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1.
Nursing (Säo Paulo) ; 23(261)fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095578

ABSTRACT

Objetivo: analisar os padrões de simultaneidade da síndrome metabólica e os fatores sociodemográficos associados em quilombolas baianos. Métodos: Na amostra representativa de 850 adultos quilombolas, os componentes da síndrome metabólica foram definidos conforme o critério Joint Interim Statement. A razão entre a prevalência observada e a esperada determinaram as simultaneidades aumentadas. A regressão de Poisson com variância robusta testou as associações da maior simultaneidade e as variáveis sociodemográficas. Resultados: Metade das combinações da síndrome metabólica apresentaram prevalência observada maior que prevalência esperada. A hipertrigliceridemia foi o componente mais presente nas simultaneidades aumentadas. Após análise múltipla situação laboral e escolaridade permaneceram associadas (p<0,05) à maior simultaneidade. Conclusão: Ocorreu alta presença de simultaneidades aumentas em adultos quilombolas, tendo a hipertrigliceridemia como elemento mais recorrente. Além disso, a maior simultaneidade se associou trabalho remunerado e <5 anos de escolarização.(AU)


Objective: To analyze the simultaneity patterns of the metabolic syndrome and the associated sociodemographic factors in Bahian quilombolas. Methods: In the representative sample of 850 quilombola adults, the components of the metabolic syndrome were defined according to the Joint Interim Statement criterion. The ratio between observed and expected prevalence determined the increased simultaneities. Poisson regression with robust variance tested the associations of greatest simultaneity and sociodemographic variables. Results: Half of the metabolic syndrome combinations had higher prevalence than expected prevalence. Hypertriglyceridemia was the most common component in the increased simultaneities. After multiple analysis, employment status and education remained associated (p <0.05) with greater simultaneity. Conclusion: There was a high presence of increased simultaneities in quilombola adults, with hypertriglyceridemia as the most recurrent element. In addition, the highest simultaneity was associated with paid work and <5 years of schooling.(AU)


Objetivo: analizar los patrones de simultaneidad del síndrome metabólico y los factores sociodemográficos asociados en las quilombolas de Bahía. Métodos: En la muestra representativa de 850 adultos de quilombola, los componentes del síndrome metabólico se definieron de acuerdo con el criterio de la Declaración Interina Conjunta. La relación entre la prevalencia observada y la esperada determinó el aumento de las simultaneidades. La regresión de Poisson con varianza robusta probó las asociaciones de mayor simultaneidad y variables sociodemográficas. Resultados: La mitad de las combinaciones de síndrome metabólico tuvieron una prevalencia más alta que la esperada. La hipertrigliceridemia fue el componente más común en el aumento de las simultaneidades. Después de múltiples análisis, la situación laboral y la educación permanecieron asociadas (p <0.05) con una mayor simultaneidad. Conclusión: Hubo una alta presencia de simultaneidades aumentadas en adultos de quilombola, con hipertrigliceridemia como el elemento más recurrente. Además, la mayor simultaneidad se asoció con el trabajo remunerado y <5 años de escolaridad.(AU)


Subject(s)
Humans , Health Surveys , Social Indicators , Metabolic Syndrome , African Continental Ancestry Group , Socioeconomic Factors , Dyslipidemias
2.
REME rev. min. enferm ; 24: e-1300, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1096590

ABSTRACT

Objetivo: analisar o perfil de utilização dos serviços de atenção primária à saúde (APS) e a associação com as características sociodemográficas, condições de saúde, os fatores de risco comportamentais para as doenças crônicas não transmissíveis (DCNT). Métodos: análise do modulo sobre a avaliação da APS incluído no inquérito telefônico Vigitel 2015. Foram entrevistados 2.006 adultos. Os critérios de elegibilidade foram adultos ≥18 anos que utilizaram a APS nos 12 meses anteriores à entrevista. Foram calculadas as razões de prevalência bruta e ajustada por escolaridade e raça/cor. Utilizou-se a regressão de Poisson para verificar a associação da utilização da APS com características sociodemográficas, condições de saúde e fatores de risco. Resultados: observou-se que a utilização da APS foi maior entre entrevistados sem plano de saúde (RP=1,76; IC95% 1,55- 1,99); com baixa escolaridade, isto é, ≤8 anos de estudo (RP 1,59; IC95% 1,35-1,87), seguido de nove a 11 anos de estudos (RP 1,37; IC95% 1,16-1,61); e as mulheres (RP 1,34; IC95% 1,19-1,51). Usaram menos APS os entrevistados que referiram uso abusivo de álcool (RP=0,79; IC95% 0,66-0,95) e na faixa etária de 40 a 59 anos (RP 0,93; IC95% 0,88-0,99). Conclusão: o inquérito telefônico consiste em ferramenta útil para conhecer a realidade de saúde da população. O estudo atual pela primeira vez analisou módulo-piloto do Vigitel sobre uso de serviços de saúde e identificou que a utilização da APS foi mais frequente na população de baixa escolaridade, sem planos de saúde, mulheres, 40 a 59 anos e em uso abusivo de álcool.(AU)


Objective: to analyze the profile of use of primary health care services (PHC) and the association with sociodemographic characteristics, health conditions, behavioral risk factors for chronic non-communicable diseases (NCDs). Methods: analysis of the PHC assessment module included in the Vigitel 2015 telephone survey. Twothousand and six adults were interviewed. The eligibility criteria were adults ≥18 years old who used PHC in the 12 months prior to the interview. Raw and adjusted prevalence ratios by education and race/color were calculated. Poisson regression was used to verify the association between the use of PHC with sociodemographic characteristics, health conditions and risk factors. Results: it was observed that the use of PHC was higher among respondents without private health insurance (PR = 1.76; 95% CI 1.55-1.99); with low education, that is, ≤8 years of study (PR 1.59; 95% CI 1.35-1.87), followed by nine to 11 years of study (PR 1.37; 95% CI 1.16-1 , 61); and women (PR 1.34; 95% CI 1.19-1.51). Respondents who reported alcohol abuse were less likely to use PHC (PR = 0.79; 95% CI 0.66-0.95) and in the 40 to 59 age group (PR 0.93; 95% CI 0.88-0.99). Conclusion: the telephone survey is a useful tool...(AU)


