Prenatal care and social determinants: ecological study in Argentina
DOI:
https://doi.org/10.15517/psm.v19i2.47439Keywords:
prenatal care, social determinants of health, socio-sanitary scenariosAbstract
Introduction: the prenatal care is a key aspect in public health, with great impact in maternal and perinatal health, as well as in other stages of the life cycle. The features of the prenatal care could be variable between and within countries, and be related to social determinants. The aim of this study was to identify socio-sanitary scenarios of prenatal care, and to analyze associations between social determinants and selected synthetic indicators of prenatal care in Argentina (2010-2018). Methodology: A multi-group ecological study (n=24 jurisdictions) was developed. The data were obtained from secondary sources: the latest available data of the Perinatal Informatics’ System (2018) and national census (2010). A hierarchical and agglomerative cluster analysis was carried out (Ward's method). The spatial distribution of the scenarios was illustrated by a map. ANOVA test was applied to assess the differences between the identified scenarios. To estimate associations between social indicators and indicators of prenatal care, linear regression models were applied. Results: five socio-sanitary scenarios of prenatal care were identified, which reveal heterogeneities in the distribution of prenatal and social care indicators. In addition, the percentage of households living in poverty presented a direct association, and the human development index and life expectancy at birth an inverse association with insufficient prenatal care. Conclusions: different socio-sanitary scenarios exist in Argentina, and some social characteristics of the contexts in which people live might underlie its configuration.
Downloads
References
Blakeney, E. L., Herting, J. R., Bekemeier, B. y Zierler, B. K. (2019). Social determinants of health and disparities in prenatal care utilization during the great recession period 2005-2010. BMC pregnancy and childbirth, 19(1), 1-20. DOI: https://doi.org/10.1186/s12884-019-2486-1 DOI: https://doi.org/10.1186/s12884-019-2486-1
Bryant, A. S., Worjoloh, A., Caughey, A. B. y Washington, A. E. (2010). Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants. American journal of obstetrics and gynecology, 202(4), 335-343. DOI: https://doi.org/10.1016/j.ajog.2009.10.864. DOI: https://doi.org/10.1016/j.ajog.2009.10.864
Cáceres-Manrique, M. F. (2009). El control prenatal: una reflexión urgente. Revista colombiana de obstetricia y ginecología, 60(2), 165-170. DOI: https://doi.org/10.1016/j.ajog.2009.10.864 DOI: https://doi.org/10.18597/rcog.342
Chiara, M., Crojethovic, M. y Ariovich, A. (2017). El universalismo en salud en Argentina entre 2003 y 2015: balances y desafíos desde una aproximación macroinstitucional. Salud colectiva, 13, 663-676. DOI: https://doi.org/10.18294/sc.2017.1312 DOI: https://doi.org/10.18294/sc.2017.1312
Fanta Garrido, J. y Tumas, N. (2020). Sincronicidades entre la transición sanitaria y la segunda transición demográfica en Argentina durante la primera década del siglo XXI. Revista Latinoamericana de Población, 14(27), 257-295. DOI: 10.31406/relap2020.v14.i12.n27.8 DOI: https://doi.org/10.31406/relap2020.v14.i12.n27.8
García-Balaguera, C. (2017). Barreras de acceso y calidad en el control prenatal. Revista de la Facultad de Medicina, 65(2), 305-310. DOI: http://dx.doi.org/10.15446/revfacmed.v65n2.59704 DOI: https://doi.org/10.15446/revfacmed.v65n2.59704
Gayral-Taminh, M., Daubisse-Marliac, L., Baron, M., Maurel, G., Rème, J. M. y Grandjean, H. (2005). Social and demographic characteristics and perinatal risks for highly deprived mothers. Journal de gynecologie, obstetrique et biologie de la reproduction, 34(1), 23-32. DOI: 10.1016/s0368-2315(05)82667-5 DOI: https://doi.org/10.1016/S0368-2315(05)82667-5
Guliani, H., Sepehri, A. y Serieux, J. (2014). Determinants of prenatal care use: evidence from 32 low-income countries across Asia, Sub-Saharan Africa and Latin America. Health policy and planning, 29(5), 589-602. DOI: https://doi.org/10.1093/heapol/czt045
Gonthier, C., Estellat, C., Deneux-Tharaux, C., Blondel, B., Alfaiate, T., Schmitz, T., ... y Azria, E. (2017). Association between maternal social deprivation and prenatal care utilization: the PreCARE cohort study. BMC pregnancy and childbirth, 17(1), 1-11. DOI: https://doi.org/10.1186/s12884-017-1310-z DOI: https://doi.org/10.1186/s12884-017-1310-z
Guliani, H., Sepehri, A. y Serieux, J. (2014). Determinants of prenatal care use: evidence from 32 low-income countries across Asia, Sub-Saharan Africa and Latin America. Health policy and planning, 29(5), 589-602. DOI: https://doi.org/10.1093/heapol/czt045 DOI: https://doi.org/10.1093/heapol/czt045
