The power of the Primary Health Care in ensuring the equity among vulnerable population in mental suffering in Brazil
Mental Health. Primary Health Care. Evaluation in Health. Social Determinants of Health. Equity in Health.
The impact of Primary Health Care on the equity of vulnerable populations in mental suffering in brazilian capitals was anallyzed. Through cross-sectional study, the outcome was the provision of care to the psychological distress obtained from the 4957 primary care staffs, which joined the 3rd program cycle of the program to access and quality improvement of primary care (PMAQ-AB) between 2015 and 2019, with a population of 4199 (84.7%) nurses, 726 (1.6%) doctors and 32 (0.1%) other higher level healthcare professionals. The dependent variables were obtained from the database of PMAQ-AB and independent variables were obtained from the atlas of Human Development in Brazil. The Qui-square test of Pearson, multiple Poisson regression and Prevalence Ratio (PR) with 95% confidence interval (CI) were applied. Main associations were observed between: per capita income less than 1 minimum wage (PR: 7.96 [95% CI: 5.65; 11.04]) and consultations for crack, alcohol and other drugs users; vacancy rates (pop. 18 years or older) higher than 11% (PR: 2.26 [95% CI: 1.56; 3.27]) and records of chronic psychotropic drugs user; proportion of poor ones ≥10% (PR: 2.54 [95% CI: 1.60; 4.05]) and referral of greater risk and severity of users in psychological distress; high income inequality (PR: 8.64 [95% CI: 5.59; 12.68]) and life history record; and high MHDI (PR: 2.52 [95% CI: 1.87; 3.41]) and assistance with professional of matrix support. Associations with illiteracy rate (pop. 15 or more) less than 6.5% were negative. It became evidente the integration of mental health for equity in the point of primary care of the Psychosocial Care Network of the Unified Health System