Prevalência e fatores associados à discriminação racial percebida nos serviços de saúde do Brasil

Dantas, Marianny Nayara Paiva; Aiquoc, Kezauyn Miranda; Santos, Emelynne Gabrielly de Oliveira; Silva, Mercês de Fátima dos Santos; Souza, Dyego Leandro Bezerra de; Medeiros, Nayre Beatriz Martiniano de; Barbosa, Isabelle Ribeiro

doi:10.5020/18061230.2019.9764

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…The adequacy of the model adopted in the multiple analysis was verified using the Likelihood Ratio test and the quality of the model's fit was tested using the Deviance test. Furthermore, the Pseudo-R 2 Nagelkerke was used in order to obtain the explanatory power of the final model. After regression, in the final adjusted model, the magnitude of association between variables was estimated using the odds ratio (OR) and the α significance level considered was 5%.…”

Section: Methodsmentioning

confidence: 99%

“…In the field of public health, there is a clear situation of exclusion and marginality experienced by black and brown people [1][2][3][4][5] . In this context, the remnants of quilombola communities 1,3,4 are included, defined as ethnic-racial groups, holders of black ancestry associated with resistance resulting from historical oppression6.…”

Section: Introductionmentioning

confidence: 99%

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Self-perception of oral health and associated factors in quilombola older people: a population-based study

Miranda

Oliveira

Fagundes

et al. 2023

Rev. bras. geriatr. gerontol.

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Objective to investigate self-perception of oral conditions and associated factors in rural quilombola older people in northern Minas Gerais, Brazil. Method This is an analytical and cross-sectional population-based study, in which cluster sampling with probability proportional to size (n=406) was used. Data collection involved conducting interviews and clinical dental examinations. Self-perception of oral conditions was assessed using the GOHAI (Geriatric Oral Health Determination Index). Results Most older people self-perceived oral health as excellent (46.3%) or regular (30.2%). Those surveyed also revealed precarious oral health and restricted access to dental services. In the multiple analysis, significant associations (p˂0.05) were found between regular GOHAI and variables related to the location of the last consultation and use of prosthesis, as well as between poor GOHAI and variables related to marital status, religion, reason for last consultation, CPO-D index and use of prosthesis. Conclusion A significant portion of the quilombola older people showed a more positive self-assessment of oral health, which differs from the professionally verified dental condition. It was also found that the report of poor perception of oral conditions was strongly associated with poorer oral health among those investigated.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-perception of oral health and associated factors in quilombola older people: a population-based study

Miranda

Oliveira

Fagundes

et al. 2023

Rev. bras. geriatr. gerontol.

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“…As early as the rst months of 2020, analyses showed a higher risk of hospitalization and mortality among the Black population in the United States [5,6] and also in Brazil7. In addition to socioeconomic disparities, possible explanations for this association require an understanding of how racism poses di culties in implementing social distancing and the presence of pre-existing chronic noncommunicable diseases, in addition to di culties experienced by Black and Indigenous populations in accessing quality health care or receiving appropriate treatment in health care facilities [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Obesity Modifies the Association of Race/Skin Color and COVID-19 Mortality: Analysis of a Retrospective Cohort From Southern Brazil

Silva

Santos

Colucci

et al. 2023

Preprint

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Background COVID-19 and obesity are two concurrent, interrelated pandemics that share similarities in their social causes, including racism. It is essential to understand how their characteristics are interrelated and the possible role of obesity in the association between race/skin color and COVID-19 mortality. Thus, we investigated the relationship between race/skin color and COVID-19 mortality and the modifying effect of obesity on this relationship. Methods It is a retrospective cohort study. We analyzed data from 113,737 adults aged ≥ 19 years hospitalized for COVID-19 in Rio Grande do Sul, Brazil, from March 2020 to December 2021. The study outcome was in-hospital COVID-19 mortality. Exposures included race/skin color, analyzed as White, Brown, and Black and as White and Black (Brown + Black), and obesity. Logistic regression models were used to estimate associations adjusted for age, comorbidities, and health care. Results The cumulative incidence of COVID-19 mortality was 33.46% (95% CI 33.18–33.74). Compared with White individuals, Brown and Black individuals were 39% (95% CI 1.28–1.52) and 30% (95% CI 1.20–1.41) more likely to die from COVID-19, respectively. Brown women with obesity had the greatest likelihood of COVID-19 mortality (1.64 [95% CI 1.27–2.13]) compared with all other groups. Conclusions Brown and Black individuals were more likely to die from COVID-19 than White individuals. Obesity was an effect modifier of the association between race/skin color and COVID-19 mortality, increasing the risk of mortality in the group of Brown women, after adjustments.

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Obesity modifies the association of race and COVID-19 mortality: analysis of a retrospective cohort from Brazil

da Silva,

dos Santos,

Colucci

et al. 2024

Sci Rep

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COVID-19 and obesity are two concurrent, interrelated pandemics that share similarities in their social causes, including racism. It is essential to understand how their characteristics are interrelated and the possible role of obesity in the association between race and COVID-19 mortality. We investigated the relationship between race and COVID-19 mortality and the modifying effect of obesity on this relationship. It is a retrospective cohort study. We analyzed data from 113,737 adults aged ≥ 19 years hospitalized for COVID-19 in Rio Grande do Sul, Brazil. The study outcome was in-hospital COVID-19 mortality. Exposures included race, analyzed as white, Brown, and Black individuals and as white vs. Brown and Black individuals, and obesity. The cumulative incidence of COVID-19 mortality was 33.46% (95% CI 33.18–33.74). Compared with white individuals, Brown individuals had a 39% higher likelihood of death from COVID-19 (95% CI 1.28–1.52), while Black individuals had a 30% higher likelihood (95% CI 1.20–1.41). Brown women with obesity had the greatest likelihood of COVID-19 mortality (1.64 [95% CI 1.27–2.13]) compared with all other groups. Obesity was an effect modifier of the association between race and COVID-19 mortality, increasing the likelihood of mortality in the group of Brown women.

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Prevalência e fatores associados à discriminação racial percebida nos serviços de saúde do Brasil

Abstract: Este artigo está publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado.

Cited by 5 publications

References 20 publications

Self-perception of oral health and associated factors in quilombola older people: a population-based study

Self-perception of oral health and associated factors in quilombola older people: a population-based study

Obesity Modifies the Association of Race/Skin Color and COVID-19 Mortality: Analysis of a Retrospective Cohort From Southern Brazil

Obesity modifies the association of race and COVID-19 mortality: analysis of a retrospective cohort from Brazil

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