Health counseling is a prevention and health promotion action, especially in the context of a pandemic, for both preventing disease and maintaining health. Inequalities may affect receipt of health counseling. The aim was to provide an overview of the prevalence of receiving counseling and to analyze income inequality in the receipt of health counseling. Methods: This was a cross-sectional telephone survey study with individuals aged 18 years or older with diagnosis of symptomatic COVID-19 using RT-PCR testing between December 2020 and March 2021. They were asked about receipt of health counseling. Inequalities were assessed using the Slope Index of Inequality (SII) and Concentration Index (CIX) measures. We used the Chi-square test to assess the distribution of outcomes according to income. Adjusted analyses were performed using Poisson regression with robust variance adjustment. Results: A total of 2919 individuals were interviewed. Low prevalence of health counseling by healthcare practitioner was found. Participants with higher incomes were 30% more likely to receive more counseling. Conclusions: These results serve as a basis for aggregating public health promotion policies, in addition to reinforcing health counseling as a multidisciplinary team mission to promote greater health equity.
Background Evidence on inequalities in the health services use is important for public policy formulation, even more so in a pandemic context. The aim of this study was to evaluate socioeconomic inequities in the specialized health use services according to health insurance and income, following COVID-19 in individuals residing in Southern Brazil. Methods This was a cross-sectional telephone survey with individuals aged 18 years or older diagnosed with symptomatic COVID-19 using the RT-PCR test between December 2020 and March 2021. Questions were asked about attendance at a health care facility following COVID-19, the facilities used, health insurance and income. Inequalities were assessed by the following measures: Slope Index of Inequality (SII) and Concentration Index (CIX). Adjusted analyses were performed using Poisson regression with robust variance adjustment using the Stata 16.1 statistical package. Results 2,919 people (76.4% of those eligible) were interviewed. Of these, 24.7% (95%CI 23.2; 36.3) used at least one specialized health service and 20.3% (95%CI 18.9; 21.8) had at least one consultation with specialist doctors after diagnosis of COVID-19. Individuals with health insurance were more likely to use specialized services. The probability of using specialized services was up to three times higher among the richest compared to the poorest. Conclusions There are socioeconomic inequalities in the specialized services use by individuals following COVID-19 in the far south of Brazil. It is necessary to reduce the difficulty in accessing and using specialized services and to extrapolate the logic that purchasing power transposes health needs. The strengthening of the public health system is essential to guarantee the population’s right to health.
O objetivo desta pesquisa foi descrever e analisar a série temporal da inserção de profissionais de educação física (PEF) no Sistema Único de Saúde (SUS) no período de 2007 a 2021, bem como apresentar a distribuição por regiões e estados de profissionais no território brasileiro. Trata-se de um estudo descritivo e de série temporal que utilizou dados secundários oriundos do sistema de consultas do Cadastro Nacional dos Estabelecimentos de Saúde (CNES). Analisou-se o quantitativo de PEF no SUS nas cinco regiões e nos vinte e seis estados e no Distrito Federal entre 2007 e 2021 e realizou-se a análise temporal para verificar a distribuição dos PEF nas regiões brasileiras. Os resultados apontam para um crescimento no número de PEF entre 2007 (n = 22) e 2020 (n = 7.560) em todo o país. Em 2021 observa-se uma redução de 2,8% no quantitativo de PEF. Entre as regiões, os maiores quantitativos foram observados nas regiões Nordeste e Sudeste, enquanto nos estados a maior concentração foi em Minas Gerais, seguido de São Paulo, Pernambuco, Bahia e Rio Grande do Sul. Observou-se uma tendência crescente de PEF nas regiões Norte e Sul. Conclui-se que o quantitativo de PEF atuantes no SUS teve um crescimento expressivo durante o período analisado, sendo fruto das políticas públicas e programas voltados à promoção da atividade física constituídos ao longo do tempo. Apesar disso, há importantes disparidades geográficas que não devem ser desconsideradas, reforçando a necessidade de estratégias coletivas e investimentos em políticas públicas que fomentem a inserção dos PEF na rede assistencial e de fortalecimento do SUS.
Background: Evidence on inequalities in the use of health services is important for public policy formulation, even more so in a pandemic context. The aim of this study was to evaluate socioeconomic inequities in the use of specialized health services according to health insurance and income, following COVID-19 infection in individuals residing in Southern Brazil. Methods: This was a cross-sectional telephone survey with individuals aged 18 years or older diagnosed with symptomatic COVID-19 using the RT-PCR test between December 2020 and March 2021. Questions were asked about attendance at a health care facility following COVID-19 infection, the facilities used, health insurance and income. Inequalities were assessed by the following measures: Slope Index of Inequality (SII) and Concentration Index (CIX). Adjusted analyses were performed using Poisson regression with robust variance adjustment using the Stata 16.1 statistical package. Results: 2,919 people (76.4% of those eligible) were interviewed. Of these, 24.7% (95%CI 23.2; 36.3) used at least one specialized health service and 20.3% (95%CI 18.9; 21.8) had at least one consultation with a medical specialist after diagnosis of COVID-19 infection. Individuals with health insurance were more likely to use specialist services. The probability of using specialized services was up to three times higher among the richest compared to the poorest. Conclusions: There are socioeconomic inequalities in the use of specialized services by individuals following COVID-19 infection in the far south of Brazil. There is a need to reduce difficulty in accessing and using specialized services.
A compreensão do impacto da pandemia na atividade física e no comportamento sedentário da população é essencial para a implementação de políticas de saúde pública e de futuras intervenções. Relatamos o planejamento e realização de um congresso científico virtual e gratuito, que objetivou fomentar a discussão sobre a atividade física e saúde pública em tempos de pandemia, abordando desafios e perspectivas futuras. O Grupo de Pesquisa em Atividade Física e Saúde Pública, GPASP-FURG utilizou a plataforma de inscrições, submissão de trabalhos e emissão de certificados Even3®. Para divulgação utilizou-se sistematicamente o Instagram®, Facebook® e WhatsApp® e para as instituições acadêmicas e-mails formais. Para a transmissão utilizou-se o StreamYard® com compartilhamento e armazenamento no YouTube® por meio do canal do GPASP. O congresso foi realizado entre setembro e outubro de 2021, em 06 sextas-feiras no período noturno. Contou com a participação de 21 pesquisadores-palestrantes de universidades brasileiras e internacionais e 06 pesquisadores-mediadores. Houve 1.431 inscritos, 79 trabalhos submetidos em 03 áreas temáticas (Monitoramento de atividade física e saúde durante a pandemia; Intervenções em atividade física e saúde durante a pandemia; Agravos e doenças crônicas durante a pandemia), sendo 48 deles aprovados e publicados na edição especial da Revista Vittalle. As sessões científicas tiveram 1.387 visualizações e as mesas-redondas 4.487 visualizações. Nas transmissões foram divulgadas as chaves Pix para beneficiar 03 instituições de caridade rio-grandinas. O planejamento, avaliação de trabalhos, mediação das sessões científicas e lista de tarefas pós-evento foram realizadas por alunos de pós-graduação e iniciação científica visando o desenvolvimento acadêmico.
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