Pattern of health services utilization by adults of the Pelotas birth cohort from 1982 to 2004-5, Southern Brazil

Juvenal S. Dias-da-Costa, Denise P. Gigante, Bernardo L. Horta, Fernando C. Barros, Cesar G. Victora

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To describe the pattern of health services utilization by young adults. METHODS: Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identifi ed at birth in 1982 and followed up until 23 years of age. The outcome was defi ned by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS: Of the interviewees, 72.0% visited health professionals in the year before the interview; 86.2% (95% CI 84.7;87.7) of the women and 59.3% (95% CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4% (95% CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS: The socioeconomic situation infl uenced the utilization and the type of health service, with men and women classifi ed as "poor at the moment", which indicates lower utilization of services. Such socioeconomic differences may indicate diffi culties in the access to the health system.

Original languageEnglish (US)
Pages (from-to)51-59
Number of pages9
JournalRevista de Saude Publica
Volume42
Issue numberSUPPL.2
DOIs
StatePublished - 2008
Externally publishedYes

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Health Services
Brazil
Parturition
Health Systems Plans
Health
Women's Health Services
Interviews
Skin Pigmentation
Longitudinal Studies
Young Adult
Public Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Pattern of health services utilization by adults of the Pelotas birth cohort from 1982 to 2004-5, Southern Brazil. / Dias-da-Costa, Juvenal S.; Gigante, Denise P.; Horta, Bernardo L.; Barros, Fernando C.; Victora, Cesar G.

In: Revista de Saude Publica, Vol. 42, No. SUPPL.2, 2008, p. 51-59.

Research output: Contribution to journalArticle

Dias-da-Costa, Juvenal S. ; Gigante, Denise P. ; Horta, Bernardo L. ; Barros, Fernando C. ; Victora, Cesar G. / Pattern of health services utilization by adults of the Pelotas birth cohort from 1982 to 2004-5, Southern Brazil. In: Revista de Saude Publica. 2008 ; Vol. 42, No. SUPPL.2. pp. 51-59.
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abstract = "OBJECTIVE: To describe the pattern of health services utilization by young adults. METHODS: Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identifi ed at birth in 1982 and followed up until 23 years of age. The outcome was defi ned by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS: Of the interviewees, 72.0{\%} visited health professionals in the year before the interview; 86.2{\%} (95{\%} CI 84.7;87.7) of the women and 59.3{\%} (95{\%} CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4{\%} (95{\%} CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS: The socioeconomic situation infl uenced the utilization and the type of health service, with men and women classifi ed as {"}poor at the moment{"}, which indicates lower utilization of services. Such socioeconomic differences may indicate diffi culties in the access to the health system.",
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N2 - OBJECTIVE: To describe the pattern of health services utilization by young adults. METHODS: Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identifi ed at birth in 1982 and followed up until 23 years of age. The outcome was defi ned by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS: Of the interviewees, 72.0% visited health professionals in the year before the interview; 86.2% (95% CI 84.7;87.7) of the women and 59.3% (95% CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4% (95% CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS: The socioeconomic situation infl uenced the utilization and the type of health service, with men and women classifi ed as "poor at the moment", which indicates lower utilization of services. Such socioeconomic differences may indicate diffi culties in the access to the health system.

AB - OBJECTIVE: To describe the pattern of health services utilization by young adults. METHODS: Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identifi ed at birth in 1982 and followed up until 23 years of age. The outcome was defi ned by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS: Of the interviewees, 72.0% visited health professionals in the year before the interview; 86.2% (95% CI 84.7;87.7) of the women and 59.3% (95% CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4% (95% CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS: The socioeconomic situation infl uenced the utilization and the type of health service, with men and women classifi ed as "poor at the moment", which indicates lower utilization of services. Such socioeconomic differences may indicate diffi culties in the access to the health system.

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