Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Cad Saude Publica. 2011;27 Suppl 2:S198-208. doi: 10.1590/s0102-311x2011001400008.
The aim of the present study was to assess social inequalities in health status, health behavior and the use of health services based on education level. A population-based cross-sectional study was carried out involving 1,518 elderly residents of Campinas, São Paulo State, Brazil. Significant demographic and social differences were found between schooling strata. Elderly individuals with a higher degree of schooling are in greater proportion alcohol drinkers, physically active, have healthier diets and a lower prevalence of hypertension, diabetes, dizziness, headaches, back pain, visual impairment and denture use, and better self-rated health. But, there were no differences in the use of health services in the previous two weeks, in hospitalizations or surgeries in the previous year, nor in medicine intake over the previous three days. Among elderly people with hypertension and diabetes, there were no differences in the regular use of health services and medication. The results demonstrate social inequalities in different health indicators, along with equity in access to some health service components.
本研究旨在评估基于教育水平的健康状况、健康行为和卫生服务利用方面的社会不平等。这是一项基于人群的横断面研究，涉及巴西圣保罗州坎皮纳斯的 1518 名老年居民。不同教育层次的人群在人口统计学和社会差异方面存在显著差异。教育程度较高的老年人更多地饮酒、积极锻炼、饮食更健康，高血压、糖尿病、头晕、头痛、背痛、视力障碍和戴假牙的比例较低，自我健康评估也更好。但在过去两周内使用卫生服务、过去一年住院或手术以及过去三天内服用药物方面并无差异。在患有高血压和糖尿病的老年人中，常规使用卫生服务和药物方面也没有差异。结果表明，不同健康指标存在社会不平等，而在获得某些卫生服务方面则存在公平。
