Tese
Envelhecimento e equidade em saúde no Brasil
Fecha
2018-08-31Autor
Giacomelli, Giana Silva
Institución
Resumen
This study aims to analyze the dynamics and evolution of population aging in the states, and
health equity among Brazilian elderly. The thesis is based on the current concepts and
guidelines for public action against population aging adopted by the World Health
Organization, which understands aging as a multidimensional process that influences the most
diverse aspects of human life. It is also based on the concept of health equity adopted by
WHO, which is instrumented by the Model of Social Determinants of Health. The Index of
Population Aging for the Brazilian states determined the analysis of aging in the years 2000
and 2010. To evaluate the Health Equity Index was calculated using data available in the
System of Health Indicators and Follow - up of Policies of the Elderly (SISAP - Elderly). The
results show that Brazil is in the process of aging population. In 2000, the Aging Index was
28.90, while in 2010 this index was 44.82, representing an evolution of 55.10%. All major
Brazilian regions and states show an evolution of population aging. The Health Concentration
Indexes found for the different dimensions of the Model of Social Determinants of Health
suggest that, in a general analysis, there is no equity in health in Brazil, with the most
favorable conditions being more present among older people living in better socioeconomic
conditions, while less adequate health conditions are more present among the poorest elderly
population. At the most dependent levels of public actions, health inequities among Brazilian
elderly are greater, evidencing the need for greater attention of public managers to the challenges arising from the aging process.