skip to main content
Idioma:
Primo Advanced Search
Primo Advanced Search Query Term
Primo Advanced Search prefilters
Busca Simples

Health services utilization in the Brazilian Amazon: panel of two cross-sectional studies

Tiguman, Gustavo Magno Baldin ; Silva, Marcus Tolentino ; Galvão, Taís Freire

Revista de saúde pública, 2022, Vol.56, p.2-2 [Periódico revisado por pares]

Brazil: Faculdade de Saúde Pública da Universidade de São Paulo

Texto completo disponível

Citações Citado por
  • Título:
    Health services utilization in the Brazilian Amazon: panel of two cross-sectional studies
  • Autor: Tiguman, Gustavo Magno Baldin ; Silva, Marcus Tolentino ; Galvão, Taís Freire
  • Assuntos: Adolescent ; Aged ; Brazil - epidemiology ; Cross-Sectional Studies ; Facilities and Services Utilization ; Humans ; Insurance, Health ; Male ; Original ; Patient Acceptance of Health Care ; Prevalence ; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH ; SOCIOLOGY
  • É parte de: Revista de saúde pública, 2022, Vol.56, p.2-2
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Conflict of Interests: The authors declare no conflict of interest.
    Authors’ Contribution: Study design and planning: MTS, TFG. Data collection, analysis and interpretation: GMBT, MTS, TFG. Manuscript drafting or review: GMBT, MTS, TFG. Approval of the final version: GMBT, MTS, TFG. Public responsibility for the content of the article: GMBT, MTS, TFG.
  • Descrição: To investigate the use of health services among adults living in Manaus, Amazonas. This was a panel of two cross-sectional studies conducted in Manaus in 2015 and 2019. Individuals aged ≥ 18 years were selected by probabilistic sampling and interviewed at home. The study outcomes were doctor visits and hospitalizations in the previous 12 months, and unmet surgical needs. Variations between 2015 and 2019 were tested using chi-squared goodness-of-fit test. Poisson regression with robust variance was employed to calculate the prevalence ratios (PR) of the outcomes with 95% confidence intervals (95%CI). The surveys included 5,800 participants in total. Visits to the doctor decreased from 2015 (78.7%) to 2019 (76.3%; p < 0.001), hospital admissions increased from 2015 (7.9%) to 2019 (11.5%; p < 0.001), and unmet surgical needs decreased in the period (15.9% to 12.1%; p < 0.001). These variations were particularly observed in vulnerable individuals - sicker; poorer; non-whites; and those belonging to lower social classes, with less access to education, formal jobs, and health insurance (p < 0.05). Doctor visits were higher in people with fair health status (PR = 1.09; 95%CI 1.06-1.12), health insurance (PR = 1.13; 95%CI 1.09-1.17), and chronic diseases (p < 0.001) but lower in men (PR = 0.87; 95%CI 0.84-0.90) and informal workers (PR = 0.89; 95%CI 0.84-0.94). Hospitalizations were higher in people with worse health statuses (p < 0.001), without partners (PR = 1.27; 95%CI 1.05-1.53), and with multimorbidity (PR = 1.68; 95%CI 1.33-2.12) but lower in men (PR = 0.55; 95%CI 0.44-0.68), older adults (p < 0.001), informal workers (PR = 0.67; 95%CI 0.51-0.89), and unemployed (PR = 0.72; 95%CI 0.53-0.97). Unmet surgical needs were higher in older adults (p < 0.001), middle-class people (PR = 1.24; 95%CI 1.01-1.55), worse health statuses (p < 0.001), and chronic diseases (p < 0.001) but lower in men (PR = 0.76; 95%CI 0.65-0.86). From 2015 to 2019, less people visited the doctor, more were admitted to hospitals, and less were in need of surgery or aware of that need, potentially indicating poorer access to health services.
  • Editor: Brazil: Faculdade de Saúde Pública da Universidade de São Paulo
  • Idioma: Inglês;Português
Links
Voltar para lista de resultados
Ir para página anteriorAnterior Resultado  6 AvançarIr para próxima página

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.