RESUMO
Cleaning products are associated with many health and environmental problems. Contamination of water resources by cleaning products is more likely to occur with septic tanks as sewage treatment systems especially in karstic terrains. We explored women's ideas about water sources and the risk cleaning products pose to health and sewage in Mérida, a city in the Yucatán peninsula of Mexico. Women were unaware of the city's water management system. We found a positive and statistically significant association between risk perception and environmental awareness, education level and employment status. We suggest developing education and risk communication strategies to inform residents about the hydro-geological features in the Yucatán, the vulnerability of its karstic aquifer and the health and environmental risks associated with cleaning agents.
Assuntos
Meio Ambiente , Conhecimentos, Atitudes e Prática em Saúde , Abastecimento de Água , Adulto , Feminino , Humanos , México , Pessoa de Meia-Idade , Modelos Estatísticos , Fatores Socioeconômicos , Abastecimento de Água/normas , Adulto JovemRESUMO
OBJECTIVE: To compare vaginal delivery hospital and traditional care systems to identify resources and practices, as well as maternal and neonatal complications related to each system. MATERIAL AND METHODS: Between 1989 and 1990, a cross-sectional study was conducted in three hospitals of Merida City and four municipalities of the state of Yucatan. The study sample consisted of 205 women who had a normal vaginal delivery. Delivery procedures were observed and a questionnaire to identify complications was applied 15 days after childbirth. Data analysis consisted in comparison of proportions with the chi-squared test. RESULTS: Maternal and neonatal complications were identified in both systems; however, maternal complications were more frequent in hospital care, whereas neonatal complications were more frequent in traditional delivery care. The total number of complications was similar in the two systems. CONCLUSIONS: No difference was found in the quality of care between the hospital and the traditional systems. Observed complications may be attributable to resources and practices of each system. Additional studies should be conducted to evaluate the advantages and disadvantages of each system, as well as to improve the quality of maternal and child care. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
Assuntos
Parto Obstétrico/normas , Parto Domiciliar/normas , Medicina Tradicional , Complicações do Trabalho de Parto/epidemiologia , Obstetrícia/normas , Adulto , Estudos Transversais , Parto Obstétrico/métodos , Feminino , Parto Domiciliar/efeitos adversos , Humanos , Recém-Nascido , México/epidemiologia , Parto Normal , Complicações do Trabalho de Parto/terapia , Obstetrícia/estatística & dados numéricos , GravidezRESUMO
OBJECTIVE: To compare vaginal delivery hospital and traditional care systems to identify resources and practices, as well as maternal and neonatal complications related to each system. MATERIAL AND METHODS: Between 1989 and 1990, a cross-sectional study was conducted in three hospitals of Merida City and four municipalities of the state of Yucatan. The study sample consisted of 205 women who had a normal vaginal delivery. Delivery procedures were observed and a questionnaire to identify complications was applied 15 days after childbirth. Data analysis consisted in comparison of proportions with the chi-squared test. RESULTS: Maternal and neonatal complications were identified in both systems; however, maternal complications were more frequent in hospital care, whereas neonatal complications were more frequent in traditional delivery care. The total number of complications was similar in the two systems. CONCLUSIONS: No difference was found in the quality of care between the hospital and the traditional systems. Observed complications may be attributable to resources and practices of each system. Additional studies should be conducted to evaluate the advantages and disadvantages of each system, as well as to improve the quality of maternal and child care.