RESUMOObjetivo: analisar os aspectos gerais do acesso dos homens adultos aos serviços de atenção primária à saúde. Método: trata-se de estudo quantitativo, exploratório e transversal, com 485 homens adultos, por meio de questionário, dados armazenados no software SPSS 20.0, submetidos à estatística descritiva e apresentados em tabelas com distribuição de frequências absoluta e relativa. Resultados: 32,6% visitam os serviços de atenção primária à saúde com regularidade. A demora para ser atendido (35,7%) e a ausência de doenças (33,8%) são os principais fatores impeditivos da acessibilidade masculina aos serviços de saúde; 39,4% desconhecem os dias de funcionamento da unidade; 75% consideram ser difícil agendar consultas e 21% desconhecem a política nacional dos homens. Conclusão: a maioria dos homens adultos não buscou com regularidade os serviços de Atenção Primária à Saúde. Ressaltou-se a importância do conhecimento das razões masculinas para não buscarem os serviços da atenção primária à saúde. Este estudo pode contribuir aos gestores a compreenderem essa realidade singular masculina no planejamento de ações visando à garantia da assistência à saúde mais resolutiva. Descritores: Saúde do Homem; Acesso aos Serviços de Saúde; Atenção Primária à Saúde; Saúde Pública; Assistência à Saúde; Enfermagem.ABSTRACT Objective: to analyze the general aspects of adult men's access to primary health care services. Method: this is a quantitative, exploratory and cross-sectional study with 485 adult men, using a questionnaire, data stored in SPSS 20.0 software, submitted to descriptive statistics and presented in tables with absolute and relative frequency distribution. Results: 32.6% visit regular primary health care services. The delay to be treated (35.7%) and the absence of diseases (33.8%) are the main impediments to male accessibility to health services; 39.4% are unaware of the unit's operating days; 75% consider it difficult to schedule consultations and 21% are unaware of the national men's policy. Conclusion: the majority of adult men did not seek regular Primary Health Care services. The importance of knowing the reasons for not seeking primary health care was emphasized. This study can contribute to the managers to understand this singular masculine reality in the planning of actions aiming to guarantee the health care more resolute. Descritores: Human Health; Access to Health Services; Primary Health Care; Public Health; Health Care; Nursing. RESUMEN Objetivo: analizar los aspectos generales del acceso de los hombres adultos a los servicios de atención primaria a la salud. Método: se trata de un estudio cuantitativo, exploratorio y transversal, con 485 hombres adultos, mediante cuestionario, datos almacenados en el software SPSS 20.0, sometidos a la estadística descriptiva y presentados en tablas con distribución de frecuencias absoluta y relativa. Resultados: el 32,6% visitan los servicios de atención primaria a la salud con regularidad. La demora para ser atendida (35,7%) y la ausencia de enfermedades (33,8%) son los principales factores impeditivos de la accesibilidad masculina a los servicios de salud; 39,4% desconocen los días de funcionamiento de la unidad; El 75% considera que es difícil programar consultas y el 21% desconocen la política nacional de los hombres. Conclusión: la mayoría de los hombres adultos no buscó con regularidad los servicios de Atención Primaria a la Salud. Se resaltó la importancia del conocimiento de las razones masculinas para no buscar los servicios de atención primaria a la salud. Este estudio puede contribuir a los gestores a comprender esta realidad singular masculina en la planificación de acciones para la garantía de la asistencia sanitaria más resolutiva. Descritores: Salud del Hombre; Acceso a los Servicios de Salud; Atención Primaria a la Salud; Salud Pública; Asistencia Sanitária; Enfermería.
For men to adhere to health services and to perceive themselves as the subject of their care, it is of utmost importance that professionals receive them through qualified listening, listening to their desires and difficulties giving them a welcoming environment. Given this, the objective of this study was to analyze the factors associated with the reasons why men do not seek Primary Health Care services. This was an exploratory, cross-sectional approach, quantitative approach, descriptive study with an analytical character. Data collection was performed through semi-structured interviews with the aid of the primary care assessment instrument in the adult version (PCATool-brasil adult version) with 485 adult men living in rural and urban areas of a city of Sergipe. Statistical analysis was performed using univariate and bivariate techniques, Fisher's Chi-squared and Exact test by IBM® SPSS-Statistical Package for Social Sciences, version 20.0. There was an association with the delay in care reported by 173 (35.7%) respondents, which were among the rural residents and those with less education. Also, the absence of diseases reported by 164 men (33.8%) was associated with housing in rural areas; and the lack of reception by health professionals (16.7%; n=81) was higher among alcoholics and lower among rural residents. It is concluded that the reasons men do not seek the services offered in Primary Health Care are significantly interfered with by sociodemographic and lifestyle characteristics.
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