Gender disparities in health and healthcare: results from the Portuguese National Health Interview Survey

Perelman, Julian; Fernandes, Ana Alexandre; Mateus, Céu

doi:10.1590/s0102-311x2012001400012

Cited by 26 publications

(31 citation statements)

References 23 publications

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“…Five-year relative survival in the South for men decreased; however, it has fluctuated as it was 90% in 2002 and 85% in 2003. Lower survival estimates such as those observed among men from the South may be because they are less likely than women to report illness and consult general practitioners and specialists (Perelman et al, 2012), as well as regional heterogeneity in access to healthcare services. Improvements in survival estimates are related to anticipation of diagnoses through increased diagnostic scrutiny as well as effective early treatment (Carling and Udelsman, 2014).…”

Section: Discussionmentioning

confidence: 92%

Trends in thyroid cancer incidence and mortality in Portugal

Raposo

Morais

Oliveira

et al. 2017

European Journal of Cancer Prevention

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The objective was to quantify thyroid cancer incidence and mortality trends in Portugal. The number of thyroid cancer cases and incidence rates were retrieved from the Regional Cancer Registries for the period 1989-2011. The number of deaths and mortality rates were obtained from the WHO cancer mortality database (1988-2003 and 2007-2012) and Statistics Portugal (2004-2006; 1988-2012 by region). Joinpoint regression of the standardized incidence and mortality rates was performed. A significant, rapid and continued increase in incidence was observed for both sexes in each of the Regional Cancer Registries, with annual per cent changes (APCs) ranging between 2 and 9. Incidence in Portuguese women is higher than estimates for the world and Europe. Mortality decreased for women (APC: -1.5), with the greatest decrease in the North, and increased marginally for men (APC: +0.2), with a greater increase in the South. The significant increases in incidence in Portugal are predominantly because of the increase in incidence among women from the North. These trends, combined with an overall low mortality and high 5-year relative survival, raise concerns on the extent to which overdiagnosis may be taking place. Further research is needed, quantifying the importance of the most likely determinants of these trends as well as the extent and potentially deleterious effects of overdiagnosis and overtreatment in the Portuguese setting.

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Section: Discussionmentioning

confidence: 92%

Trends in thyroid cancer incidence and mortality in Portugal

Raposo

Morais

Oliveira

et al. 2017

European Journal of Cancer Prevention

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“…O perfil socioeconômico da grande maioria dos idosos brasileiros, em especial na zona rural, é marcado por condições de moradia e saneamento sanitário precárias, baixo nível de renda e de escolaridade, e atividade remunerada em idades avançadas 31,32 . Além disso, sabe-se que um maior nível de escolaridade e renda favorece maior busca por informações de saúde e uma autoavaliação mais positiva da saúde 16,28 .…”

Section: Discussionunclassified

Satisfação com saúde bucal de idosos brasileiros: um estudo de gênero com modelo hierárquico

2014

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Os objetivos do presente estudo foram identificar as diferenças de gênero em relação aos fatores associados à satisfação com saúde bucal de idosos e estimar a prevalência de edentulismo por gênero e faixa etária. Foram incluídos 2.052 idosos com 60 anos e mais de idade, residentes em Sete Lagoas, Minas Gerais, Brasil. A regressão de Poisson foi utilizada para estimar a prevalência de edentulismo. A associação entre satisfação bucal e as variáveis independentes foi realizada por meio da regressão ordinal com modelo hierárquico multidimensional. A prevalência de edentulismo nos gêneros masculino e feminino foi de 63% e 68,8%, respectivamente. A maioria dos idosos do gênero masculino (63%) e feminino (57%) estava satisfeita com a saúde bucal. O modelo final ajustado, para ambos os gêneros, foi formado por variáveis referentes ao ambiente externo, comportamentos de saúde e condições de saúde bucal. Conclui-se que a satisfação com a saúde bucal é influenciada fortemente pelas condições de saúde bucal e por comportamentos de saúde, e que os fatores associados são diferentes para cada gênero.

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“…Several SE factors were selected accordingly to the literature 1,[4][5][6][7][8][9][10][11][12][13][14][15] and to its availability in these data sources. We included variables related to education (analphabetism and superior education), income (low income), employment (unemployment), professional activity (tertiary sector activity), living conditions (bad housing conditions), and health care access (absence of family doctor).…”

Section: Variablesmentioning

confidence: 99%

“…7 Regarding type 2 diabetes mellitus (T2DM) and high blood pressure (HBP), their SE patterning has been already shown elsewhere. [8][9][10][11][12] However, in Portugal, the evidence Revista Científica da Ordem dos Médicos www.actamedicaportuguesa.com Leão T, et al Health inequalities in diabetes mellitus and hypertension in the northern region of Portugal, Acta Med Port 2016 Oct;29 (10): [605][606][607][608][609][610][611][612] about inequalities is limited to cardiovascular disease, [13][14][15] while little is known about T2DM and HBP inequalities and its prevalence distribution at the local level. This lack of knowledge is particularly worrisome, given that DM HBP are two major risk factors for cerebrovascular and cardiovascular disease.…”

Section: Introductionmentioning

confidence: 99%

“…5,26 So, the health status seems to be more discrepant between opposed SE groups in females than in males, which can have several explanations. First, women from all SE status are more frequent users of health care services, 13,26,27 thus being more able to be diagnosed on DM and HBP, and more capable to point out the more realistic health inequalities values in this region. Secondly, women from a higher SE status are usually reported as being more conscious of their health status and engage more in preventive efforts, 24 causing educational inequalities in overweight/obesity larger in women than in men, specially in Mediterranean women.…”

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confidence: 99%

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Health Inequalities in Diabetes Mellitus and Hypertension: A Parish Level Study in the Northern Region of Portugal

Leão

Perelman

Felício³

et al. 2016

Acta Med Port

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Introduction: Diabetes and hypertension are highly prevalent conditions in Portugal. Little is known about the geographical and social patterning of these diseases, which precludes the design of targeted health policies. This study aimed to measure the geographical and socioeconomic distribution of type 2 diabetes and hypertension prevalence in the population resident in the Northern region of Portugal, for the year 2013. Material and Methods: An ecological correlation study analyzed the 2,028 parishes of the region. Prevalence data were obtained from the Regional Health Administration information system. Socioeconomic data were also obtained from this administrative database and from the 2011 national census. The association between each socioeconomic indicator and age-standardized prevalence was measured using the difference in prevalence, population attributable risk, relative inequality index, and regression coefficient. Results:The prevalence of type 2 diabetes and hypertension was 6.16% and 19.35%, respectively, and varied across parishes. These prevalences were significantly associated with low educational level, low tertiary sector weight, unemployment, and low-income rate (with prevalence differences between the most and least advantaged deciles up to 1.3% and 5.3%, respectively). Socioeconomic factors accounted for up to 20% of prevalence. Discussion: This study design did not allow us to evaluate causality and it may underestimate these diseases prevalence or its association with socioeconomic factors, but its results are in line with the evidence from other countries. Conclusion:These results emphasize the socioeconomic and geographical patterning of major diseases associated with a high mortality, and the need of health policies targeting the most deprived parishes.

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Gender disparities in health and healthcare: results from the Portuguese National Health Interview Survey

Cited by 26 publications

References 23 publications

Trends in thyroid cancer incidence and mortality in Portugal

Trends in thyroid cancer incidence and mortality in Portugal

Satisfação com saúde bucal de idosos brasileiros: um estudo de gênero com modelo hierárquico

Health Inequalities in Diabetes Mellitus and Hypertension: A Parish Level Study in the Northern Region of Portugal

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