出版社：Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ciências
摘要：This study aims to analyze the social determinants of health (DSS) associated with absenteeism of diabetics to appointments with an endocrinologist, in the Unified Health System, in Espírito Santo (ES). This is a cross-sectional study using primary and secondary data with 472 diabetics ≥ 18 years old scheduled in consultation with an endocrinologist in the System of Central Regulation of ES. Associations were evaluated using hierarchical logistic regression grouped into five levels: socioeconomic and demographic, access to health services, psychosocial, behavioral and clinical diabetes mellitus (DM). Absenteeism of diabetics was associated with per capita household income greater than R$ 499.00 (OR=1.668, 95%CI: 1.009-2.756), waiting time in days (OR=0.997, 95%CI: 0.995-0.999), consumption of alcoholic beverages (OR=1.821, 95%CI: 1.031-3.239), obesity (OR=1.773, 95%CI: 1.134-2.773), use of oral hypoglycemic agents and insulin (OR=2.2, 95%CI: 1.09-4 .44) and having DM complications (OR=2.03, 95%CI: 1.297-3.179). Knowledge of the social determinants of absenteeism provided evidence for assessing priorities and implementing the care network for people with DM in ES.
关键词：Social determinants of health;Absenteeism;Secondary care;Diabetes Mellitus;Appointments and schedules.
