Discapacidades, condiciones de salud y conductas de riesgo para la salud: ocurrencia y asociaciones, en la Encuesta Nacional de Salud, Brasil, 2019

Barreto, Marina Carvalho Arruda; Oliveira, Bárbara Bruna Rodrigues de; Gomes, Ileana Pitombeira; Vasconcelos, Mayra Solange Lopes de; Tavares, Nayranne Hivina Carvalho; Castro, Shamyr Sulyvan de; Araújo, Larissa Fortunato

Marina Carvalho Arruda Barreto

study concept and design

analyzing and interpreting the results

drafting and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0002-2505-6188

Bárbara Bruna Rodrigues de Oliveira

study concept and design

analyzing and interpreting the results

drafting and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0001-6726-9176

Ileana Pitombeira Gomes

study concept and design

analyzing and interpreting the results

drafting and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0002-3742-200X

Mayra Solange Lopes de Vasconcelos

study concept and design

analyzing and interpreting the results

drafting and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0002-8853-2313

Nayranne Hivina Carvalho Tavares

study concept and design

analyzing and interpreting the results

drafting and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0002-3365-9552

Shamyr Sulyvan de Castro

study concept and design and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0002-2661-7899

Larissa Fortunato Araújo

study concept and design and critically reviewing the contents of the manuscript

All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

http://orcid.org/0000-0001-6695-0365

Correspondence: Marina Carvalho Arruda Barreto | marinacarvalhoab@gmail.com

CONFLICTS OF INTEREST

The authors have no conflicts of interest to declare.

Associate editor:

Thaynã Ramos Flores

Characteristics	% (95%CI^a)
Age (at last birthday)
18-24	14.0 (13.5;14.5)
25-34	18.3 (17.8;18.8)
35-44	20.5 (20.0;20.9)
45-54	18.1 (17.6;18.5)
55-64	15.2 (14.8;15.6)
≥ 65	13.9 (13.3;14.2)
Sex
Male	47.0 (46.4;47.6)
Female	53.0 (52.3;53.5)
Race/skin color
White	43.1 (42.4;43.8)
Mixed race	44.4 (43.7;45.0)
Black	11.5 (11.0;11.8)
Asian	1.0 (0.8;1.1)
Schooling (completed levels of education)
Completed higher education	15.0 (14.3;15.5)
Completed high school education	33.3 (32.6;33.8)
Completed elementary education	17.4 (16.9;17.9)
Incomplete elementary education	34.3 (33.6;34.9)
Income [in minimum wages (MW)]
> 5 MWs	5.0 (4.6;5.4)
> 3-5 MWs	6.2 (5.8;6.5)
> 2-3 MWs	9.0 (8.5;9.2)
>1-2 MWs	27.5 (26.9;28.1)
> ½-1 MW	29.2 (28.6;29.8)
> ¼-½ MW	14.9 (14.4;15.3)
≤ ¼ MW	8.2 (7.9;8.5)
Brazilian macro-region
Southeast	43.1 (42.3;43.9)
South	14.6 (14.1;15.0)
Midwest	7.6 (7.3;7.8)
Northeast	26.7 (26.1;27.2)
North	8.0 (7.7;8.2)
Area of residence
Urban	85.9 (85.5;86.3)
Rural	14.1 (13.6;14.4)
ACS^b visit in the last 12 months
Never	23.3 (22.3;24.1)
Once	11.9 (11.3;12.3)
2-4 times	16.4 (15.7;17.0)
Every 2 months	10.5 (9.9; 11.1)
Monthly	37.9 (36.9;38.9)
Health insurance
No	73.5 (72.6;74.2)
Health conditions and health risk behaviors
Cardiovascular disease	5.0 (4.8;5.3)
Hypertension	24.7 (24.2;25.2)
Diabetes mellitus	8.2 (7.9;8.5)
High cholesterol	15.3 (14.8;15.7)
Alcohol abuse	16.5 (16.1;17.0)
Smoking	12.1 (11.7;12.5)
Impairments
None	90.3 (90.0;90.6)
One	7.6 (7.2;7.8)
Two or more	2.1 (1.9;2.2)
Hearing impairment	1.3 (1.1;1.4)
Visual impairment	4.0 (3.8;4.2)
Physical impairment	5.7 (5.5;6.0)
Mental/intellectual impairment	1.0 (0.8;1.1)

