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Castro CMSD, Mambrini JVDM, Firmo JOA, Souza Júnior PRBD, Peixoto SV. Factors associated with paid work after the dam failure: Brumadinho Health Project. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2022; 25:e220010. [PMID: 36327415 DOI: 10.1590/1980-549720220010.supl.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 09/02/2022] [Indexed: 06/16/2023] Open
Abstract
OBJECTIVE To analyze the factors associated with paid work, after the dam failure, based on geographic strata, among men and women residing in Brumadinho, Minas Gerais. METHODS Baseline data from participants of the Brumadinho Health Project, aged 18 years or older, obtained through a questionnaire, between July and November 2021 (n=2,783) were used. The dependent variable was paid work after the dam failure and the explanatory variables were geographic stratum, age, education, race/skin color, self-perception of health and employment relationship before the event. The adjusted analysis was estimated by logistic regression. All analyses were performed separately for men and women. RESULTS Paid work after the dam failure was reported by 58.3% (95%CI 55.0-61.6) of the participants, with the highest prevalence among men (71.4%; 95%CI 67.1-75.3) compared to women (48.6%; 95%CI 44.3-52.8) (p<0.001). After adjustments, the results showed that the population who was directly exposed to the disaster was less likely to have a paid work after it, both for women (OR=0.68; 95%CI 0.48-0.95) and for men (OR=0.48; 95%CI 0.30-0.78). In addition, women directly exposed to the disaster and who reported being self-employed before it were less likely to have a paid work, compared to women who reported being employed with or without a formal contract. CONCLUSION Participation in the labor market is determined by several factors. Thus, intersectoral policies are necessary the population's demands of life and work are met in disaster situations.
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Affiliation(s)
| | | | | | | | - Sérgio Viana Peixoto
- Fundação Oswaldo Cruz, Institute René Rachou - Belo Horizonte (MG), Brazil
- Universidade Federal de Minas Gerais, Nursing School - Belo Horizonte (MG), Brazil
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Castro CMSD, Lima-Costa MF, Neves JAB, Andrade FBD, Sampaio RF. [Determinants of paid work among older Brazilians using structural equation modeling: evidence from the ELSI-Brazil study]. CAD SAUDE PUBLICA 2020; 36:e00194619. [PMID: 33237205 DOI: 10.1590/0102-311x00194619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Accepted: 04/01/2020] [Indexed: 11/21/2022] Open
Abstract
This study aimed to develop a conceptual model and to explore direct and indirect associations between paid work and life-course factors in a representative national sample of the Brazilian population 50 years and older. The analysis was based on 8,903 participants in the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The exposure variables were sociodemographic, health, work, and social interaction variables. Based on a structural equation model, paid work showed total association with lifetime social status in women (standardized coefficient - SC = 0.489) and direct association with capacity for work in men (SC = 0.527). For women alone, an indirect and negative association was observed with lifetime intense physical effort at work, via retirement (SC = -0.156). Men with paid work were more prone to social participation, measured by belonging to groups or associations (SC = 0.209). Among women, this participation was through interaction with family and friends (SC = 0.047), via capacity for work. For both men and women, lifetime health status showed an indirect and positive association (SC = 0.298 men; SC = 0.142 women) with paid work, via capacity for work. All the above-mentioned factors showed a significant association with paid work. The study's results showed that participation in the work market occurs by different mechanisms for men and women, principally considering the factors related to work and social interaction.
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Affiliation(s)
| | - Maria Fernanda Lima-Costa
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil.,Programa de Pós-graduação em Saúde Púbica, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | | | | | - Rosana Ferreira Sampaio
- Programa de Pós-graduação em Saúde Púbica, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Profile of environmental service managers and workers in Brazilian hospitals. Appl Nurs Res 2019; 51:151229. [PMID: 31899041 DOI: 10.1016/j.apnr.2019.151229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Revised: 10/30/2019] [Accepted: 12/21/2019] [Indexed: 01/08/2023]
Abstract
INTRODUCTION Contamination through the hands of professionals and surfaces is one of the main agents involved in health care-associated infections in health services. Flaws in the execution of hospital housekeeping can lead to the contamination of surfaces and health equipment though, representing a risk for patient safety and highlighting the need to maximize the quality of cleaning processes in these institutions. OBJECTIVE To describe the profile of managers and environmental service workers (ESWs) in Brazilian hospitals. METHODS A cross-sectional study was undertaken in January 2018, involving 155 participants, being 12 managers and 143 workers from the housekeeping team of two health institutions, being one private and the other public. RESULTS Most participants were female (86%), with a mean age of 45 years and primary education level, 52% being outsourced workers. The participants positively assessed their job satisfaction, satisfaction with training, basic knowledge and performance; nevertheless, situations were identified that were perceived as risks for patient safety and occupational health. The questions involving motivational incentives received the lowest scores. CONCLUSION Inconsistencies were found in the housekeeping professionals'. Preparation, indicating that the institutions studied do not value this type of service and that an investment policy in these workers' motivation is lacking.
