2019 年巴西南部一市卫生服务利用不平等情况的横断面研究。
Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study.
机构信息
Universidade do Extremo Sul Catarinense, Programa de Pós-Graduação em Ciências da Saúde, Criciúma, SC, Brasil.
Universidade do Extremo Sul Catarinense, Programa de Pós-Graduação em Saúde Coletiva, Criciúma, SC, Brasil.
出版信息
Epidemiol Serv Saude. 2023;32(1):e2022437. doi: 10.1590/S2237-96222023000100025.
OBJECTIVE
to assess inequalities in the use of health services in a municipality in Southern Brazil.
METHODS
This was a population-based cross-sectional study conducted with adults living in the urban area of the municipality of Criciúma, state of Santa Catarina, Brazil, between March and December 2019; the research outcomes were medical consultation, dental visit, nutritional counseling and the use of the Brazilian National Health System (Sistema Único de Saúde - SUS); the exposures were age, schooling and income; inequalities were analyzed using the Slope index of inequality and equiplots.
RESULTS
A total of 820 individuals were studied; medical consultation was higher (14.2 percentage points [p.p.]), and dental visit was lower (-29.5 p.p.), in older adults, when compared to young people; dental visit (41.1 p.p.) and nutritional counseling (18.0 p.p.) were higher in individuals with higher level of education, when compared to those with lower level of education; the use of SUS was higher in older adults (21.3 p.p.), with lower level of education (-61.2 p.p.) and lower income (-51.6 p.p.), when compared to their peers.
CONCLUSION
in order to develop public policies, these inequalities should be taken into consideration.
目的
评估巴西南部某市卫生服务利用的不平等情况。
方法
这是一项基于人群的横断性研究，于 2019 年 3 月至 12 月在巴西圣卡塔琳娜州克里西乌马市的城市地区对成年人进行了研究；研究结果为医疗咨询、牙科就诊、营养咨询和使用巴西国家卫生系统（Sistema Único de Saúde-SUS）的情况；暴露因素为年龄、教育程度和收入；使用不平等斜率指数和均等线图分析不平等情况。
结果
共研究了 820 人；与年轻人相比，老年人的医疗咨询率更高（14.2 个百分点[p.p.]），而牙科就诊率更低（-29.5 p.p.）；与教育程度较低的人相比，教育程度较高的人（41.1 p.p.）和接受营养咨询的人（18.0 p.p.）更多；与同龄人相比，老年人（21.3 p.p.）、教育程度较低的人（-61.2 p.p.）和收入较低的人（-51.6 p.p.）更倾向于使用 SUS。
结论
为了制定公共政策，应该考虑到这些不平等因素。
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