Miranda Vanessa Iribarrem Avena, Schäfer Antônio Augusto, Tomasi Cristiane Damiani, Soratto Jacks, de Oliveira Meller Fernanda, Silveira Marysabel Pinto Telis
Postgraduate Program in Public Health, University of Southern Santa Catarina, Av. Universitária, 1105, Criciúma, Santa Catarina, CEP: 88806-000, Brazil.
Postgraduate Program in Public Health, University of Southern Santa Catarina, Criciúma, Santa Catarina, Brazil.
BMC Public Health. 2021 Jun 28;21(1):1242. doi: 10.1186/s12889-021-11279-6.
To guarantee prevention and adequate treatment, as required for the population to have access to health services and technologies, including medicines. The purpose of this study is to analyse the economic and regional inequalities in access to medicines for diabetes and hypertension among the adult population in Brazil.
This was a cross-sectional study with adults aged 18 and over from the VIGITEL study conducted in 2019 in all Brazilian regions. Non-access to antidiabetic and antihypertensive drugs was assessed according to formal education and housing macro-region. The slope index of inequality (SII) was used to analyse absolute inequalities.
The total number of individuals interviewed was 52,443. Approximately 10.0% of the people with diabetes and/or hypertension reported not having access to drug treatment. The major means for having access to antihypertensive drugs, in all regions, was private pharmacies; for antidiabetics, in the North region, people had greater access through private pharmacies, while in the Northeast, Southeast and South, they had greater access through the public sector. Inequalities were found in the lack of access to medicines according to the region of residence, especially in the North region.
The lack of access to medicines showed regional disparities, particularly in the most economically vulnerable regions.
为确保预防和充分治疗，这是民众获得包括药品在内的卫生服务和技术所必需的。本研究的目的是分析巴西成年人口中糖尿病和高血压患者获得药品方面的经济和地区不平等情况。
这是一项横断面研究，研究对象为2019年在巴西所有地区开展的VIGITEL研究中18岁及以上的成年人。根据正规教育程度和住房宏观区域评估抗糖尿病和抗高血压药物的未获得情况。使用不平等斜率指数（SII）分析绝对不平等情况。
接受访谈的个体总数为52443人。约10.0%的糖尿病和/或高血压患者报告无法获得药物治疗。在所有地区，获得抗高血压药物的主要途径是私人药店；对于抗糖尿病药物，在北部地区，人们通过私人药店获得药物的机会更大，而在东北部、东南部和南部，人们通过公共部门获得药物的机会更大。根据居住地区发现了药品获取方面的不平等，尤其是在北部地区。
药品获取方面的不足存在地区差异，特别是在经济上最脆弱的地区。
