0246/2023 - Multimorbidade e utilização de serviços de saúde no município de São Paulo: prevalência e fatores associados Multimorbidity and use of health services in the city of São Paulo: prevalence and associated factors
O objetivo foi estimar a prevalência de multimorbidade no município de São Paulo e verificar os fatores associados à utilização de serviços de saúde. Estudo transversal de base populacional a partir do Inquérito de Saúde no município de São Paulo em que foi realizada análise descritiva e elaborados modelos de regressão logística utilizando como desfecho a multimorbidade e variáveis independentes sociodemográficas, de condições de vida e utilização de serviços de saúde. Participaram 3.184 indivíduos com 20 anos ou mais, com idade média de 43,8 anos. A prevalência de multimorbidade foi de 50,7% entre as mulheres, 62,5% entre os que relataram algum problema de saúde e 55,1% entre os que utilizaram serviços de saúde nas duas últimas semanas. Foi identificada maior prevalência nos indivíduos que utilizaram serviço de saúde por problema de saúde mental (66,1%) e que informaram maiores despesas com saúde no último mês (55,4%). A multimorbidade apresentou-se mais frequente com o envelhecimento, na população com nível econômico mais elevado, com pior autoavaliação de saúde, que utilizou serviços de saúde há seis meses ou menos, que relatou problema de saúde, que tinha plano de saúde e fazia uso da polifarmácia.
Palavras-chave:
Multimorbidade; Acesso aos Serviços de Saúde; Inquéritos Epidemiológicos; Polimedicação.
Abstract:
The objective was to estimate the prevalence of multimorbidity in the city of São Paulo and to verify the factors associated with the use of health services. This is a population based cross-sectional study based on data from the Health Survey in São Paulo. Descriptive analysis was carried out and logistic regression models were developed using multimorbidity and sociodemographic independent variables, living conditions and use of health services as the outcome. A total of 3,184 individuals aged 20 years or older participated, with a mean age of 43.8 years. The prevalence of multimorbidity was 50.7% among women, 62.5% among those who reported some health problem and 55.1% among those who used health services in the last 2 weeks. A higher prevalence was identified in those who used a health service due to a mental health problem (66.1%) and in those who reported higher health expenditures in the last month (55.4%). Multimorbidity was more frequent with aging, in the population with a higher economic level, with worse self-rated health, who used health services for 6 months or less, who reported a health problem, or who have a health plan and use polypharmacy.
Keywords:
Multimorbidity; Health Services Accessibility; Health Surveys; Polypharmacy.
Multimorbidity and use of health services in the city of São Paulo: prevalence and associated factors
Resumo (abstract):
The objective was to estimate the prevalence of multimorbidity in the city of São Paulo and to verify the factors associated with the use of health services. This is a population based cross-sectional study based on data from the Health Survey in São Paulo. Descriptive analysis was carried out and logistic regression models were developed using multimorbidity and sociodemographic independent variables, living conditions and use of health services as the outcome. A total of 3,184 individuals aged 20 years or older participated, with a mean age of 43.8 years. The prevalence of multimorbidity was 50.7% among women, 62.5% among those who reported some health problem and 55.1% among those who used health services in the last 2 weeks. A higher prevalence was identified in those who used a health service due to a mental health problem (66.1%) and in those who reported higher health expenditures in the last month (55.4%). Multimorbidity was more frequent with aging, in the population with a higher economic level, with worse self-rated health, who used health services for 6 months or less, who reported a health problem, or who have a health plan and use polypharmacy.
Palavras-chave (keywords):
Multimorbidity; Health Services Accessibility; Health Surveys; Polypharmacy.
Aguiar, R.G, Monteiro, C.N, Castro, S.S, Figueiredo, T.K.F, Goldbaum, M., Cesar, C.L.G.. Multimorbidade e utilização de serviços de saúde no município de São Paulo: prevalência e fatores associados. Cien Saude Colet [periódico na internet] (2023/Ago). [Citado em 07/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/multimorbidade-e-utilizacao-de-servicos-de-saude-no-municipio-de-sao-paulo-prevalencia-e-fatores-associados/18872?id=18872&id=18872
