Factors associated with bariatric surgery rates in federative units in Brazil

Authors

  • Ivan Augusto Cecilio e Silva Universidade Federal do Rio Grande do Sul. Faculdade de Ciências Econômicas. Programa de Pós-Graduação em Economia. Porto Alegre, RS, Brasil https://orcid.org/0000-0001-9310-1633
  • Cassia Kely Favoretto Universidade Estadual de Maringá. Centro de Ciências Sociais Aplicadas. Departamento de Economia. Maringá, Paraná, PR, Brasil https://orcid.org/0000-0002-4120-0901
  • Leticia Xander Russo Universidade Federal da Grande Dourados. Faculdade de Administração, Ciências Contábeis e Economia. Departamento de Economia. Dourados, MS, Brasil https://orcid.org/0000-0001-9592-8212

DOI:

https://doi.org/10.11606/s1518-8787.2022056004133

Keywords:

Bariatric Surgery, Healthcare Disparities, Sociodemographic Factors, Socioeconomic Factors

Abstract

OBJECTIVE: To analyze the socioeconomic, demographic and health management factors associated with bariatric surgery rates performed by the Brazilian Unified Health System (SUS) in the federative units in Brazil. METHODS: Description and analysis of bariatric surgeries rates (per 100,000 inhabitants) performed by SUS in adults from 18 to 65 years old, in the 27 federative units of Brazil, between 2008 and 2018; thus, the econometric methodology of count panel with negative binomial distribution (population-averaged, fixed effects and random effects) was used. Socioeconomic and demographic factors were also investigated, considering the real gross domestic product per capita, the average years of study of adults and life expectancy at birth, and those of health management, given the primary health care coverage, the rate of digestive system surgeons and the rate of hospitals accredited in high complexity care to patients with obesity in the SUS. RESULTS: In regional terms, the performance of public bariatric surgeries in Brazil over the period analyzed suffered a great disparity; the procedures happen mostly in the South and Southeast regions, and scarcely in the North region. Moreover, we found a positive relationship between the rate of bariatric surgeries and life expectancy, the rate of digestive system surgeons and the rate of hospitals accredited in high complexity care; however, the average number of years of adult study and coverage of primary health care is a negative association regarding real gross domestic product per capita. CONCLUSION: In the period analyzed, the investigated factors explained the rate of bariatric surgeries. Therefore, to train specialized health professionals, the accreditation of hospitals according to the legal framework, preventive actions of primary care, and socioeconomic and demographic factors, conditioning for the offer of surgical treatment by the SUS were crucial. Thus, these are all relevant factors for the formulation of public policies in this area.

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Published

2022-12-07

Issue

Vol. 56 (2022)

Section

Original Articles

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Copyright (c) 2022 Ivan Augusto Cecilio e Silva, Cassia Kely Favoretto, Leticia Xander Russo

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Cecilio e Silva, I. A., Favoretto, C. K., & Russo, L. X. (2022). Factors associated with bariatric surgery rates in federative units in Brazil. Revista De Saúde Pública, 56, 117. https://doi.org/10.11606/s1518-8787.2022056004133

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