Acessibilidade aos serviços de saúde por pessoas com deficiência

Castro, Shamyr Sulyvan de; Lefèvre, Fernando; Lefèvre, Ana Maria Cavalcanti; César, Chester Luiz Galvão

doi:10.1590/s0034-89102010005000048

Cited by 69 publications

(66 citation statements)

References 23 publications

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“…Relevant aspects in the process of health social determinants seem to be interconnected with DIS. Correlations between DIS and SES indicators, such as income 3,12,25 , educational level 3,12 , and occupation 1,5 , are observed in scientific findings. In this study, income for both sexes and educational level for men were inversely associated with DIS.…”

Section: Discussionmentioning

confidence: 90%

“…From the point of view on inequality among the sexes, more vulnerability is seen among women who live alone, who are black 5 , and who have limited access to education and health care 1,[9][10][11] . Ageing makes disability worse, especially among older female subjects, whose high prevalence is attributed to different comorbidity and secondary conditions, disability severity, and to the lack of health care access 1,11,12 .…”

Section: Introductionmentioning

confidence: 99%

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Prevalência e fatores associados ao autorrelato de deficiência: uma comparação por sexo

Felicíssimo

Friche

Andrade

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To estimate the prevalence of disability and its association with sociodemographic and health characteristics stratified by sex. Methods: This is a cross-sectional study with a probabilistic sample including 4,048 residents aged ≥ 18 years in two health districts of Belo Horizonte (MG), Brazil, during the period from 2008 to 2009. The outcome variable "disability" was established based on self-reported problems in body functions or structures. Sociodemographic characteristics ("sex," "age," "skin color," "marital status," "years of schooling," and "family income") and health ("reported morbidity," "health self-assessment," "quality of life," and "life satisfaction") were the explanatory variables. We applied the multivariate decision tree analysis by using the Chi-square Automatic Interaction Detector algorithm. Results: The overall prevalence of disability corresponded to 10.4% and it was higher in females (11.9%; confidence interval -95%CI 10.2 -13.6) than in males (8.7%; 95%CI 6.8 -10.5). In the multivariate analysis, "age" and "morbidity" in females, and "low educational level" and "poor health self-assessment" in males were the variables that best discriminated disability. Disability self-reporting was more frequent among women of working age (40 to 59 years-old) and with lower incomes, as well as in men with lower educational levels and incomes. With regard to health conditions, the highest disability percentages were seen among subjects of both genders that reported three or more diseases and worsened perception of health. Conclusion: Results reinforce the need for a distinct approach, since women of working age and men with lower educational level are more vulnerable to the occurrence of disability.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Prevalência e fatores associados ao autorrelato de deficiência: uma comparação por sexo

Felicíssimo

Friche

Andrade

et al. 2017

Rev. bras. epidemiol.

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“…It is urgent that effective measures be taken to develop public policy which acts to reduce the inequalities in accessibility that exist between citizens. 1 A limitation of this study was that only two thirds of the former patients treated during the period of the study were evaluated. This loss was mainly due to changes of address or inability to locate individuals.…”

Section: Discussionmentioning

confidence: 99%

Deficiências após a alta medicamentosa da hanseníase: prevalência e distribuição espacial

et al. 2012

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OBJECTIVE:To estimate the frequency of people with leprosy-related physical disabilities after release from multidrug treatment and to analyze their spatial distribution. METHODS:Descriptive cross-sectional study with 232 leprosy patients treated between 1998 and 2006. Physical disabilities were assessed using the World Health Organization disability grading and the eye-hand-foot (EHF) sum score. The residential address of patients and rehabilitation centers were geocoded. It was estimated the overall frequency of physical disability and frequency by disability grade (grade 0, grade 1, and grade 2) according to the WHO disability grading taking into consideration clinical and sociodemographic variables in the descriptive analysis. Student's t-test, chi-square test (χ2), and Fisher's test were used as appropriate at a 5% signifi cance level. RESULTS:Of the patients studied, 51.6% were female, mean age 54 years old (SD 15.7), 30.5% had less than 2 years of formal education, 43.5% were employed, and 26.9% were retired. Borderline leprosy was the most prevalent form of leprosy (39.9%). A total of 32% of these patients had disabilities according to the WHO disability grading and the EHF score. Disabilities increased with age (p = 0.029), they were more common in patients with multibacillary leprosy (p = 0.005) and poor self-rated physical health (p < 0.001). Those who required prevention/rehabilitation care traveled on average 5.5 km to the rehabilitation center. People with physical disabilities lived scattered across the city but they were mostly concentrated in the most densely populated and socioeconomically deprived area. CONCLUSIONS:There is a high frequency of people with leprosy-related disabilities after release from multidrug therapy. Prevention and rehabilitation actions should target uneducated and older patients, those who had multibacillary forms of leprosy and poor self-rated physical health. The travel distance to rehabilitation centers calls for reorganization of local care networks.

