title: [Use of medical consultations and the occurrence of systemic arterial hypertension in urban and rural areas of Brazil, according to PNAD data 2008].
abstract: The use of medical consultations is influenced by determinants such as healthcare needs and service characteristics, which depend on whether the environment is urban or rural. The scope was to estimate the proportions of individuals attending medical consultations over the previous 12 months with and without self-reported systemic arterial hypertension (SAH) living in urban and rural areas, and to analyze the patterns of consultation use and associations. This was a sectional study, using PNAD 2008. Logistic regression was performed to obtain crude and adjusted odds ratios (ORs), according to self-reported SAH and household situation. 70.6% of adult Brazilians consult physicians. The association between the presence of SAH and attending medical consultations was 3.63 (OR) times greater in urban areas. The incidence of consultation with physicians was greater among women, individuals using continuous medication or who had health insurance plans or funding for the last consultation, people who reported a disease or restriction in mobility and those with self-reported poor health, in all strata. Multivariate analysis modified the associations of all variables. The differences between the two areas suggested that access policies need to be implemented, with the aim of reducing inequalities.
authors: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-598, Brazil. jessica@iesc.ufrj.br
authors: Jessica Pronestino de Lima
authors: JP
authors: Moreira
authors: José Rodrigo
authors: JR
authors: de Moraes
authors: Ronir Raggio
authors: RR
authors: Luiz
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D012423:Rural Health; D057566:Self Report; D014504:Urban Health; D055815:Young Adult