Social inequalities in indicators of use of healthcare services by adolescents in Campinas, São Paulo, Brazil

Datos Bibliográficos

ID5167514
AutoresVivian Castro Lemos (0000-0002-3013-8559, Universidade Estadual de Campinas (UNICAMP), autor de correspondencia), Marilisa Berti De Azevedo Barros (0000-0003-3974-195X, Universidade Estadual de Campinas (UNICAMP)), Margareth Guimarães (0000-0001-6996-0745, Universidade Estadual de Campinas (UNICAMP))
Año2024
Volumen40
Número4
Páginase00146523-e00146523
Fecha de publicación2024-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen146523
PMID38695456
OpenAlexW4396234181
SCIELO_PIDS0102-311X2024000401402
IdiomaEN
Referencias citadas21

This study aimed to analyze the prevalence of indicators of use of healthcare services according to sex, income and race/skin color, in adolescents (aged 10-19 years old) based on data from the Health Survey of the Municipality of Campinas (ISACamp), carried out in 2014/2015 in Campinas, São Paulo, Brazil. The chi-square test was used to evaluate the differences between the outcome variables (indicators of use of healthcare service) and sex, income and race/skin color. Adjusted prevalence ratios (PR) were estimated using Poisson multiple regression models. The demand for medical care was high in the last year of the interview (79.2%), mostly attended by the Brazilian Unified National Health System (65.2%), with routine consultations being more prevalent for females (PR = 1.17; 95%CI: 1.01-1.34) and injury for the male population (PR = 0.47; 95%CI: 0.26-0.84). Economic and racial differences were found in the evaluation of the last medical consultation, with a higher prevalence of worse care among those with lower income (PR = 1.46; 95%CI: 1.14-1.87) and black people (PR = 1.27; 95%CI: 1.01-1.61). Inequalities remained for delay or failure to carry out exams (PR = 1.64; 95%CI: 1.02-2.64) and worse quality of dental care (PR = 2.10; 95%CI: 1.38-3.21) in those with lower income. Also, black people had fewer appointments with dentists (PR = 0.90; 95%CI: 0.82-0.99

Economic growth · Economics · Environmental health · Geography · Health care · Inequality · Social inequality · Socioeconomics · Sociology · Health, Nursing, Elderly Care · Male Reproductive Health Studies · Mathematics · Medicine · Psychology · Public Health in Brazil