Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil

Antônio Carlos Vieira Ramos; Luana Seles Alves; Thaís Zamboni Berra; Marcela Paschoal Popolin; Marcos Augusto Moraes Arcoverde; Laura Terenciani Campoy; José Francisco Martoreli; Luís Velez Lapão; Pedro Fredemir Palha; Ricardo Alexandre Arcêncio

doi:10.26633/RPSP.2018.166

Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil

Translated title of the contribution: Family Health Strategy, private health care, and inequalities in access to mammography in BrazilEstrategia de Salud Familiar, salud suplementaria y desigualdad en el acceso a la mamografía en Brasil

Antônio Carlos Vieira Ramos, Luana Seles Alves, Thaís Zamboni Berra, Marcela Paschoal Popolin, Marcos Augusto Moraes Arcoverde, Laura Terenciani Campoy, José Francisco Martoreli, Luís Velez Lapão, Pedro Fredemir Palha, Ricardo Alexandre Arcêncio

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

Objective: To evaluate the association between access to mammography and coverage by private health insurance or by the public healthcare system through the Family Health Strategy (FHS).

Method: An ecological study was performed with data obtained from the Unified Health System Data Processing Department (DATASUS). Time trends were analyzed using the Prais-Winsten method, having the Brazilian federal units as units of analysis. Multiple linear regression was used to investigate the relationship between the dependent variable - women aged 50 to 69 years who never had a mammogram - and the independent variables (coverage by the FHS or private health care and socioeconomic aspects).

Results: Acre was the only Brazilian state for which an increasing growth trend in private health care was not observed. Roraima, Tocantins, Maranhão, Piauí, Rio Grande do Norte, and Paraíba showed a stable trend for FHS coverage, whereas all other federal units had increasing coverage. A significant association was observed between never having had a mammogram at 50 to 69 years of age and the variables mean per capita income and FHS and private health care coverage (R2 = 0.77; P < 0.001).

Conclusion: Unequal access to mammography is a reality in Brazil. Both private health care and the FHS have contributed to improve health care accessibility for Brazilian women.

Translated title of the contribution	Family Health Strategy, private health care, and inequalities in access to mammography in BrazilEstrategia de Salud Familiar, salud suplementaria y desigualdad en el acceso a la mamografía en Brasil
Original language	Portuguese
Article number	e166
Journal	Revista Panamericana De Salud Publica-Pan American Journal Of Public Health
Volume	42
DOIs	https://doi.org/10.26633/RPSP.2018.166
Publication status	Published - 2018

Keywords

Family health strategy
Primary health care
Health status disparities
Mammography
Supplemental health
Brazil

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.26633/RPSP.2018.166

Cite this

Ramos, A. C. V., Alves, L. S., Berra, T. Z., Popolin, M. P., Arcoverde, M. A. M., Campoy, L. T., Martoreli, J. F., Lapão, L. V., Palha, P. F., & Arcêncio, R. A. (2018). Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil. Revista Panamericana De Salud Publica-Pan American Journal Of Public Health, 42, Article e166. https://doi.org/10.26633/RPSP.2018.166

@article{faac3f89f4cb48d69906df7304723cb4,

title = "Estrat{\'e}gia Sa{\'u}de da Fam{\'i}lia, sa{\'u}de suplementar e desigualdade no acesso {\`a} mamografia no Brasil",

abstract = "Objective: To evaluate the association between access to mammography and coverage by private health insurance or by the public healthcare system through the Family Health Strategy (FHS).Method: An ecological study was performed with data obtained from the Unified Health System Data Processing Department (DATASUS). Time trends were analyzed using the Prais-Winsten method, having the Brazilian federal units as units of analysis. Multiple linear regression was used to investigate the relationship between the dependent variable - women aged 50 to 69 years who never had a mammogram - and the independent variables (coverage by the FHS or private health care and socioeconomic aspects).Results: Acre was the only Brazilian state for which an increasing growth trend in private health care was not observed. Roraima, Tocantins, Maranh{\~a}o, Piau{\'i}, Rio Grande do Norte, and Para{\'i}ba showed a stable trend for FHS coverage, whereas all other federal units had increasing coverage. A significant association was observed between never having had a mammogram at 50 to 69 years of age and the variables mean per capita income and FHS and private health care coverage (R2 = 0.77; P < 0.001).Conclusion: Unequal access to mammography is a reality in Brazil. Both private health care and the FHS have contributed to improve health care accessibility for Brazilian women.",

