{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:32:25Z","timestamp":1787020345111,"version":"build-2736575974"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We conducted a cross-sectional study of hypertension care in public and private services, analyzing gender, color, and socioeconomic status. Using data from the 2013 (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200960,202) and 2019 (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200990,846) national health surveys, hypertension prevalence increased from 21.4 to 23.9%. Quality of care declined from 41.7 to 35.4%, particularly in public services, disproportionately affecting low-income Black women. Poisson regression estimated prevalence ratios (PRs), with the lowest adjusted PR for high-quality care among low-income Black women. These findings highlight persistent health inequalities and the urgent need for intersectoral policies to promote health equity.\n                  <\/jats:p>","DOI":"10.1186\/s12913-024-11358-5","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T11:02:40Z","timestamp":1723806160000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessing hypertension care quality in Brazil: gender, race, and socioeconomic intersection in public and private services, 2013 and 2019 national health surveys"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5066-8776","authenticated-orcid":false,"given":"Paulo Victor Cesar","family":"de Albuquerque","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7328-6044","authenticated-orcid":false,"given":"Elaine","family":"Tomasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"11358_CR1","doi-asserted-by":"crossref","unstructured":"Barroso, W. K. S., et al. (2021). Brazilian guidelines of hypertension\u20132020. Arquivos brasileiros de cardiologia, 116, 516\u2013658.","DOI":"10.36660\/abc.20201238"},{"key":"11358_CR2","doi-asserted-by":"crossref","unstructured":"Malta, D. C., et al. (2022). Hipertens\u00e3o arterial autorreferida, uso de servi\u00e7os de sa\u00fade e orienta\u00e7\u00f5es para o cuidado na popula\u00e7\u00e3o brasileira: Pesquisa Nacional de Sa\u00fade, 2019. Epidemiologia e Servi\u00e7os de Sa\u00fade, 31, e2021369.","DOI":"10.1590\/ss2237-9622202200012.especial"},{"key":"11358_CR3","doi-asserted-by":"crossref","unstructured":"Zhou, B., et al. (2017). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19\u00b7 1\u00a0million participants. The Lancet, 389(10064), 37\u201355.","DOI":"10.1016\/S0140-6736(16)31919-5"},{"key":"11358_CR4","doi-asserted-by":"crossref","unstructured":"Pereira, P. C. J., Roquete, F. F., & Deb\u00f4rtoli de Miranda, W. (2022). Aplicabilidade das ferramentas da qualidade nos processos dos servi\u00e7os de sa\u00fade: uma revis\u00e3o integrativa (2010\u20132020). Revista Gest\u00e3o & Sa\u00fade, 13(02), 35\u201346.","DOI":"10.26512\/gs.v13i02.46283"},{"key":"11358_CR5","doi-asserted-by":"crossref","unstructured":"Oliveira, B. L. C. A. D., et al. (2020). A influ\u00eancia da Estrat\u00e9gia Sa\u00fade da Fam\u00edlia no uso de servi\u00e7os de sa\u00fade por adultos hipertensos no Brasil. Revista Brasileira de Epidemiologia, 23, e200006.","DOI":"10.1590\/1980-549720200006"},{"key":"11358_CR6","doi-asserted-by":"crossref","unstructured":"Szwarcwald, C. L., Stopa, S. R., & Malta, D. C. (2022). Situa\u00e7\u00e3o das principais doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis e dos estilos de vida da popula\u00e7\u00e3o brasileira: Pesquisa Nacional de Sa\u00fade, 2013 e 2019. Cadernos de Sa\u00fade P\u00fablica, 38, e00276021.","DOI":"10.1590\/0102-311xen276021"},{"key":"11358_CR7","doi-asserted-by":"crossref","unstructured":"Cobo, B., Cruz, C., & Dick, P. C. (2021). Desigualdades de g\u00eanero e raciais no acesso e uso dos servi\u00e7os de aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade no Brasil. Ci\u00eancia & Sa\u00fade Coletiva, 26, 4021\u20134032.","DOI":"10.1590\/1413-81232021269.05732021"},{"key":"11358_CR8","unstructured":"Crenshaw, K. W. (2013). Mapping the margins: Intersectionality, identity politics, and violence against women of color. In The public nature of private violence (pp. 93\u2013118). Routledge."