OBJECTIVE To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome.METHODS This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters. Indicators of institutional violence and demographic characteristics have been used in a logistic regression model to estimate the probability of occurrence of postpartum depression.RESULTS The model has identified a high prevalence of postpartum depression, being it higher among non-white women and adolescent females, besides having a strong positive association between the several indicators of obstetric violence and postpartum depression. Positive interactions on a multiplicative scale have also been observed between: violence by negligence by health care professionals and race and age; physical violence from health care professionals and age; and, verbal violence from health care professionals and race.CONCLUSIONS The indicators adopted to reflect institutional violence in obstetric care are positively associated with postpartum depression, which calls for a reflection on the need to make the health care protocols adequate to the precepts of the Brazilian humanization of childbirth care policies and changes in the obstetric care model.
Resumo: Investiga-se se crises de segurança do alimento deslocam para baixo as demandas por carne bovina, suína e de frango no Brasil. Constroem-se três séries de índices de crises de segurança do alimento, um para cada tipo de carne, somando-se o total de notícias na Folha de São Paulo que atenderam a critérios predefinidos de busca. Utilizam-se estas três séries, os preços das carnes e de um bem composto e o gasto per capita com consumo como variáveis explicativas em seis especificações alternativas de um sistema de quatro equações de demanda. Seleciona-se a melhor especificação do modelo por meio de testes ajustados de razão de verossimilhança. Testes com o modelo selecionado não rejeitam a hipótese de que as demandas não são afetadas por crises de segurança do alimento. Conclui-se que se deslocamentos da demanda para baixo em reação a crises de segurança do alimento criam incentivos para que as empresas adotem medidas para produzir um alimento mais seguro, tais incentivos não existem nos setores de carnes no Brasil. Assim, reforça-se a importância e necessidade de um sistema público ativo para regulamentar e estabelecer padrões de segurança da carne no Brasil. Palavras-chaves:
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