Occupational inequalities and gender differences: work accidents, Brazil, 2019.

OBJECTIVE: To analyze the distribution and association of sociodemographic and occupational factors with self-reported work accidents (WA) in a representative sample of the Brazilian population, with emphasis on occupational class, and to examine gender differences in this distribution. METHODS: A population-based cross-sectional study, using data from the 2019 National Health Survey (PNS), analyzed the responses of a sample of adults aged 18 or over. Factors associated with WA were investigated using binary logistic regression and hierarchical analysis using blocks (sociodemographic and occupational variables). The final model was adjusted by variables from all blocks, adopting a significance level of 5%. The values of odds ratios (OR) and respective confidence intervals were obtained. RESULTS: Among the participants, 2.69% reported having suffered a WA, with a higher prevalence in men (3.37%; 95%CI 2.97-3.82%) than in women (1.86%; 95%CI 1.55-2.23%). The analysis identified that age group, night work, working hours, and exposure to occupational risks were associated with WA, with emphasis on gender differences. The class of manual workers, both qualified (ORwomen = 2.87; 95%CI 1.33-6.21 and ORmen = 2.46; 95%CI 1.37-4.40) and unskilled (ORwomen = 2.55; 95%CI 1.44-4.50 and ORmen = 3.70; 95%CI 1.95-7.03), had a higher chance of WA than the class of managers/professionals. CONCLUSION: Occupational factors contributed significantly to the increase in the probability of WA for men and women, with greater magnitude among those positioned in the lower strata of the occupational structure. The results obtained are clues for working out WA prevention actions.

Occupational inequalities and gender differences: work accidents, Brazil, 2019 / Desigualdades ocupacionais e diferenças de gênero: acidentes de trabalho, Brasil, 2019

ABSTRACT OBJECTIVE To analyze the distribution and association of sociodemographic and occupational factors with self-reported work accidents (WA) in a representative sample of the Brazilian population, with emphasis on occupational class, and to examine gender differences in this distribution. METHODS A population-based cross-sectional study, using data from the 2019 National Health Survey (PNS), analyzed the responses of a sample of adults aged 18 or over. Factors associated with WA were investigated using binary logistic regression and hierarchical analysis using blocks (sociodemographic and occupational variables). The final model was adjusted by variables from all blocks, adopting a significance level of 5%. The values of odds ratios (OR) and respective confidence intervals were obtained. RESULTS Among the participants, 2.69% reported having suffered a WA, with a higher prevalence in men (3.37%; 95%CI 2.97-3.82%) than in women (1.86%; 95%CI 1.55-2.23%). The analysis identified that age group, night work, working hours, and exposure to occupational risks were associated with WA, with emphasis on gender differences. The class of manual workers, both qualified (ORwomen = 2.87; 95%CI 1.33-6.21 and ORmen = 2.46; 95%CI 1.37-4.40) and unskilled (ORwomen = 2.55; 95%CI 1.44-4.50 and ORmen = 3.70; 95%CI 1.95-7.03), had a higher chance of WA than the class of managers/professionals. CONCLUSION Occupational factors contributed significantly to the increase in the probability of WA for men and women, with greater magnitude among those positioned in the lower strata of the occupational structure. The results obtained are clues for working out WA prevention actions.

RESUMO OBJETIVO Analisar a distribuição e associação de fatores sociodemográficos e ocupacionais a acidentes de trabalho (AT) autorrelatados em uma amostra representativa da população brasileira, com ênfase na classe ocupacional, e examinar as diferenças de gênero nessa distribuição. MÉTODOS Estudo transversal de base populacional, com dados da Pesquisa Nacional de Saúde (PNS) de 2019, analisou as respostas de uma amostra de adultos com 18 anos ou mais de idade. Fatores associados a AT foram investigados por regressão logística binária e análise hierarquizada por meio de blocos (variáveis sociodemográficas e ocupacionais). O modelo final foi ajustado pelas variáveis de todos os blocos, adotando-se o nível de significância de 5%. Obtiveram-se os valores das razões de chance (RC) e respectivos intervalos de confiança. RESULTADOS Entre os participantes, 2,69% relataram ter sofrido AT, sendo mais alta a prevalência em homens (3,37%; IC95% 2,97-3,82%), se comparados às mulheres (1,86%; IC95% 1,55-2,23%). A análise identificou que faixa etária, trabalho noturno, jornada de trabalho e exposição a riscos laborais foram associados a AT, com destaque para as diferenças de gênero. A classe de trabalhadores manuais, tanto qualificados (RCmulheres = 2,87; IC95% 1,33-6,21 e RChomens = 2,46; IC95% 1,37-4,40) quanto não qualificados (RCmulheres = 2,55; IC95% 1,44-4,50 e RChomens = 3,70; IC95% 1,95-7,03), apresentaram maior chance de AT em comparação à classe de gerentes/profissionais. CONCLUSÃO Fatores ocupacionais contribuíram significativamente para o aumento na probabilidade de AT para homens e mulheres, com maior magnitude entre aqueles posicionados nos estratos inferiores da estrutura ocupacional. Os resultados obtidos são pistas para a elaboração de ações de prevenção de AT.

