[跨部门行动和对巴西青少年初级保健来源的认可]。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XPT195923
Maísa Mônica Flores Martins, Nília Maria de Brito Lima Prado, Leila Denise Alves Ferreira Amorim, Ana Luiza Queiroz Vilasbôas, Rosana Aquino
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引用次数: 0

摘要

本研究旨在分析学校/初级卫生保健(PHC)服务部门间行动的发展与巴西青少年对初级卫生保健惯常护理来源的认可之间的关联。这是一项横断面研究,来自巴西全国学校健康调查(2015 年),对 97903 名青少年进行了综合抽样调查。在所分析的青少年中,72.8%的学生就读于与初级保健服务机构开展跨部门行动的学校。在来自开展跨部门行动的学校的青少年学生中,可以观察到对初级保健服务惯常护理来源的认可与跨部门行动之间存在关联(PR = 1.11;95%CI:1.08-1.14)。在对学校保健计划的行动(PR = 1.40;95%CI:1.37-1.43)和学校与初级保健服务之间行动的发展(PR = 1.08;95%CI:1.05-1.12)进行分析时,也发现了这种联系。结果表明,将初级保健服务视为通常的护理来源与跨部门行动之间存在正相关。然而,从跨部门实践的角度来看,卫生部门和教育部门在学校实施预防和促进青少年健康的衔接方面存在挑战。其中包括进一步了解青少年对保健单位提供的服务质量的看法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Intersectoral actions and the recognition of a source of primary care for Brazilian adolescents].

This study aimed to analyze the association between the development of intersectoral actions between school/primary health care (PHC) services and the recognition of a usual source of care of PHC among Brazilian adolescents. This is a cross-sectional study, from the Brazilian National Survey of School Health (2015) conducted with a complex sampling of 97,903 adolescents. The association between intersectoral actions between PHC services and schools and the recognition of a usual source of care of PHC were estimated by the prevalence ratio (PR), using the logistic regression model and considering the sample weight factor with Stata 14.0 Of the analyzed adolescents, 72.8% of them studied in schools that developed intersectoral actions with PHC services. Among adolescent students from schools that developed intersectoral actions, an association was observed between the recognition of usual source of care of PHC and intersectoral actions (PR = 1.11; 95%CI: 1.08-1.14). When analyzed for actions of the School Health Program (PR = 1.40; 95%CI: 1.37-1.43), and the development of actions between the school and PHC services (PR = 1.08; 95%CI: 1.05-1.12). The results show that there is a positive association between the recognition of PHC services as a usual source of care and intersectoral actions. However, from the perspective of an intersectoral practice, there are challenges in the articulation between health and education sectors for implementing prevention and promoting adolescent health in school. They involve greater knowledge about the adolescents' perception of the quality of the service offered by health units.

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来源期刊
Cadernos de saude publica
Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
7.10%
发文量
356
审稿时长
3-6 weeks
期刊介绍: Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.
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