Author:

• Shayze da Rosa Souto - Souto, S. da R. - <shayze.rosa@gmail.com>
ORCID: https://orcid.org/0000-0002-0718-0273

Co-author(s):

• Paula Anderle - Anderle, P. - <paulaanderle@hotmail.com>
ORCID: https://orcid.org/0000-0001-6216-5060
• Barbara Niegia Garcia de Goulart - Goulart, B.N.G. - <bngoulart@gmail.com>
ORCID: https://orcid.org/0000-0002-2502-5883

Abstract:

Objective: To verify the association between race/skin color and access to post-stroke rehabilitation services. Methods: Cross-sectional population-based study including 966 adults (≥ 18 years) post-stroke that responded to the National Health Survey (PNS). The outcome, access to rehabilitation, and exposure (race/skin color) were collected in a self-reported manner. For the adjustment were considered socio-demographic variables, clinical history, healthcare plan and post-stroke limitation. Poisson regression with robust variance estimation was used to estimate the association in the crude and adjusted analyzes. Results: Based on the sample, 51.8% are self-declared black or of other races, and 61.4% demand rehabilitation, with only 20% having access to the rehabilitation service. Difficulty in accessing rehabilitation was reported by 57.5% of self-declared other races, 43% blacks, and 35.4% whites. In the adjusted analysis, 4% of self-declared black (PR 1.04, CI95%1.00-1.08) and 17% of self-declared yellow and indigenous (PR 1.17, IC95%1.13-1.20) have less access to rehabilitation when compared to their white peers. Conclusion: In Brazil, self-declared black and yellow and indigenous have worst access to post-stroke rehabilitation when compared to self-declared white, pointing out racial inequities in rehabilitation in stroke survivors.

Keywords:

Ethnic Inequality, Rehabilitation, Stroke.

Content:

Access Issue in Scielo

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