Banca de QUALIFICAÇÃO: PEDRO HENRIQUE ALCANTARA DA SILVA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : PEDRO HENRIQUE ALCANTARA DA SILVA
DATE: 18/08/2020
TIME: 14:00
LOCAL: DEPARTAMENTO DE ODONTOLOGIA
TITLE:

RACIAL INIQUITY IN PRENATAL ACCESS: A SYSTEMATIC REVIEW AND METANALYSIS

KEY WORDS:

Prenatal Care. Access to Health Services. Racial Factors

PAGES: 73
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Access to prenatal care is the main strategy toward a healthy birth and the prevention of maternal mortality in primary care. Stratifying users by race / skin color, it is observed that black women are those who have less access to care and those who initiate late prenatal care. We aim to carry out a systematic review of the literature and meta-analysis of cross-sectional studies, in order to identify the prevalence of access to prenatal care according to race or ethnicity and to determine its magnitude of association. The protocol for this review is registered on the PROSPERO platform under number CRD42020159968Searches were carried out in databases (PUBMED, LILACS, Web of Science, Scopus, CINAHL) and in the gray literature (Google Scholar and Opengray), using the descriptors “pregnancy”, “prenatal care” and “Health Services Accessibility ”. 17 studies were included to compose this review. The extracted data were tabulated and analyzed in a qualitative and quantitative way through meta-analysis. It was observed that, in most of the included studies, black women were those who had less access to prenatal services with a prevalence of access between 53% to 56,4%, even when compared to white women, whose prevalence was between 74% to 76,5%; and those of other ethnicities with 64,2% to 68,8 of early onset of prenatal care; women belonging to the same age group; users of public health services and family income strata.. In the meta-analysis, it is verified that black women compared to white women have a 43% chance OR = 0.57 (CI 95% 0.51-0.64) to start late prenatal care and these chances are still worse when compared to women of other ethnicities, where a 22% chance OR = 0.78 (IC95% 0.65-0.95) of not obtaining obstetric care in the first trimester is observed. We concluded that black women, even when contrasted with white and other minorities of similar sociodemographic characteristics, still suffer from the difficulty of accessing maternal health services, and it can be inferred that the issue of race / skin color is per si an important determinant in obtaining obstetric care.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interna - 2495705 - GRASIELA PIUVEZAM
Externa ao Programa - 3885543 - SAIONARA MARIA AIRES DA CAMARA