Applied Physiotherapy Department, Institute of Health Sciences, Federal University of Triângulo Mineiro (UFTM), Brazil.
Disabil Rehabil. 2011;33(17-18):1693-8. doi: 10.3109/09638288.2010.541542. Epub 2010 Dec 20.
To describe the occurrence of self-reported problems of accessibility to health services used by persons with disabilities in terms of social and health services variables.
We performed a cross-sectional household survey designed to assess problems with accessibility to health services faced by persons with disabilities. We interviewed 333 persons in São Paulo city, in 2007. Variables related to the presence of accessibility problems, disabilities, gender, age, family head income, ethnicity, use of health services and others were analysed using frequencies, percentages, χ(2)-test, ANOVA and Poisson regression models.
15.92% of the interviewed persons reported problems with accessibility to health services. Persons having multiple (prevalence ratios; PR = 2.91) or mobility disability (PR = 6.46) had more problems with accessibility than persons with hearing disability. Persons younger than 78 years old had more problems with accessibility; those who needed help to go to the health service (PR = 3.01) also.
Persons with multiple or mobility disability, younger than 78 years, and those who needed help of others to go to the health service were more likely to have problems with accessibility to health services. This information could be one of the first steps to the management and/or planning of appropriate health services for persons with disabilities.
根据社会和卫生服务变量，描述残疾人群体在使用卫生服务方面报告的可及性问题的发生情况。
我们进行了一项横断面家庭调查，旨在评估残疾人群体在获得卫生服务方面面临的可及性问题。我们于 2007 年在巴西圣保罗市采访了 333 人。使用频率、百分比、卡方检验、方差分析和泊松回归模型分析与存在可及性问题、残疾、性别、年龄、家庭主要收入、种族、卫生服务使用情况等相关的变量。
接受调查的人群中，有 15.92%报告了卫生服务可及性问题。与听力残疾者相比，有多发性残疾（患病率比；PR=2.91）或行动障碍（PR=6.46）的人群更有可能存在可及性问题。年龄小于 78 岁的人群更有可能存在可及性问题；需要他人帮助前往卫生服务机构的人群（PR=3.01）也是如此。
有多发性残疾或行动障碍、年龄小于 78 岁、以及需要他人帮助才能前往卫生服务机构的人群，更有可能存在卫生服务可及性问题。这些信息可能是为残疾人群体管理和/或规划适当卫生服务的第一步。
