Use of Health Services by the Climacteric Women in Primary Health Care: The Need for an Integral Approach

Use of Health Services by the Climacteric Women in Primary Health Care: The Need for an Integral Approach

During the climacteric, women experience multiple health problems. As their needs are not catered for in an integral fashion due to the lack of any specific programme or mechanism to provide for this, they show an increased use of the health services, and an increased rate of referrals to different...

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Bibliographic Details
Published in:European journal of epidemiology Vol. 15; no. 3; pp. 231 - 236
Main Authors: Martín, Amelia Rodríguez, Ma Mar Fernández del Barrio, del Barrio, Teresa Fernández, Fernández, Pedro Arango, Tello, Juan Martín
Format: Journal Article
Language:English
Published: Dordrecht Kluwer Academic Publishers 01-03-1999
Springer
Springer Nature B.V
Subjects:
Adolescent
Adult
Age Factors
Age groups
Analysis of Variance
Analysis. Health state
Biological and medical sciences
Climacteric
Climacteric - psychology
Consultants
Cross-Sectional Studies
Disorders
Educational levels
Epidemiology
Female
Females
General aspects
Genitalia
Health care
Health Care Surveys
Health Knowledge, Attitudes, Practice
Health problems
Health services
Hormone Replacement Therapy - psychology
Humans
Medical referrals
Medical sciences
Menopause
Middle Aged
Motivation
Patient Acceptance of Health Care
Population
Primary care
Primary health care
Primary Health Care - statistics & numerical data
Public health. Hygiene
Public health. Hygiene-occupational medicine
Referral and Consultation - statistics & numerical data
Sampling Studies
Spain - epidemiology
Symptoms
Womens health
Womens health services
Europe
Spain
Human
Education level
Health promotion
Health
Primary health care
Menopause
Use
Epidemiology
Recommendation
Consultation
Female
Age
Public health
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Summary:During the climacteric, women experience multiple health problems. As their needs are not catered for in an integral fashion due to the lack of any specific programme or mechanism to provide for this, they show an increased use of the health services, and an increased rate of referrals to different specialists. This study, carried out in a Basic Health Zone in San Fernando (Cádiz, Andalusía, Spain) on a sample of climacteric women who attended the Health Centre during 1995, examines these points and shows a significantly higher use of the health services in relation to the rest of the female population (those who are not in the climacteric age group) as well as a high percentage of referrals (74.6%) to specialists. It was found that both the level of knowledge about the climacteric and the use of the health services were influenced by the educational level (p < 0.001) and age (p < 0.05). Women who felt that their families provided an understanding and supportive attitude were found to have less psychological problems and, consequently, less consultations and referrals for this reason (p < 0.00001). The authors hope that their findings will provide a basis for the setting up of a programme of integral health care for climacteric women at the level of primary health care. With careful planning and the drawing up of a strategic plan, it would be possible to provide for the needs of this population group in a more satisfactory way, and it would also permit a rationalization of the resources available.
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ISSN:0393-2990
1573-7284
DOI:10.1023/A:1007575016003