Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 474

Full Length Research Paper

Social determinants of health and inequity among people with disabilities: A Brazilian experience

Regina C. Fiorati*
  • Regina C. Fiorati*
  • Department of Neurosciences and Behavioral Sciences, Undergraduate Program in Occupational Therapy, University of São Paulo at Ribeirão Preto, Medical School, Ribeirão Preto, SP, Brazil
  • Google Scholar
Valeria M. C. Elui
  • Valeria M. C. Elui
  • Department of Neurosciences and Behavioral Sciences, Undergraduate Program in Occupational Therapy, University of São Paulo at Ribeirão Preto, Medical School, Ribeirão Preto, SP, Brazil
  • Google Scholar


  •  Received: 03 May 2014
  •  Accepted: 12 September 2014
  •  Published: 30 November 2014

Abstract

This paper presents a discussion concerning the results of research conducted between 2011 and 2012 in the city of Ribeirão Preto, SP, Brazil, in which the general objectives were to understand the socio-familial inclusion of people with disabilities and their daily living needs. The methodological approach was qualitative and the data collection techniques were open life history interviews. The research subjects were ten people with acquired or congenital disabilities who were residents of the region enrolled at Primary Health Care Service of Ribeirão Preto city. Analysis of data was based on interpretation in light of dialectical hermeneutics. Our results showed that the socio-familial inclusion of individuals depends on their socioeconomic conditions, with significant indices of socially vulnerable families who have difficulty accessing primary health care and rehabilitation services, and presented indicators of social inequity. Their daily lives were marked by social isolation and not being adequately occupied with social determinants that cause negative health impacts. Due to indices of vulnerability and social inequity presented by population studied, we conclude that the creation of social vulnerability reduction programs coordinated with primary health care services is required.

 

Key words: Disability/disabled persons, health care primary, rehabilitation, social determinants of health, social inequity.