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女性与慢性非传染性疾病(NCD)风险因素分布不平等评估,2016 - 2017年巴西成人健康调查(Vigitel)

Women and evaluation of inequalities in the distribution of risk factors for Chronic non-communicable diseases (NCD), Vigitel 2016-2017.

作者信息

Malta Deborah Carvalho, Bernal Regina Tomie Ivata, Carvalho Quéren Hapuque de, Pell Jill P, Dundas Ruth, Leyland Alastair, Vasconcelos Leda Lúcia Couto de, Cardoso Lais Santos de Magalhaes, Stopa Sheila Rizzato, Barreto Mauricio Lima

机构信息

Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.

Institute of Health and Wellbeing, University of Glasgow, Lilybank Gardens - Glasgow, Reino Unido.

出版信息

Rev Bras Epidemiol. 2020 Jun 5;23:e200058. doi: 10.1590/1980-549720200058. eCollection 2020.

Abstract

OBJECTIVE

To compare the distribution of chronic non-communicable diseases (CNCD) indicators among adult female beneficiaries and non-beneficiaries of the Bolsa Família Program (BFP) in Brazilian capitals.

METHODS

Analysis of Vigitel telephone survey data in 2016 and 2017. Gross and adjusted prevalence ratios (PR) and their respective confidence intervals were estimated using Poisson Regression model.

RESULTS

Women with BF have lower schooling, are young people, live more frequently in the Northeast and North of the country. Higher prevalence of risk factors were found in woman receiving BF. The adjusted PR of the BF women were: smokers (PR = 1.98), overweight (PR = 1.21), obesity (PR = 1.63), fruits and vegetables (PR = 0.63), consumption of soft drinks (PR = 1.68), bean consumption (PR = 1.25), physical activity at leisure (PR = 0.65), physical activity at home (PR = 1.35), time watching TV (PR = 1.37), self-assessment of poor health status (PR =2.04), mammography (PR = 0.86), Pap smears (PR = 0.91), hypertension (PR = 1.46) and diabetes (PR = 1,66). When women were compared among strata of the same schooling, these differences were reduced.

CONCLUSION

Worst indicators among women receiving BF reflect social inequalities inherent in this most vulnerable group. The study also shows that BF is being targeted at the most vulnerable women.

摘要

目的

比较巴西各首府城市中,“家庭补助金计划”(BFP)成年女性受益人和非受益人之间慢性非传染性疾病(CNCD)指标的分布情况。

方法

分析2016年和2017年的Vigitel电话调查数据。使用泊松回归模型估计总体患病率和调整患病率及其各自的置信区间。

结果

领取家庭补助金的女性受教育程度较低,较为年轻,更多居住在该国东北部和北部地区。领取家庭补助金的女性中风险因素的患病率更高。领取家庭补助金女性的调整患病率分别为:吸烟者(PR = 1.98)、超重(PR = 1.21)、肥胖(PR = 1.63)、水果和蔬菜(PR = 0.63)、软饮料消费(PR = 1.68)、豆类消费(PR = 1.25)、休闲时身体活动(PR = 0.65)、在家身体活动(PR = 1.35)、看电视时间(PR = 1.37)、自我评估健康状况差(PR = 2.04)、乳房X光检查(PR = 0.86)、巴氏涂片检查(PR = 0.91)、高血压(PR = 1.46)和糖尿病(PR = 1.66)。当在相同教育水平的阶层中对女性进行比较时,这些差异有所减小。

结论

领取家庭补助金女性中较差的指标反映了这一最弱势群体固有的社会不平等。该研究还表明,家庭补助金计划的目标人群是最弱势的女性。

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