Utilização de serviços de saúde por adultos da coorte de nascimentos de 1982 a 2004-5, Pelotas, RS

Abstract

METHODS:Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identifi ed at birth in 1982 and followed up until 23 years of age. The outcome was defi ned by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS:Of the interviewees, 72.0% visited health professionals in the year before the interview; 86.2% (95% CI 84.7;87.7) of the women and 59.3% (95% CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4% (95% CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS:The socioeconomic situation infl uenced the utilization and the type of health service, with men and women classifi ed as "poor at the moment", which indicates lower utilization of services. Such socioeconomic differences may indicate diffi culties in the access to the health system.

Utilização de serviços de saúde pela população adulta de São Leopoldo, Rio Grande do Sul, Brasil: resultados de um estudo transversal

“…Outros estudos realizados em Pelotas também tinham constatado essas diferenças, mostrando que os indivíduos de melhor nível socioeconômico preferencialmente recorreram aos serviços privados, enquanto o padrão de utilização das pessoas mais pobres é o SUS 25,26 .…”

Percepções sobre a saúde dos homens numa perspectiva relacional de gênero, Brasil, 2014

“…In the domestic literature [21][22][23][24][25] , it is clear that men seek out healthcare services less than women. Reasons for not seeking healthcare, even though they have a health problem, men mentioned not having access to healthcare and non-importance of the problem as the main reasons, and women claimed lack of access to care.…”

Access to child care services in the Northeast and in the South Regions of Brazil

“…1 However, such iniquities have also been described in many studies in different places in Brazil, mainly related to the use of health care consultations. [21][22][23] Although the South region presents a better socioeconomic conditions and a lower prevalence of lack of follow-ups on child care, this region pointed out the greatest differences among the economic classes and in the income quartile per capita observing by the higher risk expressed in classes D and E and the protective effect in families with higher quartile. These findings reinforce the expressive presence of inequalities among economic classes and indicate failures in the strategy of reducing these differences.…”