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“…Sobre o tema, Castro et al (2011) discutem os problemas enfrentados pelas pessoas com deficiência para a acessibilidade aos serviços de saúde (demora de atendimento, falta de rampas, elevadores, cadeiras de rodas, profissionais qualificados), o que impede a equidade, preceito do SUS. Othero (2010) também enfatizou a localização geográfica dos serviços (quase sempre situados nas áreas centrais da cidade), sua baixa capacidade de realizar atendimentos, bem como as péssimas condições urbanas de acessibilidade.…”

Section: Discussionunclassified

Pessoas com deficiência moradoras de bairro periférico da cidade de São Paulo: estudo de suas necessidades

Aoki¹,

Oliver²

2013

CTO

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Abstract:In this study, it is showed the health demands and needs of people with disabilities who participated in a support group conducted in partnership with primary health care service, university and community center.We understand health needs as phenomena related to forms of production and reproduction of different social groups that can be identified by the recognition of different ways of working, consuming, living, and relating, as well as by the characteristics of the territory. Ten adults with disabilities participated in the group: six women and four men, all residents of a peripheral neighborhood of the city. Five of them presented intellectual disability, three were physically disabled, and two showed multiple disabilities. We conducted semi-structured interviews comprising questions on daily life activities, experiences in health and rehabilitation, education, work and Resumo: Este estudo apresenta as demandas e necessidades de saúde de pessoas com deficiência que participaram de um grupo de convivência, realizado em parceria entre serviço de atenção primária à saúde, universidade e centro comunitário. Compreendeu-se necessidade de saúde como um fenômeno relacionado a formas de produção e reprodução dos diferentes grupos sociais e que podem ser identificadas a partir do reconhecimento dos modos de trabalhar, de consumir, de viver, de se relacionar e das características do território. Participaram do grupo dez adultos com deficiências, moradores de bairro periférico, sendo 6 mulheres e 4 homens. Cinco deles apresentavam deficiência intelectual; 3 deficiência física e 2 deficiências múltiplas. Foram realizadas entrevistas semiestruturadas com questões sobre as atividades cotidianas, experiências em saúde e reabilitação, educação, trabalho e participação comunitária; foram 5 entrevistados participantes do grupo, que o representavam em termos de idade, sexo e tipo de deficiência. Estudar, realizar tratamento em reabilitação, ter uma moradia digna, alimento, trabalho, benefício previdenciário, deslocar-se, passear e conversar foram as principais demandas apresentadas.Necessidades histórica e socialmente determinadas situam-se entre a natureza e a cultura dos sujeitos e dizem respeito não apenas à manutenção da vida, mas também à realização de um projeto de vida em que a pessoa acessa direitos sociais. Porém, as necessidades dessas pessoas expressaram também a vivência de processos de exclusão social. Alternativas assistenciais em reabilitação podem ser implementadas por profissionais da saúde a partir das necessidades relatadas pelas pessoas com deficiência e suas famílias, articuladas aos recursos assistenciais e comunitários existentes.

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Acessibilidade aos serviços de saúde por pessoas com deficiência

Abstract: OBJECTIVE:To analyze the diffi culties in accessibility to health services experienced by persons with disabilities.

Cited by 69 publications

References 23 publications

Prevalência e fatores associados ao autorrelato de deficiência: uma comparação por sexo

Prevalência e fatores associados ao autorrelato de deficiência: uma comparação por sexo

Deficiências após a alta medicamentosa da hanseníase: prevalência e distribuição espacial

Pessoas com deficiência moradoras de bairro periférico da cidade de São Paulo: estudo de suas necessidades

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