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Silva AND, Vettore MV. Associations of academic environment, lifestyle, sense of coherence and social support with self-reported mental health status among dental students at a university in Brazil: a cross-sectional study. BMJ Open 2023; 13:e076084. [PMID: 38114282 DOI: 10.1136/bmjopen-2023-076084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2023] Open
Abstract
OBJECTIVES The study evaluated the association of academic environment, lifestyle, sense of coherence (SOC) and social support with self-reported mental health status among dental students. DESIGN Secondary analysis of data from a cross-sectional, questionnaire-based survey conducted from August to October 2018. SETTING Dental school of a public-funded university in the south-eastern region of Brazil. PARTICIPANTS 233 undergraduate dental students recruited across all years of the course. OUTCOME MEASURES Socioeconomic and demographic characteristics, city of origin and student's academic semester were obtained through self-completed questionnaires. Perception of the academic environment (Dundee Ready Education Environment Measure (DREEM)), individual lifestyle (Individual Lifestyle Profile Questionnaire (ILPQ)), SOC (SOC Scale (SOC-13)), social support (Medical Outcomes Study Scale (MOS)), and depression, anxiety and stress (Depression, Anxiety and Stress Scale-21 (DASS-21)) were assessed using validated instruments. The relationships between variables were investigated through multivariable negative binomial regression to obtain the rate ratios (RRs) and 95% CIs. RESULTS Female sex was associated with greater scores of anxiety (RR 1.74, 95% CI 1.10 to 1.97) and stress (RR 1.52, 95% CI 1.12 to 2.06). Students who perceived a better academic environment and those reporting a greater SOC had a lower probability of depression, anxiety and stress. Furthermore, a favourable lifestyle was associated with lower depression scores (RR 0.99, 95% CI 0.97 to 0.99). Social support did not remain associated with depression, anxiety and stress after adjustment. CONCLUSIONS The present findings suggest that self-reported mental health status is associated with students' sex, academic environment, SOC and lifestyle. Enhancing the educational environment and SOC, and promoting a healthy lifestyle may improve the psychological health of dental students.
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Affiliation(s)
- Andréa Neiva da Silva
- Department of Health and Society, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brazil
| | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Vest-Agder, Norway
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Souza LNS, Confortin SC, Aristizábal LYG, Chagas DCD, Vieira AC, Simões VMF, Alves MTSSDBE. [Do depressive symptoms, anxiety and stressful symptoms during pregnancy affect gestational weight gain?]. Cien Saude Colet 2023; 28:2087-2097. [PMID: 37436321 DOI: 10.1590/1413-81232023287.10532022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 01/06/2023] [Indexed: 07/13/2023] Open
Abstract
The scope of this article is to estimate the effects of symptoms of mental disorders during pregnancy (depressive symptoms, anxiety and stress) on gestational weight gain (kg). It is a longitudinal study, carried out with data from the BRISA Birth Cohort, which was launched in 2010 in São Luís, Maranhão. Gestational weight gain was classified according to the Institute of Medicine. The independent variable was a construct (latent variable) referred to as symptoms of mental disorders, made up of the depressive symptoms, anxiety and stressful symptoms variables (all on an ongoing basis). Structural equation modeling was used to investigate the association between mental health and weight gain. Regarding the association between symptoms of mental disorders and weight gain during pregnancy, no total effect was found (PC=0.043; p=0.377). Regarding indirect effects, no effect was found either through risk behaviors (PC=0.03; p=0.368) or through physical activity (PC=0.00; p=0.974). Finally, the data did not show a direct effect of symptoms of mental disorders during pregnancy such as gestational weight gain (PC=0.050; p=0.404). Gestational weight gain had no direct, indirect or total effect on symptoms of mental disorders in pregnant women.
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Affiliation(s)
- Larissa Nogueira Silva Souza
- Faculdade de Medicina, Universidade Federal do Maranhão (UFMA). Av. dos Portugueses 1966, Vila Bacanga. 65080-805 São Luís MA Brasil.
