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Trends in prenatal care use and low birthweight in Southeast Brazil

Author

Listed:
  • Goldani, M.Z.
  • Barbieri, M.A.
  • Silva, A.A.M.
  • Bettiol, H.

Abstract

Objectives. We investigated trends in prenatal care use and its association with low birthweight in a developing country. Methods. We examined data from 2 southeast Brazilian cohort surveys, 1 conducted in 1978-1979 and the other in 1994. Results. Socioeconomic inequalities in prenatal care use increased during the 15-year period of 1979-1994. Although prenatal care use increases paralleled increases in low birthweight rate during this period, having no prenatal care was associated with higher risk of low birthweight in both surveys. Inadequate prenatal care use was also associated with higher risk of low birthweight in 1978-1979 only. Conclusions. Increasing low birthweight rates among women who adequately used prenatal care may be causing a bias by reducing the estimates of the effect of inadequate prenatal care use on low birthweight rates.

Suggested Citation

  • Goldani, M.Z. & Barbieri, M.A. & Silva, A.A.M. & Bettiol, H., 2004. "Trends in prenatal care use and low birthweight in Southeast Brazil," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1366-1371.
  • Handle: RePEc:aph:ajpbhl:2004:94:8:1366-1371_2
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    Cited by:

    1. Rangel, Marcos & Nobles, Jenna & Hamoudi, Amar, 2019. "Brazil's Missing Infants: Zika Risk Changes Reproductive Behavior," SocArXiv fu8bp, Center for Open Science.
    2. Lin-Lin Dai & Yuan-Yuan Mao & Xiao-Ming Luo & Yue-Ping Shen, 2014. "Prenatal Care in Combination with Maternal Educational Level Has a Synergetic Effect on the Risk of Neonatal Low Birth Weight: New Findings in a Retrospective Cohort Study in Kunshan City, China," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-13, November.
    3. Wehby, George L. & Castilla, Eduardo E. & Lopez-Camelo, Jorge, 2010. "The impact of altitude on infant health in South America," Economics & Human Biology, Elsevier, vol. 8(2), pages 197-211, July.
    4. Magadi, Monica Akinyi & Agwanda, Alfred O. & Obare, Francis O., 2007. "A comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: Evidence from Demographic and Health Surveys (DHS)," Social Science & Medicine, Elsevier, vol. 64(6), pages 1311-1325, March.
    5. Kaitelidou, Daphne Ch. & Tsirona, Christina S. & Galanis, Petros A. & Siskou, Olga Ch. & Mladovsky, Philipa & Kouli, Eugenia G. & Prezerakos, Panagiotis E. & Theodorou, Mamas & Sourtzi, Panagiota A. &, 2013. "Informal payments for maternity health services in public hospitals in Greece," Health Policy, Elsevier, vol. 109(1), pages 23-30.

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