Problems with accessibility to health services by persons with disabilities in Sao Paulo, Brazil
Problems with accessibility to health services by persons with disabilities in Sao Paulo, Brazil
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DOI：
10.3109/09638288.2010.541542
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发表时间：
2011-01-01
影响因子：
2.2
通讯作者：
Cesar, Chester L. G.
中科院分区：
文献类型：
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作者：
Castro, Shamyr S.;Cieza, Alarcos;Cesar, Chester L. G.
目的.描述残疾人在社会和卫生服务变量方面自我报告的获得卫生服务的问题。我们进行了一项横断面家庭调查，旨在评估残疾人在获得保健服务方面面临的问题。2007年，我们在圣保罗市采访了333人。使用频率、百分比、卡方检验、方差分析和泊松回归模型分析与无障碍问题、残疾、性别、年龄、户主收入、种族、使用卫生服务和其他相关的变量。15.92%的受访者报告在获得卫生服务方面存在问题。有多重残疾（患病率; PR = 2.91）或行动不便（PR = 6.46）的人比听力残疾的人有更多的无障碍问题。年龄小于78岁的老年人在可及性方面存在较多问题，需要帮助的老年人在就医方面也存在较多问题（PR = 3.01）。患有多重残疾或行动不便的人、年龄在78岁以下的人以及需要他人帮助才能获得保健服务的人更有可能在获得保健服务方面遇到问题。这些信息可以成为管理和/或规划为残疾人提供适当保健服务的第一步。
Purpose. To describe the occurrence of self-reported problems of accessibility to health services used by persons with disabilities in terms of social and health services variables.Methods. We performed a cross-sectional household survey designed to assess problems with accessibility to health services faced by persons with disabilities. We interviewed 333 persons in Sao Paulo city, in 2007. Variables related to the presence of accessibility problems, disabilities, gender, age, family head income, ethnicity, use of health services and others were analysed using frequencies, percentages, chi(2)-test, ANOVA and Poisson regression models.Results. 15.92% of the interviewed persons reported problems with accessibility to health services. Persons having multiple (prevalence ratios; PR = 2.91) or mobility disability (PR = 6.46) had more problems with accessibility than persons with hearing disability. Persons younger than 78 years old had more problems with accessibility; those who needed help to go to the health service (PR = 3.01) also.Conclusions. Persons with multiple or mobility disability, younger than 78 years, and those who needed help of others to go to the health service were more likely to have problems with accessibility to health services. This information could be one of the first steps to the management and/or planning of appropriate health services for persons with disabilities.