Use of health services by quilombola elderly people
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.204791Keywords:
Elderly, African Continental ancestry group, Health services, Health services accessibilityAbstract
Objective: To analyze the use of health services by quilombola elderly people. Methods: This is a cross-sectional and household-based study conducted in 11 quilombola communities, with 236 elderly people ≥60 years old. Statistical differences were found in the estimates of indicators of the use of health services according to gender and age group. Pearson’s Chi-square or Fisher’s Exact tests were performed. Differences were considered statistically
significant when p<0.05. Results: Most of the elderly people did not have a health insurance plan, seeking mainly public hospital/outpatient unit. The last medical consultation for 80.3% of the participants was performed in the 12 months prior to the interviews, with fewer consultations for men (p= 0.027). There was a low hospitalization rate in the last year and a low demand for health services in the last two weeks. Conclusion: Quilombola women and long-lived elderly people use health services more and, in general, the elderly citizens depend on SUS to exercise their right to health. The public hospital/outpatient unit was the most used service, and PHCU was little sought.
Downloads
References
Szwarcwald CL, Stopa SR, Damacena GN, de Almeida W da S, de Souza Júnior PRB, Vieira MLFP, et al. Changes in the pattern of health services use in brazil between 2013 and 2019bl health journal. Cienc e Saude Coletiva. 2021;26:2515–28. https://doi.org/10.1590/1413-81232021266.1.43482020.
Paim J, Travassos C, Almeida C, Bahia L, MacInko J. The Brazilian health system: History, advances, and challenges. Lancet. 2011;377(9779):1778–97. https://doi.org/10.1016/S0140-6736(11)60054-8.
Viacava F, De Oliveira RAD, Carvalho C de C, Laguardia J, Bellido JG. SUS: Supply, access to and use of health services over the last 30 years. Cienc e Saude Coletiva. 2018;23(6):1751–62. https://doi.org/10.1590/1413-81232018236.06022018.
Travassos, Claudia; CASTRO M. Determinantes e desigualdades sociais no acesso e utilização dos serviços de saúde. In: Políticas e Sstema de Saúde no Brasil. Rio de Janeiro: Guanabara; 2012. p. 183–206.
Arruda NM, Maia AG, Alves LC. Inequality in access to health services between urban and rural areas in Brazil: A disaggregation of factors from 1998 to 2008. Cad Saude Publica. 2018;34(6):1–14. https://doi.org/10.1590/0102-311X00213816.
Pereira R das N, Mussi RF de F. Acesso e utilização dos serviços de saúde da população negra quilombola: uma análise bibliográfica. Odeere. 2020;5(10):280–303. https://doi.org/10.22481/odeere.v5i10.6938
Costa ASV, dos Santos Rodrigues L, de Deus Cabral J, Coimbra LC, de Oliveira BLCA. Survey of the living conditions and health status of older persons living in Quilombola communities in Bequimão, Brazil: the IQUIBEQ Project. J Public Heal. 2021;29(5):1061–9. https://doi.org/10.1007/s10389-020-01198-y
da Silva TC, Neto CM, de Carvalho CA, Viola PC de AF, Rodrigues LDS, de Oliveira BLCA. Nutritional and cardiovascular disease risk in older persons living in Quilombola communities. Cienc e Saude Coletiva. 2022;27(1):219–30. https://doi.org/10.1590/1413-81232022271.30132020.
Travassos C, Martins M. Uma revisão sobre os conceitos de acesso e utilização de serviços de saúde. Cad Saude Publica. 2004;20(suppl 2):S190–8. https://doi.org/10.1590/s0102-311x2004000800014
Gomes K de O, Reis EA, Guimarães MDC, Cherchiglia ML. [Use of health services by
quilombo communities in southwest Bahia State, Brazil]. Cad Saude Publica [Internet]. 2013;29(9):1829–42. https://doi.org/10.1590/0102-311X00151412.
Stopa SR, Malta DC, Monteiro CN, Szwarcwald CL, Goldbaum M, Cesar CLG. Use of and access to health services in Brazil, 2013 National Health Survey. Rev Saude Publica. 2017;51:1S-10S. https://doi.org/10.1590/S1518-8787.2017051000074.
IBGE IB de G e E. Base de Informações Geográficas e Estatísticas sobre os indígenas e quilombolas para enfrentamento à Covid-19. 2020;
Oliveira et al 2013. Desigualdades econômicas, demográficas e em saúde no nordeste brasileiro. Rev Pesq saúde. 2013;14(3):150–5.
Oliveira BLCAT, Thomaz EBAF, Silva RA da. Associação da cor / raça aos indicadores de saúde para idosos no Brasil : um estudo baseado na Pesquisa Nacional por Amostra de Domicílios The association between skin color / race and health indicators in elderly Brazilians : a study based on the Brazili. Cad Saúde Pública. 2014;30(7):1–15.
Oliveira BLCA, Silva AM da, Silva RA da, Thomaz EBAF. Racial inequalities in the socioeconomic, demographic and health conditions of elderly from Maranhão State, Legal Amazon, Brazil: a population-based study. Acta Amaz. 2014;44(3):335–44. https://doi.org/10.1590/1809-4392201304403.
ABEP AB de empresas de pesquisa. Economic classification criterion Brazil. Abep. 2018;1:1–5.
Tavares DMDS, Oliveira NGN, Marchiori GF, Marmo FAD, de Jesus DA. Access to and use of the health services among community older adults. Cogitare Enferm. 2021;26. https://doi.org/10.5380/ce.v26i0.74528.
