Prenatal care of Brazilian women: racial inequalities and their implications for care

• Published in: Ciência & saude coletiva 2022-10, Vol.27 (10), p.3881-3890
• Main Authors: Souza de Almeida Lessa, Millani, Nascimento, Enilda Rosendo, Almeida Cardoso Coelho, Edmeia de, Soares, Ieda de Jesus, Paz Rodrigues, Quessia, Souza Teles Santos, Carlos Antonio de, Nunes, Isa Maria
• Format: Article
• Language: eng ; por
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-812320222710.01282022EN

The study aimed to characterize women that attended prenatal care in Brazil according to ethnicity/skin color and sociodemographic variables and to verify the association between the indicators of the prenatal care process and the women's ethnicity/skin color. This was a population based, cross-sectional study carried out with data from the National Health Survey of 2013. A bivariate analysis was performed using the multilevel logistic regression model, estimating the odds ratio and the respective 95% confidence intervals to test the association between the indicators of the adequate prenatal care process and the women's ethnicity/skin color. The findings showed that black women have a lower chance of starting prenatal care before 12 weeks of gestation, having 6 or more consultations, performing the HIV test, performing the VDRL exam or receiving advice related to care during gestation and childbirth. Inequalities were identified in the healthcare of Brazilian women during prenatal care, related to ethnicity/skin color and other sociodemographic characteristics. It was concluded that being of black ethnicity and living in a socially disadvantaged area entails disadvantages for women regarding access to a prenatal care considered to be adequate according to the criteria established by the Brazilian Ministry of Health.