Trends and spatial distribution of precarious work conditions for nurses in Brazil based on the type of employment bond

Abstract

Objective: to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care. Method: ecological study with data extracted from the National Registry of Health Establishments. The indicator analyzed was the percentage of precarious work relationships. The temporal tendency was assessed by the Prais-Winsten regression model and the spatial distribution was assessed by means of choropleth maps. Results: there was an increasing tendency in the precarious work of nurses in Brazil based on the type of employment relationships, regardless of the level of health care. The North region showed the highest percentages of increase in the indicator in Primary Health Care, Secondary Health Care, and Tertiary Health Care. The North and Northeast regions had the highest numbers of municipalities with a high percentage of precarious work conditions. Conclusion: the precariousness of nursing employment relationships showed an increasing tendency at all levels of health care, being higher in Primary Health Care and increasing more in Tertiary Health Care within the time horizon analyzed.