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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622


COSTA FILHO, Douglas Borges da; GALVAO, Taís Freire; KELLES, Silvana Márcia Bruschi  and  SILVA, Marcus Tolentino. Access to private health insurance in the metropolitan region of Manaus, AM, Brazil, in 2015: a cross-sectional population-based study. Epidemiol. Serv. Saúde [online]. 2020, vol.29, n.1, e2018414.  Epub Feb 04, 2020. ISSN 1679-4974.


to analyze the frequency and factors associated with coverage by health insurance in the metropolitan region of Manaus, AM, Brazil.


a cross-sectional population-based study was conducted in 2015, with data collected through household interviews; prevalence ratios (PR) and confidence intervals (95%CI) were calculated using Poisson regression with robust variance adjusted for sex and age.


we interviewed 4,001 individuals; 13% (95%CI - 12.0;14.1%) had health insurance; greater insurance coverage was observed among military personnel (PR=3.18 - 95%CI 1.64;6.15), private sector employees (PR=1.91 - 95%CI 1.46;2.52) and public sector employees (PR=1.75 - 95%CI 1.23;2.49); health insurance was lower among poorer people (PR=0.21 - 95%CI 0.13;0.33), and those with less schooling (PR=0.66 - 95%CI 0.46;0.99).


frequency of health insurance was low and was associated with better purchasing power, schooling, and employment.

Keywords : Prepaid Health Plans; Health Services Accessibility; Quality of Health Care; Cross-Sectional Studies.

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