2015年巴西联邦区成年人口使用卫生服务的首选：一项横断面研究。

First choice for use of health services by the adult population of the Federal District, Brazil, 2015: a cross-sectional study.

作者信息

Poças Kátia Crestine, Perillo Rosângela Durso, Bernal Regina Tomie Ivata, Malta Deborah Carvalho, Duarte Elisabeth Carmen

机构信息

Universidade de Brasília, Faculdade de Medicina, Área de Medicina Social, Brasília, DF, Brasil.

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.

出版信息

Epidemiol Serv Saude. 2019 Jul 29;28(2):e2018124. doi: 10.5123/S1679-49742019000200017.

DOI:10.5123/S1679-49742019000200017

PMID:31365688

Abstract

OBJECTIVE

to describe the first choice for use of health services and to analyze sociodemographic factors associated with seeking Primary Health Care (PHC) by the adult population of Brazil's Federal District in 2015.

METHODS

this was a population-based study, with 2,007 individuals, using a sample from the 2015 VIGITEL survey conducted by landline telephone, including questions on use of health services; we used logistic regression to identify factors associated with seeking PHC services.

RESULTS

participants' first choice was predominantly for private health services (57.6%), respondents reported seeking public health services less (39.5%), particularly PHC services (primary health centers: 24.6%); multivariate analysis showed that educational level (postgraduate [OR=0.15 - 95% CI 0.04;0.59] and high school [OR=0.37 - 95%CI 0.18;0.75]), and not having private health insurance (OR=27.77 - 95%CI 10.61;72.70) were variables associated with seeking PHC services.

CONCLUSION

individuals with low educational level and without private health insurance are those who mostly seek PHC services as their first choice in Brazil's Federal District.

摘要

目的

描述卫生服务的首选情况，并分析2015年巴西联邦区成年人口寻求初级卫生保健（PHC）相关的社会人口因素。

方法

这是一项基于人群的研究，有2007名个体，使用通过固定电话进行的2015年VIGITEL调查的样本，包括关于卫生服务使用的问题；我们使用逻辑回归来确定与寻求初级卫生保健服务相关的因素。

结果

参与者的首选主要是私人卫生服务（57.6%），报告寻求公共卫生服务的受访者较少（39.5%），尤其是初级卫生保健服务（基层卫生中心：24.6%）；多变量分析表明，教育水平（研究生[比值比=0.15 - 95%置信区间0.04；0.59]和高中[比值比=0.37 - 95%置信区间0.18；0.75]）以及没有私人医疗保险（比值比=27.77 - 95%置信区间10.61；72.70）是与寻求初级卫生保健服务相关的变量。