Socioeconomic inequalities in the access to health services: a population-based study in Southern Brazil

Ciencia e Saude Coletiva

article

Wendt, Andrea¹  Marmitt, Luana Patrícia²  Nunes, Bruno P.¹  Dumith, Samuel C.³  Crochemore-Silva, Inácio¹ 

[1] Universidade Federal de Pelotas;Universidade do Oeste de Santa Catarina;Universidade Federal do Rio Grande

关键词: Health services;    Health inequalities;    Socio-economic;   

DOI  :  10.1590/1413-81232022272.03052021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article aims to measure socioeconomic inequalities regarding access to health services, contact with health professionals, and specific health interventions. This was a cross-sectional population-based study with individuals aged 18 years or older, living in the city of Rio Grande. The outcomes were the following: Family Health Strategy (FHS) coverage; having a health insurance plan; receiving a visit of a community health worker; medical consultation; dental consultation; dietary counseling; having a class with a physical education professional; flu vaccination; mammography, cytopathological and prostate exams. Relative and absolute measures were used to assess inequalities in the distribution of the outcomes. There was a response rate of 91% (1,300 adults were interviewed). Coverage indicators ranged from 16.1%, for having a class with a physical education professional, to 80.0% for medical consultation. FHS coverage and visit of a community health agent presented higher proportions among the poorest while outcomes regarding contact with health professionals, screening exams and flu vaccine were more prevalent among richest group. We observed low coverage levels of access to health services and professionals in addition to marked socioeconomic inequalities.

【 授权许可】

CC BY