Desigualdades sociais nas limitações causadas por doenças crônicas e deficiências no Brasil: Pesquisa Nacional de Saúde – 2013

Abstract

This paper aims to evaluate the association between social inequalities and self-reported limitations for the performance of daily activities caused by chronic diseases or disabilities. The 2013 National Health Survey evaluated a sample of Brazilians with 18+ years. The outcome was that individuals reported that their daily activities were moderately, severely or very severely limited (LIMIT) by one or more chronic diseases, or mental, physical, hearing or motor impairment. The main exposure was the economy class, classified into five categories, ranging from A (richest) to E (poorest). We estimated a logistic regression model adjusted for economy class and confounding variables, considering the complex sample design and alpha = 5%. Around 15.5% of individuals reported having Limit. Comparing social classes, 19.5%, 21.9%, 16.1%, 11.1%, and 7.7% individuals belonging to class E, D, C, B and A reported the outcome. The adjusted model showed greater odds of individuals in class D + E, and D, reporting LIMIT than individuals of class A + B (reference). Public policies for health care and social welfare for people with disabilities should focus on social classes E and D.

The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools

“…In addition, the present study showed that students from lower educational levels had more previous experiences with stroke in the family or neighborhood than undergraduates. These results are consistent with other studies [25] showing substantial socioeconomic inequalities in Brazil, with a high prevalence of chronic diseases (such as stroke and other cardiovascular disorders and associated disabilities) in the lower socioeconomic classes. Other studies also note that younger age groups, especially in low- and middle-income countries, are at risk of stroke, possibly due to an unhealthy lifestyle, causing significant economic and quality-of-life losses 26 , 27 , 28 .…”

Proteção social e política pública para populações vulneráveis: uma avaliação do Benefício de Prestação Continuada da Assistência Social - BPC no Brasil

“…Environmental barriers are characterized by difficulties in accessing products and technologies, untailored environments, lack of support net- which people with chronic diseases or disabilities are subjected, in the traditional conception of the term. The prevalence of higher intensity limitations of regular activities is higher among the poorer, elder, less educated and women 35 . As Cavalcante and Goldson 36 emphasize, people with disabilities are the poorest of the poor and will remain at risk of worsening poverty and subject to worse impairments unless they are the subject of public protection and social inclusion policies.…”

Use of rehabilitation services by persons with disabilities in Brazil: A multivariate analysis from Andersen’s behavioral model

“…A total of 64,438 home interviews and 60,202 interviews were conducted with residents aged 18 or over [16].…”