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SOCIAL INEQUALITIES IN THE PREVALENCE OF SELFREPORTED CHRONIC NON-COMMUNICABLE DISEASES IN BRAZIL: NATIONAL HEALTH SURVEY 2013
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Universidade Federal de Minas Gerais. Escola de enfermagem. Belo Horizonte, Minas Gerais, Brasil.
Universidade de São Paulo. Faculdade de Saúde Pública. Centro de Pesquisas Epidemiológicas em Nutrição e Saúde. São Paulo, SP, Brasil.
Ministério da Saúde do Brasil. Departamento de Doenças Não Transmissíveis e Promoção da Saúde. Brasília, DF, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. São Paulo, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. São Paulo, SP, Brasil.
Universidade de São Paulo. Faculdade de Saúde Pública. Centro de Pesquisas Epidemiológicas em Nutrição e Saúde. São Paulo, SP, Brasil.
Ministério da Saúde do Brasil. Departamento de Doenças Não Transmissíveis e Promoção da Saúde. Brasília, DF, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. São Paulo, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. São Paulo, SP, Brasil.
Abstract
Considering the high socioeconomic inequalities in Brazil related to occurrence of morbidity and premature mortality, the objective of this study was to analyze inequalities in self-reported prevalence of Non-Communicable Diseases (NCD) and in the physical limitations caused by these diseases, among the Brazilian adult population, according to sociodemographic variables This was a population-based cross-sectional study that analyzed information on 60,202 individuals who formed a representative sample of Brazilian adults interviewed for the National Health Survey 2013. Disparities by schooling levels and possession of private health insurance were assessed by calculating the prevalence (P) and prevalence ratio (PR) of each of the 13 NCDs and any associated limitations, while controlling for other socioeconomic and demographic variables. 45 % of the Brazilian adult population reported having at least one NCD. The prevalence ratio was greater among women (1.24 CI 1.21-1.28), individuals over 55 years of age, individuals with low schooling levels (illiterate and incomplete elementary education) (1.08 CI 1.02-1.14) and people living in the Southeast (1.10 CI 1.04-1.16), South (1.26 CI 1.19-1.34) and Central-West (1.11 CI 1.05-1.18) regions of the country. Diseases such as diabetes (1.42 CI 1.13-1.47), hypertension (1.17 CI 1.06-1.28), stroke (2.52 CI 1.74-3.66), arthritis (1.4 CI 1.11-1.77), spinal problems (1.39 CI .1.25-1.56), and chronic renal failure (1.65 CI 1.10.2.46), were more prevalent among adults with low education. For most NCDs, greater reports of limitations were associated with lower schooling levels and lack of private health insurance. Populations with lower schooling levels and lack of private health insurance present higher prevalence of various NCD and greater degrees of limitation due to these diseases. Results reveal the extent of social inequalities that persist with regard to occurrence and the impact of NCDs in Brazil.
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