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 

作者机构：University of RochesterSchool of Medicine and DentistryObstetrics and Gynecology Department Research Division601 Elmwood AvenueRochesterNY 14642USA Pontificia Universidad Católica Madre y MaestraSantiago De Los Caballeros 51000República Dominicana Universidad de Ciencias Médicas400 metros oeste del M.A.G.Carr.Vieja a EscazúSan José10108Costa Rica 

出 版 物：《Global Health Research and Policy》 (全球健康研究与政策（英文）)

年 卷 期：2021年第6卷第1期

页      面：341-349页

学科分类：0302[法学-政治学] 03[法学] 

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) 

主　　题：Postpartum care Social support Maternal health Latin America Costa Rica Dominican Republic Honduras Social determinants 

摘      要：Background:Postpartum Care is a strategy to improve survival of women and newborns,especially in low-and middle-income *** post-partum care can promote healthy behaviors and the identification of risk factors associated with poorer pregnancy-related *** 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 ***:Women aged 18+who completed a pregnancy in the past 5 years were interviewed in local healthcare and community settings in each *** social support(PSS)was the primary explanatory variable and the primary outcome was self-reported attendance to post-partum *** Ratios(OR)with 95%confidence intervals derived from logistic regression documented the association between *** Odds Ratios(AOR)were calculated,controlling for social and pregnancy-related ***–Lemeshow’s Goodnessof-Fit statistic was computed to assess model ***: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 *** 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 p0.05,with exception of the Friends *** 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 *** all countries,women from Dominican Republic had lower per