Introduction: There is limited evidence on factors associated with access to health primary health care services in users of marginal urban areas of Lima, Peru. Objective: To determine factors associated with access to primary health care services in Lima, Peru. Material and Methods: Cross-sectional study in users treated at seven primary health care facilities in a marginal urban area of Lima, Peru in 2019. A questionnaire was used to measure accessibility to health services; demographic and socioeconomic factors and characteristics of health services were investigated as well. Simple and multiple regression analyses were performed, estimating prevalence ratios. Results: Out of a total of 150 participants, 85.2% had access to health services. Female gender was positively associated with access to health services (aPR:1.17, 95% CI:1.11-1.23). Secondary education (aPR:0.65, 95% CI:0.44-0.98) and higher technical education or armed forces (aPR:0.64, 95%CI:0.46-0.89) were negatively associated with access to health services. On the other hand, we found that waiting time for care reduces the possibility of accessing health care; in case wait time is more than 30 minutes (aPR:0.83, 95% CI: 0.77-0.95), more than one hour (RPa:0.85, CI95%:0.75-0.95) and more than two hours (RPa:0.84, CI95%:0.75-0.93). Conclusions: The majority of users treated at the Primary Health Care facilities had access to health services. Having a higher educational level and reporting a longer waiting time for care were associated with a lower frequency of accessibility, while being a woman was associated with a higher frequency of accessibility. Key words: Health services, primary health care, health services accessibility, delivery of health care, public health.
Resumen Lesiones no intencionales. Factores de riesgo en seguridad vial y práctica de actividades acuáticas en adolescentes de 13 a 18 años Introduction: unintentional injuries or accidents signify a public health issue due to their prevalence, morbidity, mortality and high health costs. Accident risk factors' knowledge has allowed making efficient control and prevention programs. Objective: evaluating the unintentional injuries needing medical assistance during the last year and assessing Valladolid adolescents' road traffic safety and aquatic activity practice risk behaviors and their relationship with other factors. Material and Methods: a survey with questions related to healthy habits, behaviors and conducts was conducted to a sample of 2412 students of 13 to 18 years old of Valladolid (Spain) during 2012. Data related with the risk of accident rate and risk factors on road traffic safety and aquatic activities. Results: 14% of adolescents have suffered some kind of accident or injury that required medical assistance during the last year. Road traffic safety risk factors were: not using safety helmet when riding a bicycle in 81.5% of adolescents and 6% in the case of riding a motorbike, 1.2% of them do not fasten their seat belt in cars. A few risk factors are noticed in aquatic activities practice. Several sociodemographic and economic variables and risk behaviors are associated with the risk of accident. Conclusions: our study identifies adolescents' road traffic safety and aquatic activity practice' risk factors. Legislative measures, publicity spots, educational programs in school and sanitary environment are required in order to reduce the adolescents' risk of death and injuries in accidents. Introducción: los accidentes o lesiones no intencionales constituyen un problema de salud pública por su prevalencia, morbimortalidad y elevados costes sanitarios. El conocimiento de los factores de riesgo de los accidentes ha permitido la elaboración de programas eficaces para su prevención y control. Objetivo: conocer la prevalencia de las lesiones no intencionales que han precisado atención médica en el último año y analizar las conductas de riesgo en seguridad vial y actividades acuáticas en los adolescentes de la provincia de Valladolid (España), así como su relación con diversos factores.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.