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[健康保险用户:根据2008年巴西的一项电话调查,自我报告的发病率和预防性检查的可及性]

[Health insurance users: self-reported morbidity and access to preventive tests according to a telephone survey, Brazil, 2008].

作者信息

Malta Deborah Carvalho, Moura Erly Catarina, Oliveira Martha, dos Santos Fausto Pereira

机构信息

Ministério da Saúde, Brasília, Brasil.

出版信息

Cad Saude Publica. 2011 Jan;27(1):57-66. doi: 10.1590/s0102-311x2011000100006.

Abstract

This article describes a telephone survey in 2008 to monitor non-communicable diseases. The study population consisted of adults (> 18 years of age) living in households with landline telephones in the 27 Brazilian State Capitals. The selected variables are presented according to health insurance coverage (yes/no), gender, and adjusted prevalence ratios between populations with and without health insurance. The results represent 54,353 persons 18 years or older, 41.8% of whom with health insurance. Health insurance coverage tended to increase with age and schooling. Compared to those without health insurance, men with health coverage were more likely to have a diagnosis of dyslipidemia, and women with coverage were more likely to have had a mammogram, Pap smear, and diagnosis of dyslipidemia and/or osteoporosis, besides showing less arterial hypertension and infrequent poor health status. This information is essential to support health promotion and prevention with appropriate programs.

摘要

本文描述了一项2008年为监测非传染性疾病而开展的电话调查。研究人群为居住在巴西27个州首府拥有固定电话家庭中的成年人(年龄>18岁)。所选变量根据医疗保险覆盖情况(是/否)、性别以及有和没有医疗保险人群之间的调整患病率比呈现。结果代表了54353名18岁及以上的人,其中41.8%拥有医疗保险。医疗保险覆盖情况往往随年龄和受教育程度增加。与没有医疗保险的人相比,有医疗保险的男性更有可能被诊断为血脂异常,有医疗保险的女性除了动脉高血压较少和健康状况不佳情况不常见外,更有可能接受乳房X光检查、巴氏涂片检查以及被诊断为血脂异常和/或骨质疏松症。这些信息对于通过适当的项目支持健康促进和预防至关重要。

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