PHYSIOTHERAPY CARE UTILIZATION AND THE ASSOCIATED SOCIODEMOGRAPHIC AND CLINICAL FACTORS IN NONCOMMUNICABLE DISEASES IN THE BRAZILIAN POPULATION: A NATIONWIDE STUDY

Apresentação/Introdução Introduction. Noncommunicable diseases (NCDs) are currently the leading cause of disability in the world. In Brazil, back pain, stroke, and chronic pulmonary diseases are among the top 10 causes of Disability-adjusted life years. A better understanding of the profiles of patients who frequently use rehabilitation is needed to enhance NCD population access to physiotherapy. Objetivos Objective. To estimate the use of physiotherapy care and associated factors among NCDs in the Brazilian population. Metodologia Methods: This is a subanalysis of the National Health Survey 2019 database among Brazilian adults with NCDs (back pain, stroke, and chronic pulmonary diseases). Sociodemographic variables (age, sex, Brazilian regions, housing place, self-reported skin color, marital status, household income) and clinical data (years lived with diagnosis, undergoing pharmacological treatment, being followed up by a healthcare professional, and disability levels) were selected to associate with current physiotherapy care utilization. A multiple logistic regression model was created, and data reported as odds ratio (OR) with 95% confidence interval. Resultados Results: Stroke showed the highest rate of physiotherapy care utilization [17.0%, (15.4%, 18.7%)], and the factors associated were follow-up by healthcare professional [OR: 5.6 (2.3, 13.7)] and use of pharmacotherapy [OR: 2.8 (1.2, 6.7)]. In back pain the related factors were follow-up by healthcare professional [OR: 7.9 (6.8, 9.2)], use of pharmacotherapy [OR: 1.9 (1.6, 2.2)], age ≥ 60 years [OR: 1.9 (1.4, 2.5)], and disability level severe or higher [OR: 1.5 (1.2, 1.8)]. For least, in chronic pulmonary diseases, follow-up by a healthcare professional [OR: 5.6, 95%CI (1.6, 26.3)] and Asian/indigenous race [OR: 23.3 (1.13, 480.8)] were associated with physiotherapy care utilization Conclusões/Considerações Conclusion: Stroke showed the higher use of physiotherapy services, and the variables related to physiotherapy care utilization by the NCD population were age > 60 years, Asian/indigenous race, follow-up by healthcare professional, use of pharmacotherapy, and disability level severe or higher.