0002/2018 - Desigualdades regionais e sociais em saúde segundo inquéritos domiciliares (Brasil, 1998-2013). Regional and social inequalities according to household surveys (Brazil, 1998-2013).
Esse artigo busca discutir a evolução das desigualdades em saúde e no acesso aos serviços de saúde nas grandes regiões a partir de inquéritos domiciliares realizados de 1998 a 2013. As desigualdades sociais foram analisadas pelas razões de extremos de anos de escolaridade, considerando duas faixas etárias (18 a 59 anos e 60 anos ou mais). Nas condições de saúde, observa-se, nos dois grupos etários, uma pior avaliação do estado de saúde e um aumento da prevalência de diabetes e hipertensão, o que pode estar relacionado à expansão da atenção básica. Quanto à realização de consultas médicas no último ano, encontra-se, no geral, maior acesso, com manutenção de pequenas desigualdades. A maior utilização de consulta odontológica entre os de menor escolaridade provoca uma redução nas desigualdades, que ainda são significativas. As internações hospitalares, ao longo da série, são maiores entre os menos escolarizados, e há uma redução nas taxas nos dois grupos etários, em quase todas as regiões. Percebe-se um aumento na realização de mamografia por mulheres menos escolarizadas, com diminuição da desigualdade. Os resultados corroboram a necessidade da continuidade dos inquéritos domiciliares para o monitoramento das desigualdades regionais e sociais no acesso ao sistema de saúde.
Palavras-chave:
desigualdades sociais; acesso aos serviços de saúde; inquérito de saúde.
Abstract:
This article intends to discuss the evolution of health inequalities and access to health services in brazilian regions, based on household surveys conducted1998 to 2013. Social inequalities were analyzed for reasons of extreme years of schooling, considering two age groups (18 to 59 years and 60 years or more). In health conditions, in both age groups, there is a worse evaluation of health status and an increase in the prevalence of diabetes and hypertension, which may be related to the expansion of basic care. Regarding medical consultations in the last year, there is generally greater access, with the maintenance of small inequalities. The greater use of dental consultations among those with lower levels of education leads to a reduction in inequalities, which are still significant. Hospital admissions throughout the series are higher among the less educated, and there is a reduction in rates in the two age groups, in almost all regions. An increase in mammography by less educated women was observed, with a decrease in inequality. The results corroborate the need for the continuity of household surveys to monitor regional and social inequalities in access to the health system.
Keywords:
social inequalities; access to health care services; health surveys
Regional and social inequalities according to household surveys (Brazil, 1998-2013).
Resumo (abstract):
This article intends to discuss the evolution of health inequalities and access to health services in brazilian regions, based on household surveys conducted1998 to 2013. Social inequalities were analyzed for reasons of extreme years of schooling, considering two age groups (18 to 59 years and 60 years or more). In health conditions, in both age groups, there is a worse evaluation of health status and an increase in the prevalence of diabetes and hypertension, which may be related to the expansion of basic care. Regarding medical consultations in the last year, there is generally greater access, with the maintenance of small inequalities. The greater use of dental consultations among those with lower levels of education leads to a reduction in inequalities, which are still significant. Hospital admissions throughout the series are higher among the less educated, and there is a reduction in rates in the two age groups, in almost all regions. An increase in mammography by less educated women was observed, with a decrease in inequality. The results corroborate the need for the continuity of household surveys to monitor regional and social inequalities in access to the health system.
Palavras-chave (keywords):
social inequalities; access to health care services; health surveys
Viacava. F., Porto, S. M., Carvalho, CC, Bellido, J. Desigualdades regionais e sociais em saúde segundo inquéritos domiciliares (Brasil, 1998-2013).. Cien Saude Colet [periódico na internet] (2018/Jan). [Citado em 10/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desigualdades-regionais-e-sociais-em-saude-segundo-inqueritos-domiciliares-brasil-19982013/16535?id=16535
