Factors Associated With Access To Health Services Prior To Pregnancy By Pregnant Adolescents [fatores Associados Ao Acesso Anterior à Gestação A Serviços De Saúde Por Adolescentes Gestantes]

dc.creatorCarvacho I.E.
dc.creatorde Mello M.B.
dc.creatorMorais S.S.
dc.creatore Silva J.L.P.
dc.date2008
dc.date2015-06-30T19:23:54Z
dc.date2015-11-26T14:21:35Z
dc.date2015-06-30T19:23:54Z
dc.date2015-11-26T14:21:35Z
dc.date.accessioned2018-03-28T21:23:23Z
dc.date.available2018-03-28T21:23:23Z
dc.identifier
dc.identifierRevista De Saude Publica. , v. 42, n. 5, p. 886 - 894, 2008.
dc.identifier348910
dc.identifier
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-54849410839&partnerID=40&md5=10c003185b91f1f0609398b41f0f86ea
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/106057
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/106057
dc.identifier2-s2.0-54849410839
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1244578
dc.descriptionObjective: To assess determinants of access to primary care services prior to pregnancy by pregnant adolescents. Methods: Theory-based cross-sectional study conducted to examine access to heath services at five dimensions: geographic, economic, administrative, psychosocial and information. There were included in the study 200 first-time pregnant adolescents (aged 10 to 19 years) who attended a primary care unit in the municipality of Indaiatuba, Southeastern Brazil, in 2003. Data was collected using a semi-structured questionnaire applied in face-to-face interviews conducted just before their first pre-natal care visit. Data analyses were performed through Person's chi-square or Fisher's exact test, and by a multivariate logistic regression model including all five dimensions of access. Results: More than half (63.7%) of the adolescents utilized some gynecological care service. Information (43.8%) or psychosocial feelings of embarrassment or fear (37.0%) barriers were the most frequent reasons given for not having sought care before. The main barrier to health service access was related to the psychosocial dimension, reported by 77.0% of the adolescents studied. Conclusions: Among all barriers to health service access, the most important were those related to the psychosocial dimension. There is a need for new strategies to facilitate access to health services by adolescents, including actions to reduce gender-based barriers taking into consideration sociodemographic characteristics of this population and the relationship they have with their partners.
dc.description42
dc.description5
dc.description886
dc.description894
dc.descriptionAyres, J.R.C.M., Adolescência e saúde coletiva: Aspectos epistemológicos da abordagem programática (1993) Programação em saúde hoje, pp. 139-182. , Schraiber LB, editor, 2. ed. São Paulo: Hucitec;
dc.descriptionBertrand, J.T., Hardee, K., Magnani, R.J., Angle, M.A., Access, quality of care and medical barriers in family planning programs (1995) Int Fam Plan Perspect, 21 (2). , 64-9,74
dc.descriptionBurack, R., Young teenagers' attitudes general practitioners and their provision of sexual health care (2000) Br J Gen Pract, 50 (460), pp. 550-554
dc.descriptionChurchill, D., Allen, J., Pringle, M., Hippisley-Cox, J., Ebdom, D., Macpherson, M., Consultation patterns and provision of contraception in general practice before teenage pregnancy: Case-control study (2000) BMJ, 321 (7259), pp. 486-489. , DOI: 10.1136/bmj.321.7259.486
dc.descriptionDean, K.M., Dean, J.A., Coulombier, D., Burton, A.H., Brebdel, K.A., Smith, D.C., Epi-info, version 6: A word processing (1994) database and statistics program for epidemiology on microcomputers, , Atlanta: Center for Disease Control and Prevention;
dc.descriptionDepartamentos de Bioética e Adolescência da Sociedade de Pediatria de São Paulo e da Sociedade Brasileira de Pediatria. Aspectos éticos do atendimento médico do adolescente. Rev Paul Pediatr. 1999;17(2):95-7Foreit, J.R., Gorosh, M.E., Gillespie, D.G., Merritt, C.G., Community-based and commercial contraceptive distribution: An inventory and appraisal (1978) Popul Rep J, 19, pp. 1-29
dc.description(1999) Investigación operativa en planifiacaciǒn familiar: Lecturas selectas, , Foreit JR, Frejka T, editores, Nueva York: Population Council;
dc.descriptionFrench, R.S., The experience of young people with contraceptive consultation and health care workers (2002) Int J Adolesc Med Health, 14 (2), pp. 131-138
dc.descriptionHosmer, D.W., Lemeshow, S., (1989) Applied logistic regression, , New York: John Wiley;
dc.descriptionKish, L., (1965) Survey sampling, , New York: John Wiley & Sons;
dc.descriptionKlein, J.D., Wilson, K.M., Mcnulty, M., Kapphahn, C., Collins, K.S., Access to medical care for adolescents: Results from 1997 Commonweath Fund Survey of the Health of Adolescent girls (1999) J Adolesc Health, 25 (2), pp. 120-130. , DOI: 10.1016/S1054-139X(98)00146-3
dc.descriptionMuza, G.M., Costa, M.P., Elementos para elaboração de um projeto de promoção à saúde e desenvolvimento dos adolescentes: O olhar dos adolescentes. (2002) Cad Saúde Publica, 18 (1), pp. 321-328. , DOI: 10.1590/S0102-311X2002000100033
dc.descriptionOberg, C., Hogan, M., Bertrand, J., Juve, C., Health care access, sexually transmitted diseases and adolescents: Identifying barriers and creating solutions (2002) Curr Probl Pediatr Adolesc Health Care, 32 (9), pp. 320-339. , DOI: 10.1016/S1538-5442(02)90013-1
dc.descriptionRichter, S., Cur, M., Accessibility of adolescent health services (2000) Curotionis, 23 (2), pp. 76-82
dc.descriptionShapiro, S.S., Wilk, M.B., An analysis of variance test for normality (complete samples) (1965) Biometrika, 52 (3-4), pp. 591-611
dc.descriptionStone, N., Ingham, R., When and why do young people in the United Kingdom first use sexual health services? (2003) Perspect Sex Reprod Health, 35 (3), pp. 114-120. , DOI: 10.1363/3511403
dc.descriptionTravassos, C., Viacava, F., Fernandes, C., Almeida, M., Desigualdades geográficas e sociais na utilização de serviços de saúde no Brasil. (2000) Cienc Saude Coletiva, 5 (1), pp. 133-149. , DOI: 10.1590/S1413-81232000000100012
dc.descriptionUnglert, C.V.S., O enfoque da acessibilidade no planejamento da localização e dimensão de serviços de saúde. (1990) Rev Saude Publica, 24 (6), pp. 445-452. , DOI: 10.1590/ S0034-89101990000600002
dc.descriptionUnicef. A voz dos adolescentes. Brasília
dc.description2002
dc.languagept
dc.publisher
dc.relationRevista de Saude Publica
dc.rightsaberto
dc.sourceScopus
dc.titleFactors Associated With Access To Health Services Prior To Pregnancy By Pregnant Adolescents [fatores Associados Ao Acesso Anterior à Gestação A Serviços De Saúde Por Adolescentes Gestantes]
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución