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1.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(2): 575-586, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1340651

ABSTRACT

Abstract Objectives: to evaluate and identify the prevalence of interruption of breastfeeding (BF) in the period of up to 45 days postpartum and the associated sociodemographic and obstetric factors. Methods: cohort of 622 puerperal women, selected between 2018 and 2019 in a reference maternity hospital in the South Brazil. Data collection was carried out in two phases, the first in the maternity hospital during hospitalization of the puerperal woman and the newborn and the second through a telephone call, which occurred 60 days after birth. Poisson regressions with robust variance were performed to identify the factors associated with interruption of BF in the first 45 days of life. The variables that presented p<0.20 in the crude analysis were included in the adjusted analysis. Results: the interruption of BF at 45 days was identified in 14% of the sample. Higher maternal age (PR= 0.46; CI95%= 0.22-0.93), eight years or less of education (PR= 2.11; CI95%= 1.05-4.25), support from the maternal grandmother (PR= 1.91; CI95%= 1.20-3.06) and receiving complement at the maternity hospital (PR= 1.53; CI95%= 1.04-2.25) were factors related to the interruption of BF in the 45-day postpartum period. Conclusion: maternal age ≥35 was a protective factor, and less education, the support of the maternal grandmother and receiving complement at the maternity hospital were predictors of early breastfeeding abandonment.


Resumo Objetivos: identificar a prevalência de interrupção do aleitamento materno (AM) no período de até 45 dias pós-parto e avaliar os fatores sociodemográficos e obstétricos associados. Métodos: coorte com 622 puérperas, selecionadas entre 2018-2019 em uma maternidade de referência do sul do Brasil. A coleta dos dados foi realizada em duas fases, a primeira na maternidade durante internação da puérpera e do recém-nascido e a segunda através de ligação telefônica, ocorrida após 60 dias do nascimento. Regressões de Poisson com variância robusta foram realizadas para identificar os fatores associados com a interrupção do AM nos primeiros 45 dias de vida. As variáveis que apresentaram p<0,20 na análise bruta foram inseridas na análise ajustada. Resultados: a interrupção do AM aos 45 dias foi identificada em 14% da amostra. Maior idade materna (RP= 0,46; IC95%= 0,22-0,93),oito anos ou menos de escolaridade (RP= 2,11; IC95%= 1,05-4,25), apoio da avó materna (RP= 1,91; IC95%= 1,20-3,06) e recebimento de complemento na maternidade (RP= 1,53; IC95%= 1,04-2,25) foram fatores relacionados com a interrupção do AM no período de 45 dias pós-parto. Conclusão: a idade materna ≥35 foi um fator protetor e a menor escolaridade, o apoio da avó materna e o recebimento de complemento na maternidade foram preditores do abandono precoce do AM.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Socioeconomic Factors , Weaning , Breast Feeding/statistics & numerical data , Risk Factors , Postpartum Period , Brazil , Poisson Distribution , Cohort Studies , Obstetric Nursing
2.
Ciênc. Saúde Colet ; 26(3): 987-1000, mar. 2021. tab, graf
Article in English | LILACS | ID: biblio-1153843

ABSTRACT

Abstract The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult population from the state of Rio Grande do Sul, southern Brazil. This is an ambispective, population-based cohort study. Descriptive analysis and Poisson regression models were used and the results were reported as prevalence ratio and 95% confidence intervals. From a total of 1,288 participants, 43.1% needed medical care and 28.5% reported impaired management of NCDs during social distance. Female sex, age between 18 and 30 years old, living in the Serra region (central region of the state), people with depression and multimorbidity were more likely to have impaired management of NCDs. Being physically active reduced the probability of having impaired management of NCD by 15%. Reduced monthly income was associated with the difficulty in accessing prescription medicine and avoidance of seeking in-person medical assistance. Depression was associated with difficulties in accessing medications, while avoidance of seeking in-person medical assistance was more likely for people with multimorbidity, arthritis/arthrosis/fibromyalgia, heart disease, and high cholesterol.


Resumo O objetivo foi identificar o impacto do distanciamento social no manejo das doenças crônicas não transmissíveis (DCNT) na população adulta do estado do Rio Grande do Sul, sul do Brasil. Este é um estudo de coorte ambispectivo de base populacional. Foi utilizada análise descritiva e modelos de regressão de Poisson, os resultados são apresentados em razão de prevalência e intervalos de confiança de 95%. De um total de 1.288 participantes, 43,1% necessitaram de cuidados médicos e 28,5% relataram manejo prejudicado de DCNT durante o distanciamento social. Sexo feminino, idade entre 18 e 30 anos, residente na região da Serra (região central do estado), pessoas com depressão e multimorbidade apresentaram maior chance de manejo prejudicado das DCNT. Ser fisicamente ativo reduziu a probabilidade de ter gerenciamento prejudicado de DCNT em 15%. A redução da renda mensal esteve associada à dificuldade de acesso a medicamentos prescritos e a deixar de buscar atendimento médico presencial. A depressão foi associada a dificuldades de acesso a medicamentos, enquanto deixar de buscar assistência médica pessoalmente foi mais provável para pessoas com multimorbidade, artrite/artrose/fibromialgia, doenças cardíacas e colesterol alto.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Coronavirus Infections/epidemiology , Pandemics , Noncommunicable Diseases/therapy , Socioeconomic Factors , Brazil/epidemiology , Exercise , Patient Acceptance of Health Care , Poisson Distribution , Sex Factors , Regression Analysis , Cohort Studies , Age Factors , Depression/psychology , Multimorbidity , Health Services Accessibility/statistics & numerical data , Income , Middle Aged
3.
Braz. arch. biol. technol ; 64: e21190502, 2021. tab, graf
Article in English | LILACS | ID: biblio-1285558

ABSTRACT

Abstract Climate is considered an important factor in the temporal and spatial distribution of vector-borne diseases. Dengue transmission involves many factors: although it is not yet fully understood, climate is a critical factor as it facilitates risk analysis of epidemics. This study analyzed the effect of seasonal factors and the relationship between climate variables and dengue risk in the municipality of Campo Grande, from 2008 to 2018. Generalized linear models with negative binomial and Poisson distribution were used. The most appropriate model was the one with "minimum temperature" and "precipitation", both lagged by one month, controlled by "year". In this model, a 1°C rise in the minimum temperature of one month led to an increase in dengue cases the following month, while a 10 mm increase in precipitation led to an increase in dengue cases the following month.