| | | | | | | | - Ana Cleide Vieira
- Programa de Pós- Graduação em Saúde da Família, UFMA. São Luís MA Brasil
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3
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Knorst JK, Vettore MV, Brondani B, Emmanuelli B, Ardenghi TM. The Different Roles of Structural and Cognitive Social Capital on Oral Health-Related Quality of Life among Adolescents. Int J Environ Res Public Health 2023; 20:ijerph20085603. [PMID: 37107885 PMCID: PMC10138599 DOI: 10.3390/ijerph20085603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 04/12/2023] [Accepted: 04/19/2023] [Indexed: 05/10/2023]
Abstract
This study evaluated the relationship of structural and cognitive dimensions of social capital with oral health-related quality of life (OHRQoL) among adolescents. This was a cross-sectional study nested in a cohort of adolescents from southern Brazil. OHRQoL was evaluated using the short version of the Child Perceptions Questionnaire 11-14 (CPQ11-14). Structural social capital was measured by attendance of religious meetings and social networks from friends and neighbours. Cognitive social capital was evaluated through trust in friends and neighbours, perception of relationships in the neighbourhood, and social support during hard times. Multilevel Poisson regression analysis was performed to estimate the association between social capital dimensions and overall CPQ11-14 scores; higher scores corresponded to worse OHRQoL. The sample comprised 429 adolescents with a mean age of 12 years. Adolescents who attended religious meetings less than once a month or never presented higher overall CPQ11-14 scores. Adolescents who did not trust their friends and neighbours, those who believe that their neighbours did not have good relationships, and those reporting no support during hard times also presented higher overall CPQ11-14 scores. OHRQoL was poorer in individuals who presented lower structural and cognitive social capital, with the greatest impact related to the cognitive dimension.
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Affiliation(s)
- Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria 97105-900, Brazil
| | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder, Postbox 422, N-4604 Kristiansand, Norway
| | - Bruna Brondani
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo 05508-000, Brazil
| | - Bruno Emmanuelli
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria 97105-900, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria 97105-900, Brazil
- Correspondence: ; Tel./Fax: +55-55-3220-9272
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da Silva AN, Lucietto DA, Bastos MVDS, do Nascimento TQ, Vettore MV. The relationship of dental students’ characteristics to social support, psychosocial factors, lifestyle, and quality of life. Health Psychol Behav Med 2022; 10:596-616. [PMID: 35898595 PMCID: PMC9310912 DOI: 10.1080/21642850.2022.2102017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objective To examine the relationships between sociodemographic characteristics, student academic information, social support, sense of coherence, anxiety, lifestyle, and quality of life among dental students. Methods: A cross-sectional study among 233 dental students in Brazil. We captured data on sociodemographic and socioeconomic characteristics, social support through Social Support Appraisal, psychosocial factors (sense of coherence and anxiety based on SOC-13 and Depression, Anxiety and Stress Scale-21 – anxiety subscale, respectively), lifestyle as per individual Lifestyle Profile and quality of life based on VERAS-Q. Data was analysed through Structural Equation Modelling. Results: Greater social support, higher sense of coherence, lower anxiety, better lifestyle directly predicted better quality of life. Male gender, city of origin did not differ from the city of the campus, higher social support and greater sense of coherence were indirectly linked with better quality of life via better lifestyle. Lower academic semester and higher social support indirectly predicted better quality of life via lower anxiety. Conclusion: Social support, sense of coherence, anxiety, and lifestyle were relevant factors directly associated with dental student’s quality of life. Indirect pathways were observed between gender, moved home to attend dental course, academic semester, social support, sense of coherence, and quality of life.
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Affiliation(s)
- Andréa Neiva da Silva
- Department of Health and Society, Institute of Collective Health, Fluminense Federal University (UFF), Niterói, Brazil
| | - Deison Alencar Lucietto
- Department of Health and Society, Institute of Collective Health, Fluminense Federal University (UFF), Niterói, Brazil
| | | | | | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder (UiA), Kristiansand, Norway
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Januario EM, Valdivia LJ, Schmitt Júnior AA, de Almeida Claudino FC, Brenner AM, Sica da Rocha N. Protective factors against depressive symptoms among Brazilian healthcare workers during the initial stages of the COVID-19 pandemic: a cross-sectional study. BMJ Open 2022; 12:e056326. [PMID: 36113940 PMCID: PMC9485652 DOI: 10.1136/bmjopen-2021-056326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES This study aims to assess the prevalence of depressive symptoms among healthcare workers and possible factors associated with this outcome (resilience, spirituality, social support, quality of life, among other individual variables). Our hypothesis is that some of these factors can have a protective effect on depressive symptoms. DESIGN Web-based cross-sectional survey. SETTING Participants were recruited online from 16 April to 23 April 2020. PARTICIPANTS 1043 healthcare workers, predominantly Brazilians, aged 18 years or older. PRIMARY AND SECONDARY OUTCOME MEASURES Depression was the primary outcome, measured using the Patient Health Questionnaire-9 (PHQ-9). Possible protective factors were measured in the following ways: social support was assessed by the modified Medical Outcomes Study Social Support Survey (mMOS-SS); spirituality, religiousness and personal beliefs (SRPB) were evaluated using the 9-item SRPB module of the brief WHO Quality of Life instrument (WHOQoL-SRPB-bref); quality of life was assessed using the brief EUROHIS instrument for Quality of Life (EUROHIS-QoL 8-item); resilience was assessed using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10). RESULTS 23% met the criteria for depression according to the PHQ-9 scale. Quality of life (B=-3.87 (-4.30 to -3.43), β=-0.37, p<0.001), social support (B=-0.32 (-0.59 to -0.05), β=-0.04, p=0.022), resilience (B=-0.19 (-0.23 to -0.15), β=-0.20, p<0.001), SRPB (B=-0.03 (-0.05 to -0.02), β=-0.01, p<0.001) and physical exercise (B=-0.95 (-1.40 to -0.51), β=-0.08, p<0.001) demonstrated protective effects against depression. CONCLUSION Healthcare workers have a high risk of developing depressive symptoms during the COVID-19 pandemic, especially those working in the front line. However, there are factors that seem to work as protective mechanisms against depression, notably perceived quality of life.
