{
  "abstract": "Objective: This study aimed to analyze the association between the intersectionality of sex, race/color, educational attainment, and the occurrence of diabetes, hypertension and both (diabetes and hypertension) among adults, using data from the 2023 Brazilian Vigitel National Survey.\n\nMethods: A cross-sectional study was conducted using data from Vigitel 2023, which included 21,690 individuals aged ≥ 18 years. The outcomes were self-reported diabetes mellitus, hypertension, and the co-occurrence of both conditions. The exposures of interest were sex, race/color, and educational attainment. Analyses were guided by the “multiple jeopardy” framework (Jeopardy Index) to assess the intersectionality of these social markers, using chi-square test and Poisson regression.\n\nResults: Black, Brown (mixed-race), Asian, and Indigenous women with low educational attainment had a four-fold higher probability of presenting with both conditions, a three-fold higher probability of diabetes, and a 2.3-fold higher probability of hypertension than that of white men with high educational attainment. Individuals with low educational attainment exhibited a higher prevalence of all assessed morbidities, regardless of sex or race/color. It was estimated that 34.6%, 21.6%, and 44.2% of cases of diabetes, hypertension, and co-occurring diabetes/hypertension, respectively, were attributable to low educational attainment.\n\nConclusions: Social and racial markers of inequality are associated with the coexistence of diabetes and hypertension in Brazil. Low educational attainment emerged as a key social determinant of these conditions. Therefore, prevention and control strategies should incorporate actions aimed at addressing these structural vulnerabilities into public health policies.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "Rosália Garcia Neves",
      "orcid": "0000-0001-6798-9130"
    },
    {
      "name": "Niely Galeão da Rosa Moraes"
    },
    {
      "name": "Bruna Leite Brum"
    },
    {
      "name": "Lizandro Pereira Miranda"
    },
    {
      "name": "Romina Buffarini"
    },
    {
      "name": "Elizabet Saes-Silva"
    },
    {
      "name": "Mirelle de Oliveira Saes"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2rrv2dwmcn38s.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-29369-8",
  "fulltext_url": null,
  "id": "2rrv2dwmcn38s",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://link.springer.com/article/10.1186/s12889-026-29369-8",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3306|Health disparities and outcomes"
    ]
  ],
  "openalex": "W7151474522",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-16",
  "publisher": "Springer Science and Business Media LLC",
  "ris": "https://research.draconitic.com/paper/2rrv2dwmcn38s.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:54Z",
      "native_id": "10.1186/s12889-026-29369-8",
      "source": "crossref",
      "url": "https://link.springer.com/article/10.1186/s12889-026-29369-8"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1471-2458",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "How much the burden of diabetes and hypertension is attributable to social inequalities? an intersectional analysis in Brazil",
  "title_text": "How much the burden of diabetes and hypertension is attributable to social inequalities? an intersectional analysis in Brazil",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:54Z",
  "url": "https://research.draconitic.com/paper/2rrv2dwmcn38s",
  "venue": "BMC Public Health",
  "versions": []
}