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Castro CMS, Costa MFL, Cesar CC, Neves JAB, Sampaio RF. [Influence of education and health conditions on paid work of elderly Brazilians]. CIENCIA & SAUDE COLETIVA 2019; 24:4153-4162. [PMID: 31664388 DOI: 10.1590/1413-812320182411.05762018] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 04/10/2018] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to determine associations between socio-demographic and health characteristics with paid work among elderly Brazilians. The analysis included 11,177 subjects aged 60 years and over from the National Health Survey conducted in 2013. The multivariate analysis was based on prevalence ratios and their respective 95% confidence intervals estimated by Poisson regression. The participation of men in paid work was significantly higher (32.9%) than women (14.4%). For men and women, this participation decreased with increasing age and was higher among those with better schooling and good self-rated health. Among men, good self-rated health was associated with paid work (PR = 1.63, 95% CI, 1.23-2.15) only for those with less schooling (< 9 years). Among women, good self-rated health revealed a positive association with paid work (PR = 1.94, 95% CI 1.32-2.84) for those with less schooling, and a negative association for those with better schooling (RP = 0.54, 95% CI 0.38-0.77). The results suggest that investments in schooling and improvements in health conditions can contribute to an increase in the longevity of the elderly in the labor market.
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Affiliation(s)
- Camila Menezes Sabino Castro
- Programa de Pós-Graduação em Saúde Coletiva, Instituto René Rachou, Fiocruz. Av. Augusto de Lima 911, Barro Preto. 30190-002 Belo Horizonte MG Brasil.
| | - Maria Fernanda Lima Costa
- Programa de Pós-Graduação em Saúde Coletiva, Instituto René Rachou, Fiocruz. Av. Augusto de Lima 911, Barro Preto. 30190-002 Belo Horizonte MG Brasil.
| | - Cibele Comini Cesar
- Centro de Desenvolvimento e Planejamento Regional, Faculdade de Ciências Econômicas, Universidade Federal de Minas Gerais (UFMG). Belo Horizonte MG Brasil
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Torres JL, Castro CMSD, Lustosa LP. [Ongoing employment and chronic conditions among community-dwelling elderly people: evidence from Rede Fibra in Belo Horizonte]. CIENCIA & SAUDE COLETIVA 2019; 24:1845-1852. [PMID: 31166517 DOI: 10.1590/1413-81232018245.13302017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 08/03/2017] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study was based on a probabilistic sample of 597 community-dwelling elderly people living in Belo Horizonte. Theaim was to assess which chronic conditions are independently associated with ongoing employment among elderly people. It was conducted to assess the isolated effect of each one. The multivariate analysis was based on Poisson regression models with robust variance, adjusted by sex, age, schooling, retirement and chronic conditions. Arthritis (or rheumatism) was the only chronic condition with independent and statistic significant association with ongoing employment, even after adjustment for other chronic conditions: older people with medical diagnosis of arthritis have lower odds of being in the labor market (Fully adjusted Prevalence ratio [PR] = 0.54; CI 95%: 0.35-0.85). Moreover, our results showed that gender modifies this association, with a lower propensity among females (PR=0.45; CI 95%: 0.25-0.84). Our results highlight the importance of health promotion among workers, mostly arthritis prevention and management among women.
