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基于2008年巴西全国住户抽样调查数据的正规、非正规和失业工人在医疗服务获取和使用方面的不平等现象

[Inequalities in health services access and use among formal, informal, and unemployed workers, based on data from the Brazilian National Household Sample Survey, 2008].

作者信息

Miquilin Isabella de Oliveira Campos, Marín-León Letícia, Monteiro Maria Inês, Corrêa Filho Heleno Rodrigues

机构信息

Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.

出版信息

Cad Saude Publica. 2013 Jul;29(7):1392-406. doi: 10.1590/s0102-311x2013000700013.

Abstract

The aim of this study was to analyze whether job market status is associated with differences in health services access and use. Data from the Brazilian National Household Sample Survey (PNAD/2008) were used to study workers 18 to 64 years of age, both men and women (N = 152,233). Prevalence and crude and adjusted prevalence ratios for the worker's health characteristics were calculated using Poisson regression. When compared to formal workers (n = 76,246), informal workers (n = 62,612) and unemployed (n = 13,375) showed less schooling, lower monthly income, worse self-reported health status, more frequent reporting of have been "bedridden in the previous two weeks", greater difficulty in accessing health services, and lower health services seeking, even after controlling for sex, age bracket, region, schooling, and respondent. Health policies are needed to reduce inequalities in access to health services by informal workers and the unemployed.

摘要

本研究的目的是分析就业市场状况是否与卫生服务获取和利用方面的差异相关。巴西全国住户抽样调查(PNAD/2008)的数据用于研究18至64岁的工人,包括男性和女性(N = 152,233)。使用泊松回归计算工人健康特征的患病率、粗患病率和调整患病率比。与正式工人(n = 76,246)相比,非正式工人(n = 62,612)和失业者(n = 13,375)受教育程度较低、月收入较低、自我报告的健康状况较差、更频繁报告“在前两周卧床不起”、获取卫生服务的难度更大以及寻求卫生服务的频率更低,即使在控制了性别、年龄组、地区、受教育程度和受访者之后也是如此。需要制定卫生政策以减少非正式工人和失业者在获取卫生服务方面的不平等。

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