Silva Silvia Lanziotti Azevedo da, Torres Juliana Lustosa, Peixoto Sérgio Viana
Instituto de Ciências da Motricidade, Universidade Federal de Alfenas. Av. Jovino Fernandes Sales 2600, Santa Clara. 31270-901, Alfenas, MG, Brasil.
Medicina Preventiva e Social, Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Cien Saude Colet. 2020 Mar;25(3):783-792. doi: 10.1590/1413-81232020253.15462018. Epub 2018 Jun 21.
The objective of this article is to examine factors associated with preventive health services search among Brazilian adults. Sample included adults participants from the National Health Survey (2013), that had reported any health service search in prior 15 days, categorized into "treatment/diagnosis" or "preventive" service. Exploratory variables included sex, age, race, marital status, education, household situation, private health plan enrolment and time of FHS enrolment. Associations were verified by prevalence ratios (PR), estimated using robust Poisson regression, considering complexity of sampling parameters. Final sample included 32,377 individuals, 12,94% have searched "preventive" services. Preventive search was more often among women and less often among the older adults, those not living with partner, with less education. Having private health plan was associated with less preventive services search. FHS enrolment were not associated with preventive search. By conclusion, although some efforts and the importance of preventive actions, most of individuals search for treatment services.
本文的目的是研究巴西成年人中与预防性健康服务搜索相关的因素。样本包括来自2013年全国健康调查的成年参与者，这些参与者在过去15天内报告了任何健康服务搜索情况，并被分类为“治疗/诊断”或“预防性”服务。探索性变量包括性别、年龄、种族、婚姻状况、教育程度、家庭状况、私人健康保险参保情况以及家庭健康战略（FHS）参保时间。关联通过患病率比（PR）进行验证，使用稳健泊松回归估计，同时考虑抽样参数的复杂性。最终样本包括32377人，其中12.94%搜索了“预防性”服务。预防性搜索在女性中更为常见，而在老年人、未与伴侣同住、教育程度较低的人群中则较少。拥有私人健康保险与较少的预防性服务搜索相关。FHS参保与预防性搜索无关。总之，尽管有一些努力以及预防行动的重要性，但大多数人搜索的是治疗服务。
