Inequalities in health care and access to health services among adults with self-reported arterial hypertension

Brazilian National Health Survey

Bibliographic Data

ID5225815
AuthorsDeborah Carvalho Malta (0000-0002-8214-5734, Universidade Federal de Minas Gerais), Carina Sernaglia Gomes (0000-0001-6586-4561, Universidade Federal de Minas Gerais), Sheila Rizzato Stopa (0000-0001-8847-665X, Ministério da Saúde, Brazil), Fabiana Martins Dias De Andrade (0000-0001-8277-6061, Universidade Federal de Minas Gerais), Elton Junio Sady Prates (0000-0002-5049-186X, Universidade Federal de Minas Gerais), Patrícia Pereira Vasconcelos De Oliveira (0000-0003-1539-9272, Ministério da Saúde, Brazil), Sheila Aparecida Massardi Ferreira (0000-0002-3323-5776, Universidade Federal de Minas Gerais), Cimar Azeredo Pereira (0000-0001-6183-1607, Brazilian Institute of Geography and Statistics)
Year2022
Volume38
Issuesuppl 1
Pagese00125421-e00125421
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)
DOI10.1590/0102-311xe00125421
PMID35613254
OpenAlexW4286834421
SCIELO_PIDS0102-311X2022001305007
LanguageEN
References cited17

This study compared indicators of care and access to health services by adults who self-reported hypertension in 2013 and 2019, analyzing those indicators according to gender, age group, schooling level, and race/color. This is an analytic study with data from the Brazilian National Health Survey (PNS), conducted in 2013 and 2019 in Brazil. The indicators to care and access to health services by individuals with arterial hypertension in both surveys were compared. For 2019, those indicators were analyzed according to sociodemographic characteristics. This study estimated the proportions, prevalence ratio (PR), and their respective 95% confidence intervals (95%CI). In total, 60,202 individuals were evaluated in 2013 and 88,531 in 2019, of these 24.4% reported arterial hypertension in 2013 and 23.9% in 2019. Women received more medical care for hypertension within the last year (PR = 1.07; 95%CI: 1.04; 1.11), had the last physician appointment at an basic health unit (PR = 1.11; 95%CI: 1.05; 1.17) than men. About race/color, black people had more hospitalization for hypertension or some complication (PR = 1.2; 95%CI: 1.05; 1.38) and intense or very intense degree of limitation in performing daily activities (PR = 1.37; 95%CI: 1.06; 1.76). In 2019, inequalities were evidenced and worse indicators were observed for males, black, with low education and young age. Therefore, investments in the Brazilian Unified National Health System, as well as public policies and strategic actions are essential to reduce inequalities, promote health care

Confidence interval · Environmental health · Family medicine · Health care · Health equity · Inequality · National Health Interview Survey · Population · Public health · Blood Pressure and Hypertension Studies · Demography · Global Public Health Policies and Epidemiology · Health, Nursing, Elderly Care · Internal Medicine · Medicine · Nursing · Gerontology