Subject(s)
Climate Change , Dengue/epidemiology , Temporal Distribution , Seasons , Binomial Distribution , Linear Models , Poisson Distribution
4.
Article in English | WPRIM | ID: wpr-878376

ABSTRACT

Climate change has been referred to as one of the greatest threats to human health, with reports citing likely increases in extreme meteorological events. In this study, we estimated the relationships between temperature and outpatients at a major hospital in Qingdao, China, during 2015-2017, and assessed the morbidity burden. The results showed that both low and high temperatures were associated with an increased risk of outpatient visits. High temperatures were responsible for more morbidity than low temperatures, with an attributed fraction (AF) of 16.86%. Most temperature-related burdens were attributed to moderate cold and hot temperatures, with AFs of 5.99% and 14.44%, respectively, with the young (0-17) and male showing greater susceptibility. The results suggest that governments should implement intervention measures to reduce the adverse effects of non-optimal temperatures on public health-especially in vulnerable groups.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Ambulatory Care/statistics & numerical data , Cardiovascular Diseases/therapy , Child , Child, Preschool , China/epidemiology , Cold Temperature/adverse effects , Cost of Illness , Digestive System Diseases/therapy , Facilities and Services Utilization/statistics & numerical data , Female , Hot Temperature/adverse effects , Humans , Infant , Infant, Newborn , Male , Middle Aged , Poisson Distribution , Respiratory Tract Diseases/therapy , Risk Factors , Young Adult
5.
Rev. enferm. UERJ ; 28: e49109, jan.-dez. 2020.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1146588

ABSTRACT

Objetivo: verificar associação entre diabetes mellitus e doenças oculares em pessoas com deficiência visual. Método: estudo transversal com 51 pessoas com diabetes e deficiência visual, em um centro de reabilitação visual do interior paulista, que participaram de entrevista estruturada, em 2018. Utilizou-se os testes: Kolmogorov Smirnov, Regressão de Poisson, Regressão de Logística Binária, e Correlação de Spearman. Resultados: a maioria das pessoas era cega e relatou que a retinopatia diabética, o glaucoma e a catarata foram causa da deficiência visual; com tempo de diagnóstico do diabetes acima de 109 meses. A catarata apresentou um nível de correlação baixa (r=0,280 e p=0,047), e a retinopatia diabética um nível de correlação moderada (r=0,565 e p=0,000), considerando o tempo de diagnóstico do diabetes. Conclusão: associação estatisticamente significante entre o tipo de diabetes e a retinopatia, e correlação estatisticamente significante entre o tempo de diagnóstico do diabetes, a catarata e a retinopatia diabética.


Objective: to verify the association between diabetes mellitus and eye diseases in people with visual impairment. Method: this cross-sectional study involved 51 people with diabetes and visual impairment at a Visual Rehabilitation Center in São Paulo, who participated in a structured interview in 2018. The tests used were: Kolmogorov Smirnov, Poisson Regression, Binary Logistic Regression, and Spearman Correlation. Results: most participants were blind, reported that diabetic retinopathy, glaucoma and cataracts were the causes of their visual impairment, and had been diagnosed with diabetes over 109 months earlier. Cataract returned a low level of correlation with time with diagnosis of diabetes (r = 0.280 and p = 0.047), and diabetic retinopathy, moderate correlation (r = 0.565 and p = 0.000). Conclusion: a statistically significant association was found between type of diabetes and retinopathy, and statistically significant correlations between the time diagnosed with diabetes, cataracts and diabetic retinopathy.


Objetivo: verificar la asociación entre diabetes mellitus y enfermedades oculares en personas con discapacidad visual. Método: este estudio transversal involucró a 51 personas con diabetes y discapacidad visual en un Centro de Rehabilitación Visual en São Paulo, quienes participaron en una entrevista estructurada en 2018.Las pruebas utilizadas fueron: Kolmogorov Smirnov, Regresión de Poisson, Regresión Logística Binaria y Spearman Correlación. Resultados: la mayoría de los participantes eran ciegos, informaron que la retinopatía diabética, el glaucoma y las cataratas eran las causas de su discapacidad visual y habían sido diagnosticados con diabetes más de 109 meses antes. La catarata devolvió un bajo nivel de correlación con el tiempo con el diagnóstico de diabetes (r = 0,280 yp = 0,047) y la retinopatía diabética, correlación moderada (r = 0,565 yp = 0,000). Conclusión: se encontró asociación estadísticamente significativa entre tipo de diabetes y retinopatía, y correlaciones estadísticamente significativas entre el tiempo de diagnóstico de diabetes, cataratas y retinopatía diabética.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Vision Disorders/epidemiology , Cataract/epidemiology , Glaucoma/epidemiology , Diabetes Mellitus, Type 1/epidemiology , Diabetes Mellitus, Type 2/epidemiology , Diabetic Retinopathy/epidemiology , Brazil/epidemiology , Logistic Models , Poisson Distribution , Prevalence , Risk Factors , Statistics, Nonparametric , Visually Impaired Persons/statistics & numerical data , Diabetes Mellitus, Type 1/diagnosis , Diabetes Mellitus, Type 2/diagnosis
6.
Rev. Bras. Saúde Mater. Infant. (Online) ; 20(4): 1081-1090, Oct-Dec. 2020. tab
Article in English | LILACS | ID: biblio-1155291

ABSTRACT

Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.


Resumo Objetivos: identificar a prevalência e os fatores associados a intervenções obstétricas em parturientes atendidas em maternidades públicas. Métodos: estudo transversal, com 344 puérperas, de duas maternidades públicas, referência ao parto pelo Sistema Único de Saúde no município de Londrina, Paraná, Brasil, entre janeiro e junho de 2017. Constituíram fonte de dados os prontuários hospitalares. As seguintes intervenções obstétricas foram consideradas: uso de ocitocina, rotura artificial das membranas, parto instrumental e realização de episiotomia. Para análise dos fatores associados utilizou-se a regressão multivariada de Poisson, sendo significativo p<5%. Resultados: a prevalência de intervenção obstétrica foi de 55,5%, o número máximo de intervenções em uma mesma parturiente foi três. As intervenções mais frequentes foram o uso de ocitocina (50,0%) e a rotura artificial das membranas (29,7%). As variáveis doença materna associada (p=0,005) e mecônio intraparto (p=0,022) aumentaram, de maneira independente, o risco de intervenção obstétrica, enquanto que a dilatação igual ou superior a 5 cm na internação constituiu fator de proteção a esse desfecho (p= 0,030). Conclusão: a prevalência de intervenções obstétricas foi elevada. Na vigência de doença materna e de mecônio intraparto, especial atenção deve ser dedicada à parturiente, para que sejam evitadas intervenções desnecessárias, assim as maternidades precisam rever seus protocolos, buscando as boas práticas de atenção ao parto.


Subject(s)
Humans , Female , Pregnancy , Labor, Obstetric , Risk Factors , Medicalization , Midwifery , Natural Childbirth/statistics & numerical data , Prenatal Care , Brazil , Oxytocin , Poisson Distribution , Cross-Sectional Studies , Episiotomy , Amniotomy , Hospitals, Maternity
7.
Rev. Bras. Saúde Mater. Infant. (Online) ; 20(3): 735-745, July-Sept. 2020. tab
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1136444

ABSTRACT

Abstract Objectives: to identify dietary patterns (DP) and associated factors in first grade school-children in elementary schools in the South of Brazil. Methods: school-based cross-sectional study, with a non-probabilistic sample of 782 schoolchildren aged 6 to 8. Food intake was assessed by a food frequency questionnaire. DP were identified using the principal component analysis and the prevalence ratios were obtained by Poisson regression with a robust variance. Results: four DP were identified and accounted for 25.3% of the total variance: "fruit, vegetables and fish" (8.5%), "sweets and salty snacks" (7.0%), "dairy, ham and biscuits" (5.0%) and "common Brazilian food" (4.8%). After the adjustment, breakfast habit and lower frequency of meals in front of a screen increased the probability of adherence to a high consumption of DP of "fruit, vegetables and fish". The maternal schooling level was linearly and inversely associated with DP of "sweets and salty snacks" and "common Brazilian food", and positively related to the DP of "dairy, ham and biscuits". Schoolchildren with food inse-curity and sufficiently active had higher probability of adherence to DP of "common Brazilian food". Conclusions: four DP were identified and associated with food insecurity, maternal socioeconomic characteristics and schoolchildren's behavioral characteristics.


Resumo Objetivos: identificar padrões alimentares (PA) e fatores associados em escolares do primeiro ano do ensino fundamental de escolas municipais do sul do Brasil. Métodos: estudo transversal, de base escolar, com uma amostra não-probabilística de 782 escolares, de 6 a 8 anos. A ingestão alimentar foi avaliada por questionário de frequência alimentar. Os PA foram identificados através da análise de componentes princi-pais e razões de prevalência foram obtidas por regressão de Poisson com variância robusta. Resultados: foram identificados quatro PA que explicaram 25.3% da variância total: "frutas, verduras e peixe" (8,5%), "doces e salgadinhos" (7.0%); "laticínios, presunto e biscoitos" (5.0%) e "comum brasileiro" (4.8%). Após ajuste, hábito de realizar desjejum e baixa frequência de refeições em frente à tela aumentaram a probabilidade de adesão ao consumo elevado do PA "frutas, verduras e peixe". Escolaridade materna associou-se linear-mente e inversamente com o PA "doces e salgadinhos" e "comum brasileiro", e positiva-mente com o PA "laticínios, presunto e biscoitos". Escolares com insegurança alimentar e suficientemente ativos apresentaram maior probabilidade de adesão ao PA "comum brasileiro". Conclusões: identificaram-se quatro PA e foram observadas associações com insegu-rança alimentar, características socioeconômicas maternas e características comportamen-tais dos escolares.


Subject(s)
Humans , Child, Preschool , Child , Socioeconomic Factors , Education, Primary and Secondary , Principal Component Analysis/methods , Child Nutrition , Feeding Behavior , Food Insecurity , Brazil , Poisson Distribution , Cross-Sectional Studies , Eating
8.
Rev. chil. pediatr ; 91(4): 507-511, ago. 2020. tab
Article in Spanish | LILACS | ID: biblio-1138664

ABSTRACT

INTRODUCCIÓN: En los últimos años se ha observado un aumento significativo de la tasa de hospitalización por asma en niños. En la actualidad se desconocen las tasas regionales y la tasa de mortalidad. OBJETIVO: Conocer las tasas regionales de hospitalización por asma en niños y determinar la mortalidad en este grupo etario. PACIENTES Y MÉTODO: Se calculó la tasa de hospitalización por asma en las 15 regiones del país existentes al momento de realizar el estudio, entre el año 2008 y 2014, en base al número de egresos hospitalarios por región y de las poblaciones expuestas al riesgo de hospitalización. La tasa de mor talidad se obtuvo calculando el cociente entre el número de defunciones por asma en niños de 5 a 15 años y la población expuesta. RESULTADOS: La tasa más alta de hospitalización la presentó la V región con 7,6 por 10.000 habitantes. La tasa media de hospitalización en las distintas regiones fue similar a la de la Región Metropolitana, con la excepción de 4 regiones. La tasa global de mortalidad por asma en niños de 5 a 15 años para el periodo analizado es de 0,37 por 100.000 habitantes. CONCLUSIONES: La mayoría de las regiones del país presentan tasas de hospitalización similares a la Región Metropolitana. La V Región presenta la tasa más alta de hospitalización. La tasa global de mortalidad por asma en niños de 5 a 15 años es de 0,37 por 100.000 habitantes.


INTRODUCTION: In recent years, there has been a significant increase in asthma hospitalization rates in children, however, regional and mortality rates are yet unknown. OBJECTIVE: To determine regional asth ma hospitalization rates in children and the global mortality rate in this age group. PATIENTS AND METHOD: We determined asthma hospitalization rates in the 15 regions of the country existing at the time of the study, between 2008 and 2014, based on the number of hospital discharges in each region and the population at risk of hospitalization. The mortality rate was obtained using the ratio between deaths due to asthma in children aged 5 to 15 and the exposed population. RESULTS: the 5th region presented the highest hospitalization rate (7.6 per 10,000 inhabitants). Except for 4 regions, the median hospitalization rates of the different regions were similar to those found in the Metropolitan Region. The overall mortality rate due to asthma in 5 to 15-year-old children was 0.37 per 100,000 inhabitants in the analyzed period. CONCLUSIONS: most regions of the country have similar hospitalization rates to the Metropolitan Region and the 5th region presents the highest hospitali zation rate due to asthma. The global mortality rate in children between 5 and 15 years old is 0.37 per 100,000 inhabitants.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Asthma/mortality , Health Status Disparities , Healthcare Disparities/statistics & numerical data , Hospitalization/statistics & numerical data , Asthma/therapy , Poisson Distribution , Chile/epidemiology , Registries
9.
Rev. Bras. Saúde Mater. Infant. (Online) ; 20(2): 515-524, Apr.-June 2020. tab
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1136427

