Inequalities in the use of health services by adults and the elderly with and without noncommunicable diseases in Brazil, 2019 National Health Survey
Keywords:Non-communicable Chronic Diseases, Health Services Accessibility, Health Status Disparities, Health Surveys. Inequality
Objective: To investigate the use of health services and limitation in performing usual activities by adults and elderly people with and without Noncommunicable Chronic Diseases (NCDs), according to socio-demographic strata. Methods: Cross-sectional study in which data from the 2019 National Health Survey were analyzed. The final sample corresponded to 88,531 households with interviews carried out, referring to individuals aged 18 years and older. The prevalence of use of services by the population with NCD was compared to that of the population without NCD, and stratified by socioeconomic and demographic variables. Prevalence ratios (PR) and 95% confidence intervals were calculated. Results: In 2019, 47.6% (95% CI 47.0-48.3) of the population reported having 1 or more NCDs. Population with NCD had more medical consultation in the last 12 months (PRadj=1.21; 95% CI 1.20-1.23), used the health services more in the last two weeks (PRadj=2.01; 95% CI 1.91-2.11), referred more hospitalization (PRadj: 2.11; 95% CI 1.89 - 2.36), and more limitation in performing usual activities (PR: 2.52adj; 95% CI 2.30-2.76), compared to the population without NCD. A positive dose-response gradient was observed between the number of comorbidities and the use of services. In all socioeconomic and demographic strata, the prevalence of indicators was higher in people with NCD. Conclusions: The presence of NCD was associated with a higher frequency of use of health services (consultation, use of services and hospitalization) and the restriction of usual activities in all socioeconomic and demographic strata.
Copyright (c) 2021 Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Crizian Saar Gomes, Laís Santos de Magalhães Cardoso, Margareth Guimaraes Lima, Marilisa Berti de Azevedo Barros
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