Post-Graduate Program in Epidemiology, Federal University of Pelotas, City of Pelotas, State of Rio Grande do Sul, Brazil.
Department of Social Medicine, Faculty of Medicine, Federal University of Pelotas, City of Pelotas, State of Rio Grande do Sul, Brazil.
BMC Health Serv Res. 2024 Aug 16;24(1):939. doi: 10.1186/s12913-024-11358-5.
We conducted a cross-sectional study of hypertension care in public and private services, analyzing gender, color, and socioeconomic status. Using data from the 2013 (n = 60,202) and 2019 (n = 90,846) national health surveys, hypertension prevalence increased from 21.4 to 23.9%. Quality of care declined from 41.7 to 35.4%, particularly in public services, disproportionately affecting low-income Black women. Poisson regression estimated prevalence ratios (PRs), with the lowest adjusted PR for high-quality care among low-income Black women. These findings highlight persistent health inequalities and the urgent need for intersectoral policies to promote health equity.
我们进行了一项横断面研究，分析了公共和私人服务中的高血压护理情况，考虑了性别、肤色和社会经济地位因素。利用 2013 年（n=60202）和 2019 年（n=90846）国家健康调查的数据，高血压患病率从 21.4%上升至 23.9%。护理质量从 41.7%下降至 35.4%，尤其是在公共服务中，这对低收入的黑人女性产生了不成比例的影响。泊松回归估计了患病率比（PR），其中低收入黑人女性中高质量护理的调整后 PR 最低。这些发现突显了持续存在的健康不平等问题，迫切需要采取跨部门政策来促进健康公平。
