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Background ICPC2 reasons for encounter classified in P (Psychological) and Z (Social) chapters are scarce in the medical literature. We aimed to verify the frequency of such reasons for encounter classified in P and Z ICPC-2 chapters, to perceive their association by sex and age in the post-economic 2011 to 2015 economic and financial Portuguese crisis, calculating its trends from 2016 to 2019. Methods Observational, cross-sectional study in 2020 comparing data from 2016 and 2019 using the application R of the software RStudio® version 1.3.1093, considering 100 random samples of 10.000 dimension random samples with replacement from the original one. Absolute and relative frequencies and classification trends of all items corresponding to the component signs and symptoms and Illnesses and diagnostics of chapters P and Z in total and by gender were calculated. Results Classified reasons for encounter in 2016 and 2019 presented statistically significant association by sex (P &amp;lt; 0.001) and age (P &amp;lt; 0.001) being more common in women (67.4% in 2016 and 66.8% in 2019) and in adulthood (51.6 years in 2016 and 51.5 years in 2019). P and Z of components 1 and 7 reasons for encounter decreased in both chapters (Δ = -7.3% in component 1 and Δ = -2.3% in component 7 of P; Δ = -0.9% in component 1 of Z) between 2016 and 2019. Conclusions The P and Z ICPC-2 chapters classified as reasons for encounter presented statistically significant association by sex and age and were more frequent near to the crisis years, in the female sex and in those older than 50 years.

P and Z ICPC2 classifications as reason for encounter for sex and age in central Portugal in 2016 and 2019