Long working hours and self-rated health in the national Brazilian working population: gender and employment status differences, 2019.

BACKGROUND: The regulation of working hours is governed by legal standards in formal employment. While the association between long working hours and various health outcomes has been extensively studied, there is limited evidence regarding Brazil. The objective of this study was to investigate the association among working hours, employment status, and self-rated health (SRH), taking into account differences between men and women in a national representative sample of the working population in Brazil. METHODS: A cross-sectional study was conducted among a representative sample of 33,713 workers in Brazil to assess self-rated health (SRH). We examined the associations between working hours and employment status, categorizing working hours as standard (40-44 h per week) or long (> 44 h per week), and employment status as formal or informal. Logistic regression models were employed, adjusting for sociodemographic, occupational characteristics, and health behaviors. Probabilities of negative SRH were calculated for men and women in different exposure profiles. Results were stratified by gender, and 95% confidence intervals (CIs) were applied to the findings. RESULTS: The prevalence of long working hours was higher among informal workers for both men and women. Adjusted odds ratio (AOR) results revealed that informal employment (AORwomen = 1.53; 95% CI: 1.13-2.07 and AORmen = 1.55; 95% CI: 1.22-1.96) and long working hours (AORwomen = 1.23; 95% CI: 1.06-1.43 and AORmen = 1.14; 95% CI: 1.00-1.30) were independently associated with negative SRH. Significant interactions between long working hours and informal employment were observed. Among individuals with the same exposure profile, women who engaged in long working hours had a higher probability of reporting negative SRH compared to men. CONCLUSIONS: The results of this study are in line with the literature, as differences between men and women in the likelihood of negative self-rated health were observed. The adverse health effects underscore the importance of implementing intersectoral actions to inform the revision of regulations concerning weekly working hours and the expansion of informal employment in low- and middle-income countries.

The translation into Portuguese of the 11th International Statistical Classification of Diseases and Related Health Problems (ICD-11). / Tradução para a língua portuguesa da 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-11).

The 11th International Statistical Classification of Diseases and Related Health Problems (ICD-11) represents an advance in the focus on knowledge and new disease approaches. The ICD is used for different practical purposes, enabling assessment of progress in the global health agenda, resource allocation, patient safety, health care qualification, and health insurance reimbursement. It is entirely digital, with technological resources that allow periodic updating. In early 2022, ICD-11 entered into official force, having been made available in several official ICD languages such as Arabic, Chinese, Spanish, French, and English. The translation process into Brazilian Portuguese, coordinated by the Federal University of Minas Gerais (UFMG), with support from the Brazilian Ministry of Health (MS) and PAHO/WHO, is presented here. The work was carried out in three stages between August 2021 and December 2022 by translators with different backgrounds: medical specialists (49), physiotherapists (1), pharmacologists (1), and dentists (1). This methodological article aims to broaden the discussion of perspectives on implementing the ICD-11 in Brazil and build an opportunity for its adaptation and use by other Portuguese-speaking countries.

