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[从性别关系视角看与卫生服务需求相关的因素]

[Factors associated with the demand for health services from a gender-relational perspective].

作者信息

Levorato Cleice Daiana, de Mello Luane Marques, da Silva Anderson Soares, Nunes Altacílio Aparecido

机构信息

Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil,

出版信息

Cien Saude Colet. 2014 Apr;19(4):1263-74. doi: 10.1590/1413-81232014194.01242013.

Abstract

Male culture values involve risk behaviors to health, since the way men perceive and experience their masculinity is one of the most influential shapers of falling sick and dying. The scope of this study was to identify the factors associated with the demand for health services and differences between the sexes by selecting users of health services. The dependent variables were sex of the user (cultural indicator) and failure to seek out health services. Independent variables included socio-demographic and clinical-epidemiological characteristics. The Prevalence Ratio studied by univariate and multivariate analysis was used in the analysis of the association between variables. The factors associated with non-demand for health services included: being male, hours of operation of health care facilities, working hours of the user and not having any disease. By multivariate analysis the factors facilitating demand for health services (protection) were: being female aged 26 to 49 years. Effective consolidation of a health care model that questions the contradiction that exists between the epidemiological data regarding men's health and the position of the health services using common sense regarding the apparent invulnerability of men to falling sick is of great relevance.

摘要

男性文化价值观涉及对健康有风险的行为,因为男性认知和体验其男子气概的方式是导致生病和死亡的最具影响力的因素之一。本研究的范围是通过选择医疗服务使用者来确定与医疗服务需求相关的因素以及性别差异。因变量是使用者的性别(文化指标)和未寻求医疗服务。自变量包括社会人口统计学和临床流行病学特征。在分析变量之间的关联时,使用单变量和多变量分析研究的患病率比。与不需求医疗服务相关的因素包括:男性、医疗保健设施的运营时间、使用者的工作时间以及没有任何疾病。通过多变量分析,促进医疗服务需求(保护)的因素是:年龄在26至49岁之间的女性。有效整合一种医疗保健模式非常重要,这种模式质疑关于男性健康的流行病学数据与医疗服务基于男性明显不易患病的常识所采取的立场之间存在的矛盾。

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