Trends in social and demographic inequalities in the prevalence of chronic diseases in Brazil. PNAD: 2003- 2008
Trends in social and demographic inequalities in the prevalence of chronic diseases in Brazil. PNAD: 2003- 2008
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DOI：
10.1590/s1413-81232011001000012
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发表时间：
2011-09-01
期刊：
影响因子：
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通讯作者：
César, Chester Luiz Galvão
中科院分区：
文献类型：
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作者：
Barros, Marilisa Berti de Azevedo;Francisco, Priscila Maria Stolses Bergamo;César, Chester Luiz Galvão
本研究的目的是：比较2008年和2003年的数据，评估巴西人口中慢性病的患病率；估计慢性病对利用保健服务和限制日常活动的影响，并根据教育程度和私人保健计划的隶属关系衡量特定疾病流行程度的差异。数据来自2008年和2003年的PNAD。分析包括使用Stata 11软件的svy命令估计粗患病率和调整患病率。在以下人群中，至少有一种疾病的患病率较高：老年人、妇女、受教育程度低的人、黑人或土著人、城市居民、移民和生活在巴西南部地区的人。最常见的疾病是：高血压、背部和脊髓疾病、关节炎和抑郁症。2003年至2008年期间，糖尿病、高血压、癌症和肝硬化的患病率有所上升，而慢性肾衰竭和结核病的患病率有所下降。除癌症和肌腱炎/腱鞘炎外，所有疾病在低文化水平人群中患病率较高。最大的社会不平等是慢性肾衰竭、肝硬化、肺结核和关节炎/风湿病。
The aims of this study are: to evaluate the prevalence of chronic diseases in the Brazilian population comparing data of 2008 with those of 2003; to estimate the impact of chronic conditions on the use of health services and on the restriction of daily activities and to measure the differentials in the prevalence of specific diseases according to educational strata and the affiliation to a private health plan. Data were obtained from PNAD 2008 and 2003. The analysis included estimations of crude and adjusted prevalence ratios, using svy commands from Stata 11 software. The prevalence of at least one disease was higher in: the elderly, women, low schooling level, black or indigenous people, urban residents, migrants and people living in the south region of Brazil. The most frequent diseases were: hypertension, back and spinal cord disorders, arthritis and depression. Between 2003 and 2008, an increase in the prevalence of diabetes, hypertension, cancer and cirrhosis was observed, and there was a reduction in chronic kidney failure and tuberculosis. All the diseases analyzed, with the exception of cancer and tendinitis/tenossinovitis, revealed a higher prevalence in low educational level strata. The greatest social inequalities were in chronic kidney failure, cirrhosis, tuberculosis and arthritis/rheumatism.