Inequalities in health services access and use among formal, informal, and unemployed workers, based on data from the Brazilian National Household Sample Survey, 2008
Inequalities in health services access and use among formal, informal, and unemployed workers, based on data from the Brazilian National Household Sample Survey, 2008
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DOI：
10.1590/s0102-311x2013000700013
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发表时间：
2013-07-01
期刊：
影响因子：
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通讯作者：
Corrêa Filho, Heleno Rodrigues
中科院分区：
文献类型：
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作者：
Miquilin, Isabella de Oliveira Campos;Marín-León, Letícia;Corrêa Filho, Heleno Rodrigues
本研究的目的是分析就业市场状况是否与卫生服务获得和使用的差异有关。巴西全国住户抽样调查（PNAD/2008）的数据用于研究18至64岁的男女工人（N = 152 233）。患病率和粗和调整后的患病率比工人的健康特征进行了计算，使用泊松回归。与正式工人相比，（n = 76 246），非正规工人（n = 62，612）和失业者（n = 13，375）显示受教育程度较低，月收入较低，自我报告的健康状况较差，更频繁地报告“前两周卧床不起”，更难获得保健服务，即使在控制性别后，寻求保健服务的人数也较少，年龄段、地区、教育和受访者。需要制定保健政策，减少非正规工人和失业者在获得保健服务方面的不平等现象。
The aim of this study was to analyze whether job market status is associated with differences in health services access and use. Data from the Brazilian National Household Sample Survey (PNAD/2008) were used to study workers 18 to 64 years of age, both men and women (N = 152,233). Prevalence and crude and adjusted prevalence ratios for the worker's health characteristics were calculated using Poisson regression. When compared to formal workers (n = 76,246), informal workers (n = 62,612) and unemployed (n = 13,375) showed less schooling, lower monthly income, worse self-reported health status, more frequent reporting of have been "bedridden in the previous two weeks", greater difficulty in accessing health services, and lower health services seeking, even after controlling for sex, age bracket, region, schooling, and respondent. Health policies are needed to reduce inequalities in access to health services by informal workers and the unemployed.