},{"key":"11358_CR9","doi-asserted-by":"crossref","unstructured":"Jesus, M. A. D. C., Acioli, S., Silva, M. D. F. B., & Santos, R. G. S. (2023). A interseccionalidade como categoria anal\u00edtica na sa\u00fade com foco na enfermagem na Aten\u00e7\u00e3o Prim\u00e1ria em Sa\u00fade: uma revis\u00e3o integrativa de literatura. Contribuciones a Las Ciencias Sociales, 16(10), 18773\u201318793.","DOI":"10.55905\/revconv.16n.10-004"},{"key":"11358_CR10","unstructured":"Brasil. Instituto Brasileiro de Geografia e Estat\u00edstica. (2020). Pesquisa Nacional de Sa\u00fade 2019: percep\u00e7\u00e3o do estado de sa\u00fade, estilos de vida, doen\u00e7as cr\u00f4nicas e sa\u00fade bucal, Brasil e grandes regi\u00f5es."},{"key":"11358_CR11","unstructured":"Stopa, S. R., et al. (2020). National Health Survey 2019: history, methods and perspectives. Epidemiologia e Servi\u00e7os de Sa\u00fade, 29, e2020315."},{"key":"11358_CR12","doi-asserted-by":"crossref","unstructured":"Gondim, F. S. S., Campos, M. O., Flores, T. R., Fran\u00e7a, G. V. A. D., & Medeiros, A. C. D. (2022). Pesquisa Nacional de Sa\u00fade 2019: avan\u00e7o no monitoramento da sa\u00fade dos brasileiros. Epidemiologia e Servi\u00e7os de Sa\u00fade, 31, e2021309.","DOI":"10.1590\/ss2237-9622202200001.especial"},{"key":"11358_CR13","doi-asserted-by":"crossref","unstructured":"Tomasi, E., Pereira, D. C., Santos, A. V. D., & Neves, R. G. (2022). Adequa\u00e7\u00e3o do cuidado a pessoas com hipertens\u00e3o arterial no Brasil: Pesquisa Nacional de Sa\u00fade, 2013 e 2019. Epidemiologia e Servi\u00e7os de Sa\u00fade, 31, e2021916.","DOI":"10.1590\/s2237-96222022000200005"},{"key":"11358_CR14","doi-asserted-by":"crossref","unstructured":"Borges, F. M., et al. (2022). Estrat\u00e9gias para promo\u00e7\u00e3o da sa\u00fade e seus impactos na qualidade de vida de adultos hipertensos: revis\u00e3o integrativa. Cadernos Sa\u00fade Coletiva, 30, 146\u2013157.","DOI":"10.1590\/1414-462x202230010110"},{"key":"11358_CR15","doi-asserted-by":"crossref","unstructured":"Dantas, R. C. O., et al. (2018). O uso de protocolos na gest\u00e3o do cuidado da hipertens\u00e3o arterial na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade: uma revis\u00e3o integrativa. Revista Ci\u00eancia Plural, 4(1), 117\u2013131.","DOI":"10.21680\/2446-7286.2018v4n1ID13662"},{"key":"11358_CR16","doi-asserted-by":"crossref","unstructured":"Silva, L. B., et al. (2019). Estratos de risco e qualidade do cuidado \u00e0 pessoa idosa na Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade. Revista Latino-Americana de Enfermagem, 27, e3166.","DOI":"10.1590\/1518-8345.2968.3166"},{"key":"11358_CR17","doi-asserted-by":"crossref","unstructured":"Malta, D. C., Morais Neto, O. L. D., & Silva, J. B. D. (2011). Apresenta\u00e7\u00e3o do plano de a\u00e7\u00f5es estrat\u00e9gicas para o enfrentamento das doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis no Brasil, 2011 a 2022. Epidemiologia e servi\u00e7os de sa\u00fade, 20(4), 425\u2013438.","DOI":"10.5123\/S1679-49742011000400002"},{"key":"11358_CR18","doi-asserted-by":"crossref","unstructured":"Giovanella, L., et al. (2021). Cobertura da Estrat\u00e9gia Sa\u00fade da Fam\u00edlia no Brasil: o que nos mostram as Pesquisas Nacionais de Sa\u00fade 2013 e 2019. Ci\u00eancia & Sa\u00fade Coletiva, 26, 2543\u20132556.","DOI":"10.1590\/1413-81232021266.1.43952020"},{"key":"11358_CR19","doi-asserted-by":"crossref","unstructured":"Dantas, M. N. P., et al. (2020). Fatores associados ao acesso prec\u00e1rio aos servi\u00e7os de sa\u00fade no Brasil. Revista Brasileira de Epidemiologia, 24, e210004.","DOI":"10.1590\/1980-549720210004"},{"key":"11358_CR20","doi-asserted-by":"crossref","unstructured":"Viacava, F., Porto, S. M., Carvalho, C. D. C., & Bellido, J. G. (2019). Desigualdades regionais e sociais em sa\u00fade segundo inqu\u00e9ritos domiciliares (Brasil, 1998\u20132013). Ci\u00eancia & Sa\u00fade Coletiva, 24, 2745\u20132760.","DOI":"10.1590\/1413-81232018247.15812017"},{"key":"11358_CR21","doi-asserted-by":"crossref","unstructured":"Neves, R. G., et al. (2017). Aten\u00e7\u00e3o oferecida aos idosos portadores de hipertens\u00e3o: Pesquisa Nacional de Sa\u00fade, 2013. Cadernos de Saude Publica, 33.","DOI":"10.1590\/0102-311x00189915"},{"key":"11358_CR22","doi-asserted-by":"crossref","unstructured":"Carvalho, L. P. (2023). Transnacionalismo, interseccionalidade e ativismo na pol\u00edtica de sa\u00fade para mulheres. Revista Estudos Feministas, 31, e92876.","DOI":"10.1590\/1806-9584-2023v31n292876"},{"key":"11358_CR23","doi-asserted-by":"crossref","unstructured":"Santos, L. A., et al. (2023). Interse\u00e7\u00f5es de g\u00eanero e ra\u00e7a\/cor em inseguran\u00e7a alimentar nos domic\u00edlios das diferentes regi\u00f5es do Brasil. Cadernos