ABSTRACT
Abstract The objective of this study is to describe the profile of use of primary health care services, estimated by the PNS, of the population living in households registered and not registered with the Famly Health Strategy - FHS, in the years 2013 and 2019. Cross-sectional study carried out using microdata from national health surveys 2013 and 2019. The sample originated from a master sample, consisting of a set of units from selected areas in a register..The variables sex, age, skin color, income, education, self-perceived health, home registered with the FHS, medical care in the last year, type of service you seek when you are ill were selected. The dependent variables were use of health services and use of public health services. The dependent and independent variables were described with the respective confidence interval and adjusted logistic regression was performed for each outcome analyzed. In public health services, lower income, have chronic diseases (arterial hypertension or high cholesterol), be pregnant, and having a bad self-perception of health were associated with used more health services in both periods. Living in registered households was associated with more used health services (public or private). The family health strategy is an important strategy for expanding access equally.
Resumo O objetivo deste estudo é descrever o perfil de utilização dos serviços de atenção primária à saúde, estimado pela Pesquisa Nacional de Saúde (PNS), da população residente em domicílios cadastrados e não cadastrados na Estratégia de Saúde da Família (ESF), nos anos de 2013 e 2019. Estudo transversal realizado com microdados dos inquéritos nacionais de saúde entre 2013 e 2019. A amostra originou-se de uma amostra mestra, composta por um conjunto de unidades de áreas selecionadas em um cadastro. Variáveis sexo, idade, cor da pele, renda, escolaridade, autopercepção de saúde, domicílio cadastrado na ESF, atendimento médico no último ano, tipo de serviço que você procura quando está doente foram selecionados. As variáveis dependentes foram uso de serviços de saúde e uso de serviços públicos de saúde. As variáveis dependentes e independentes foram descritas com os respectivos intervalos de confiança e foi realizada regressão logística ajustada para cada desfecho analisado. Nos serviços públicos de saúde, menor renda, ter doenças crônicas (hipertensão arterial ou colesterol alto), estar grávida e ter uma autopercepção de saúde ruim estiveram associados à maior utilização de serviços de saúde nos dois períodos. Morar em domicílios cadastrados na ESF foi associado aos serviços de saúde mais utilizados (públicos ou privados). A estratégia de saúde da família é uma estratégia importante para expandir o acesso de forma igualitária.
Subject(s)
Humans , Female , Pregnancy , Family Health , Health Services , Socioeconomic Factors , Brazil , Cross-Sectional Studies , Health Services AccessibilityABSTRACT
AIM: evaluate the color changes in acrylic resins immersed in two pigmented beverages in different time periods, proportional to the frequency and volume of consume by the population with and without the use of artificial saliva. MATERIAL AND METHODS: Thirty thermo-polymerizable resin disks were confectioned with 3.0 +- 0.1 mm thickness, initially immersed in distilled water for 24 hours and randomly divided into 2 groups (n=15): GC with artificial saliva and GS without artificial saliva. They were, then, subdivided into 3 subgroups (n=5): G1 distilled water (control); G2 red wine; G3 black tea. These groups were daily immersed inside beverages for 15 days, with daily immersion frequency equal to the beverage ingestion and the period of each immersion equal to 1 minute/10 ml of beverage per capita. Between each immersion the disks were stored inside distilled water. The color of resins was measured according to the CIE-Lab scale before and after the immersion periods, and the color variation was calculated (ΔE). The values ΔL*, Δa* e Δb* were also evaluated. RESULTS: Analysis of variance was performed, and have shown significant difference (p<0.05) among G1 and the other solutions, without significant difference between G2 and G3 for ΔE, ΔL, Δa and the module Δb. There was no difference between GC and GS. CONCLUSION: It was concluded that the use of artificial saliva did not change pigmentation degree and that wine presents similar changes to the tea, considering the parameters used.