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与非传染性疾病相关的社会经济不平等及其局限性:2019 年国家健康调查。

Socioeconomic inequalities related to noncommunicable diseases and their limitations: National Health Survey, 2019.

机构信息

Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.

Department of Public Health, Universidade Estadual de Campinas - Campinas (SP), Brazil.

出版信息

Rev Bras Epidemiol. 2021 Dec 10;24(suppl 2):e210011. doi: 10.1590/1980-549720210011.supl.2. eCollection 2021.

Abstract

OBJECTIVE

to analyze socioeconomic inequalities in the self-reported prevalence of NonCommunicable Diseases (NCDs) and their disabilities in the Brazilian adult population.

METHODS

Cross-sectional study with data from the National Health Survey carried out in 2019. The self-reported prevalences of individuals with some noncommunicable diseases were calculated, according to sociodemographic characteristics; and the prevalence and prevalence ratio of these diseases and degrees of disability, according to education and possession of a private health plan.

RESULTS

47.6% of the population reported having at least one noncommunicable diseases. Noncommunicable diseases increased progressively with age and were more prevalent in women (PR 1.13; 95%CI 1.1-1.15), in black (PR 1.04; 95%CI 1.01-1, 06) or brown individuals (PR 1.05; 95%CI 1.01-1.09), illiterate or with incomplete elementary education (PR 1.12; 95%CI 1.08-1.16), in the Southeast (PR 1.10; 95%CI 1.05-1.14) and the South (PR 1.07; 95%CI 1.03-1.12) and among individuals who do not have private health insurance (PR 1.02; 95%CI 1.0-1.05). For the majority of noncommunicable diseases investigated, the highest reports of disabilities were among those with low education and without health insurance.

CONCLUSION

adults with less education and without private health plans have a higher prevalence of noncommunicable diseases and a higher degree of disability. Thus, it is important to analyze health indicators in the face of different populations and disparities, in order to understand and monitor health inequalities.

摘要

目的

分析巴西成年人群体中,非传染性疾病(NCDs)及其残疾的自我报告流行率的社会经济不平等。

方法

横断面研究,数据来自 2019 年进行的国家健康调查。根据社会人口特征计算了患有某些非传染性疾病的个体的自我报告流行率;并根据教育程度和拥有私人健康计划,计算了这些疾病及其残疾程度的流行率和流行率比。

结果

47.6%的人口报告至少有一种非传染性疾病。非传染性疾病随年龄增长呈递增趋势,且在女性中更为常见(PR 1.13;95%CI 1.1-1.15),在黑(PR 1.04;95%CI 1.01-1.06)或棕色(PR 1.05;95%CI 1.01-1.09)人群中更为常见,在文盲或未完成小学教育(PR 1.12;95%CI 1.08-1.16),在东南部(PR 1.10;95%CI 1.05-1.14)和南部(PR 1.07;95%CI 1.03-1.12),以及没有私人健康保险的个体中更为常见(PR 1.02;95%CI 1.0-1.05)。对于大多数被调查的非传染性疾病,受教育程度较低且没有健康保险的个体报告的残疾程度更高。

结论

受教育程度较低且没有私人健康计划的成年人患有非传染性疾病的比例较高,残疾程度也较高。因此,分析不同人群和差异下的健康指标对于理解和监测健康不平等非常重要。

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