Health inequalities in Brazilian adolescents: Measuring and mapping gaps in a cross-sectional school-based survey.

Autor: Wendt A; Graduate Program in Health Technology Pontifícia Universidade Católica do Paraná, Graduate Curitiba Brazil., Machado AKF; Postgraduate Program in Epidemiology Federal University of Pelotas Pelotas Brazil., Costa CS; Postgraduate Program in Epidemiology Federal University of Pelotas Pelotas Brazil., Rachadel D; Graduate Program in Health Technology Pontifícia Universidade Católica do Paraná, Graduate Curitiba Brazil., Crochemore-Silva I; Postgraduate Program in Epidemiology Federal University of Pelotas Pelotas Brazil.; Postgraduate Program in Physical Education Federal University of Pelotas Pelotas Brazil., Brazo-Sayavera J; Department of Sports and Computer Science Universidad Pablo de Olavide Seville Spain., Hembecker PK; Graduate Program in Health Technology Pontifícia Universidade Católica do Paraná, Graduate Curitiba Brazil., Ricardo LIC; Medical Research Council Epidemiology Unit University of Cambridge Cambridge UK.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2023 Dec 15; Vol. 6 (12), pp. e1761. Date of Electronic Publication: 2023 Dec 15 (Print Publication: 2023).
DOI: 10.1002/hsr2.1761
Abstrakt: Background and Aims: This study aims to describe inequalities in health indicators according to gender, area of residence, and socioeconomic position among Brazilian adolescents.
Methods: Cross-sectional study using data from a school-based survey carried out in Brazil in 2019. Twelve health outcomes were evaluated. Dimensions of inequality assessed were gender, area of residence, wealth and subnational region.
Results: This study comprises a sample of 124,898 adolescents. The most prevalent outcome was physical inactivity (71.9%) followed by thinking life is worthless (52.6%) and bullying (51.8%). Gender inequalities were more marked for physical inactivity and thinking life is worthless with girls presenting a prevalence more than 20 p.p. higher than boys. In zero-dose HPV, however, the prevalence in girls was 17.7 p.p. lower than in boys. Area of residence and wealth inequalities were smaller than gender disparities. Context presented a relevant role in inequality with analysis stratified by states of the country, revealing high variability in estimates.
Conclusions: We highlight the need for attention to disparities between subgroups of the adolescent population, especially for gender inequalities that were the most marked for this age group.
Competing Interests: The authors declare no conflict of interest.
(© 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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