Participação de usuários da atenção primária em práticas de promoção da saúde

Abstract

Objective: To analyze the factors associated with the participation of primary health care users in health promotion practices. Methods: Descriptive and analytical cross-sectional study carried out in the municipality of Vitoria de Santo Antao, Pernambuco, in 2016 with 148 participants aged over 20 years enrolled in three Family Health Care Centers or in the Small Waist Project. Data were collected using a semi-structured questionnaire addressing sociodemographic data, clinical profile, eating habits, and knowledge about and participation in health promotion practices and activities. Association between variables was checked using Pearson’s Chi-squared test with a significance level of p<0.05. Results: A total of 148 individuals participated in the study, 76.4% (n=113) of whom were interviewed in the Family Health Care Center and 23.6% (n=35) in the extension project. The mean age was 52.9 years. In addition, 93.2% (n=138) of the participants were women and 57.4% (n=85) had a household income of up to one minimum wage. Participation in health promotion groups/activities was directly proportional to increasing age (p=<0.001), presence of comorbidities (p=0.005), continuous use of medications (p=0.001) and knowledge about the existence of groups/activities (p=0.001). On the other hand, users’ participation was lower among those who worked (p=0.049) and those who lived in households with greater number of people (p=0.001). Conclusion: The variables that were associated with participation in health promotion activities were age, presence of comorbidities, use of medications, knowledge about the existence of educational practices, work and number of people in the household.