Objetivo: analizar el perfil de uso de los servicios de atención primaria de salud (APS) y la asociación con características sociodemográficas, condiciones de salud, factores de riesgo conductuales para enfermedades crónicas no transmisibles (ENT). Métodos: análisis del módulo de evaluación de APS incluido en la encuesta telefónica Vigitel 2015. Se entrevistó a 2.006 adultos. Los criterios de elegibilidad fueron adultos ≥18 años que usaron los servicios de APS en los 12 meses previos a la entrevista. Se calcularon las tasas de prevalencia brutas y ajustadas por educación y raza / color de la tez. Se utilizó la regresión de Poisson para verificar la asociación entre el uso de APS con características sociodemográficas, condiciones de salud y factores de riesgo. Resultados: se observó que el uso de APS fue mayor entre los encuestados sin sobra social (RP = 1.76; IC 95% 1.55-1.99); con bajo nivel de educación, es decir, ≤8 años de estudio (PR 1.59; IC 95% 1.35-1.87), seguido de nueve a 11 años de estudio (PR 1.37; IC 95% 1.16-1 61); y mujeres (RP 1.34; IC 95% 1.19-1.51). Los encuestados que informaron abuso de alcohol tenían menos probabilidades de usar APS (RP = 0,79; IC del 95%: 0,66-0,95) y en el grupo de edad de 40 a 59 años (RP 0,93; IC del 95%: 0,88-0 , 99). Conclusión: la encuesta telefónica es una herramienta útil para comprender la realidad sanitaria de la población. El estudio actual analizó por primera vez el módulo piloto Vigitel sobre el uso de los servicios de salud e identificó que el uso de APS era más frecuente en la población con bajo nivel de educación, sin obra social, mujeres, de 40 a 59 años y en uso abusivo de alcohol.(AU)


Subject(s)
Humans , Male , Female , Adult , Primary Health Care , Health Surveys , Health Services Accessibility , Socioeconomic Factors
3.
Article in English | WPRIM (Western Pacific) | ID: wprim-816622

ABSTRACT

BACKGROUND: Recently, there has been some controversy regarding the role of radioactive iodine (RAI) ablation in the treatment of low-risk differentiated thyroid carcinoma (DTC), especially papillary thyroid microcarcinoma (PTMC). This study aimed to compare quality of life (QoL) parameters between patients with PTMC who underwent total thyroidectomy (TT) alone and those who underwent TT with RAI ablation.METHODS: In this cross-sectional study, patients with PTMC who underwent TT with/without RAI remnant ablation were prospectively enrolled between June 2016 and October 2017. All patients completed three questionnaires: the 12-item short-form health survey (SF-12), thyroid cancer-specific quality of life (THYCA-QoL) questionnaire, and fear of progression (FoP) questionnaire.RESULTS: The TT and TT with RAI groups comprised 107 and 182 patients, respectively. The TT with RAI group had significantly lower serum thyrotropin (TSH) levels than the TT group. However, after matching for TSH levels between the groups (n=100 in both groups), there were no significant differences in baseline characteristics. According to the SF-12, the score for general health was significantly lower in the TT with RAI group than in the TT group (P=0.047). The THYCA-QoL also showed a significant difference in the “felt chilly” score between groups (P=0.023). No significant differences in FoP scores were observed between the groups.CONCLUSION: Patients with PTMC who underwent TT with RAI ablation experienced more health-related problems than those managed with TT alone. These findings support the idea that RAI ablation should be carefully considered in patients with low-risk DTCs.


Subject(s)
Cross-Sectional Studies , Health Surveys , Humans , Iodine , Prospective Studies , Quality of Life , Thyroid Gland , Thyroid Neoplasms , Thyroidectomy , Thyrotropin
4.
Article in English | WPRIM (Western Pacific) | ID: wprim-782277

ABSTRACT

BACKGROUND: Although many epidemiological studies have reported the inverse associations between greenness and health outcomes, inconsistent associations in allergic diseases remain an issue. We aimed to identify associations between greenness and allergic diseases among Korean adults.METHODS: In total, 219,298 adults from the 2009 Korea Community Health Survey were included in this study. Individuals' allergy-related conditions, such as atopic dermatitis and allergic rhinitis, were evaluated. To identify the amount of green areas (m²) per capita in each administrative region, we used the 2009 data for green areas from the Korean Statistical Information Service.RESULTS: The risk for atopic dermatitis in the highest quartile of green areas was significantly lower compared with that of the lowest quartile. Physician's diagnosis and current treatment of odds ratios (ORs) with 95% confidence intervals (CIs) were 0.82 (0.73–0.91) and 0.77 (0.64–0.92), respectively. Similarly, the association results for allergic rhinitis showed that the highest level of green areas was significantly associated with a decreased risk of allergic rhinitis in full-adjustment model quartiles. Physician's diagnosis and current treatment of OR (95% CI) were 0.94 (0.89–0.99) and 0.91 (0.82–1.00), respectively.CONCLUSIONS: We observed inverse associations of green areas with atopic dermatitis and allergic rhinitis in Korean adults.


Subject(s)
Adult , Cross-Sectional Studies , Dermatitis, Atopic , Diagnosis , Epidemiologic Studies , Health Surveys , Humans , Immune System , Information Services , Korea , Odds Ratio , Parks, Recreational , Rhinitis, Allergic
5.
Yonsei Medical Journal ; : 169-178, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-782194

