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Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study

OBJECTIVE: to assess inequalities in the use of health services in a municipality in Southern Brazil. METHODS: This was a population-based cross-sectional study conducted with adults living in the urban area of the municipality of Criciúma, state of Santa Catarina, Brazil, between March and December...

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Autores principales: Quadra, Micaela Rabelo, Shäfer, Antônio Augusto, Meller, Fernanda de Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Secretaria de Vigilância em Saúde - Ministério da Saúde do Brasil 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027051/
https://www.ncbi.nlm.nih.gov/pubmed/36946830
http://dx.doi.org/10.1590/S2237-96222023000100025
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author Quadra, Micaela Rabelo
Shäfer, Antônio Augusto
Meller, Fernanda de Oliveira
author_facet Quadra, Micaela Rabelo
Shäfer, Antônio Augusto
Meller, Fernanda de Oliveira
author_sort Quadra, Micaela Rabelo
collection PubMed
description OBJECTIVE: to assess inequalities in the use of health services in a municipality in Southern Brazil. METHODS: This was a population-based cross-sectional study conducted with adults living in the urban area of the municipality of Criciúma, state of Santa Catarina, Brazil, between March and December 2019; the research outcomes were medical consultation, dental visit, nutritional counseling and the use of the Brazilian National Health System (Sistema Único de Saúde − SUS); the exposures were age, schooling and income; inequalities were analyzed using the Slope index of inequality and equiplots. RESULTS: A total of 820 individuals were studied; medical consultation was higher (14.2 percentage points [p.p.]), and dental visit was lower (-29.5 p.p.), in older adults, when compared to young people; dental visit (41.1 p.p.) and nutritional counseling (18.0 p.p.) were higher in individuals with higher level of education, when compared to those with lower level of education; the use of SUS was higher in older adults (21.3 p.p.), with lower level of education (-61.2 p.p.) and lower income (-51.6 p.p.), when compared to their peers. CONCLUSION: in order to develop public policies, these inequalities should be taken into consideration.
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spelling pubmed-100270512023-03-21 Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study Quadra, Micaela Rabelo Shäfer, Antônio Augusto Meller, Fernanda de Oliveira Epidemiol Serv Saude Original Article OBJECTIVE: to assess inequalities in the use of health services in a municipality in Southern Brazil. METHODS: This was a population-based cross-sectional study conducted with adults living in the urban area of the municipality of Criciúma, state of Santa Catarina, Brazil, between March and December 2019; the research outcomes were medical consultation, dental visit, nutritional counseling and the use of the Brazilian National Health System (Sistema Único de Saúde − SUS); the exposures were age, schooling and income; inequalities were analyzed using the Slope index of inequality and equiplots. RESULTS: A total of 820 individuals were studied; medical consultation was higher (14.2 percentage points [p.p.]), and dental visit was lower (-29.5 p.p.), in older adults, when compared to young people; dental visit (41.1 p.p.) and nutritional counseling (18.0 p.p.) were higher in individuals with higher level of education, when compared to those with lower level of education; the use of SUS was higher in older adults (21.3 p.p.), with lower level of education (-61.2 p.p.) and lower income (-51.6 p.p.), when compared to their peers. CONCLUSION: in order to develop public policies, these inequalities should be taken into consideration. Secretaria de Vigilância em Saúde - Ministério da Saúde do Brasil 2023-03-20 /pmc/articles/PMC10027051/ /pubmed/36946830 http://dx.doi.org/10.1590/S2237-96222023000100025 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an open access article published under a Creative Commons license
spellingShingle Original Article
Quadra, Micaela Rabelo
Shäfer, Antônio Augusto
Meller, Fernanda de Oliveira
Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title_full Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title_fullStr Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title_full_unstemmed Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title_short Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study
title_sort inequalities in the use of health services in a municipality in southern brazil in 2019: a cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027051/
https://www.ncbi.nlm.nih.gov/pubmed/36946830
http://dx.doi.org/10.1590/S2237-96222023000100025
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