0527/2018 - Doenças Crônicas Não Transmissíveis e fatores de risco e proteção em adultos com ou sem plano de saúde. Non-Communicable Diseases and risk and protective factors in adults with or without health insurance.
O estudo descreve as coberturas de planos de saúde e compara a ocorrência de fatores de risco (FR) e proteção de Doenças Crônicas Não Transmissíveis, na população com e sem planos de saúde nas capitais brasileiras. Foram analisados dados do inquérito telefônico Vigitel. Foi utilizado o modelo de regressão de Poisson para estimar a razão de prevalência (RP), comparando FR entre quem tem ou não plano de saúde. A cobertura de planos foi de 49,1%, mais elevada em Goiania, Vitória, Florianópolis e Belo Horizonte, entre adultos acima de 55 anos e com maior escolaridade. A população com planos de saúde apresenta prevalências mais elevadas de fatores de proteção como consumo de frutas e hortaliças (RP=1,3 IC95% 1,2-1,3), prática de atividade física no tempo livre (RP=1,2 IC95% 1,2-1,3), mamografia (RP=1,2 IC95% 1,1-1,3) e Papanicolau (RP=1,1 IC95% 1,2-1,3), e menor prevalência de FR como tabagismo (RP=0,7 IC95% 0,6-0,8), avaliação de saúde ruim (RP=0,8 IC95% 0,6-0,9), obesidade (RP=0,8 IC95% 0,7-0,9), carne com gordura (RP=0,9 IC95% 0,8-0,9) e leite com gordura (RP=0,9 IC95% 0,8-0,9). Independentemente da escolaridade, a população que tem planos de saúde apresenta geralmente, melhores indicadores, como hábitos mais saudáveis e maior cobertura de exames preventivos.
Palavras-chave:
Planos de Saúde; Doenças crônicas; Hipertensão; Alimentação Saúdavel; Atividade Física.
Abstract:
The study describes the coverage of health insurance and compares the occurrence of risk factors (FR) and protection of noncommunicable diseases in the population with and without health insurance in Brazilian States Capitals. Datathe telephone survey Vigitel, were analyzed. The Poisson regression model was used to estimate the prevalence ratio (PR), comparing RF among those who did or did not have a health insurance. Plan coverage was 49.1%, highest in Goiania, Vitória, Florianópolis and Belo Horizonte. Adults over 55 years of age and with higher education have greater coverage of plans. The population with health insurance has higher prevalence of protection factors such as fruit and vegetable consumption (PR = 1.3 95% CI 1.2-1.3), leisure time physical activity (PR = 1.2 (95% CI: 1.2-1.3), and mammography (RP = 1.2 IC95% 1.1-1.3) and Pap smears (PR = 1.1 IC95% 1.2-1.3), and lower prevalence (RP = 0.7, 95% CI 0.6-0.8), poor health (RP = 0.8 CI95% 0.6-0.9), obesity (RP = 0.8 IC95% 0.7-0.9), meat with fat (RP = 0.9 IC95% 0.8-0.9) and fat milk (RP = 0.9 IC95% 0,8-0.9). Regardless of schooling, the population that has health insurance generally has better indicators, such as healthier habits and greater coverage of preventive exams.
Keywords:
Health insurance; Chronic diseases; Hypertension. Healthy eating; Physical activity.
Non-Communicable Diseases and risk and protective factors in adults with or without health insurance.
Resumo (abstract):
The study describes the coverage of health insurance and compares the occurrence of risk factors (FR) and protection of noncommunicable diseases in the population with and without health insurance in Brazilian States Capitals. Datathe telephone survey Vigitel, were analyzed. The Poisson regression model was used to estimate the prevalence ratio (PR), comparing RF among those who did or did not have a health insurance. Plan coverage was 49.1%, highest in Goiania, Vitória, Florianópolis and Belo Horizonte. Adults over 55 years of age and with higher education have greater coverage of plans. The population with health insurance has higher prevalence of protection factors such as fruit and vegetable consumption (PR = 1.3 95% CI 1.2-1.3), leisure time physical activity (PR = 1.2 (95% CI: 1.2-1.3), and mammography (RP = 1.2 IC95% 1.1-1.3) and Pap smears (PR = 1.1 IC95% 1.2-1.3), and lower prevalence (RP = 0.7, 95% CI 0.6-0.8), poor health (RP = 0.8 CI95% 0.6-0.9), obesity (RP = 0.8 IC95% 0.7-0.9), meat with fat (RP = 0.9 IC95% 0.8-0.9) and fat milk (RP = 0.9 IC95% 0,8-0.9). Regardless of schooling, the population that has health insurance generally has better indicators, such as healthier habits and greater coverage of preventive exams.
Palavras-chave (keywords):
Health insurance; Chronic diseases; Hypertension. Healthy eating; Physical activity.
Malta, D.C., Bernal, R.T.I., Neto, E.V, Curci, KA, Pasinato, M.T.M, Lisbôa, R.M, Cachapuz, R.F, Coelho, K.S.C, Santos, F. P., Freitas, M.I.F.. Doenças Crônicas Não Transmissíveis e fatores de risco e proteção em adultos com ou sem plano de saúde.. Cien Saude Colet [periódico na internet] (2018/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/doencas-cronicas-nao-transmissiveis-e-fatores-de-risco-e-protecao-em-adultos-com-ou-sem-plano-de-saude/17060?id=17060
