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Problems with accessibility to health services by persons with disabilities in Sao Paulo, Brazil

CASTRO SS; CIEZA A; CESAR C
DISABIL REHABIL , 2011, vol. 33, n° 17-18, p. 1693-1698
Doc n°: 154907
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2010.541542
Descripteurs : J - HANDICAP

PURPOSE: To describe the occurrence of self-reported problems of accessibility to
health services used by persons with disabilities in terms of social and health
services variables. We performed a cross-sectional household survey
designed to assess problems with accessibility to health services faced by
persons with disabilities. We interviewed 333 persons in Sao Paulo city, in 2007.
Variables related to the presence of accessibility problems, disabilities,
gender, age, family head income, ethnicity, use of health services and others
were analysed using frequencies, percentages, chi(2)-test, ANOVA and Poisson
regression models. RESULTS: 15.92% of the interviewed persons reported problems
with accessibility to health services. Persons having multiple (prevalence
ratios; PR = 2.91) or mobility disability (PR = 6.46) had more problems with
accessibility than persons with hearing disability. Persons younger than 78 years
old had more problems with accessibility; those who needed help to go to the
health service (PR = 3.01) also. CONCLUSIONS: Persons with multiple or mobility
disability, younger than 78 years, and those who needed help of others to go to
the health service were more likely to have problems with accessibility to health
services. This information could be one of the first steps to the management
and/or planning of appropriate health services for persons with disabilities.

Langue : ANGLAIS

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