Evidence map›Paper›PMID 26853898›Full record

ArticleGlobal health action2016

Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil.

Davide Rasella, Daiane Borges Machado, Marcelo Eduardo Pfeirrer Castellanos, Jairnilson Paim, Celia Landmann Szwarcwald, Diana Lima, Laio Magno, Leo Pedrana, Maria Guadalupe Medina, Gerson Oliveira Penna and 1 more

Abstract read
In one paragraph

Article in Global health action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Analyzing Spatial Patterns of Health Vulnerability to Drought in the Brazilian Semiarid Region.International journal of environmental research and public health · 2021
    Article
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Davide RasellaInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil; davide.rasella@gmail.com.
Daiane Borges MachadoInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Marcelo Eduardo Pfeirrer CastellanosInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Jairnilson PaimInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Celia Landmann SzwarcwaldICICT, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil.
Diana LimaInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Laio MagnoInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Leo PedranaInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Maria Guadalupe MedinaInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.
Gerson Oliveira PennaFundação Oswaldo Cruz (Fiocruz), Brasilia, Brazil.
Mauricio Lima BarretoInstituto de Saúde Coletiva, Federal University of Bahia, Salvador, Brazil.

Funding

The impact of social drivers, conditional cash transfers and their mechanisms on mental health of the young: an integrated retrospective and forecasting approach using the 100 million Brazilian CohortR01MH128911 · NIMH · FUNDACAO OSWALDO CRUZ · PI Daiane Borges Machado · 2022 to 2026
$1.9M
NIMH NIH HHS R01 MH128911
6 · The paper itself

Abstract

backgroundThe importance of the social determinants of health (SDH) and barriers to the access and utilization of healthcare have been widely recognized but not previously studied in the context of universal healthcare coverage (UHC) in Brazil and other developing countries.

objectiveTo evaluate a set of proposed indicators of SDH and barriers to the access and utilization of healthcare - proposed by the SDH unit of the World Health Organization - with respect to their relevance in tracking progress in moving toward equitable population health and UHC in Brazil.

designThis study had a mixed methodology, combining a quantitative analysis of secondary data from governmental sources with a qualitative study comprising two focus group discussions and six key informant interviews. The set of indicators tested covered a broad range of dimensions classified by three different domains: environment quality; accountability and inclusion; and livelihood and skills. Indicators were stratified according to income quintiles, urbanization, race, and geographical region.

resultsOverall, the indicators were adequate for tracking progress in terms of the SDH, equity, gender, and human rights in Brazil. Stratifications showed inequalities. The qualitative analysis revealed that many of the indicators were well known and already used by policymakers and health sector managers, whereas others were considered less useful in the Brazilian context.

conclusionsMonitoring and evaluation practices have been developed in Brazil, and the set of indicators assessed in this study could further improve these practices, especially from a health equity perspective. Socioeconomic inequalities have been reduced in Brazil in the last decade, but there is still much work to be done in relation to addressing the SDH.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityHealth Status IndicatorsSocial Determinants of HealthBrazilFemaleFocus GroupsHuman RightsHumansMaleProgram EvaluationQualitative ResearchWorld Health Organizationequityinequalitymonitoringsocial determinants of healthuniversal healthcare coverage

Identifiers

PMID26853898
PMCPMC4744865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.