Adolescent Health Care in a Primary Health Unit in Olinda, Brazil


  • Isabela Vicência Menezes Castelo Branco
  • Bruno Rafael Vieira Souza e Silva
  • Valdenice Menezes
  • Fabiana Godoy
  • Viviane Colares
  • Carolina da Franca Bandeira Ferreira Santos


Primary Health Care, Adolescent, Adolescent Health


Objective: To characterize adolescent health care in a Family Health Unit in Olinda, Brazil. Material and Methods: The study carried out a census in a primary health unit, and results were obtained through the analysis of medical records from individuals aged 10-19 years.  Data analysis was initially performed by descriptive statistics followed by association analysis using the Chi-square test or Fisher's exact test (p≤0.05). Results: Of all registered adolescents (n=895), 54% were female. However, only 36.9% (n=330) had a care record from 10 to 19 years. Regarding the frequency with which adolescents used the health service, 89.1% performed no more than three visits throughout the entire adolescence period. Almost all care provided to adolescents had curative nature (82.7%) in relation to the preventive nature (17.3%). Conclusion: The results pointed out that adolescents seek the Family Health Unit predominantly in search of curative care and that the number of consultations is reduced and far from recommendations from the Paced and Integrated Programming Guideline of the Ministry of Health, which establishes a minimum of one medical consultation and two nursing consultations per year for adolescents and young people in general.


Brasil. Ministério da Saúde. Secretaria de Atenção em Saúde. Departamento de Ações Programáticas Estratégicas. Diretrizes Nacionais Para a Atenção Integral à Saúde de Adolescentes e Jovens na Promoção, Proteção e Recuperação da Saúde. Brasília: Ministério da Saúde; 2010. [In Portuguese].

Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística – IBGE. Diretoria de Pesquisas Coordenação de População e Indicadores Sociais. Pesquisa Nacional de Saúde do Escolar- PENSE 2009. Rio de Janeiro: IBGE; 2009. [In Portuguese].

Centers for Disease Control and Prevention. Global School-Based Student Health Survey (GSHS). Available from: [Accessed on March 18, 2020].

Malta DC, Cezário AC, Moura L, Morais Neto OL, Silva JJB. Building surveillance and prevention for chronic non communicable diseases in the national Unified Health System. Epidemiol Serv Saúde 2006; 15(3):47-65.

Patton G, Coffey C, Cappa C, Currie D, Riley L, Gore F, et al. Health of the world's adolescents: A synthesis of internationally comparable data. Lancet 2012; 379(9826):1665-75.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Regulação, Avaliação e Controle de Sistemas. Diretrizes Para a Programação Pactuada e Integrada da Assistência à Saúde. Brasília: Ministério da Saúde; 2006. [In Portuguese].

Costa MCO, Formigli VLA. Quality evaluation of health care service for adolescents. Rev Saúde Pública 2001; 35(2):177-84.

Ferrari RAP, Thomson Z, Melchior R. Healthcare for adolescents: perceptions by physicians and nurses in family health teams. Cad Saúde Pública 2006; 22(11):2491-5.

Raupp L, Milnitsky-Sapiro C. Adolescence, drug-addiction and public policies: contemporary scenarios. Estud Psicol 2009; 26(4):445-54.

Brasil. Ministério da Saúde. Secretaria Executiva. Coordenação da Saúde da Criança e do Adolescente. Programa Saúde do Adolescente. Bases Programáticas. 2nd. ed. Brasília: Ministério da Saúde; 1996. 32p. [In Portuguese].

Vieira RP, Gomes SHP, Machado MFAS, Bezerra IMP, Machado CA. Healthcare and the demand for services in the family health strategy: the perspective of adolescents. Cogitare Enferm 2014; 22(2):309-16.

Ayres JRCM, Carvalho YM, Nasser MA, Saltão RM, Mendes VM. Ways of comprehensiveness: adolescentes and young adults in Primary Healthcare. Interface 2012; 16(40):67-82.

Figueiredo W. Assistance to the men health: a challenge for the services of primary attention. Ciênc Saúde Coletiva 2005; 10(1):105-9.

Marcell AV, Klein JD, Fischer I, Allan MJ, Kokotailo PK. Male adolescent use of health care services: where are the boys? J Adolesc Health 2002; 30(1):35-43.

Bellenzani R, Santos AO, Paiva V. Community health agents and care provided for youths' sexual and reproductive health in the family health strategy. Saude Soc 2012; 21(3):637-50.

Malfitano APS, Bardi G. Primary health care and youth: between old dilemmas and new challenges. Rev Bras Ciênc Saúde 2014; 18(2):137-46.

Francisco PMSB, Donalisio MR, Gabriel FJO, Barros MBA. Hepatitis B vaccination in adolescents living in Campinas, São Paulo, Brazil. Rev Bras Epidemiol 2015; 18(3):552-67.

Costa RFZ, Regina CG, Queiroz MVO, Gómez GCI, Ruiz GMJ. Adolescent support networks in a health care context: the interface between health, family and education. Rev Esc Enferm 2015; 49(5):741-7.

Higarashi IH, Baratieri T, Roecker S, Marcon SS. Nurses’ work with adolescents: identifying difficulties and prospects for changeRev Enferm UERJ 2011; 19(3):375-80.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Orientações Básicas de Atenção Integral à Saúde de Adolescentes nas Escolas e Unidades Básicas de Saúde. Brasília: Ministério da Saúde; 2013. [In Portuguese].

Marques JF, Queiroz MVO. Adolescent treatment in primary care: needs of patients and their relations with service. Rev Gaúcha Enferm 2012; 33(3):65-72.

Simões VMF, Batista RFL, Alves MTSSB, Ribeiro CCC, Thomaz EBAF, Carvalho CA, et al. Health of adolescents in the 1997/1998 birth cohort in São Luís, Maranhão State, Brazil. Cad Saúde Pública 2020; 36(7):e00164519.

Bloch KV, Klein CH, Szklo M, Kuschnir MCC, Abreu GA, Barufaldi LA, et al. ERICA: prevalences of hypertension and obesity in Brazilian adolescents. Rev Saúde Pública 2016; 50(Suppl 1):9s.

Silva F, Ferreira E, Gonçalves R, Cavaco A. Pediatric obesity: the reality of one consultation. Acta Med Port 2012; 25(2):91-6.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. O SUS e a Saúde Sexual e Reprodutiva de Adolescentes e Jovens no Brasil. Brasília: Ministério da Saúde; 2013. [In Portuguese].

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica. Brasília: Ministério da Saúde; 2012. [In Portuguese].

Rosa WAG, Labate RC. Family health program: the construction of a new care model. Rev Latino-Am Enfermagem 2005; 13(6):1027-34.




How to Cite

Branco, I. V. M. C. ., Souza e Silva, B. R. V. ., Menezes, V. ., Godoy, F. ., Colares, V. ., & Santos, C. da F. B. F. . (2021). Adolescent Health Care in a Primary Health Unit in Olinda, Brazil. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 21, e0182. Retrieved from



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