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Affiliation(s)
- Eric Marques Januario
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
| | - Lucianne Jobim Valdivia
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
| | - Antonio Augusto Schmitt Júnior
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
| | - Felipe Cesar de Almeida Claudino
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
| | - Augusto Mädke Brenner
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
- Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, Brazil
| | - Neusa Sica da Rocha
- Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul and Psychiatry Department of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- I-QOL Innovations and interventions for Quality of Life Research Group, Brazil, Porto Alegre, Brazil
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Araújo CRV, Mota BEF, Campagnoli RR, Rocha-Rego V, Volchan E, Souza GGL. Decreased self-reported receiving of social touch and social support predict loneliness in healthy adults. Psicol Reflex Crit 2022; 35:25. [PMID: 35913547 PMCID: PMC9340735 DOI: 10.1186/s41155-022-00228-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 06/30/2022] [Indexed: 11/18/2022]
Abstract
Loneliness has emerged as a public health concern. Previous research has reported its deleterious effects on physical and mental health; however, some specific psychophysiological mechanisms in healthy adults remain to be elucidated. The aim of the current study is to investigate whether self-reported social support and social touch (giving and receiving social touch), as well as resting heart rate variability (HRV), are significant negative predictors of loneliness in healthy adults. The study sample consists of 120 healthy students (50% female) with a mean age of 21.85 years old (DP= 2.21). The students were asked to complete a psychiatric screening questionnaire utilizing loneliness, social support, and social touch scales. HRV was derived from an electrocardiographic signal recorded for 15 min, with the participant relaxed in a supine position. Linear regression analyses were conducted to evaluate loneliness as a function of social support, social touch (giving or receiving touch), and resting HRV. The results show that social support (p< 0.001) and social touch, specifically receiving touch (p< 0.002), accounted for a significant proportion of the variance in loneliness. However, neither giving touch nor resting HRV was a significant predictor of loneliness. The current study highlights specific psychosocial factors in healthy adults that should be considered as promising pathways in order to reduce or work toward preventing loneliness, thus promoting better health and well-being.
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Affiliation(s)
- Cássia Regina Vieira Araújo
- Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil
| | - Bruna Eugênia Ferreira Mota
- Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil.,School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Brazil
| | - Rafaela Ramos Campagnoli
- Biomedical Institute, Fluminense Federal University, Niterói, Brazil.,Department of Neurobiology, Institute of Biology, Fluminense Federal University, Niterói, Brazil
| | - Vanessa Rocha-Rego
- Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Eliane Volchan
- Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Gabriela Guerra Leal Souza
- Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil.
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Galvão ND, Souza RAGD, Souza BDSND, Melanda FN, Andrade ACDS, Sousa NFDS, Correa MLM, Silva AMCD, Neves MABD, Oliveira JCDS, Cabral JF, Soares MR, Souza PCFD, Alves MR, Barbosa JR, Pignati WA. Cancer surveillance in Mato Grosso, Brazil: methodological and operational aspects of a university extension/research project. Rev Bras Epidemiol 2022; 25:e220002. [PMID: 35766759 DOI: 10.1590/1980-549720220002.supl.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 03/04/2022] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE To describe the methodological and operational aspects of the "Project for surveillance of cancer and its associated factors: population-based and hospital-based registry" (VIGICAN), in the state of Mato Grosso (MT), Brazil. METHODS VIGICAN was divided into two projects: a university extension one, which updated the data from the Population-based Cancer Registry (PBCR) of MT in the 2008-2016 period; and a research project, which collected primary data, through individual interviews and analysis of medical records of people with a diagnosis of cancer, aged 18 years or older, treated at reference hospitals for oncology. To analyze the factors associated with cancer, the following variables were collected: socioeconomic and demographic, social support, health status and behavior, and environmental exposure. RESULTS In the 2008-2016 period, approximately one hundred thousand cases of cancer (incident and prevalent) were reported in the PBCR Cuiabá and PBCR Interior. After validation procedures, 50 thousand incident cases were elected. The survey interviewed 1,012 patients, 38.2% living in the municipalities of Cuiabá and Várzea Grande, 60.4% in small cities of the state, and 1.4% in other states. Preliminary data showed that the majority were women (55.0%) and younger than 60 years of age (54.3%). Among the interviewees, 7.2% reported smoking tobacco, 15.5% consumed alcoholic beverages (15.5%), and 32.7% lived nearby crops. CONCLUSION The development of these projects allowed the integration of education with health services and will enable the recognition of specificities and different exposure scenarios and factors associated with cancer in the Mato Grosso territory.
