Urban-rural disparity in health services utilization in a small municipality
DOI:
https://doi.org/10.15253/2175-6783.20202142458Keywords:
Health Services; Facilities and Services Utilization; Rural Population; Urban Population.Abstract
Objective: to analyze the existence of urban-rural disparity in health services utilization by people living in a small municipality. Methods: cross-sectional study with a representative random sample of people aged 18 years and older in the urban area (n=1.235) and the entire population of a rural district (n=190). The Health Services Utilization questionnaire, from the National Household Survey in Brazil, was used. The analysis considered logistic regression models to examine factors associated with health services utilization within 30 days prior to the study. Results: the utilization rate by people in urban area was significantly higher than in rural area (45.0% vs 15.8%). Women and people who reported symptoms of diseases and diagnosis of hypertension were more likely to use health services. Conclusion: under the same municipal health organization, people living in the rural area have lower health services utilization when compared to those living in the urban area.
References
Ngugi AK, Agoi F, Mahoney MR, Lakhani A, Mang’Ong’o D, Nderitu E, et al. Utilization of health services in a resourcelimited rural area in Kenya: prevalence and associated household-level factors. PLoS One. 2017; 12(2): e0172728. doi: https://doi.org/10.1371/journal.pone.0172728
Souza MFM, Malta DC, Franca EB, Barreto ML. Changes in health and disease in Brazil and its States in the 30 years since the Unified Healthcare System (SUS) was created. Ciênc Saúde Coletiva. 2018; 23(6):1737-50. doi: http://dx.doi.org/10.1590/1413-81232018236.04822018
Nepomuceno GA, Matoso LF, Miranda WJB, Lima TF, Gazzinelli A, Vieira EW. Anthropometric indicators associated with high blood pressure in children living in urban and rural areas. Rev Latino-Am Enfermagem. 2019; 27:e3150. doi: http://dx.doi.org/10.1590/1518-8345.2760-3150
Confortin SC, Antes DL, Pessini J, Jayce I, Schneider C, Orsi E, et al. Comparação do perfil socioeconômico e condições de saúde de idosos residentes em áreas predominantemente rural e urbana da Grande Florianópolis, Sul do Brasil. Cad Saúde Coletiva. 2016; 24(3):330-8. doi: http://dx.doi.org/10.1590/1414-462x201600030034
Oladipo JA. Utilization of health care services in rural and urban areas: A determinant factor in planning and managing health care delivery systems. Afr Heal Sci. 2014; 14(2):322-33. doi: http://dx.doi.org/10.4314/ahs.v14i2.6
Fernandes NFS, Galvão JR, Assis MMA, Almeida PF, Santos AM. Acesso ao exame citopatológico do colo do útero em região de saúde: mulheres invisíveis e corpos vulneráveis. Cad Saúde Pública. 2019; 35(10):e00234618. doi: http://dx.doi.org/10.1590/0102-311x00234618
Dorjdagva J, Batbaatar E, Svensson M, Dorjsuren B, Batmunkh B, Kauhanen J. Free and universal, but unequal utilization of primary health care in the rural and urban areas of Mongolia. Int J Equity Health. 2017; 16(1):73. doi: http://dx.doi.org/10.1186/s12939-017-0572-4
Liu X, Li N, Liu C, Ren X, Liu D, Gao B, et al. Urban–rural disparity in utilization of preventive care services in China. Medicine (Baltimore). 2016; 95(37):e4783. doi: http://dx.doi.org/10.1097/MD.0000000000004783
Viacava F, Oliveira RAD, Carvalho CC, Laguardi J, Bllido JG. SUS: supply, access to and use of health services over the last 30 years. Ciênc Saúde Coletiva. 2018; 23(6):1751-62. doi: http://dx.doi.org/10.1590/1413-81232018236.06022018
Lima-Costa MF, Peixoto SV, Firmo JOA. Validity of self-reported hypertension and its determinants (the Bambuí study). Rev Saúde Pública. 2004; 38(5):637-42. doi: http://dx.doi.org/10.1590/S0034-89102004000500004
Ministério da Saúde (BR). Portaria no 2.436, de 21 de Setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS) [Internet]. 2017 [citado 2019 out 23]. Disponível em: http://bit.ly/3655Fw3
Conselho Federal de Enfermagem (BR). Em zona rural, Coren-MT garante atendimento de enfermagem seguro [Internet]. 2018 [citado 2019 out 23]. Disponível em: http://bit.ly/3044kmu
Rasella D, Basu S, Hone T, Paes-Sousa R, Ocké-Reis CO, Millett C. Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: a nationwide microsimulation study. PLoS Med. 2018; 15(5):e1002570. doi: https://doi.org/10.1371/journal.pmed.1002570
Levorato CD, Mello LM, Silva AS, Nunes AA. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Ciênc Saúde Coletiva. 2014; 19(4):1263-74. doi: http://dx.doi.org/10.1590/1413-81232014194.01242013
Barreto MS, Mendonça RD, Pimenta AM, Garcia-Vivar C, Marcon SS. Non-use of primary care routine consultations for individuals with hypertension. Ciênc Saúde Coletiva. 2018; 23(3):795-804.doi:http://dx.doi.org/10.1590/1413-81232018233.12132016
Katchunga PB, Mirindi P, Baleke A, Twagirumukiza M. The trend in blood pressure and hypertension prevalence in the general population of South Kivu between 2012 and 2016 results from two representative cross-sectional surveys – the Bukavu observational study. PLoS One. 2019; 14(8):e0219377. doi: http://dx.doi.org/10.1371/journal.pone.0219377
Lamelas P, Diaz R, Orlandini A, Avezum A, Oliveira G. Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries. J Hypertens. 2019; 37(9):1813-21. doi: http://dx.doi.org/10.1097/HJH.0000000000002108
Rückert B, Cunha DM, Modena CM. Healthcare knowledge and practices of the rural population: an integrative literature review. Interface (Botucatu). 2018; 22(66):903-14. doi: http://dx.doi.org/10.1590/1807-57622017.0449
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