Impairments	Cardiovascular disease	Hypertension	Diabetes mellitus	High cholesterol	Alcohol abuse	Smoking
Impairments	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)
Visual	14.6 (12.8;16.7)	46.0 (43.3;48.7)	21.7 (19.4;24.1)	26.2 (23.9;28.7)	9.7 (8.4;11.2)	17.4 (15.6;19.4)
Hearing	18.5 (14.7;23.0)	54.1 (49.4;58.8)	19.7 (16.0;24.0)	27.1 (22.9;31.6)	9.2 (7.1;12.0)	10.3 (8.1;12.9)
Physical	18.5 (16.8;20.2)	58.4 (56.2;60.6)	25.0 (23.1;27.1)	32.4 (30.2;34.6)	4.5 (3.8;5.2)	13.5 (12.1;15.1)
Mental/intellectual	17.1 (12.8;22.3)	37.4 (31.8;43.3)	16.0 (12.5;20.3)	24.7 (19.8;30.4)	1.7 (0.9;2.9)	7.5 (5.5;10.3)
Multiple disabilities
One	13.7 (12.3;15.1)	48.6 (46.7;50.6)	20.0 (18.4;21.7)	26.9 (25.1;28.8)	8.5 (7.6;9.5)	15.3 (13.9;16.7)
Two or more	21.7 (18.9;24.9)	57.7 (53.7;61.6)	27.1 (23.7;30.7)	32.3 (28.8;36.1)	3.4 (2.5;4.5)	11.8 (9.85;14.21)