A 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde representa um avanço no enfoque do conhecimento e em novas abordagens das doenças. A Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde é utilizada para diferentes finalidades práticas, possibilitando avaliação do avanço da agenda de saúde global, alocação de recursos, segurança do paciente, qualificação da assistência à saúde e reembolso de seguros de saúde. É inteiramente digital, com recursos tecnológicos que permitem sua atualização periódica. No início de 2022, a 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde entrou em vigência oficial, tendo sido disponibilizada em vários de seus idiomas oficiais, como o árabe, chinês, espanhol, francês e inglês. Apresenta-se aqui o processo de tradução para a língua portuguesa em uso no Brasil, coordenado pela Universidade Federal de Minas Gerais, com apoio do Ministério da Saúde do Brasil e da Organização Pan-Americana da Saúde/Organização Mundial da Saúde. O trabalho foi realizado em três etapas entre agosto de 2021 e dezembro de 2022 por tradutores com diferentes formações: médicos especialistas (49), fisioterapeuta (1), farmacologista (1) e odontologista (1). Com este artigo metodológico, almeja-se ampliar a discussão de perspectivas para implementação da 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde no Brasil e construir uma oportunidade para sua adaptação e uso por outros países de língua oficial portuguesa.

Prevalence of flu-like syndrome in healthcare workers in Brazil: a national study, 2020.

OBJECTIVE: To evaluate the prevalence of reported symptoms of flu-like syndrome (FS) among HCW and compare HCW and non-HCW on the chance of reporting these symptoms, this study analyzed data of a population-based survey conducted in Brazil. METHODS: A cross-sectional analysis was performed with self-reported data from the Brazilian National Household Sample Survey (PNAD Covid-19) from May 2020. The authors analyzed a probability sample of 125,179 workers, aged 18 to 65, with monthly income lower than US$ 3 500. The variable HCW or non-HCW was the covariate of interest and having reported FS symptoms or not was the outcome variable. Authors tested interactions of HCW with other covariates. A logit model - when controlling for sociodemographic, employment, and geographic characteristics - investigated the chance of HCW reporting FS compared to non-HCW. RESULTS: HCW have a significant effect (odds ratio of 1.369) on reporting FS symptoms when compared to non-HCW. HCW account for 4.17% of the sample, with a higher frequency of FS (3.38%) than observed for non-HCW (2.43%). Female, non-white and older individuals had higher chance to report FS. CONCLUSIONS: The HCW had a higher chance of reporting symptoms than non-HCW aged over 18 years in the labor force. These results emphasize guidelines for preventive measures to reduce workplace exposures in the healthcare facilities. The prevalence is disproportionately affecting HCW women and HCW non-whites. In the regions North and Northeast the steeper progression is consistent with the hypothesis of socioeconomic factors, and it explains the greater prevalence in HCW and non-HCW living in those territories.

[Self-rated health and factors related to the work of basic education's teachers in Brazil]. / Autoavaliação de saúde e fatores relacionados ao trabalho dos professores da educação básica no Brasil.

The scope of this article is to analyze the association between teachers' self-rated health and the conditions in which they work in Basic Education schools in Brazil. It involved a cross-sectional study, carried out between 2015 and 2016, representative of Basic Education teachers in the country, the outcome variable of which was self-rated health (SRH). The explanatory variables were the work-related characteristics. To assess the factors associated with SRH, the Proportional Odds Logistic Regression Model was used. The prevalence of poor SRH was 27%. The probability of poor SRH was significantly higher for the group that reported episodes of verbal violence (OR=1.26; 95%CI 1.09-1.44), work pressure (OR=1.18; 95%CI 1, 04-1.33), and a commute to school of more than 50 minutes (OR=1.19; 95%CI 1.03-1.38). The probability of poor SRH was significantly better for those who reported having enough time to complete their tasks (OR=0.77; 95%CI 0.64-0.92), social support (OR=0.79; 95%CI 0.69-0.89) and satisfaction with their workload (OR=0.79; 95%CI 0.69-0.91). Actions on the school environment and organization and improvements in the transport of teachers to work are desirable.

