| Full text | |
| Author(s): |
Margarida Maria Tenório de Azevedo Lira
[1]
;
Katia Cristina Bassichetto
[2]
;
Samantha Hasegawa Farias
[3]
;
Edige Felipe de Sousa Santos
[4]
;
Marilisa Berti de Azevedo Barros
[5]
Total Authors: 5
|
| Affiliation: | [1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Projeto Temático “Desigualdades Sociais em Saúde nos municípios sedes de duas metrópoles paulistas: mensuração, monitoramento e análises” - Brasil
[2] Santa Casa de São Paulo. Faculdade de Ciências Médicas. Núcleo de Pesquisa em Direitos Humanos e Saúde LGBT+ - Brasil
[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva - Brasil
[4] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia - Brasil
[5] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva - Brasil
Total Affiliations: 5
|
| Document type: | Journal article |
| Source: | Cad. saúde colet.; v. 31, n. 3 2023-11-13. |
| Abstract | |
Abstract Background This study uses mortality data to monitor social inequalities in health. Objective To analyze the trend in premature mortality rates (30 to 69 years) by selected groups of NCDs in areas of social inclusion and exclusion in the city of São Paulo, between 2006 and 2019, and to assess the magnitude of inequalities in the years 2006-2008 and 2017-2019. Method The Exclusion/Inclusion Index was used to delimit areas, Prais-Winsten regression to analyze trends, and rate ratio (RT) to measure inequalities. Results The trends showed declines, with greater social inclusion in males for ischemic heart diseases (IHD), chronic diseases of the lower respiratory tract (DLRT) and diabetes mellitus (DM). There were significant increases in RT in males for IHD (1.62 and 2.17), DCR (1.60 and 3.00) and DM (1.81 and 2.26), while in females there was no increase. Conclusion The decline in rates in areas of social exclusion, the non-expansion of inequality in women and, due to cerebrovascular and hypertensive diseases in men, is probably due to the existence of a universal health system. The expansion of inequality between men requires adequate health services to ensure the integrality of this group. (AU) | |
| FAPESP's process: | 17/23995-9 - Social inequalities in health in two cities of São Paulo State: measurement, monitoring and analysis |
| Grantee: | Marilisa Berti de Azevedo Barros |
| Support Opportunities: | Research Projects - Thematic Grants |
| FAPESP's process: | 20/03013-0 - Social inequalities in health in two cities of São Paulo State: measurement, monitoring and analysis |
| Grantee: | Edige Felipe de Sousa Santos |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |