Gender, health and care: study among men patients from primary care in São Paulo / Gênero, cuidado e saúde: estudo entre homens usuários da atenção primária em São Paulo




The mens health has emerged as an important concern to Public Health. Its because of the male deaths rates are higher then the womens rates. In last decades, mens studies have been looking for relations between these statistics and gender, and they have demonstrated that the behavior pattern followed by men, based on hegemonic masculinity, and socially expected, its related to mens behavior and the way they have been taken care of their health. The present study intends to know the adult male patient population from a primary health care the Centro de Saúde Escola Barra Funda Dr. Alexandre Vranjac (CSEBF-AV) and how these population have been using the health center: who are those men, which are their health demands and how they are insert in this health center. From the research project Homens, violência e saúde: uma contribuição para a linha de pesquisa e intervenção em gênero, violência doméstica e saúde we have selected a source of 237 men patients who are users of this health center. They were individually interwied by researches and a survey was applied to their medical records, intending to know their social aspects, their health and the way they have been using the health center, according to their service?s register category: people who resides around the health center, people who works around the health center, people from lower social-economic levels and people that was registered at the service because of some health condition involving epidemiologic surveillance. The data were analyzed by STATA v. 9 and Epi Info v. 6.04b programs. Mostly men were aged between 35-54, they had had 8 to 11 years study, they were from middle class, they were living stable relationships, they were residing in house/ apartment whit their family and they were mostly workers. About health issues, mostly men showed to be able to perceive signs of health problem, general demands appeared being their main health demand (43,5%), they were evidence for alcoholic abuse (62,4%), safe sex practices (54%), birth control depending on women (41,4%). About the use of the health center mostly men were used to come up to their doctors appointment (70%), they looked first for health center when they were feeling ill (57,8%). Men who resided around the health center and men who worked around the health center had similar use oh the health center, men that were registered at the service because of some health condition involving epidemiologic surveillance had specifics ways in using the health center. Men from lower socio-economic levels showed they were more vulnerable to diseases risk factors. We believe that the differences found among the groups of men could be related to gender, besides other factors. The CSEBF-AV organization based on gender will provide health actions improvement to all different mens groups.


gender atenção primária à saúde mens health saúde dos homens primary health care gênero

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