Dias-da-Costa Juvenal Soares, Presser Adriana Dewes, Zanolla Anelise Fernanda, Ferreira Daiane Giacomet, Perozzo Gabriela, Freitas Ivani Bueno de Almeida, Portolan Lívia Tavares, Tavares Renata Tôndolo, Olinto Maria Teresa Anselmo, Pattussi Marcos Pascoal
Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2008 Dec;24(12):2843-51. doi: 10.1590/s0102-311x2008001200013.
The aim of this study was to verify the use of outpatient health services and associated factors among women ages 20 to 60 years living in the urban area of São Leopoldo, Rio Grande do Sul State, Brazil. This was a cross-sectional, population-based study with a sample of 1,026 women in 2003. The association between the independent variables and the outcome was evaluated by means of prevalence ratios and 95% confidence intervals (95%CI). Poisson regression was used with a hierarchical model. Among 1,022 women, 136 (13.3%; 95%CI: 11.2-15.4) had not used outpatient services in the 12 months prior to the interview. Women in lower socioeconomic classes (C, D, and E), with less schooling, and with lower income showed lower use of outpatient health services. Thus, the most vulnerable women and those with the greatest health needs showed the lowest use of health services, suggesting unfavorable conditions in the local health system and pointing to the presence of lack of universal care and equal access.
本研究的目的是核实巴西南里奥格兰德州圣莱奥波尔多市区20至60岁女性门诊医疗服务的使用情况及相关因素。这是一项基于人群的横断面研究，2003年样本为1026名女性。通过患病率比和95%置信区间（95%CI）评估自变量与结果之间的关联。采用分层模型的泊松回归分析。在1022名女性中，136名（13.3%；95%CI：11.2 - 15.4）在访谈前12个月未使用门诊服务。社会经济阶层较低（C、D和E类）、受教育程度较低且收入较低的女性门诊医疗服务使用率较低。因此，最脆弱且健康需求最大的女性医疗服务使用率最低，这表明当地卫生系统存在不利状况，也表明存在缺乏普遍医疗服务和平等就医机会的情况。
