Factors associated with women diagnosed with syphilis who received prenatal care in a primary healthcare unit.

OBJECTIVE: To estimate the prevalence of syphilis and its associated factors in women who were treated at public maternity hospitals and received prenatal care in a primary healthcare unit. METHODS: This cross-sectional study included 399 postpartum women. Interviews were conducted, and additional data were extracted from the pregnant woman's booklet, medical records, and printed tests. The dependent variable was a gestational syphilis diagnosis. The independent variables were grouped into socioeconomic and demographic, behavioral, reproductive, and prenatal blocks. The prevalence, prevalence ratios, and 95% confidence intervals (95%CI) were calculated. The χ 2 test was also performed (p≤0.05). Multivariate analysis was performed using Poisson regression models. RESULTS: The prevalence of gestational syphilis was 9.61% (95%CI: 7.14-12.83). We identified the following determining factors (adjusted prevalence ratios): history of sexually transmitted infections (2.3), first sexual intercourse by the age of 15 (2.42), partner having a history of syphilis (5.98), partner using crack/cocaine (6.42) and marijuana and others (3.02), not having a partner (3.07), low income (2.85), history of stillbirth (5.21), beginning prenatal care in the third trimester (3.15), and prenatal care received in a primary healthcare unit (without a Family Health Strategy team) (0.35). CONCLUSION: Individual and prenatal factors were associated with gestational syphilis. To control congenital syphilis, targeted interventions are needed to control syphilis in the adult population including expansion of access to quality prenatal care with identification of risks for syphilis and connection between prevention and treatment actions, implementation of strategies focused on early sexual education, effective establish prenatal care involving both partners, and effective implementation of the National Men's Health Policy (PNAISH - Política Nacional de Atenção Integral à Saúde dos Homens ).

Factors associated with women diagnosed with syphilis who received prenatal care in a primary healthcare unit

ABSTRACT Objective To estimate the prevalence of syphilis and its associated factors in women who were treated at public maternity hospitals and received prenatal care in a primary healthcare unit. Methods This cross-sectional study included 399 postpartum women. Interviews were conducted, and additional data were extracted from the pregnant woman's booklet, medical records, and printed tests. The dependent variable was a gestational syphilis diagnosis. The independent variables were grouped into socioeconomic and demographic, behavioral, reproductive, and prenatal blocks. The prevalence, prevalence ratios, and 95% confidence intervals (95%CI) were calculated. The χ 2 test was also performed (p≤0.05). Multivariate analysis was performed using Poisson regression models. Results The prevalence of gestational syphilis was 9.61% (95%CI: 7.14-12.83). We identified the following determining factors (adjusted prevalence ratios): history of sexually transmitted infections (2.3), first sexual intercourse by the age of 15 (2.42), partner having a history of syphilis (5.98), partner using crack/cocaine (6.42) and marijuana and others (3.02), not having a partner (3.07), low income (2.85), history of stillbirth (5.21), beginning prenatal care in the third trimester (3.15), and prenatal care received in a primary healthcare unit (without a Family Health Strategy team) (0.35). Conclusion Individual and prenatal factors were associated with gestational syphilis. To control congenital syphilis, targeted interventions are needed to control syphilis in the adult population including expansion of access to quality prenatal care with identification of risks for syphilis and connection between prevention and treatment actions, implementation of strategies focused on early sexual education, effective establish prenatal care involving both partners, and effective implementation of the National Men's Health Policy (PNAISH - Política Nacional de Atenção Integral à Saúde dos Homens ).

O processo sucessório em organizações familiares e a exclusão da mulher / The successors process into family firms and exclusion of women

O presente estudo aborda o processo sucessório em organizações familiares enfocando a exclusão da mulher deste processo. Trata-se de um estudo de caráter descritivo e exploratório, utilizando multicasos em organizações familiares localizadas no Estado de Goiás, por meio de entrevista semi-estruturada com diretores(as), gerentes e trabalhadores(as) para coleta de dados, analisados com a técnica de análise gráfica do discurso de Lane (1985). Como resultados tem-se que, em decorrência de traços da cultura brasileira e da cultura das organizações pesquisadas, ocorre a exclusão da mulher do processo sucessório de organizações familiares, explicitada de duas formas: desconsiderando desde o início a possibilidade de promover mulheres para cargos de cúpula, ou considerando-as no início, mas descartando-as em etapas posteriores. Foi encontrado um número mínimo de diretores e gerentes do gênero feminino nas organizações pesquisadas, devendo-se salientar que os cargos diretivos e gerenciais ocupados por elas estão relacionados a funções consideradas 'femininas'(AU)

O processo sucessório em organizações familiares e a exclusão da mulher / The successors process into family firms and exclusion of women

O presente estudo aborda o processo sucessório em organizações familiares enfocando a exclusão da mulher deste processo. Trata-se de um estudo de caráter descritivo e exploratório, utilizando multicasos em organizações familiares localizadas no Estado de Goiás, por meio de entrevista semi-estruturada com diretores(as), gerentes e trabalhadores(as) para coleta de dados, analisados com a técnica de análise gráfica do discurso de Lane (1985). Como resultados tem-se que, em decorrência de traços da cultura brasileira e da cultura das organizações pesquisadas, ocorre a exclusão da mulher do processo sucessório de organizações familiares, explicitada de duas formas: desconsiderando desde o início a possibilidade de promover mulheres para cargos de cúpula, ou considerando-as no início, mas descartando-as em etapas posteriores. Foi encontrado um número mínimo de diretores e gerentes do gênero feminino nas organizações pesquisadas, devendo-se salientar que os cargos diretivos e gerenciais ocupados por elas estão relacionados a funções consideradas "femininas".