Social vulnerability and health status: a household survey in the central area of a Brazilian metropolis

Abstract

The self-rated health in a sample of adults living in the central area of São Paulo, Brazil, was studied by comparing a group of residents in census tracts without social vulnerability, identified using an indicator developed by the SEADE Foundation, and a group of residents in census tracts with middle, high or very high social vulnerability. Subject age and sex were used as control variables while family income, education level, degree of happiness, adequacy of income, satisfaction with the neighborhood and sense of discrimination were the intervening variables selected. After adjustment in the hierarchical model the self-rated health status was inversely associated with social vulnerability, age and sense of discrimination, and directly related to income, education level and degree of happiness. Satisfaction with the neighborhood and adequacy of income lose significance after adjustment. The degree of happiness is the variable with the greatest strength of association with health status even after controlling for other variables.

Living conditions and access to health services by Bolivian immigrants in the city of São Paulo, Brazil

“…This poses challenges for the design and implementation of social policies, especially in health care 2,6,8,9,10,11 .…”

Migração boliviana e doença de Chagas: limites na atuação do Sistema Único de Saúde brasileiro (SUS)

“…Furthermore, we must bear in mind that the Bolivian population is one of the most numerous among the current migration flows in Brazil, and largely concentrated in São Paulo [14][15][16] . Therefore, it is worth emphasizing the need to understand how the Brazilian health services and their professionals have been meeting the healthcare demands in the contexts of migration flows, notably referring to Chagas disease.…”

O lugar dos trabalhadores de saúde nas pesquisas sobre processos migratórios internacionais e saúde

“…Suas condições de saúde, quase sempre comprometidas pelas precárias condições de vida, expressam um quadro situacional complexo e difícil de ser alcançado pelos instrumentos e ações das políticas em saúde. Tal constatação expõe necessariamente os dilemas em relação a um conjunto ampliado de situações de risco a que estão sujeitas as pessoas em situação de migração 38,39,40 .…”