O objetivo deste artigo é analisar a associação entre a autoavaliação de saúde dos professores e as condições que eles encontram para trabalhar nas escolas da Educação Básica no Brasil. Estudo transversal, realizado entre 2015 e 2016, representativo dos professores da Educação Básica do País, cuja variável desfecho foi a autoavaliação de saúde (AAS). As variáveis explicativas foram as características relacionadas ao trabalho. Para avaliar os fatores associados à AAS foi utilizado o Modelo de Regressão Logística de Chances Proporcionais. A prevalência de AAS ruim foi de 27%. A probabilidade de pior AAS foi significativamente maior para o grupo que informou episódios de violência verbal (OR=1,26; IC95% 1,09-1,44), pressão laboral (OR=1,18; IC95% 1,04-1,33), e deslocamento para escola superior a 50 minutos (OR=1,19; IC95% 1,03-1,38). A probabilidade de pior AAS foi significativamente menor para aqueles que relataram dispor de tempo suficiente para cumprir suas tarefas (OR=0,77; IC95% 0,64-0,92), apoio social (OR=0,79; IC95% 0,69-0,89) e satisfação com o próprio trabalho (OR=0,79; IC95% 0,69-0,91). Ações sobre o ambiente e a organização escolar e melhorias no transporte dos professores para o trabalho são desejáveis.

Autoavaliação de saúde e fatores relacionados ao trabalho dos professores da educação básica no Brasil / Self-rated health and factors related to the work of basic education's teachers in Brazil

Resumo O objetivo deste artigo é analisar a associação entre a autoavaliação de saúde dos professores e as condições que eles encontram para trabalhar nas escolas da Educação Básica no Brasil. Estudo transversal, realizado entre 2015 e 2016, representativo dos professores da Educação Básica do País, cuja variável desfecho foi a autoavaliação de saúde (AAS). As variáveis explicativas foram as características relacionadas ao trabalho. Para avaliar os fatores associados à AAS foi utilizado o Modelo de Regressão Logística de Chances Proporcionais. A prevalência de AAS ruim foi de 27%. A probabilidade de pior AAS foi significativamente maior para o grupo que informou episódios de violência verbal (OR=1,26; IC95% 1,09-1,44), pressão laboral (OR=1,18; IC95% 1,04-1,33), e deslocamento para escola superior a 50 minutos (OR=1,19; IC95% 1,03-1,38). A probabilidade de pior AAS foi significativamente menor para aqueles que relataram dispor de tempo suficiente para cumprir suas tarefas (OR=0,77; IC95% 0,64-0,92), apoio social (OR=0,79; IC95% 0,69-0,89) e satisfação com o próprio trabalho (OR=0,79; IC95% 0,69-0,91). Ações sobre o ambiente e a organização escolar e melhorias no transporte dos professores para o trabalho são desejáveis.

Abstract The scope of this article is to analyze the association between teachers' self-rated health and the conditions in which they work in Basic Education schools in Brazil. It involved a cross-sectional study, carried out between 2015 and 2016, representative of Basic Education teachers in the country, the outcome variable of which was self-rated health (SRH). The explanatory variables were the work-related characteristics. To assess the factors associated with SRH, the Proportional Odds Logistic Regression Model was used. The prevalence of poor SRH was 27%. The probability of poor SRH was significantly higher for the group that reported episodes of verbal violence (OR=1.26; 95%CI 1.09-1.44), work pressure (OR=1.18; 95%CI 1, 04-1.33), and a commute to school of more than 50 minutes (OR=1.19; 95%CI 1.03-1.38). The probability of poor SRH was significantly better for those who reported having enough time to complete their tasks (OR=0.77; 95%CI 0.64-0.92), social support (OR=0.79; 95%CI 0.69-0.89) and satisfaction with their workload (OR=0.79; 95%CI 0.69-0.91). Actions on the school environment and organization and improvements in the transport of teachers to work are desirable.

Factors Associated With the Limitation at Work Because of the Voice: Study With Teachers of Basic Education In Brazil.

