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Epidemiologia e Serviços de Saúde

versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622

Resumo

MELO, Daiane Celestino et al. Health service accessibility and service users’ position in the social space in Salvador, Bahia, Brazil, 2006: a cross-sectional study. Epidemiol. Serv. Saúde [online]. 2021, vol.30, n.2, e2020469.  Epub 29-Abr-2021. ISSN 1679-4974.  http://dx.doi.org/10.1590/s1679-49742021000200021.

Objective:

To analyze association between social position and access to health services.

Methods:

This was a cross-sectional study carried out in primary health care centers in Salvador, Bahia, Brazil, where a project for improving accessibility was implemented. Pearson's chi-square test and logistic regression were used.

Results:

467 users took part in the study, 75.6% had not finished high school; 78.7% had <2 minimum wages; 51.8% had intermediate/qualified occupations. Low income was associated with starting to queue at the health care center the night before or before 8 a.m. (odds ratio = 2.09 - 95%CI 1.13;3.87) and spending more time scheduling an appointment (odds ratio = 2.13 - 95%CI 1.05;4.31). Having an elementary occupation was associated with face-to-face appointment scheduling (odds ratio = 1.68 - 95%CI 1.14;2.45). Education and social trajectory showed no significant association with use of health services.

Conclusion:

Social inequalities in access to health services remained after the intervention to improve accessibility.

Palavras-chave : Health Services Accessibility; Primary Health Care; Health Status Disparities; Cross-Sectional Studies..

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