Published in:
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.