Prevalence of chronic diseases and access to health services in Brazil: evidence of three household surveys

被引：18

作者：

Simoes, Taynana Cesar ^{[1
]}

Meira, Karina Cardoso ^{[2
]}

dos Santos, Juliano ^{[3
]}

Portela Camara, Daniel Cardoso ^{[4
,5
]}

机构：

[1] Fundacao Oswaldo Cruz, Inst Rene Rachou, Nucleo Estudos Saude Publ & Envelhecimento NESPE, Av Augusto de Lima 1-715, BR-30190002 Belo Horizonte, MG, Brazil

[2] Univ Fed Rio Grande do Norte, Escola Saude, Natal, RN, Brazil

[3] Hosp Canc III, Inst Nacl Canc, Rio De Janeiro, RJ, Brazil

[4] Fundacao Oswaldo Cruz, Lab Mosquitos Transmissores Hematozoarios, Inst Oswaldo Cruz, Rio De Janeiro, RJ, Brazil

[5] Fundacao Oswaldo Cruz, Nucleo Operac Sentinela Mosquitos Vetores, Rio De Janeiro, RJ, Brazil

来源：

CIENCIA & SAUDE COLETIVA | 2021年 / 26卷 / 09期

关键词：

Chronic noncommunicable diseases; Surveys; Generalized linear models; Access to health; GLOBAL BURDEN;

D O I：

10.1590/1413-81232021269.02982021

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Chronic non-communicable diseases (NCDs) are the leading causes of death globally, impacting heavily on the most vulnerable populations. This study aimed to analyze changes in the prevalence of these diseases, health conditions, access, and health services in Brazil between 2008 and 2019. Tests of differences and generalized linear models were used as analytical tools, considering complex sampling from the PNAD 2008, PNS 2013, and PNS 2019 surveys, to test temporal changes in the prevalence and the prevalence ratio estimates, adjusted by sociodemographic variables. An increase in the prevalence of Depression, Diabetes, Cancers, Neuropsychiatric Disorders, Chronic Pulmonary problems, and Musculoskeletal problems was observed. A decline in rheumatoid arthritis, chronic renal failure, and diseases of the circulatory system was identified. Among Brazilians with at least one NCD, an increase in coverage by the family health strategy over time was observed. However, there was a reduction in timely medical care and obtaining of free prescription drugs.

引用

页码：3991 / 4006

页数：16

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