de Sa\u00fade P\u00fablica, 38, e00130422.","DOI":"10.1590\/0102-311xpt130422"},{"key":"11358_CR24","doi-asserted-by":"crossref","unstructured":"Nascimento, S. S. (2018). Sa\u00fade da mulher negra brasileira: a necess\u00e1ria intersec\u00e7\u00e3o em ra\u00e7a, g\u00eanero e classe. Cadernos do CEAS: Revista cr\u00edtica de humanidades, (243), 91\u2013103.","DOI":"10.25247\/2447-861X.2018.n243.p91-103"},{"key":"11358_CR25","doi-asserted-by":"crossref","unstructured":"Lotufo, P. A., & Bensenor, I. J. M. (2013). Ra\u00e7a e mortalidade cerebrovascular no Brasil. Revista de Sa\u00fade P\u00fablica, 47, 1201\u20131204.","DOI":"10.1590\/S0034-8910.2013047004890"},{"key":"11358_CR26","unstructured":"Rosa, W., Bonetti, A., & Abreu, M. A. (2011). Sexo e cor\/ra\u00e7a como categorias de controle social: uma abordagem sobre desigualdades socioecon\u00f4micas a partir dos dados do Retrato das Desigualdades de G\u00eanero e Ra\u00e7a-Terceira Edi\u00e7\u00e3o. Bonetti AL, Abreu MA, organizadoras. Faces da desigualdade de g\u00eanero e ra\u00e7a no Brasil. Bras\u00edlia: Instituto de Pesquisa Econ\u00f4mica Aplicada, 111\u2009\u2212\u200927."},{"key":"11358_CR27","doi-asserted-by":"crossref","unstructured":"Sousa, C. C. D., & Ara\u00fajo, T. M. D. (2024). Efeitos combinados de g\u00eanero, ra\u00e7a e estressores ocupacionais na sa\u00fade mental. Revista Brasileira de Sa\u00fade Ocupacional, 49, edepi12.","DOI":"10.1590\/2317-6369\/15222pt2024v49edepi12"},{"key":"11358_CR28","doi-asserted-by":"crossref","unstructured":"Andrade, T. G. V., Almeida, V. M., Miranda, V. S., & Oliveira, R. S. (2024). G\u00eanero, ra\u00e7a e suas interseccionalidades na academia: o que est\u00e1 sendo produzido sobre a mulher negra?. Revista Servi\u00e7o Social em Perspectiva, 8(1), 178\u2013204.","DOI":"10.46551\/rss202410"},{"key":"11358_CR29","doi-asserted-by":"crossref","unstructured":"L\u00f3pez, L. C. (2012). O conceito de racismo institucional: aplica\u00e7\u00f5es no campo da sa\u00fade. Interface-Comunica\u00e7\u00e3o, Sa\u00fade, Educa\u00e7\u00e3o, 16, 121\u2013134.","DOI":"10.1590\/S1414-32832012005000004"},{"key":"11358_CR30","doi-asserted-by":"crossref","unstructured":"Levorato, C. D., Mello, L. M. D., Silva, A. S. D., & Nunes, A. A. (2014). Fatores associados \u00e0 procura por servi\u00e7os de sa\u00fade numa perspectiva relacional de g\u00eanero. Ci\u00eancia & sa\u00fade coletiva, 19, 1263\u20131274.","DOI":"10.1590\/1413-81232014194.01242013"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-024-11358-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-024-11358-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-024-11358-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T11:07:36Z","timestamp":1723806456000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-024-11358-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,16]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["11358"],"URL":"https:\/\/doi.org\/10.1186\/s12913-024-11358-5","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,16]]},"assertion":[{"value":"10 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Both surveys were approved by the National Research Ethics Committee, attached to the National Health Council (2013 edition: reference N\u00ba 328.159; 2019 edition: reference N\u00ba 3.529.376). By participating in this study, all participants provided their informed consent prior to data collection (2013 edition:\n                      \n                      ; 2019 edition:\n                      \n                      .","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"I, Paulo Victor Cesar de Albuquerque, the lead author of the article titled \u201cIntersection of sociodemographic factors and the quality health care for people with hypertension in Brazilian public and private services: 2013 and 2019 national health surveys,\u201d agree to submit and publish this work in the BMC Health Services Research. I understand that by granting this consent, I am authorizing the public disclosure of the article, including the text, figures, tables, and other related materials. I also declare that co-author Elaine Tomasi has been informed about this submission and agrees to the publication of the article in the mentioned journal above. I certify that the content of the article is original and has not been previously published in any other journal or publication platform.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"939"}}