11/10/2017 - 13:35 - 14:15
Apresentações |
17706 - INEQUALITIES IN SOCIOECONOMIC STATUS AND RACE AND THE ODDS OF UNDERGOING A MAMMOGRAM IN BRAZIL
ENIRTES CAETANO PRATES MELO - FUNDAÇAO OSWALDO CRUZ, EVANGELINA XAVIER GOUVEIA DE OLIVEIRA - FUNDAÇAO OSWALDO CRUZ, DÓRA CHOR - FUNDAÇAO OSWALDO CRUZ, MARILIA SÁ CARVALHO - FUNDAÇAO OSWALDO CRUZ, REJANE SOBRINO PINHEIRO - UFRJ
Background: Access to mammograms, in common with other diagnostic procedures, is strongly conditioned by socioeconomic disparities. Which aspects of inequality affect the odds of undergoing a mammogram, and whether they are the same in different localities, are relevant issues related to the success of health policies.
Methods: This study analyzed data from the 2008 PNAD (11.607 million women 40 years of age or older), on having had at least one mammogram over life for women in each of Brazil's nine Metropolitan Regions (MR). The effects of income, schooling, health insurance and race in the different regions were investigated using multivariate logistical regression for each region individually, and for all MRs combined.
Results: Having a higher income increases four to seven times a woman's odds of having had at least one mammogram in all MRs except Curitiba. For schooling, the gradient, though less steep, is favorable to women with more years of study. Having health insurance increases two to three times the odds in all MRs. Multivariate analysis did not show differences due to race (except for the Fortaleza MR), but the stratified analysis by income and schooling shows effects of race in most MRs, with greater differences for women with higher socioeconomic status.
Conclusions: This study confirms that income and schooling, as well as having health insurance, are still important determinants of inequality in health service use in Brazil. Additionally, race also contributes to the odds of having had a mammogram.
|
CERTIFICADOS DISPONÍVEIS!