ABSTRACT

PURPOSE: This study investigated the sociodemographic factors associated with participation in diabetes self-management education (DSME) among community-dwelling adults with diabetes.MATERIALS AND METHODS: Data from 23400 people aged ≥30 years who were diagnosed with diabetes from the nationwide 2016 Korea Community Health Survey were analyzed. The relationship between sociodemographic factors and participation in DSME was examined by logistic regression analysis. The study sample was classified according to the type of institution providing DSME: hospitals/medical clinics (HMCs) and/or public health institutions (PHIs).RESULTS: Of the total sample population with diabetes, 27.2% had attended DSME programs, including 21.9% at HMCs, 4.0% at PHIs, and 1.3% at both types of institutions. As age increased and educational level and monthly household income decreased, the odds ratios (ORs) of participation in DSME decreased in a fully adjusted model. Respondents living in rural areas had lower ORs for attending DSME compared to those living in urban areas [OR, 0.85; 95% confidence interval (CI), 0.80–0.91]. Service/sales workers and mechanical/manual workers had lower ORs for attending DSME (OR, 0.84; 95% CI, 0.71–0.99; and OR, 0.81; 95% CI, 0.69–0.94, respectively) compared to professional/managerial workers. However, in the subgroup of participants receiving education at PHIs, the likelihood of participation in DSME increased as age increased, and respondents living in rural areas had higher ORs compared to those living in urban areas (OR, 1.73; 95% CI, 1.51–1.98).CONCLUSION: Customized DSME programs targeting socioeconomically vulnerable groups, including residential region and reimbursement of DSME by public insurance, are needed to resolve the inequalities in participation in DSME.


Subject(s)
Adult , Diabetes Mellitus , Education , Family Characteristics , Health Surveys , Humans , Insurance , Korea , Logistic Models , Odds Ratio , Public Health , Self Care , Social Class , Socioeconomic Factors , Surveys and Questionnaires
6.
Yonsei Medical Journal ; : 103-109, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-782116

ABSTRACT

Firefighters have a high risk of developing cardiovascular and mental disorders due to their physical and chemical environments. However, in Korea, few studies have been conducted on environmental risk of firefighters. The Firefighter Research on the Enhancement of Safety and Health (FRESH) study aimed to discover the risk factors for cardiovascular disease and mental disorders among firefighters. Former and current firefighters were recruited from three university hospitals. A total of 1022 participants completed baseline health examinations from 2016 to 2017. All participants were scheduled for follow-ups every 2 years. Baseline health survey, laboratory testing of blood and urine samples, blood heavy metal concentration, urine polycyclic aromatic hydrocarbons (PAHs) metabolites, stress-related hormone test, natural killer cell activity, as well as physical and mental health examinations that focused on cardiovascular and mental disorders, were conducted. In addition, 3 Tesla (3T) brain magnetic resonance imaging (MRI) and neuropsychological tests were also performed to investigate structural and functional changes in the brains of 352 firefighters aged >40 years or new hires with less than 1 year of service.


Subject(s)
Brain , Cardiovascular Diseases , Cohort Studies , Firefighters , Follow-Up Studies , Health Surveys , Hospitals, University , Humans , Killer Cells, Natural , Korea , Magnetic Resonance Imaging , Mental Disorders , Mental Health , Neuropsychological Tests , Polycyclic Aromatic Hydrocarbons , Prospective Studies , Republic of Korea , Risk Factors
7.
Chonnam Medical Journal ; : 62-67, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-787272

ABSTRACT

We evaluated the association between body mass index (BMI) and the prevalence of asthma. Using data from the 2015 Korean Community Health Survey, 214,971 participants aged between 19 and 106 years were included in this study. Asthma was defined based on the self-report of physician diagnosis. BMI was classified as underweight (<18.5 kg/m²), normal weight (18.5 kg/m²≤BMI<23.0 kg/m²), overweight (23.0 kg/m²≤ BMI<27.4 kg/m²), and obese (≥27.5 kg/m²) based on the BMI categories for Asians by the World Health Organization. Multiple logistic regression analysis was performed with sampling weights to evaluate the association between BMI and asthma after adjusting for age, educational level, income, type of residential area, smoking status, alcohol consumption, physical activity, hypertension, and diabetes. In men, BMI had an inverted J-shaped association with the prevalence of asthma, with an odds ratio of 1.88 (95% confidence interval [CI]: 1.89–2.24) for underweight and 1.12 (95% CIs: 0.97–1.29) for obesity. In women, BMI had a J-shaped association with the prevalence of asthma, with an odds ratio of 1.05 (95% CIs: 0.91–1.22) for underweight and 2.29 (95% CIs: 2.06–2.56) for obesity. In conclusion, in a nationally representative sample of Korean adults, the association between BMI and the prevalence of asthma varied between the sexes. This suggests that malnutrition and obesity are involved in the pathophysiology of asthma.


Subject(s)
Adult , Alcohol Drinking , Asian Continental Ancestry Group , Asthma , Body Mass Index , Diagnosis , Female , Health Surveys , Humans , Hypertension , Logistic Models , Male , Malnutrition , Motor Activity , Obesity , Odds Ratio , Overweight , Prevalence , Smoke , Smoking , Thinness , Weights and Measures , World Health Organization
8.
Rev. latinoam. enferm. (Online) ; 28: e3262, 2020. tab, graf
Article in English | LILACS (Americas), BDENF | ID: biblio-1101740

ABSTRACT

Abstract Objective: to know the effects of a nursing intervention to reduce alcohol use and risk factors for transmission of human immunodeficiency virus (HIV). Method: randomized single-blinded clinical trial performed by nurses with young women. The study included 66 participants in the intervention group and 66 participants in the control group. The instruments were the Alcohol Use Disorders Identification Test, the HIV Risk Behavior Knowledge and the Condom Use Self-efficacy Scale. Analysis of variance was used. Results: alcohol involvement decreased in the intervention group (F (1.119) = 50.28; p < 0.001; η2p = 0.297), while HIV knowledge (F (1.130) = 34.34; p < 0.001; η2p = 0.209) and condom use self-efficacy increased (F (1.129) = 27.20; p < 0.001; η2p = 0.174). In addition, less participants consumed alcohol in the past week compared to the control group (χ2 = 15.95; p < 0.001). Conclusion: the nursing intervention had positive effects, which could help young women stay away from alcohol use and the risk of sexually transmitted infections. NCT: 02405481.


