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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

QUADRA, Micaela Rabelo; SHAFER, Antônio Augusto  and  MELLER, Fernanda de Oliveira. Inequalities in the use of health services in a municipality in Southern Brazil in 2019: a cross-sectional study. Epidemiol. Serv. Saúde [online]. 2023, vol.32, n.1, e2022437.  Epub Mar 24, 2023. ISSN 1679-4974.  http://dx.doi.org/10.1590/s2237-96222023000100025.

Objective:

to assess inequalities in the use of health services in a municipality in Southern Brazil.

Methods:

This was a population-based cross-sectional study conducted with adults living in the urban area of the municipality of Criciúma, state of Santa Catarina, Brazil, between March and December 2019; the research outcomes were medical consultation, dental visit, nutritional counseling and the use of the Brazilian National Health System (Sistema Único de Saúde − SUS); the exposures were age, schooling and income; inequalities were analyzed using the Slope index of inequality and equiplots.

Results:

A total of 820 individuals were studied; medical consultation was higher (14.2 percentage points [p.p.]), and dental visit was lower (-29.5 p.p.), in older adults, when compared to young people; dental visit (41.1 p.p.) and nutritional counseling (18.0 p.p.) were higher in individuals with higher level of education, when compared to those with lower level of education; the use of SUS was higher in older adults (21.3 p.p.), with lower level of education (-61.2 p.p.) and lower income (-51.6 p.p.), when compared to their peers.

Conclusion:

in order to develop public policies, these inequalities should be taken into consideration.

Keywords : Health Inequality; Use of Health Services; Brazilian National Health System; Slope Index of Inequality; Cross-sectional studies.

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