Factors associated with inequalities in social conditions in the health of elderly white, brown and black people in the city of Sao Paulo, Brazil

The scope of this study is to identify determining factors of disparities in social con-ditions in the health of non-institutionalized elderly people in the city of Sao Paulo, from the standpoint of self-declaration of skin color. It is a cross-sectional study with a representative sample of 1,017 elderly participants in the 2015 Heal-th Survey of the Municipality of Sao Paulo. The analysis used crude and adjusted Poisson regres-sion models, reporting the prevalence ratio and 95% confidence intervals as a measure of associa-tion between the variables. In the adjusted analy-sis, brown and black skin color was positively associated with worse schooling, negative self-as-sessment of health status, health insurance and access to public health services. On the one hand, black skin color was no longer associated with the lowest income, however, it was associated with arterial hypertension. On the other hand, brown skin color was associated with low income, but not with arterial hypertension. Elderly black and brown people had worse health conditions, less access to private health services and socioecono-mic resources. These results are compatible with the hypothesis of structural racism in Sao Paulo's society and may inform social health policies ai-med at promoting health and social justice. zados saude

Automated summary

The study aims to identify the factors influencing disparities in the social conditions of non-institutionalized elderly individuals' health in Sao Paulo based on self-declaration of skin color. It is a cross-sectional study using a representative sample of 1,017 elderly participants. The analysis utilized Poisson regression models to assess the association between variables. The findings indicate that black and brown skin color is associated with worse schooling, negative self-assessment of health, limited access to healthcare services, and lower socioeconomic status.