title: [Use of health services in Brazil: association with overweight and body fat indicators].
abstract: The aim of the study was to analyze the association between use of health services and obesity in Brazilian adults. We carried out a population-based cross-sectional study in 100 districts of five Brazilian regions. The outcomes were: home care, use of medical services in the primary health care, use of medical services outside of the primary health care, use of emergency services and hospitalization. Excess weight was assessed by measurement of BMI and waist circumference (WC). Among the 8,603 subjects studied, the medical care in the primary health care was 14% and 18% higher among obese and high risk of WC, respectively, after controlled for socio-demographic variables and physical inactivity, but lost significance when adjusted for hypertension and diabetes. For the emergency services, both exposures resulted in increase of nearly 20% in the use of this service, after adjustments. The excess weight increased the use of medical services in the primary health care and emergency services.
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Tomasi
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Bruno Pereira
authors.initials: BP
authors.lastname: Nunes
authors.affiliation: Programa de Pós-graduação em Enfermagem, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Thumé
authors.affiliation: Departamento de Medicina Social, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Denise Silva da
authors.initials: DS
authors.lastname: Silveira
authors.affiliation: Programa de Pós-graduação em Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Fernando Vinholes
authors.initials: FV
authors.lastname: Siqueira
authors.affiliation: Departamento de Medicina Social, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Roberto Xavier
authors.initials: RX
authors.lastname: Piccini
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Suele Manjourany
authors.initials: SM
authors.lastname: Silva
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Alitéia Santiago
authors.initials: AS
authors.lastname: Dilélio
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Facchini
mesh_terms: D000273:Adipose Tissue; D000328:Adult; D015992:Body Mass Index; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D012959:Socioeconomic Factors; D055105:Waist Circumference; D055815:Young Adult