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巴西圣保罗西部地区转诊的言语-语言和听力主诉

Referred speech-language and hearing complaints in the western region of São Paulo, Brazil.

作者信息

Samelli Alessandra Giannella, Rondon Silmara, Oliver Fátima Correa, Junqueira Simone Rennó, Molini-Avejonas Daniela Regina

机构信息

Communications Sciences and Disorders and Occupacional Therapy, Physiotherapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Departamento de Odontologia Social, Faculdade de Odontologia, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2014 Jun;69(6):413-9. doi: 10.6061/clinics/2014(06)08.

Abstract

OBJECTIVE

The aim of this study was to characterize the epidemiological profile of the population attending primary health care units in the western region of the city of São Paulo, Brazil, highlighting referred speech-language and hearing complaints.

METHOD

This investigation was a cross-sectional observational study conducted in primary health care units. Household surveys were conducted and information was obtained from approximately 2602 individuals, including (but not limited to) data related to education, family income, health issues, access to public services and access to health services. The speech-language and hearing complaints were identified from specific questions.

RESULTS

Our results revealed that the populations participating in the survey were heterogeneous in terms of their demographic and economic characteristics. The prevalence of referred speech-language and hearing complaints in this population was 10%, and only half the users of the public health system in the studied region who had complaints were monitored or received specific treatment.

CONCLUSIONS

The results demonstrate the importance of using population surveys to identify speech-language and hearing complaints at the level of primary health care. Moreover, these findings highlight the need to reorganize the speech-language pathology and audiology service in the western region of São Paulo, as well as the need to improve the Family Health Strategy in areas that do not have a complete coverage, in order to expand and improve the territorial diagnostics and the speech-language pathology and audiology actions related to the prevention, identification, and rehabilitation of human communication disorders.

摘要

目的

本研究旨在描述巴西圣保罗市西部地区初级卫生保健机构就诊人群的流行病学特征,重点关注言语语言和听力方面的主诉。

方法

本调查是在初级卫生保健机构开展的一项横断面观察性研究。进行了家庭调查,从约2602名个体获取信息,包括(但不限于)与教育、家庭收入、健康问题、获得公共服务及获得卫生服务相关的数据。通过特定问题识别言语语言和听力方面的主诉。

结果

我们的结果显示,参与调查的人群在人口统计学和经济特征方面具有异质性。该人群中言语语言和听力方面主诉的患病率为10%,在所研究地区有主诉的公共卫生系统使用者中,仅有一半接受了监测或接受了特定治疗。

结论

结果表明利用人群调查在初级卫生保健层面识别言语语言和听力方面主诉的重要性。此外,这些发现凸显了在圣保罗市西部地区重新组织言语病理学和听力学服务的必要性,以及在覆盖不完整地区改进家庭健康战略的必要性,以便扩大和改善地域诊断以及与人类交流障碍的预防、识别和康复相关的言语病理学和听力学行动。

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