Resumo Objetivo: conhecer os efeitos de uma intervenção de enfermagem para reduzir o uso de álcool e diminuir os fatores de risco para a transmissão do vírus da imunodeficiência humana (HIV, sigla em inglês). Método: ensaio clínico randomizado, simples-cego, realizado por enfermeiras com mulheres jovens. O estudo incluiu 66 participantes no grupo de intervenção e 66 participantes no grupo controle. Os instrumentos foram o Questionário de Identificação de Distúrbios de Uso de Álcool, a HIVRisk Behavior Knowledge e a Escala de Autoeficácia no Uso de Preservativos. Foi utilizada a análise de variância. Resultados: o consumo de álcool diminuiu no grupo de intervenção (F (1,119) = 50,28; p < 0,001; η2p = 0,297), enquanto o conhecimento sobre o HIV (F (1,130) = 34,34; p < 0,001; η2p = 0,209) e a autoeficácia no uso de preservativos aumentaram (F (1,129) = 27,20; p < 0,001; η2p = 0,174). Além disso, menos participantes consumiram álcool na última semana em comparação com o grupo controle (χ2 = 15,95; p < 0,001). Conclusão: a intervenção de enfermagem teve efeitos positivos, que poderiam ajudar as mulheres jovens a ficarem longe do uso de álcool e do risco de infecção por doenças sexualmente transmissíveis. NCT: 02405481.


Resumo Objetivo: conocer los efectos de una intervención de enfermería para reducir el uso de alcohol y disminuir factores de riesgo para transmisión del virus de inmunodeficiencia humana (HIV, siglas en inglés). Método: ensayo clínico aleatorizado, simple ciego, administrado por enfermeras a mujeres jóvenes. Participaron 66 personas en el grupo de intervención y 66 en el de control. Los instrumentos fueron el Cuestionario de Identificación de Trastornos debidos al Consumo de Alcohol, el HIV Risk Behavior Knowledge y la escala de Autoeficacia del Uso de Condón. Se utilizó análisis de la varianza. Resultados: en el grupo de intervención disminuyó el involucramiento con el alcohol (F (1,119) = 50,28; p < 0,001; η2p = 0,297), aumentaron los conocimientos sobre el HIV (F (1,130) = 34,34; p < 0,001; η2p = 0,209) y la autoeficacia para uso de condón (F (1,129) = 27,20; p < 0,001; η2p = 0,174). También menos participantes bebieron alcohol en la última semana en comparación con el grupo de control (χ2 = 15,95; p < 0,001). Conclusión: la intervención de enfermería tuvo efectos positivos que podrían ayudar a las mujeres jóvenes a mantenerse alejadas del uso de alcohol y de contagio de enfermedades de transmisión sexual. NCT: 02405481.


Subject(s)
Humans , Female , Adult , Sexual Behavior , Alcohol Drinking/prevention & control , Alcohol Drinking/psychology , Hispanic Americans/education , HIV Infections/prevention & control , HIV Infections/psychology , HIV Infections/transmission , Single-Blind Method , Health Knowledge, Attitudes, Practice , Health Education , Risk Factors , Health Surveys , Mexico
9.
Article in English | WPRIM (Western Pacific) | ID: wprim-785550

ABSTRACT

This study investigated how physical and cognitive function and psychological factors affected the health-related quality of life (HRQoL, hereafter HQ) of stroke patients in South Korea. The study enrolled 32 right-handed subjects with chronic cerebral infarction with disability and preserved cognitive function (Mini-Mental State Examination ≥ 20). Physical disability was assessed using the modified Rankin Scale (mRS) and Korean modified Barthel Index (KMBI). Quality of life was measured using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF, hereafter WB) and the 36-Item Short-form Health Survey (SF-36) in face-to-face interviews. Psychological distress was investigated using the Beck Depression Inventory Scale-II. The associations of each domain of WB and SF-36 were investigated using Pearson correlation analyses. Physical disability was negatively correlated with HQ in the SF-36. The physical function and bodily pain scales of the SF-36 were negatively correlated with physical disability. The general health domain of the SF-36 was negatively correlated with psychological scores. Emotional status was associated with physical health, social relationships, and general health in HQ. In summary, the severity of physical disability was associated with the patient's general and physical health and body pain. These findings suggest the importance of psychological, cognitive, and physiological interventions for improving the quality of life of patients after cerebral infarction.


Subject(s)
Cerebral Infarction , Cognition , Depression , Health Surveys , Humans , Korea , Psychology , Quality of Life , Stroke , Weights and Measures , World Health Organization
11.
Rev. Paul. Pediatr. (Ed. Port., Online) ; 37(4): 406-413, Oct.-Dec. 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1041369

ABSTRACT

ABSTRACT Objective: To identify factors associated with asthma in Brazilian adolescents. Methods: Cross-sectional study based on data from the 2012 National Adolescent School-based Health Survey (PeNSE), a Brazilian survey applied by a self-reported questionnaire in a representative sample of 9th-grade students. Descriptive and inferential analysis was made based on the demographic, socioeconomic, clinical, food consumption and environmental characteristics potentially associated with asthma. Adolescents who presented wheezing in the last 12 months were considered asthmatic. A multiple logistic regression model was adjusted for confounding factors. Significance was defined as p≤0.05. Results: A total of 106,983 adolescents were studied. The prevalence of asthma was 23.2%. The final model was composed of 11 variables that were independently associated with asthma: female sex (OR=1.17), <14 years old (OR=1.12), not living with parents (OR=1.06), the highest number of days consuming ultra-processed foods (OR=1.16), lunch or dinner time without presence of parents or guardians (OR=1.13), meals in front of the TV or while studying (OR=1.18), not having breakfast frequently (OR=1.22), having smoked cigarettes (OR=1.36), having tried alcoholic beverage (OR=1.37), having used illicit drugs (OR=1.29) and having sought health care in the last year (OR=1.67). Conclusions: The results of the present study reinforce the multifactorial characteristic of asthma diagnosis. Prevention and control strategies should focus on groups of adolescents living in inadequate conditions when it comes to family dynamics, food consumption and behavior (drug use).


