Postgraduate Programme in Health sciences, Federal University of Rio Grande, Visconde de Paranaguá, 102, bairro Centro, Rio Grande, Rio Grande do Sul, 96203-900, Brazil.
Postgraduate Programme in Public Health, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.
BMC Public Health. 2023 Jun 7;23(1):1101. doi: 10.1186/s12889-023-15914-2.
Health counseling is a prevention and health promotion action, especially in the context of a pandemic, for both preventing disease and maintaining health. Inequalities may affect receipt of health counseling. The aim was to provide an overview of the prevalence of receiving counseling and to analyze income inequality in the receipt of health counseling.
This was a cross-sectional telephone survey study with individuals aged 18 years or older with diagnosis of symptomatic COVID-19 using RT-PCR testing between December 2020 and March 2021. They were asked about receipt of health counseling. Inequalities were assessed using the Slope Index of Inequality (SII) and Concentration Index (CIX) measures. We used the Chi-square test to assess the distribution of outcomes according to income. Adjusted analyses were performed using Poisson regression with robust variance adjustment.
A total of 2919 individuals were interviewed. Low prevalence of health counseling by healthcare practitioner was found. Participants with higher incomes were 30% more likely to receive more counseling.
These results serve as a basis for aggregating public health promotion policies, in addition to reinforcing health counseling as a multidisciplinary team mission to promote greater health equity.
健康咨询是一种预防和促进健康的行动，特别是在大流行的背景下，对于预防疾病和保持健康都非常重要。不平等可能会影响到健康咨询的获取。本研究旨在概述接受咨询的比例，并分析获得健康咨询方面的收入不平等。
这是一项横断面电话调查研究，对象为 2020 年 12 月至 2021 年 3 月期间使用 RT-PCR 检测诊断为有症状 COVID-19 的 18 岁及以上个体。他们被问及是否接受过健康咨询。使用斜率指数不平等（SII）和集中指数（CIX）测量来评估不平等。我们使用卡方检验根据收入分布评估结果。使用泊松回归进行调整分析，并采用稳健方差调整。
共访谈了 2919 人。发现医疗保健从业者提供的健康咨询的比例很低。收入较高的参与者接受更多咨询的可能性增加 30%。
这些结果为聚集公共健康促进政策提供了依据，除了加强健康咨询作为多学科团队任务以促进更大的健康公平。
