Sant Anna CC

    更新日期:2014-07-01 00:00:00

  • [Physical growth in schoolchildren from Florianópolis, Santa Catarina State, Brazil: a case-control study].

    abstract::This study was undertaken using a case-control, prevalence survey design, aimed at verifying the effects of socioeconomic, environmental, and biological/morbidity variables on the growth of schoolchildren from low-income families. The study focused on schoolchildren whose height/age (H/A) ratio was < or = 2SD (NCHS). ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2001000100008

    authors: Corso AC,Buralli KO,Souza JM

    更新日期:2001-01-01 00:00:00

  • [The concept of space in epidemiological research].

    abstract::Epidemiology's conceptual and methodological shortcomings have placed constraints on the study of health phenomena related to human communities, thus posing a challenge to the field. This paper presents some basic principles resulting from the observation of the field of geography in defining its object - space - and ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:

    authors: Nascimento Costa MD,Lima Cruz Teixeira MD

    更新日期:1999-04-01 00:00:00

  • [Evaluation of knowledge on prenatal care and pregnancy risk among women living in a peripheral area of Rio Grande, Rio Grande do Sul State, Brazil].

    abstract::The aim of this study was to assess knowledge on prenatal care and pregnancy risk among women in poor neighborhoods in the city of Rio Grande, Rio Grande do Sul State, Brazil. Data were collected using a cross-sectional design. A standard questionnaire was applied to all pregnant women from poor neighborhoods. Trained...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2007000900023

    authors: Mendoza-Sassi RA,Cesar JA,Ulmi EF,Mano PS,Dall'Agnol MM,Neumann NA

    更新日期:2007-09-01 00:00:00

  • [Surveillance of risk factors for non-communicable diseases among adolescents: the experience in Rio de Janeiro, Brazil].

    abstract::This paper presents the methodology and results of the implementation of a Surveillance System for Non-Communicable Disease Risk Factors in Adolescents. A random sample of 8th-grade students (n = 1,684) enrolled in municipal schools in Rio de Janeiro, Brazil, was studied. Students were asked to complete a confidential...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2008001000009

    authors: Castro IR,Cardoso LO,Engstrom EM,Levy RB,Monteiro CA

    更新日期:2008-10-01 00:00:00

  • Health, biodiversity, and natural resource use on the Amazon frontier: an ecosystem approach.

    abstract::This study aims to improve the health of rural Amazonian communities through the development and application of a participatory ecosystem approach to human health assessment. In the study area marked seasonal fluctuations dictate food availability, water quality and disease outbreak. Determining the causal linkages be...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2001000700028

    authors: Murray TP,Sánchez-Choy J

    更新日期:2001-01-01 00:00:00

  • Going open source: some lessons learned from the development of OpenRecLink.

    abstract::Record linkage is the process of identifying and merging records across different databases belonging to the same entity. The health sector is one of the pioneering areas of record linkage techniques applications. In 1998 we began the development of a software package, called RecLink that implemented probabilistic rec...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311x00041214

    authors: Camargo KR Jr,Coeli CM

    更新日期:2015-02-01 00:00:00

  • [Self-rated oral health and associated factors among adults in rural settlements, Pernambuco State, Brazil].

    abstract::The aim of this study was to estimate prevalence of negative self-rated oral health and associated factors among adults in rural settlements. The probabilistic sample consisted of 557 adults 20 to 59 years of age in rural settlements in Pernambuco State, Brazil. The dependent variable was self-rated oral health, with ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311x00117012

    authors: Moura C,Gusmão ES,Santillo PM,Soares Rde S,Cimões R

    更新日期:2014-03-01 00:00:00

  • The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil.

    abstract::The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health s...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2009000400005

    authors: Oliveira MM,Colares V

    更新日期:2009-04-01 00:00:00

  • Spatial distribution of arboviral mosquito vectors (Diptera, Culicidae) in Vale do Ribeira in the South-eastern Brazilian Atlantic Forest.

    abstract::Mosquitoes are vectors of arboviruses that can cause encephalitis and hemorrhagic fevers in humans. Aedes serratus (Theobald), Aedes scapularis (Rondani) and Psorophora ferox (Von Humboldt) are potential vectors of arboviruses and are abundant in Vale do Ribeira, located in the Atlantic Forest in the southeast of the ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2012000200003

    authors: Laporta GZ,Ribeiro MC,Ramos DG,Sallum MA

    更新日期:2012-02-01 00:00:00

  • [Predictors of HIV seropositive status in non-IV drug users at testing and counseling centers in Porto Alegre, Rio Grande do Sul, Brazil].

