Adequacy of care for people with arterial hypertension in Brazil: National Health Survey, 2013 and 2019

Abstract

Objective: To analyze the adequacy of care received by adults and elderly people with arterial hypertension (AH), and its association with region, demographic, socioeconomic and health system characteristics, Brazil, 2013 and 2019. Methods: Cross-sectional study with data from the National Health Survey. People aged ≥18 years with a diagnosis of AH and medical consultation for this reason in the last three years were included. The adequacy of care was analyzed, constructed from 11 indicators, by Poisson regression. Results: In 2013, 11,129 people with AH (25.3% – 95%CI 24.5;26.1) received adequate care and, in 2019, 19,107 (18.8% – 95%CI 18.2;19.3). Individuals from the quintile with the best socioeconomic status had a prevalence of adequate care 2.54 (95%CI 2.03;3.17), in 2013, and 3.53 (95%CI 2.94;4.23), in 2019, times higher than those from the lowest class. Conclusion: It was identified that care decreased, and economic inequalities intensified in the period 2013-2019.