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Affiliation(s)
- Noemi Dreyer Galvão
- Universidade Federal de Mato Grosso, Public Health Institute - Cuiabá (MT), Brazil.,Secretaria de Estado de Saúde do Mato Grosso - Cuiabá (MT), Brazil
| | | | | | - Francine Nesello Melanda
- Universidade Federal de Mato Grosso, Public Health Institute, Graduate Program - Cuiabá (MT), Brazil
| | | | | | | | - Ageo Mario Candido da Silva
- Secretaria de Estado de Saúde do Mato Grosso - Cuiabá (MT), Brazil.,Universidade Federal de Mato Grosso, Public Health Institute, Graduate Program - Cuiabá (MT), Brazil
| | - Marco Aurélio Bertúlio das Neves
- Universidade Federal de Mato Grosso, Public Health Institute - Cuiabá (MT), Brazil.,Secretaria de Estado de Saúde do Mato Grosso - Cuiabá (MT), Brazil
| | - Jânia Cristiane de Souza Oliveira
- Universidade Federal de Mato Grosso, Public Health Institute, Graduate Program - Cuiabá (MT), Brazil.,Universidade Federal de Rondonópolis - Rondonópolis (MT), Brazil
| | - Juliana Fernandes Cabral
- Universidade do Estado de Mato Grosso, School of Agrarian and Biological Sciences, Engineering and Health - Tangará da Serra (MT), Brazil.,Universidade Federal de Mato Grosso, Graduate Program in Public Health - Cuiabá (MT), Brazil
| | - Mariana Rosa Soares
- Universidade Federal de Mato Grosso, Public Health Institute - Cuiabá (MT), Brazil
| | - Paulo Cesar Fernandes de Souza
- Universidade Federal de Mato Grosso, Public Health Institute - Cuiabá (MT), Brazil.,Secretaria de Estado de Saúde do Mato Grosso - Cuiabá (MT), Brazil
| | - Mário Ribeiro Alves
- Universidade Federal de Mato Grosso, Public Health Institute - Cuiabá (MT), Brazil
| | | | - Wanderlei Antonio Pignati
- Universidade Federal de Mato Grosso, Public Health Institute, Graduate Program - Cuiabá (MT), Brazil
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Knorst JK, Brondani B, Vettore MV, Hesse D, Mendes FM, Ardenghi TM. Pathways between Social Capital and Oral Health from Childhood to Adolescence. J Dent Res 2022; 101:1155-1164. [PMID: 35593509 DOI: 10.1177/00220345221094510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study aimed to evaluate the theoretical pathways by which social capital can influence dental caries and oral health-related quality of life (OHRQoL) of children over time. This 10-y prospective cohort started in 2010 with a sample of 639 preschoolers aged 1 to 5 y from the southern Brazil. Community and individual social capital were assessed at baseline through the presence of formal institutions in the neighborhood and social networks, respectively. In the 10-y follow-up, the individual social capital was evaluated by social trust and social networks. Dental caries was measured by the International Caries Detection and Assessment System (ICDAS), and the short version of the Child Perception Questionnaire (CPQ11-14) was used to assess OHRQoL. Demographic, socioeconomic, behavioral (frequency of toothbrushing and use of dental services), and psychosocial (sense of coherence) characteristics were also assessed. Structural equation modeling was used to evaluate the associations between variables over time. About 429 children were reassessed at 10-y follow-up (67.1% cohort retention rate). High community social capital at baseline directly predicted lower occurrence of dental caries and better OHRQoL after 10 y. Social capital at community level also indirectly predicted lower occurrence of dental caries through sense of coherence, frequency of toothbrushing, and use of dental services. Individual social capital at follow-up was indirectly linked to OHRQoL via the psychosocial pathway (sense of coherence). Community-level social capital was associated with dental caries and OHRQoL over time. The relationship between individual social capital and oral health was mediated through the psychosocial pathway.
