دورية أكاديمية
أعرض في EDS

Difficulties in accessing health services among the elderly in the city of São Paulo-Brazil.

التفاصيل البيبلوغرافية
العنوان: Difficulties in accessing health services among the elderly in the city of São Paulo-Brazil.
المؤلفون: Oliveira ECT; Faculty of Public Health, University of São Paulo (USP), São Paulo, São Paulo, Brazil., Louvison MCP; Department of Policy, Management and Health, Faculty of Public Health, University of São Paulo (USP), São Paulo, São Paulo, Brazil., Teixeira DSDC; Faculty of Public Health, Center for Studies on Aging, University of São Paulo (USP), São Paulo, São Paulo, Brazil., Menezes TN; Department of Physiotherapy, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil., Rosa TEDC; Health Institute of the São Paulo State, Department of Health, São Paulo, São Paulo, Brazil., Duarte YAO; Coordinator of the Health, Well-Being and Aging Study (SABE), School of Nursing, Faculty of Public Health, University of São Paulo (USP), São Paulo, São Paulo, Brazil.
المصدر: PloS one [PLoS One] 2022 May 19; Vol. 17 (5), pp. e0268519. Date of Electronic Publication: 2022 May 19 (Print Publication: 2022).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Health Services* , Health Services for the Aged*, Aged ; Aging ; Brazil/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Socioeconomic Factors
مستخلص: To identify difficulties in accessing health services by the elderly in the city of São Paulo/Brazil and the contributory factors that reflect inequalities. This is a cross-sectional study that used data from the Health, Well-being and Aging Study (SABE). The population is composed of elderly ≥ 60 years old, of both sexes, living in the urban area of São Paulo. For this analysis, we used data from the 2015 cohort of the SABE study, containing a sample of 1,221 individuals. The proportions of access difficulty and, through logistic regression, the associated factors were verified, based on Andersen's Behavioral Model, which considers factors of predisposition, enabling and need as individual determinants of access to health care. It was observed that 37.0% of the elderly reported difficulty accessing health services when they needed it. This difficulty was greatest among females (42.3%), aged 60 to 69 years (40.9%), black race/color (58.8%), illiterate (44.5%), single/separated/divorced (44.3%), with income slower than one salary minimum (46.8%), without health insurance (51.9%), with poor/very poor self-assessment of health (54.7%), with multimorbidity (40.1%), frail (47.2%) and among those who used polypharmacy (40.8%). After multivariate analysis, in the final model, there was a positive association between difficulty of access and predisposing factors (female gender, age group 60 to 69 years, black race/color, illiterate), enabling factors (possession of health insurance) and need factors (regular and poor/very poor self-assessment of health and pre-fragility and frailty condition). The presence of difficulty in access associated with predisposing, enabling and need factors reflect the existence of inequalities caused by barriers that point to weaknesses in the organization of services. The identification of these barriers that hinder access highlights important points that can have an impact on the equity and resolution of care.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20220519 Date Completed: 20220523 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9119537
DOI: 10.1371/journal.pone.0268519
PMID: 35588124
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0268519