Banca de DEFESA: JOSÉ ROBERTO CABRAL

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JOSÉ ROBERTO CABRAL
DATE: 31/07/2026
TIME: 09:00
LOCAL: Remoto
TITLE:

Self-Rated Health Among Older Adults in Brazil from the Perspective of the Intersection Between Race and Gender

KEY WORDS:

Aging. Social Determinants of Health. Racial Groups. Intersectionality. Quality of Life.

PAGES: 81
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Background: Self-rated health (SRH) is a comprehensive indicator of well-being, and this perception goes beyond the burden of chronic diseases, being strongly conditioned by social determinants and access to services. Analyzing SRH through the lens of race and gender intersectionality is crucial to understanding how inequities impact the health of older adults. Objective: To analyze the prevalence of positive self-rated health among older adults in Brazil from the perspective of the intersection between race/skin color and gender. Methods: A cross-sectional study was conducted using data from the Vigitel survey for the years 2011, 2015, 2019, and 2023, including individuals aged ≥ 60 years from Brazilian capitals and the Federal District. The dependent variable was positive self-rated health. Independent variables included socioeconomic and health conditions, as well as the intersectional variable of race/skin color and gender. Prevalences and prevalence ratios were estimated using Poisson regression with robust variance, accounting for sample weights. Inequality measures were calculated (Slope Index of Inequality, Relative Index of Inequality, Population Attributable Risk e Population Attributable Fraction). A significance level of 5% was adopted. Results: Between 2011 and 2023, the prevalence of positive SRH among older adults remained stable, ranging from 50.13% to 55.37%. Higher prevalences were observed among younger, white men with higher education, no chronic diseases, and private health insurance. The intersectional analysis revealed a hierarchical pattern: white men had the highest prevalences of positive SRH, while black women recorded the lowest. In the multivariate analysis, being a black woman remained independently associated with worse health perception, highlighting profound race and gender inequities. Health conditions, particularly multimorbidity (diabetes, hypertension, and depression) and the presence of chronic diseases, were the determinants of greatest magnitude for the reduction of positive SRH across all intersectional groups, showing the highest indices of absolute and relative inequality. Additionally, higher education and having private health insurance were associated with better self-rated health, with the impact of health insurance being particularly significant for women. Conclusion: Positive self-rated health among older adults in Brazil is strongly marked by intersectional inequalities, with greater vulnerability among black women. Multimorbidity emerges as the main determinant of these inequities, reinforcing the need for public policies that incorporate intersectionality and address structural inequalities throughout the life course.

COMMITTEE MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interno - 1297190 - ELEAZAR MARINHO DE FREITAS LUCENA
Externa à Instituição - TALITA ARAUJO DE SOUZA - UFPE