situação no mercado de trabalho e utilização de serviços de saúde no brasil labor market status and the use of healthcare services in brazil
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2011
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Abstract
Este estudo compara a utilização de serviços de saúde segundo a situação no mercado de trabalho em três anos e investiga se estão associados após ajuste por características sócio-demográficas e presença de doença crônica. Foram estudados homens de 15 a 64 anos, incluídos na PNAD de 1998, 2003 e 2008 de acordo com a utilização de consulta médica e internação nos últimos 12 meses e visita ao dentista há menos de três anos. A associação entre a situação no mercado de trabalho e o uso de serviços de saúde em 2008 foi estimada pela regressão de Poisson. Foram estudados 33.726 homens. As prevalências de consulta médica e odontológica aumentaram ao longo do período, mas mantiveram-se mais elevadas entre os trabalhadores com proteção social. Desemprego e trabalho sem proteção social foram independente e negativamente associados à menor prevalência de consulta médica e odontológica em 2008. Conhecer as barreiras e aumentar a oferta de serviços com perfil de funcionamento adequado para quem trabalha é fundamental para tentar reduzir as iniquidades observadas. Por outro lado, promover a inserção no trabalho com garantias dos direitos sociais pode contribuir para a melhoria dos indicadores de saúde pública.
This study compares the use of health services among economically active men according to labor market status in the years 1998, 2003, 2008 and investigates whether both are associated after adjustment for socio-demographic characteristics and health indicators. All males aged 15 to 64, participating in the National Household Survey 1998, 2003 and 2008 were included. The association between labor market status and use of services in 2008 was estimated by Poisson regression. 33,726 males were surveyed and the prevalence of medical and dental care use was found to be higher among workers with social protection. The frequency of health care use increased over the period, but remained significantly higher among formally employed workers. Unemployment and work without social protection were negatively associated with medical and dental care visits. The socio-economic structure that establishes different social groups with unequal health conditions also affects the use of health services. Further investigation into the social and physical barriers to health care use by the unemployed and informal workers is required in order to reduce perceived health inequities.
This study compares the use of health services among economically active men according to labor market status in the years 1998, 2003, 2008 and investigates whether both are associated after adjustment for socio-demographic characteristics and health indicators. All males aged 15 to 64, participating in the National Household Survey 1998, 2003 and 2008 were included. The association between labor market status and use of services in 2008 was estimated by Poisson regression. 33,726 males were surveyed and the prevalence of medical and dental care use was found to be higher among workers with social protection. The frequency of health care use increased over the period, but remained significantly higher among formally employed workers. Unemployment and work without social protection were negatively associated with medical and dental care visits. The socio-economic structure that establishes different social groups with unequal health conditions also affects the use of health services. Further investigation into the social and physical barriers to health care use by the unemployed and informal workers is required in order to reduce perceived health inequities.
| Reference Key |
giatti2011cinciasituao
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|---|---|
| Authors | ;Luana Giatti;Sandhi Maria Barreto |
| Journal | journal of physical activity & health |
| Year | 2011 |
| DOI |
10.1590/S1413-81232011001000017
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| URL | |
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