INTRODUCTION: The voice disorder can cause limitations at work, as it affects the communication and the performance of the teaching function. OBJECTIVE: To analyze the limitation at work because of the voice and to examine possible associations with sociodemographic characteristics, life and health habits and work conditions among Basic Education teachers in Brazil. METHODS: Cross-sectional epidemiological study, with a representative sample, carried out between October 2015 and March 2016, with 6,324 teachers working in Basic Education in Brazil. Data collection was carried out through the application of a questionnaire via telephone with questions regarding health and working conditions. The "limitation at work because of the voice" was considered a dependent variable, whose response options were a scale with four Likert items that varied from frequently to never. The independent variables were grouped in blocks for ordinal logistic regression analysis with hierarchical entry. The magnitude of the association was assessed by the Odds Ratio (OR) with the respective confidence intervals (95% CI). RESULTS: One third of Brazilian teachers (32.7%) reported some frequency of limitation at work (sometimes; rarely, frequently) because of the voice at some moment in the month before the survey and, of these, 5% declared high frequency. The factors that increased the chance of a greater frequency of limitation at work because of the voice were: being female (OR = 1.32; 95% CI = 1.15-1.51); teaching for elementary school (OR = 1.35; 95% CI = 1.02-1.78); use anxiolytic or antidepressant medications (OR = 1.46; 95% CI = 1.20-1.78); losing sleep due to concerns (OR = 1.69; CI = 95% = 1.46-1.95); high noise at school (OR = 2.09; 95% CI = 1.78-2.46); agitated environment by students' indiscipline (OR = 1.37; 95% CI =1.15-1.63); high demands at work (OR = 1.18; 95% CI = 1.02-1.36); not having social support (OR = 1.19; 95% CI = 1.04-1.38); having suffered verbal violence by the students (OR = 1.43; 95% CI = 1.23-1.67). On the other hand, the practice of regular physical activity (OR = 0.86; 95% CI = 0.75-1.00) and the fact of having enough time to complete work tasks (OR = 0.71; 95% CI = 0,62-0.82) decreased the chance of a higher frequency of limitation at work due to vocal problems. The perception that the work limits the teaching performance because of the voice was more frequent among teachers in the North (OR=1.41; 95% CI = 1.17-1.71) and Northeast (OR=1.46; 95% CI = 1.22-1.76) compared to the Southeast region. CONCLUSION: Factors associated with an increase in the chance of higher frequency of reporting work limitations due to the voice: being female, lack of physical activity, losing sleep due to concern, using anxiolytic or antidepressant medication, school location in the North and Northeast, teaching for the elementary school stage, high noise at school and psychosocial aspects of work organization. The Brazilian educational sector needs public policies that take into account regional inequalities and the health and work conditions of teachers.

Cinquentenário da Revista Brasileira de Saúde Ocupacional: um marco para celebrar o passado e construir o futuro / Fiftieth anniversary of the Brazilian Journal of Occupational Health: a milestone to celebrate the past and build the future

Resumo A Revista Brasileira de Saúde Ocupacional (RBSO) é um periódico considerado referência pela comunidade da área de segurança e saúde do trabalhador, sendo veículo dedicado à publicação de artigos científicos que contribuam para a reflexão e análise científica de questões atuais e relevantes relacionadas às relações entre trabalho e saúde. Em 2023, a RBSO completa 50 anos de existência. Esta nota editorial dedica-se a relatar o evento comemorativo, descrevendo os principais aspectos abordados nas apresentações e nos debates ocorridos, com vistas a registrar este importante momento, que pode ser considerado um marco para celebrar o passado e construir o futuro da revista. Tal evento foi uma oportunidade crucial, não somente para celebrar o meio século de existência da RBSO, mas também para propiciar o encontro de uma comunidade dedicada à publicação científica em saúde do trabalhador, que proporcionou reflexões, propostas e recomendações voltadas ao fortalecimento da revista e do campo. A presença e o envolvimento da equipe editorial, bem como dos convidados, foram fundamentais para o sucesso desse encontro, durante o qual a RBSO reafirmou o compromisso com a busca contínua por aprimoramento editorial, a partir das experiências e ideias debatidas.

Abstract The Brazilian Journal of Occupational Health (RBSO) is a reference journal within the occupational health and safety community. It is dedicated to publishing scientific articles that contribute to the critical analysis of current and pertinent issues concerning the relationship between work and health. In 2023, RBSO celebrates its 50th anniversary. This editorial note is dedicated to reporting on the commemorative event, describing the main topics covered in the presentations and discussions, with the aim of documenting this important moment, which can be considered a milestone for celebrating the past and building the future of RBSO. This event offered a crucial opportunity not only to celebrate RBSO's five decades of existence but also to bring together a community deeply committed to scientific publishing in the field of occupational health. It brought valuable reflections, proposals, and recommendations aimed at strengthening both the journal and the field it represents. The presence and active participation of the editorial team, along with the invited attendees, played an indispensable role in the success of this gathering. During this event, RBSO reaffirmed its dedication to keep enhancing its editorial standards, drawing from the experiences and ideas that have been discussed.

