Insegurança alimentar em gestantes da rede pública de saúde de uma capital do nordeste brasileiro

Abstract

Insegurança alimentar em gestantes da rede pública de saúde de uma capital do nordeste brasileiroEating insecurity among pregnant women in the public health system in a state capital in the northeast of Brazil

Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

“…Almost half of the pregnant women evaluated in this study were in a situation of FI -a prevalence similar to that observed in pregnant women assisted by the primary health care system in the city of Maceió, in the northeastern Brazilian state of Alagoas, in 2014. 9 Brazil's National Survey on Demography and Health of Children and Women (PNDS), 17 carried out in 2006, described the profile of the female population of childbearing age and children under five years old and identified the health and nutrition situation of 12,645 households. PNDS identified the occurrence of FI in 37.5% of households in the country and 15% of households in the Southern Region.…”

“…A similar result (46.7%) was found in a study carried out in 2014 with pregnant women from the Brazilian northeast. 9 Pregnant women aged 30 years old or more may have a higher number of children, thus increasing the chances of having other children living in the household (including children under the age of 18). The Brazilian National Household Sample Survey (PNAD) 5 of 2013 found the lowest prevalence of FI in households with no residents under 18 years of age (16.6%), when compared to households with children under 18 years old (28.8%).…”

“…Studies have pointed to insufficient household income and low level of education as factors associated with FI. 4,9,10,[19][20][21][22] Oliveira et al 9 found 44.9% of pregnant women with a household income that is less than the minimum wage in the situation of FI. Panigassi et al 20 pointed out that households with incomes of up to two minimum wages presented higher odds ratios for presenting FI, ranging from 2.94 to 12.95.…”

“…5 In Brazil, the prevalence of FI has been investigated in different population groups, such as the elderly, small farmers, the unemployed, children, and women. 1 Studies conducted in recent years show that, among these groups, pregnant women have a prevalence of FI ranging from 37.8% 9 to 42.7%. 10 During pregnancy, increased energy needs, as well as macro and micronutrients, make FI an issue of even greater concern, since it may compromise the development of fetal organs and systems, as well as their chances of survival after birth.…”

“…11 FI has also been considered a risk factor for the pregnant woman's health: there is evidence associating FI with the impairment of her nutritional status, higher blood pressure levels, hyperglycemia, higher prevalence of anemia, and repercussions on the mental health of both mother and fetus. [9][10][11] Considering the negative effects of FI on pregnancy outcome, it is essential to elucidate the factors that contribute to its prevalence in certain social groups. The study of these conditions in places frequented by pregnant women, such as health units and maternity hospitals, can improve the understanding of this problem.…”