We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Estratégia Saúde da Família, saúde suplementar e desigualdade no acesso à mamografia no Brasil.
- Authors
Vieira Ramos, Antônio Carlos; Seles Alves, Luana; Zamboni Berra, Thaís; Paschoal Popolin, Marcela; Moraes Arcoverde, Marcos Augusto; Terenciani Campoy, Laura; Martoreli Júnior, José Francisco; Velez Lapão, Luís; Palha, Pedro Fredemir; Arcêncio, Ricardo Alexandre
- 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.
- Subjects
BRAZIL; MAMMOGRAMS; ECOLOGICAL research; FAMILY health; HEALTH services accessibility; HEALTH status indicators; PROPRIETARY hospitals; INCOME; HEALTH insurance; PUBLIC hospitals; WOMEN'S health services; MULTIPLE regression analysis; SOCIOECONOMIC factors
- Publication
Pan American Journal of Public Health / Revista Panamericana de Salud Pública, 2018, Vol 42, p1
- ISSN
1020-4989
- Publication type
Article
- DOI
10.26633/RPSP.2018.166