Trends in risk and protective factors for non-communicable diseases in the population with health insurance in Brazil from 2008 to 2015.

Deborah Carvalho Malta,Katia Audi Curci,Eduardo Vieira Neto,Renata Fernandes Cachapuz,Raquel Medeiros Lisbôa,Regina Tomie Ivata Bernal,Maria Tereza De Marsillac Pasinato,Karla Santa Cruz Coelho

doi:10.1590/1980-549720180020.supl.1

Deborah Carvalho Malta, Katia Audi Curci + Show 6 more

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https://doi.org/10.1590/1980-549720180020.supl.1

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Abstract

To analyze trends in risk and protective factors for non-communicable diseases (NCD) and access to preventive tests in the population with health insurance in Brazilian state capitals between 2008 and 2015. This is a cross-sectional study that analyzed data collected from the Surveillance of Risk and Protective Factors for non-communicable diseases (NCD) Telephone Survey (Sistema Nacional de Vigilância de Doenças Crônicas por Inquérito Telefônico - Vigitel) on adults aged 18 years and older. We analyzed trends in NCD indicators among health insurance users in approximately 30 thousand interviews done between 2008 and 2015. We used the simple linear regression model to calculate the trends. Health insurance users showed an increase in the prevalence of protective factors such as fruit and vegetable consumption, and physical activity in leisure time. Also, there was a decrease in risk factors such as smoking and soft drink consumption, increase in mammography coverage, and a drop in smoking prevalence. However, overweight, obesity, and diabetes increased. There are differences according to gender, and, in general, women accumulate more protective factors and men, more risk factors.

Highlights

The World Health Organization (WHO) estimates that non-communicable diseases (NCD) are responsible for about 38 million deaths annually, with 16 million of them corresponding to premature deaths, before 70 years of age, making NCD the largest health problem in the world[1]
They have a lower prevalence of risk factors[8] and are less affected by disabilities caused by NCD, which illustrates the inequalities in health[6]
Consumption of beans remained stable among the population with health insurance (Table 1)

Summary

Introduction

The World Health Organization (WHO) estimates that non-communicable diseases (NCD) are responsible for about 38 million deaths annually, with 16 million of them corresponding to premature deaths, before 70 years of age, making NCD the largest health problem in the world[1]. According to the Global Burden of Disease study, NCD represent approximately 75% of mortality in Brazil in 20154. Recent data from the National Health Survey (NHS) in Brazil indicated that people with higher schooling and health insurance have more access to health services and medical appointments[6,7]. They have a lower prevalence of risk factors[8] and are less affected by disabilities caused by NCD, which illustrates the inequalities in health[6]

Results

Discussion

Conclusion