Socioeconomic determinants of chronic non-communicable diseases in a context of inequalities in northeast Brazil
DOI:
https://doi.org/10.33448/rsd-v11i6.28822Keywords:
Chronic disease; Prevalence. ; Risk factors; Socioeconomic factors.Abstract
To analyze the prevalence and socioeconomic determinants of NCDs in adults in the state of Pernambuco, in 2015/2016. This is a cross-sectional study, with a sample of 1019 adults, based on the IV State Health and Nutrition Survey. Possible associations of CNCDs with factors were analyzed by means of logistic regression, considering as statistically significant those with p value < 0.05. The prevalence of CNCD was 62.5%, being higher among men (68.1%), with a progressive increase from the age group of 30-39 years, among those with a lower level of education (80.2 %), of white race (69.1%) and who did not receive a family allowance (70.1%). In the multivariate model, the variables associated with CNCD were: sex, age, education, race and family allowance. There was a high prevalence of at least one CNCD and a significant association with socioeconomic variables: low education, white race and not receiving a family allowance. These results suggest the need to intensify actions aimed at socioeconomic determinants, especially in the most vulnerable populations, with a view to better controlling NCDs.
References
American Diabetes Association. (2013). Standards of Medical Care in Diabetes. Diabetes Care, 36,11-66, (Suppl 1). https://doi.org/10.2337/dc13-S011
Arokiasamy, P., Uttamacharya, Kowal, P., Capistrant B.D., Gildner, T. E., & Thiele, E. (2017). Chronic Noncommunicable Diseases in 6 Low- and Middle-Income Countries: Findings From Wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (SAGE). Am J Epidemiol, 185(6), 414-428. https://doi.org/10.1093/aje/kww125
Barreto, M. L. (2017). Desigualdades em Saúde: uma perspectiva global. Ciênc. Saúde Colet, 22(7), 2097-2108. https://doi.org/10.1590/1413-81232017227.02742017
Barreto, S. M., & Figueiredo, R. C. (2009) Doença crônica, auto avaliação de saúde e comportamento de risco: diferença de gênero. Rev. Saúde Pública, 43, 38-47, (Suppl.2). https://doi.org/10.1590/S0034-89102009000900006
Bernal, R. T. I., Felisbino-Mendes, M. S., Carvalho, Q. H., Pell, J., Dundas, R., Leyland, A. et al. (2019). Indicadores de doenças crônicas não transmíssiveis em mulheres com idade reprodutiva, beneficiárias e não beneficiárias do Programa Bolsa Família. Rev. Bras. Epidemiol, 22: (Suppl.2). E190012
Bhojani, U., Beerenahalli, T. S., Devadasan, R., Munegowda, C. M., Devadasan, N., & Crieland, B. (2013). No longer diseases of the wealthy: prevalence and health-seeking for self-reported chronic conditions among urban poor in Southern India. BMC Health Services Research, 13(306), 2-10. http://www.biomedcentral.com/1472-6963/13/306
Cardoso, L. S. M., Teixeira, R. A., Ribeiro, L. P., & Malta, D. C. (2021). Mortalidade prematura por doenças crônicas não transmissíveis nos municípios brasileiros, nos triênios de 2010 a 2012 e 2015 a 2017. Rev Bras Epidemiol, 24, (Suppl 1). https://doi.org/10.1590/1980-549720210005.supl.1
Carvalho, Q. H., Sá, A. C. M. G. N., Bernal, R. T. I., & Malta, D. C. (2021). Distribuição de indicadores de Doenças Crônicas Não Transmissíveis em mulheres adultas beneficiárias e não beneficiárias do Programa Bolsa Família — Vigitel 2016–2019. Rev Bras Epidemiol, 24, (Suppl.1). https://doi.org/10.1590/1980-549720210011.supl.1
Chor, D., Andreozzi, V.,Fonseca, M. J. M., Cardoso, L. O., James, S. A., Lopes, C. S. et al. (2015). Inequalities in BMI trajectories: 8-year follow-up of the Pró-Saúde study in Rio de Janeiro, Brazil. Public Health Nutrition, 18, 3183-3191. http://dx.doi.org/10.1017/S1368980015001032
Coelho, P. L., & Melo A. S. S. A. (2017). Impacto do Programa “Bolsa Família” sobre a qualidade da dieta das famílias de Pernambuco no Brasil. Ciência & Saúde Coletiva, 22(2), 393-402. http://dx.doi.org/10.1017/S1368980015001032
Doulougou, B., Kouanda, S., Rossier, C., Soura, A., & Zunzunegui, M. V. (2014). Differences in hypertension between informal and formal areas of Ouagadougou, a sub-Saharan African city. BMC Public Health, 14(893). https://doi.org/10.1186/1471-2458-14-893
Ezeh, A., Oyebode, O. ; Satterthwaite, D., Chen, Y. F., Ndugwa, R., & Sartori, J. (2016). The history, geography, and sociology of slums and the health problems of people who live in slums. Lancet, 389, 547-558. https://doi.org/ 10.1016/S0140-6736(16)31650-6.