Hajizadeh, S., Ramezani Tehrani, F., Simbar, M. y Farzadfar, F. (2016). Factors influencing the use of prenatal care: a systematic review. Journal of Midwifery and reproductive Health, 4(1), 544-557. DOI: 10.22038/JMRH.2016.6431
Heaman, M. I., Moffatt, M., Elliott, L., Sword, W., Helewa, M. E., Morris, H., ... y Cook, C. (2014). Barriers, motivators and facilitators related to prenatal care utilization among inner-city women in Winnipeg, Canada: a case–control study. BMC pregnancy and childbirth, 14(1), 1-16. DOI: https://doi.org/10.1186/1471-2393-14-227 DOI: https://doi.org/10.1186/1471-2393-14-227
Instituto Nacional de Estadísticas y Censos. 2010. Censo Nacional de Población, Hogares y Viviendas 2010. Ciudad Autónoma de Buenos Aires, Argentina: INDEC. Recuperado de https://www.indec.gob.ar/indec/web/Institucional-Indec-BasesDeDatos-6
Ipia-Ordóñez, N. V., Ortega-Vallejo, D. F., Acosta-Mora, P. A., López-Lasso, W. A., Martínez-Rodríguez, J. E., Corrales-Zúñiga, N. C., ... y Cedeño-Burbano, A. A. (2019). Impacto de las condiciones sociodemográficas sobre el control prenatal en Latinoamérica. Revista de la Facultad de Medicina, 67(3), 519-523. DOI: https://doi.org/10.15446/revfacmed.v67n3.69536 DOI: https://doi.org/10.15446/revfacmed.v67n3.69536
Khanal, V., Lee, A. H., da Cruz, J. L. N. B. y Karkee, R. (2014). Factors associated with non-utilisation of health service for childbirth in Timor-Leste: evidence from the 2009-2010 Demographic and Health Survey. BMC international health and human rights, 14(1), 1-8. DOI: https://doi.org/10.1186/1472-698X-14-14 DOI: https://doi.org/10.1186/1472-698X-14-14
Lemus, J. D. (2016). Cobertura universal de salud. Revista Argentina de Salud Pública, 7(27), 33-39. Recuperado de https://rasp.msal.gov.ar/index.php/rasp/article/view/182/135
Longhi, H. F., Paolasso, P. C., Bolsi, A. S. C., Velázquez, G. A. y Celemín, J. P. (2013). Fragmentación socioterritorial y condiciones de vida en la Argentina en los albores del siglo XXI. Revista Latinoamericana de Población, 7(12),99-131. DOI: http://hdl.handle.net/11336/1118 DOI: https://doi.org/10.31406/relap2013.v7.i1.n12.4
Ministerio de Salud de la Nación Argentina (2013). Recomendaciones para la Práctica del Control preconcepcional, prenatal y puerperal de bajo riesgo [Archivo PDF]. Recuperado de https://bancos.salud.gob.ar/sites/default/files/2018-10/0000000158cnt-g02.control-prenatal.pdf
Ministerio de Salud y Desarrollo Social, Organización Panamericana de la Salud y Organización Mundial de la Salud (2019). Sistema Informático Perinatal para la Gestión (SIP-G) 2018 [Archivo PDF]. Recuperado de http://www.sadamweb.com.ar/news/2019_10Octubre/Anuario-SIP-G-2018.pdf
Organización Mundial de la Salud (2008). Subsanar las desigualdades en una generación: alcanzar la equidad sanitaria actuando sobre los determinantes sociales de la salud: resumen analítico del informe final. Recuperado de https://apps.who.int/iris/handle/10665/69830
Organización Mundial de la Salud (2015). Estrategia Mundial para la Salud de la Mujer, el Niño y el Adolescente (2016-2030). Recuperado de http://www.who.int/maternal_child_adolescent/documents/women-deliver-global-strategy/es/
Organización Panamericana de la Salud (2018). Recomendaciones de la OMS sobre atención prenatal para una experiencia positiva del embarazo. Recuperado de http://iris.paho.org/xmlui/bitstream/handle/123456789/49550/9789275320334_spa.pdf?ua=1
Organización Panamericana de la Salud y Ministerio de Salud de la Nación (2018). Segundo informe nacional de relevamiento epidemiológico SIP-Gestión. Avances en la implementación a escala nacional del sistema de información en salud de la mujer y perinatal orientado a la Gestión (SIP-Gestión) en Argentina. Recuperado de https://iris.paho.org/handle/10665.2/49147
Organización Panamericana de la Salud (2020). Estrategias para poner fin a la mortalidad materna prevenible (EPMM). Recuperado de https://iris.paho.org/bitstream/handle/10665.2/51963/9789275322106-spa.pdf?sequence=1yisAllowed=y
Ratowiecki, J., Santos, M. R., Poletta, F., Heisecke, S., Elias, D., Gili, J., ... y Camelo, J. S. L. (2021). Inequidades sociales en madres adolescentes y la relación con resultados perinatales adversos en poblaciones sudamericanas. Cadernos de Saúde Pública, 36(12), e00247719. DOI: https://doi.org/10.1590/0102-311X00247719 DOI: https://doi.org/10.1590/0102-311x00247719
