Journal of Public Health and Epidemiology
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Article Number - A4AAEDE47907

Vol.6(11), pp. 326-337 , November 2014
DOI: 10.5897/JPHE2014.0645
ISSN: 2141-2316

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

Copyright © 2014 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

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.


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APA Fiorati, R.C., & Elui, V.M.C. (2014). Social determinants of health and inequity among people with disabilities: A Brazilian experience. Journal of Public Health and Epidemiology, 6(11), 326-337.
Chicago Regina C. Fiorati  and Valeria M. C. Elui. "Social determinants of health and inequity among people with disabilities: A Brazilian experience." Journal of Public Health and Epidemiology 6, no. 11 (2014): 326-337.
MLA Regina C. Fiorati  and Valeria M. C. Elui. "Social determinants of health and inequity among people with disabilities: A Brazilian experience." Journal of Public Health and Epidemiology 6.11 (2014): 326-337.
DOI 10.5897/JPHE2014.0645

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