Survey on the use of health services by adult men: prevalence rates and associated factors

Arruda, Guilherme Oliveira de; Marcon, Sônia Silva

doi:10.1590/1518-8345.0296.2685

Cited by 6 publications

(6 citation statements)

References 25 publications

(42 reference statements)

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“…In this study, the profile of the use of health services for elderly men in the Northeast of Brazil was analyzed through the LCA, which instituted four distinct classes of use profile based on the response patterns of the categorical variables of the PNS and allowed to study the phenomenon comprising the various aspects that involve the theme, with an innovative and safe statistical methodology, infrequently applied in epidemiological studies. Previous studies [36][37][38][39] defined the dependent variable by a single question about the use of health services that did not address the phenomenon in its entirety and complexity.…”

Section: Discussionmentioning

confidence: 99%

Associated Factors and Use of Health Services by Elderly Men in Northeast Brazil

Vasconcelos¹,

Bibiano²,

Santos³

et al. 2022

Healthcare Access

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The objective of the research was to analyze the factors associated with the use of health services by elderly men in the Northeast region of Brazil. Cross-sectional analytical study with a secondary database of elderly men (n = 3238). The dependent variable was composed of the profiles of the use of health services and the independent variables were factors of predisposition, capacity, and health need. The statistical association and effect were performed using the Rao-Scott test with p < 0.05 and multinomial logistic regression. Elderly men with worse social indicators had a risk effect for using medium/high complexity services and those who had better health indicators were associated with sporadic medical appointment, revealing that healthcare for elderly men is centered on curative and rehabilitative care and that the use of health services is associated with the worst social indicators.

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Section: Discussionmentioning

confidence: 99%

Associated Factors and Use of Health Services by Elderly Men in Northeast Brazil

Vasconcelos¹,

Bibiano²,

Santos³

et al. 2022

Healthcare Access

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“…Studies suggest both income and creed are associated with the utilization component among men and creed could positively influence health conditions and the adoption of healthy behaviors by the subject 27,29 .…”

Section: Discussionmentioning

confidence: 99%

Acesso de primeiro contato na atenção primária: uma avaliação pela população masculina

Alves

Coura

França

et al. 2020

Rev. bras. epidemiol.

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RESUMO: Introdução: A atenção primária é considerada como porta de entrada para os demais níveis de atenção ao cuidado, no entanto os homens buscam principalmente os serviços especializados ou de urgência sobretudo quando já se encontram com alguma afecção. Objetivo: Verificar como os usuários do sexo masculino avaliam o acesso de primeiro contato na atenção primária. Metodologia: Estudo transversal realizado em Campina Grande (PB), no período de outubro de 2016 a fevereiro de 2017, com 384 homens. Foram utilizados um formulário sociodemográfico e o Primary Care Assessment Tool (PCATool). Efetuaram-se os testes χ2, Fisher e razão de verossimilhança. Resultados: Verificou-se associação entre a utilização do serviço e a idade (p = 0,001), a renda (p = 0,036), o credo (p = 0,018) e o conhecimento da Política Nacional de Assistência Integral à Saúde do Homem (p = 0,007). Os componentes do acesso de primeiro contato (utilização e acessibilidade) obtiveram os escores 5,79 e 2,7, respectivamente, sendo esse atributo considerado pelos usuários como pouco orientado para atenção primária. A garantia da acessibilidade e do acolhimento na atenção primária é fundamental. O serviço deve se organizar para ter as capacidades de acolher e apresentar uma resposta positiva às demandas de saúde da população, além de ter resolutividade e disposição de vinculação do serviço com o usuário. Conclusão: Os usuários não percebem a atenção primária como porta de entrada do sistema de saúde, sendo necessários esforços para garantir o acesso de primeiro contato.

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“…The studies found on this theme defined the dependent variable by using a single question, such as: “When did you last go to any health service?” [32]; “What type of health service do you use most often in terms of management/financing?” [13]; “Number of consultations with health professionals in the last 12 months” [33]; “Have you consulted professionals (for example, doctors, psychotherapists) for depressive symptoms?” [34], among others, which did not address the phenomenon in its totality and complexity, as investigated in this study through LCA.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the use of health services by elderly men in Brazil: a cross-sectional study

2019

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Background Studies have shown that older men use health services less frequently than women do. However, there has been little scientific research on this subject, making it necessary to investigate the influence of various factors on the profile of health service use by this population. This study aims to analyze both the profile of health service utilization by elderly Brazilian men and associated factors. Method A population-based cross-sectional study with a secondary database from the National Health Survey (2013) were used. A total of 10,536 male individuals aged 60 years or over were included. The dependent variable was composed of the research questions related to the Use of Health Services, grouped and categorized through the Latent Class Analysis. The independent variables were the factors of predisposition, capacity and health need, organized according to a theoretical model. The association measures were performed by the Rao-Scott test and those of effect by simple and multiple models of multinomial logistic regression. The level of significance was 5%. Results The use of health services was marked by the predominance of sporadic medical appointments in the year previous to the study. It was observed that elderly men from the North, Northeast and Midwest regions, those who were illiterate, those without private health insurance, those who had been diagnosed as having a disease, those with functional difficulties and those with a perception of their health status as very poor had been reluctant to use health services of medium and high complexity in the previous 2 weeks, or accept hospitalization. In the previous year, they had consulted their doctor only sporadically. Conclusion It was noted that unfavorable social issues affected the profile of health service utilization and that the health care of the elderly Brazilian man is centered on the disease and on curative and rehabilitative attention. In this context, intra- and inter-sectorial policies and actions should encourage early contact of the elderly male population with the health services, especially Primary Care services.

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Survey on the use of health services by adult men: prevalence rates and associated factors

Cited by 6 publications

References 25 publications

Associated Factors and Use of Health Services by Elderly Men in Northeast Brazil

Associated Factors and Use of Health Services by Elderly Men in Northeast Brazil

Acesso de primeiro contato na atenção primária: uma avaliação pela população masculina

Factors associated with the use of health services by elderly men in Brazil: a cross-sectional study

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