Associação entre deficiências físicas e hospitalizações na população da cidade de São Paulo, Brasil

Abstract

This study aimed to verify the association between physical disability and hospitalization in São Paulo, Brazil, based on a health survey conducted in 2008. The study used a probabilistic stratified sampling process (sex/age) with two-stage clustering (census tracts and households). Data were collected through structured interviews including thematic 21 sections, using mostly multiple-choice questions. The analysis used crude and adjusted prevalence ratios (PR) and 95% confidence intervals (95%CI) with Poisson regression. The survey module of Stata 9.2 was used, with significance set at 5%. A total of 2,690 persons were interviewed, with a mean age of 38.75 years (95%CI: 37.54-39.96). Hospitalization was associated with disability (hearing, PR = 1.59; physical, PR = 3.77; multiple PR = 3.26). People with disabilities (hearing, physical - paralysis/amputation, and multiple) reported more hospitalizations than those without disabilities.

A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

“…Blay et al found no difference in outpatient visits, but higher hospitalisations in the past 12 months for older adults with physical impairments (>60 years) in Brazil [ 27 ]. Similarly, both Liu et al and Castro et al found higher hospitalisation for adults with physical impairments in both China and Brazil respectively [ 22 , 28 ]. Twomey et al reported that hospital admission did not differ between those with and without depression [ 23 ].…”

“…Several studies disaggregated results by disability domain, but the numbers of studies in each group were too small to detect consistent patterns. Castro et al found no significant difference in hospitalisation for people of all ages with and without hearing impairment (Brazil) [ 28 ], while Freire et al found a higher proportion of adults with hearing impairment had been hospitalised in the past year (Brazil) [ 21 ]. Blay et al found no difference in outpatient visits, but higher hospitalisations in the past 12 months for older adults with physical impairments (>60 years) in Brazil [ 27 ].…”

Barreiras ao acesso das pessoas com deficiência aos serviços de saúde: uma revisão de escopo

“…Além das necessidades usuais de saúde, como a imunização, por exemplo, elas têm piores níveis de acesso aos serviços de saúde e piores desfechos de saúde, especialmente em países de baixo, médio/baixo e médio/alto níveis de renda, como o Brasil². Essa situação é de fato evidente em nosso país, onde estudos indicam que pessoas com deficiências apresentam níveis mais altos de morbidade, comportamentos que causam prejuízos à saúde, e maior uso de serviços de saúde e hospitalizações 4 .…”