Articles - Revista Brasileira de Enfermagem

  • 12-04-2023

    General Law on Personal Data Protection and applicability to Nursing

    Revista Brasileira de Enfermagem. 2023;76:e20230126

    Abstract

    General Law on Personal Data Protection and applicability to Nursing

    Revista Brasileira de Enfermagem. 2023;76:e20230126

    DOI 10.1590/0034-7167-2023-0126

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    ABSTRACT

    Objectives:

    to reflect on the impacts of the General Personal Data Protection Law on Nursing practice.

    Methods:

    reflection article, through the intentional collection of materials relating to the topic.

    Results:

    legislation regulates confidentiality, processing and data sharing, requiring institutional protection measures. The nursing team is responsible for acting preventively, both in care and in the management role, in order to avoid the misuse of the patient’s personal data. The law allows academic research to be carried out as long as the purpose is clear, data collection occurs with an explicit purpose and data is anonymized.

    Final Considerations:

    although the General Personal Data Protection Law requires greater care in relation to data processing, it is established on precepts of good faith and respect for the rights of the individual, concepts aligned with the nursing code of ethics.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    General Law on Personal Data Protection and applicability to Nursing
  • REVIEW12-04-2023

    Supervision of professional nursing practice in Brazil: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20230077

    Abstract

    REVIEW

    Supervision of professional nursing practice in Brazil: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20230077

    DOI 10.1590/0034-7167-2023-0077

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    ABSTRACT

    Objectives:

    to map studies that analyze the audit process of nursing councils.

    Methods:

    this is a scoping review, anchored in the JBI framework, with the guiding question: what is the evidence of the audit process of legal practice of nursing by class councils (COFEN/COREN system)? The searches were carried out in October and November 2022 without limitation of language and year.

    Results:

    of the 9 selected studies, all are Brazilian and published from 2014 onwards. Among the topics addressed are the role, challenges, costs and difficulties in nurse auditors’ daily work process, in addition to the contribution of the audit sector in Brazil.

    Conclusions:

    the studies gathered discuss aspects related to costs, challenges and difficulties, but there is no focus on corrective, disciplinary and educational activities as well as little is said about the audit process, its reporting, referral and outcomes.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Supervision of professional nursing practice in Brazil: a scoping review
  • ORIGINAL ARTICLE12-04-2023

    Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study

    Revista Brasileira de Enfermagem. 2023;76:e20220684

    Abstract

    ORIGINAL ARTICLE

    Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study

    Revista Brasileira de Enfermagem. 2023;76:e20220684

    DOI 10.1590/0034-7167-2022-0684

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    ABSTRACT

    Objectives:

    to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units.

    Methods:

    mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used.

    Results:

    the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit.

    Conclusions:

    there was an association between burnout and ethical climate and elements of the work organization.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-04-2023

    Incidence and risk factors of pressure injuries in critically ill patients with COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220553

    Abstract

    ORIGINAL ARTICLE

    Incidence and risk factors of pressure injuries in critically ill patients with COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220553

    DOI 10.1590/0034-7167-2022-0553

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    ABSTRACT

    Objective:

    to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.

    Method:

    a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI.

    Results:

    PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001).

    Conclusion:

    PI incidence in critically ill patients with COVID-19 was high.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
  • ORIGINAL ARTICLE12-04-2023

    Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?

    Revista Brasileira de Enfermagem. 2023;76:e20220586

    Abstract

    ORIGINAL ARTICLE

    Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?

    Revista Brasileira de Enfermagem. 2023;76:e20220586

    DOI 10.1590/0034-7167-2022-0586

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    ABSTRACT

    Objective:

    To analyze the contributing factors of work-related stress among nurses in the COVID-19 pandemic.

    Methods:

    A cross-sectional study was conducted with 101 nurse practitioners from two hospitals in West Java, Indonesia. We distributed an online questionnaire to evaluate work-related stress and the data were analyzed using ordinal logistic regression.

    Results:

    More than half of the nurses experienced moderate work-related stress. The study revealed that nurses aged over 35 years old had a lower likelihood of experiencing work-related stress (AOR: 0.173; 95%CI: 0.038-0.782). Married nurses had a higher likelihood (AOR: 7.156; 95% CI: 1.456-35.163). Additionally, nurses with low and moderate workloads had a lower likelihood (AOR: 0.003; 95%CI: 0.000-0.051) and (AOR: 0.025; 95%CI: 0.005-0.116), respectively.

    Conclusion:

    The consideration of age, marital status, and workload is essential in effectively addressing work-related stress among nurse practitioners.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-04-2023

    Factors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study

    Revista Brasileira de Enfermagem. 2023;76:e20220597

    Abstract

    ORIGINAL ARTICLE

    Factors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study

    Revista Brasileira de Enfermagem. 2023;76:e20220597

    DOI 10.1590/0034-7167-2022-0597

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    ABSTRACT

    Objective:

    The study aimed to analyze the factors that affect the community’s attitude towards COVID-19 vaccination in Tangerang District.

