SciELO - Scientific Electronic Library Online

vol.17 suppl.2Social determinants of intra-urban differentials of admissions by respiratory diseases in Salvador (BA), BrazilHealth sector reform and social determinants of health: building up theoretical and methodological interconnections to approach complex global challenges índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados


Revista Brasileira de Epidemiologia

versión impresa ISSN 1415-790X


SANTIAGO, Adriana Xavier de et al. Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy. Rev. bras. epidemiol. [online]. 2014, vol.17, suppl.2, pp.39-52. ISSN 1415-790X.


The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services.


To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil.


Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users.


The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

Palabras clave : Social determinants of health; Health service/utilization; Health services accessibility; Equity; Family Health; Child Health Services.

        · resumen en Portugués     · texto en Inglés     · Inglés ( pdf )