ArticleBMC public health2022
Obesity and health service utilization in Brazil: data from the National Health Survey.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Overview of the Prevalence of Noncommunicable Chronic Diseases in the Brazilian Population Reporting Physical Inactivity.International journal of environmental research and public health · 2026Article
- Socioeconomic and cardiometabolic factors associated with outpatient healthcare utilization and direct costs in São Paulo, Brazil.BMC public health · 2026Observational
- Article
- The impact of body mass index on health service utilization among pilgrims: a comprehensive analysis.Frontiers in epidemiology · 2026Article
- Clinical management, economic and quality-of-life impacts among consulting people with obesity in Brazil: results from a real-world survey.Archives of endocrinology and metabolism · 2025Observational
- Peripheral Nerve Ultrasound Findings in Hereditary Transthyretin Amyloidosis in Brazil.Diagnostics (Basel, Switzerland) · 2025Article
- Sociodemographic and clinical characteristics of individuals exposed to smoking or biomass smoke and followed at primary health care centers in Brazil: a multicenter study.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025Article
- Associations between obesity and sociodemographic, behavioral, and health characteristics in a population of women: a population-based study in Vitória, Espirito Santo, Brazil.Frontiers in public health · 2025Article
- Missed diagnosis-a major barrier to patient access to obesity healthcare in the primary care setting.International journal of obesity (2005) · 2024Article
- Association Between Body Mass Index, Obesity, and Clinical Outcomes Following Coronary Artery Bypass Grafting in Brazil: An Analysis of One Year of Follow-up of BYPASS Registry Patients.Brazilian journal of cardiovascular surgery · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity, a complex public health problem, is generally associated with other chronic diseases. The association of obesity with health service utilization has been little investigated in low- and middle-income countries. This study aimed to analyze the association between obesity and health service utilization (considering those services related to hypertension and/or diabetes).
methodsA cross-sectional, nationally-representative, study of Brazilians aged ≥18 years was conducted. Data from the National Health Survey (2013) for 59,402 individuals were analyzed, including measured weight and height. The association between body mass index (BMI) category (under/normal weight, overweight, and obesity) and health service utilization due to hypertension and/or diabetes was investigated using Poisson regression models (crude and adjusted). To analyze the health services utilization, the following variables were considered: 1) routine visits to a general doctor or health service; 2) referrals/consultations with a specialist; 3) prescribed exams done; and 4) hospital admission due to the disease or related complication. All analyses were stratified by sex.
resultsCompared with under/normal-weight individuals, subjects with obesity (both male and female) made roughly double the use of all health care services assessed. Men with hypertension that had obesity had a higher risk of hospital admission (adjusted PR = 2.55; 95%CI 1.81-3.61), than those with under/normal weight. Women with diabetes that had obesity had more referrals/consultations with specialists (adjusted PR = 2.56; 95%CI 1.94-3.38), than those with under/normal weight.
conclusionsThe presence of obesity was associated with increased use of health care services for hypertension and/or diabetes, indicating greater demand for human resources and materials, and a greater burden on the national health system.
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