ABSTRACT

Abstract Objectives: to evaluate the association between dietary intake during pregnancy and different gestational clinical conditions (hypertensive, diabetics, smokers, having intrauterine growth restriction and a control group) and associated factors. Methods: cross-sectional study nested in a cohort study from 2011 to 2016 that occurred in three hospitals in Porto Alegre (Brazil). Sociodemographic conditions and prenatal were investigated and maternal feeding practices were analyzed by the Food Frequency Questionnaire. To calculate the caloric percentage from food groups, food items were categorized into:unprocessed or minimally processed, processed and ultra-processed foods. The Kruskal-Wallis test with Dunn's post-hoc compared food consumption between the groups and the Poisson regression evaluated the association between the variables. Results: there was no statistical difference in food intake among 303 mothers of different gestational clinical conditions, but diabetic pregnant women had lower caloric contribution value of ultra-processed foods. In addition, pregnant women from all groups showed adequate consumption in relation to the percentage of caloric contribution of macronutrients in the total energy value. Conclusions: there was no difference in energy consumption according to different gestational clinical conditions.In diabetic, smokers and hypertensive pregnant women, associations between total energy intake and different sociodemographic factors were observed between the groups.


Resumo Objetivos: avaliar a associação entre o consumo alimentar gestacional com diferentes condições clínicas das gestantes (hipertensão, diabete, tabagismo, restrição de crescimento intrauterino e um grupo controle) e os demais fatores associados. Métodos: pesquisa transversal aninhada em estudo de coorte realizado de 2011 a2016 em três hospitais de Porto Alegre (Brasil). Foram analisadas, por um questionário estruturado, as condições sociodemográficas e o pré-natal; e práticas alimentares gestacionais pelo Questionário de Frequência Alimentar (QFA). Para o cálculo do percentual calórico referente ao processamento, os itens alimentares foram categorizados em: in natura ou minimamente processados, processados e ultraprocessados. O teste de Kruskal-Wallis com post-hoc de Dunn comparou o consumo alimentar entre os grupos e a regressão de Poisson, a associação entre as variáveis. Resultados: não houve diferença de consumo calórico entre as 303 mães dos diferentes grupos pesquisados, porém as gestantes diabéticas apresentaram menor valor de contribuição vinda dos alimentos ultraprocessados. Além disso, as gestantes de todos os grupos apresentaram consumo adequado em relação ao percentual de contribuição calórica de macronutrientes no valor energético total. Conclusões: não foi encontrada associação entre consumo alimentar e diferentes condições clínicas gestacionais. Nas gestantes diabéticas, tabagistas e hipertensas foram observadas associações da ingestão energética total com diferentes fatores sociodemográficos entre os grupos.


Subject(s)
Humans , Female , Pregnancy , Nutrition Assessment , Nutritional Status , Eating , Prenatal Nutrition , Feeding Behavior , Socioeconomic Factors , Poisson Distribution , Cross-Sectional Studies , Statistics, Nonparametric , Pregnant Women
10.
Ciênc. Saúde Colet ; 25(4): 1491-1498, abr. 2020. tab
Article in English | LILACS | ID: biblio-1089537

ABSTRACT

Abstract This cross-sectional study aimed to investigate the association between the Sense of Coherence and impact of oral health on the quality of life. Was conducted with a sample of 720 individuals of both sexes, between the ages of 50 and 74 years, selected through multistage proportional random sampling. The data collection instruments used were: short version of the Sense of Coherence Scale (SOC-13), Oral Impacts on Daily Performances (OIDP) questionnaire, oral clinical examination and questionnaire containing socio demographic and use of dental services information. Bivariate and multivariate analyses were performed through Poisson regression adjusted for robust variance, with level of significance p < 0.05. Oral impacts were reported by 416 participants (57.8%). In the adjusted model, those with strong SOC were more likely of not having any impact when compared with individuals with weak SOC (PR=1.30). Need for dental prosthesis was also associated with the outcome, individuals who did not require prosthesis had less impact (PR=1.50). The findings showed that SOC is associated with OIDP, supporting the hypothesis that individuals with strong SOC present a lower impact of oral health on the quality of life, suggesting that SOC is a determinant that can provide protection against that impact.


Resumo Este estudo transversal objetivou investigar a associação entre Senso de Coerência (SOC) e o impacto da saúde bucal na qualidade de vida. Foi realizado com uma amostra de 720 indivíduos de ambos os sexos, com idade entre 50 e 74 anos, selecionados por amostragem aleatória proporcional em múltiplos estágios. Os instrumentos de coleta de dados foram: versão curta da Sense of Coherence Scale, questionário Oral Impact on Daily Performance (OIDP), exame clínico bucal e questionário sociodemográfico e de uso de serviços odontológicos. As análises bivariadas e multivariadas foram realizadas por regressão de Poisson ajustada para variância robusta, com nível de significância p < 0,05. O impacto da saúde bucal foi relatado por 416 participantes (57,8%). No modelo ajustado, aqueles com SOC forte foram mais propensos a não ter nenhum impacto, comparados aos indivíduos com SOC fraco (PR=1,30). A necessidade de prótese dentária também foi associada ao desfecho e os indivíduos que não necessitavam prótese tiveram menor impacto (PR=1,50). Os resultados mostraram que o SOC está associado ao OIDP, apoiando a hipótese de que os indivíduos com SOC forte apresentam menor impacto da saúde bucal na qualidade de vida, sugerindo que o SOC é um determinante que pode proporcionar proteção contra esse impacto.


