Social determinants of absenteeism of diabetic to endocrinologist appointments

• Autor(a) principal: Leal, Marcelle Lemos
• Data de Publicação: 2021
• Outros Autores: Santos Neto, Edson Theodoro dos, Zandonade, Eliana, Sarti, Thiago Dias, Cade, Nagela Valadão
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20880
• topic: Determinantes sociales de la salud; Absentismo; Atención secundaria de Salud; Diabetes Mellitus; Citas y horarios.; Determinantes sociais da saúde; Absenteísmo; Atenção secundária; Diabetes Mellitus; Agendamento de consultas.; Social determinants of health; Absenteeism; Secondary care; Diabetes Mellitus; Appointments and schedules.

This study aims to analyze the social determinants of health (DSS) associated with absenteeism of diabetics to appointments with an endocrinologist, in the Unified Health System, in Espírito Santo (ES). This is a cross-sectional study using primary and secondary data with 472 diabetics ≥ 18 years old scheduled in consultation with an endocrinologist in the System of Central Regulation of ES. Associations were evaluated using hierarchical logistic regression grouped into five levels: socioeconomic and demographic, access to health services, psychosocial, behavioral and clinical diabetes mellitus (DM). Absenteeism of diabetics was associated with per capita household income greater than R$ 499.00 (OR=1.668, 95%CI: 1.009-2.756), waiting time in days (OR=0.997, 95%CI: 0.995-0.999), consumption of alcoholic beverages (OR=1.821, 95%CI: 1.031-3.239), obesity (OR=1.773, 95%CI: 1.134-2.773), use of oral hypoglycemic agents and insulin (OR=2.2, 95%CI: 1.09-4 .44) and having DM complications (OR=2.03, 95%CI: 1.297-3.179). Knowledge of the social determinants of absenteeism provided evidence for assessing priorities and implementing the care network for people with DM in ES.