Dados do Trabalho

Title

EPIDEMIOLOGICAL STUDY ABOUT COSTS RELATED TO INFERTILITY IN BRAZIL FROM 2018 TO 2022

Objective

To epidemiologically analyze the costs related to infertility in Brazil from 2018 to 2022.

Methods

This is a cross-sectional, descriptive study with a quantitative approach, based on data collected from the Hospital Information System of the Unified Health System (SIH/SUS) linked to DATASUS, considering variables such as "total value," regions, age groups, and ethnicity. The data analyzed were limited to expenses related to infertility within the period between January 2018 and December 2022 in Brazil. Decimal places were excluded from the percentage calculations.

Results

It was found that a total of 688,034 Brazilian reais were invested in infertility within the public healthcare services of the country. Furthermore, the cost in each region was analyzed, yielding the following results: 310,854 (45.18%) reais in the Northeast region, 178,291 (25.91%) in the Southeast region, 131,068 (19.04%) in the South region, 40,654 (5.9%) in the North region, and 27,165 (3.94%) in the Central-West country's region. In addition, regarding ethnicity, excluding the 82,162 (11.94%) cases with missing ethnicity information, it was observed that Pardo individuals had the highest number, with 340,851 (49.53%), followed by White individuals with 196,941 (28.62%), Black individuals with 38,892 (5.65%), Yellow individuals with 28,494 (4.14%), and Indigenous individuals with 692 (0.10%). Lastly, concerning age groups, the child-adolescent group (0 to 19 years) accounted for 14,027 (0.7%), the adult group (20-59 years) for 668,879 (97.21%), and the elderly group (60 or more years) for 5,122 (0.7%) of the expenses.

Conclusion

Therefore, a higher amount of expenses was observed in the Southeast and Northeast regions, potentially correlated to their higher demographic densities. Regarding ethnicity, a higher prevalence was noticed among Pardo and White individuals, which together accounted for more than three-quarters of the total expenses. In conclusion, concerning age groups, it was evident that women in the adult phase represented practically the entire expenditure.

Keywords

Infertility, Epidemiology.