Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447 |
Resumo: | This study aimed to describe the prevalence of demand for health services among Brazilian adolescents and to investigate its association with contextual characteristics of the territory. Study with data from the Brazilian National Health Survey, conducted in 2019, including 43,774 individuals aged from 10 to 19 years. Adolescent’s information was obtained through a proxy resident of 18 years or more who answered for all the residents of the household. Poisson regression was used to assess the demand for health services according to geopolitical region, economic status, and type of municipality. The interaction of the health insurance was also evaluated in these associations. Of the total, 11.7% (95%CI: 11.1; 12.3) of the adolescents sought health services in the two weeks prior to the survey. Greater figures of demand were observed in the Southeast (PR = 1.32; 95%CI: 1.15; 1.52) and South regions (PR = 1.31; 95%CI: 1.13; 1.52) compared to the Northern Region of Brazil. Having a health insurance increased the demand for services by adolescents living in rural areas and in capitals and the municipalities of the Metropolitan Areas and/or Integrated Development Regions. The study showed a low prevalence of demand for health services among adolescents and contextual inequalities for the geopolitical region. Having a health insurance was an important marker to understand the disparities in the economic status and in the type of municipality. |
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Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019Características contextuales y demanda de servicios de salud entre adolescentes brasileños: Encuesta Nacional de Salud, 2019Características contextuais e procura por serviços de saúde entre adolescentes brasileiros: Pesquisa Nacional de Saúde, 2019Serviços de Saúde; Adolescentes; Iniquidades em Saúde; Estudos TransversaisServicios de Salud; Adolescentes; Inequidades en Salud; Estudios TransversalesHealth Services; Adolescents; Health Inequalities; Cross-Sectional StudiesThis study aimed to describe the prevalence of demand for health services among Brazilian adolescents and to investigate its association with contextual characteristics of the territory. Study with data from the Brazilian National Health Survey, conducted in 2019, including 43,774 individuals aged from 10 to 19 years. Adolescent’s information was obtained through a proxy resident of 18 years or more who answered for all the residents of the household. Poisson regression was used to assess the demand for health services according to geopolitical region, economic status, and type of municipality. The interaction of the health insurance was also evaluated in these associations. Of the total, 11.7% (95%CI: 11.1; 12.3) of the adolescents sought health services in the two weeks prior to the survey. Greater figures of demand were observed in the Southeast (PR = 1.32; 95%CI: 1.15; 1.52) and South regions (PR = 1.31; 95%CI: 1.13; 1.52) compared to the Northern Region of Brazil. Having a health insurance increased the demand for services by adolescents living in rural areas and in capitals and the municipalities of the Metropolitan Areas and/or Integrated Development Regions. The study showed a low prevalence of demand for health services among adolescents and contextual inequalities for the geopolitical region. Having a health insurance was an important marker to understand the disparities in the economic status and in the type of municipality.El objetivo de este estudio fue estimar la prevalencia de la demanda de servicios de salud entre los adolescentes brasileños e investigar su asociación con las características contextuales del territorio. Estudio con datos de la Encuesta Nacional de Salud, realizada en 2019 con 43.774 individuos de entre 10 y 19 años de edad. La información del adolescente se obtuvo de un residente proxy de 18 años o más que era responsable de sí mismo y de todos los residentes de la casa. La regresión de Poisson se utilizó para evaluar la demanda de servicios de salud según la región geopolítica, la situación en el censo y el tipo de municipio. También se evaluó la interacción de la variable seguro médico en estas asociaciones. Del total, el 11,7% (IC95%: 11,1; 12,3) de los adolescentes buscaron servicios de salud en las dos semanas previas a la encuesta. Se observó mayor prevalencia de demanda en las regiones Sudeste (RP = 1,32; IC95%: 1,15; 1,52) y Sur (RP = 1,31; IC95%: 1,13; 1,52) en comparación con el Norte del país. Tener un seguro médico incrementó la búsqueda de servicios por parte de los adolescentes que viven en áreas rurales y en las capitales y municipios de de las Regiones Metropolitanas y/o Regiones de Desarrollo Integrado. El estudio apuntó a una baja prevalencia de demanda de servicios de salud entre los adolescentes y desigualdades contextuales según la región geopolítica. Tener un seguro médico fue un marcador importante para comprender las disparidades según la situación del censo y el tipo de municipio.Os objetivos foram descrever a prevalência de procura por serviços de saúde entre adolescentes brasileiros e investigar sua associação com características contextuais do território. O estudo utilizou dados da Pesquisa Nacional de Saúde de 2019, realizada com 43.774 indivíduos de 10 a 19 anos. A informação do adolescente foi obtida por meio de um morador proxy de 18 anos ou mais que respondia por si e por todos os moradores da casa. A regressão de Poisson foi utilizada para avaliar a procura por