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 journalArticle

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 contributionFamily 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 languagePortuguese
Article numbere166
JournalRevista Panamericana De Salud Publica-Pan American Journal Of Public Health
Volume42
DOIs
Publication statusPublished - 2018

Keywords

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

UN Sustainable Development Goals (SDGs)

  • SDG 3 - Good Health and Well-Being

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