{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:06:41Z","timestamp":1790593601785,"version":"4.1.0"},"reference-count":45,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective:  To evaluate the association between contextual socioeconomic conditions and indicators of health service use among women aged 50 years or older, according to source of care (Brazilian Unified Health System-SUS vs. private health insurance).  Methods:  A cross-sectional study was conducted using baseline data from the Brazilian Longitudinal Study of Aging (2015-2016), a nationally representative survey of the population aged 50 years and older. The following indicators of health service use were analyzed: mammogram, Pap smear, measurements of cholesterol, blood glucose, and blood pressure. Contextual socioeconomic condition was assessed using the Brazilian Deprivation Index (\u00cdndice Brasileiro de Priva\u00e7\u00e3o - IBP). Crude and adjusted multilevel logistic models were fitted after significant between-census-tract variability was confirmed.  Results:  The sample included 5,314 women, 54.2% of whom were aged 60 years or older. A socioeconomic gradient was observed in blood glucose and cholesterol testing, with lower odds of undergoing these tests among women living in areas of greater deprivation. This pattern was observed among both SUS users and private health insurance beneficiaries (blood glucose: OR 0.82, 95%CI 0.69-0.96 and OR 0.91, 95%CI 0.87-0.96; cholesterol: OR 0.71, 95%CI 0.59-0.87 and OR 0.89, 95%CI 0.85-0.95, respectively).  Conclusion:  The findings highlight socioeconomic inequities in cholesterol and blood glucose testing among women aged 50 years or older, particularly among SUS users living in areas with higher levels of deprivation. These results reinforce the need for public policies aimed at reducing socioeconomic inequities in healthcare utilization among women.<\/jats:p>","DOI":"10.1590\/1980-549720260051","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T10:52:33Z","timestamp":1790592753000},"source":"Crossref","is-referenced-by-count":0,"title":["Association between socioeconomic context and getting preventive screenings among Brazilian women aged 50 years and older"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6482-6803","authenticated-orcid":false,"given":"Poliana Fialho de","family":"Carvalho","sequence":"first","affiliation":[{"name":"Fiocruz Minas","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4499-6316","authenticated-orcid":false,"given":"Luciana de Souza","family":"Braga","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9431-2280","authenticated-orcid":false,"given":"S\u00e9rgio Viana","family":"Peixoto","sequence":"additional","affiliation":[{"name":"Fiocruz Minas","place":["Belo Horizonte, MG, Brazil"]},{"name":"Universidade Federal de Minas Gerais","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5043-4980","authenticated-orcid":false,"given":"Waleska Teixeira","family":"Caiaffa","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3474-2980","authenticated-orcid":false,"given":"Maria Fernanda de","family":"Lima-Costa","sequence":"additional","affiliation":[{"name":"Fiocruz Minas","place":["Belo Horizonte, MG, Brazil"]},{"name":"Universidade Federal de Minas Gerais","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0420-3062","authenticated-orcid":false,"given":"Juliana Vaz de Melo","family":"Mambrini","sequence":"additional","affiliation":[{"name":"Fiocruz Minas","place":["Belo Horizonte, MG, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1590\/1413-8050\/ea379","article-title":"Desigualdade na utiliza\u00e7\u00e3o de servi\u00e7os de sa\u00fade entre adultos: uma an\u00e1lise dos fatores de concentra\u00e7\u00e3o da demanda","volume":"18","author":"Politi R","year":"2014","journal-title":"Econ Apl"},{"key":"ref2","first-page":"50","article-title":"Determinantes socioecon\u00f4micos do acesso a servi\u00e7os de sa\u00fade em idosos: revis\u00e3o sistem\u00e1tica","volume":"51","author":"Almeida APSC","year":"2017","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1590\/S0034-8910.2015049005246","article-title":"Determinants of the use of health care services: multilevel analysis in the Metropolitan Region of Sao Paulo","volume":"49","author":"Chiavegatto Filho ADP","year":"2015","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref4","series-title":"Pol\u00edticas e sistema de sa\u00fade no Brasil","author":"Giovanella L","year":"2012"},{"key":"ref5","series-title":"Plano de a\u00e7\u00f5es estrat\u00e9gicas para o enfrentamento das doen\u00e7as cr\u00f4nicas e agravos n\u00e3o transmiss\u00edveis no Brasil 2021-2030","year":"2021"},{"issue":"2","key":"ref6","first-page":"2263","article-title":"Doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis em idosos: saberes e a\u00e7\u00f5es de agentes comunit\u00e1rios de sa\u00fade","volume":"7","author":"Leite MT","year":"2015","journal-title":"J Res Fundam Care Online"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"4s","DOI":"10.1590\/s1518-8787.2017051000090","article-title":"Noncommunicable diseases and the use of health services: analysis of the National Health Survey in Brazil","volume":"51","author":"Malta DC","year":"2017","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1590\/0047-2085000000149","article-title":"Doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis e fatores sociodemogr\u00e1ficos associados a sintomas de depress\u00e3o em idosos","volume":"66","author":"Silva AR","year":"2017","journal-title":"J Bras Psiquiatr"},{"key":"ref9","series-title":"Boletim Epidemiol\u00f3gico. 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