Skip to main content

Table 4 Adjusted analysis by means of hierarchized modeling of the factors associated with inadequate prenatal care use

From: Inadequate prenatal care utilization and associated factors in São Luís, Brazil

 

Block 1

 

Block 2

 

Block 3

 

Variables

PR (95% CI)*

p-value

PR (CI 95%)*

p-value

PR (95% CI)*

p-value

Predisposing characteristics

      

Maternal age (years)

 

<0.001

    

  < 20

1.28 (1.17 - 1.40)

     

  20 – 34

1.00

     

  ≥ 35

0.64 (0.54 - 0.78)

     

Parity

 

<0.001

    

  1

0.70 (0.64 - 0.77)

     

  2 – 4

1.00

     

  ≥ 5

1.31 (1.16 - 1.49)

     

Maternal schooling (years)

 

<0.001

    

  0 – 4

2.78 (2.23 - 3.47)

     

  5 – 8

2.49 (2.04 - 3.05)

     

  9 – 11

1.86 (1.54 - 2.25)

     

  ≥ 12

1.00

     

Marital status

 

<0.001

    

  With no companion

1.81 (1.58 - 2.10)

     

  Married

1.00

     

  Consensual union

1.41 (1.25 - 1.60)

     

Mother’s skin color

 

0.021

    

  White

1.00

     

  Black

1.19 (1.04 - 1.36)

     

  Mulatto

1.14 (1.02 - 1.26)

     

Family head

 

0.031

    

  Mother

1.00

     

  Others

1.17 (1.01 - 1.35)

     

Enabling resources

      

Per capita family income

   

<0.001

  

  ≥1

  

1.00

   

  ≥0.5 to <1

-

 

1.29 (1.15 - 1.44)

   

  <0.5

-

 

1.37 (1.22 - 1.54)

   

  Missing

-

 

1.32 (1.18 - 1.49)

   

Category of prenatal care

   

<0.001

  

  Private

-

 

1.00

   

  Public

-

 

2.74 (2.18 - 3.43)

   

Coverage by the family health program

   

0.014

  

  No

-

 

1.00

   

  Yes

-

 

0.92 (0.85 - 0.98)

   

Need

      

Hypertension before or during pregnancy

    

0.013

  Yes

-

 

-

 

0.89 (0.80 - 0.98)

 

  No

-

 

-

 

1.00

 

Diabetes before or during pregnancy

    

0.062

  Yes

-

 

-

 

0.72 (0.51 - 1.01)

 

  No

-

 

-

 

1.00

 

Previous pregnancy loss

    

0.002

  Yes

-

   

0.87 (0.80 - 0.95)

 

  No

    

1.00

 

Maternal smoking during pregnancy

    

<0.001

  Yes

-

 

-

 

1.28 (1.13 -1.45)

 

  No

-

 

-

 

1.00

 

Alcohol consumption during pregnancy

    

0.002

  Yes

-

 

-

 

1.15 (1.05 – 1.26)

 

  No

-

 

-

 

1.00

 

Previous preterm birth

    

0.390

  Yes

-

 

-

 

1.04 (0.94 – 1.15)

 

  No

-

 

-

 

1.00

 
  1. São Luís, Brazil, 2010.
  2. PR – Prevalence ratio; CI – Confidence interval;
  3. *Prevalence ratio (PR) estimated by the Poisson regression model with robust adjustment of the standard errors. A total of 210 cases were excluded because of lack of information about the number of visits and/or the trimester prenatal care was started. Block 1 – adjusted for predisposing characteristics; Block 2 – adjusted for predisposing characteristics and enabling resources; Block 3 – adjusted for all variables – predisposing characteristics, enabling resources and need.