RESUMO Objetivo: Identificar fatores associados à asma em adolescentes brasileiros. Métodos: Estudo transversal baseado em dados da Pesquisa Nacional de Saúde do Escolar (PeNSE-2012), que foi um inquérito brasileiro realizado por meio de questionário autoaplicável em amostra representativa de alunos do 9º ano do ensino fundamental. Foi realizada análise descritiva e inferencial das características demográficas, socioeconômicas, clínicas, alimentares e ambientais potencialmente ligadas à asma. Foram considerados com asma os adolescentes que apresentaram chiado no peito nos últimos 12 meses. Um modelo logístico múltiplo foi ajustado para controle do confundimento. O valor p≤0,05 foi eleito para determinar associação estatisticamente significante. Resultados: Foram estudados 106.983 adolescentes. A prevalência de asma foi de 23,2%. O modelo final foi composto de 11 variáveis, que se associaram à asma de forma independente e estatisticamente significante (p<0,001): sexo feminino (OR=1,17), idade inferior a 14 anos (OR=1,12), não morar com os pais (OR=1,06), o maior número de dias de consumo de alimentos ultraprocessados (OR=1,16), almoçar ou jantar sem a presença dos pais ou responsáveis (OR=1,13), realizar as refeições em frente à TV ou estudando (OR=1,18), não tomar café da manhã com frequência (OR=1,22), ter fumado cigarro (OR=1,36), ter experimentado bebida alcoólica (OR=1,37), ter usado droga ilícita (OR=1,29) e ter procurado serviço de saúde no último ano (OR=1,67). Conclusões: Os resultados do presente estudo reforçam a característica multifatorial de determinação da asma. Estratégias de prevenção e controle devem focar grupos de adolescentes que vivem em condições inadequadas do ponto de vista familiar, alimentar e comportamental (uso de drogas).


Subject(s)
Humans , Male , Female , Adolescent , Asthma/etiology , Asthma/epidemiology , Schools , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Risk Factors , Health Surveys
13.
Rev. bras. cir. plást ; 34(4): 504-508, oct.-dec. 2019. ilus, tab
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1047913

ABSTRACT

Introdução: Lesões geradas por queimaduras representam um importante problema de saúde pública, constituindo a quarta causa de morte na infância no Brasil e Estados Unidos. Além disso, poucas são as doenças que trazem prejuízos tão importantes, com considerável morbidade pelo desenvolvimento de sequelas físicas e psicossociais. Diante disso, o objetivo deste estudo é traçar o perfil epidemiológico de crianças de 0-18 anos atendidas em um hospital escola de Curitiba, Paraná. Métodos: Estudo transversal e retrospectivo realizado através da análise de 625 prontuários de internação de crianças de 0-18 anos vítimas de queimaduras, entre janeiro de 2010 a dezembro de 2017. Foram coletadas informações sobre idade, sexo, tempo de internação, óbito, região corporal atingida, extensão da superfície corporal, grau de profundidade, agente etiológico e abordagem terapêutica. Resultados: A maior parte da amostra era composta por lactentes (43%), com média de idade de 12,6 anos. O sexo mais afetado foi o masculino e os pacientes permaneceram cerca de 14,5 dias internados. No estudo, 98% das queimaduras apresentaram como etiologia o agente térmico, principalmente por líquido quente. Em relação ao grau de profundidade, a maioria das queimaduras foram de 2º grau (61,3%), atingindo até 25% de superfície corporal queimada (SCQ), sendo o tronco o mais afetado. Dentre as modalidades de tratamento, 44% dos pacientes necessitaram de intervenção cirúrgica com debridamento e enxertia. Conclusão: Crianças mais novas são mais propensas a sofrerem queimaduras principalmente no ambiente domiciliar e, além disso, uma equipe preparada e capacitada é de crucial importância no prognóstico destes doentes.


Introduction: Injuries caused by burns represent a significant public health problem, constituting the fourth leading cause of childhood death in Brazil and the United States. In addition, few diseases carry such substantial losses as burns, with considerable morbidity due to the development of physical and psychosocial sequelae. This study aimed to outline the epidemiological profile of 0­18-year-old children treated for burns at a teaching hospital in Curitiba, Paraná. Methods: This cross-sectional, retrospective study involved analysis of 625 medical records of 0­18-year-old children who were victims of burns from January 2010 to December 2017. Information was collected on age, sex, length of hospitalization, death, body region affected, burned body surface area (BSA), depth, etiologic agent, and therapeutic approach. Results: A plurality of the sample were infants (43%), and the average age of the sample was 12.6 years. Most of the sample was comprised males, and the patients remained hospitalized for an average of 14.5 days. Of the burns, 98% were caused by thermal agents, particularly hot liquids. Most burns were second-degree burns (61.3%), reaching up to 25% of the BSA, and the most affected region was the trunk. Among the treatment modalities, 44% of the patients needed surgical intervention with debridement and grafting. Conclusion: Younger children are more prone to burns, especially in the home environment. A prepared and qualified team is of crucial importance for optimizing outcomes in these patients.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , History, 21st Century , Surgery, Plastic , Health Profile , Burns , Multiple Trauma , Health Surveys , Surgery, Plastic/methods , Surgery, Plastic/statistics & numerical data , Burns/surgery , Burns/therapy , Multiple Trauma/surgery , Multiple Trauma/therapy , Health Surveys/methods , Health Surveys/statistics & numerical data
14.
Rev. Bras. Saúde Mater. Infant. (Online) ; 19(4): 837-849, Sept.-Dec. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1057125

ABSTRACT

Abstract Objectives: we investigated the lifetime prevalence of abortion and life contexts and reasons reported for first abortion among women living (WLHA) and not living with HIV/AIDS(WNLHA). Methods: representative samples of 975 users of public health care reference network for HIV/AIDS and of 1,003 users of the primary care public services in São Paulo municipality were selected by cluster-stratified sampling and answered an electronic socio-behavioral questionnaire. Results: the prevalence of abortion was 11.9% (CI95%9.8-13.9) among WLHA and 3.0% (CI95%2.4-5.7) for WNLHA.Most abortions (128) among WLHA occurred before diagnosis and 28 after diagnosis or during pregnancy when diagnosis was given. The majority of women did not use any contraception at the time of the first abortion. The use of misoprostol was the most reported method. Having HIV was very important in deciding to abort for half of the WLHA. Absence of marital life and the lack of desire to have children were the most reported reasons by both groups. Conclusions: the similarity in contexts and reasons to abort among WLHA and WNLHA suggests that they share experiences molded by gender and social inequalities that affect their ability to access sexual and reproductive health resources and services.