    abstract::This study describes HIV-related behaviors recorded through a questionnaire applied to 570 individuals in Porto Alegre, Rio Grande do Sul, Brazil, who were not regular drug users. Mean age was 30.3 years, 51.1 % were male, and most were low-income (59.1%). The HIV seropositive rate was 9.9% (13.1% for males, 6.9% for ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2005000100029

    authors: Pechansky F,von Diemen L,Kessler F,De Boni R,Surrat H,Inciardi J

    更新日期:2005-01-01 00:00:00

  • Bias of using odds ratio estimates in multinomial logistic regressions to estimate relative risk or prevalence ratio and alternatives.

    abstract::Recent studies have emphasized that there is no justification for using the odds ratio (OR) as an approximation of the relative risk (RR) or prevalence ratio (PR). Erroneous interpretations of the OR as RR or PR must be avoided, as several studies have shown that the OR is not a good approximation for these measures w...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311x00077313

    authors: Camey SA,Torman VB,Hirakata VN,Cortes RX,Vigo A

    更新日期:2014-01-01 00:00:00

  • [Inclusion of oral health services in the Family Health Program in the State of Paraná, Brazil].

    abstract::The aim of this study was to analyze the implementation of dental care in the Family Health Program (FHP) in the State of Paraná, Brazil, one year after Ministry of Health (MoH) Ruling 1,444 went into effect. A qualitative and quantitative study was designed, focusing on the 136 municipalities which had included oral ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2005000400005

    authors: Baldani MH,Fadel CB,Possamai T,Queiroz MG

    更新日期:2005-07-01 00:00:00

  • Guidelines for early detection of breast cancer in Brazil. I - Development methods.

    abstract::Clinical guidelines are traditionally drafted by expert consensus. The benefits of mammographic screening have been questioned in recent years, owing to biases detected in the clinical trials that popularized its widespread use. Meanwhile, growing body of evidence on harms associated with mammographic screening also r...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/0102-311X00116317

    authors: Migowski A,Stein AT,Ferreira CBT,Ferreira DMTP,Nadanovsky P

    更新日期:2018-06-21 00:00:00

  • [Organization of primary health care in cities belonging to project for expansion and consolidation of the family health strategy in Mato Grosso State, Brazil].

    abstract::This article presents part of the results from the Baseline Study on the PROESF. The objective was to evaluate primary health care in the cities of Cuiabá, Várzea Grande, and Rondonópolis, Mato Grosso State, Brazil, based on the inter-subjectivity in human relations (among health workers, users of health services, and...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2008001300009

    authors: Melo EM,Paiva L,Alvares J,Flecha AL

    更新日期:2008-01-01 00:00:00

  • [Tuberculosis treatment adherence in Pelotas, Brazil, from the patient's perspective].

    abstract::This study deals with adherence to tuberculosis treatment among men and women as well as the disease's links and consequences vis-à-vis life styles and treatment outcomes. The ethnographic study was a component of the Tuberculosis Epidemiological Control Project in the city of Pelotas and aimed to identify the reasons...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x1999000400012

    authors: Gonçalves H,Costa JS,Menezes AM,Knauth D,Leal OF

    更新日期:1999-10-01 00:00:00

  • Demographic dynamics of the Suyá, a Jê people of the Xingu Indigenous Park, Central Brazil, 1970-2004.

    abstract::This paper analyses the demographic dynamics of the Suyá, a Jê people, inhabitants of the Xingu Indigenous Park, Mato Grosso State, Brazil, during the years 1970-2004. Data was gathered from medical records of the São Paulo Federal University Health Program at the Xingu Indigenous Park. The demographic characteristics...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2007000500009

    authors: Pagliaro H,Carvalho Nda S,Rodrigues D,Baruzzi RG

    更新日期:2007-05-01 00:00:00

  • Giardia duodenalis infection: risk factors for children living in sub-standard settlements in Brazil.

    abstract::The objective of the present study was to characterize Giardia duodenalis infection among children living in sub-standard settlement areas in the municipality of Juiz de Fora, Minas Gerais State, Brazil. The cross-sectional epidemiological study included 590 children from 1 to 5 years of age. Data were collected from ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2007000600024

    authors: Teixeira JC,Heller L,Barreto ML

    更新日期:2007-06-01 00:00:00

  • [Oral sex and HIV among men who have sex with men].

    abstract::Sexual transmission of the human immunodeficiency virus (HIV) continues to pose a public health problem worldwide. Men who have sex with men are still at differential risk of infection. Although there is evidence to claim that HIV can be transmitted by oral sex, the perception of this risk is ambiguous and relates par...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0102-311x2003000600028

    authors: Funari SL

    更新日期:2003-11-01 00:00:00