0190/2023 - FATORES DETERMINANTES NO RECONHECIMENTO DE UMA FONTE USUAL DE CUIDADO POR ADOLESCENTES BRASILEIROS DETERMINANT FACTORS IN THE RECOGNITION OF A USUAL SOURCE OF CARE BY BRAZILIAN ADOLESCENTS
Objetivou-se analisar os fatores demográficos, socioeconômicos, de saúde e comportamentos de risco associados ao reconhecimento de uma Fonte Usual de Cuidados (FUC). Estudo transversal, a partir da Pesquisa Nacional de Saúde do Escolar (2015) realizado com 100.464 adolescentes brasileiros. Realizou-se análises descritivas através do ?2 de Pearson, e a razão de prevalência (RP) através dos modelos de regressão logística no Stata 14 para cada tipo de FUC (APS, Consultório Particular, Hospital e Emergência), estratificado por sexo. O reconhecimento de uma FUC foi referido por 55,5% dos adolescentes, sendo 58,6% do sexo feminino. Na análise multivariada, as variáveis que apresentam desigualdades sociais, econômicas e de comportamento de risco demonstraram associações positivas para a FUC APS, para ambos os sexos. Para os demais tipos de FUC, as características demográficas e socioeconômicas quando associadas apresentaram associações foram negativas. Os resultados deste estudo mostraram que a APS é o serviço com maior reconhecimento dos adolescentes em condições de vulnerabilidade social. O que reforça a necessidade de consolidação da APS a fim de favorecer a atenção à saúde dos adolescentes, no estabelecimento de vínculo e na melhoria do acesso às ações de saúde.
Palavras-chave:
Indicadores de Qualidade em Assistência à Saúde; Adolescente; Atenção Primária à Saúde.
Abstract:
The objective was to analyze the demographic, socioeconomic and health factors and risk behaviors associated with the recognition of a Usual Source of Care (FUC), according to gender. Cross-sectional study, based on the National School Health Survey (2015) carried out with 100,464 Brazilian adolescents. Descriptive analyzes were performed based on Pearson's χ2, and the prevalence ratio (PR) through logistic regression models in Stata 14 for each type of FUC (PHC, Private Practice, Hospital and Emergency), stratified by gender. Recognition of a FUC was reported by 55.5% of the adolescents, 58.6% of whom were female. In the multivariate analysis, the variables that present social, economic and risk behavior inequalities showed positive associations for FUC APS, for both genders. For the other types of FUC, the demographic and socioeconomic characteristics, when associated, showed negative associations. The results of this study showed that PHC is the service with the highest recognition of adolescents in conditions of social vulnerability. This reinforces the need to consolidate the PHC in order to favor the health care of adolescents, establishing bonds and improving access to health actions.
Keywords:
Quality Indicators, Health Care; Adolescent; Primary Health Care. Health Surveys.
DETERMINANT FACTORS IN THE RECOGNITION OF A USUAL SOURCE OF CARE BY BRAZILIAN ADOLESCENTS
Resumo (abstract):
The objective was to analyze the demographic, socioeconomic and health factors and risk behaviors associated with the recognition of a Usual Source of Care (FUC), according to gender. Cross-sectional study, based on the National School Health Survey (2015) carried out with 100,464 Brazilian adolescents. Descriptive analyzes were performed based on Pearson's χ2, and the prevalence ratio (PR) through logistic regression models in Stata 14 for each type of FUC (PHC, Private Practice, Hospital and Emergency), stratified by gender. Recognition of a FUC was reported by 55.5% of the adolescents, 58.6% of whom were female. In the multivariate analysis, the variables that present social, economic and risk behavior inequalities showed positive associations for FUC APS, for both genders. For the other types of FUC, the demographic and socioeconomic characteristics, when associated, showed negative associations. The results of this study showed that PHC is the service with the highest recognition of adolescents in conditions of social vulnerability. This reinforces the need to consolidate the PHC in order to favor the health care of adolescents, establishing bonds and improving access to health actions.
Palavras-chave (keywords):
Quality Indicators, Health Care; Adolescent; Primary Health Care. Health Surveys.
Martins, M.M.F, Prado, N.M.B.L, Vilasbôas, A.L.Q, Aquino, R.. FATORES DETERMINANTES NO RECONHECIMENTO DE UMA FONTE USUAL DE CUIDADO POR ADOLESCENTES BRASILEIROS. Cien Saude Colet [periódico na internet] (2023/Jul). [Citado em 01/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-determinantes-no-reconhecimento-de-uma-fonte-usual-de-cuidado-por-adolescentes-brasileiros/18816?id=18816
