Factors associated to medical consultations by elderly adults in southern Brazil: a population based study

Revista Brasileira de Epidemiologia

d'Orsi, Eleonora¹  Boing, Antonio Fernando¹  Destro, Juliana Regina¹ 

[1] Universidade Federal de Santa Catarina, Florianópolis, Brazil

关键词: Health services;    Delivery of health care;    Office visits;    Aged;    Epidemiology;    Cross-sectional studiesINTRODUCTIONThe proportion of people aged 60 and older is growing faster than the rate of any other age group in several regions of the world;   

DOI  :  10.1590/1809-4503201400030010

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

Objective: To analyze the prevalence of medical consultations in the last three months among elderly adults and associated factors. Methods: A cross-sectional, population-based study was carried out with 1,705 elderly adults (60+ years of age) in the urban region of Florianópolis, Santa Catarina, Brazil, in 2009 and 2010. The sampling selection was performed in two stages. The sample was complex, with census tracts as primary and households as secondary sampling units. For association analysis, Poisson regression was performed using predisposing factors, enabling factors and need as independent variables, according to Andersen's theoretical model. Results: The response rate was 89.2%. The prevalence of medical appointments by elderly adults was 70.4% (95%CI 67.5 - 73.4). Factors associated with higher prevalence of medical consultations in the crude analysis were female gender, accumulation of chronic diseases, negative self-perception of health, and report of chronic pain. The multivariate analysis showed that having at least one chronic disease and negative self-perception of health was positively associated with the outcome. Conclusion: Only variables from the need dimension were associated with medical consultations, indicating an equal use of this service.

【 授权许可】

Unknown