Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-Graduação em Saúde Pública - Belo Horizonte (MG), Brasil.
Universidade Federal de Minas Gerais, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem - Belo Horizonte (MG), Brasil.
Rev Bras Epidemiol. 2022 Sep 2;25:e220023. doi: 10.1590/1980-549720220023.2. eCollection 2022.
To describe positive evaluations of Primary Health Care (PHC) in Brazil from the perspective of users and their association with sociodemographic characteristics and comorbidities.
Analysis of the 2019 National Health Survey, in which 9,562 adults responded to the Primary Care Assessment Tool (PCATool). The association between positive PHC assessment (overall score ≥6.6) and individual characteristics was tested using Prevalence Ratios (PR) calculated by Poisson Regression.
Less than 40% of Brazilians rated PHC with a high score. Regarding the association of sociodemographic variables with high PHC assessment, adjusted for sex and age, the best PHC assessments were made by women [PRaj 1.10 (95%CI 1.00-1.21)]; elderly (60 years and over) [PRaj 1.27 (95%CI 1.09-1.48); people with a per capita income of 1 to 3 minimum wages (MW) PRaj 1.14 (95%CI 1.03-1.27) and ≥5 MW PRaj 1.75 (95%CI 1.39-2.21) when comparing with income up to 1 MW; residents of the South, Southeast and Midwest regions, compared to the North Region. Considering comorbidities, individuals with hypertension PRaj1,29 (95%CI 1.17-1.43); diabetes PRaj 1.21 (95%CI 1.08-1.36); heart disease PRaj 1.23 (95%CI 1.07-1.41); musculoskeletal disorders PRaj 1.36 (95%CI 1.10-1.69); lung disease PRaj 1.48 (95%CI 1.13-1.95) and obesity PRaj 1.15 (95%CI 1.03-1.28) rated PHC better when compared to normal weight people.
Users who evaluate PHC well are usually women, elderly, with high prevalence of chronic non-communicable diseases. A positive evaluation of PHC, in general, results from greater use of health services.
从使用者的角度描述巴西初级卫生保健（PHC）的积极评价，并探讨其与社会人口特征和合并症的关系。
对 2019 年全国健康调查进行分析，该调查共有 9562 名成年人回答了初级保健评估工具（PCATool）。使用泊松回归计算的患病率比（PR）检验 PHC 评估（总分≥6.6）与个体特征之间的关联。
不到 40%的巴西人对 PHC 给予高分评价。在调整性别和年龄后，社会人口变量与 PHC 评估的关联中，最佳 PHC 评估由女性做出 [PRaj 1.10（95%CI 1.00-1.21）]；老年人（60 岁及以上）[PRaj 1.27（95%CI 1.09-1.48）]；人均收入为 1 至 3 最低工资（MW）的人[PRaj 1.14（95%CI 1.03-1.27）]和收入≥5MW 的人[PRaj 1.75（95%CI 1.39-2.21）]与收入低于 1MW 的人相比；与北部地区相比，南部、东南部和中西部地区的居民。考虑到合并症，高血压患者[PRaj1.29（95%CI 1.17-1.43）]、糖尿病患者[PRaj 1.21（95%CI 1.08-1.36）]、心脏病患者[PRaj 1.23（95%CI 1.07-1.41）]、肌肉骨骼疾病患者[PRaj 1.36（95%CI 1.10-1.69）]、肺部疾病患者[PRaj 1.48（95%CI 1.13-1.95）]和肥胖患者[PRaj 1.15（95%CI 1.03-1.28）]与体重正常者相比，对 PHC 的评价更好。
对 PHC 评价较好的使用者通常为女性、老年人，且患有较多的慢性非传染性疾病。对 PHC 的积极评价通常源于更频繁地使用卫生服务。
