Labor market status and the use of healthcare services in Brazil
Labor market status and the use of healthcare services in Brazil
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DOI：
10.1590/s1413-81232011001000017
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发表时间：
2011-09-01
期刊：
影响因子：
--
通讯作者：
Barreto, Sandhi Maria
中科院分区：
文献类型：
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作者：
Giatti, Luana;Barreto, Sandhi Maria
本研究根据1998年、2003年和2008年的劳动力市场状况，比较了从事经济活动的男性对医疗服务的使用情况，并调查了在调整社会人口特征和健康指标后，两者是否相关。所有参加1998年、2003年和2008年全国住户调查的15至64岁的男性都包括在内。2008年劳动力市场状况和服务使用之间的关联通过泊松回归进行了估计。对33 726名男性进行了调查，发现在有社会保障的工人中，医疗和牙科保健的使用率较高。在此期间，使用保健服务的频率有所增加，但在正式就业工人中仍然明显更高。失业和没有社会保障的工作与医疗和牙科保健的访问呈负相关。社会经济结构使不同的社会群体具有不平等的健康条件，也影响到保健服务的利用。需要进一步调查失业者和非正规工人利用保健服务的社会和物质障碍，以减少人们认为的保健不公平现象。
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.