المؤلفون: Castro CTD, Leal LF, Ramos DDO, Santana JDM, Cordeiro RC, Rivemales MCC, Araújo EMD, Silva CALD, Pereira M, Santos DBD

المصدر: Journal of Multidisciplinary Healthcare, Vol Volume 17, Pp 2755-2775 (2024)

مصطلحات موضوعية: drug utilization, racial groups, pregnancy, pharmacoepidemiology, cohort studies., Medicine (General), R5-920

الوصف: Caroline Tianeze de Castro,1 Lisiane Freitas Leal,2 Dandara de Oliveira Ramos,1 Jerusa da Mota Santana,3 Rosa Cândida Cordeiro,3,4 Maria da Conceição Costa Rivemales,3,4 Edna Maria de Araújo,5 Carlos Alberto Lima da Silva,5 Marcos Pereira,1 Djanilson Barbosa dos Santos3– 5 1Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil; 2Centre Hospitalier Universitaire Sainte-Justine Centre de Recherche, Montreal, Quebec, Canada; 3Center for Health Sciences, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil; 4Postgraduation Program in Health for the Black and Indigenous Population, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil; 5State University of Feira de Santana, Feira de Santana, Bahia, BrazilCorrespondence: Caroline Tianeze de Castro, Institute of Collective Health, Federal University of Bahia, Basílio da Gama Street, no number, Canela Campus, Salvador, Bahia, 40.110-040, Brazil, Email carolinetianeze@gmail.comPurpose: This study aimed to evaluate racial disparities in medication use and associated factors among pregnant women receiving prenatal care at Brazilian Unified Health System primary care health units in the northeast region.Patients and Methods: A total of 1058 pregnant women in the NISAMI Cohort were interviewed between June 2012 and February 2014. Medicines used during pregnancy were classified according to the Anatomical Therapeutic Chemical (ATC) classification system and ANVISA pregnancy risk categories. Prevalence ratios (crude and adjusted) and 95% confidence intervals (CIs) were estimated using Poisson regression with robust error variance. All analyses were stratified by race (Asian, black, brown/mixed, Brazilian indigenous, and white).Results: Approximately 84% of the pregnant women used at least one medication, with a lower proportion among white women. The most reported medications were antianemic preparations (71.08%; 95% CI 68.27– 73.72%), analgesics (21.74%; 95% CI 19.36– 24.32%), and drugs for functional gastrointestinal disorders (18.81%; 95% CI 16.57– 21.28%). Approximately 29% of women took potentially risky medications during pregnancy, with a higher prevalence among Asian and white women. Factors associated with medication use during pregnancy include a greater number of prenatal consultations, higher education levels, health problems, and smoking. In addition, maternal age above 25 years, smoking status, and two or more previous pregnancies were associated with potentially risky medication use during pregnancy.Conclusion: A high prevalence of medication use during pregnancy was found; however, this prevalence was lower among white women. Nonetheless, black and brown women used antianemic preparations less frequently. This finding suggests that race is a factor of inequity in prenatal care, demanding public policies to mitigate it.Keywords: drug utilization, racial groups, pregnancy, pharmacoepidemiology, cohort studies

وصف الملف: electronic resource

العلاقة: https://www.dovepress.com/racial-disparities-in-medication-use-during-pregnancy-results-from-the-peer-reviewed-fulltext-article-JMDHTest; https://doaj.org/toc/1178-2390Test

الوصول الحر: https://doaj.org/article/f586deacdef2498e864bd8a5bd89d6e4Test

المؤلفون: Neves IS, Rivemales MCC

المصدر: Journal of Nursing UFPE / Revista de Enfermagem UFPE; 2010, Vol. 4 Issue 1, p381-388, 8p

المؤلفون: Rivemales MCC

المصدر: Revista Eletronica de Enfermagem; 2008, Vol. 10 Issue 3, p860-861, 2p

مستخلص: The Family Health Programme (FHP) services on offer provide nursing with a multiplicity of challenges, such as, the modification of the practical aspects of health in the scope of the primary attention directing its action towards the family, it creates a complex unit of social relations, to be part of a multi-discipline team without a structure of formal services and to add associates to its practical behaviours of this new programme. The object os this research is the activity of nursing in the attendance to the pregnant in one Family Helth Unit. The general objective is to describe the nursing activite to the pregnant in the FHU. Its specific objectives are: (1) to describe partner-demographic characteristics of the pregnants taken care of in a FHU of the city of Salvador/Bahia; (2) to identify the activities developed for the nurse to the pregnant in the FHU of the study and (3) to describe the activities executed for the nurse in the prenatal one under the point of view of the proper women. The Family Helth Unit Beira Mangue is the place where the study it was developed. The subjects of the research are pregnant women, registered FHU, that have attended the prenatal unit at least twice. This is a descriptive and exploratório research. The results disclose that: the activities of nursing in the prenatal unit include the consultation, the meeting with pregnant and the monthly domicliary visits; the nursing consultation was introduced to facilitate a better professional-customer identification; the prenatal meeting and consultations with groups of pregnant women almost never involve participation of the sexual partner or other members of the family; the domiciliary assistance is exerted first and foremost by the communitarian agents of health, where the intervention of the nurses occurs and where occasionally, a problem is detected and needs assessing. The main differences recognised when interviewing the women in the prenatal unit were: the improvement in the access and attainment of the consultation, the guarantee of the accomplishment of the complementary examinations, the access of the medicines, the participation of the nurse in the consultation. The proposals for the improvement of the service include the performance of routine prenatal examinations in the FHU and the optimization of the time used with regards to prenatal disgnostic procedures. [ABSTRACT FROM AUTHOR]

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