    Methods:

    A cross-sectional study was used. Convenience sampling was used to select 400 respondents. Inclusion criteria are living in Tangerang District, aged between 18 and 55, and earning a living. An online questionnaire was used and passed validity and reliability tests. This study received ethical approval.

    Results:

    Most respondents had a high level of education (48.50%), low income (72.50%), high knowledge (78%), and a positive attitude (76.50%) regarding vaccination against COVID-19. The Chi-square test revealed a correlation between knowledge and attitudes towards COVID-19 vaccination (p=0.001), as well as education levels (p=0.001), but there was no correlation between income and attitudes (p=0.094).

    Conclusions:

    Health professionals should engage in extensive socialization and face-to-face visits with people with limited access to information to promote a positive attitude and expand the scope of COVID-19 vaccination.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-04-2023

    Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20230068

    Abstract

    ORIGINAL ARTICLE

    Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20230068

    DOI 10.1590/0034-7167-2023-0068

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    ABSTRACT

    Objective:

    to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic.

    Methods:

    A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods.

    Results:

    A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029).

    Conclusion:

    The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 12-04-2023

    The ethics of nursing care for transgender people

    Revista Brasileira de Enfermagem. 2023;76:e20220797

    Abstract

    The ethics of nursing care for transgender people

    Revista Brasileira de Enfermagem. 2023;76:e20220797

    DOI 10.1590/0034-7167-2022-0797

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    ABSTRACT

    Objectives:

    to discuss ethical aspects in nursing care for transgender people.

    Methods:

    reflective study based on the dilemmas that emerges in nursing care for transgender people. The report was structured around the four bioethical principles.

    Results:

    health care for trans people is complex, transversal to many devices and specialties and longitudinal in time, that is why it requires coordinated action. There is an ethical framework in which the nursing care must be observed in the care of this group.

    Final Considerations:

    the nurse as a health worker can assume several general lines in the care of transgender patients. So, complementary training should be provided not only to professionals, but also to students of nursing and other health sciences.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 03-19-2021

    Life satisfaction and health self-assessment of older adults assisted through home care

    Revista Brasileira de Enfermagem. 2021;74:e20200357

    Abstract

    Life satisfaction and health self-assessment of older adults assisted through home care

    Revista Brasileira de Enfermagem. 2021;74:e20200357

    DOI 10.1590/0034-7167-2020-0357

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    ABSTRACT

    Objective:

    to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network.

    Method:

    cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied.

    Results:

    there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms.

    Conclusion:

    depressive symptoms were associated with a worse life satisfaction and health self-assessment.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Life satisfaction and health self-assessment of older adults assisted through home care
  • ORIGINAL ARTICLE02-10-2020

    Relationship between quality of life, self-esteem and depression in people after kidney transplantation

    Revista Brasileira de Enfermagem. 2020;73(1):e20180245

    Abstract

    ORIGINAL ARTICLE

    Relationship between quality of life, self-esteem and depression in people after kidney transplantation

    Revista Brasileira de Enfermagem. 2020;73(1):e20180245

    DOI 10.1590/0034-7167-2018-0245

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    ABSTRACT

    Objective:

    to assess the relationship between health-related quality of life with depression and self-esteem of people after kidney transplantation.

    Method:

    a cross-sectional study of 47 outpatients from October 2016 to February 2017. The following tools were applied: The Medical Outcomes Study 36-Item Short-Form Health Survey, Beck Depression Inventory and Rosenberg Self-Esteem Scale. Descriptive statistics and Spearman correlation were used.

    Results:

    women had lower scores for health-related quality of life. Young adults, people with up to one and a half years of transplantation and those who had dialysis for more than one year had higher scores.

    Conclusion:

    the health-related quality of life of people with chronic kidney disease after transplantation ranged from good to excellent. The presence of depression was not identified. The relationship of data indicates that the higher the quality of life, the better the self-esteem assessment.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-21-2020

    Organizational flow chart of home care for children with special health care needs

    Revista Brasileira de Enfermagem. 2020;73:e20190310

    Abstract

    ORIGINAL ARTICLE

    Organizational flow chart of home care for children with special health care needs

    Revista Brasileira de Enfermagem. 2020;73:e20190310

    DOI 10.1590/0034-7167-2019-0310

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    ABSTRACT

    Objective:

    To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana.

    Method:

    Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart.

    Results:

    Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed.

    Conclusion:

    The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Organizational flow chart of home care for children with special health care needs
  • ORIGINAL ARTICLE05-24-2021

    Critical thinking in nursing training: evaluation in the area of competence Education in Health

    Revista Brasileira de Enfermagem. 2021;74:e20200979

    Abstract

    ORIGINAL ARTICLE

    Critical thinking in nursing training: evaluation in the area of competence Education in Health

    Revista Brasileira de Enfermagem. 2021;74:e20200979

    DOI 10.1590/0034-7167-2020-0979

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    ABSTRACT

    Objective:

    To analyze the constitution of critical thinking in nursing training in the approach by competence and the integrated curriculum, considering the evaluation process by capturing its challenges, and proposing overcoming strategies.