Subject(s)
Humans , Male , Female , Aged , Quality of Life/psychology , Oral Health , Sense of Coherence , Brazil , Poisson Distribution , Cross-Sectional Studies , Analysis of Variance , Dental Prosthesis/psychology , Middle Aged
11.
Braz. oral res. (Online) ; 34: e037, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1100931

ABSTRACT

Abstract The aim of this study was to evaluate the association between number of cavitated dental caries in adolescents and family cohesion, drug use, sociodemographic factors and visits to the dentist. A cross-sectional study was conducted with 746 adolescents aged 15 to 19 years from Campina Grande, Brazil. The parents answered a questionnaire addressing sociodemographic data, and the adolescents answered questionnaires on drug use, type of family cohesion and visits to the dentist. Two examiners underwent training and calibration exercises (K > 0.80) to diagnose dental caries using the Nyvad criteria. A directed acyclic graph was created to select the variables to be controlled in the statistical model. Associations between the independent variables and the outcome were determined using robust Poisson Regression analysis for complex samples (α = 5%). Rate ratios (RR) and 95% confidence intervals (CI) were calculated. The prevalence of dental caries and cavitated lesions among the adolescents was 92.8% and 41.6%, respectively. The following variables remained associated with the number of cavitated lesions in the multivariate analysis: disengaged (RR: 6.30; 95%CI: 1.24-31.88; p = 0.028 ), separated (RR: 4.80; 95%CI: 1.03-22.35; p = 0.046) and connected (RR: 5.23; 95%CI: 1.27-21.59; p = 0.024) levels of family cohesion, and high social class (RR: 0.55; 95%CI: 0.39-0.76; p = 0.001). In conclusion, this paper posits that adolescents with a lower socioeconomic status, and those whose family cohesion was classified as disengaged, separated or connected, had a larger number of cavitated lesions.


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Social Class , Dental Caries/epidemiology , Family Relations , Parents , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Prevalence , Cross-Sectional Studies , Multivariate Analysis , Surveys and Questionnaires
12.
Rev. bras. epidemiol ; 23: e200027, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1101593

ABSTRACT

RESUMO: Objetivo: Estimar a prevalência de exposição a agrotóxicos e fatores associados entre moradores de zona rural. Métodos: Estudo transversal de base populacional realizado com 1.518 indivíduos, em 2016. Foram aleatoriamente selecionados 24 setores censitários de oito distritos rurais de Pelotas, RS. Indivíduos ≥ 18 anos residentes nos domicílios aleatoriamente selecionados eram elegíveis. Foi realizada análise descritiva e apresentada prevalência de contato com os agrotóxicos. A associação entre desfecho e variáveis independentes deu-se por regressão de Poisson, conforme modelo hierárquico. As variáveis foram ajustadas para todas do mesmo nível, além daquelas que foram mantidas no modelo do nível anterior e das com valor p < 0,20. Resultados: A prevalência de contato com agrotóxicos no último ano foi de 23,7%, e, entre esses participantes, 5,9% relataram intoxicação por agrotóxicos alguma vez na vida. A probabilidade de contato com agrotóxicos no último ano foi maior entre os homens (razão de prevalência - RP = 2,00; intervalo de confiança de 95% - IC95% 1,56 - 2,56); entre aqueles com idades entre 40 e 49 anos (RP = 1,44; IC95% 1,12 - 1,80); entre os menos escolarizados (RP = 2,06; IC95% 1,39 - 3,10); os que exerciam trabalho rural (RP = 2,87; IC95% 2,05 - 4,01); e aqueles que moraram na zona rural a vida inteira (RP = 1,28; IC95% 1,00 - 1,66). Conclusões: Aproximadamente um em cada quatro adultos da zona rural de Pelotas entrou em contato com agrotóxicos no ano anterior ao estudo. Os achados evidenciam a existência de desigualdades sociais relacionadas à exposição aos agrotóxicos e fornecem informações para ações visando à redução da exposição e intoxicação por esses produtos.


ABSTRACT: Objective: To estimate the prevalence of pesticide exposure and associated factors among rural residents. Methods: A population-based, cross-sectional study conducted with 1,518 individuals in 2016. We randomly selected 24 census tracts from the eight rural districts of the city of Pelotas, RS. All individuals aged 18 years or older, living in the randomly selected households were eligible. A descriptive analysis was performed and the prevalence of contact with pesticides was presented. The association between outcome and independent variables was analyzed using Poisson regression according to the hierarchical model. The variables were all adjusted to the same level, including those at the previous level and those with p<0.20 were kept in the model. Results: The prevalence of contact with pesticides in the past year was 23.7% and among the participants, 5.9% reported having pesticide poisoning at some time in their lives. The probability of contact with pesticides in the past year was higher among men (PR=2,00; 95%CI 1.56 - 2.56), among those aged 40-49 years (PR = 2.00; 95%CI 1.12 - 1.80), among individuals with lower levels of education (PR = 2.06; 95%CI 1.39 - 3.10), in those who performed rural work (PR = 2.87; 95%CI 1.39 - 3.10) and in those who had lived in rural areas all their lives (PR = 1.28 95%CI 1.00 - 1.66). Conclusions: Approximately one in four adults in rural Pelotas had come into contact with pesticides in the year before the study. The findings show the existence of social inequalities related to exposure to pesticides and provide information for action aimed at reducing exposure and poisoning from these products.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Pesticides/poisoning , Rural Population/statistics & numerical data , Environmental Exposure/statistics & numerical data , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Sex Distribution , Age Distribution , Farmers/statistics & numerical data , Middle Aged
13.
Rev. bras. epidemiol ; 23: e200043, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1101584

ABSTRACT

RESUMO: Objetivo: O objetivo do presente estudo foi associar a prática de caminhada e de atividades físicas moderadas a vigorosas (AFMV) no lazer à percepção dos ambientes construído, natural e social em adultos e idosos de um município do Sul do Brasil. Método: Tratou-se de estudo transversal de base populacional, realizado na zona urbana do município do Rio Grande, RS. Para a avaliação da prática de atividade física (AF), fez-se uso do Questionário Internacional de AF (International Physical Activity Questionnaire - IPAQ) e, para avaliar a percepção do ambiente, utilizou-se uma escala modificada do instrumento Neighborhood Environmental Walkability Scale (NEWS). Realizaram-se as análises estatísticas por meio de regressão de Poisson, considerando-se o efeito do desenho amostral. Resultados: Dos 1 . 429 indivíduos elegíveis, entrevistaram-se 1.290 (90,3%). Apenas 18,8% praticavam caminhada no lazer e 23,4% praticavam AFMV. Obtiveram associação à caminhada e às AFMV as seguintes variáveis: o recebimento de convites de amigos para realizar atividade física no bairro e a realização de passeios com cachorros. Para a prática de caminhada, também houve associação à segurança no bairro e à presença de áreas verdes e de instalações para a prática de AF. Para a AFMV, também houve associação ao recebimento de convites de parentes para realizar atividade física. Conclusões: Os resultados do presente estudo demonstraram que o suporte social, o acesso a localidades propícias e a boa percepção de segurança estiveram associados à prática de atividade física, sendo mais proeminentes para a caminhada e para o sexo feminino.


