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| Identifier |
000337013 |
| Title |
Κοινωνικο-δημογραφικά χαρακτηριστικά και προγεννητική χρήση υπηρεσιών υγείας, από έγκυες γυναίκες στο νομό Ηρακλείου : μια πιλοτική μελέτη |
| Alternative Title |
Socio-demographic characteristics and prenatal health care service utilization by pregnant women in Heraklion, Crete: a pilot study |
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Author
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Πατελάρου, Ευριδίκη
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Thesis advisor
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Κογεβίνας, Μανόλης
Χατζή, Λήδα
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| Abstract |
Background: Socio-demographic factors play an important role in the development of the embryo during pregnancy and in the growth of the infant in the first years of its life. Socioeconomic status is also associated with access to health care services and differences in pregnancy outcome. These characteristics include the age, educational level, the families’ economical status, the place of residence (rural or urban) and ethnic origin.
Objectives: The aim of this study was to complete the pilot phase of the mother and child cohort in Crete, “Rhea study” that forms part of the new cohorts of NewGeneris. The specific objectives were to identify the sociodemographic characteristics and the health care services utilization among pregnant women. The prevalence of active and passive smoking before and during pregnancy was also studied.
Methods: The study population consisted of women who gave birth in the Obstetrics and Gynaecology Clinics of the two public hospitals ( PEPAGNH and Venizeleio) in Heraklion during 06/06/06 – 06/07/06. The women answered, through a face-to-face interview, a short version of the main NewGeneris questionnaire.
Results: The final sample consisted of 196 women (mean age 28±5.8) and the response rate was 100%. Among pregnant women28% (n=54) were non-Greek. Among non-Greek women about 50% did not understand well the Greek language. Among women 48% gave birth with a caesarean section. The average number of obstetric ultrasound scans was 8 ±4.8 and the average number of visits to the gynaecologist was 11±5.3 with higher rates for Greek women. The study also reveals a high prevalence of prenatal maternal exposure to active (22%) and passive (69%) smoking during pregnancy. Higher prevalence of smoking was observed among Greek women with adjusted Odds Ratio of 2.12 (95% CI 0.9-5.0) for active and 1.82 (95% CI 0.9-3.8) for passive smoking respectively when compared ton non-Greek women.
Conclusion: Pregnant women consist a group with special characteristics concerning social and demographic factors, including a higher proportion of non-Greek, low income women. Sociodemographic characteristics are associated with different attitudes towards health care service utilization and differences in exposures such as smoking. From a public health point of view, policies are needed to limit the number of caesarean sections and ultrasound use during pregnancy.
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| Language |
Greek |
| Subject |
Delivery of Health Care |
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Maternal Health Care |
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Pregnancy |
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Social Medicine |
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Εγκυμοσύνη |
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Κοινωνική ιατρική |
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Μητρότητας υπηρεσίες υγείας |
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Παροχή υπηρεσιών υγείας |
| Issue date |
2007-03-08 |
| Collection
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School/Department--School of Medicine--Department of Medicine--Post-graduate theses
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Type of Work--Post-graduate theses
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| Notes |
Πρόγραμμα μεταπτυχιακών σπουδών :"Δημόσια υγεία και διοίκηση υπηρεσιών υγείας". |
| Views |
231 |
Κοινωνικο-δημογραφικά χαρακτηριστικά και προγεννητική χρήση υπηρεσιών υγείας, από έγκυες γυναίκες στο νομό Ηρακλείου : μια πιλοτική μελέτη
