Chronic physical conditions and use of health services among persons with mental disorders — results from the Israel National Health Survey

ABSTRACT OBJECTIVE To assess whether sex, education level, and health insurance affect the use of health services among the adult Brazilian population with chronic noncommunicable diseases (NCD). METHODS Data from a cross-sectional survey were analyzed, the National Health Survey (PNS). Frequency of use of services in the population that referred at least one NCD were compared with the frequency from a population that did not report NCD, according to sex, education level, health insurance, and NCD number (1, 2, 3, 4, or more). The prevalence and prevalence ratios were calculated crude and adjusted for sex, age, region, and 95% confidence intervals. RESULTS The presence of a noncommunicable disease was associated with increase in hospitalizations in the last 12 months, in 1.7 times (95%CI 1.53–1.9). Failing to perform usual activities in the last two weeks for health reasons was 3.1 times higher in NCD carriers (95%CI 2.78–3.46); while the prevalence of medical consultation in the last 12 months was 1.26 times higher (95%CI 1.24–1.28). NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level. CONCLUSIONS NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level.

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Use of and access to health services in Brazil, 2013 National Health Survey

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051000074 ◽

2017 ◽

Vol 51 (suppl 1) ◽

Cited By ~ 20

Author(s):

Sheila Rizzato Stopa ◽

Deborah Carvalho Malta ◽

Camila Nascimento Monteiro ◽

Célia Landmann Szwarcwald ◽

Moisés Goldbaum ◽

...

Keyword(s):

Health Services ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Brazilian Population ◽

Access To Health Services ◽

Level Of Education ◽

Head Of Household ◽

Access To Health ◽

Use Of Health Services

ABSTRACT OBJECTIVE To analyze the use of health services in the Brazilian population by sociodemographic factors, according to data from the 2013 Brazilian National Health Survey. METHODS The study analyzed data from 205,000 Brazilian citizens in all age groups who participated in the Brazilian National Health Survey, a cross-sectional study carried out in 2013. Prevalence and confidence intervals were estimated for indicators related to access to and use of health services according to age group, level of education of head of household, and Brazilian macroregions. RESULTS Among individuals who sought health services in the two weeks prior to the survey, 95.3% (95%CI 94.9–95.8) received care in their first visit. Percentages were higher in the following groups: 60 years of age and over; head of household with complete tertiary education; living in the South and Southeast regions. In addition, 82.5% (95%CI 81.2–83.7) of individuals who received health care and prescriptions were able to obtain all the necessary medicines, 1/3 of them from SUS. Less than half the Brazilian population (44.4%; 95%CI 43.8–45.1) visited a dentist in the 12 months prior to the survey, with smaller percentages among the following groups: 60 years of age or older; head of household with no education or up to incomplete elementary; living in the North region of Brazil. CONCLUSIONS People living in the South and Southeast regions still have greater access to health services, as do those whose head of household has a higher level of education. The (re)formulation of health policies to reduce disparities should consider differences encountered between regions and social levels.

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Mental disorders and distress: Associations with demographics, remoteness and socioeconomic deprivation of area of residence across Australia

Australian & New Zealand Journal of Psychiatry ◽

10.1177/0004867415615948 ◽

2015 ◽

Vol 50 (12) ◽

pp. 1169-1179 ◽

Cited By ~ 19

Author(s):

Joanne C Enticott ◽

Graham N Meadows ◽

Frances Shawyer ◽

Brett Inder ◽

Scott Patten

Keyword(s):

