Bolsa Familia Program and Perinatal Outcomes: NISAMI Cohort

Cinthia Soares Lisboa, Jerusa da Mota Santana, Rita de Cássia Ribeiro-Silva, Edna Maria de Araújo, Carlos Alberto Lima da Silva, Mauricio Lima Barreto, Marcos Pereira and Djanilson Barbosa dos Santos
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Cinthia Soares Lisboa: Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil
Jerusa da Mota Santana: Center of Health Sciences, Universidade Federal do Recôncavo da Bahia, Santo Antônio de Jesus 44574-490, BA, Brazil
Rita de Cássia Ribeiro-Silva: School of Nutrition, Federal University of Bahia, Salvador 40170-110, BA, Brazil
Edna Maria de Araújo: Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil
Carlos Alberto Lima da Silva: Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil
Mauricio Lima Barreto: Collective Health Institute, Universidade Federal da Bahia, Rua Basílio da Gama, s/n, Salvador 40110-040, BA, Brazil
Marcos Pereira: Collective Health Institute, Universidade Federal da Bahia, Rua Basílio da Gama, s/n, Salvador 40110-040, BA, Brazil
Djanilson Barbosa dos Santos: Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil

IJERPH, 2022, vol. 19, issue 9, 1-10

Abstract: This study aimed to assess the impact of the Bolsa Familia Program on perinatal outcomes of pregnant women. A cohort study was conducted with pregnant women supported by prenatal services at 17 Family Health Units in Bahia, Brazil. A previously tested structured questionnaire, which has sociodemographic, economic, prenatal care, lifestyle, and nutritional variables, has been used to collect data. The outcomes included premature birth and low birth weight. A hierarchical conceptual model was constructed, and logistic regression analysis was performed. From a total of 1173 pregnant women, the identified average age was 25.44 years and 34.10% had pre-gestational overweight. The non-beneficiary pregnant women presented a 1.54 (95% CI = 0.46–5.09) times higher chance of giving birth to children with low weight and a 1.03 (95% CI = 95% CI = 0.53–2.00) times chance of premature birth when compared to the beneficiary group. In the multilevel model, some variables were statistically significant, such as age between 18 and 24 years ( p = 0.003), age greater than or equal to 35 years ( p = 0.025), family income ( p = 0.008), employment status ( p = 0.010), and maternal height ( p = 0.009). The Bolsa Familia Program, as an integrated strategy of social inclusion and economic development, is suggested to exert a protective effect on the health of mother-concept binomial.

Keywords: pregnancy; premature birth; birth weight; child health; nutrition programs and policies; social programs (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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