Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities
Abstract Objectives: to analyze the evolution and inequalities in prenatal care consultations in Pernambuco, according to maternal education level. Methods: this is an ecological study of pregnant women who attended seven or more prenatal consultations and resided in Pernambuco between 2011 and 20...
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Instituto Materno Infantil de Pernambuco
2025-01-01
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| Series: | Revista Brasileira de Saúde Materno Infantil |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100403&lng=en&tlng=en |
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| author | Daniella Oliveira Albuquerque Lins Maria Tatiane Alves da Silva Lívia Teixeira de Souza Maia |
| author_facet | Daniella Oliveira Albuquerque Lins Maria Tatiane Alves da Silva Lívia Teixeira de Souza Maia |
| author_sort | Daniella Oliveira Albuquerque Lins |
| collection | DOAJ |
| description | Abstract Objectives: to analyze the evolution and inequalities in prenatal care consultations in Pernambuco, according to maternal education level. Methods: this is an ecological study of pregnant women who attended seven or more prenatal consultations and resided in Pernambuco between 2011 and 2020, stratified by maternal education level and year of birth. Data were obtained from the Live Birth Information System. Temporal trend analysis was performed using the joinpoint regression method, and patterns of inequality were assessed through absolute measures (difference, ratio), relative measures (concentration index - CIX), and Equiplot-type graphs. Results: a rising trend in access to seven or more prenatal consultations among women in Pernambuco was observed between 2011 and 2020 (+3.6; p<0.001). Among women with no formal education, prenatal coverage was 47.85%, while for those with more than 12 years of education, it reached 78.15%. The Concentration Index (CIX=0.0979; p<0.001) suggests that 9.79% of prenatal access is concentrated among women with higher education levels. Conclusions: despite the expansion of prenatal care in Pernambuco, access remains unequal among women with different levels of education, highlighting maternal education as a marker of health inequities. Strategies need to be adopted to ensure greater equity in prenatal care for more vulnerable pregnant women. |
| format | Article |
| id | doaj-art-7800f267515a4a2ab1b495e0b171f682 |
| institution | Kabale University |
| issn | 1806-9304 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Instituto Materno Infantil de Pernambuco |
| record_format | Article |
| series | Revista Brasileira de Saúde Materno Infantil |
| spelling | doaj-art-7800f267515a4a2ab1b495e0b171f6822025-02-04T07:36:54ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042025-01-012510.1590/1806-9304202500000212-enEvolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequitiesDaniella Oliveira Albuquerque Linshttps://orcid.org/0000-0003-0461-2971Maria Tatiane Alves da Silvahttps://orcid.org/0000-0001-9946-2050Lívia Teixeira de Souza Maiahttps://orcid.org/0000-0002-0161-7729Abstract Objectives: to analyze the evolution and inequalities in prenatal care consultations in Pernambuco, according to maternal education level. Methods: this is an ecological study of pregnant women who attended seven or more prenatal consultations and resided in Pernambuco between 2011 and 2020, stratified by maternal education level and year of birth. Data were obtained from the Live Birth Information System. Temporal trend analysis was performed using the joinpoint regression method, and patterns of inequality were assessed through absolute measures (difference, ratio), relative measures (concentration index - CIX), and Equiplot-type graphs. Results: a rising trend in access to seven or more prenatal consultations among women in Pernambuco was observed between 2011 and 2020 (+3.6; p<0.001). Among women with no formal education, prenatal coverage was 47.85%, while for those with more than 12 years of education, it reached 78.15%. The Concentration Index (CIX=0.0979; p<0.001) suggests that 9.79% of prenatal access is concentrated among women with higher education levels. Conclusions: despite the expansion of prenatal care in Pernambuco, access remains unequal among women with different levels of education, highlighting maternal education as a marker of health inequities. Strategies need to be adopted to ensure greater equity in prenatal care for more vulnerable pregnant women.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100403&lng=en&tlng=enPrenatal careEducational statusHealth inequality indicatorsHealth status disparities |
| spellingShingle | Daniella Oliveira Albuquerque Lins Maria Tatiane Alves da Silva Lívia Teixeira de Souza Maia Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities Revista Brasileira de Saúde Materno Infantil Prenatal care Educational status Health inequality indicators Health status disparities |
| title | Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities |
| title_full | Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities |
| title_fullStr | Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities |
| title_full_unstemmed | Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities |
| title_short | Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities |
| title_sort | evolution of access to prenatal care in pernambuco maternal schooling as a marker of health inequities |
| topic | Prenatal care Educational status Health inequality indicators Health status disparities |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100403&lng=en&tlng=en |
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