Resumo Objetivos: investigou-se a prevalência de aborto provocado alguma vez na vida e os contextos de vida e motivos referidos para realização do primeiro aborto entre mulheres vivendo (MVHA) e não vivendo com HIV/AIDS (MNVHA). Métodos: amostras representativas de 975 usuárias da rede especializada em HIV/AIDS e de 1.003 usuárias da rede de atenção básica no município de São Paulo foram selecionadas por amostragem estratificada por conglomerados e responderam um questionário eletrônico sócio-comportamental. Resultados: a prevalência de aborto provocado foi de 11,9% (IC95%9,8-13,9) entre MVHA e de 3,0% (IC95%2,4-5,7) para MNVHA. A maioria dos abortos (128) entre MVHA ocorreu antes do diagnóstico e 28 após o diagnóstico ou na gravidez que este foi dado. A maioria das mulheres não fazia contracepção à época do primeiro aborto. O uso de miso-prostol foi o método mais referido. Ter HIV foi muito importante na decisão de abortar para metade das MVHA. Ausência de vida conjugal e o não desejo de ter filhos foram os motivos mais referidos por ambos os grupos. Conclusões: a semelhança nos contextos e motivos para a realização de aborto entre MVHA e MNVHA sugere que elas compartilham experiências moldadas por desigualdades sociais e de gênero que afetam suas possibilidades de acesso a recursos e serviços de saúde sexual e reprodutiva.


Subject(s)
Humans , Female , Pregnancy , Primary Health Care , Health Surveys/statistics & numerical data , Acquired Immunodeficiency Syndrome/epidemiology , Abortion, Induced/statistics & numerical data , Sexual Behavior , Brazil/epidemiology , Cross-Sectional Studies , Misoprostol , Contraception Behavior , Reproductive Health Services , Reproductive Health , Sexual Health
15.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1155-1160, out.-dez. 2019. tab, graf
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1021976

ABSTRACT

Objetivo: Analisar as tendências temporais e o perfil epidemiológico das principais causas de mortalidade em residentes do município de Lagarto, Sergipe, entre 2006 a 2015. Métodos: Estudo epidemiológico, descritivo e de série histórica, através de dados secundários dos óbitos notificados no Sistema de Informação de Mortalidade (SIM). A análise das tendências temporais foi realizada pelo Programa Joinpoint Regression obtendo-se a variação percentual anual (APC) das taxas de mortalidade por meio da regressão Possion. Resultados: Foram notificados 5.586 óbitos, com predomínio do sexo masculino e idosos, 58% e 59,61% respectivamente. Observou-se um aumento da taxa de mortalidade geral de 1,58% ao ano (IC95%: 0,5 a 2,6; p=0,01). Somente as taxas de mortalidade infantil (TMI) e de seus componentes apresentaram tendências decrescentes. Conclusão: Apesar da tendência decrescente das TMI, as mesmas requerem ações especializada, bem como para a redução da mortalidade por doenças crônicas


Objective: The study's purpose has been to analyze the temporal trends and the epidemiological profile of the main causes of mortality in residents of the Lagarto City, Sergipe State, between 2006 and 2015. Methods: This is an epidemiological, descriptive and historical series study, through secondary data on deaths reported in Sistema de Informação de Mortalidade (SIM) [Mortality Information System]. The analysis of temporal trends was performed by the Joinpoint Regression Program, obtaining the Annual Percentage Change (APC) of mortality rates through Possion Regression. Results: 5,586 deaths were reported, with men predominating 58% and the elderly people 59.61%. There was an increase in the overall mortality rate of 1.58% per year (95% CI 0.5 to 2.6, p = 0.01). Only Infant Mortality Rates (IMR) and their components showed declining trends. Conclusion: Despite the decreasing tendency of the IMR, they require specialized actions, as well as the reduction of mortality due to chronic diseases


Objetivo: Analizar las tendencias temporales y el perfil epidemiológico de las principales causas de mortalidad en residentes de la ciudad de Lagarto, Sergipe, entre 2006 y 2015. Método: series epidemiológicas, descriptivas e históricas, a través de datos secundarios sobre muertes relatadas en la Mortalidad Información SIM). El análisis fue realizado por el Programa de Regresión del Joinpoint, obteniendo Variaciones de las tasas de mortalidad a través de la Posibilidad de regresión. Resultados: 5.586 muertes fueron reportadas, con predominio de hombres 58% y ancianos 59.61%. Se observó un aumento en la tasa de mortalidad global del 1,58% anual (IC 95%: 0,5 a 2,6, p = 0,01). Sólo las tasas de mortalidad infantil (IMR) y sus componentes presentaron tendencias en declive. Conclusión: A pesar de la tendencia decreciente del IMR, ellos requieren acciones especializadas, así como la reducción de la mortalidad por enfermedades crónicas


Subject(s)
Humans , Health Profile , Indicators of Morbidity and Mortality , Mortality , Brazil , Health Surveys , Health Planning
16.
Rev. bras. ativ. fís. saúde ; 24: 1-8, out. 2019.
Article in English | LILACS (Americas) | ID: biblio-1026753

ABSTRACT

The aims of this study were a) to describe the smartphone use and sedentary behavior (SB) on typical weekdays and weekends, and b) to verify the association between smartphone use and SB among adolescents. This is a cross-sectional population school-based, which surveyed 984 students from Uberaba, Minas Gerais, in 2015. Gender-stratified analysis were performed using t-tests, Pearson's correlation (r) and multiple linear regression (ß). Girls used more smartphones than boys (weekdays: 6.58 hrs vs. 5.29 hrs, p < 0.001; weekend: 7.81 hrs vs. 6.18 hrs, p < 0.001). Both genders used more smartphones in the weekend (p < 0.001) than weekdays. SB was higher in girls than boys (weekdays: 5.34 hrs vs. 4.48 hrs, p < 0.001, weekend: 5.22 hrs vs. 4.38 hrs, p < 0.001). SB was higher for both genders at weekend (p < 0.001) than on weekdays. Correlation between SB and smartphone use ranged from weak to moderate in both genders (weekdays: boys, r = 0.30; girls, r = 0.17, p < 0.001; weekend: boys, r = 0.39; girls, r = 0.17, p < 0.001). Smartphone use was positively associated with SB during the weekdays (boys: ß = 0.25, girls: ß = 0.19, p < 0.001) and weekend (boys: ß = 0.31; girls: ß= 0.14, p < 0.001). Girls showed greater SB and smartphone use than boys, regardless if compared on weekdays or weekend. SB and smartphone were positively associated in both genders