ABSTRACT: Objective: The objective of the present study was to associate walking for leisure and moderate-to-vigorous physical activity (MVPA) in leisure-time with the perception of adults and the elderly's built, natural and social environments in Southern Brazil. Methods: It was a population-based cross-sectional study conducted in the urban area of the municipality of Rio Grande. To assess the practice of physical activity (PA), the International Physical Activity Questionnaire (IPAQ) was used. To assess perception of the environment, a modified version of the Neighborhood Environmental Walkability Scale (NEWS) was used. The statistical analysis was carried out using Poisson regression, considering the effect of sampling design. Results: Of the 1,429 eligible, 1,290 (90.3%) were interviewed. Only 18.8% of the interviewees practiced walking and 23.4% practiced MVPA. The significant associations with both walking and MVPA were for receiving invitations from friends to perform PA and take walks with their dog. The practice of walking was also associated with: safety and access to public places for physical activity in the neighborhood. For MVPA, there was also an association with receiving invitations from family members to perform PA. Conclusion: The results of this study showed that social support, access to facilities and good perception of safety were associated with PA, and were more prominent for leisure walking and for women.


Subject(s)
Humans , Male , Female , Adult , Social Environment , Exercise , Walking/statistics & numerical data , Leisure Activities , Time Factors , Brazil , Poisson Distribution , Residence Characteristics/statistics & numerical data , Cross-Sectional Studies , Surveys and Questionnaires , Middle Aged
14.
Rev. bras. epidemiol ; 23: e200036, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1101575

ABSTRACT

RESUMO: Introdução: As mudanças produzidas no processo saúde/doença, sobretudo no campo da nutrição, corroboram a substituição das carências nutricionais com emergência do excesso de peso (sobrepeso/obesidade). Objetivo: Analisar a prevalência e fatores associados ao excesso de peso em adultos residentes em uma área urbana carente do Recife, Nordeste do Brasil. Métodos: Trata-se de um estudo transversal analítico, com uma amostra de 644 adultos de 20 a 59 anos. Analisaram possíveis associações do excesso de peso aos fatores demográficos, socioeconômicos, comportamentais e morbidades por meio de regressão de Poisson, considerando como estatisticamente significantes aquelas com valor de p < 0,05. Resultados: A prevalência do excesso de peso foi de 70,3%, sendo menor na faixa de 20-29 anos e maior na faixa etária de 30-39 anos, e estabilizando-se nas demais. No modelo de regressão multivariado, foi observado que a faixa etária, classe econômica, diabetes mellitus (DM) e hipertensão arterial sistêmica (HAS) mostraram-se diretamente associada ao excesso de peso, enquanto a variável consumo semanal de feijão mostrou-se inversamente associada. A alta prevalência do excesso de peso encontrado pressupõe que as comunidades carentes das quais os indivíduos fazem parte já se incluem no processo de transição nutricional que está em curso no país. Conclusão: Os resultados significativos de sobrepeso/obesidade detectados na área urbana carente estudada, impõe a necessidade de incluir esse problema como prioridade de saúde pública nessas comunidades.


ABSTRACT: Introduction: The changes that occurred in the health/disease process, especially in the field of nutrition, corroborate the replacement of nutritional deficiencies with the pandemic emergency of overweight (overweight/obesity). Objective: To analyze the prevalence and factors associated with overweight in adults living in a poor urban area in Recife, Northeast Brazil. Methods: This is a cross-sectional study with a sample of 644 adults aged 20-59 years. Possible associations of overweight with demographic, socioeconomic, behavioral and morbidity factors were analyzed through Poisson Regression, considering as statistically significant those with p < 0.05. Results: The prevalence of overweight was 70.3%, being lower in the age range of 20-29 years, greater in the range of 30-39 years and stabilizing in the others. In the final multivariate model, it was observed that the age group, economic class, diabetes mellitus and high blood pressure were directly associated with overweight, while bean consumption showed an inverse association. The high prevalence of overweight found indicates that poor communities are already included in the nutritional transition process that is in course in country. Conclusion: The significant result of overweight found at this poor urban area imposes the need to include this problem as a public health priority in these communities.


Subject(s)
Humans , Male , Female , Adult , Urban Population/statistics & numerical data , Overweight/epidemiology , Obesity/epidemiology , Socioeconomic Factors , Time Factors , Brazil/epidemiology , Poisson Distribution , Nutritional Status , Prevalence , Cross-Sectional Studies , Sex Distribution , Age Distribution , Diabetes Mellitus/epidemiology , Feeding Behavior , Hypertension/epidemiology , Middle Aged
15.
Rev. bras. epidemiol ; 23: e200012, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1092614

ABSTRACT

RESUMO: Introdução: A sífilis é uma doença de transmissão sexual de diagnóstico e tratamento fáceis, mas de incidência crescente no Brasil. Este estudo mediu prevalência, avaliou tendência e identificou fatores associados à não realização de exame sorológico para sífilis no pré-natal em Rio Grande, RS. Metodologia: Trata-se de inquérito transversal que incluiu todas as gestantes residentes nesse município que tiveram filho entre 1º de janeiro e 31 de dezembro nos anos de 2007, 2010 e 2013. Aplicou-se à mãe questionário único, padronizado em até 48 horas após o parto, quando ainda na maternidade. Utilizaram-se teste χ2 para proporções e para tendência linear e regressão de Poisson com ajuste robusto na análise multivariável. A medida de efeito usada foi razão de prevalências (RP). Resultados: Entre as 7.351 mães que passaram por pelo menos uma consulta, a prevalência de não realização de sorologia para sífilis nos três anos foi de 2,9% (intervalo de confiança de 95% - IC95% 2,56 - 3,33), sendo de 3,3% (IC95% 2,56 - 3,97) em 2007, 2,8% (IC95% 2,20 - 3,52) em 2010 e 2,7% (IC95% 2,12 - 3,38) em 2013. Mães de cor da pele preta, de baixa renda familiar e escolaridade e que passam por poucas consultas apresentaram maior RP à não realização desse exame. Discussão: A prevalência de não realização praticamente não se modificou no período, com maior probabilidade de não realização entre aquelas de maior risco gestacional. Conclusões: Alcançar mães de pior nível socioeconômico, reestruturar os serviços locais de saúde, aperfeiçoar sua operacionalização a fim de melhorar a qualidade da assistência pré-natal parecem mandatórios nesse município.