Afastamento do trabalho por distúrbios musculoesqueléticos entre os professores da educação básica no Brasil / Work absence due to musculoskeletal disorders among basic education teachers in Brazil

Resumo Objetivo: investigar fatores associados ao afastamento do trabalho por distúrbios musculoesqueléticos entre professores e professoras da educação básica brasileira. Métodos: estudo transversal com amostra probabilística e representativa das grandes regiões do Brasil. Por meio de entrevistas realizadas por telefone, foi aplicado questionário para coleta de informações sociodemográficas, sobre estado de saúde, afastamentos do trabalho e características do trabalho docente. Empregou-se regressão de Poisson com variância robusta, para estimar razões de prevalência (RP) e intervalos de confiança de 95% (IC95%). Resultados: entre os 6.510 professores participantes (63,2% do sexo feminino), a prevalência de afastamento por distúrbios musculoesqueléticos foi de 14,7%, sendo 16,5% para o sexo feminino e 11,7% para o masculino. Os resultados indicaram associação entre afastamento e indisciplina em sala de aula (feminino = RP: 1,36; IC95%: 1,11;1,67; masculino = RP: 1,35; IC95%: 1,02;1,78), violência verbal praticada por estudantes (feminino = RP: 1,16; IC95%: 1,01;1,35; masculino = RP: 1,54; IC95%: 1,22;1,95) e alta exigência das tarefas profissionais (feminino = RP: 1,17; IC95%: 1,01;1,36; masculino = RP: 1,27; IC95%: 1,01;1,60). Conclusão: os fatores associados aos afastamentos do trabalho por distúrbios musculoesqueléticos estão relacionados à exposição dos professores, de ambos os sexos, à sobrecarga de trabalho e a ambientes escolares estressantes.

Abstract Objective: to investigate factors associated with work absence due to musculoskeletal disorders among teachers of Brazilian basic education. Methods: a cross-sectional study, which used a probabilistic and representative sample of the major regions of Brazil. Through telephone interviews, a questionnaire was applied to collect socio-demographic information on health status, work absences, and characteristics of teaching work. Poisson regression with robust variance was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). Results: among the 6,510 participating teachers (63.2% female), the prevalence of leave due to musculoskeletal disorders was 14.7% (16.5% among women and 11.7% among men). The results indicated an association between absence and indiscipline in the classroom (female = PR: 1.36; 95%CI: 1.11;1.67; male = PR: 1.35; 95%CI: 1.02;1.78 ), verbal violence committed by students (female = PR: 1.16; 95%CI: 1.01;1.35; male = PR: 1.54; 95%CI: 1.22;1.95) and high professional tasks demands (female = PR: 1.17; 95%CI: 1.01;1.36; male = PR: 1.27; 95%CI: 1.01;1.60). Conclusion: the factors associated with work absences due to musculoskeletal disorders are related to teachers' exposure to work overload and stressful school environments.

Indicadores de saúde bucal e inserção no mercado de trabalho: estudo descritivo com dados da Pesquisa Nacional de Saúde, Brasil, 2019 / Oral health indicators and job market insertion: a descriptive study with data from the National Health Survey, Brazil, 2019

Resumo Objetivo: descrever três indicadores de saúde bucal - as proporções de perda dentária, de consulta ao dentista e de frequência de escovação dentária - segundo o tipo de inserção na força de trabalho, no ano de 2019. Métodos: estudo descritivo realizado com dados da Pesquisa Nacional de Saúde de 2019. Foram incluídos indivíduos empregados ou desempregados, com 18 anos ou mais. Foram calculados os indicadores de saúde bucal, assim como seus respectivos intervalos de confiança de 95% (IC95%). Resultados: a amostra foi composta por 54.343 trabalhadores, sendo 29.889 (53,9%) do sexo masculino. A proporção de perda de 13 ou mais dentes foi maior no setor informal [10,5% (IC95%: 9,8;11,2)]. A proporção de pessoas que não consultaram um dentista nos últimos 12 meses foi maior no setor informal [51,9% (IC95%: 50,8;53,0)] e entre os desempregados [52,4% (IC95%: 49,6;55,2)]. Menor frequência de escovação dentária foi observada no grupo com vínculo informal de emprego [5,2% (IC95%: 4,7;5,6)] e entre indivíduos do sexo masculino [7,5% (IC95%: 6,8;8,2)]. Conclusão: piores indicadores foram encontrados entre os trabalhadores do setor informal ou desempregados e foram observadas desigualdades entre os sexos.