Os objetivos deste estudo foram a) descrever o uso de smartphone e o comportamento sedentário (CS) em dias típicos de semana e final de semana (FDS) e, b) verificar a associação entre o uso de smartphone e o CS em adolescentes. Trata-se de um estudo transversal, com 984 escolares de Uberaba, Minas Gerais, conduzido em 2015. Para análises estratificadas por sexo, utilizou-se testes-t, correlação de Pearson (r) e regressão linear múltipla (ß). Moças usavam mais o smartphone que os rapazes (semana: 6,58 vs. 5,29 horas, p < 0,001; FDS: 7,81 vs. 6,18 horas, p < 0,001). Ambos os sexos usaram mais smartphone no FDS (p < 0,001). O CS foi maior nas moças que nos rapazes (semana: 5,34 vs. 4,48 horas, p < 0,001; FDS: 5,22 vs. 4,38 horas, p < 0,001). O CS foi maior no FDS, em ambos os sexos (p < 0,001). A correlação entre CS e smartphone foi de fraca a moderada em ambos os sexos (semana: rapazes, r = 0,30; moças, r = 0,17, p < 0,001; e FDS: rapazes, r = 0,39; moças, r = 0,17, p < 0,001). Uso de smartphone foi positivamente associado com CS durante a semana (rapazes: ß = 0,25; moças: ß = 0,19, p < 0,001) e FDS (rapazes: ß = 0,31; moças: ß = 0,14, p < 0,001). Moças apresentaram maior CS e uso de smartphone do que rapazes, independentemente se comparados na semana ou FDS. CS e uso de smartphones foram positivamente associados em ambos os sexos


Subject(s)
Humans , Male , Female , Adolescent , Health Surveys , Cell Phone , Computers, Handheld , Sedentary Behavior
17.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(5): 433-436, Sept.-Oct. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1039109

ABSTRACT

Objective: To evaluate the association between social and health contextual variables, and between major depressive episodes (MDE) and suicidal thoughts in Brazilian adults. Methods: This population-based cross-sectional study used data from the 2013 National Health Survey (Pesquisa Nacional de Saúde). The Patient Health Questionnaire was used to evaluate the presence of MDE and suicidal thoughts. We used number of Family Health Strategy teams (FHS) per 20,000 state population, number of Psychosocial Care Centers (Centros de Atenção Psicossocial [CAPS]) per 1,000 state population, gross domestic product (GDP), and Gini index for each Brazilian state as contextual variables. Multilevel logistic regression models were used to calculate OR and the intraclass correlation coefficient (ICC). Results: Prevalence of MDE and suicidal thoughts was 4.1% (95%CI 3.8-4.4) and 3.8% (95%CI 3.5-4.1), respectively. Multilevel regression models showed an ICC of 1.1% for MDE (95%CI 0.5-2.3) and 1.3% for suicidal thoughts (95%CI 0.6-2.6). Neither GDP, Gini, FHS, or CAPS showed evidence of association with the outcomes. Conclusions: In general, contextual variables, within each Brazilian state, do not seem to affect the prevalence of MDE and suicidal thoughts.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Depressive Disorder, Major/etiology , Depressive Disorder, Major/epidemiology , Suicidal Ideation , Socioeconomic Factors , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Health Surveys , Sex Distribution , Age Distribution , Multilevel Analysis , Middle Aged
18.
Rev. Univ. Ind. Santander, Salud ; 51(3): 220-227, Jul-Set. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1041631

ABSTRACT

Resumen Introducción: En los procesos de atención que requieren seguimiento, como el control prenatal, la satisfacción de la usuaria puede contribuir a su resultado. La percepción de la calidad, estimada mediante la satisfacción de las usuarias, aproxima a la medición de la calidad de la atención prenatal. Objetivo: Establecer el nivel de satisfacción con el control prenatal en una institución prestadora de servicios de salud en Montería (Colombia). Metodología: Estudio transversal con componente analítico, utilizando el programa Epidat 3.1. Se estimaron promedios, medianas y proporciones según fuesen las variables cuantitativas o cualitativas. Se exploró la asociación estadística la prueba t de Student para las variables continuas y la prueba x2 para las variables categóricas, y se estimaron los OR (IC 95%) asumiendo como caso la satisfacción con el control prenatal. Resultados: De las 178 mujeres entrevistadas 96% manifestaron sentirse satisfechas con el control prenatal. Recibieron información sobre: la prueba del Virus de Inmunodeficiencia Humana 83,7%, exámenes de laboratorio 85,4%, signos de alarma 93,8%, nutrición 86,5%, lactancia 76,4%, planificación 64%, cuidados del recién nacido 71,9%. Los promedios de edad (22,7 versus 25,1 años) y de semanas de gestación (11,1 versus 14,9 semanas) son menores en las mujeres satisfechas con el control prenatal (valor p<0,001). Otras variables asociadas con la satisfacción en el control prenatal: entrega completa de medicamentos formulados (OR 8,6 IC 95% 1,6-46,2), oportunidad en la entrega de resultados de los exámenes (OR 6 IC 95% 1,2-28,9), e información suministrada sobre los signos de alarma (OR 20,3 IC 95% 3,7-112) y nutrición (OR 5,3 IC 95% 1,16-25,6). Conclusión: Además de la influencia de las variables demográficas y obstétricas y de los atributos de la calidad de la atención, es importante denotar cómo la información y la educación para la salud se asocian con la satisfacción con el control prenatal.


