Universidade do Estado da Bahia. R. Silveira Martins 2555, Cabula. 41150-000 Salvador BA Brasil.
Universidade Federal da Bahia (UFBA). Salvador BA Brasil.
Cien Saude Colet. 2024 May;29(5):e04772023. doi: 10.1590/1413-81232024295.04772023. Epub 2023 Jul 10.
The present study aimed to analyze the demographic, socioeconomic, and health factors and risk behaviors associated with the recognition of a Usual Source of Care (USC), according to gender. This work was a cross-sectional study, based on the National Survey of School Health (2015), conducted with 100,464 Brazilian adolescents. Descriptive analyses were performed based on Pearson's χ2, and the prevalence ratio (PR) through logistic regression models in Stata 14 for each type of USC (Primary Health Care (PHC), Private Practice, Hospital, and Emergency), stratified by sex. Recognition of a USC was reported by 55.5% of the adolescents, 58.6% of whom were female. In the multivariate analysis, the variables that present social, economic, and risk behavior inequalities showed positive associations for USC PHC for both genders. For the other types of USC, the demographic and socioeconomic characteristics showed negative associations. The results of this study showed that PHC is the service with the highest recognition among adolescents in conditions of social vulnerability. This reinforces the need to consolidate the PHC in order to favor the health care of adolescents, establishing bonds and improving access to health actions.
本研究旨在分析与识别常规医疗服务提供者（USC）相关的人口统计学、社会经济学和健康因素以及风险行为，并按性别进行分层。本研究采用了横断面研究设计，基于 2015 年全国学校卫生调查，共纳入了 100464 名巴西青少年。采用 Pearson χ2 进行描述性分析，并在 Stata 14 中通过逻辑回归模型对每种类型的 USC（初级卫生保健（PHC）、私人诊所、医院和急诊）的流行率比（PR）进行性别分层。识别 USC 的青少年比例为 55.5%，其中 58.6%为女性。在多变量分析中，具有社会、经济和风险行为不平等特征的变量与男女 PHC 的 USC 呈正相关。对于其他类型的 USC，人口统计学和社会经济学特征与 USC 呈负相关。本研究结果表明，在社会弱势群体中，PHC 是青少年中认知度最高的服务。这加强了巩固初级卫生保健的必要性，以促进青少年的医疗保健，建立联系并改善获得卫生行动的机会。