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Affiliation(s)
- Juliana Lustosa Torres
- Departamento de Medicina Preventiva, Universidade Federal do Rio de Janeiro. Av. Horácio Macedo S/N, Ilha do Fundão. 21941-598 Rio de Janeiro RJ
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Amorim JSCD, Mesas AE, Trelha CS. Fatores associados à ótima capacidade para o trabalho em servidores idosos de uma universidade no Sul do Brasil. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2018. [DOI: 10.1590/2317-6369000016816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: investigar a associação entre o índice de capacidade para o trabalho e os fatores sociodemográficos, ocupacionais, estilo de vida e saúde em idosos. Métodos: estudo transversal, com amostra de servidores idosos de uma instituição de ensino superior. Foram coletadas informações sociodemográficas e dados referentes a comportamento social, saúde, e trabalho. Utilizou-se análise uni e multivariada pelo Modelo de Regressão Logística para determinar os fatores associados à ótima capacidade para o trabalho. Resultados: na amostra prevaleceram os homens (57,8%), entre 60 e 64 anos (75,6%), com ensino superior (57,8%). A maioria declarou ser sedentária (89,1%) e com exigência mental de trabalho (62,8%). Mais da metade da amostra era de idosos em sobrepeso (53%), que relataram quedas (21,3%) e uso regular de múltiplos medicamentos (25,6%). As variáveis associadas à menor chance de ótima capacidade para o trabalho foram sexo feminino (OR=0,39; IC95%=0,18-0,83); cor não branca (OR=0,37; IC95%=0,16-0,84); exigência física para o trabalho (OR=0,40; IC95%=0,17-0,97); hospitalização (OR=0,14; IC95%=0,03-0,57); dificuldades no sono (OR=0,12; IC95%=0,04-0,43); autopercepção de saúde ruim (OR=0,22; IC95%=0,09-0,54); queixas de sintomas osteomusculares nos últimos 7 dias (OR=0,29, IC95%=0,10-0,87); e sintomas que comprometem o trabalho (OR=0,25; IC95%=0,08-0,82). Conclusão: fatores sociodemográficos, ocupacionais e condição de saúde comprometeram a ótima capacidade para o trabalho em idosos.
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Sato AT, Barros JDO, Jardim TDA, Ratier APP, Lancman S. [The aging process and work: a case study in the maintenance engineering division of a public hospital in the city of São Paulo, Brazil]. CAD SAUDE PUBLICA 2017; 33:e00140316. [PMID: 29116319 DOI: 10.1590/0102-311x00140316] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 01/06/2017] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify and analyze the relations between aging and work. This was a case study in the maintenance engineering division of a high-complexity hospital in the city of São Paulo, Brazil. In September and October 2015, 16 semi-structured interviews were held with the division heads and other workers with a minimum age of 50 years. The data were analyzed with thematic content analysis. Although the workers experienced difficulties resulting from the aging process, these did not prevent them from performing their work activities, since they developed strategies through their knowhow to compensate for their functional losses and/or declines. Still, they felt limited and demotivated due to the poor working conditions, outsourcing of the division, and the prevailing workload organization. Thus, in this division, the working conditions and organization had more impact than the aging process on the individuals' daily work routine.
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Affiliation(s)
| | | | | | | | - Selma Lancman
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil
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Valle EA, Mambrini JVDM, Macinko J, Lima-Costa MF. [Health behaviors and preventive tests in adults with and without health insurance in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil, 2003-2010]. CAD SAUDE PUBLICA 2017; 33:e00130815. [PMID: 28380143 DOI: 10.1590/0102-311x00130815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Accepted: 05/02/2016] [Indexed: 02/06/2023] Open
Abstract
This study analyzed indicators for health behaviors and use of preventive services in two probabilistic samples of adults, one in 2003 (n = 13,757) and the other in 2010 (n = 12,983), with and without private health insurance in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. After adjusting for demographic variables, temporal variation, and source of care, there was a reduction in smoking prevalence, similar between individuals with and without private health insurance, from 2003 to 2010. During this same period the prevalence of excessive alcohol intake and sedentary lifestyle increased in both groups; with the same magnitude, there was a decrease in the prevalence of leisure-time physical activity. No changes were observed in the prevalence of blood pressure measurement, but the prevalence of cholesterol testing, mammogram, and Pap smear increased more sharply in individuals without health insurance.
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Affiliation(s)
- Estevão Alves Valle
- Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
| | | | - James Macinko
- UCLA Fielding School of Public Health, Los Angeles, U.S.A
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