Felicíssimo Mônica Faria, Friche Amélia Augusta de Lima, Xavier César Coelho, Proietti Fernando Augusto, Neves Jorge Alexandre Barbosa, Caiaffa Waleska Teixeira
Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG). Av. Alfredo Balena 190, Funcionários. 30130-100 Belo Horizonte MG Brasil.
Faculdade da Saúde e Ecologia Humana. Vespasiano MG Brasil.
Cien Saude Colet. 2017 Nov;22(11):3547-3556. doi: 10.1590/1413-812320172211.22432017.
This study aims to investigate the association of socioeconomic status and comorbidities of self-reported disability. Data were obtained from a population survey in Belo Horizonte from 2008 to 2009. The sample was probabilistic and stratified by conglomerates in three stages: census tracts, households and individuals. The outcome variable was disability, defined by the self-reported problems in bodily functions or structures. The explanatory variables were gender, age, self-reported morbidity and socioeconomic status index that included variables mother and respondent schooling and household income. The factorial analysis was used to evaluate the socioeconomic status index and logistic regression. The prevalence of disability was 10.43% (95% CI: 9.1-11.7%). Self-reported disability was associated with age (OR = 1.02; 95% CI: 1.01-1.03) and reporting of two or more diseases (OR = 3.24; CI 95%; 2.16-4.86) and socioeconomic status index (OR = 0.96; 95% CI: 0.95-0.97). The worse socioeconomic status and occurrence of diseases appear to contribute to the occurrence of disability. These results show health inequities among people with disabilities, and BPC relevance supporting vulnerable populations.
本研究旨在调查社会经济地位与自我报告残疾的合并症之间的关联。数据来自2008年至2009年在贝洛奥里藏特进行的一项人口调查。样本采用概率抽样，并按三个阶段进行分层：普查区、家庭和个人。结果变量为残疾，由自我报告的身体功能或结构问题定义。解释变量包括性别、年龄、自我报告的发病率以及社会经济地位指数，该指数包含母亲和受访者的受教育程度以及家庭收入等变量。采用因子分析来评估社会经济地位指数，并进行逻辑回归分析。残疾患病率为10.43%（95%置信区间：9.1 - 11.7%）。自我报告的残疾与年龄（比值比 = 1.02；95%置信区间：1.01 - 1.03）、报告两种或更多疾病（比值比 = 3.24；95%置信区间：2.16 - 4.86）以及社会经济地位指数（比值比 = 0.96；95%置信区间：0.95 - 0.97）相关。较差的社会经济地位和疾病的发生似乎会导致残疾的发生。这些结果显示了残疾人之间的健康不平等，以及巴西补充健康保险（BPC）对支持弱势群体的相关性。
