Area deprivation measures used in Brazil

a scoping review

Authors

  • Maria Yury Travassos Ichihara Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Dandara Ramos Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Poliana Rebouças Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Flávia Jôse Oliveira Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Andrêa J. F. Ferreira Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Camila Teixeira Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Mirjam Allik University of Glasgow. MRC/CSO Social and Public Health Sciences Unit
  • Srinivasa Vittal Katikireddi University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.
  • Mauricio L. Barreto Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde
  • Alastair H Leyland University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.
  • Ruth Dundas University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.

DOI:

https://doi.org/10.11606/S1518-8787.2018052000933

Keywords:

Poverty. Poverty Areas. Socioeconomic Factors. Social Inequity, classification. Social Indicators. Review

Abstract

OBJECTIVE: To describe and assess currently used area-based measures of deprivation in Brazil for health research, to the purpose of informing the development of a future small area deprivation index. METHODS: We searched five electronic databases and seven websites of Brazilian research institutions and governmental agencies. Inclusion criteria were: studies proposing measures of deprivation for small areas (i.e., finer geography than country-level) in Brazil, published in English, Portuguese or Spanish. After data-extraction, results were tabulated according to the area level the deprivation measure was created for and to the dimensions of deprivation or poverty included in the measures. A narrative synthesis approach was used to summarize the measures available, highlighting their utility for public health research. RESULTS: A total of 7,199 records were retrieved, 126 full-text articles were assessed after inclusion criteria and a final list of 30 articles was selected. No small-area deprivation measures that have been applied to the whole of Brazil were found. Existing measures were mainly used to study infectious and parasitic diseases. Few studies used the measures to assess inequalities in mortality and no studies used the deprivation measure to evaluate the impact of social programs. CONCLUSIONS: No up-to-date small area-based deprivation measure in Brazil covers the whole country. There is a need to develop such an index for Brazil to measure and monitor inequalities in health and mortality, particularly to assess progress in Brazil against the Sustainable Development Goal targets for different health outcomes, showing progress by socioeconomic groups

Author Biographies

Maria Yury Travassos Ichihara, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

Poliana Rebouças, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

Universidade Federal da Bahia. Instituto de Saúde Coletiva

Flávia Jôse Oliveira, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

Universidade Federal da Bahia. Instituto de Saúde Coletiva

Andrêa J. F. Ferreira, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

Universidade Federal da Bahia. Instituto de Saúde Coletiva

Camila Teixeira, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

Universidade Federal da Bahia. Instituto de Saúde Coletiva

Mirjam Allik, University of Glasgow. MRC/CSO Social and Public Health Sciences Unit

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

Srinivasa Vittal Katikireddi, University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

Mauricio L. Barreto, Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde

Universidade Federal da Bahia. Instituto de Saúde Coletiva

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

Alastair H Leyland, University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

Ruth Dundas, University of Glasgow. MRC/CSO Social and Public Health Sciences Unit.

On behalf of the NIHR Global Health Research Group on Social Policy and Health Inequalities

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Published

2018-08-30

How to Cite

Ichihara, M. Y. T., Ramos, D., Rebouças, P., Oliveira, F. J., Ferreira, A. J. F., Teixeira, C., Allik, M., Katikireddi, S. V., Barreto, M. L., Leyland, A. H., & Dundas, R. (2018). Area deprivation measures used in Brazil: a scoping review. Revista De Saúde Pública, 52, 83. https://doi.org/10.11606/S1518-8787.2018052000933

Issue

Section

Review