Frequency of public child care service use and associated factors

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dc.contributor.authorVitolo, Márcia Regina
dc.contributor.authorGama, Cintia Mendes [UNIFESP]
dc.contributor.authorCampagnolo, Paula Dal Bó
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUFCSPA
dc.date.accessioned2016-01-24T13:59:03Z
dc.date.available2016-01-24T13:59:03Z
dc.date.issued2010-01-01
dc.description.abstractObjective: Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families.Methods: Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritional intervention. the study began in the Brazilian Unified Health System (Sistema Unico de Saude, SUS) of the maternity hospital in the city of Sao Leopoldo, state of Rio Grande do Sul, Brazil. Children were examined regarding child care follow-up and vaccination schedule by checking the immunization chart. Data were analyzed using statistical tests Pearson's chi square and prevalence ratio (PR) with respective 95% confidence interval.Results: the frequency of children who were not continuously taken to the child care service was 53.2%. Multivariate analysis suggests that the factors associated with the lack of continuous use of the service were: mother's educational level <= 8 years (PR 1.32 95%CI 1.02-1.71), non-nuclear family structure (PR 1.32 95%CI 1.10-1.59) and not being an only child (PR 1.38 95%CI 1.10-1.72). the reasons for lack of follow-up, according to the mothers were: the fact that they thought it unnecessary for 66.2%, problems with the service for 21.7%, difficulties related to their jobs for 6.05%, and other reasons for 6.05%.Conclusion: the high frequency of children who were not taken to the child health care service for follow-up is associated with low maternal educational level and family structure, as well as the perception that follow-up visits are not necessary when the child does not have a disease.en
dc.description.affiliationUniv São Paulo, UNIFESP, São Paulo, Brazil
dc.description.affiliationUFCSPA, Porto Alegre, RS, Brazil
dc.description.affiliationUnifespUniv São Paulo, UNIFESP, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIDCNPq: 401922/2005-7
dc.format.extent80-84
dc.identifierhttp://dx.doi.org/10.2223/JPED.1966
dc.identifier.citationJornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 86, n. 1, p. 80-84, 2010.
dc.identifier.doi10.2223/JPED.1966
dc.identifier.fileS0021-75572010000100014-en.pdf
dc.identifier.fileS0021-75572010000100014-pt.pdf
dc.identifier.issn0021-7557
dc.identifier.scieloS0021-75572010000100014
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32061
dc.identifier.wosWOS:000275361800014
dc.language.isoeng
dc.publisherSoc Brasil Pediatria
dc.relation.ispartofJornal de Pediatria
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealth careen
dc.subjectchild careen
dc.subjecthealth indicatorsen
dc.titleFrequency of public child care service use and associated factorsen
dc.title.alternativeFrequência de utilização do serviço público de puericultura e fatores associadospt
dc.typeinfo:eu-repo/semantics/article
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