09/10/2017 - 08:30 - 09:50
Uso de serviços e gastos em saúde |
16967 - INEQUITIES IN HEALTHCARE UTILIZATION: RESULTS OF THE BRAZILIAN NATIONAL HEALTH SURVEY, 2013
CRISTIANO SIQUEIRA BOCCOLINI - ICICT/FIOCRUZ, PAULO ROBERTO BORGES DE SOUZA JUNIOR - ICICT/FIOCRUZ
Objectives:
We aim to investigate the factors associated with inequities in healthcare utilization in Brazil.
Methods:
We employed data from a nationally representative cross-sectional study (2013 National Health Survey; n = 60,202). The outcome was underutilization of healthcare by adults, defined as lack of utilization of one or more of these services: physician or dentist consultation, and blood glucose or blood pressure screening. A logistic regression model, considering the complex sample, was employed (alpha = 5%).
Results:
0.7 % of the sample never visited a physician, 3.3 % never visited a dentist, 3 % never underwent blood pressure screening, 11.5 % never underwent blood glucose screening, and 15 % never utilized at least one of these services. Multivariate models showed a higher likelihood of underutilization of healthcare among individuals of the lowest social class "E" (AOR = 6.31, 95%CI = 3.76-10.61), younger adults (Adjusted Odds Ratio, or AOR = 4.40, 95%CI = 3.78-5.12), those with no formal education or incomplete primary education (AOR = 2.93, 95%CI = 2.30-3.74), males (AOR = 2.16, 95 % CI = 1.99-2.35), and those without private health insurance (AOR = 2.11, 95%CI = 1.83-2.44). Individuals self-classified as "white" were less likely to report underutilization (AOR = 0.82, 95%CI = 0.75-0.90).
Conclusions:
Despite recent expansion of primary healthcare and oral health programs in Brazil, we observed gaps in healthcare utilization among the most vulnerable segments of the population.
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