Frequency of public child care service use and associated factors

Frequency of public child care service use and associated factors

Alternative title Frequência de utilização do serviço público de puericultura e fatores associados
Author Vitolo, Márcia Regina Google Scholar
Gama, Cintia Mendes Autor UNIFESP Google Scholar
Campagnolo, Paula Dal Bó Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: 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.
Keywords Health care
child care
health indicators
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number CNPq: 401922/2005-7
Date 2010-01-01
Published in Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 86, n. 1, p. 80-84, 2010.
ISSN 0021-7557 (Sherpa/Romeo, impact factor)
Publisher Soc Brasil Pediatria
Extent 80-84
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000275361800014
SciELO ID S0021-75572010000100014 (statistics in SciELO)

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