Inquéritos domiciliares nacionais de base populacional em saúde: uma revisão narrativa

Silva, Vinicius Siqueira Tavares Meira; Pinto, Luiz Felipe

doi:10.1590/1413-81232021269.28792020

Cited by 4 publications

(1 citation statement)

References 24 publications

(20 reference statements)

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“…Six major interview themes were identified: general population characteristics, education level, work, household expenses, housing features, and access to the internet [ 18 ]. The responses to all questions were self-reported.…”

Section: Methodsmentioning

confidence: 99%

The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data

Nakayama,

Binotti,

Link Woite

et al. 2023

J Med Internet Res

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Background The COVID-19 pandemic has increased the use of digital solutions in medical care, especially for patients in remote areas and those requiring regular medical care. However, internet access is essential for the implementation of digital health care. The digital divide is the unequal distribution of access to digital technology, and the first level digital divide encompasses structural barriers. Brazil, a country with economic inequality and uneven population distribution, faces challenges in achieving internet access for all. Objective This study aims to provide a comprehensive overview of the first-level digital divide in Brazil, estimate the relationship between variables, and identify the challenges and opportunities for digital health care implementation. Methods Data were retrieved from the Brazilian Institute of Geography and Statistics National Continuous House survey database, including demographic, health, and internet-related variables. Statistical analysis included 2-tailed t tests, chi-square, and multivariate logistic regression to assess associations between variables. Results Our analysis included 279,382 interviews throughout Brazil. The sample included more houses from the northeast (n=99,553) and fewer houses from the central west (n=30,804). A total of 223,386 (80.13%) of the interviewed population used the internet, with urban areas having higher internet access (187,671/212,109, 88.48%) than rural areas (35,715/67,077, 53.24%). Among the internet users, those interviewed who lived in urban houses, were women, were younger, and had higher income had a statistically higher prevalence (P<.001). Cell phones were the most common device used to access the internet (141,874/143,836, 98.63%). Reasons for not using the internet included lack of interest, knowledge, availability, and cost, with regional variations. The prevalence of internet access also varied among races, with 84,747 of 98,968 (85.63%) White respondents having access, compared to 22,234 of 28,272 (78.64%) Black respondents, 113,518 of 148,191 (76.6%) multiracial respondents, and 2887 of 3755 (76.88%) other respondents. In the southeast, central west, and south regions, the numbers of people with internet access were 49,790 of 56,298 (88.44%), 27,209 of 30,782 (88.39%), and 27,035 of 31,226 (86.58%), respectively, and in the north and northeast, 45,038 of 61,404 (73.35%) and 74,314 of 99,476 (74.7%). The income of internet users was twice the income of internet nonusers. Among those with diabetes-related limitations in daily activities, 945 of 2377 (39.75%) did not have internet access, and among those with daily activity restrictions, 1381 of 3644 (37.89%) did not have access. In a multivariate logistic regression analysis, women (odds ratio [OR] 1.147, 95% CI 0.118-0.156; P<.001), urban households (OR 6.743, 95% CI 1.888-1.929; P<.001), and those earning more than the minimum wage (OR 2.087, 95% CI 0.716-0.756; P<.01) had a positive association with internet access. Conclusions Brazil’s diverse regions have different demographic distributions, house characteristics, and internet access levels, requiring targeted measures to address the first-level digital divide in rural areas and reduce inequalities in digital health solutions. Older people, poor, and rural populations face the greatest challenges in the first level digital divide in Brazil, highlighting the need to tackle the digital divide in order to promote equitable access to digital health care.

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Section: Methodsmentioning

confidence: 99%

The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data

Nakayama,

Binotti,

Link Woite

et al. 2023

J Med Internet Res

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Self-rated health of Brazilian women of childbearing age: a cross-sectional study

Santos,

Paula,

Souza

et al. 2023

Rev. esc. enferm. USP

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Objective: To investigate sociodemographic factors, non-communicable diseases and conditions, and behavioral risk factors associated with negative self-rated health among Brazilian women of childbearing age. Method: Cross-sectional study with 26,071 Brazilian women of reproductive age. Estimated prevalence of self-rated health according to sociodemographic characteristics, non-communicable diseases and conditions, and behavioral risk factors. Poisson regression was used to estimate adjusted and unadjusted prevalence ratios. Results: Occurrence of two or more of the diseases and conditions presented a prevalence of negative self-rated health almost three times higher than none. There was a positive association between negative self-rated health and older age groups, lower education, black or brown skin color/race, living in the north and northeast regions, physical inactivity, being a smoker, and presence of one or more of the diseases and conditions. Conclusion: There are differences in self-rated health, reflecting social inequalities.

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Autoavaliação de saúde das mulheres brasileiras em idade reprodutiva: estudo transversal

Santos,

Paula,

Souza

et al. 2023

Rev. esc. enferm. USP

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RESUMO Objetivo: Investigar fatores sociodemográficos, doenças e agravos não transmissíveis e fatores de risco comportamentais associados à autoavaliação de saúde negativa das mulheres brasileiras em idade reprodutiva. Método: Estudo transversal com 26.071 mulheres brasileiras em idade reprodutiva. Estimadas prevalências da autoavaliação de saúde segundo características sociodemográficas, doenças e agravos não transmissíveis e fatores de risco comportamentais. Utilizou-se regressão de Poisson para estimar as razões de prevalência ajustadas e não ajustadas. Resultados: Ocorrência de duas ou mais das doenças e agravos apresentou prevalência de autoavaliação de saúde negativa quase três vezes maior do que nenhuma. Houve associação positiva entre autoavaliação de saúde negativa e maiores faixas etárias, menor escolaridade, cor da pele/raça preta ou parda, viver nas regiões norte e nordeste, inatividade física, ser fumante e presença de uma ou mais das doenças e agravos. Conclusão: Existem diferenças na autoavaliação de saúde, refletindo em iniquidades sociais.

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Inquéritos domiciliares nacionais de base populacional em saúde: uma revisão narrativa

Cited by 4 publications

References 24 publications

The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data

The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data

Self-rated health of Brazilian women of childbearing age: a cross-sectional study

Autoavaliação de saúde das mulheres brasileiras em idade reprodutiva: estudo transversal

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