Autora: Sónia Pintassilgo


Artigo| Pintassilgo, S.; Carvalho, H. (2017), Trends and consequences of the technocratic paradigm of childbirth in Portugal: a population-based analysis of birth conditions and social characteristics of parents, Sexual and Reproductive Healthcare, vol.13, 58-67


Resumo: Objective: The aim of this paper is to analyse the evolution of birth conditions in Portugal and to establish a correspondence between maternity care and the socio-economic characteristics of new mothers. Methods: A multivariate quantitative analysis (Multiple Correspondence Analysis and Cluster Analysis) was used, based on official quantitative data from different surveys. Results: There is a consistent trend to a technocratic model of birth in the Portuguese context, where socio-economic characteristics appear to influence fertility rates and birth conditions. The evolution of birth conditions in Portugal reveal the institutionalisation of birth, with a strong presence of doctors, a higher frequency of births on certain weekdays, an increase in the proportion of births in private hospitals and an increase in the frequency of caesarean sections. There is an association between higher social status and more medicalised forms of assistance in childbirth. Women with higher levels of education, aged between 30 and 39 years and who were married tended to be distinguished from the population of Portuguese women as a whole by three factors: birth in a hospital, the standardisation of pregnancy duration and the presence of a doctor at the birth. Women’s educational and professional status also appears to influence their adoption of alternative models of birth, however, such as home birth. Discussion: Limiting the study of childbirth to its medical aspects leaves important dimensions out of the analysis: women’s perception of birth-related risks associated with the medicalised offer of maternity care, and the implications of this childbirth paradigm for health outcomes and for future care.


Autora: Sónia Pintassilgo


Artigo| Saint-Maurice, A.; Pintassilgo, S. (2018), Ethnic differences in results of fertility and mother’s health care: Portuguese population and Cape Verdeans living in Portugal, Journal of Population Research, 35, 131–150


Resumo: This paper pursues a comparison between sociographic profiles and birthcare conditions related to the Portuguese and Cape Verdean mothers living in Portugal, considering the cultural and ethnic variables as determinants to possible distinctions. Based on the live birth Survey, the Fertility Survey results and the Population Census (official statistics produced by the National Statistics Institute), a statistical analysis was performed, namely, a K-means Cluster Analysis and a Multiple Correspondence Analysis (MCA). We adopted a longitudinal and comparative perspective in the 1995-2013 period. Furthermore, a synchronic analysis approach has been underlined, thoroughly exploring the database of entries of live births for the year 2013. Despite the fertility rate being lower in the Portuguese population, there is a tendency for convergence between the fertility patterns of both populations, which reveals a porosity of the the Cape Verdean population by incorporating a different fertility model from the one that exists in their country of origin. Fertility occurs later in the Portuguese women compared with the Cape Verdeans. Differences were also observed in both populations, regarding the sociographic profiles, the birthcare conditions and, finally, the marital status and family structure.


Consultar: https://link.springer.com/article/10.1007/s12546-018-9204-0#citeas

Autora: Sónia Pintassilgo


Capítulo de livro (e-book) | Pintassilgo, Sónia (2019), Nascer.pt — Laboratório de Estudos Sociais sobre Nascimento. In D. M. Neves, M. Santos, & S. Pintassilgo (Eds.), Nascimento e outros debates: Género, parentalidade e criação (pp. 73–77). Lisboa: CIES- IUL.


Resumo: Este capítulo dá a conhecer, em traços gerais, o nascer.pt – Laboratório de Estudos Sociais sobre Nascimento. O nascer.pt consiste num projeto que resulta da identificação, por parte de um grupo de investigadores, da necessidade de reconhecer e desenvolver um campo científico emergente em Portugal, decorrente do cruzamento de diferentes áreas do saber, no qual se analisam e estudam, a partir de perspetivas teóricas e metodológicas diferenciadas, as condições do nascimento, o seu enquadramento social, político, cultural, institucional, bem como resultados decorrentes dessas realidades. Não se configura, aqui, o nascimento como um acontecimento reduzido ao momento do parto ou até da conceção. Entende-se o nascimento como um processo que começa muito antes desses momentos e das diferentes etapas que os interligam, sendo possível mapear um conjunto de dispositivos, normas e práticas sociais que o enquadram e o regulam.


