ArticleBMJ public health2026
Perceived barriers to primary healthcare access in a violence-affected community in Rio de Janeiro, Brazil: sociodemographic characteristics and self-reported health.
Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: This study analysed perceptions of barriers to primary healthcare (PHC) access in a socially vulnerable and violence-affected community in Rio de Janeiro. Methods: A cross-sectional survey was conducted in the Manguinhos community, with approximately 1000 residents interviewed face to face in 2024. Data were collected using a structured questionnaire via REDCap, including sociodemographic variables, self-reported health conditions and Patient Health Questionnaire-2 and Generalised Anxiety Disorder-2 scales. Adapted narrative vignettes were used to describe profiles of individuals with or without mental health problems and socially stigmatised behaviours, allowing the assessment of perceived difficulty in accessing health services. Results showed no significant differences in perceived difficulty of access between Black and non-Black participants. However, men reported greater perceived difficulty in scenarios involving common mental disorders, suggesting the influence of internalised stigma. Younger participants perceived greater barriers in situations involving socially marginalised behaviours, reflecting a lack of trust in the responsiveness of health services. Conversely, formal diagnoses and medication use for diabetes and hypertension were associated with lower perceived barriers, indicating that prior engagement with the health system fosters greater familiarity and lower perceived difficulty. Item response theory analysis demonstrated good psychometric performance of the vignettes, confirming their methodological utility. Conclusions: The findings highlight the need to strengthen PHC to address mental health and social vulnerability demands and to reduce subjective barriers, particularly for men and younger individuals. They also underscore the importance of targeted strategies to promote equity in access to care in vulnerable settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.