Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Geriatria e Gerontologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232020000600201 |
Resumo: | Abstract Objective: To estimate the prevalence and factors associated with the difficulties of access to health services among non-institutionalized older adults in the town of Montes Claros, Minas Gerais, Brazil. Method: A cross-sectional study nested in a population-based cohort of community-dwelling older adults was carried out in Montes Claros, Minas Gerais, Brazil. Data collection was performed in the homes of the older adults between November 2016 and February 2017. Demographic, socioeconomic, and health-related variables and access to and use of health services were evaluated. Bivariate analyzes (Pearson’s chi-squared test) were conducted, adopting a level of significance lower than 0.20 for inclusion of the independent variables in the multiple model. The final model was generated by Poisson regression analysis, with robust variance, and the variables maintained were associated with difficulty in using the health services up to a level of significance of 0.05 (p<0.05). Results: 394 older adults participated in this study, 33% of whom reported difficulties with access. In multiple analysis, greater difficulty of access was registered among older adults without a partner; who could not read; were frail and had a negative self-perception of health. Older adults face greater difficulties with access when seeking public services. Conclusion: A high perception of difficulty with access was identified, determined by social and physical aspects inherent to aging, and which may be worsened by the characteristics of public services. There is a need for investments in the health care of older adults, in order to guarantee care that promotes healthy aging. |
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Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factorsHealth ServicesOld Age AssistanceHealth Services AccessibilityPrevalenceCommunity Health NursingAbstract Objective: To estimate the prevalence and factors associated with the difficulties of access to health services among non-institutionalized older adults in the town of Montes Claros, Minas Gerais, Brazil. Method: A cross-sectional study nested in a population-based cohort of community-dwelling older adults was carried out in Montes Claros, Minas Gerais, Brazil. Data collection was performed in the homes of the older adults between November 2016 and February 2017. Demographic, socioeconomic, and health-related variables and access to and use of health services were evaluated. Bivariate analyzes (Pearson’s chi-squared test) were conducted, adopting a level of significance lower than 0.20 for inclusion of the independent variables in the multiple model. The final model was generated by Poisson regression analysis, with robust variance, and the variables maintained were associated with difficulty in using the health services up to a level of significance of 0.05 (p<0.05). Results: 394 older adults participated in this study, 33% of whom reported difficulties with access. In multiple analysis, greater difficulty of access was registered among older adults without a partner; who could not read; were frail and had a negative self-perception of health. Older adults face greater difficulties with access when seeking public services. Conclusion: A high perception of difficulty with access was identified, determined by social and physical aspects inherent to aging, and which may be worsened by the characteristics of public services. There is a need for investments in the health care of older adults, in order to guarantee care that promotes healthy aging.Universidade do Estado do Rio Janeiro2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232020000600201Revista Brasileira de Geriatria e Gerontologia v.23 n.6 2020reponame:Revista Brasileira de Geriatria e Gerontologiainstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UFRJ10.1590/1981-22562020023.190113info:eu-repo/semantics/openAccessCruz,Priscila Karolline RodriguesVieira,Maria AparecidaCarneiro,Jair AlmeidaCosta,Fernanda Marques daCaldeira,Antônio Prateseng2020-01-10T00:00:00Zoai:scielo:S1809-98232020000600201Revistahttp://revista.unati.uerj.br/scielo.php?script=sci_serial&pid=1809-9823&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||revistabgg@gmail.com1981-22561809-9823opendoar:2020-01-10T00:00Revista Brasileira de Geriatria e Gerontologia - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.none.fl_str_mv |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
title |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
spellingShingle |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors Cruz,Priscila Karolline Rodrigues Health Services Old Age Assistance Health Services Accessibility Prevalence Community Health Nursing |
title_short |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
title_full |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
title_fullStr |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
title_full_unstemmed |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
title_sort |
Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors |
author |
Cruz,Priscila Karolline Rodrigues |
author_facet |
Cruz,Priscila Karolline Rodrigues Vieira,Maria Aparecida Carneiro,Jair Almeida Costa,Fernanda Marques da Caldeira,Antônio Prates |
author_role |
author |
author2 |
Vieira,Maria Aparecida Carneiro,Jair Almeida Costa,Fernanda Marques da Caldeira,Antônio Prates |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cruz,Priscila Karolline Rodrigues Vieira,Maria Aparecida Carneiro,Jair Almeida Costa,Fernanda Marques da Caldeira,Antônio Prates |
dc.subject.por.fl_str_mv |
Health Services Old Age Assistance Health Services Accessibility Prevalence Community Health Nursing |
topic |
Health Services Old Age Assistance Health Services Accessibility Prevalence Community Health Nursing |
description |
Abstract Objective: To estimate the prevalence and factors associated with the difficulties of access to health services among non-institutionalized older adults in the town of Montes Claros, Minas Gerais, Brazil. Method: A cross-sectional study nested in a population-based cohort of community-dwelling older adults was carried out in Montes Claros, Minas Gerais, Brazil. Data collection was performed in the homes of the older adults between November 2016 and February 2017. Demographic, socioeconomic, and health-related variables and access to and use of health services were evaluated. Bivariate analyzes (Pearson’s chi-squared test) were conducted, adopting a level of significance lower than 0.20 for inclusion of the independent variables in the multiple model. The final model was generated by Poisson regression analysis, with robust variance, and the variables maintained were associated with difficulty in using the health services up to a level of significance of 0.05 (p<0.05). Results: 394 older adults participated in this study, 33% of whom reported difficulties with access. In multiple analysis, greater difficulty of access was registered among older adults without a partner; who could not read; were frail and had a negative self-perception of health. Older adults face greater difficulties with access when seeking public services. Conclusion: A high perception of difficulty with access was identified, determined by social and physical aspects inherent to aging, and which may be worsened by the characteristics of public services. There is a need for investments in the health care of older adults, in order to guarantee care that promotes healthy aging. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232020000600201 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232020000600201 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1981-22562020023.190113 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade do Estado do Rio Janeiro |
publisher.none.fl_str_mv |
Universidade do Estado do Rio Janeiro |
dc.source.none.fl_str_mv |
Revista Brasileira de Geriatria e Gerontologia v.23 n.6 2020 reponame:Revista Brasileira de Geriatria e Gerontologia instname:Universidade do Estado do Rio de Janeiro (UERJ) instacron:UFRJ |
instname_str |
Universidade do Estado do Rio de Janeiro (UERJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Revista Brasileira de Geriatria e Gerontologia |
collection |
Revista Brasileira de Geriatria e Gerontologia |
repository.name.fl_str_mv |
Revista Brasileira de Geriatria e Gerontologia - Universidade do Estado do Rio de Janeiro (UERJ) |
repository.mail.fl_str_mv |
||revistabgg@gmail.com |
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1750128437269364736 |