Prevalence and factors associated with non-use of health services in the Peruvian population with COVID-19 symptomatology: a secondary analysis from the 2020 National Household Survey

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Epidemiol Health. October 18, 2021: e2021084. doi: 10.4178 / epih.e2021084. Online ahead of print.


OBJECTIVES: The objective of the study was to estimate the prevalence of non-use of health services (NUHS) and associated factors among Peruvians with symptoms of COVID-19.

METHODS: A secondary analysis of the 2020 National Household Survey (ENAHO) was carried out. Participants over the age of 18 with a COVID-19 symptom (fever, cough, feeling short of breath) in the past four weeks and not visiting health services were defined as NUHS. Adjusted prevalence ratios were estimated to determine factors associated with NUHS.

RESULTS: Data from 1856 participants were analyzed; the prevalence of NUHS was 52.2% (95% CI: 48.0-56.5). Living in the urban jungle (aPR = 1.61; 95% CI: 1.32-1.98; p health insurance (aPR = 0.79; 95% CI: 0.68-0.92).

Conclusion: More than half of the participants did not use health services, which was associated with the geographic and socio-demographic characteristics of the population. The formulation of health strategies and programs is necessary to increase the use of health services in the population with symptoms of COVID-19.

PMID:34665956 | DO I:10.4178 / epih.e2021084

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