0251/2022 - Fatores associados às desigualdades das condições sociais na saúde de idosos brancos, pardos e pretos na cidade de São Paulo, Brasil Factors associated with inequalities in social conditions in the health of white, brown and black elderly people in the city of São Paulo, Brazil
O objetivo deste estudo é identificar fatores determinantes das disparidades das condições sociais na saúde de idosos não institucionalizados na cidade de São Paulo, sob a perspectiva da autodeclaração da cor da pele. Estudo transversal com amostra representativa de 1.017 idosos participantes do “Inquérito de Saúde do Município de São Paulo 2015”. A análise utilizou modelos de regressão de Poisson brutas e ajustadas, relatando a razão de prevalências e seus intervalos de 95% de confiança como medida de associação entre as variáveis. Na análise ajustada, a cor da pele parda e preta associou-se, positivamente, com a pior escolaridade, a autoavaliação do estado de saúde negativa, o plano de saúde e o acesso ao serviço de saúde público. De um lado, a cor da pele preta perdeu a associação com a pior renda, no entanto, associou-se com a hipertensão arterial. De outro lado, a cor da pele parda não se associou com a hipertensão arterial, mas com a renda baixa. Idosos pretos e pardos tiveram menos acesso a recursos socioeconômicos, às piores condições de saúde e, também, a serviços de saúde privados. Esses resultados são compatíveis com a hipótese de racismo estrutural na sociedade paulistana e podem instruir políticas sociais na saúde dirigidas à promoção de saúde e justiça social.
Palavras-chave:
Disparidades nos Níveis de Saúde; Equidade em Saúde; Racismo; Saúde do Idoso
Abstract:
The objective of this study is to identify determining factors of disparities in social conditions in the health of non-institutionalized elderly people in the city of São Paulo,the perspective of self-declaration of skin color. Cross-sectional study with a representative sample of 1,017 elderly people participating in the “Health Survey of the Municipality of São Paulo 2015”. The analysis used crude and adjusted Poisson regression models, reporting the prevalence ratio and its 95% confidence intervals as a measure of association between the variables. In the adjusted analysis, brown and black skin color was positively associated with worse education, negative self-assessment of health status, health insurance and access to public health services. On the one hand, black skin color lost its association with the worst income, however, it was associated with arterial hypertension. On the other hand, brown skin color was not associated with arterial hypertension, but with low income. Black and brown elderly had less access to socioeconomic resources, worse health conditions, and also to private health services. These results are compatible with the hypothesis of structural racism in São Paulo\'s society and may inform social health policies aimed at promoting health and social justice.
Keywords:
Disparities in Health Levels; Health Equity; Racism; Health of the Elderly
Factors associated with inequalities in social conditions in the health of white, brown and black elderly people in the city of São Paulo, Brazil
Resumo (abstract):
The objective of this study is to identify determining factors of disparities in social conditions in the health of non-institutionalized elderly people in the city of São Paulo,the perspective of self-declaration of skin color. Cross-sectional study with a representative sample of 1,017 elderly people participating in the “Health Survey of the Municipality of São Paulo 2015”. The analysis used crude and adjusted Poisson regression models, reporting the prevalence ratio and its 95% confidence intervals as a measure of association between the variables. In the adjusted analysis, brown and black skin color was positively associated with worse education, negative self-assessment of health status, health insurance and access to public health services. On the one hand, black skin color lost its association with the worst income, however, it was associated with arterial hypertension. On the other hand, brown skin color was not associated with arterial hypertension, but with low income. Black and brown elderly had less access to socioeconomic resources, worse health conditions, and also to private health services. These results are compatible with the hypothesis of structural racism in São Paulo\'s society and may inform social health policies aimed at promoting health and social justice.
Palavras-chave (keywords):
Disparities in Health Levels; Health Equity; Racism; Health of the Elderly
Moura, R.F., Cesar, C.L.G., Goldbaum, M., Okamura, M.N., Antunes, J. L. F. Fatores associados às desigualdades das condições sociais na saúde de idosos brancos, pardos e pretos na cidade de São Paulo, Brasil. Cien Saude Colet [periódico na internet] (2022/Set). [Citado em 10/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-as-desigualdades-das-condicoes-sociais-na-saude-de-idosos-brancos-pardos-e-pretos-na-cidade-de-sao-paulo-brasil/18507?id=18507
