Bernal Regina Tomie Ivata, Felisbino-Mendes Mariana Santos, Carvalho Quéren Hapuque de, Pell Jill, Dundas Ruth, Leyland Alastair, Barreto Mauricio Lima, Malta Deborah Carvalho
Programa de Pós-Graduação, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Institute of Health and Wellbeing, University of Glasgow - Glasgow, Escócia.
Rev Bras Epidemiol. 2019 Oct 7;22Suppl 02(Suppl 02):E190012.SUPL.2. doi: 10.1590/1980-549720190012.supl.2. eCollection 2019.
To evaluate the prevalence of noncommunicable disease (NCD) indicators, including laboratory tests, in the population of Brazilian women of reproductive age, according to whether or not they receive the Bolsa Família (BF) benefit.
A total of 3,131 women aged 18 to 49 years old who participated in the National Health Survey (Pesquisa Nacional de Saúde ) laboratory examination sub-sample were considered. We compared indicators among women of reproductive age (18 to 49 years old) who reported receiving BF or not, and calculated prevalence and confidence intervals, using Pearson's χ2.
Women of reproductive age who were beneficiaries of BF had worse health outcomes, such as a greater occurrence of being overweight (33.5%) and obese (26.9%) (p < 0.001), having hypertension (13.4% versus 4.4%, p < 0.001), used more tobacco (11.2% versus 8.2%, p = 0.029), and perceived their health as worse (6.2% versus 2.4%, p < 0.001).
Several NCD indicators were worse among women of childbearing age who were beneficiaries of BF. It should be emphasized that this is not a causal relationship, with BF being a marker of inequalities among women. The benefit has been directed to the population with greater health needs, and seeks to reduce inequities.
根据巴西育龄妇女是否领取家庭补助金(Bolsa Família,BF),评估包括实验室检查在内的非传染性疾病(NCD)指标在该人群中的流行情况。
共纳入3131名年龄在18至49岁之间、参与了全国健康调查(Pesquisa Nacional de Saúde)实验室检查子样本的女性。我们比较了报告领取或未领取BF的育龄妇女(18至49岁)之间的指标,并使用Pearson卡方检验计算患病率和置信区间。
领取BF的育龄妇女健康状况较差,例如超重(33.5%)和肥胖(26.9%)的发生率更高(p<0.001),患有高血压(13.4%对4.4%,p<0.001),吸烟更多(11.2%对8.2%,p = 0.029),且自我感觉健康状况较差(6.2%对2.4%,p<0.001)。
领取BF的育龄妇女中,多项NCD指标更差。应当强调的是,这并非因果关系,BF是女性不平等状况的一个标志。该福利已指向有更大健康需求的人群,并旨在减少不平等现象。