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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir y comparar las desigualdades seg&#250;n la clase social en el control del embarazo en Barcelona durante 2 per&#237;odos&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se comparan 2 cuatrienios&#58; 1994-1997 y 2000-2003&#46; La poblaci&#243;n de estudio son las gestantes de Barcelona y la muestra los controles del Registro de Defectos Cong&#233;nitos de Barcelona &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>905 en 1994-1997&#59; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>927 en 2000-2003&#41;&#46; Las fuentes de informaci&#243;n son las historias hospitalarias y una encuesta realizada a las madres&#46; Las variables dependientes son&#58; planificaci&#243;n del embarazo&#44; ingesta de &#225;cido f&#243;lico antes del embarazo&#44; consumo de tabaco&#44; n&#250;mero de visitas al obstetra&#44; trimestre de primera visita&#44; n&#250;mero de ecograf&#237;as&#44; ecograf&#237;a del quinto mes&#44; prueba invasiva y abandono del tabaco&#46; Las variables independientes son la edad y la clase social&#46; Se ajustaron modelos de regresi&#243;n log&#237;stica para cada variable dependiente seg&#250;n la clase social y se compararon los resultados entre cuatrienios&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Tanto las gestantes de clases de ocupaci&#243;n manual como las de no manual presentan mejor&#237;as en el segundo cuatrienio en 7 de los 10 indicadores &#40;no son exactamente los mismos en ambas clases&#41;&#46; Sin embargo&#44; cuando comparamos las variaciones interclase entre los 2 cuatrienios se registran diferencias en 8 de los 10 indicadores&#44; 7 a favor de las clases m&#225;s favorecidas y uno a favor de las menos favorecidas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Excepto para una de las situaciones analizadas &#40;hacer m&#225;s de 3 ecograf&#237;as&#41;&#44; las clases menos favorecidas presentan peores resultados que las m&#225;s favorecidas al comparar la tendencia de los indicadores entre los 2 per&#237;odos&#46; La distancia entre clases en el &#225;mbito del control de la gestaci&#243;n se acent&#250;a con el tiempo&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe and compare social inequalities in pregnancy care among pregnant women living in Barcelona &#40;Spain&#41; in 2 periods&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Two 4-year periods were compared&#58; 1994-1997 and 2000-2003&#46; The study population consisted of pregnant women living in Barcelona and the control sample was drawn from the Barcelona Birth Defects Registry &#40;n&#59;&#61;<span class="elsevierStyleHsp" style=""></span>905 in 1994-1997&#59; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>927 in 2000-2003&#41;&#46; Medical records and personal interviews with the mothers were used as information sources&#46; The dependent variables were pregnancy planning&#44; prenatal use of folic acid&#44; smoking&#44; the number of obstetric visits&#44; trimester of the first visit&#44; the number of obstetric ultrasound scans&#44; fifth-month diagnostic ultrasound scan&#44; invasive procedures&#44; and smoking cessation&#46; The independent variables were maternal age and social class&#46; Maternal age-adjusted logistic regression models for each dependent variable according to social class were calculated and the results for both 4-year periods were compared&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Pregnant women in both manual and non-manual occupational classes showed better results in the second period in 7 out of 10 variables &#40;although the results were not identical in the 2 occupational classes&#41;&#46; However&#44; when interclass variations between the 2 periods were compared&#44; differences in 8 out of 10 variables were found&#58; 7 indicators were more favorable in the more privileged classes and only one was more favorable in the less privileged classes&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Except for one of the variables analyzed &#40;more than 3 ultrasound scans&#41;&#44; the less privileged classes showed poorer results than the more privileged classes when the tendencies in indicators were compared between the two periods&#46; The gap between social classes in pregnancy care is increasing over time&#46;</p>"
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