Relationship between perceived social support and postpartum care attendance in three Latin American countries:a crosssectional analytic study  

作　　者：Nancy R.Cardona Cordero JoséPerez Ramos Zahira Quiñones Tavarez Scott McIntosh Esteban Avendaño Carmen DiMare Deborah J.Ossip Timothy De Ver Dye 

机构地区：[1]University of Rochester,School of Medicine and Dentistry,Obstetrics and Gynecology Department Research Division,601 Elmwood Avenue,Rochester,NY 14642,USA [2]Pontificia Universidad Católica Madre y Maestra,Santiago De Los Caballeros 51000,República Dominicana [3]Universidad de Ciencias Médicas,400 metros oeste del M.A.G.,Carr.Vieja a Escazú,San José10108,Costa Rica

出　　处：《Global Health Research and Policy》2021年第1期341-349,共9页全球健康研究与政策（英文）

基　　金：funded by The National Institutes of Health/Fogarty International Center Grant#1 R25 TW 009697-01A1;NIH National Center for Advancing Translational Sciences,“NRSA Training Core”(TL1 TR002000).

摘　　要：Background:Postpartum Care is a strategy to improve survival of women and newborns,especially in low-and middle-income countries.Early post-partum care can promote healthy behaviors and the identification of risk factors associated with poorer pregnancy-related outcomes.The objective of this study was to assess the association of perceived social support with attendance to post-partum care in women from three Latin-American and Caribbean countries:Costa Rica,Dominican Republic and Honduras.Methods:Women aged 18+who completed a pregnancy in the past 5 years were interviewed in local healthcare and community settings in each country.Perceived social support(PSS)was the primary explanatory variable and the primary outcome was self-reported attendance to post-partum care.Odds Ratios(OR)with 95%confidence intervals derived from logistic regression documented the association between variables.Adjusted Odds Ratios(AOR)were calculated,controlling for social and pregnancy-related confounders.Hosmer–Lemeshow’s Goodnessof-Fit statistic was computed to assess model fit.Results:Our cohort of 1199 women across the three Latin-American and Caribbean countries showed relatively high attendance to post-partum care(82.6%,n=990).However,51.7%(n=581)of women reported lower levels of total PSS.Women were more likely to attend postpartum care if they had mean and higher levels of PSS Family subscale(OR:1.9,95%CI:1.4,2.7),Friends subscale(OR 1.3,95%CI:0.9,1.8),Significant Other subscale(OR 1.8,95%CI:1.3,2.4)and the Total PSS(OR 1.8,95%CI:1.3,2.5).All associations were statistically significant at p<0.05,with exception of the Friends subscale.Women with higher levels of total PSS were more likely to attend to post-partum care(AOR:1.40,0.97,1.92)even after controlling for confounders(education,country,and food insecurity).Conclusions:Women with higher perceived social support levels were more likely to attend to post-partum care.From all countries,women from Dominican Republic had lower perceived social support levels and this may in

关 键 词：Postpartum care Social support Maternal health Latin America Costa Rica Dominican Republic Honduras Social determinants 

分 类 号：D44[政治法律—政治学]