Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brasil.
Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
Epidemiol Serv Saude. 2021 Apr 29;30(2):e2020469. doi: 10.1590/S1679-49742021000200021.
To analyze association between social position and access to health services.
This was a cross-sectional study carried out in primary health care centers in Salvador, Bahia, Brazil, where a project for improving accessibility was implemented. Pearson's chi-square test and logistic regression were used.
467 users took part in the study, 75.6% had not finished high school; 78.7% had <2 minimum wages; 51.8% had intermediate/qualified occupations. Low income was associated with starting to queue at the health care center the night before or before 8 a.m. (odds ratio = 2.09 - 95%CI 1.13;3.87) and spending more time scheduling an appointment (odds ratio = 2.13 - 95%CI 1.05;4.31). Having an elementary occupation was associated with face-to-face appointment scheduling (odds ratio = 1.68 - 95%CI 1.14;2.45). Education and social trajectory showed no significant association with use of health services.
Social inequalities in access to health services remained after the intervention to improve accessibility.
分析社会地位与获得卫生服务之间的关联。
这是在巴西巴伊亚州萨尔瓦多的基层医疗中心进行的一项横断面研究，该中心实施了一项改善可及性的项目。采用 Pearson 卡方检验和逻辑回归进行分析。
467 名用户参与了研究，75.6%的人没有完成高中学业；78.7%的人收入低于 2 个最低工资；51.8%的人从事中级/技术职业。低收入与在就诊前一天晚上或早上 8 点前开始排队（优势比=2.09，95%置信区间 1.13；3.87）以及预约花费更多时间（优势比=2.13，95%置信区间 1.05；4.31）相关。从事基本职业与面对面预约安排（优势比=1.68，95%置信区间 1.14；2.45）相关。教育和社会轨迹与卫生服务的使用没有显著关联。
改善可及性的干预措施实施后，卫生服务获取方面的社会不平等仍然存在。
