Socioeconomic inequalities in the access to health services: a population-based study in Southern Brazil: Desigualdades socioeconômicas no acesso aos serviços de saúde: um estudo de base populacional no sul do Brasil

• Published in: Ciência & saude coletiva 2022-02, Vol.27 (2), p.793
• Main Authors: Wendt, Andrea, Marmitt, Luana Patrícia, Nunes, Bruno P, Dumith, Samuel C, Silva, Inácio Crochemore
• Format: Article
• Language: English
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-81232022272.03052021

This article aims to measure socioeconomic inequalities regarding access to health services, contact with health professionals, and specific health interventions. This was a cross-sectional population-based study with individuals aged 18 years or older, living in the city of Rio Grande. The outcomes were the following: Family Health Strategy (FHS) coverage; having a health insurance plan; receiving a visit of a community health worker; medical consultation; dental consultation; dietary counseling; having a class with a physical education professional; flu vaccination; mammography, cytopathological and prostate exams. Relative and absolute measures were used to assess inequalities in the distribution of the outcomes. There was a response rate of 91 % (1,300 adults were interviewed). Coverage indicators ranged from 16.1%, for having a class with a physical education professional, to 80.0% for medical consultation. FHS coverage and visit of a community health agent presented higher proportions among the poorest while outcomes regarding contact with health professionals, screening exams and flu vaccine were more prevalent among richest group. We observed low coverage levels of access to health services and professionals in addition to marked socioeconomic inequalities.