title: [Racial/ethnic disparities in self-rated health: a multilevel analysis of 2,697 individuals in 145 Brazilian municipalities].
abstract: Recent literature reviews have shown that studies analyzing racial/ethnic disparities in Brazil are still scarce. Multilevel approaches are necessary, since race is a socially constructed concept and can vary by area of residence. The analysis included 2,697 individuals from 145 Brazilian municipalities (counties), classified by race (white, black, or mixed). Multilevel models were fitted using Bayesian inference with Markov Chain Monte Carlo methods. After including demographic, socioeconomic, and health access variables, black and mixed-race individuals showed higher odds of negative self-rated health (OR = 1.71; 95%CI: 1.24; 2.37 and OR = 1.37; 95%CI: 1.10; 1.71, respectively). Characteristics of the area of residence did not significantly affect the association between race and self-rated health. Racial/ethnic disparities lost their statistical significance after re-categorization of the dependent variable. The results indicate that racial/ ethnic disparities in health in Brazil may be deeper and more complex than expected.
authors.affiliation: Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil. alexdiasporto@usp.br
authors.forename: Alexandre Dias Porto
authors.initials: AD
authors.lastname: Chiavegatto Filho
authors.forename: Ruy
authors.initials: R
authors.lastname: Laurenti
mesh_terms: D000328:Adult; D001938:Brazil; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D055361:Multilevel Analysis; D044469:Racial Groups / Q000706:statistics & numerical data*; D057566:Self Report; D012959:Socioeconomic Factors