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Affiliation(s)
- J K Knorst
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - B Brondani
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - M V Vettore
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - D Hesse
- Department of Pediatric Dentistry, Academic Center for Dentistry Amsterdam, Amsterdam, The Netherlands
| | - F M Mendes
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - T M Ardenghi
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
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Vettore MV, Abreu MHNG, da Rocha Mendes S, Faerstein E. Do changes in income and social networks influence self-rated oral health trajectories among civil servants in Brazil? Evidence from the longitudinal Pró-Saúde study. BMC Oral Health 2022; 22:153. [PMID: 35488334 PMCID: PMC9052516 DOI: 10.1186/s12903-022-02191-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 04/19/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social factors are important determinants of health. However, evidence from longitudinal studies on the possible role of changes in socioeconomic circumstances on adult's oral health is scarce. This study aimed to test whether changes in income and changes in social networks of family members and friends were associated with trajectories of self-rated oral health (SROH) among adults over a 13-year period. METHODS A prospective cohort study (Pro-Saude Study) was conducted involving non-faculty civil servants at university campi in Rio de Janeiro, Brazil. Individual data was collected through self-completed questionnaires in four waves (1999, 2001, 2007 and 2012). SROH trajectories between 2001 and 2012 were "Good-stable SROH", "Changed SROH", "Poor-stable SROH". Per capita family income and social networks of family members and friends data obtained in 1999 and 2012 were grouped into "High stable", "Increase", "Decrease", "Low stable". Ordinal logistic regression using complete data of 2118 participants was used to estimate odds ratio (OR) and 95% CIs of changes in income and changes in social networks with SROH trajectories, adjusted for age, sex, skin colour and marital status. RESULTS Participants in the low income-stable and small social networks-stable groups showed 2.44 (95% CI 1.68-3.55) and 1.98 (95% CI 1.38-2.85) higher odds for worst trajectory of SRHO than those in the respective high-stable groups. Those in the decrease income group and decrease social networks group were 78% (95% CI 1.25-2.54) and 58% (95% CI 1.07-2.34) more likely to worst trajectory of SRHO than those in the high income-stable and high social networks-stable groups. CONCLUSIONS Adults reporting low income and low social networks of family members and friends over 13 years and those with income and social networks decrease during the study period were at higher risk of having worsened their self-rated oral health.
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Affiliation(s)
- Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder (UiA), Campus Kristiansand, Universitetsveien 25, 4630, Kristiansand, Norway.
| | | | - Suellen da Rocha Mendes
- Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Eduardo Faerstein
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil
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ALEXANDRE BD, SERAFINI AJ. Low back pain: biopsychosocial aspects of chronic and acute pain. Estud psicol (Campinas) 2022. [DOI: 10.1590/1982-0275202239e200209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Abstract: Chronic low back pain is a highly prevalent pathology, which has unclear associations with psychosocial aspects. This study investigated differences between patients with chronic low back pain (n = 25) and acute low back pain (n = 20) and verified the effect of the variables assessed on the pain mean. The design was cross-sectional, and the instruments applied were: sociodemographic interviews, Brief Pain Inventory, Beck Depression Inventory II, Hamilton Anxiety Rating Scale, Personality Factor Battery, Social Support Scale and Pain Catastrophizing Scale. The chronic pain group had significantly higher means of pain intensity, anxiety and catastrophic thoughts. In the regression analysis, the factor Depression of the Personality Factor Battery and belonging to the chronic pain group were found as predictors of the mean pain in the sample studied. It is understood that psychological factors are associated with the pain condition and require further investigation.
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11
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Galvão ND, Souza RAGD, Souza BDSND, Melanda FN, Andrade ACDS, Sousa NFDS, Correa MLM, Silva AMCD, Neves MABD, Oliveira JCDS, Cabral JF, Soares MR, Souza PCFD, Alves MR, Barbosa JR, Pignati WA. Vigilância do câncer em Mato Grosso, Brasil: aspectos metodológicos e operacionais de um projeto de extensão/pesquisa. Rev bras epidemiol 2022. [DOI: 10.1590/1980-549720220002.supl.1.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
RESUMO: Objetivo: Descrever os aspectos metodológicos e operacionais do projeto “Vigilância do câncer e seus fatores associados: registro de base populacional e hospitalar” (VIGICAN), em Mato Grosso (MT). Métodos: O VIGICAN desdobrou-se em dois projetos: um de extensão, que atualizou os dados dos Registros de Câncer de Base Populacional (RCBP) de Mato Grosso no período de 2008 a 2016; e um de pesquisa, que coletou dados primários por meio de entrevistas individuais e análise de prontuários de pessoas com diagnóstico de câncer, com 18 anos ou mais, atendidas em hospitais de referência para oncologia. Para analisar os fatores associados ao câncer, foram coletadas as seguintes variáveis: socioeconômicas e demográficas, suporte social, situação e comportamentos de saúde e exposição ambiental. Resultados: No período de 2008 a 2016, foram notificados nos RCBP Cuiabá e Interior, aproximadamente, 100 mil casos de câncer (incidentes e prevalentes). Após os procedimentos de validação, foram eleitos 50 mil casos incidentes. A pesquisa entrevistou 1.012 pacientes, sendo 38,2% residentes nos municípios de Cuiabá e Várzea Grande, 60,4% no interior do Estado e 1,4% em outros Estados. Os dados preliminares revelaram que a maioria era do sexo feminino (55,0%) e tinha menos de 60 anos (54,3%). Entre os entrevistados, 7,2% relataram fumar tabaco, 15,5% consumiam bebidas alcoólicas (15,5%) e 32,7% moravam próximo a lavouras. Conclusão: O desenvolvimento desses projetos permitiu a integração do ensino com os serviços de saúde e possibilitará o reconhecimento das especificidades e dos diferentes cenários de exposição ao câncer, bem como fatores associados a ele, no território mato-grossense.
