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. 2022 Aug 8;31(spe1):e2021382.
doi: 10.1590/SS2237-9622202200011.especial. eCollection 2022.

Indicators of the line of care for people with diabetes in Brazil: National Health Survey 2013 and 2019

[Article in English, Portuguese]
Deborah Carvalho Malta  1 , Edmar Geraldo Ribeiro  1 , Crizian Saar Gomes  2 , Francielle Thalita Almeida Alves  1 , Sheila Rizzato Stopa  3 , Luciana Monteiro Vasconcelos Sardinha  3 , Cimar Azeredo Pereira  4 , Bruce Bartholow Duncan  5 , Maria Inês Schimidt  5
Affiliations

Indicators of the line of care for people with diabetes in Brazil: National Health Survey 2013 and 2019

[Article in English, Portuguese]
Deborah Carvalho Malta et al. Epidemiol Serv Saude. .

Abstract
in English, Portuguese, Spanish

Objective: To compare health care indicators for adults with medical diagnosis of diabetes mellitus (DM) in Brazil, in 2013 and 2019, and analyze the indicators for 2019 according to sociodemographic characteristics.

Methods: Cross-sectional study using data from the 2013 and 2019 National Health Survey. Care indicators were evaluated in people with medical diagnosis of DM.

Results: DM prevalence increased from 6.2% (2013) to 7.7% (2019). Between 2013 and 2019, there was an increase in the use of medications (from 80.2% to 88.8%) and of medical care (from 73.2% to 79.1%), a reduction in the use of Popular Pharmacy Program medications (from 57.4% to 51.5%) and in follow-up with the same physician (from 65.2% to 59.4%). In 2019, poorer indicators were observed for individuals who were male, younger, Black and Brown, and with lower education and income.

Conclusion: Most indicators remained similar in the last five years, with differences according to sociodemographic characteristics in 2019.

Objetivo: Comparar indicadores de cuidado assistencial em adultos com diagnóstico médico de diabetes mellitus (DM) no Brasil em 2013 e 2019, e analisar esses indicadores, em 2019, segundo características sociodemográficas.

Métodos: Estudo transversal com dados da Pesquisa Nacional de Saúde de 2013 e 2019. Foram avaliados os indicadores de cuidado em pessoas com diagnóstico médico de DM.

Resultados: A prevalência de DM aumentou de 6,2% (2013) para 7,7% (2019). Entre 2013 e 2019, ocorreu aumento no uso de medicamentos (de 80,2% para 88,8%) e de assistência médica (de 73,2% para 79,1%), houve redução no uso de medicamentos da Farmácia Popular (de 57,4% para 51,5%) e no acompanhamento com mesmo médico (de 65,2% para 59,4%). Em 2019, pessoas do sexo masculino, mais jovens, de raça/cor da pele preta e parda, menores escolaridade e renda apresentaram pior desempenho nos indicadores.

Conclusão: A maioria dos indicadores permaneceu semelhante durante os últimos cinco anos, com diferenças segundo características sociodemográficas em 2019.

Objetivo: Comparar indicadores de atención de salud para adultos con diagnóstico médico de diabetes mellitus (DM) en Brasil, en 2013 y 2019, y analizar estos indicadores, en 2019, según características sociodemográficas.

Métodos: Estudio transversal con datos de la Encuesta Nacional de Salud de 2013 y 2019. Se evaluaron indicadores de atención en personas con diagnóstico médico de DM.

Resultados: La prevalencia de DM aumentó del 6,2% (2013) al 7,7% (2019). Entre 2013 y 2019 hubo aumento en uso de medicamentos (80,2% a 88,8%) y de atención médica (73,2% a 79,1%), reducción en uso de medicamentos de Farmacia Popular (57, 4% a 51,5%) y seguimiento con mismo médico (65,2% a 59,4%). En 2019, personas de sexo masculino, más jóvenes, de la raza/color de piel negra y mestiza, menor nivel educativo e ingresos mostraron un peor desempeño en los indicadores.

Conclusión: La mayoría de los indicadores se mantuvieron similares durante los últimos cinco años, con diferencias según las características sociodemográficas en 2019.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors declare they have no conflicts of interest.

Figures

Figure 1
Figure 1. Health care indicators reported by Brazilians with diabetes mellitus, in the 2013 and 2019 National Health Surveys
None
Prevalence of adults who have reported a medical diagnosis of diabetes mellitus (A), and of those who have never had a blood test to measure glycaemia (B), according to sex, National Health Survey, Brazil, 2013 and 2019
See this image and copyright information in PMC

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