0126/2018 - Fatores associados à discriminação percebida nos serviços de saúde do Brasil: resultados da Pesquisa Nacional de Saúde, 2013. Associated factors to perceived discrimination among health users in Brazil: World Health Survey, 2013.
O objetivo desse estudo foi avaliar os fatores associados à discriminação percebida nos serviços de saúde do Brasil. Trata-se de estudo epidemiológico de base populacional com dados da Pesquisa Nacional de Saúde, 2013, a qual teve desenho complexo de amostra em três estágios. Foi selecionado um indivíduo de cada domicílio amostrado com 18 anos ou mais de idade (n=62.202). O desfecho foi a percepção de discriminação por médicos ou profissionais de saúde sofrida nos serviços de saúde. Foi estimado um modelo de regressão logística, ajustado por fatores de confundimento. A discriminação foi relatada por 10,5% da população brasileira, sendo a falta de dinheiro (5,7%) e classe social (5,6%) as mais frequentemente apontadas. O modelo ajustado evidenciou que mulheres, indivíduos com ensino fundamental incompleto, não brancos, e sem plano de saúde privado tiveram maior chance de se sentir discriminados. Enfim, um décimo da população brasileira relatou sentir-se discriminada nos serviços de saúde, evidenciando a necessidade de regulamentação e amplo debate sobre as leis brasileiras que garantem acesso universal e igualitário aos serviços públicos e privados de saúde.
Palavras-chave:
Discriminação social, serviços de saúde, desigualdades em saúde, epidemiologia.
Abstract:
The objective of this study was to evaluate the associated factors with the perceived discrimination among health care users in Brazil. It was a household-based nationwide cross-sectional survey (World Health Survey - Brazil, 2013), comprising a three stage complex sample, having 62,202 respondents over 18 years old. The outcome was the discrimination by any physician or health care worker perceived by the individual that sought for health care. A logistic regression model was adjusted for potential confounders. Perceived discrimination at health care was reported by 10.6% of the population, and lack of money (5.7%) and social class (5.6%) were the most frequent discrimination reported. The adjusted model revealed that women, people with lower educational level, non-white, and without private health care insurance, had higher chances to report discrimination by physicians or other health care workers. In conclusion, one tenth of Brazilian population declared that they felt discriminated by physicians and health care workers, revealing the need to reinforce Brazilian laws that state universal and equal access to health care system without any source of discrimination, both in private and public sectors.
Keywords:
Social discrimination, health services, health inequalities, epidemiology.
Associated factors to perceived discrimination among health users in Brazil: World Health Survey, 2013.
Resumo (abstract):
The objective of this study was to evaluate the associated factors with the perceived discrimination among health care users in Brazil. It was a household-based nationwide cross-sectional survey (World Health Survey - Brazil, 2013), comprising a three stage complex sample, having 62,202 respondents over 18 years old. The outcome was the discrimination by any physician or health care worker perceived by the individual that sought for health care. A logistic regression model was adjusted for potential confounders. Perceived discrimination at health care was reported by 10.6% of the population, and lack of money (5.7%) and social class (5.6%) were the most frequent discrimination reported. The adjusted model revealed that women, people with lower educational level, non-white, and without private health care insurance, had higher chances to report discrimination by physicians or other health care workers. In conclusion, one tenth of Brazilian population declared that they felt discriminated by physicians and health care workers, revealing the need to reinforce Brazilian laws that state universal and equal access to health care system without any source of discrimination, both in private and public sectors.
Palavras-chave (keywords):
Social discrimination, health services, health inequalities, epidemiology.
Boccolini, C.S., Boccolini PMM, Damacena, G.N., Ferreira, APS, Landmann, S.C. Fatores associados à discriminação percebida nos serviços de saúde do Brasil: resultados da Pesquisa Nacional de Saúde, 2013.. Cien Saude Colet [periódico na internet] (2018/Mar). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-discriminacao-percebida-nos-servicos-de-saude-do-brasil-resultados-da-pesquisa-nacional-de-saude-2013/16659