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Affiliation(s)
- Noemi Dreyer Galvão
- Universidade Federal de Mato Grosso, Brazil; Secretaria de Estado de Saúde do Mato Grosso, Brazil
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Vázquez VS, de Lima VB, de Mello LM, Duarte DCB, Saback de Oliveira TD, Cruz ÁA. Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study. J Thorac Dis 2021; 13:6082-6094. [PMID: 34795954 PMCID: PMC8575806 DOI: 10.21037/jtd-20-3197] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 09/16/2021] [Indexed: 12/17/2022]
Abstract
Background Asthma is a chronic disease associated with risk of depression and suicidal events. The present study estimated the frequency of depression, suicidal motivation (SM) and suicidal ideation (SI) and identified clinical and psychosocial factors associated with these outcomes among individuals with asthma. Methods Cross-sectional study of a non-probabilistic sample of 1,358 adults with asthma and controls without asthma. Asthma severity and asthma control were assessed by a physician according to WHO (2009) and GINA (2012) criteria. Depression, SM and SI were screened by Beck Depression Inventory (BDI). Psychosocial factors were evaluated by a Community Violence Questionnaire, a Social Support Scale, a Stress Perceived Scale and a Resilience Scale. Chi-Square Test, and logistic regression models were performed to evaluate association between variables and outcomes. Results Among all participants, 222 (16.30%) had depression, 331 (24.40%) SM and 73 (5.40%) SI. There were 138 (12.10%) individuals with mild depression and SM, and 14 (1.20%) with mild depression and SI. After adjustment, severe asthma (SA) increased the chance of depression by 53.00% whereas mild to moderate asthma (MMA) increased by eleven-fold the likelihood of SI. Perception of low social support increased the chance of depression (OR 3.59; 95% CI, 2.44-5.28) and low resilience by (OR 2.96; 95% CI, 2.00-4.38); distress increased the odds of SM by 37.00%, and low affective support perception raised the likelihood of SI by (OR 6.82; 95% CI, 1.94-2.90). Conclusions Asthma, whether mild to moderate or severe, increased the chance of depression and SI. It is noteworthy that individuals with mild depression and MMA are at greater risk for SM and SI. Among the psychosocial variables, perception of low social support and low resilience were the variables associated with depression; distress impacted on SM, and the perception of low affective support raised the chance of SI.
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Silva AND, Guedes CR, Santos-Pinto CDB, Miranda ES, Ferreira LM, Vettore MV. Demographics, Socioeconomic Status, Social Distancing, Psychosocial Factors and Psychological Well-Being among Undergraduate Students during the COVID-19 Pandemic. Int J Environ Res Public Health 2021; 18:7215. [PMID: 34299665 DOI: 10.3390/ijerph18147215] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/26/2021] [Accepted: 07/03/2021] [Indexed: 01/04/2023]
Abstract
The COVID-19 pandemic impacted on academic routine because of the social distancing measures. This study examined the relationships of sociodemographic characteristics, social distancing aspects and psychosocial factors on psychosocial well-being among undergraduate students during the social distancing period due to COVID-19. A web-based survey was conducted of undergraduate students at a public university in Brazil (n = 620). Demographics, socioeconomic status (SES), social distancing factors, negative affectivity (DASS-21), sense of coherence (SOC-13), social support and psychosocial well-being (GHQ-12) were measured. The direct and indirect links between was variables was tested using structural equation modelling. The estimated model showed that greater social support, higher sense of coherence and lower negative affectivity were directly associated with better psychological well-being. Female gender, higher SES, not working during the social distancing period and availability of online modules were indirectly associated with psychological well-being through psychosocial factors. Working during the social distancing period and availability of online modules mediated the link of age, gender, SES with psychological well-being. Our findings suggest the need to provide psychological support, online teaching and financial aid to undergraduate students during the social distancing period due to COVID-19 pandemic to improve their psychological well-being.
