[Self-perceived discrimination and evaluation of care in health services in Brazil]

The aim of this article was to describe the prevalence of self-perceived discrimination and to identify associations with sociodemographic factors and the evaluation of care in health services in Brazil. This study used data from the 2013 National Health Survey, analyzing information from 44.001 adults were analyzed. The prevalence of discrimination in health services was 11.4% (95% CI 10.8-12.0). Discrimination was significantly higher in women (12.2%), in people with yellow skin color or indigenous people (13.3%), in those living with a partner (11.9%), individuals with lower economic status (13.6%), those with poor self-rated health (21,7%) and those with a shorter interval since their last medical consultation (12.2%). A higher prevalence of discrimination was also observed among respondents who rated health services as "fair, poor, or very poor" regarding medical care, reception, and waiting times. Discrimination may be associated with worse health outcomes and more negative perceptions of care quality. As such, discrimination in health services should be recognized as a public health issue requiring targeted interventions to ensure equitable and high-quality care, particularly for vulnerable populations.