Boccolini Patricia de Moraes Mello, Duarte Cristina Maria Rabelais, Marcelino Miguel Abud, Boccolini Cristiano Siqueira
Núcleo de Informação, Políticas Públicas e Inclusão Social (NIPPIS), LIS/ICICT/FIO CRUZ/FMP/FASE. R. Barão do Rio Branco 1003, Centro. 25680-120 Petrópolis RJ Brasil.
Instituto Nacional do Seguro Social no Rio de Janeiro. Petrópolis RJ Brasil.
Cien Saude Colet. 2017 Nov;22(11):3537-3546. doi: 10.1590/1413-812320172211.22552017.
This paper aims to evaluate the association between social inequalities and self-reported limitations for the performance of daily activities caused by chronic diseases or disabilities. The 2013 National Health Survey evaluated a sample of Brazilians with 18+ years. The outcome was that individuals reported that their daily activities were moderately, severely or very severely limited (LIMIT) by one or more chronic diseases, or mental, physical, hearing or motor impairment. The main exposure was the economy class, classified into five categories, ranging from A (richest) to E (poorest). We estimated a logistic regression model adjusted for economy class and confounding variables, considering the complex sample design and alpha = 5%. Around 15.5% of individuals reported having Limit. Comparing social classes, 19.5%, 21.9%, 16.1%, 11.1%, and 7.7% individuals belonging to class E, D, C, B and A reported the outcome. The adjusted model showed greater odds of individuals in class D + E, and D, reporting LIMIT than individuals of class A + B (reference). Public policies for health care and social welfare for people with disabilities should focus on social classes E and D.
本文旨在评估社会不平等与慢性病或残疾导致的自我报告的日常活动受限之间的关联。2013年全国健康调查对18岁及以上的巴西人样本进行了评估。结果是，个体报告其日常活动受到一种或多种慢性病、或精神、身体、听力或运动障碍的中度、重度或极重度限制（LIMIT）。主要暴露因素是经济阶层，分为五类，从A（最富有）到E（最贫穷）。我们估计了一个逻辑回归模型，针对经济阶层和混杂变量进行了调整，同时考虑了复杂的样本设计且α = 5%。约15.5%的个体报告有LIMIT。比较社会阶层，属于E、D、C、B和A阶层的个体中，分别有19.5%、21.9%、16.1%、11.1%和7.7%报告了该结果。调整后的模型显示，与A + B阶层（参照组）个体相比，D + E阶层和D阶层的个体报告LIMIT的几率更高。针对残疾人的医疗保健和社会福利公共政策应侧重于E和D社会阶层。
