Table 2. Crude and adjusted analysis between outcomes and contextual and individual variables and the variables of characteristics of health services. PMAQ, Brazil, 2012.
Variable | Lack of access throughout life | Examination carried out more than 36 months ago | No guidance on the examination | |||
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Crude analysis | Adjusted analysis | Crude analysis | Adjusted analysis | Crude analysis | Adjusted analysis | |
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PR (95%CI) | PR (95%CI) | PR (95%CI) | PR (95%CI) | PR (95%CI) | PR (95%CI) | |
MHDI | p < 0.001* | p < 0.001* | p < 0.001* | p < 0.001* | p = 0.009* | p < 0.001* |
Up to 0.658 | 1.84 (1.64–2.07) | 2.42 (1.89–3.09) | 1.43 (1.31–1.56) | 1.85 (1.54–2.22) | 1.08 (1.02–1.15) | 1.35 (1.18–1.54) |
0.659 to 0.75 | 1.49 (1.32–1.68) | 1.73 (1.43–2.11) | 1.22 (1.11–1.33) | 1.40 (1.21–1.62) | 1.11 (1.05–1.19) | 1.25 (1.12–1.38) |
0.751 to 0.806 | 1.23 (1.08–1.39) | 1.39 (1.19–1.62) | 1.14 (1.04–1.25) | 1.27 (1.13–1.42) | 1.09 (1.02–1.16) | 1.20 (1.11–1.30) |
0.807 to 0.919 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Population size (inhabitants) | p < 0.001* | p = 0.002* | p = 0.001* | p < 0.001* | p < 0.001* | p < 0.001* |
Up to 30,000 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
30,001 up to 100,000 | 0.93 (0.84–1.03) | 1.07 (0.96–1.20) | 1.00 (0.92–1.08) | 1.12 (1.03–1.22) | 1.07 (1.01–1.13) | 1.14 (1.07–1.22) |
100,001 up to 500,000 | 0.78 (0.69–0.87) | 1.14 (0.98–1.33) | 0.90 (0.82–0.98) | 1.21 (1.08–1.36) | 1.12 (1.06–1.19) | 1.35 (1.25–1.47) |
500,001 or more | 0.78 (0.70–0.88) | 1.42 (1.17–1.73) | 0.88 (0.81–0.97) | 1.33 (1.15–1.54) | 1.13 (1.06–1.20) | 1.49 (1.35–1.65) |
FHS coverage (%) | p < 0.001* | p = 0.084 | p < 0.001* | p = 0.001* | p = 0.085 | p < 0.001* |
Up to 29.9 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
30.0 to 64.9 | 1.03(0.87–1.22) | 1.04 (0.88–1.24) | 1.08 (0.95–1.23) | 1.10 (0.97–1.26) | 0.98 (0.90–1.07) | 1.01 (0.92–1.10) |
65,0 or more | 1.32(1.13–1.55) | 1.17 (0.98–1.41) | 1.26 (1.11–1.42) | 1.24 (1.08–1.43) | 1.03 (0.95–1.12) | 1.18 (1.07–1.29) |
Geographic region | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
Midwest | 1.86 (1.54–2.24) | 1.58 (1.30–1.91) | 1.49 (1.29–1.71) | 1.34 (1.16–1.55) | 1.47 (1.33–1.63) | 1.37 (1.24–1.52) |
North | 1.69 (1.39–2.53) | 1.21 (0.97–1.51) | 1.26 (1.08–1.46) | 1.01 (0.85–1.20) | 1.39 (1.25–1.54) | 1.22 (1.08–1.37) |
Northeast | 1.66 (1.44–1.90) | 0.97 (0.81–1.17) | 1.31 (1.19–1.45) | 0.90 (0.78–1.03) | 1.22 (1.13–1.31) | 1.01 (0.91–1.12) |
Southeast | 1.25 (1.08–1.44) | 1.13 (0.97–1.30) | 1.14 (1.03–1.26) | 1.06 (0.95–1.18) | 1.14 (1.06–1.22) | 1.05 (0.97–1.13) |
South | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Age (years) | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
25–35 | 1.74 (1.57–1.92) | 1.74 (1.55–1.95) | 1.33 (1.24–1.44) | 1.32 (1.21–1.44) | 1.24 (1.18–1.31) | 1.25 (1.19–1.32) |
35–49 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
50–64 | 1.38 (1.24–1.54) | 1.22 (1.07–1.39) | 1.35 (1.25–1.46) | 1.22 (1.12–1.34) | 1.22 (1.15–1.29) | 1.12 (1.06–1.19) |
Race | p < 0.001 | p = 0.002 | p < 0.001 | p = 0.008 | p < 0.001 | p < 0.001 |
White | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Brown | 1.26 (1.15–1.38) | 1.11 (1.00–1.24) | 1.16 (1.08–1.24) | 1.08 (1.00–1.17) | 1.09 (1.04–1.14) | 1.02 (0.97–1.08) |
Black | 1.34 (1.18–1.52) | 1.24 (1.07–1.44) | 1.20 (1.09–1.32) | 1.12 (1.00–1.26) | 1.14 (1.07–1.23) | 1.09 (1.02–1.18) |
Yellow | 1.54 (1.24–1.91) | 1.43 (1.13–1.82) | 1.29 (1.08–1.53) | 1.30 (1.07–1.57) | 1.31 (1.16–1.48) | 1.24 (1.10–1.40) |
Indigenous | 1.72 (1.22–2.44) | 1.48 (1.01–2.18) | 1.57 (1.20–2.05) | 1.44 (1.07–1.93) | 1.49 (1.23–1.80) | 1.33 (1.09–1.63) |
Marital status | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
Without partner | 1.61 (1.49–1.75) | 1.63 (1.48–1.80) | 1.51 (1.41–1.60) | 1.50 (1.39–1.61) | 1.26 (1.20–1.32) | 1.24 (1.18–1.30) |
With partner | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Number of residents | p < 0.001 | p = 0.015 | p < 0.001 | p < 0.001 | p < 0.001 | p = 0.016 |
1–3 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
4–5 | 0.83 (0.76–0.90) | 0.87 (0.78–0.96) | 0.86 (0.81–0.92) | 0.92 (0.84–0.99) | 0.90 (0.86–0.94) | 0.94 (0.88–0.99) |
6 or more | 1.16 (1.04–1.29) | 1.01 (0.88–1.16) | 1.20 (1.10–1.30) | 1.13 (1.02–1.26) | 0.99 (0.93–1.06) | 0.95 (0.88–1.03) |
Bolsa Família Program | p = 0.361 | p < 0.001 | p = 0.056 | p = 0.187 | p = 0.004 | p < 0.001 |
No | 0.96 (0.89–1.04) | 1.26 (1.13–1.40) | 0.94 (0.89–1.00) | 1.06 (0.97–1.15) | 1.07 (1.02–1.11) | 1.13 (1.07–1.19) |
Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Paid work | p < 0.001 | p = 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
No | 1.24 (1.14–1.36) | 1.19 (1.08–1.31) | 1.27 (1.19–1.36) | 1.24 (1.14–1.33) | 1.12 (1.07–1.18) | 1.12 (1.07–1.18) |
Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Income per capita (in quartiles) | p < 0.001* | p < 0.001* | p < 0.001* | p < 0.001* | p = 0.010* | p = 0.460 |
Up to 104 | 1.55 (1.39–1.73) | 1.31 (1.15–1.50) | 1.43 (1.31–1.56) | 1.21 (1.10–1.34) | 1.09 (1.02–1.16) | 1.06 (0.98–1.14) |
105–188 | 1.14 (1.01–1.29) | 1.13 (0.98–1.32) | 1.11 (1.01–1.22) | 1.06 (0.95–1.19) | 0.96 (0.90–1.03) | 1.01 (0.93–1.09) |
189–300 | 1.06 (0.94–1.20) | 1.02 (0.89–1.16) | 1.10 (1.01–1.21) | 1.06 (0.96–1.17) | 1.00 (0.94–1.06) | 1.01 (0.95–1.08) |
301 or more | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Adequacy of the structure | p < 0.001* | p = 0.009* | p < 0.001* | p = 0.018* | p < 0.001* | p < 0.001* |
Inadequate | 1.55 (1.34–1.80) | 1.33 (1.12–1.58) | 1.35 (1.20–1.51) | 1.21 (1.06–1.39) | 1.34 (1.23–1.46) | 1.19 (1.09–1.30) |
Less adequate | 1.18 (1.08–1.29) | 1.05 (0.95–1.17) | 1.13 (1.06–1.20) | 1.05 (0.97–1.13) | 1.17 (1.12–1.23) | 1.11 (1.05–1.17) |
Adequate | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Adequacy of the process | p < 0.001* | p = 0.001* | p < 0.001* | p < 0.001* | p < 0.001* | p < 0.001* |
Inadequate | 1.40 (1.23–1.59) | 1.27 (1.10–1.48) | 1.34 (1.21–1.48) | 1.26 (1.12–1.41) | 1.52 (1.41–1.63) | 1.45 (1.35–1.56) |
Less adequate | 1.15 (1.05–1.26) | 1.12 (1.01–1.24) | 1.15 (1.08–1.24) | 1.14 (1.05–1.23) | 1.25 (1.19–1.32) | 1.23 (1.16–1.29) |
Adequate | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
PMAQ: Program for Improving Access and Quality of the Primary Care; MHDI: Municipal Human Development Index; FHS: Family Health Strategy; PR: prevalence ratio
* p-value: Wald test for linear trend.