0037/2024 - FALTA DE ACESSO AOS SERVIÇOS DE SAÚDE POR MULHERES NO CONTEXTO DA PANDEMIA DE COVID-19: Interseccionando cor da pele, renda e escolaridade WOMEN\'S LACK OF ACCESS TO HEALTH SERVICES IN THE CONTEXT OF THE COVID-19 PANDEMIC: Intersecting skin color, income, and schooling
O objetivo deste estudo foi analisar a falta de acesso aos serviços de saúde no contexto da pandemia de COVID-19 por mulheres, interseccionando cor da pele, renda e escolaridade. Trata-se de um estudo transversal de base populacional, com 1.107 mulheres com 18 anos ou mais de idade residentes em Vitória/ES. O estudo teve como variável dependente a falta de acesso à consulta médica e como varáveis independentes cor da pele, renda, escolaridade, idade, posse de plano de saúde e Jeopardy index. As análises bivariadas foram realizadas por meio do teste qui-quadrado e as ajustadas utilizando-se regressão de Poisson com variância robusta, adotando-se um nível de significância de 5%. A prevalência da falta de acesso foi 6,6% (IC95% 4,9 – 8,7), sendo maior entre mulheres adultas (9,8%; IC 6,7-14,3), não brancas (RP 8,1%; IC95% 5,8-11,3), de nível mais baixo de renda (RP 10,6%; IC 6,7-16,2), sem plano de saúde (RP 6,6; IC95% 2,6-17,1). A análise segundo o Jeopardy index mostrou que mulheres não brancas, com pior renda e pior escolaridade apresentaram prevalência 11 vezes maior para a falta de acesso quando comparadas às mais privilegiadas. A análise estratificada mostrou que no grupo de mulheres não brancas aquelas de menor renda e apresentaram maior prevalência de falta de acesso (12,5%; IC95% 7,8-19,5).
Palavras-chave:
Acesso aos serviços de saúde. Disparidades em assistência à saúde. Interseccionalidade. Mulheres. Saúde Pública.
Abstract:
The objective of this study was to analyze the lack of access to health services in the context of the COVID-19 pandemic by women, intersecting skin color, income, and schooling. This is a population-based cross-sectional study with 1,107 women aged 18 years or older living in Vitória/ES. The study had as its dependent variable the lack of access to medical consultations and as independent variables skin color, income, education, age, health insurance and Jeopardy index. The bivariate analyses were performed using the chi-square test and the adjusted analyses were performed using Poisson regression with robust variance, adopting a significance level of 5%. The prevalence of lack of access was 6.6% (95%CI 4.9 – 8.7), being higher among adult women (9.8%; CI 6.7-14.3), non-white (PR 8.1%; 95%CI 5.8-11.3), lowest income (PR 10.6%; CI 6.7-16.2), without health insurance (PR 6.6; 95%CI 2.6-17.1). The analysis according to the Jeopardy index showed that non-white women, with lower income and worse education had an 11 times higher prevalence of lack of access when compared to the most privileged. The stratified analysis showed that in the group of non-white women, those with lower income and had a higher prevalence of lack of access (12.5%; 95%CI 7.8-19.5).
Keywords:
Access to health services. Disparities in health care. Intersectionality. Women. Public health.
WOMEN\'S LACK OF ACCESS TO HEALTH SERVICES IN THE CONTEXT OF THE COVID-19 PANDEMIC: Intersecting skin color, income, and schooling
Resumo (abstract):
The objective of this study was to analyze the lack of access to health services in the context of the COVID-19 pandemic by women, intersecting skin color, income, and schooling. This is a population-based cross-sectional study with 1,107 women aged 18 years or older living in Vitória/ES. The study had as its dependent variable the lack of access to medical consultations and as independent variables skin color, income, education, age, health insurance and Jeopardy index. The bivariate analyses were performed using the chi-square test and the adjusted analyses were performed using Poisson regression with robust variance, adopting a significance level of 5%. The prevalence of lack of access was 6.6% (95%CI 4.9 – 8.7), being higher among adult women (9.8%; CI 6.7-14.3), non-white (PR 8.1%; 95%CI 5.8-11.3), lowest income (PR 10.6%; CI 6.7-16.2), without health insurance (PR 6.6; 95%CI 2.6-17.1). The analysis according to the Jeopardy index showed that non-white women, with lower income and worse education had an 11 times higher prevalence of lack of access when compared to the most privileged. The stratified analysis showed that in the group of non-white women, those with lower income and had a higher prevalence of lack of access (12.5%; 95%CI 7.8-19.5).
Palavras-chave (keywords):
Access to health services. Disparities in health care. Intersectionality. Women. Public health.
Oliveira, J. T., Almeida, A.P.S.C, Sarti, T. D., Esposti, C. D. D.. FALTA DE ACESSO AOS SERVIÇOS DE SAÚDE POR MULHERES NO CONTEXTO DA PANDEMIA DE COVID-19: Interseccionando cor da pele, renda e escolaridade. Cien Saude Colet [periódico na internet] (2024/fev). [Citado em 03/07/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/falta-de-acesso-aos-servicos-de-saude-por-mulheres-no-contexto-da-pandemia-de-covid19-interseccionando-cor-da-pele-renda-e-escolaridade/19085?id=19085
