ABSTRACT
Objetivo: Descrever a prevalência da utilização de serviços de fisioterapia entre a população adulta urbana de Lages (Santa Catarina) segundo variáveis demográficas e socioeconômicas. Métodos: Realizou-se um estudo transversal de base populacional com amostra obtida em múltiplos estágios e composta por adultos entre 20 e 59 anos (n=2.051). Os dados foram coletados por meio de entrevistas domiciliares em que se obteve a informação por parte dos sujeitos de pesquisa sobre o uso, em algum momento da vida, de serviços de fisioterapia. Foi calculada a prevalência desse desfecho para a população global segundo sexo, idade, escolaridade, autoavaliação em saúde e renda. Resultados: Observou-se que a prevalência da utilização de serviços de fisioterapia foi de 33,5% (IC95% 33,0%-39,8%) entre os homens e de 31,5% (IC95% 28,9%-34,1%) entre as mulheres. Quanto às demais variáveis demográficas investigadas, verificou-se que a prevalência do uso da Fisioterapia aumentou de acordo com a idade dos indivíduos, sendo o maior valor relatado no grupo de 50 a 59 anos (47,2%; IC95% 42,4%-52,0%) e foi maior entre as pessoas que referiram cor amarela (45,9%; IC95% 29,1%-62,7%). Em relação às variáveis socioeconômicas, constatou-se que grupos com melhores indicadores reportaram maior uso do serviço, sendo esse valor equivalente a 46,9% (IC95% 42,3%-51,5%) no estrato de maior renda e a 37,5% (IC95% 34,4%-40,7%) entre aqueles de 12 a 15 anos de estudo. Conclusão: Observou-se, no presente estudo, que o uso de serviços de fisioterapia variou na população de acordo com as características socioeconômicas e demográficas das pessoas investigadas.
Objective: To describe the prevalence of physical therapy service use among the urban adult population of Lages (Santa Catarina), according to demographic and socioeconomic variables. Methods: A population-based cross-sectional study with multiple-stage sampling was carried out among adults aged 20 to 59 years (n=2051). Data were gathered by means of interviews at the participants home, in which they provided information on the use of physical therapy services over their lifetime. The prevalence of this outcome was estimated for the entire population according to sex, age, educational level, self-evaluation of health, and income. Results: The prevalence of physical therapy service use was 33.5% (95% CI: 33.0%-39.8%) among men and 31.5% (95% CI: 28.9%-34.1%) among women. Regarding the other demographic variables investigated, the prevalence of physical therapy use increased with age and was highest among the 50 to 59 year-old group (47.2%; 95% CI: 42.4%-52.0%). The prevalence was also higher among participants of self-reported Asian background (45.9%; 95% CI: 29.1%-62.7%). Regarding socioeconomic variables, it was observed that groups with better indicators reported greater service use: 46.9% (95% CI: 42.3%-51.5%) in the highest income range and 37.5% (95% CI: 34.4%-40.7%) in the range of 12 to 15 years of education. Conclusion: The present study found that physical therapy service use varied among this population according to the participants socioeconomic and demographic characteristics.
ABSTRACT
Cytogenetic and random amplified polymorphic DNA analyses carried out in the species Leptodactylus podicipinus, L. ocellatus, L. labyrinthicus, and L. fuscus from rural and urban habitats of the northwest region of São Paulo State, Brazil, showed that the karyotypes (2n = 22), constitutive heterochromatin distribution and nucleolus organizer region (NOR) location did not differ between the populations from the two environments.The in situ hybridization with an rDNA probe confirmed the location of the NORs on chromosome 8 revealing an in tandem duplication of that region in one of the chromosomes of L. fuscus. DAPI showed that part of the C-band-positive heterochromatin is rich in AT, including that in the proximity the NORs in L. podicipinus and L. ocellatus. The molecular analyses showed that the two populations (urban and rural) of L. podicipinus and L. fuscus are similar from a genetic point of view. The urban and rural populations of species L. ocellatus and L. labyrinthicus showed differences in genetic structures, probably due to urbanization which interferes with the dispersion of those frogs. The marked differences observed between the two populations of L. ocellatus can be representing the cryptic condition of the species. Unweighted pair-group method of analysis and genetic distance analysis detected the genetic proximity between L. ocellatus and L. fuscus. The results indicate that there was no reduction in the genetic diversity in the populations from the urban environment; however, the survival of these frogs would not be guaranteed in the case of an increase in human impact especially for populations of L. labyrinthicus and L. ocellatus.