Impact of health concepts on healthcare-seeking practices of low-income population in South Coast of Bahia, Brazil / Impacto dos conceitos de saúde nas práticas de busca de atenção à saúde da população de baixa renda no litoral sul da Bahia, Brasil

Mariana Santos Simões, Júllyan Mendes Silva da Silva, Galileu Barbosa Costa, Marcelo Fernandes da Silva

Abstract


Objective: By using geospatial and social perspectives, this paper aimed to show the most prevalent health self-concepts among inhabitants living near a specific community health centre in South Bahia, Brazil, in order to investigate the importance of social determinants and the association between health concepts and self-care habits. Methodology: A descriptive research based on the quantitative approach of using qualitative variables was carried out by using Chi-square and Cramer's V tests. A semi-structured questionnaire was administered to participants (N= 501) with geographic coordinates recorded for geospatial analysis. Results: The most prevalent health concepts were the positive and the most addressed care habits were of those in the ‘common sense’ category (p = 0.01). The associations with health concepts were considered statistically significant in terms of age (p = 0.001), level of education (p = 0.0004), and household income (p = 0.0125), and an additional criterion of presence or absence of any disease (p = 0.001). The majority of participants (n=323, CI 122–460 p<0.001) reported they have known the precise location of the community healthcare unit. However, those who lived a greater distance from the unit were unaware of its location. Conclusions: Our results on geospatial analysis corroborate the importance of space planning as an additional social framework for measuring the performance of health policy. Our findings suggest that a more structured and better planning based on health self-concepts and of health service promotion could drive effective strategies that would promote health outcomes in the low- and middle-income communities.


Keywords


Education, Health Centers, Health Policy, Self Evaluation

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DOI: https://doi.org/10.34117/bjdv6n1-261

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