Socioeconomic inequalities related to chronic noncommunicable diseases and disabilities: National Health Survey, 2019
Keywords:Chronic Disease, Disabled Persons, Health Inequalities, Social Inequity
Objective: to analyze socioeconomic inequalities in the self-reported prevalence of Non-Communicable Diseases (NCDs) and disabilities in the Brazilian adult population. Methods: Cross-sectional study with data from the National Health Survey carried out in 2019. The self-reported prevalences of individuals with some NCDs were calculated, according to sociodemographic characteristics; and the prevalence and prevalence ratio of these diseases and degrees of disability, according to education and possession of a private health plan. Results: 47.6% of the population reported having at least one NCD. NCDs increased progressively with age and were more prevalent in women (PR: 1.13; 95% CI 1.1-1.15), in black individuals (PR: 1.04; 95% CI: 1.01-1, 06) or pardos (PR: 1.05; 95% CI: 1.01-1.09), illiterate or with incomplete elementary education (PR: 1.12; 95% CI: 1.08-1.16), in the residents the Southeast (PR: 1.10; 95% CI: 1.05-1.14) and the South (PR: 1.07; 95% CI: 1.03-1.12) and among individuals who do not have a health plan private health (PR: 1.02; 95% CI: 1.0-1.05). For the majority of NCDs investigated, the highest reports of disabilities were among those with low education and without health insurance. Conclusion: adults with less education and without private health plans have a higher prevalence of NCDs and a higher degree of disability. Thus, it is important to analyze health indicators in the face of different populations and disparities, in order to understand and monitor health inequalities.
Copyright (c) 2021 Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Margareth Guimaraes Lima, Alanna Gomes da Silva, Célia Landmann Szwarcwald, Marilisa Berti de Azevedo Barros
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