ABSTRACT: Introduction: Syphilis is a sexually transmitted disease, easy to diagnose and treat, but whose incidence is increasing in Brazil. This study estimated the prevalence of the non-performance of serological tests for syphilis during prenatal care, in addition to evaluating its trend and identifying its associated factors in the municipality of Rio Grande, Rio Grande do Sul, Southern Brazil. Methods: This is a cross-sectional survey that included all pregnant women living in this municipality who gave birth between January 1 and December 31, 2007, 2010, and 2013. A single standardized questionnaire was administered to the mothers within 48 hours of delivery, while they were still in the maternity ward. We used the χ2 test for proportions and linear trend, and Poisson regression with robust adjustment in the multivariate analysis. The effect measure adopted was prevalence ratio (PR). Results: Among the 7,351 mothers who had at least one prenatal visit, the prevalence of non-performance of serological tests for syphilis in the three years studied was 2.9% (95% confidence interval - 95%CI 2.56 - 3.33), with 3.3% (95%CI 2.56 - 3.97) in 2007, 2.8% (95%CI 2.20 - 3.52) in 2010, and 2.7% (95%CI 2.12 - 3.38) in 2013. Black mothers, those with low household income and schooling, and who had few prenatal visits showed higher PR of non-performance of this test. Discussion: The prevalence of non-performance has virtually not changed in the period, and women with high-risk pregnancy showed a greater probability of not undergoing the test. Conclusions: This municipality needs to reach mothers with lower socioeconomic status, restructure the local health services, and enhance their operationalization to improve the quality of prenatal care.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Prenatal Care/methods , Syphilis Serodiagnosis/statistics & numerical data , Syphilis/diagnosis , Syphilis/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Prevalence , Cross-Sectional Studies , Multivariate Analysis , Surveys and Questionnaires , Pregnancy, High-Risk
16.
Rev. latinoam. enferm. (Online) ; 28: e3332, 2020. tab
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1115746

ABSTRACT

Objective: to identify the association between moral distress and the supporting elements of moral deliberation in Brazilian nurses. Method: a cross-sectional study conducted with Brazilian nurses working in health services at different complexity levels. The research protocol consisted of the Brazilian Scale of Moral Distress in Nurses, a sociodemographic and labor questionnaire, and a list of bases and ethical elements used for moral deliberation. For analysis, descriptive statistics, chi-square test, and Poisson regression were used. Results: 1,226 nurses took part in the study. The 12 elements associated with the moral deliberation process were classified as important for nurses' actions, especially the professional experience acquired, code of ethics/law of professional practice, and ethical and bioethical principles. The relationship of moral distress showed higher prevalence in the Beliefs, culture and values of the patient, Beliefs and personal values, and Intuition and Subjectivity elements. Conclusion: the results showed a balance between the subjective criteria of professional experience and the objective ones of deontology for moral deliberation.(AU)


Objetivo: identificar a associação entre o distresse moral e os elementos apoiadores da deliberação moral em enfermeiros brasileiros. Método: estudo transversal realizado com enfermeiros brasileiros atuantes em serviços de saúde de diferentes níveis de complexidade. O protocolo de pesquisa constituiu-se da Escala Brasileira de Distresse Moral em Enfermeiros, questionário sociodemográfico e laboral, e uma lista de bases e elementos éticos utilizados para deliberação moral. Para análise empregou-se estatística descritiva, teste do qui-quadrado e regressão de Poisson. Resultados: participaram do estudo 1.226 enfermeiros. Os 12 elementos associados ao processo de deliberação moral foram classificados com importância para atuação dos enfermeiros, destacando-se a experiência profissional adquirida, Código de Ética/Lei do Exercício profissional, e, princípios éticos e bioéticos. A relação do distresse moral evidenciou maiores prevalências nos elementos Crenças, cultura e valores do paciente, Crenças e valores pessoais e, Intuição e Subjetividade. Conclusão: os resultados apontaram um equilíbrio entre critérios subjetivos da experiência profissional e objetivos da deontologia para a deliberação moral.(AU)


Objetivo: identificar la asociación entre el distrés moral y los elementos de apoyo de la deliberación moral en los enfermeros brasileñas. Método: estudio transversal realizado con enfermeros brasileños que trabajan en servicios de salud de diferentes niveles de complejidad. El protocolo de investigación consistió en la Escala Brasileña de Distrés Moral en Enfermeros, un cuestionario sociodemográfico y laboral, y una lista de bases y elementos éticos utilizados para la deliberación moral. Para el análisis, se utilizó estadística descriptiva, prueba de chi-cuadrado y regresión de Poisson. Resultados: 1.226 enfermeros participaron en el estudio. Los 12 elementos asociados con el proceso de deliberación moral se clasificaron como importantes para el desempeño de los enfermeros, destacando la experiencia profesional adquirida, el Código de Ética/Derecho de Práctica Profesional y los principios éticos y bioéticos. La relación de distrés moral mostró una mayor prevalencia en los elementos Creencias, cultura y valores del paciente, Creencias y valores personales y, Intuición y Subjetividad. Conclusión: los resultados mostraron un equilibrio entre los criterios subjetivos de la experiencia profesional y los objetivos de ética para la deliberación moral.(AU)


Subject(s)
Humans , Male , Female , Adult , Professional Practice , Stress, Psychological , Poisson Distribution , Cross-Sectional Studies/instrumentation , Decision Making/ethics , Ethics, Nursing , Health Services , Health Services/ethics , Nurses, Male , Brazil
17.
Rev. saúde pública (Online) ; 54: 56, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1101868

