Perceived discrimination in health services and preventive dental attendance in Brazilian adults.
dental care
primary prevention
social discrimination
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
14
01
2020
revised:
24
06
2020
accepted:
06
07
2020
pubmed:
24
7
2020
medline:
27
4
2021
entrez:
24
7
2020
Statut:
ppublish
Résumé
It is evident that discriminatory attitudes affect different dimensions of personal life, including health. This study aimed to verify the association between perceived discrimination in health services and preventive dental attendance in Brazilian adults. This cross-sectional study used secondary data from the 2013 National Health Survey (PNS), a representative survey of the Brazilian population. The response rate was 91.9%, with 60,202 adults agreeing to complete the oral health self-perception questionnaire. Data were analysed using the software STATA 14.0. A descriptive sample analysis was conducted that considered sample weight as well as an association between health discrimination and factors associated with preventive dental attendance through Poisson regression models. Adjusted analysis demonstrated that, regarding the reasons that led to discrimination, lack of money, social class and type of working occupation showed a negative association with preventive dental attendance. Our findings show that discrimination perpetuates health inequities. Those with worse social conditions need more assistance as they struggle with discrimination and end up going for a check-up after the disease is established or advanced. Preventive care, which could change the health condition of the disadvantaged population, is often a reality only for those less vulnerable.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
533-539Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Stepanikova I, Oates GR. Perceived discrimination and privilege in health care: the role of socioeconomic status and race. Am J Prev Med. 2017;52(1):S86-S94.
Dovidio JF, Hewstone M, Glick P, Esses VM. The SAGE Handbook of Prejudice, Stereotyping and Discrimination. London, UK: SAGE; 2010.
Harris RB, Stanley J, Cormack DM. Racism and health in New Zealand: prevalence over time and associations between recent experience of racism and health and wellbeing measures using national survey data. Cabieses B, ed. PLOS ONE. 2018;13(5):e0196476.
Europäische Union, ed. Inequalities and Multiple Discrimination in Access to and Quality of Healthcare. Luxembourg: Publ. Off. of the European Union; 2013.
Major B, O’Brien LT. The social psychology of stigma. Annu Rev Psychol. 2005;56(1):393-421.
da Fonseca EP, Frias AC, Mialhe FL, Pereira AC, de Meneghim MC. Factors associated with last dental visit or not to visit the dentist by Brazilian adolescents: a population-based study. Milgrom PM, ed. PLOS ONE. 2017;12(8):e0183310.
Herkrath FJ, Vettore MV, Werneck GL. Contextual and individual factors associated with dental services utilisation by Brazilian adults: a multilevel analysis. Milgrom PM, ed. PLOS ONE. 2018;13(2):e0192771.
Peres MA, Iser BPM, Boing AF, et al. Desigualdades no acesso e na utilização de serviços odontológicos no Brasil: análise do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL 2009). Cad Saude Publica. 2012;28:s90-s100.
Jang Y, Yoon H, Park NS, Chiriboga DA, Kim MT. Dental care utilization and unmet dental needs in older Korean Americans. J Aging Health. 2014;26(6):1047-1059.
Brasil M da S. Pesquisa Nacional de Saúde (PNS). 2016. http://www.saude.gov.br/vigilancia-em-saude/indicadores-de-saude/pesquisa-nacional-de-saude-pns. Accessed May 12, 2019
de Souza-Júnior PRB, de Freitas MPS, Antonaci GA, Szwarcwald CL. Desenho da amostra da Pesquisa Nacional de Saúde 2013. Epidemiologia e Serviços de Saúde. 2015;24(2):207-216.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1.
Instituto Brasileiro de Geografia e Estatística. Síntese de Indicadores Sociais: Uma análise das condições de vida da população brasileira. Rio de Janeiro, Brazil: IBGE; 2013.
Boccolini CS, Boccolini PMM, Damacena GN, Ferreira APS, Szwarcwald CL. Fatores associados à discriminação percebida nos serviços de saúde do Brasil: resultados da Pesquisa Nacional de Saúde, 2013. Ciência Saúde Coletiva. 2016;21(2):371-378.
