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Labor market status and the use of healthcare services in Brazil

This study compares the use of health services among economically active men according to labor market status in the years 1998, 2003, 2008 and investigates whether both are associated after adjustment for socio-demographic characteristics and health indicators. All males aged 15 to 64, participating in the National Household Survey 1998, 2003 and 2008 were included. The association between labor market status and use of services in 2008 was estimated by Poisson regression. 33,726 males were surveyed and the prevalence of medical and dental care use was found to be higher among workers with social protection. The frequency of health care use increased over the period, but remained significantly higher among formally employed workers. Unemployment and work without social protection were negatively associated with medical and dental care visits. The socio-economic structure that establishes different social groups with unequal health conditions also affects the use of health services. Further investigation into the social and physical barriers to health care use by the unemployed and informal workers is required in order to reduce perceived health inequities.

Unemployment; Precarious work; Use of healthcare services; Healthcare inequalities


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