Indicators distribution of Chronic Non-Communicable Diseases in adult women beneficiaries and non-beneficiaries of the Bolsa Família Program – Vigitel 2016-2019

Abstract

Objective: Compare the prevalence and trend of risk and protection factors for Chronic Non-Communicable Diseases among women beneficiaries and non-beneficiaries of Bolsa Família in the period between 2016 and 2019. Methods: This is a cross-sectional and time series study. The gross and adjusted prevalence and prevalence ratios of the indicators for NCDs were estimated with the respective confidence intervals by the model of Poisson regression. A temporal trend analysis was also carried out in which the simple linear regression model was used, with the outcome variable being the indicators and the explanatory one being the year of the survey. Results: Beneficiary women were more exposed to risk factors for NCDs than non-beneficiaries. The adjusted PRs for smokers were 1.15 (1.07–1.24); 1.08 (1.03–1.14) for overweight and 1.09 (1.04–1.14) for obesity, while the recommended consumption of FLV was 0.93 (0.87–0.99); had even less practice of PA at leisure (0.88; 0.82–0.93); more time watching TV (1.08; 1.02–1.13); worse self-assessment of health status (1.12; 1.04–1.21) and had less coverage of mammography (0.80; 0.71–0.90) and Pap smear (0.93; 0.88–0.98). Among the beneficiaries, the trend analysis showed an increase in the prevalence of overweight from 55.9% to 62.6% and screen time without TV from 13.5% to 27.8%. Conclusion: NCDs risk factors were higher among women with Bolsa Família, pointing out the importance of affirmative policies for this vulnerable population.