Determinantes sociais da saúde de gestantes acompanhadas no prénatal de alto riscoSocial determinants of health of high-risk pregnant women during prenatal follow-up RESUMO Objetivo: avaliar os determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco. Métodos: estudo observacional e transversal, realizado com 276 gestantes de alto risco. A coleta deu-se mediante aplicação de questionário estruturado acerca dos determinantes sociais da saúde, além de dados clínicos e obstétricos das mulheres. Os dados foram analisados através do programa estatístico Jamovi®, versão 0.9, e discutidos segundo o Modelo de Dahlgren e Whitehead. Resultados: as condições individuais; o comportamento e estilo de vida; a rede social e comunitária; e a condição de vida, tais como: trabalho, saúde, educação, saneamento básico e habitação podem constituir fator de risco ou de proteção à saúde da gestante. Conclusão: determinantes como idade, raça, tipo de gestação, nível educacional, a situação de moradia e o acesso aos serviços de saúde foram considerados favoráveis à saúde da maioria das gestantes, porém, a prevalência de gravidez não planejada como comportamento desfavorável. ABSTRACT Objective: to evaluate the social determinants of health of high-risk pregnant women during prenatal follow-up. Methods: observational and cross-sectional study with 276 high-risk pregnant women. Data were collected by applying a structured questionnaire about the social determinants of health, as well as clinical and obstetric data from highrisk pregnant women. Data were analyzed using the Jamovi® statistical software, version 0.9, and discussed according to the Dahlgren and Whitehead's Model. Results: individual conditions; behavior and lifestyle; social and community network; and the condition of life, such as work, health, education, sanitation and housing may constitute a risk or health protection factor for pregnant women. Conclusion: determinants such as age, race, type of pregnancy, educational level, housing situation and access to health services were considered favorable to the health of most pregnant women, but the prevalence of unplanned pregnancy as unfavorable behavior.
Objective: to analyze the quality of life of high-risk pregnant women. Methods: an observational and cross-sectional study, carried out in a tertiary maternity hospital located in Fortaleza, with 276 high-risk pregnant women. A questionnaire was applied containing socioddemographic, clinical and obstetric data and The Mother-Generated Index. Descriptive analyzes were performed using the Jamovi statistical program®, version 0.9. Results: most areas were negatively influenced by pregnancy. “Satisfaction with pregnancy”, “family relationship” and “relationship with the partner” obtained the highest means of primary score, while “physical condition/disposition” and “financing” obtained the lowest means. The highest secondary scores were in “satisfaction with pregnancy”, “family relationship” and “relationship with the partner”, while the lowest were in “financing” and “psychological/emotional”. Conclusion: the total primary score mean was 6.03, suggesting a good quality of life. The Mother Generated Index made it possible to identify aspects of life that go beyond pre-formulated assessments of the construct.
Determinantes sociais da saúde e o uso de drogas psicoativas na gestação Social determinants of health and psychoactive drug use in pregnancy Determinantes sociales de la salud y el uso de drogas psicoactivas durante el embarazo Barbara dos Santos Crisóstomo 1
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