Francisco, P. N. S. B., Segri, N. J., Borim, F. S. A., & Malta, D. C. (2018). Prevalência simultânea de hipertensão e diabetes em idosos brasileiros: desigualdades individuais e contextuais. Ciênc. Saúde Colet, 23(11), 3829-3840. https://doi.org/10.1590/1413-812320182311.29662016
Hone, T., Stokes, J., Trajman, A., Saraceni, V., Coeli, C. M., Rasella, D., et al. (2021). Racial and socioeconomic disparities in multimorbidity and associated healthcare utilisation and outcomes in Brazil: a crosssectional analysis of three million Individuals. Hone et al. BMC Public Health, 21(1287). https://doi.org/10.1186/s12889-021-11328-0
Instituto Brasileiro de Geografia e Estatística. (2017). Pesquisa Nacional por Amostra de Domicílios Contínua – PNAD contínua. IBGE.
Kivimäki, M., Batty, G. D., Pentti, J., Shipley, M. J., Sipilä, P. N., Nyberg, S. T., et al. (2020). Association between socioeconomic status and the development of mental and physical health conditions in adulthood: a multi-cohort study. Lancet, 5,140–149. https://doi.org/10.1016/S2468-2667(19)30248-8
Kraja, F., Kraja, B., Mone, I., Harizi, I., Babameto, A., & Burazeri, G. (2016). Self-reported Prevalence and Risk Factors of Non-communicable Diseases in the Albanian Adult Population. Med Arch, 70(3), 208-212. https://doi.org/10.5455/medarh.2016.70.208-212
Leite, C. I., Valente, G. J., Schramm, J. M. A., Daumas, R. P., Rodrigues, R. N., Santos, M. F. et al. (2015). Carga de doença no Brasil e suas regiões, 2008. Cad. Saúde Pública, 31(7),1551-1564. http://dx.doi.org/10.1590/0102-311X00111614
Macinko, J., & Lima-Costa, M. F. (2012). Horizontal equity in health care utilization in Brazil, 1998-2008. Int J Equity Health, 11(33). https://doi.org/10.1186/1475-9276-11-33
Malachias, M. V. B., Souza, W. K. S. B., Plavnik, F. L., Rodrigues, C. I. S., Brandão, A. A., Neves, M. F. T. et al. (2016). VII Diretriz Brasileiras de Hipertensão. Arq Bras Cardiol., 107, 1-83. (Suppl. 3).
Malta, D. C., Gomes, C. S., Barros, M. B. A., Lima, M. G., Almeida, W. S., Micheletti, A. C. et al. (2021) Doenças crônicas não transmissíveis e mudanças nos estilos de vida durante a pandemia de COVID-19 no Brasil. Rev Bras Epidemiol. 24. E210009.
Malta, D. C., Moura, L., & Bernal, R. T. I. (2015). Diferenciais dos fatores de risco de Doenças Crônicas não Transmissíveis na perspectiva de raça/cor. Cien Saude Colet. 20(3),713-725. https://doi.org/10.1590/1413-81232015203.16182014
Marmot, M.; & Bell, R. (2019). Social determinants and non-communicable diseases: time for integrated action. BMJ, 28. https://doi.org/10.1136/bmj.l251.
Martinez, R., Lloyd-Sherlock, P., Soliz, P., Ebrahim, S., Veja, E., Ordunez, P. et al. (2020) Trends in premature avertable mortality from non-communicable diseases for 195 countries and territories, 1990–2017: a population-basedstudy. Lancet, 8(4). e511-e523.
Melo, S. P. S. C., Cesse, E. A. P., Lira, P. I. C., Rissin, A., & Cruz, R. S. B. L. C. (2019). Doenças crônicas não transmissíveis e fatores associados em adultos numa área urbana de pobreza do nordeste brasileiro. Ciênc. Saúde Colet, 24(8), 3159-3168. https://doi.org/10.1590/1413-81232018248.30742017
Mesenburg, M. A., Curi, Hallal P., Menezes, A. M. P., Barros, A. J. D., Horta, B. L., & Barros, F. C. (2021). Doenças crônicas não transmissíveis e covid-19: resultados do estudo Epicovid-19 Brasil. Rev Saude PublicA, 55(38). https://doi.org/10.11606/s1518-8787.2021055003673
Oliveira, I. M., Roediger , M. A., Zanetta, D. M. T., & Andrade, F. B. (2021). Fatores associados à hipertensão não diagnosticada entre adultos mais velhos no Brasil – Elsi-Brasil. Cien Saude Colet., http://www.cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-hipertensao-nao-diagnosticada-entre-adultos-mais-velhos-no-brasil-elsibrasil/18168?id=18168 .
