The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community
Autor(a) principal: | |
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Data de Publicação: | 1998 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X1998000100008 |
Resumo: | The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging. |
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The relationship between the use of primary health care and infant health status at 12 months in a Brazilian communityEpidemiologyHealth careInfant healthHealth statusBrazilThe Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.Associação Brasileira de Saúde Coletiva1998-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X1998000100008Revista Brasileira de Epidemiologia v.1 n.1 1998reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/S1415-790X1998000100008info:eu-repo/semantics/openAccessMoura,Erly Catarinaeng2005-08-02T00:00:00Zoai:scielo:S1415-790X1998000100008Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2005-08-02T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
title |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
spellingShingle |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community Moura,Erly Catarina Epidemiology Health care Infant health Health status Brazil |
title_short |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
title_full |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
title_fullStr |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
title_full_unstemmed |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
title_sort |
The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community |
author |
Moura,Erly Catarina |
author_facet |
Moura,Erly Catarina |
author_role |
author |
dc.contributor.author.fl_str_mv |
Moura,Erly Catarina |
dc.subject.por.fl_str_mv |
Epidemiology Health care Infant health Health status Brazil |
topic |
Epidemiology Health care Infant health Health status Brazil |
description |
The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging. |
publishDate |
1998 |
dc.date.none.fl_str_mv |
1998-04-01 |
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=S1415-790X1998000100008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X1998000100008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1415-790X1998000100008 |
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 |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.1 n.1 1998 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
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1754212950117187584 |