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Health service utilization and associated factors, among students at the Federal University of Pelotas, Brazil: a cross-sectional study, 2018* * Articles derived from the Master’s Degree dissertation entitled ‘Health service utilization by fresher students at a federal university in Southern Brazil’, defended by Bruno Iorio Könsgen at the Universidade Federal de Pelotas Postgraduate Program in Epidemiology, on December 13th 2018. The study received funding from the Academic Excellence Program/Coordination for the Improvement of Higher Education Personnel/Ministry of Education - File No. 0185/2017/23038.000288/2014-47.

Abstract

Objective:

To analyze health service utilization and associated factors among university students.

Methods:

This was a cross-sectional study conducted with a sample of 2,708 students at the Federal University of Pelotas between November 2017 and July 2018.

Results:

Of the 1,865 individuals included in the study, 55.8% used health services in the last 12 months, 39.3% used specialized services, and 22.6% used health centers; 45.9% used services funded by the Brazilian National Health System (SUS); 49.1% used health services for the purposes of prevention. There was greater use among females (prevalence ratio, PR=1.34 - 95%CI 1.23;1.46) and students with health needs (PR=1.51 - 95%CI 1.40;1.63). Greater association was found with SUS-funded services: primary health care center (83.0% [95%CI 77.3;87.5]), accident and emergency (81.3% [95%CI 73.2;87.5]) and urgent care center (83.6% [95%CI 76.2;89.0]).

Conclusion:

The analysis indicated that women and people with health needs use health services more and that the SUS is the main service provider.

Keywords:
Health Services Accessibility; Students; Brazilian National Health System; Health Promotion; Health Services Needs and Demand; Cross-sectional Studies.

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