Fatores associados à discriminação percebida nos serviços de saúde do Brasil: resultados da Pesquisa Nacional de Saúde, 2013

Cristiano Siqueira Boccolini, Patricia de Moraes Mello Boccolini, Giseli Nogueira Damacena, Arthur Pate de Souza Ferreira, Célia Landmann Szwarcwald

The objective of this study was to evaluate factors associated with perceived discrimination in the health services of Brazil. It is a population-based epidemiological study using data from the 2013 National Health Survey, which had a complex sample design in three phases. For each domicile sampled, one individual aged 18 or over was selected (resulting in n = 62,202). The outcome analyzed was: Perception of discrimination by doctors or health professionals, suffered in the health services. A logistic regression model was estimated, adjusted for confounding factors. Discrimination was reported by 10.5% of the Brazilian population. The factors most frequently indicated were: lack of money (5.7%); and social class (5.6%). The adjusted model showed that the groups with the highest chance of feeling discriminated against were: women; individuals without complete primary education; non-whites; and those without a health insurance plan. The fact that one-tenth of the Brazilian population reported feeling discriminated against in the health services shows the need for regulation and wide debate in relation to the Brazilian laws that guarantee universal and equal access to the public and private health services.