Santos VC, Boery EN, Pereira R, Santa Rosa D de O, Vilela ABA, dos Anjos KF, et al. Condições socioeconômicas e de saúde associadas à qualidade de vida de idosos quilombolas. Texto e Context Enferm. 2016;25(2):1–9. https://doi.org/10.1590/0104- 07072016001300015.
Francisco PMSB, Assumpção D de, Bacurau AG de M, Silva DSM da, Malta DC, Borim FSA. Multimorbidade e uso de serviços de saúde em idosos muito idosos no Brasil. Rev Bras Epidemiol. 2021;24:1–14.
Malta DC, Bernal RTI, Lima MG, de Araújo SSC, da Silva MMA, Freitas MI de F, et al. Noncommunicable diseases and the use of health services: Analysis of the National Health Survey in Brazil. Rev Saude Publica. 2017;51:1S-10S.
https://doi.org/10.1590/S1518-8787.2017051000090.
Cobo B, Cruz C, Dick PC. Gender and racial inequalities in the access to and the use of brazilian health services. Cienc e Saude Coletiva. 2021;26(9):4021–32. https://doi.org/10.1590/1413-81232021269.05732021.
Botton A, Cúnico SD, Strey MN. Diferenças de gênero no acesso aos serviços de saúde: problematizações necessárias. Psiclogia da saúde. 2017;25(1).
Gottlieb MG, Valle, Carvalho D, Schneider RH, Cruz IBM. Aspectos genéticos do envelhecimento e doenças associadas: uma complexa rede de interações entre genes e ambiente Genetics aspects of aging and related diseases: a complex network of interactions between genes and environment. Rev Bras Geriatr E Gerontol. 2007;8(1):273–84.
Constante HM, Marinho GL, Bastos JL. The door is open, but not everyone may enter: Racial inequities in healthcare access across three brazilian surveys. Cienc e Saude Coletiva. 2021;26(9):3981–90. https://doi.org/10.1590/1413-81232021269.47412020.
Almeida APSC, Nunes BP, Duro SMS, Lima R de CD, Facchini LA. Lack of access and the trajectory of healthcare use by elderly Brazilians. Cienc e Saude Coletiva. 2020;25(6):2213–26. https://doi.org/10.1590/1413-81232020256.27792018.
Simieli I, Padilha LAR, Tavares CF de F. Realidade do envelhecimento populacional frente às doenças crônicas não transmissíveis. Rev Eletrônica Acervo Saúde. 2019;(37):e1511. https://doi.org/10.25248/reas.e1511.2019.
Lima C de S, Aguiar RS. Acesso dos homens aos serviços de atenção primária à saúde : uma revisão integrativa Men ’ s access to primary health care services : an integrative review Acceso de los hombres a los servicios de atención primaria de salud : una revisión integradora Cleu. 2020;2020:1–20.
Barreto M da S, Arruda G de O, Marcon SS. Como os homens adultos utilizam e avaliam os serviços de saúde. Rev Eletrônica Enferm. 2015;17(3). https://doi.org/10.5216/ree.v17i3.29622.
Modesto AAD, De Lima RLB, D’Angelis AC, Augusto DK. Um novembro não tão azul: Debatendo rastreamento de câncer de próstata e saúde do homem. Interface Commun Heal Educ. 2018;22(64):251–62. https://doi.org/10.1590/1807- 57622016.0288.
Miranda L de P, Oliveira TL, Queiroz P de SF, Oliveira PSD, Fagundes LS, Rodrigues Neto JF. Saúde bucal e acesso aos serviços odontológicos em idosos quilombolas: um
estudo de base populacional. Rev Bras Geriatr e Gerontol. 2020;23(2). https://doi.org/10.1590/1981-22562020023.200146.
Viacava F, Bellido JG. Health, access to services and sources of payment, according to household surveys. Cienc e Saude Coletiva. 2016;21(2):351–70. https://doi.org/10.1590/1413-81232015212.19422015.
Rodrigues MM, Alvarez AM, Rauch KC. Trends in hospitalization and mortality for ambulatory care sensitive conditions among older adults. Rev Bras Epidemiol. 2019;22:1–11. https://doi.org/10.1590/1980-549720190010.
Barbosa TC, Moro JDS, Rosa Junior JN, Yanes CY, Ribeiro ER. Causas de internações hospitalares em idosos por regiões do Brasil. Rev Saúde Pública do Paraná. 2019;2(Suppl 1):70–81. https://doi.org/10.32811/25954482-2019v2supl1p70.
Cavalcanti MV de A, Oliveira LPBA de, Medeiros ACQ de, Távora RC de O. Hábitos de vida de homens idosos hipertensos. Rev Gauch Enferm. 2019;40:e20180115. https://doi.org/10.1590/1983-1447.2019.20180115.
Schäfer AA, Santos LP, Miranda VIA, Tomasi CD, Soratto J, Quadra MR, et al. Desigualdades regionais e sociais na realização de mamografia e exame citopatológico nas capitais brasileiras em 2019: estudo transversal. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2021;30(4):e2021172. https://doi.org/10.1590/S1679- 49742021000400016.
Oliveira D da S, Sá AV, Gramacho R de CCV, Silva R de CV da, Oliveira J de S. Atuação da enfermeira frente aos fatores que interferem na adesão de mulheres idosas ao exame de Papanicolau. Rev Enferm Contemp. 2019;8(1):87–93. https://doi.org/10.17267/2317-3378rec.v8i1.2155.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Andressa Rayane Viana Barros, Bruno Luciano Carneiro Alves de Oliveira , Claudia Silva Pinto, Getúlio Rosa dos Santos Junior, Rosiany Pereira da Silva, Thalita Costa da Silva, Francisco Bruno da Silva Aragão, Francisca Bruna Arruda Aragão, Andréa Suzana Vieira Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