Abstract Introduction: In the care health processes that require follow-up, such as prenatal care, users satisfaction can contribute to its outcome. The perceived quality, estimated through users satisfaction, approximates the measurement of prenatal care quality. Objective: To establish the level of satisfaction among pregnant women with prenatal care in a health institution in Montería (Colombia). Methodology: Cross-sectional study with descriptive and analytical, using the Epidat 3.1 program. Averages, medians and proportions were estimated according to the quantitative or qualitative variables. The statistical association was explored using the Student's t test for the continuous variables and the x2 test for the categorical variables, and OR was estimated (95%CI) assuming as a case the satisfaction with the prenatal control. Results: Of the 178 women interviewed, 96% reported feeling satisfied with antenatal consultation. They received information on: Human Immunodeficiency Virus test 83.7%, laboratory tests 85.4%, obstetric danger signs 93.8%, maternal nutrition 86.5%, breastfeeding 76.4%, family planning 64%, newborn care 71.9%. The average of age (22.7 versus 25.1 years) and gestational age (11.1 versus 14.9 weeks) are lower in women satisfied with antenatal consultation (p<0.001). Other variables associated with satisfaction in antenatal care: complete medication delivery (OR 8.6 95%CI 1.6-46.2), timely laboratory results (OR 6 95%CI 1.2-28.9), and information provided on obstetric danger signs (OR 20.3 95%CI 3.7-112) and maternal nutrition (OR 5.3 95%CI 1.16-25.16). Conclusion: In addition to the influence of demographic and obstetric variables and attributes of quality care health, it is important to note how information and health education are also associated with women's satisfaction with antenatal care.


Subject(s)
Humans , Patient Satisfaction , Prenatal Care , Quality of Health Care , Health Education , Cross-Sectional Studies , Health Surveys , Pregnant Women , Prenatal Education
19.
Rev. bras. ativ. fís. saúde ; 23: 1-10, fev.-ago. 2019. tab, fig
Article in Portuguese | LILACS (Americas) | ID: biblio-1026690

ABSTRACT

O objetivo do presente estudo foi comparar as estimativas de atividade física e comportamento se-dentário obtidas pelos inquéritos nacionais VIGITEL e PNS. Foram utilizados dados do VIGITEL 2013 e PNS 2013, conduzidos entre adultos (≥ 18 anos).Os desfechos foram: atividade física no lazer, deslocamento ativo para o trabalho, inatividade física no lazer e tempo de televisão. Sexo, idade, escolaridade e índice de massa corporal foram as variáveis independentes. Para a estatística, utilizou--se proporções (IC95%) e Coeficiente de Correlação de Concordância de Lin (CCC). As estimativas de deslocamento ativo para o trabalho e de tempo de TV apresentaram concordância moderada entre os inquéritos (CCC = 0,515; CCC = 0,478, respectivamente), enquanto as estimativas de atividade física no lazer e inatividade no lazer apresentaram concordância baixa (CCC = 0,060; CCC = 0,054, respectivamente). As estimativas obtidas entre os inquéritos PNS e VIGITEL sobre desfechos relacionados à atividade física e comportamento sedentário foram de concordância moderada a baixa, não sendo os resultados obtidos comparáveis


The aim of the present study was to compare estimates of physical activity and sedentary behavior by two Brazilian surveys, VIGITEL PNS. Were used data from VIGITEL 2013 and PNS 2013, conducted among adults (≥ 18 y). Were adopted as outcomes: leisure-time physical activity, active transportation to work, leisure-time physical inactivity and TV time. Sex, chronological age, race, educational status, marital status and body mass index were independent variables. For statistical analyses, proportions (IC95%) and Lin's concordance correlation coefficient (CCC) were calculated. The estimates of active transportation for work and TV viewing showed moderate agreement between the surveys (CCC = 0.515; CCC = 0.478, respectively), while estimates of leisure activity and leisure physical inactivity showed a low agreement (CCC = 0.060; CCC = 0.054, respectively). Agreement between the estimates of physical activity and sedentary behavior provided by the VIGITEL and PNS ranged from moderate to poor and the results are not comparable


Subject(s)
Exercise , Health Surveys , Adult , Sedentary Behavior , Healthy Lifestyle
20.
Rev. medica electron ; 41(4): 824-838, jul.-ago. 2019. tab, graf
Article in Spanish | LILACS (Americas), CUMED | ID: biblio-1094092

ABSTRACT

RESUMEN Introducción: ciertas conductas y la falta de percepción del riesgo, principalmente en los jóvenes, pueden conducirlos a ser víctimas de enfermedades crónicas no transmisibles como el cáncer. Objetivo: caracterizar los hábitos y conductas de los estudiantes de la Universidad de Ciencias Médicas en Cienfuegos que pueden incidir como factores de riesgo en la aparición de afecciones cancerígenas. Materiales y métodos: estudio transversal y retrospectivo realizado a 98 estudiantes entre 18 y 22 años de edad. Resultados: los principales eventos de salud detectados en la conducta de los estudiantes fueron el consumo regular de bebidas alcohólicas y la poca práctica de ejercicios físicos. Conclusiones: los comportamientos de salud establecidos por los estudiantes universitarios pueden tener un impacto significativo en la adultez tardía.


ABSTRACT Introduction: certain behaviors and lack of perception of risk, especially among young people, can lead them to be victims of chronic noncommunicable diseases such as cancer. Objective: to characterize the habits and behaviors of the students of the University of Medical Sciences in Cienfuegos that can influence as risk factors in the appearance of cancerous affections. Materials and methods: cross-sectional and retrospective study of 98 students between 18 and 22 years of age. Results: the main health events detected in the behavior of the students were the regular consumption of alcoholic beverages and the little practice of physical exercises. Conclusions: health behaviors established by university students can have a significant impact on late adulthood.


Subject(s)
Humans , Adolescent , Young Adult , Risk-Taking , Students , Universities , Risk Factors , Health Surveys , Education, Medical , Noncommunicable Diseases/prevention & control , Health Risk Behaviors , Neoplasms/diagnosis , Neoplasms/mortality , Neoplasms/prevention & control , Sexual Behavior , Behavior , Alcohol Drinking , Cross-Sectional Studies , Retrospective Studies , Social Vulnerability , Dangerous Behavior , Habits , Life Style
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