Impairments	Cardiovascular disease	Hypertension	Diabetes mellitus	High cholesterol	Alcohol abuse	Smoking
Impairments	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)	% (95%CI^a)
Visual
Model 0^b	3.53 (2.99;4.16)	2.72 (2.43;3.05)	3.34 (2.89;3.86)	2.04 (1.79;2.32)	0.53 (0.45;0.62)	1.56 (1.36;1.78)
Model 1^c	2.16 (1.83;2.55)	1.39 (1.24;1.56)	1.91 (1.63;2.24)	1.37 (1.20;1.56)	0.87 (0.72;1.03)	1.66 (1.45;1.91)
Model 2^d	2.18 (1.84;2.58)	1.32 (1.17;1.49)	1.81 (1.54;2.13)	1.40 (1.22;1.60)	0.93 (0.78;1.13)	1.45 (1.25;1.67)
Model 3^e	2.01 (1.65;2.44)	1.26 (1.10;1.45)	1.71 (1.42;2.06)	1.35 (1.17;1.56)	1.06 (0.84;1.34)	1.52 (1.28;1.81)
Hearing
Model 0^b	4.42 (3.33;5.87)	3.66 (3.01;4.45)	2.79 (2.15;3.62)	2.08 (1.66;2.60)	0.51 (0.38;0.68)	0.82 (0.64;1.07)
Model 1^c	1.97 (1.49;2.61)	1.47 (1.22;1.77)	1.22 (0.93;1.60)	1.21 (0.96;1.53)	0.85 (0.61;1.17)	0.89 (0.68;1.16)
Model 2^d	1.94 (1.46;2.57)	1.42 (1.18;1.70)	1.17 (0.89;1.54)	1.21 (0.95;1.53)	0.89 (0.64;1.15)	0.82 (0.63;1.07)
Model 3^e	1.53 (1.11;2.12)	1.37 (1.11;1.70)	1.14 (0.85;1.53)	1.26 (0.95;1.67)	1.14 (0.79;1.65)	0.94 (0.69;1.29)
Physical (upper and/or lower limbs)
Model 0^b	5.14 (4.52;5.85)	4.81 (4.38;5.27)	4.34 (3.85;4.90)	2.89 (2.58;3.24)	0.22 (0.19;0.26)	1.14 (1.00;1.30)
Model 1^c	2.54 (2.21;2.92)	1.86 (1.68;2.07)	2.00 (1.76;2.28)	1.61 (1.43;1.82)	0.44 (0.37;0.53)	1.25 (1.08;1.44)
Model 2^d	2.51 (2.18;2.90)	1.76 (1.59;1.95)	1.88 (1.65;2.15)	1.63 (1.44;1.83)	0.47 (0.39;0.57)	1.05 (0.91;1.22)
Model 3^e	2.39 (1.99;2.87)	1.78 (1.56;2.03)	1.95 (1.66;2.30)	1.60 (1.39;1.84)	0.48 (0.38;0.60)	1.11 (0.92;1.34)
Mental/intellectual
Model 0^b	3.97 (2.83;5.58)	1.83 (1.43;2.34)	2.15 (1.60;2.89)	1.83 (1.38;2.43)	0.08 (0.04;0.15)	0.59 (0.41;0.83)
Model 1^c	2.46 (1.68;3.59)	1.00 (0.75;1.32)	1.26 (0.93;1.69)	1.42 (1.08;1.87)	0.10 (0.05;0.19)	0.68 (0.48;0.96)
Model 2^d	2.42 (1.65;3.51)	0.93 (0.70;1.23)	1.15 (0.86;1.55)	1.39 (1.05;1.83)	0.11 (0.06;0.20)	0.52 (0.36;0.74)
Model 3^e	2.48 (1.49;4.12)	0.74 (0.51;1.07)	1.22 (0.84;1.75)	1.24 (0.91;1.70)	0.13 (0.06;0.26)	0.45 (0.30;0.67)
Multiple impairment
Model 0^b
One	3.87 (3.38;4.44)	3.37 (3.10;3.66)	3.46 (3.07;3.89)	2.28 (2.05;2.54)	0.43 (0.38;0.49)	1.34 (1.19;1.50)
Two or more	6.78 (5.60;8.20)	4.86 (4.12;5.73)	5.12 (4.25;6.18)	2.97 (2.50;3.52)	0.16 (0.12;0.22)	0.99 (0.80;1.22)
Model 1^c
One	2.28 (1.96;2.64)	1.64 (1.50;1.80)	1.86 (1.63;2.12)	1.44 (1.28;1.60)	0.69 (0.60;0.79)	1.39 (1.24;1.57)
Two or more	3.19 (2.63;3.88)	1.70 (1.45;1.99)	2.24 (1.83;2.72)	1.68 (1.42;2.00)	0.32 (0.23;0.45)	1.19 (0.96;1.49)
Model 2^d
One	2.30 (1.98;2.66)	1.57 (1.43;1.72)	1.78 (1.56;2.02)	1.46 (1.31;1.63)	0.73 (0.63;0.84)	1.21 (1.07;1.37)
Two or more	3.23 (2.65;3.95)	1.58 (1.35;1.86)	2.07 (1.70;2.53)	1.71 (1.43;2.03)	0.35 (0.25;0.49)	0.94 (0.75;1.19)
Model 3^e
One	2.11 (1.76;2.54)	1.54 (1.38;1.72)	1.77 (1.51;2.08)	1.42 (1.24;1.61)	0.79 (0.66;0.95)	1.25 (1.07;1.45)
Two or more	2.89 (2.25;3.72)	1.50 (1.23;1.82)	2.06 (1.64;2.60)	1.65 (1.35;2.01)	0.44 (0.30;0.64)	1.06 (0.81;1.40)

[1] Correspondence: Marina Carvalho Arruda Barreto | marinacarvalhoab@gmail.com

Brasil

Brasil

Discapacidades, condiciones de salud y conductas de riesgo para la salud: ocurrencia y asociaciones, en la Encuesta Nacional de Salud, Brasil, 2019

RESUMEN

Objetivo

Métodos

Resultados

Conclusión