Ventura Maria Williany Silva, Lima Francisca Elisângela Teixeira, Brito Paula Dos Santos, Pascoal Lívia Maia, Albuquerque Nila Larisse Silva de, Almeida Paulo César de
Universidade Federal do Ceará, Faculdade de Farmácia, Odontologia e Enfermagem, Departamento de enfermagem, Fortaleza, CE, Brazil.
Universidade Federal do Maranhão, Departamento de Enfermagem, Imperatriz, MA, Brazil.
Rev Esc Enferm USP. 2024 Mar 8;58:e20230324. doi: 10.1590/1980-220X-REEUSP-2023-0324en. eCollection 2024.
To verify the association between social determinants of health and access to health services for COVID-19 patients.
Analytical, cross-sectional study, carried out in three states in the Northeast of Brazil (Ceará, Maranhão and Pernambuco), with 968 patients, using questionnaires with sociodemographic data, determinants and the Primary Care Assessment Tool, adapted to the reality of COVID-19, with 58 items, classified as high (score ≥ 6.6) and low (score < 6.6), whose high value reveals better standards of access to health services. The Chi-square test was used for comparative analysis.
There was a significant difference (p < 0.05) between the domains of the instrument and the following determinants: age, skin color, body mass index, origin, schooling, employment, services close to home, first service, income and means of transport.
Access to health services for people with COVID-19 was associated with various determinants, including individual, behavioural and social ones, correlated with the structural and organizational aspects of the health services offered by the three states of Northeastern Brazil.
验证健康的社会决定因素与新冠病毒肺炎患者获得医疗服务之间的关联。
在巴西东北部的三个州（塞阿拉州、马拉尼昂州和伯南布哥州）开展分析性横断面研究，研究对象为968名患者，使用包含社会人口学数据、决定因素以及初级保健评估工具的问卷，该问卷根据新冠病毒肺炎的实际情况进行了调整，共58项，分为高分（得分≥6.6）和低分（得分<6.6），高分表明获得医疗服务的水平更高。采用卡方检验进行对比分析。
该工具的各领域与以下决定因素之间存在显著差异（p<0.05）：年龄、肤色、体重指数、出身、受教育程度、就业情况、离家较近的服务机构、首次就诊服务机构、收入和交通方式。
新冠病毒肺炎患者获得医疗服务的情况与多种决定因素相关，包括个人、行为和社会因素，这些因素与巴西东北部三个州提供的医疗服务的结构和组织方面相关。