ABSTRACT

ABSTRACT OBJECTIVE To evaluate the incidence and persistence of fear of falling in older adults and the clinical/functional, psychosocial and lifestyle-related risk factors. METHODS A longitudinal study with 393 community-dwelling older adults aged 65 years and over (110 men/ 283 women) resident in the North Zone of the city of Rio de Janeiro, Brazil. The fear of falling was assessed by the Falls Efficacy Scale-I-BR. The explanatory variables assessed were: number of comorbidities and medicines, history of falls, fracture from falling, use of walking aids, functional dependence in basic and instrumental activities of daily living, hearing and visual impairment, hand grip strength, walking speed, self-rated health, body mass index, depressive symptoms, cognitive impairment, living alone and activity level. Incidence, persistence and risk factors were estimated. Multivariate analysis was performed using Poisson Regression, obtaining relative risks (RR) and corresponding to 95% confidence intervals. RESULTS Among the 393 participants, fear of falling occurred in 33.5% and was persistent in 71.3%. Incidence was found to associate with using seven or more medicines and reporting worse activity level than the prior year. Risk factors for persistent fear were: using seven or more medicines, a history of one or two falls, reduced walking speed, hearing impairment, cognitive impairment, depressive symptoms and poor or very poor self-rated health. CONCLUSION Fear of falling is a frequent and persistent condition. Many factors related to persistent fear showed no association with the incidence of fear, emphasizing the need for focused strategies to reduce risk factors that may be associated with the chronification of fear of falling.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Accidental Falls/statistics & numerical data , Geriatric Assessment/statistics & numerical data , Socioeconomic Factors , Time Factors , Brazil/epidemiology , Activities of Daily Living , Poisson Distribution , Incidence , Risk Factors , Longitudinal Studies , Frail Elderly/statistics & numerical data , Risk Assessment , Fear , Life Style
18.
Rev. saúde pública (Online) ; 54: 07, 2020. tab, graf
Article in English | LILACS | ID: biblio-1058897

ABSTRACT

ABSTRACT OBJECTIVE This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0-4.2) for older adults who did not participate in SC. CONCLUSION Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.


Subject(s)
Humans , Male , Female , Aged , Quality of Life/psychology , Oral Health/statistics & numerical data , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Cross-Sectional Studies , Surveys and Questionnaires , Tooth Loss/psychology , Tooth Loss/epidemiology , Dental Prosthesis/psychology , Dental Prosthesis/statistics & numerical data , Sense of Coherence , Senior Centers , Health Services Accessibility , Middle Aged
19.
Ciênc. Saúde Colet ; 24(12): 4677-4686, dez. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1055754

ABSTRACT

Resumo O objetivo deste artigo é analisar a utilização de serviços de saúde por imigrantes haitianos residentes na grande Cuiabá, Mato Grosso. Trata-se de um estudo transversal, com uma amostra probabilística de 452 imigrantes haitianos residentes em Cuiabá e Várzea Grande, entrevistados entre dezembro de 2014 e fevereiro de 2015. Foram avaliadas as características sociodemográficas e de saúde, hábitos de vida e a utilização dos serviços de saúde. Na análise dos dados foram calculados o teste de Qui-quadrado e a Regressão de Poisson para investigar os fatores associados à utilização dos serviços de saúde. Verificou-se que 45,6% dos entrevistados utilizaram algum serviço de saúde no Brasil, sendo maior a prevalência entre as mulheres, aqueles com maior renda, maior tempo de residência no Brasil, melhor entendimento da língua portuguesa e que autoavaliaram sua saúde como ruim. Os principais serviços utilizados foram Unidade Básica de Saúde (UBS) e atendimento de urgência e emergência públicos. Conclui-se que os imigrantes foram assistidos pelo SUS em acordo com o princípio constitucional do direito à saúde no Brasil.


Abstract This paper aims to analyze the use of health services by Haitian immigrants in Cuiabá, Mato Grosso. This is a cross-sectional study with a random sample of 452 Haitian immigrants in Cuiabá and Várzea Grande, interviewed between December 2014 and February 2015. Sociodemographic and health characteristics, lifestyle factors, and the use of health services were evaluated. Data analysis included Chi-square test and Poisson regression to investigate the factors associated with the use of health services. We found that 45.6% of respondents used some health service in Brazil, with a higher prevalence of use among women, those with higher income, longer residence time in Brazil, better understanding of the Portuguese language, and with poor self-reported health. The PHC Unit (UBS) and public urgent and emergency care were the primary services used. We conclude by saying that the SUS assisted the immigrants under the Brazilian constitutional principle of the right to health.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Emigrants and Immigrants/statistics & numerical data , Health Services Needs and Demand/statistics & numerical data , Brazil , Chi-Square Distribution , Poisson Distribution , Cross-Sectional Studies , Sex Distribution , Emergency Medical Services/statistics & numerical data , Emergency Service, Hospital/statistics & numerical data , Haiti/ethnology , Income , Language , Middle Aged
20.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(5): 396-402, Sept.-Oct. 2019. tab
Article in English | LILACS | ID: biblio-1039105

ABSTRACT

Objective: To assess the prevalence of depression and sociodemographic, behavioral, and health-related risk factors therefor in a southern Brazilian city. Methods: Population-based, cross-sectional study of adults from Rio Grande, state of Rio Grande do Sul, Brazil. Individuals (n=1,295) were selected using a multistage sampling procedure. The Patient Health Questionnaire-9 (PHQ-9) was used to screen for major depressive episodes (MDEs). We used a conceptual causal framework to organize and assess risk factors for MDE and calculated prevalence ratios (PR) using regression models. Results: The prevalence of MDE was 8.4% (95%CI 6.0-10.7) for men and 13.4% (95%CI 11.0-15.8) for women. For men, physical inactivity (PR 2.34, 95%CI 1.09-5.00) and perceived stress (PR 20.35, 95%CI 5.92-69.96) were associated with MDE. In women, MDE prevalence was higher among those in the first tertile of economic index (PR 2.61, 95%CI 1.53-4.45), with 0-8 years of schooling (PR 2.25, 95%CI 1.24-4.11), alcohol users (PR 1.91, 95%CI 1.21-3.02), those physically inactive (PR 2.49, 95%CI 1.22-5.09), with the highest perceived stress (PR 9.17, 95%CI 3.47-24.23), with another mental disorder (PR 1.85, 95%CI 1.32-2.59), and with more noncommunicable diseases (PR 1.85, 95%CI 1.06-3.22). Conclusion: Women had a higher prevalence of depression, and socioeconomic disadvantages were important for the occurrence of MDE; however, for men, only physical inactivity and stress were important predictors, suggesting possible different causal pathways for each sex.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Depressive Disorder, Major/etiology , Depressive Disorder, Major/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Sex Distribution , Age Distribution , Middle Aged
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