Abstract Objective: to describe three oral health indicators-the proportions of tooth loss, dental visits, and toothbrushing frequency-according to job market insertion in 2019. Methods: a descriptive study with data from the 2019 Brazilian National Health Survey (PNS). We included individuals aged from 18 years or older, irrespective of employment status. We calculated the oral health indicators, as well as their respective 95% confidence intervals (95%CI). Results: the sample was composed by 54,343 workers, 29,889 (53.9%) being male. The proportion of 13 or more teeth loss was higher in the informal employment sector [10.5% (95%CI: 9.8;11.2)]. The proportion of people that did not consult a dentist in the previous 12 months was higher in the informal sector [51.9% (95%CI: 50.8;53.0)] and among unemployed [52.4% (95%CI: 49.6;55.2)]. Lower toothbrushing frequency was observed in the informal workers' group [5.2% (95%CI: 4.7;5.6)] and among male workers [7.5% (95%CI: 6.8;8.2)]. Conclusion: worse oral health indicators were found among informal and unemployed workers, in addition to gender inequalities.

Tradução para a língua portuguesa da 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-11) / The translation into Portuguese of the 11th International Statistical Classification of Diseases and Related Health Problems (ICD-11)

RESUMO A 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde representa um avanço no enfoque do conhecimento e em novas abordagens das doenças. A Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde é utilizada para diferentes finalidades práticas, possibilitando avaliação do avanço da agenda de saúde global, alocação de recursos, segurança do paciente, qualificação da assistência à saúde e reembolso de seguros de saúde. É inteiramente digital, com recursos tecnológicos que permitem sua atualização periódica. No início de 2022, a 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde entrou em vigência oficial, tendo sido disponibilizada em vários de seus idiomas oficiais, como o árabe, chinês, espanhol, francês e inglês. Apresenta-se aqui o processo de tradução para a língua portuguesa em uso no Brasil, coordenado pela Universidade Federal de Minas Gerais, com apoio do Ministério da Saúde do Brasil e da Organização Pan-Americana da Saúde/Organização Mundial da Saúde. O trabalho foi realizado em três etapas entre agosto de 2021 e dezembro de 2022 por tradutores com diferentes formações: médicos especialistas (49), fisioterapeuta (1), farmacologista (1) e odontologista (1). Com este artigo metodológico, almeja-se ampliar a discussão de perspectivas para implementação da 11a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde no Brasil e construir uma oportunidade para sua adaptação e uso por outros países de língua oficial portuguesa.

ABSTRACT The 11th International Statistical Classification of Diseases and Related Health Problems (ICD-11) represents an advance in the focus on knowledge and new disease approaches. The ICD is used for different practical purposes, enabling assessment of progress in the global health agenda, resource allocation, patient safety, health care qualification, and health insurance reimbursement. It is entirely digital, with technological resources that allow periodic updating. In early 2022, ICD-11 entered into official force, having been made available in several official ICD languages such as Arabic, Chinese, Spanish, French, and English. The translation process into Brazilian Portuguese, coordinated by the Federal University of Minas Gerais (UFMG), with support from the Brazilian Ministry of Health (MS) and PAHO/WHO, is presented here. The work was carried out in three stages between August 2021 and December 2022 by translators with different backgrounds: medical specialists (49), physiotherapists (1), pharmacologists (1), and dentists (1). This methodological article aims to broaden the discussion of perspectives on implementing the ICD-11 in Brazil and build an opportunity for its adaptation and use by other Portuguese-speaking countries.

