Fiscal austerity and the health sector: the cost of adjustments

Paes-Sousa, Rômulo; Schramm, Joyce Mendes de Andrade; Mendes, Luiz Villarinho Pereira

doi:10.1590/1413-812320182412.23232019

Cited by 45 publications

(36 citation statements)

References 38 publications

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“…North-American studies from the National Alcohol Survey, using the binge drinking indicator, found increased risk of alcohol consumption among women with college education or higher 33 . There are also the effects of economic and political crisis in the health indicators 34 , since the reduction of income and REV BRAS EPIDEMIOL 2021; 24: E210022.SUPL.1 unemployment can reduce the expenses with alcohol, especially in the populations that are mostly affected economically 25,35,36 . On the other hand, the pathological suffering and the stress caused by reduced income and unemployment may lead to more alcohol consumption 35 .…”

Section: Discussionmentioning

confidence: 99%

Convergence in alcohol abuse in Brazilian capitals between genders, 2006 to 2019: what population surveys show

Malta

Silva

Prates

et al. 2021

Rev. bras. epidemiol.

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Objective: To analyze the temporal trend of the prevalence of alcohol abuse among adults in Brazilian capitals, between 2006 and 2019. Methods: Time series study, based on data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel), between 2006 and 2019. The population consisted of adults (≥ 18 years old) with landline telephone residing in Brazilian capitals. The trend analysis was performed by linear regression. Results: Between 2006 and 2019 there was a significant increase (p = 0.03) in the abusive consumption of alcoholic beverages in the total adult population, from 15.6 to 18.8%. Among men, there was a stability trend (p = 0.96), and among women, there was an increase from 7.7 to 13.3% (p < 0.001; β = 0.295). In the male gender stratified by capitals, from 2006 to 2019 there was a reduction in Belém, Fortaleza, João Pessoa, Macapá, Manaus, Natal, Recife, São Luis, and Teresina. On the other hand, there was growth in the Federal District. Among women, the trend was upward in: Aracaju, Belo Horizonte, Cuiabá, Curitiba, Florianópolis, Goiânia, Palmas, Porto Alegre, Rio de Janeiro, Salvador, São Paulo, Vitória, and the Federal District. Conclusion: The results indicate that more adult women are currently drinking in excess compared to previous years, suggesting an increased risk of alcohol-related harm in this portion of the population in Brazilian capitals, bringing about a convergence effect with the prevalence among men and women.

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Section: Discussionmentioning

confidence: 99%

Convergence in alcohol abuse in Brazilian capitals between genders, 2006 to 2019: what population surveys show

Malta

Silva

Prates

et al. 2021

Rev. bras. epidemiol.

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“…Regardless of the country's economic crisis, it is necessary to value social rights together with economic growth, prioritizing action that targets the most vulnerable territories [50,53,[56][57][58][59]. The effects of economic crises in developing countries must be mitigated, prioritizing sustainable public funding of public services to the benefit of public welfare and progressively reducing potential health risks [60]. Greater investments are needed in social security, based on the BCE approach, in order to maximize human capital development (basic capabilities and personal potential), ensure adequate well-being, and fulfil the rights to health, education, social security and urban infrastructure.…”

Section: Discussionmentioning

confidence: 99%

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

França

Módena

Confalonieri

2020

Int J Equity Health

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Background Tackling poverty requires reconsideration of quantitative factors related to “who” is poor and by “how much” and qualitative factors addressing “what poverty means in these individuals’ lives”. Greater understanding is required concerning the types of access actually used by families in poverty in attempts to meet their basic needs. Poverty must be addressed based on the question: “Inequality of what?” It is in reflecting on the realities of such groups when their basic needs are not met that public policies can be improved and implemented with legitimate priorities. Objective: Describe coverage and access to public health, education and social assistance services and the related effects on the quality of life of families in extreme poverty. Methods An exploratory mixed methods study was conducted applying Amartya Sen’s “Basic Capability Equality” framework, with: 1) 27 interviews with managers and professionals from public services serving territories with extreme poverty; 2) Survey with a systematic proportionate stratified sample of 336 heads of households in extreme poverty from a total 2605 families. The resulting data was analyzed with thematic content analysis and descriptive statistics, respectively. Results The managers and professionals described the lives of families in extreme poverty with phrases such as, “ These people suffer. Sadness weighs on their lives! ” and “ Depression is the most common illness ”. Their precarious circumstances and inadequate access were cited as causes. Quality of life was considered bad or very bad by 41.4% of heads of households. A total income of less than one-third of the minimum wage was received by 56.9% of the sample. One or more people were unemployed in the family in 55.8% of cases. For 53.3% of heads of households, public services “ did not meet any or few of their needs”. The main social determinants of health were described as: alcohol and drugs (68.8%); lack of good health care (60.7%); and absence of income/work (37.5%). The following were identified as solutions to improve their quality of life: (1) health (40.5%); (2) education (37.8%); and (3) employment (44.6%). Conclusions The social determinants of poverty and health must be addressed jointly through intersectoral public policies and egalitarian mechanisms that promote investment in social protection.

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Section: Survey With Household Heads Of Families In Extreme Povertymentioning

confidence: 99%

Equality and Poverty: Views From Managers and Professionals From Public Services and Household Heads in the Belo Horizonte Metropolitan Area, Brazil

França

Módena

Confalonieri

2020

Preprint

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Background: Tackling poverty requires reconsideration of quantitative factors related to "who" is poor and by "how much” and qualitative factors addressing "what poverty means in these individuals’ lives". Greater understanding is required concerning the types of access actually used by families in poverty in attempts to meet their basic needs. Poverty must be addressed based on the question: “Inequality of what?” It is in reflecting on the realities of such groups when their basic needs are not met that public policies can be improved and implemented with legitimate priorities. Objective: Describe coverage and access to public health, education and social assistance services and the related effects on the quality of life of families in extreme poverty.Methods: An exploratory mixed methods study was performed applying Amartya Sen's “basic capability equality” framework, with: 1) 27 interviews with managers and professionals from public services serving territories with extreme poverty; 2) Survey with a systematic proportionate stratified sample of 336 heads of households in extreme poverty, from a total 2,605 families. The resulting data was analyzed with thematic content analysis and descriptive statistics, respectively.Results: The managers and professionals described the lives of families in extreme poverty with phrases such as, “These people suffer. Sadness weighs on their lives!” and “Depression is the most common illness”. Their precarious circumstances and inadequate access were cited as causes. Quality of life was considered bad or very bad by 41.4% of heads of households. A total income of less than 1/3 of the minimum wage was received by 56.9%. One or more people were unemployed in the family in 55.8% of cases. For 53.3%, public services “did not meet any or few of their needs”. The main social determinants of health were described as: Alcohol and drugs 68.8%; Lack of good health care 60.7%; Absence of income/work 37.5%. The following were identified as solutions to improve their quality of life: 1 - Health 40.5%; 2 - Education 37.8%; 3 - Employment 44.6%.Conclusions: The social determinants of poverty and health must be addressed jointly through intersectoral public policies and egalitarian mechanisms that promote investment in social protection.

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Fiscal austerity and the health sector: the cost of adjustments

Cited by 45 publications

References 38 publications

Convergence in alcohol abuse in Brazilian capitals between genders, 2006 to 2019: what population surveys show

Convergence in alcohol abuse in Brazilian capitals between genders, 2006 to 2019: what population surveys show

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

Equality and Poverty: Views From Managers and Professionals From Public Services and Household Heads in the Belo Horizonte Metropolitan Area, Brazil

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