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Inequity in utilizing health services in the Brazilian Amazon: A population-based survey, 2015.
Galvao, Tais Freire; Tiguman, Gustavo Magno Baldin; Caicedo Roa, Mónica; Silva, Marcus Tolentino.
Afiliação
  • Galvao TF; School of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil.
  • Tiguman GMB; College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
  • Caicedo Roa M; Postgraduate Program of Collective Health, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
  • Silva MT; Postgraduate Program of Pharmaceutical Sciences, University of Sorocaba, Sorocaba, Brazil.
Int J Health Plann Manage ; 34(4): e1846-e1853, 2019 Oct.
Article em En | MEDLINE | ID: mdl-31515900
BACKGROUND: Although Brazil has a public and universal healthcare system, utilization of health services is marked by social and regional discrepancies. OBJECTIVE: To assess the prevalence and factors associated with underutilization of healthcare services in the Brazilian Amazon. METHOD: Cross-sectional, population-based study. Adults aged over 18 years old were selected through probabilistic sampling. Underutilization of healthcare services was defined as never seeing a physician or a dentist. Poisson regression with robust variance was performed to calculate prevalence ratios (PRs) and 95% confidence intervals (CIs). A complex sample design was considered. RESULTS: A total of 4001 individuals were included, of which 419 (10.4%; 95% CI, 9.5-11.4%) never visited a physician or a dentist. In the adjusted analysis, underutilization was higher among poorer people (PR = 3.32; 95% CI, 2.16-5.11), men (PR = 1.34; 95% CI, 1.10-1.65), people with brown skin color (Brazilian mixed race; PR = 1.34; 95% CI, 1.02-1.76), and people who are separated (PR = 1.40; 95% CI, 1.01-1.94) and widowed (PR = 1.55; 95% CI, 1.02-2.37), when compared with the reference categories. Individuals with informal jobs, those who are retired, students/housewives, and unemployed people were more vulnerable to underutilization than formal workers (P < .04). CONCLUSION: Underutilization of healthcare services occurs in one-tenth of adults in Manaus Metropolitan Region and is associated with social and economic inequities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Disparidades em Assistência à Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Health Plann Manage Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Disparidades em Assistência à Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Health Plann Manage Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido