Social inequality in health among women in Campinas, São Paulo State, Brazil

Abstract

The aim of this study was to assess social inequalities in health status and use of health services according to level of schooling in women. This was a cross-sectional population-based study with a sample of 508 women from 20 to 59 years of age living in Campinas, São Paulo State, Brazil (ISA-Camp 2008). Women with less schooling showed higher prevalence of hypertension, circulatory problems, headache, dizziness, obesity, common mental disorders, worse self-rated health, use of dental prosthesis, and visual impairment, but lower prevalence for use of eyeglasses. There were no differences between the two schooling strata in prevalence of medical visits in the previous two weeks, use of medicines in the three previous days, Pap smear, breast self-examination, clinical breast examination, hospitalizations and surgeries in the previous year, and rubella vaccination any time in life. The only significant differences were in use of dental services and mammograms. The results show social inequalities in various health indicators and equity in access to various components of the health services.

Use, access, and equity in health care services in São Paulo, Brazil

“…This agrees with previous studies that reported socioeconomic inequalities in health in Brazil 13,24,25 . Brazil has major socioeconomic inequalities in health, with the most adverse health outcomes occurring among the poorest segments of the population 4 .…”

Transtorno mental comum em mulheres adultas: identificando os segmentos mais vulneráveis

“…As the literature points out, there are many social factors involved in the mental health and well-being of women along their lives 18,19 . However, this study concluded that, in all the social determinants of health, some have greater significance than others for women's mental health.…”

Ser trabalhadora remunerada ou dona de casa associa-se à qualidade de vida relacionada à saúde?

“…Além disso, o nível educacional contribui para a aquisição de informações e adoção de comportamentos saudáveis. Pior condição de saúde, avaliada por meio de vários indicadores nas mulheres com menor nível de escolaridade, já havia sido constatada previamente no mesmo município da presente pesquisa 30 .…”