Chisini LA, Noronha TG, Ramos EC, et al. Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study. Clin Oral Investig. 2019;23(3):1023-1030.
Diez-Roux AV. Multilevel analysis in public health research. Annu Rev Public Health. 2000;21(1):171-192.
Carrapato P, Correia P, Garcia B. Determinante da saúde no Brasil: a procura da equidade na saúde. Saude e Soc. 2017;26(3):676-689.
Martins JS, Abreu SCC, Quevedo MP, Bourget MMM. Estudo comparativo entre Unidades de Saúde com e sem Estratégia Saúde da Família por meio do PCATool. Rev Bras Med Fam Comunidade. 2017;11(38):1-13.
Krieger N. Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv. 1999;29(2):295-352.
Leal MC, da Gama SGN, da Cunha CB. Desigualdades raciais, sociodemográficas e na assistência ao pré-natal e ao parto, 1999-2001. Revista de Saúde Pública. 2005;39(1):100-107.
Bastos JL, Garcia LP. Discriminação nos serviços de saúde. Epidemiol Serv Saude. 2015;24(3):352-351.
Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26(1):224-227.
Camargo MBJ, Dumith SC, Barros AJD. USO regular de serviços odontológicos entre adultos: padrões de utilização e tipos de serviços. Cad Saude Publica. 2009;25(9):1894-1906.
Barros AJD, Bertoldi AD. Desigualdades na utilização e no acesso a serviços odontológicos: uma avaliação em nível nacional. Cien Saude Colet. 2002;7(4):709-717.
Weech-Maldonado R, Hall A, Bryant T, Jenkins KA, Elliott MN. The relationship between perceived discrimination and patient experiences with health care. Med Care. 2012;50:S62-S68.
Watson JM, Scarinci IC, Klesges RC, Slawson D, Beech BM. Race, socioeconomic status, and perceived discrimination among healthy women. J Womens Health Gend. Based Med. 2002;11(5):441-451.
Gouveia GC, de Souza WV, Luna CF, de Souza-Júnior PRB, Szwarcwald CL. Health care users’ satisfaction in Brazil, 2003. Cad Saude Publica. 2005;21(suppl 1):S109-S118.
Hatch SL, Gazard B, Williams DR, et al. Discrimination and common mental disorder among migrant and ethnic groups: findings from a South East London Community sample. Soc Psychiatry Psychiatr Epidemiol. 2016;51:689-701.
Gazard B, Chui Z, Harber-Aschan L, et al. Barrier or stressor? The role of discrimination experiences in health service use. BMC Public Health. 2018;18:1-14.
Kawate NOA, Meyer IH. The myth of meritocracy and African American health. Am J Public Health. 2010;100:1831-1834.
Fuller-Rowell TE, Evans GW, Ong AD. Poverty and health: the mediating role of perceived discrimination. Psychol Sci. 2012;23:734-739.
Shavers VL, Fagan P, Jones D, et al. The state of research on racial/ethnic discrimination in the receipt of health care. Am J Public Health. 2012;102(5):953-966.
D’Anna LH, Hansen M, Mull B, Canjura C, Lee E, Sumstine S. Social discrimination and health care: a multidimensional framework of experiences among a low-income multiethnic sample. Soc Work Public Health. 2018;33(3):187-201.
Amrhein V, Greenland S, McShane B. Retire statistical significance. Nature. 2019;567:305-307.
Hurlbert SH, Levine RA, Utts J. Coup de Grâce for a Tough Old Bull: “Statistically Significant” expires. Am Stat. 2019;73(1):352-357.
Gilbert GH, Rose JS, Shelton BJ. A prospective study of the validity of data on self-reported dental visits. Community Dent Oral Epidemiol. 2002;30(5):352-362.
Soares CLM. Constructing public oral health policies in Brazil: issues for reflection. Braz Oral Res. 2012;26(spe1):94-102.
Wilkinson R, Weltgesundheits Organisation, eds. The Solid Facts: Social Determinants of Health. 2nd ed. Copenhagenm, Denmark: WHO Regional Office for Europe; 2003.
van Ryn M, Burgess D, Malat J, Griffin J. Physicians’ perceptions of patients’ social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. Am J Public Health. 2006;96(2):351-357.