Consultar: https://repositorio.iscte-iul.pt/handle/10071/20486

Autora: Sónia Pintassilgo


Artigo|Candeias P, Alarcão V, Stefanovska-Petkovska M, Santos O, Virgolino A, Pintassilgo S, Pascoal PM, Costa AS and Machado FL (2021) Reducing Sexual and Reproductive Health Inequities Between Natives and Migrants: A Delphi Consensus for Sustainable Cross-Cultural Healthcare Pathways. Front. Public Health 9:656454


Resumo: The increasing number of international migrants (ranging from 153 million in 1990 to ~272 million in 2019) brought to attention the wide variation of national contexts concerning the policy measures to protect migrants’ rights and ensuring their equal access to basic and essential services, namely in health. Sexual and Reproductive Health (SRH) is a key component to the overall health and quality of life and is impacted by power inequities inherent to society’s institutions, environment, economics, and culture. In Portugal, guidelines for intervention in SRH are insufficient, a gap that is more pronounced with migrant populations due to the absence of culturally sensitive indicators to assess and monitor SRH. The aim of this work was 2-fold: to identify good practices in the SRH field, with a particular focus, whenever possible, on migrant populations, and to identify relevant and inclusive indicators to monitor SRH in Portugal. A Delphi panel (via online survey) with 66 experts (researchers, teachers, and health professionals) and 16 stakeholders (non-governmental organizations, civil society, and governmental organizations) was implemented in two rounds. Panelists were asked to state their level of agreement (5-point Likert-type scale) regarding four different SRH areas: Sexual Health, Reproductive Health, Social-Structural Factors, and Good Practices. Items were based on literature review and a World Café with 15 experts and stakeholders. Participation rate was 68% and response rate was 97% on the first round. From the initial list of 142 items, a total of 118 (83%) items were approved by consensus. Findings may provide extended opportunities for the healthcare system to engage in better informed decisions and more inclusive and integrative strategies regarding SRH, contributing to build political measures toward sexual and reproductive justice.


Autora: Violeta Alarcão


Artigo| Alarcão, V.; Stefanovska- Petkovska, M.; Virgolino, A.; Santos, O.; Ribeiro, S.; Costa, A.; Nogueira, P.; Pascoal, M. P.; et al. (2019), Fertility, migration and acculturation (FEMINA): a research protocol for studying intersectional sexual and reproductive health inequalities, In Reproductive health, 19 (140).


Resumo: Sexual health and reproductive health are equally important parts of personal health and development. For many years the focus of research on sexual health has concentrated mostly on issues such as the prevention of diseases, infections and unplanned pregnancies. Nowadays the focus of this research has expanded to include sexual and reproductive health rights that encompass our sexual health, gender equality and empowerment of women. However, despite the advancements being made, challenges in terms of the fulfillment of the diversity of sexual and reproductive health needs across life course and populations still exist. Migrant populations can be particularly vulnerable to sexual and reproductive health issues due to gender and socioeconomic inequalities, cultural and social norms around sexuality, and other social and structural factors. These include, among other things, how old is the migrant population, how the migrant population will adapt to the host culture, how well will it be able to navigate through the health system and linguistic barriers, and how all these factors will impact not only their fertility capacity and status, but also their achievement of sexual health. Thus, some researchers have considered that the process of postmigration cultural adjustment (i.e., acculturation) may induce a change in how individuals make decisions about important events such as when and whether to have a child. However proper evidence that establishes the link between migration, sexual health and reproductive decisions is still lacking. Therefore, there is a need to study how different generations and genders in immigrant families in Portugal perceive the concepts of family and sexuality based on the institutional and policy context that surround them. The FEMINA (FErtility, MIgratioN and Acculturation) study proposes to explore whether sexual and reproductive health inequalities impact on fertility among Cape Verdean immigrant and Portuguese native families in Portugal.


Consultar: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978- 019-0795-5