Pitombeira D.F.; & Oliveira, L. (2020). Poverty and social inequality: tensions between rights and austerity and its implications for primary healthcare. Ciência & Saúde Coletiva, 25(5),1699-1708. https://doi.org/10.1590/1413-81232020255.33972019
Qi, Y., Koster, A., Boxtel, M., Köhler, S., Schram, M., Schaper, N., et al. (2019). Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus-A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study. Int J Environ Res Saúde Pública, 16(8). https://doi.org/10.3390/ijerph16081435
Rocha-Brischiliari, S. C., Agnolo, C. M. D., Gravena, A. A. F., Lopes, T. C. R., Carvalho, M. D. B., & Pelloso, S. M. (2014). Doenças Crônicas não Transmissíveis e Associação com Fatores de Risco. Rev Bras Cardiol, 27(1), 35-42. https://doi.org/10.1590/1413-81232018248.30742017
Sampson, U. K., Edwards, T. L., Jahangir, E., Munro, H., Wariboko, M., Wassef, M. G., et al. (2014). Factors associated with the prevalence of hypertension in the southeastern United States: insights from 69,211 blacks and whites in the Southern Community Cohort Study. Circ Cardiovasc Qual Outcomes, 7(1), 33-54. https://doi.org/10.1161/CIRCOUTCOMES.113.000155
Silveira, M. B. G., Barbosa, N. F. M., Peixoto, A. P. B., Xavier, Érika F. M., & Xavier Júnior, S. F. A. (2021). Aplicação da regressão logística na análise dos dados dos fatores de risco associados à hipertensão arterial. Research, Society and Development, 10(16). e20101622964.
Simões, C. T. ; Meira, K. C., Santos, J., & Câmara, D. C. P. (2021). Prevalências de doenças crônicas e acesso aos serviços de saúde no Brasil: evidências de três inquéritos domiciliares. Ciênc. Saúde Colet, 26(9), 3991-4006. https://doi.org/10.1590/1413-81232021269.02982021
Smolen, J. R., Roland, J., Thorpe, J. R., Bowie, J. Y., Gaskin, D. J., & Laveist, T. A. (2014). Health Insurance and Chronic Conditions in Low-Income Urban Whites. J Urban Health, 91(4), 637-647. https://doi.org/10.1007/s11524-014-9875-6
Smylie, J., Firestone, M., Spiller, M. W., & Inuit, T. (2018). Our health counts: population-based measures of urban Inuit health determinants, health status, and health care access. Can J Public Health, 109(5-6), 662–670. https://doi.org/10.17269/s41997-018-0111-0
Sperandio, N., Rodrigues, C. T., Franceschini, S. C. C., & Priore, S. L. (2017). Impacto do Programa Bolsa Família no consumo de alimentos: estudo comparativo das regiões Sudeste e Nordeste do Brasil. Ciência & Saúde Coletiva, 22(6), 1771-1780. https://doi.org/10.1590/1413-81232017226.25852016
Theme Filha, M. M., Souza Junior, P. R. B., Damacena, G. N., & Szwarcwald, C. L. (2015). Prevalência de doenças crônicas não transmissíveis e associação com auto avaliação de saúde: Pesquisa Nacional de Saúde, 2013. Rev. Bras. Epidemiol, 18, 83-96. (Supl. 2). https://doi.org/10.1590/1980-5497201500060008
United Nations. (2013). Note by the Secretary-General transmitting the report of the Director-General of the World Health Organization on the prevention and control of non-communicable diseases. A/68/650. UNITED NATIONS.
United Nations. (2014). Outcome document of the high-level meeting of the General Assembly on the comprehensive review and assessment of the progress achieved in the prevention and control of non-communicable diseases. A/RES/68/300. UNITED NATIONS.
Williams, J., Allen, L., Wickramasinghe, K., Mikkelsen, B., Roberts, N., & Townsend, N. (2018). A systematic review of associations between non-communicable diseases and socioeconomic status within low- and lower-middleincome countries. J Global Health, Scotland, 8(2). https://doi.org/10.7189/jogh.08.020409
World Health Organization. (2014). Global status report 2014. Health statistics and information systems [Internet]. Genebra: World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/112736/9789240692763eng.pdf;jsessionid=F83DC359DD5371B11E159B39774769FD?sequence=1
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Copyright (c) 2022 Silvia Pereira da Silva de Carvalho Melo; Maria Nelly Sobreira de Carvalho Barreto; Nathália Paula de Souza; Heloisa de Melo Rodrigues; Pedro Israel Cabral de Lira; Eduarda Ângela Pessoa Cesse
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