Utilization of maternal health-care services in Peru: the role of women's education.
Health Transit Rev
; 2(1): 49-69, 1992 Apr.
Article
em En
| MEDLINE
| ID: mdl-10148665
ABSTRACT
PIP: The hypothesis that maternal education influences use of maternal health care services in Peru was analyzed by 4 logistic regression models, using data from the Peruvian Demographic and Health Survey of September-December 1986. Peru has one of the highest child-mortality rates in the region, with extreme variation across regions of the country, ranging from 34/1000 in Lima to 110/1000 in the Andean mountains. The conceptual framework for this study was the health-seeking model of Kroger who proposed that utilization depends on predisposing factors including education, characteristics of the illness, and of the health-care system. This study analyzed 1925 births, the last births to 4999 ever-married women in the 5 years before the survey. The 2 dependent variables were sources of prenatal care and assistance at delivery. 60.1% of the women had formal prenatal care, and 54.9% had formal delivery assistance for their last birth. The bivariate effects of maternal schooling were strongly associated with use of health care, with relative odds of 47.47 for delivery assistance, and 25.37 for prenatal care. Controlling for the woman's childhood background in Model 2 reduced the odds to 13.6 and 19.69, respectively. In model 3 access to care reduced relative odds to 8.33 for prenatal care and 10.70 for delivery assistance. Taking into account the household socioeconomic status in Model 4 reduced significance of the results. The results indicated that maternal education has a profound effect on seeking medical care, but in Peru the lack of access to care in the outlying rural areas supersedes maternal education.
Palavras-chave
Altitude; Americas; Data Analysis; Delivery Of Health Care; Demographic Factors; Developing Countries; Distance; Economic Factors; Educational Status; Environment; Family And Household; Family Characteristics; Family Relationships; Geographic Factors; Health; Health Services; Infant Mortality; Latin America; Maternal Health Services; Maternal-child Health Services; Mortality; Mothers; Multivariate Analysis; Parents; Peru; Population; Population Characteristics; Population Dynamics; Prenatal Care; Primary Health Care; Research Methodology; Rural Health Services; Rural Population; Rural Spatial Distribution; Socioeconomic Factors; Socioeconomic Status; South America; Spatial Distribution; Statistical Regression; Statistical Studies; Studies; Urban Population
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde Materna
/
Mães
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Implementation_research
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do sul
/
Peru
Idioma:
En
Revista:
Health Transit Rev
Assunto da revista:
CIENCIAS DO COMPORTAMENTO
/
CIENCIAS SOCIAIS
/
SERVICOS DE SAUDE
Ano de publicação:
1992
Tipo de documento:
Article
País de publicação:
Austrália