Avaliação da condição de saúde e qualidade de vida em quilombolas

Abstract

Studies in Quilombola Remaining Communities (CRQ) become relevant to highlight the health and quality of life (QOL) situation of quilombolas, since this population segment presents conditions of vulnerability, particularly due to the period of slavery. Therefore, the present field study with a cross-sectional design, an inductive and quantitative approach, aimed to analyze the sociodemographic and health factors that lead to the assessment of health and perception of QOL in quilombola adults in Alagoa Grande / PB. The sample was of the simple probabilistic type, 85 households of the CRQ Caiana dos Crioulos were randomly selected. The research instrument comprised a sociodemographic form, the National Health Survey form -2013 and the WHOQOL-Bref. Descriptive analysis of the data was performed, the Kolmogorov-Smirnov test was used, the Mann-Whitney U nonparametric comparison test, the Pearson chi-square test, variables with a p-value <0.20 were included in the Poisson Regression analysis with robust variance. The measure of association was demonstrated as the Prevalence Ratio and confidence intervals (95%). The level of significance adopted was 95%. It was significant among schooling in the physical domain, in which quilombolas with higher education perceived themselves with a higher QOL when compared with quilombolas with less education. When comparing the domains with the marital status of the quilombolas it was significant in the social relations domain, quilombolas with a partner perceive their QoL better. Already between self-perceived health as very good / good and regular / bad / very bad, it was found significant in the physical, psychological and environmental domains, in which quilombolas who reported a regular / bad / very bad condition had a worse assessment of QOL. Between the presence and absence of chronic disease, physical or mental, they were significant in the physical and psychological domains, in which quilombolas without the diagnosis had a higher QOL. When comparing whether or not to look for a service or health professional, there were significant physical and psychological domains. And, whether he had dengue or not, it was significant in the environment domain, in which individuals who did not have dengue had a better perception of their QOL. Quilombolas in the age group of 50-59 years, 60-69 years and 70 years or more, and who looked for somewhere, service or health professional showed a worse perception of health. Therefore, sociodemographic and health factors influenced the assessment of health status and the perception of quilombola quality of life.