serviços de saúde de acordo com região geopolítica, situação censitária e tipo de município. Também foi avaliada a interação da variável “plano de saúde” nessas associações. Do total, 11,7% (IC95%: 11,1; 12,3) dos adolescentes procuraram serviços de saúde nas duas semanas anteriores à pesquisa. Maiores prevalências de procura foram observadas nas regiões Sudeste (RP = 1,32; IC95%: 1,15; 1,52) e Sul (RP = 1,31; IC95%: 1,13; 1,52) em comparação à Região Norte do país. O acesso a plano de saúde aumentou a busca pelos serviços por adolescentes residentes nas áreas rurais e nas capitais e municípios das Regiões Metropolitanas e/ou Regiões Integradas de Desenvolvimento. O estudo evidenciou baixa prevalência de procura por serviços de saúde entre adolescentes e desigualdades contextuais para a região geopolítica. Ter plano de saúde foi um marcador importante para entender as disparidades na situação censitária e no tipo de município.Reports in Public HealthCadernos de Saúde Pública2023-12-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447Reports in Public Health; Vol. 39 No. 12 (2023): DecemberCadernos de Saúde Pública; v. 39 n. 12 (2023): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447/18831https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447/18832Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessAdna Neves Silva, LarissaPereira Nunes, BrunoGagno Lima, JulianaTomasi, ElaineAugusto Facchini, Luiz2023-12-05T14:37:09Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8447Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:37.418787Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 Características contextuales y demanda de servicios de salud entre adolescentes brasileños: Encuesta Nacional de Salud, 2019 Características contextuais e procura por serviços de saúde entre adolescentes brasileiros: Pesquisa Nacional de Saúde, 2019 |
title |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
spellingShingle |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 Adna Neves Silva, Larissa Serviços de Saúde; Adolescentes; Iniquidades em Saúde; Estudos Transversais Servicios de Salud; Adolescentes; Inequidades en Salud; Estudios Transversales Health Services; Adolescents; Health Inequalities; Cross-Sectional Studies |
title_short |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
title_full |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
title_fullStr |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
title_full_unstemmed |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
title_sort |
Contextual characteristics and demand for health services among Brazilian adolescents: Brazilian National Health Survey, 2019 |
author |
Adna Neves Silva, Larissa |
author_facet |
Adna Neves Silva, Larissa Pereira Nunes, Bruno Gagno Lima, Juliana Tomasi, Elaine Augusto Facchini, Luiz |
author_role |
author |
author2 |
Pereira Nunes, Bruno Gagno Lima, Juliana Tomasi, Elaine Augusto Facchini, Luiz |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Adna Neves Silva, Larissa Pereira Nunes, Bruno Gagno Lima, Juliana Tomasi, Elaine Augusto Facchini, Luiz |
dc.subject.por.fl_str_mv |
Serviços de Saúde; Adolescentes; Iniquidades em Saúde; Estudos Transversais Servicios de Salud; Adolescentes; Inequidades en Salud; Estudios Transversales Health Services; Adolescents; Health Inequalities; Cross-Sectional Studies |
topic |
Serviços de Saúde; Adolescentes; Iniquidades em Saúde; Estudos Transversais Servicios de Salud; Adolescentes; Inequidades en Salud; Estudios Transversales Health Services; Adolescents; Health Inequalities; Cross-Sectional Studies |
description |
This study aimed to describe the prevalence of demand for health services among Brazilian adolescents and to investigate its association with contextual characteristics of the territory. Study with data from the Brazilian National Health Survey, conducted in 2019, including 43,774 individuals aged from 10 to 19 years. Adolescent’s information was obtained through a proxy resident of 18 years or more who answered for all the residents of the household. Poisson regression was used to assess the demand for health services according to geopolitical region, economic status, and type of municipality. The interaction of the health insurance was also evaluated in these associations. Of the total, 11.7% (95%CI: 11.1; 12.3) of the adolescents sought health services in the two weeks prior to the survey. Greater figures of demand were observed in the Southeast (PR = 1.32; 95%CI: 1.15; 1.52) and South regions (PR = 1.31; 95%CI: 1.13; 1.52) compared to the Northern Region of Brazil. Having a health insurance increased the demand for services by adolescents living in rural areas and in capitals and the municipalities of the Metropolitan Areas and/or Integrated Development Regions. The study showed a low prevalence of demand for health services among adolescents and contextual inequalities for the geopolitical region. Having a health insurance was an important marker to understand the disparities in the economic status and in the type of municipality. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447/18831 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8447/18832 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/xml application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 39 No. 12 (2023): December Cadernos de Saúde Pública; v. 39 n. 12 (2023): Dezembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
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Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943399654457344 |