Martins Maísa Mônica Flores, Prado Nília Maria de Brito Lima, Amorim Leila Denise Alves Ferreira, Vilasbôas Ana Luiza Queiroz, Aquino Rosana
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Escola Bahiana de Medicina e Saúde Pública, Salvador, Brasil.
Cad Saude Publica. 2024 Nov 4;40(10):e00195923. doi: 10.1590/0102-311XPT195923. eCollection 2024.
This study aimed to analyze the association between the development of intersectoral actions between school/primary health care (PHC) services and the recognition of a usual source of care of PHC among Brazilian adolescents. This is a cross-sectional study, from the Brazilian National Survey of School Health (2015) conducted with a complex sampling of 97,903 adolescents. The association between intersectoral actions between PHC services and schools and the recognition of a usual source of care of PHC were estimated by the prevalence ratio (PR), using the logistic regression model and considering the sample weight factor with Stata 14.0 Of the analyzed adolescents, 72.8% of them studied in schools that developed intersectoral actions with PHC services. Among adolescent students from schools that developed intersectoral actions, an association was observed between the recognition of usual source of care of PHC and intersectoral actions (PR = 1.11; 95%CI: 1.08-1.14). When analyzed for actions of the School Health Program (PR = 1.40; 95%CI: 1.37-1.43), and the development of actions between the school and PHC services (PR = 1.08; 95%CI: 1.05-1.12). The results show that there is a positive association between the recognition of PHC services as a usual source of care and intersectoral actions. However, from the perspective of an intersectoral practice, there are challenges in the articulation between health and education sectors for implementing prevention and promoting adolescent health in school. They involve greater knowledge about the adolescents' perception of the quality of the service offered by health units.
本研究旨在分析巴西青少年中学校/初级卫生保健（PHC）服务部门间行动的开展与对初级卫生保健常规就医渠道的认知之间的关联。这是一项横断面研究，数据来自巴西全国学校健康调查（2015年），对97,903名青少年进行了复杂抽样。使用逻辑回归模型并考虑样本权重因子，通过患病率比（PR）估算初级卫生保健服务与学校之间的部门间行动和对初级卫生保健常规就医渠道的认知之间的关联，分析软件为Stata 14.0。在被分析的青少年中，72.8%就读于与初级卫生保健服务开展了部门间行动的学校。在开展了部门间行动的学校的青少年学生中，观察到对初级卫生保健常规就医渠道的认知与部门间行动之间存在关联（PR = 1.11；95%置信区间：1.08 - 1.14）。在分析学校健康计划的行动时（PR = 1.40；95%置信区间：1.37 - 1.43），以及学校与初级卫生保健服务之间行动的开展情况时（PR = 1.08；95%置信区间：1.05 - 1.12）。结果表明，将初级卫生保健服务视为常规就医渠道的认知与部门间行动之间存在正相关。然而，从部门间实践的角度来看，在卫生与教育部门之间开展协作以在学校实施预防措施和促进青少年健康方面存在挑战。这些挑战包括更深入了解青少年对卫生单位提供服务质量的看法。
