Concessão de benefícios assistenciais, morbidade e mortalidade em pessoas com deficiência no Brasil

Abstract

OBJETIVES: To describe the incidence and prevalence of granting social assistance benefit to disabled persons of social security in Brazil, underlying morbidity and mortality. METHODS: Census study, descriptive of all benefits in Brazil from January 2004 to October 2012. The data were obtained from the System Benefit the Ministry of Social Welfare. Calculated incidence rates of concession prevalence concession, morbidity and mortality, according to sex, age, geographic region, reasons for not granting and illness diagnosed as primary. RESULTS: The incidence of granting social assistance benefit to disabled persons was 36% in 2004 and 43% in 2011. The prevalence of concession in April 2012 was 46%. Most active benefits occurred in males aged 20 to 39 years, residing in the northeast, with mental illness (30,2%). The most common cause of rejection of the benefit was no approbation in social and medical expert evaluation (67%). In the population of people with benefits terminated by death, the most prevalent diseases were neoplasms (13,2%), mental illness (11,3%), circulatory diseases (10,6%). The mortality rate was 141 deaths per thousand disabled people with assistance benefit for maintenance. CONCLUSIONS: The frequency of grant assistance benefit for disabled people has been increasing since the year 2004. Mental illnesses and cancers are prevalent in people with active benefits and terminated by death, respectively. The mortality rate among people with disabilities receiving the benefit is much greater than that found in the Brazilian population.