healthy lifestyles and access to periodic health exams among brazilian women estilos de vida saudáveis e acesso aos exames periódicos de saúde entre as mulheres brasileiras

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ID: 209433
2005
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Abstract
Using data from the World Health Survey carried out in Brazil in 2003, this paper has the objective of describing the sociodemographic profile of Brazilian women (age 18-69 years of age) that have adequate health care, not only with respect to health service utilization but also to healthy lifestyles. Sociodemographic variables (age, marital status, race, education level, number of household assets, and occupation), health care variables (periodic gynecologic exam with Papanicolaou, mammography among women aged 40-69 years, body mass index, smoking, alcohol, physical activity, dental care, private health insurance), and self-rated health were analyzed by municipality size strata. Logistic regression models were used to identify the characteristics of women that have adequate health care. Coverage of periodic gynecologic exam with Papanicolaou was 65.0% and mammography coverage was 47.0%. Less than 20.0% of Brazilian women have adequate care, and the most associated factors were: being younger than 40 years old, having higher educational level, having private health insurance and being married. The results indicate the need to develop health promotion policies focused on modifying the risk habits and risk practices to health, and to stimulate preventive periodic health exams.
Utilizando os dados da Pesquisa Mundial de Saúde (PMS), realizada no Brasil em 2003, objetiva-se descrever o perfil sócio-demográfico das mulheres brasileiras entre 18 e 69 anos que têm cuidados adequados com a sua saúde, não só quanto à utilização de serviços, mas também aos comportamentos saudáveis. As variáveis sócio-demográficas (idade, situação conjugal, grau de instrução, bens no domicílio e cor da pele), de cuidados com a saúde (exame ginecológico com Papanicolau, mamografia em mulheres de 40 a 69 anos, índice de massa corpórea, fumo, álcool, atividade física, saúde oral, plano privado) e auto-avaliação da saúde foram analisadas segundo estrato de tamanho do município. Utilizando modelos de regressão logística foram identificadas as características das mulheres que têm cuidados adequados com a sua saúde. A cobertura do exame ginecológico periódico com Papanicolaou foi de 65,0% enquanto a da mamografia foi de 47,0%. Menos do que 20,0% das mulheres têm cuidados adequados com a saúde, sendo que os fatores mais associados foram: ter menos de quarenta anos, melhor grau de instrução, plano de saúde e ser casada. Os resultados indicam a necessidade do desenvolvimento de políticas direcionadas a modificar os hábitos e práticas de risco à saúde e incentivar os exames preventivos periódicos.
Reference Key
leal2005cadernoshealthy Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Maria do Carmo Leal;Silvana Granado Nogueira da Gama;Paulo Frias;Célia Landmann Szwarcwald
Journal iberian conference on information systems and technologies, cisti
Year 2005
DOI
10.1590/S0102-311X2005000700009
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000700009
Keywords
mammography vaginal smears life style estilo de vida women's healthmedicinepublic aspects of medicine saúde da mulher

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