    Methods:

    Qualitative. In the first phase of data collection, interviews were conducted with twenty-four professors, nine preceptors, and fifteen students to reconstruct the profile of competence, and in the second phase, a workshop to validate the profile identified challenges and proposals. The Collective Subject Discourse was used to analyze the interviews and the holistic competence reference in reconstructing the profile.

    Results:

    The critical thinking is built based on experiences in the world of work, and evaluation is the conductor of reflections towards emancipation.

    Final considerations:

    It signals the importance of professor training in the learning evaluation and working with the collective construction of subjects to overcome challenges that happen in the changes of training.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 08-07-2023

    Chemsex and its repercussions on the health of men who have sex with men (MSM): a global health perspective

    Revista Brasileira de Enfermagem. 2023;76(3):e20230004

    Abstract

    Chemsex and its repercussions on the health of men who have sex with men (MSM): a global health perspective

    Revista Brasileira de Enfermagem. 2023;76(3):e20230004

    DOI 10.1590/0034-7167-2023-0004

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    ABSTRACT

    Objectives:

    to discuss the repercussions of chemsex on the health of men who have sex with men (MSM), contextualizing it in a global health scenario and pointing out the implications for nursing care.

    Methods:

    theoretical-reflexive study based on scientific literature and concepts related to global health.

    Results:

    we present the epidemiology of the chemsex phenomenon, the main demands of the field, the reasons why it has become a global public health problem, and the implications for nursing practice.

    Final Considerations:

    chemsex is growing in all age groups of MSM and is globally benefiting from location-based applications to gain magnitude, finding an important potential audience in the migrant population. Nursing structures can help accelerate the proposal and implementation of biomedical and behavioral measures to address chemsex in its entirety, qualifying care and inducing teamwork with interprofessional collaboration.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 09-16-2019

    Clinical and epidemiological features of tuberculosis in children and adolescents

    Revista Brasileira de Enfermagem. 2019;72(5):1271-1278

    Abstract

    Clinical and epidemiological features of tuberculosis in children and adolescents

    Revista Brasileira de Enfermagem. 2019;72(5):1271-1278

    DOI 10.1590/0034-7167-2018-0172

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    ABSTRACT

    Objective:

    To analyze the clinical and epidemiological features of tuberculosis in children and adolescents in an infectious diseases reference hospital.

    Method:

    A documental and retrospective study was carried out with 88 medical files in an infectious diseases reference hospital in the state of Ceará. Data were analyzed by univariate, bivariate and multivariate approaches.

    Results:

    It was found that, depending on the tuberculosis type, its manifestations may vary. The logistic regression model considered only pulmonary tuberculosis due to a number of observations and included female sex (95% CI: 1.4-16.3), weight loss (95% CI: 1.8-26.3), bacilloscopic screening (95% CI: 1.5-16.6) and sputum collected (95% CI: 1.4-19.4) as possible predictors.

    Conclusions:

    Children and adolescents present different manifestations of the disease depending on the tuberculosis type that affects them. Knowing the most common features of each condition could enhance early diagnosis and, consequently, result in adequate treatment and care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-30-2021

    Family functionality and burden of family caregivers of users with mental disorders

    Revista Brasileira de Enfermagem. 2021;74(5):e20201061

    Abstract

    ORIGINAL ARTICLE

    Family functionality and burden of family caregivers of users with mental disorders

    Revista Brasileira de Enfermagem. 2021;74(5):e20201061

    DOI 10.1590/0034-7167-2020-1061

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    ABSTRACT

    Objective:

    to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.

    Methods:

    cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.

    Results:

    women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.

    Conclusions:

    nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-13-2019

    Preconception health behaviors among women with planned pregnancies

    Revista Brasileira de Enfermagem. 2019;72:17-24

    Abstract

    ORIGINAL ARTICLE

    Preconception health behaviors among women with planned pregnancies

    Revista Brasileira de Enfermagem. 2019;72:17-24

    DOI 10.1590/0034-7167-2017-0620

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    ABSTRACT

    Objective:

    To identify determinants of preconception preparation among women with planned pregnancies.

    Method:

    A cross-sectional study with a probabilistic sample of 264 women between 18 and 49 years of age who had or were undergoing planned pregnancies, and were users of two School Health Centers in the city of São Paulo. Analysis was conducted through univariate and multiple logistic regression of three variable blocks: 1) social and demographic characteristics; 2) sexual and reproductive characteristics; 3) preexisting health conditions.

    Results:

    Women with higher education, belonging to economic groups A and B, and older women with infertility were more likely to perform preconception training.

    Conclusion:

    Preconception care has a strong social determination, as women with more favorable social profiles are more likely to perform it. Experience with infertility is also instrumental in the likelihood of preconception care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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