0296/2023 - FONTE USUAL DE CUIDADO E O ACESSO DE ADOLESCENTES BRASILEIROS A SERVIÇOS DE ATENÇÃO PRIMÁRIA À SAÚDE (APS) USUAL SOURCE OF CARE AND ACCESS OF BRAZILIAN ADOLESCENTS TO PRIMARY HEALTH CARE SERVICES (PHC)
Objetivou-se analisar a associação entre o reconhecimento de uma fonte usual do cuidado de Atenção Primária à Saúde (APS) e o acesso aos serviços de APS, entre adolescentes brasileiros. Estudo transversal, a partir da Pesquisa Nacional de Saúde do Escolar realizada com 68.968 adolescentes brasileiros, através de amostragem por conglomerados. Foram realizadas análises descritivas através do ?2 de Pearson e a razão de prevalência (RP) através dos modelos de regressão logística entre acesso aos serviços de APS e o reconhecimento da FUC APS. Dos adolescentes que procuraram os serviços de APS, 74,6% referiram acesso, sendo a maior do sexo feminino (79,3%). Na análise multivariada, observa-se associação positiva (RP: 1,25; IC95%: 1,24 – 1,26), e na estratificado por sexo, observou-se associações positivas para ambos os sexos, (RP: 1,30; IC95%: 1,28 – 1,31) masculino e (RP: 1,21; IC95%: 1,20 – 1,23) feminino. Verifica-se que a maioria dos adolescentes brasileiros que têm a APS como sua FUC conseguiram acessar os serviços de APS, apesar de que, a falta de acesso foram mais frequentes entre os mais vulneráveis economicamente e devido a comportamentos de risco, indicando iniquidades potencialmente evitáveis por meio de uma APS mais efetiva e longitudinal.
Palavras-chave:
Acesso aos serviços de saúde; Fonte Usual de Cuidados; Adolescente; Atenção Primária à Saúde.
Abstract:
The objective was to analyze the association between recognition of a usual source of Primary Health Care (PHC) care and access to PHC services among Brazilian adolescents. Cross-sectional study, based on the National School Health Survey carried out with 68,968 Brazilian adolescents, through cluster sampling. Descriptive analyzes were carried out using Pearson\'s χ2 and the prevalence ratio (PR) using logistic regression models between access to PHC services and recognition of FUC APS. Of the adolescents who sought PHC services, 74.6% reported access, the majority being female (79.3%). In the multivariate analysis, a positive association was observed (RP: 1.25; 95% CI: 1.24 – 1.26), and when stratified by sex, positive associations were observed for both sexes, (RP: 1.30; 95%CI: 1.28 – 1.31) male and (PR: 1.21; 95%CI: 1.20 – 1.23) female. It appears that the majority of Brazilian adolescents who have PHC as their FUC were able to access PHC services, despite the lack of access being more frequent among the most economically vulnerable and due to risky behaviors, indicating potentially avoidable inequities. through a more effective and longitudinal PHC.
Keywords:
Access to health services; Usual Source of Care; Adolescent; Primary Health
USUAL SOURCE OF CARE AND ACCESS OF BRAZILIAN ADOLESCENTS TO PRIMARY HEALTH CARE SERVICES (PHC)
Resumo (abstract):
The objective was to analyze the association between recognition of a usual source of Primary Health Care (PHC) care and access to PHC services among Brazilian adolescents. Cross-sectional study, based on the National School Health Survey carried out with 68,968 Brazilian adolescents, through cluster sampling. Descriptive analyzes were carried out using Pearson\'s χ2 and the prevalence ratio (PR) using logistic regression models between access to PHC services and recognition of FUC APS. Of the adolescents who sought PHC services, 74.6% reported access, the majority being female (79.3%). In the multivariate analysis, a positive association was observed (RP: 1.25; 95% CI: 1.24 – 1.26), and when stratified by sex, positive associations were observed for both sexes, (RP: 1.30; 95%CI: 1.28 – 1.31) male and (PR: 1.21; 95%CI: 1.20 – 1.23) female. It appears that the majority of Brazilian adolescents who have PHC as their FUC were able to access PHC services, despite the lack of access being more frequent among the most economically vulnerable and due to risky behaviors, indicating potentially avoidable inequities. through a more effective and longitudinal PHC.
Palavras-chave (keywords):
Access to health services; Usual Source of Care; Adolescent; Primary Health
Martins, M.M.F, Prado, N.M.B.L, Vilasbôas, A.L.Q, Pereira, R. A. G. FONTE USUAL DE CUIDADO E O ACESSO DE ADOLESCENTES BRASILEIROS A SERVIÇOS DE ATENÇÃO PRIMÁRIA À SAÚDE (APS). Cien Saude Colet [periódico na internet] (2023/Out). [Citado em 01/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fonte-usual-de-cuidado-e-o-acesso-de-adolescentes-brasileiros-a-servicos-de-atencao-primaria-a-saude-aps/18922?id=18922