Mental Health ◽

Socioeconomic Status ◽

Psychological Distress ◽

Mental Disorders ◽

National Health ◽

Health Survey ◽

National Survey ◽

National Health Survey ◽

Socioeconomic Disadvantage ◽

Health And Wellbeing

Objectives: Australian policy-making needs better information on socio-geographical associations with needs for mental health care. We explored two national surveys for information on disparities in rates of mental disorders and psychological distress. Methods: Secondary data analysis using the 2011/2012 National Health Survey and 2007 National Survey of Mental Health and Wellbeing. Key data were the Kessler 10 scores in adults in the National Health Survey ( n = 12,332) and the National Survey of Mental Health and Wellbeing ( n = 6558) and interview-assessed disorder rates in the National Survey of Mental Health and Wellbeing. Estimation of prevalence of distress and disorders for sub-populations defined by geographic and socioeconomic status of area was followed by investigation of area effects adjusting for age and gender. Results: Overall, approximately one person in 10 reported recent psychological distress at high/very-high level, this finding varying more than twofold depending on socioeconomic status of area with 16.1%, 13.3%, 12.0%, 8.4% and 6.9% affected in the most to least disadvantaged quintiles, respectively, across Australia in 2011/2012. In the most disadvantaged quintile, the percentage (24.4%) with mental disorders was 50% higher than that in the least disadvantaged quintile (16.9%) in 2007, so this trend was less strong than for Kessler10 distress. Conclusion: These results suggest that disparities in mental health status in Australia based on socioeconomic characteristics of area are substantial and persisting. Whether considering 1-year mental disorders or 30-day psychological distress, these occur more commonly in areas with socioeconomic disadvantage. The association is stronger for Kessler10 scores suggesting that Kessler10 scores behaved more like a complex composite indicator of the presence of mental and subthreshold disorders, inadequate treatment and other responses to stressors linked to socioeconomic disadvantage. To reduce the observed disparities, what might be characterised as a ‘Whole of Government’ approach is needed, addressing elements of socioeconomic disadvantage and the demonstrable and significant inequities in treatment provision.

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Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey

Journal of Clinical Medicine ◽

10.3390/jcm10153428 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3428

Author(s):

Rodrigo Citton P. dos Reis ◽

Bruce B. Duncan ◽

Célia Landmann Szwarcwald ◽

Deborah Carvalho Malta ◽

Maria Inês Schmidt

Keyword(s):

Blood Pressure ◽

National Health ◽

Health Survey ◽

Ldl Cholesterol ◽

National Health Survey ◽

Adherence To Treatment ◽

Cvd Risk ◽

Related Factors ◽

Duration Of Diabetes ◽

Basic Standards

ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence.

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Physical Activity, Ability to Walk, Weight Status, and Multimorbidity Levels in Older Spanish People: The National Health Survey (2009–2017)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17124333 ◽

2020 ◽

Vol 17 (12) ◽

pp. 4333

Author(s):

Pedro Ángel Latorre-Román ◽

Juan Manuel Carmona-Torres ◽

Ana Isabel Cobo-Cuenca ◽

José Alberto Laredo-Aguilera

Keyword(s):

Physical Activity ◽

Health Status ◽

Older People ◽

National Health ◽

Health Survey ◽

Weight Status ◽

Perceived Health ◽

National Health Survey ◽

Severe Difficulty ◽

Chronic Health Problems

Background. Many studies have shown a relationship between physical functioning and health status in older people. Aim. The purpose of this study was to analyze the temporal trends of physical activity (PA), ability to walk, weight status, self-perceived health, and disease or chronic health problems in people over 65 years from 2009 to 2017, using the European Health Survey in Spain and the National Health Survey in Spain. Methods. This study included 13,049 older people: 6026 (2330 men and 3696 women; age (mean, SD (Standard Deviation)) = 75.61 ± 7.11 years old) in 2009 and 7023 (2850 men and 4173 women; age (mean, SD) = 76.01 ± 7.57 years old) in 2017. Results. In 2017, older people exhibited lower values of moderate PA (p < 0.001), a lower number of hours of walking per week (p < 0.001), and worse self-perceived health status (p < 0.001) compared to 2009. These differences are maintained when comparing the sexes. Compliance with PA recommendations was 27.9% and 6.1% (chi-squared = 352.991, p < 0.001) in 2009 and 2017, respectively. There were no significant differences in weight status between older people in 2009 and 2017. In 2017, older people had significantly high percentages of disease or chronic health problems (p < 0.05), number of diseases (p < 0.001), severe difficulty walking 500 m without assistance (p < 0.05), and severe difficulty going up or down 12 stairs. Conclusions. From 2009 to 2017, Spanish older people worsened their PA levels and perception of their health status, and they increased their disease levels, which could be associated with the worsening of ability to walk in 2017.

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