Changes in prevalence and in educational inequalities in Brazilian health behaviors between 2013 and 2019

Bibliographic Data

ID5167649
AuthorsMarilisa Berti De Azevedo Barros (0000-0003-3974-195X, Universidade Estadual de Campinas (UNICAMP)), Lhais De Paula Barbosa Medina (0000-0001-7033-9809, Universidade Estadual de Campinas (UNICAMP)), Margareth Guimarães (0000-0001-6996-0745, Universidade Estadual de Campinas (UNICAMP)), Natália Ferreira De S Sousa (0000-0002-7694-0811, Universidade Federal de Mato Grosso), Deborah Carvalho Malta (0000-0002-8214-5734, Universidade Federal de Minas Gerais)
Year2022
Volume38
Issuesuppl 1
Pagese00122221-e00122221
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00122221
PMID35857955
OpenAlexW4285410881
SCIELO_PIDS0102-311X2022001305009
LanguageEN
Citations received4
References cited44

Considering the relevance of health behaviors for chronic diseases prevalence and mortality and the increase in income concentration observed in the world and in Brazil, this study aimed to evaluate the changes in the prevalence and in the educational inequalities of Brazilian adult health behaviors between 2013 and 2019. We analyzed data of 49,025 and 65,803 adults (18-59 years of age) from the Brazilian National Health Survey (PNS), 2013 and 2019. Prevalence of health behaviors (smoking, alcohol intake, diet, physical activity and sedentarism) were estimated for three educational strata, for both surveys. Prevalence ratios (PR) between year of survey and between educational strata were estimated by Poisson regression models. Significant reductions were found in the prevalence of smoking, physical inactivity, sedentarism, insufficient consumption of fruits, and the excessive consumption of sweetened beverages. However, an increase was observed in alcohol consumption and binge drinking; vegetable consumption remained stable. Contrasting the favorable change in some behaviors, inequalities among schooling strata remained very high in 2019, specially for smoking (PR = 2.82; 95%CI: 2.49-3.20), passive smoking (PR = 2.88; 95%CI: 2.56-3.23) and physical inactivity (PR = 2.02; 95%CI: 1.92-2.13). There was a significant increase in the educational inequality regarding physical inactivity (21%), insufficient intake of fruit (8%) and in the frequent consumption of sweetened beverages (32%). The persistence and enlargement of inequalities highlight the behaviors and social segments that should be special targets for policies and programs focused in promoting healthy lifestyles

Alcohol · Alcohol consumption · Binge drinking · Consumption (sociology) · Environmental health · Inequality · Injury prevention · Poison control · Poisson regression · Population · Demography · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Medicine · Obesity, Physical Activity, Diet · Gerontology

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