Use of the health services according to social determinants, health behaviors and quality of life among diabetics

Anny Mirene Alves Moreira Rodrigues Alessandro Leite Cavalcanti José Lucas dos Santos Henrique Pereira Carolina Lúcio Cunha de Araújo Ítalo de Macedo Bernardino Raiff Leite Soares Deborah Ellen Wanderley Gomes Freire Renata de Souza Coelho Soares About the authors

Abstract

The aim of this study was to investigate the use of health services according to social determinants, health behaviors and quality of life among diabetics (n = 416) attended by the Family Health Strategy in a northeastern city in Brazil. Data analysis included descriptive, bivariate and multivariate statistics. Decision Tree modeling was applied using the Chi-squared Automatic Interaction Detector (CHAID) algorithm. Results showed that public health services were used by 80.7% of the sample. The regular use of public health services involved individuals with low or medium schooling (p < 0.001), employed or retired and/or pensioners (p = 0.019), with a high impact of diabetes on quality of life (p = 0.032), and who performed the number of fasting blood glucose tests per year recommended by the Ministry of Health (p < 0.001). The use of health services could be explained by differences related to social determinants, health behaviors and the impact of diabetes on quality of life.

Key words
Diabetes mellitus; Health services; Family Health; Primary healthcare; Health inequalities

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