0106/2021 - PREVALÊNCIAS DE DOENÇAS CRÔNICAS, E ACESSO DE SERVIÇOS DE SAÚDE NO BRASIL: EVIDÊNCIAS DE TRÊS INQUÉRITOS DOMICILIARES PREVALENCE OF CHRONIC DISEASES AND ACCESS TO HEALTH SERVICES IN BRAZIL: EVIDENCES OF THREE HOUSEHOLD SURVEYS
As Doenças Crônicas Não Transmissíveis (DCNT) são as principais causas de morte no mundo, impactando fortemente sobre populações mais vulneráveis. O objetivo deste estudo foi analisar as mudanças nas prevalências dessas doenças, nas condições de saúde, acesso e utilização de serviços de saúde no Brasil, entre 2008 e 2019. Como ferramenta analítica, foram utilizados testes de diferenças e modelos lineares generalizados, considerando amostragem complexa dos inquéritos PNAD 2008, PNS 2013 e PNS 2019, para testar mudanças no tempo das prevalências e estimar razões de prevalência, ajustadas por variáveis sociodemográficas. Houve aumento das prevalências de depressão, câncer, diabetes, câncer, distúrbios neuropsiquiátricos, problemas pulmonares crônicos e problemas osteomusculares. Houve redução de artrite reumatoide, insuficiência renal crônica e doenças do aparelho circulatório. Entre os brasileiros com pelo menos uma DCNT verificou-se aumento da cobertura da estratégia de saúde da família ao longo do tempo, no entanto verificou-se redução do atendimento médico em tempo oportuno e obtenção de medicamentos prescritos gratuitamente.
Palavras-chave:
Doenças crônicas não Transmissíveis, Inquéritos, Acesso à saúde, modelos lineares generalizados.
Abstract:
Chronic Noncommunicable Diseases (NCDs) are the main causes of death in the world, impacting heavily on the most vulnerable populations. The aim of this study was to analyze changes in the prevalence of these diseases, health conditions, access and use of health services in Brazil, between 2008 and 2019. As an analytical tool, tests of differences and generalized linear models were used, considering complex samplingthe PNAD2008, PNS2013 and PNS2019 surveys, to test changes in the prevalence time and prevalence estimates, adjusted by sociodemographic variables. There was an increase in the prevalence of depression, cancer, diabetes, cancer, neuropsychiatric disorders, chronic lung problems and musculoskeletal problems. Reduction of rheumatoid arthritis, chronic renal failure and diseases of the circulatory system. Among Brazilians with at least one NCD, there was an increase in coverage of the family health strategy over time, however there was a reduction in medical care in a timely manner and receipt of free prescription drugs.
Keywords:
Chronic Noncommunicable Diseases, Survey, Generalized linear models, Access to health
PREVALENCE OF CHRONIC DISEASES AND ACCESS TO HEALTH SERVICES IN BRAZIL: EVIDENCES OF THREE HOUSEHOLD SURVEYS
Resumo (abstract):
Chronic Noncommunicable Diseases (NCDs) are the main causes of death in the world, impacting heavily on the most vulnerable populations. The aim of this study was to analyze changes in the prevalence of these diseases, health conditions, access and use of health services in Brazil, between 2008 and 2019. As an analytical tool, tests of differences and generalized linear models were used, considering complex samplingthe PNAD2008, PNS2013 and PNS2019 surveys, to test changes in the prevalence time and prevalence estimates, adjusted by sociodemographic variables. There was an increase in the prevalence of depression, cancer, diabetes, cancer, neuropsychiatric disorders, chronic lung problems and musculoskeletal problems. Reduction of rheumatoid arthritis, chronic renal failure and diseases of the circulatory system. Among Brazilians with at least one NCD, there was an increase in coverage of the family health strategy over time, however there was a reduction in medical care in a timely manner and receipt of free prescription drugs.
Palavras-chave (keywords):
Chronic Noncommunicable Diseases, Survey, Generalized linear models, Access to health
Simões, T.C, Meira, K.C, dos Santos, J., Câmara, D. C. P.. PREVALÊNCIAS DE DOENÇAS CRÔNICAS, E ACESSO DE SERVIÇOS DE SAÚDE NO BRASIL: EVIDÊNCIAS DE TRÊS INQUÉRITOS DOMICILIARES. Cien Saude Colet [periódico na internet] (2021/mar). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencias-de-doencas-cronicas-e-acesso-de-servicos-de-saude-no-brasil-evidencias-de-tres-inqueritos-domiciliares/18005?id=18005&id=18005
