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Published in: Journal of Public Health 5/2024

11-03-2023 | Acupuncture | Original Article

Inequalities in access to integrative and complementary health practices in Brazil: National Health Survey, 2019

Authors: Karla Pereira Machado, Vanessa Radin, Cristina Santos Paludo, Dienefer Venske Bierhals, Mariane Pergher Soares, Rosália Garcia Neves, Mirelle Oliveira Saes

Published in: Journal of Public Health | Issue 5/2024

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Abstract

Aim

Integrative and complementary practices (PICs) can be important health care strategies, mainly because they consider the integrality of the person. The objective of this article was to verify the inequality in the access to PICs of the Brazilian population based on data from the National Health Survey (PNS).

Subject and methods

This is a population-based cross-sectional study, with data from the 2019 PNS. The use of PICs in the past 12 months was investigated. Adjusted analysis was performed using Poisson regression and the Slope Index of Inequality (SII) and the Concentration Index (CIX) were used to assess absolute and relative inequality.

Results

The prevalence of PIC use in Brazil was 5.4% (95%CI 5.3; 5.5). Individuals from the richest quintile, with higher education and with health insurance were more likely to use PICs in general, except for medicinal plants/herbal medicine. When observing the magnitude of inequalities, this was more positively accentuated in those with higher education and who had a private health plan.

Conclusion

The results reveal social inequalities in the access to integrative practices, where the most elitist are more accessed by people with better socioeconomic conditions.
Literature
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Metadata
Title
Inequalities in access to integrative and complementary health practices in Brazil: National Health Survey, 2019
Authors
Karla Pereira Machado
Vanessa Radin
Cristina Santos Paludo
Dienefer Venske Bierhals
Mariane Pergher Soares
Rosália Garcia Neves
Mirelle Oliveira Saes
Publication date
11-03-2023
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 5/2024
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-023-01869-6

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