keywords = "Family health strategy, Primary health care, Health status disparities, Mammography, Supplemental health, Brazil",

author = "Ramos, {Ant{\^o}nio Carlos Vieira} and Alves, {Luana Seles} and Berra, {Tha{\'i}s Zamboni} and Popolin, {Marcela Paschoal} and Arcoverde, {Marcos Augusto Moraes} and Campoy, {Laura Terenciani} and Martoreli, {Jos{\'e} Francisco} and Lap{\~a}o, {Lu{\'i}s Velez} and Palha, {Pedro Fredemir} and Arc{\^e}ncio, {Ricardo Alexandre}",

year = "2018",

doi = "10.26633/RPSP.2018.166",

language = "Portuguese",

volume = "42",

journal = "Revista Panamericana De Salud Publica-Pan American Journal Of Public Health",

issn = "1020-4989",

publisher = "Organizaci�n Panamericana de la Salud",

}

TY - JOUR

T1 - Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil

AU - Ramos, Antônio Carlos Vieira

AU - Alves, Luana Seles

AU - Berra, Thaís Zamboni

AU - Popolin, Marcela Paschoal

AU - Arcoverde, Marcos Augusto Moraes

AU - Campoy, Laura Terenciani

AU - Martoreli, José Francisco

AU - Lapão, Luís Velez

AU - Palha, Pedro Fredemir

AU - Arcêncio, Ricardo Alexandre

PY - 2018

Y1 - 2018

N2 - Objective: To evaluate the association between access to mammography and coverage by private health insurance or by the public healthcare system through the Family Health Strategy (FHS).Method: An ecological study was performed with data obtained from the Unified Health System Data Processing Department (DATASUS). Time trends were analyzed using the Prais-Winsten method, having the Brazilian federal units as units of analysis. Multiple linear regression was used to investigate the relationship between the dependent variable - women aged 50 to 69 years who never had a mammogram - and the independent variables (coverage by the FHS or private health care and socioeconomic aspects).Results: Acre was the only Brazilian state for which an increasing growth trend in private health care was not observed. Roraima, Tocantins, Maranhão, Piauí, Rio Grande do Norte, and Paraíba showed a stable trend for FHS coverage, whereas all other federal units had increasing coverage. A significant association was observed between never having had a mammogram at 50 to 69 years of age and the variables mean per capita income and FHS and private health care coverage (R2 = 0.77; P < 0.001).Conclusion: Unequal access to mammography is a reality in Brazil. Both private health care and the FHS have contributed to improve health care accessibility for Brazilian women.

AB - Objective: To evaluate the association between access to mammography and coverage by private health insurance or by the public healthcare system through the Family Health Strategy (FHS).Method: An ecological study was performed with data obtained from the Unified Health System Data Processing Department (DATASUS). Time trends were analyzed using the Prais-Winsten method, having the Brazilian federal units as units of analysis. Multiple linear regression was used to investigate the relationship between the dependent variable - women aged 50 to 69 years who never had a mammogram - and the independent variables (coverage by the FHS or private health care and socioeconomic aspects).Results: Acre was the only Brazilian state for which an increasing growth trend in private health care was not observed. Roraima, Tocantins, Maranhão, Piauí, Rio Grande do Norte, and Paraíba showed a stable trend for FHS coverage, whereas all other federal units had increasing coverage. A significant association was observed between never having had a mammogram at 50 to 69 years of age and the variables mean per capita income and FHS and private health care coverage (R2 = 0.77; P < 0.001).Conclusion: Unequal access to mammography is a reality in Brazil. Both private health care and the FHS have contributed to improve health care accessibility for Brazilian women.

KW - Family health strategy

KW - Primary health care

KW - Health status disparities

KW - Mammography

KW - Supplemental health

KW - Brazil

UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398316/

U2 - 10.26633/RPSP.2018.166

DO - 10.26633/RPSP.2018.166

M3 - Article

C2 - 31093194

SN - 1020-4989

VL - 42

JO - Revista Panamericana De Salud Publica-Pan American Journal Of Public Health

JF - Revista Panamericana De Salud Publica-Pan American Journal Of Public Health

M1 - e166

ER -

Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this