Banca de DEFESA: MARIANNY NAYARA PAIVA DANTAS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : MARIANNY NAYARA PAIVA DANTAS
DATA : 12/04/2019
HORA: 09:00
LOCAL: DEPARTAMENTO DE ODONTOLOGIA
TÍTULO:

INIQUITY IN BRAZILIAN HEALTH SERVICES: AN ANALYSIS OF RACIAL DISCRIMINATION AND ACCESS FROM THE NATIONAL HEALTH RESEARCH, 2013.

PALAVRAS-CHAVES:

Racism; Discrimination by race/color; Difficulty of access to health services; Disparities in health care; Health care providers; Health services; Socioeconomic factors; Black population.

PÁGINAS: 71
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

The black population is identified in several studies as vulnerable because it is disadvantaged in socioeconomic aspects, morbidity and mortality profile and access to health services. The incapacity of the institutions, structures and organizations of society to attend this population in an equitable way can be evidenced both in the difficulty of access to health services and through the practice of racial discrimination perpetrated by health care providers. This study aims to analyze the difficulty of access and discrimination by race/color in Brazilian health services, considering the data from the “Pesquisa Nacional de Saúde” (PNS), 2013. It is a cross-sectional study based on the PNS data, 2013, with 60.202 people over 18 years. Questionnaires were used in the survey on obtaining care, not seeking health services and on discrimination by health care providers. We analyze the prevalence of difficulty of access and discrimination by race/color practiced by health care providers in relation to the socioeconomic characteristics and health conditions of the studied population; bivariate analysis with attainment of Prevalence Ratios (PR), Confidence Intervals of 95% (95% CI) and p values (p <0,05); and multivariate model using the Poisson regression, with Wald test for robust estimation, for significant variables in the bivariate analysis (p value <0,2). The difficulty of access was found for 18,11% (CI 95% 16,88-19,41) of the individuals and associated with black skin color, residing in the central-west region, in the rural area, being smoker, self-evaluation bad/very bad health and have no private health insurance. The prevalence of race/color discrimination practiced health care providers was 1,45% (95% CI 1,29-1,62) and was associated with being black, being between 25-39 years old, being a smoker, possessing four morbidities, having poor/very poor health self-evaluation, being a public health service user and residing in the urban area of the country. We found that racial discrimination and the difficulty of access to Brazilian health services reach the majority of the black population. We observe the legitimacy of institutional racism through the Brazilian health services, highlighting SUS, which proposes universal, inclusive and integral. We reinforce the need to strengthen health policies with a view to transforming this panorama.

MEMBROS DA BANCA:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Externa ao Programa - 2612129 - MERCES DE FATIMA DOS SANTOS SILVA
Externa à Instituição - ANA CLAUDIA RODRIGUES DA SILVA