Rivera-Felix, L. M., Burgos López, N. H., Gomez Diaz, J. Z. y Moquillaza Alcántara, V. H. (2018). Factores asociados al acceso a la atención prenatal en los hospitales de Huaral y Chancay, Perú. Anales de la Facultad de Medicina, 79(2), 131-137. DOI: http://dx.doi.org/10.15381/anales.v79i2.14939 DOI: https://doi.org/10.15381/anales.v79i2.14939
Schillaci, M. A., Waitzkin, H., Carson, E. A. y Romain, S. J. (2010). Prenatal care utilization for mothers from low-income areas of New Mexico, 1989–1999. PLoS One, 5(9), e12809. DOI: https://doi.org/10.1371/journal.pone.0012809 DOI: https://doi.org/10.1371/journal.pone.0012809
Shoff, C., Yang, T. C. y Matthews, S. A. (2012). What has geography got to do with it? Using GWR to explore place-specific associations with prenatal care utilization. GeoJournal, 77(3), 331-341. DOI: https://doi.org/10.1007/s10708-010-9405-3 DOI: https://doi.org/10.1007/s10708-010-9405-3
Tumas, N., Junyent, C. R., Aballay, L. R., Scruzzi, G. F. y Pou, S. A. (2019). Nutrition transition profiles and obesity burden in Argentina. Public health nutrition, 22(12), 2237-2247. DOI: https://doi.org/10.1017/s1368980019000429 DOI: https://doi.org/10.1017/S1368980019000429
Weaver, E. H., Gibbons, L., Belizán, J. M. y Althabe, F. (2015). The increasing trend in preterm birth in public hospitals in northern Argentina. International Journal of Gynecology y Obstetrics, 130(2), 137-141. DOI: https://doi.org/10.1016/j.ijgo.2015.02.026 DOI: https://doi.org/10.1016/j.ijgo.2015.02.026
Wehby, G. L., Pawluk, M., Nyarko, K. A. y López-Camelo, J. S. (2018). Explaining ethnic disparities in preterm birth in Argentina and Ecuador. Global public health, 13(8), 1126-1143. DOI: https://doi.org/10.1080/17441692.2016.1251603 DOI: https://doi.org/10.1080/17441692.2016.1251603
Published
Issue
Section
License
Copyright (c) 2022 Natalia Tumas, Ana Carolina Godoy, Virginia Peresini, María Eugenia Peisino, Gisela Boldrini, Gaetano Vaggione, Gabriel Esteban Acevedo
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Population and Health in Mesoamerica informs its authors and readers that all publications must be submitted with the Letter of Acceptance of Copyright Conditions where the authors are asked for authorization to submit the article to the Journal for consideration so that it may carry out any of the following activities:
- The graphic and style editing of the work or part of it.
The publication and reproduction of the work or part of it, both in print and electronic media, including the Internet and any other known or unknown technology.
The translation of the work or part of it into any language or dialect.
The adaptation of the work to reading, sound, voice and any other available technical representation or mechanism, which makes possible its access for partially or totally blind people, or with any other form of special abilities that prevent their access to the conventional reading of the article.
The distribution and availability of the work to the public, in such a way that the public may have access to them from the time and place that each person chooses, through the physical or electronic mechanisms available to them.
Any other form of use, process or system known or to be known that is related to the activities and editorial purposes to which the Journal is linked.
You can access the Letter by clicking HERE. If you have a question, please write to revista.ccp@ucr.ac.cr
In addition, the content of this site is protected under the Attribution - Noncommercial - Share Alike (by-nc-sa) license which permits commercial use of the original work or derivative works and distribution of which must be made under the same license that governs the original work. The graphic design, images and texts generated by the e-Information Science magazine are property of the Universidad de Costa Rica and are licensed under Creative Commons Attribution - NonCommercial - Attribution-ShareAlike 4.0 International.
Authors who publish in this journal accept the following conditions:
-The authors retain their moral rights over the publication and assign the patrimonial rights mentioned in the Letter of Assignment of Rights with the Creative Commons Attribution - NonCommercial - Compatitr Equal 4.0 International license, which allows third parties to use what is published as long as they mention the authorship of the work and to the first publication in this journal.
-Authors may make other independent and additional contractual arrangements for non-exclusive distribution of the version of the article published in this journal (e.g., inclusion in an institutional repository or publication in a book) as long as they clearly indicate that the work was first published in this journal.
This policy is established in accordance with Law 6638 on Copyright and Related Rights of the Republic of Costa Rica.
