Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to...
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Format: | Article |
Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2014-05-01
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Series: | Cadernos de Saúde Pública |
Subjects: | |
Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=en |
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author | Ana María Osorio Luis Miguel Tovar Katharina Rathmann |
author_facet | Ana María Osorio Luis Miguel Tovar Katharina Rathmann |
author_sort | Ana María Osorio |
collection | DOAJ |
description | This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits. |
first_indexed | 2024-12-13T21:15:31Z |
format | Article |
id | doaj.art-83d683a4a70145f09bd640176946c957 |
institution | Directory Open Access Journal |
issn | 0102-311X |
language | English |
last_indexed | 2024-12-13T21:15:31Z |
publishDate | 2014-05-01 |
publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
record_format | Article |
series | Cadernos de Saúde Pública |
spelling | doaj.art-83d683a4a70145f09bd640176946c9572022-12-21T23:31:15ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X2014-05-013051079109210.1590/0102-311X00073513S0102-311X2014000501079Individual and local level factors and antenatal care use in Colombia: a multilevel analysisAna María OsorioLuis Miguel TovarKatharina RathmannThis paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=enAtención PrenatalAccesibilidad a los Servicios de SaludAnálisis Multinivel |
spellingShingle | Ana María Osorio Luis Miguel Tovar Katharina Rathmann Individual and local level factors and antenatal care use in Colombia: a multilevel analysis Cadernos de Saúde Pública Atención Prenatal Accesibilidad a los Servicios de Salud Análisis Multinivel |
title | Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_full | Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_fullStr | Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_full_unstemmed | Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_short | Individual and local level factors and antenatal care use in Colombia: a multilevel analysis |
title_sort | individual and local level factors and antenatal care use in colombia a multilevel analysis |
topic | Atención Prenatal Accesibilidad a los Servicios de Salud Análisis Multinivel |
url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=en |
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