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Feitosa MCP, Garib D, de Cássia Moura Carvalho Lauris R, Herkrath APQ, Vettore MV. The impact of orthognathic surgery on quality of life in individuals with oral clefts. Eur J Orthod 2021; 44:170-177. [PMID: 34173641 DOI: 10.1093/ejo/cjab039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND/OBJECTIVES To evaluate the relationships between individual, environmental, clinical factors and oral health-related quality of life (OHRQoL) in patients with cleft lip and palate (CLP) following orthognathic surgery. MATERIALS AND METHODS A follow-up study was conducted involving 69 adults with unilateral and bilateral CLP under orthodontic treatment. Interviews and oral examinations were conducted prior to orthognathic surgery (T0) to evaluate age, gender, psychological well-being, dental caries, malocclusion, social support, social networks, family income and education and OHRQoL. All participants were reviewed after 6 months (T1) to re-assess psychological well-being, malocclusion and OHRQoL. Structural equation modeling estimated the associations between the variables. RESULTS OHRQoL total scores reduced following orthognathic surgery, from 11.7 to 6.9 (P < 0.01). Occlusal characteristics and psychological well-being improved between T0 and T1. In the structural equation modeling, reduction of malocclusion (β = 0.02) between T0 and T1 directly predicted poor OHRQoL at T1. Improvement of psychological well-being between T0 and T1 was associated with better OHRQoL at T1 (β = -0.07). Dental caries and malocclusion at T0 were indirectly linked to poor OHRQoL at T1 (β = 0.02). LIMITATIONS The short follow-up period of 6 months after orthognathic surgery. CONCLUSIONS/IMPLICATIONS This represents the first prospective study examining the interrelationships of predictors of OHRQoL in patients with CLP after orthognathic surgery. OHRQoL and psychological well-being improved after orthognathic surgery. Clinical and psychological characteristics were important determinants of OHRQoL. These findings suggest the importance of the biopsychosocial model of health and the patient-centered approach in oral health care in individuals with CLP.
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Affiliation(s)
- Mariana Chaves Petri Feitosa
- Dental Division, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil
| | - Daniela Garib
- Dental Division, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil.,Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil
| | | | | | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
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Mezzavilla RDS, Vianna GVDB, Lindsay AC, Hasselmann MH. Intimate partner violence, breastfeeding, breastmilk substitutes and baby bottle use in the first year of life. Cien Saude Colet 2021; 26:1955-1964. [PMID: 34076135 DOI: 10.1590/1413-81232021265.10012019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 07/26/2019] [Indexed: 11/21/2022] Open
Abstract
This article aims to investigate the relationship between intimate partner physical violence (IPPV) and breastfeeding (BF), use of breastmilk substitutes (BMS) and bottle-feeding among children aged 12 to 15 months. This is a cross-sectional study with mothers in primary care facilities of the city of Rio de Janeiro. IPPV was identified by the Brazilian version of the Conflict Tactics Scales 1-Form R and feeding practices were identified by a 24-hour Dietary Recall. Associations were verified by logistic regression with odds ratio (OR) estimates and 95% confidence intervals. BF was offered to 58.5% of the children and BMS to 88.5%. Also, 70.5% of the children used a baby bottle. Physical violence was observed in 26.7% of couples. Households where couples physically abuse each other are more likely to not breastfeed (OR=2.14, p-value=0.030), to use breastmilk substitutes (OR=5.15, p-value=0.03) and bottle-feed (OR=2.71; p-value=0.01), when compared to households without physical violence. The results highlight the need to investigate intrafamily relationships in cases where inadequate breastfeeding practices are identified, and to enable health professionals to support families in conflict situations.
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Affiliation(s)
- Raquel de Souza Mezzavilla
- Departamento ou Programa de Pós-Graduação, Universidade do Estado do Rio de Janeiro. Rua São Francisco Xavier 524 bloco D 12º andar sala 12024 Maracanã. 20559-900 Rio de Janeiro RJ Brasil.
