0195/2022 - Tendência de desigualdades na realização de mamografia nas capitais brasileiras nos últimos 10 anos Trend of inequalities in the performance of mammography in Brazilian capitals in the last 10 years
O objetivo foi verificar a tendência de desigualdade na realização de mamografia de acordo com a posse de plano de saúde e escolaridade a partir de dados do período de 2011 a 2020 do VIGITEL. Estudo de base populacional com dados provenientes do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL) entre 2011 e 2020. Desfecho: Exame de mamografia nos últimos 2 anos em mulheres de 50 a 69 anos. A magnitude das desigualdades do desfecho em relação às exposições (plano de saúde e escolaridade) foi estimada através de dois índices: slope index of inequality (SII) e concentration index (CIX). A prevalência de cobertura da realização de mamografia (2011-2020) passou de 74,4% para 78,0%, com tendência estável. As prevalências de quem possuía plano de saúde foram 85,7% e 86,4%, e quem não possuía 63,4% e 71,2%, com tendência crescente. De acordo com a escolaridade, mulheres com 0-8 anos de estudo a prevalência passou de 68,2% para 72,6%, 9-11 anos de 80,4% para 80,0% (tendência decrescente), 12 anos ou mais 88,0% para 86,6% (tendência decrescente). Quanto aos índices de desigualdade absoluta (SII) e relativa (CIX) da escolaridade e plano de saúde mostram que há uma diminuição na desigualdade nos últimos 10 anos.
Palavras-chave:
mamografia; desigualdade em saúde; câncer de mama
Abstract:
The objective was to verify the trend of inequality in the realization of mammography exam according to the possession of health insurance plan and schoolingdatathe period 2011 to 2020 of VIGITEL. Population-based study with datathe Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (VIGITEL) between 2011 and 2020. Outcome: mammography exam in the last 2 years in women aged 50 to 69 years. The magnitude of inequalities of outcome in relation to exposures (health insurance plan and education) was estimated using two indices: inequality slope index (SII) and concentration index (CIX). The prevalence of mammography exam (2011-2020) increased74,4% to 78,0%, with a stable trend. The prevalence of those with health insurance plan were 85,7% and 86,4%, and without 63.4% and 71.2%, with an increasing trend. According to education, women with 0-8 years of schooling the prevalence increased68,2% to 72,6%, 9-11 years80,4% to 80,0% (decreasing trend), 12 years or more 88,0% to 86,6% (decreasing trend). As for the absolute (SII) and relative (CIX) inequality indices of schooling and health insurance plan show that there is a decrease in inequality over the last 10 years.
Trend of inequalities in the performance of mammography in Brazilian capitals in the last 10 years
Resumo (abstract):
The objective was to verify the trend of inequality in the realization of mammography exam according to the possession of health insurance plan and schoolingdatathe period 2011 to 2020 of VIGITEL. Population-based study with datathe Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (VIGITEL) between 2011 and 2020. Outcome: mammography exam in the last 2 years in women aged 50 to 69 years. The magnitude of inequalities of outcome in relation to exposures (health insurance plan and education) was estimated using two indices: inequality slope index (SII) and concentration index (CIX). The prevalence of mammography exam (2011-2020) increased74,4% to 78,0%, with a stable trend. The prevalence of those with health insurance plan were 85,7% and 86,4%, and without 63.4% and 71.2%, with an increasing trend. According to education, women with 0-8 years of schooling the prevalence increased68,2% to 72,6%, 9-11 years80,4% to 80,0% (decreasing trend), 12 years or more 88,0% to 86,6% (decreasing trend). As for the absolute (SII) and relative (CIX) inequality indices of schooling and health insurance plan show that there is a decrease in inequality over the last 10 years.
Saes-Silva, E., Vieira, Y.P, Viero, V.S.F., Rocha, J.Q.S, Saes, M.O. Tendência de desigualdades na realização de mamografia nas capitais brasileiras nos últimos 10 anos. Cien Saude Colet [periódico na internet] (2022/Jul). [Citado em 18/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/tendencia-de-desigualdades-na-realizacao-de-mamografia-nas-capitais-brasileiras-nos-ultimos-10-anos/18451?id=18451