Prevalence of flu-like syndrome in healthcare workers in Brazil: a national study, 2020

ABSTRACT OBJECTIVE To evaluate the prevalence of reported symptoms of flu-like syndrome (FS) among HCW and compare HCW and non-HCW on the chance of reporting these symptoms, this study analyzed data of a population-based survey conducted in Brazil. METHODS A cross-sectional analysis was performed with self-reported data from the Brazilian National Household Sample Survey (PNAD Covid-19) from May 2020. The authors analyzed a probability sample of 125,179 workers, aged 18 to 65, with monthly income lower than US$ 3 500. The variable HCW or non-HCW was the covariate of interest and having reported FS symptoms or not was the outcome variable. Authors tested interactions of HCW with other covariates. A logit model - when controlling for sociodemographic, employment, and geographic characteristics - investigated the chance of HCW reporting FS compared to non-HCW. RESULTS HCW have a significant effect (odds ratio of 1.369) on reporting FS symptoms when compared to non-HCW. HCW account for 4.17% of the sample, with a higher frequency of FS (3.38%) than observed for non-HCW (2.43%). Female, non-white and older individuals had higher chance to report FS. CONCLUSIONS The HCW had a higher chance of reporting symptoms than non-HCW aged over 18 years in the labor force. These results emphasize guidelines for preventive measures to reduce workplace exposures in the healthcare facilities. The prevalence is disproportionately affecting HCW women and HCW non-whites. In the regions North and Northeast the steeper progression is consistent with the hypothesis of socioeconomic factors, and it explains the greater prevalence in HCW and non-HCW living in those territories.

[Social invisibility of occupational diseases in Brazil (1919-2019)]. / Invisibilidade social das doenças profissionais no Brasil (1919-2019).

In Brazil, and indeed worldwide, one encounters a discrepancy between estimates of the effects of exposure to occupational risks on health and official statistics on professional diseases. Despite the innovations in the official lists, mainly in the period from 1999 to 2007, the statistical underestimation has not changed. The documentary analysis provided elements to identify the production of scientific ignorance, the current legal order and the functioning of the medical-administrative entities that produce the social invisibility of occupational diseases. It was discussed how this invisibility is produced by different logical structures and normative horizons that underlie the diagnosis, communication, and registration of these diseases. The hypotheses were developed in line with the constructs of the sociology of science and public inaction.

Verifica-se no Brasil e no mundo uma discrepância entre as estimativas dos efeitos da exposição aos riscos ocupacionais sobre a saúde e as estatísticas oficiais de doenças profissionais. Em que pese as inovações nas listas oficiais, principalmente, no período 1999-2007, a subestimação estatística não foi modificada. A análise documental forneceu elementos para identificar a produção da ignorância científica, o ordenamento jurídico vigente e o funcionamento das entidades médico-administrativas que produzem a invisibilidade social das doenças profissionais. Discutiu-se de que maneira essa invisibilidade é produzida por diferentes estruturas lógicas e horizontes normativos que fundamentam o diagnóstico, comunicação e registro dessas doenças. As hipóteses foram desenvolvidas em linha com os constructos da sociologia da ciência e inação pública.

Invisibilidade social das doenças profissionais no Brasil (1919-2019) / Social invisibility of occupational diseases in Brazil (1919-2019)

Resumo Verifica-se no Brasil e no mundo uma discrepância entre as estimativas dos efeitos da exposição aos riscos ocupacionais sobre a saúde e as estatísticas oficiais de doenças profissionais. Em que pese as inovações nas listas oficiais, principalmente, no período 1999-2007, a subestimação estatística não foi modificada. A análise documental forneceu elementos para identificar a produção da ignorância científica, o ordenamento jurídico vigente e o funcionamento das entidades médico-administrativas que produzem a invisibilidade social das doenças profissionais. Discutiu-se de que maneira essa invisibilidade é produzida por diferentes estruturas lógicas e horizontes normativos que fundamentam o diagnóstico, comunicação e registro dessas doenças. As hipóteses foram desenvolvidas em linha com os constructos da sociologia da ciência e inação pública.

Abstract In Brazil, and indeed worldwide, one encounters a discrepancy between estimates of the effects of exposure to occupational risks on health and official statistics on professional diseases. Despite the innovations in the official lists, mainly in the period from 1999 to 2007, the statistical underestimation has not changed. The documentary analysis provided elements to identify the production of scientific ignorance, the current legal order and the functioning of the medical-administrative entities that produce the social invisibility of occupational diseases. It was discussed how this invisibility is produced by different logical structures and normative horizons that underlie the diagnosis, communication, and registration of these diseases. The hypotheses were developed in line with the constructs of the sociology of science and public inaction.