| | | | - Ana Cristina Lindsay
- Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts Boston EUA
| | - Maria Helena Hasselmann
- Departamento de Nutrição Social, Instituto de Nutrição, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil
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Schmitt AA Jr, Brenner AM, Primo de Carvalho Alves L, Claudino FCA, Fleck MPA, Rocha NS. Potential predictors of depressive symptoms during the initial stage of the COVID-19 outbreak among Brazilian adults. J Affect Disord 2021; 282:1090-5. [PMID: 33601682 DOI: 10.1016/j.jad.2020.12.203] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 12/26/2020] [Accepted: 12/31/2020] [Indexed: 01/20/2023]
Abstract
BACKGROUND In early 2020, Sars-Cov-2 was identified in China as a new coronavirus. Due to its transmission, Sars-Cov-2 has spread rapidly across the world. In the early stage of the disease outbreak, psychiatric symptoms have been reported, including depressive symptoms. In this study, we assessed the prevalence of depressive symptoms in quarantine and its association with sociodemographic variables and known protective factors for depression, such as spirituality, social support, resilience, and quality of life. METHODS A cross-sectional web-based questionnaire was distributed via social media. The instruments consisted of the 8-item EUROHIS-QOL, PHQ-9, Social Support Questionnaire, WHOQoL-SRPB, and CD-RISC. RESULTS A total of 3,274 participants were included in this study. 23.67% of the participants met the criteria for a depressive episode. Higher age, spirituality, social support, resiliency, and quality of life were associated with less depressive symptoms. Quarantine length; mental health treatment; chronic disease; age; sex; lower levels of spirituality, social support, resilience, quality of life, physical exercise, and education; and unpaid occupation were found to be predictors of depressive symptoms during COVID-19 quarantine. LIMITATIONS The data are limited to the pandemic initial period, the sample isn't random and the use of self-reported questionnaires are some limitations of our study. CONCLUSIONS During the initial phase of the COVID-19 outbreak in Brazil, quarantine time, treatment for mental health, chronic illness, lower levels of education, and unpaid occupation were positively associated with depressive symptoms. Age, sex, spirituality, social support, resilience, quality of life, and physical exercise showed a negative relationship with depressive symptoms.
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Abstract
BACKGROUND The frequency of trauma and different types of violence exposure in urban areas and their effects on the mental health of adolescents in developing countries are poorly investigated. Most information about traumatized young people comes from war scenarios or disasters. This study aimed to determine the prevalence of PTSD in trauma-exposed students in a low-resource city of the state of Rio de Janeiro, Brazil. The effects of sociodemographic and individual and family factors in the development of PTSD were also investigated. METHODS Through multi-stage cluster sampling, 862 adolescents (Mage = 15 years old, 65% female) from public and private schools in the city of São Gonçalo were selected for the study. Self-rating structured questionnaires were applied to assess sociodemographic profile, exposure to physical and psychological violence (family, school, community), sexual abuse, social support, social functional impairment, resilience, and posttraumatic stress disorder. The data were grouped in blocks regarding sociodemographic, individual, family, and community variables. For statistical analysis, chi-square, Fisher's exact test, and logistic regression were performed. RESULTS The PTSD prevalence was 7.8% among adolescents. Boys were exposed to significantly higher number of events of community violence, while girls to family violence. The adjusted odds ratio (OR) for PTSD were statistically significant for age (OR, 1.45, [95% CI, 1.043-2.007]), social functional impairment (OR, 4.82, [95% CI, 1.77-13.10]), severe maternal physical violence (OR, 2.79, [95% CI, 0.79-9.93]), psychological violence by significant people (OR, 3.96, [95% CI, 1.89-8.31]) and a high number of episodes of community violence (OR, 3.52, [95% CI, 1.47-8.40). CONCLUSIONS There was a high prevalence of PTSD within this population associated with exposure to violence. Not only physical, but also psychological violence contributed to PTSD. The results also raise awareness to the differences in life trajectories between boys and girls regarding violence. These differences need to be better understood in order to enable the development of effective preventative interventions. Treating and preventing mental health disorders presents a challenge for countries, especially those with a lower degree of social and economic development and high community violence.
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Affiliation(s)
- Joviana Quintes Avanci
- Department of Studies on Violence and Health Jorge Careli, National School of Public Health, Oswaldo Cruz Foundation, Avenida Brasil 4036, 700 Manguinhos, Rio de Janeiro, 21040-361, Brazil.
| | - Fernanda Serpeloni
- Department of Studies on Violence and Health Jorge Careli, National School of Public Health, Oswaldo Cruz Foundation, Avenida Brasil 4036, 700 Manguinhos, Rio de Janeiro, 21040-361, Brazil
| | - Thiago Pires de Oliveira
- Department of Studies on Violence and Health Jorge Careli, National School of Public Health, Oswaldo Cruz Foundation, Avenida Brasil 4036, 700 Manguinhos, Rio de Janeiro, 21040-361, Brazil
- International Business Machines Corporation, Rio de Janeiro, Brazil
| | - Simone Gonçalves de Assis
- Department of Studies on Violence and Health Jorge Careli, National School of Public Health, Oswaldo Cruz Foundation, Avenida Brasil 4036, 700 Manguinhos, Rio de Janeiro, 21040-361, Brazil
- Neurology Post-Graduate Program, Federal University of the State of Rio de Janeiro, Mariz e Barros 775, Rio de Janeiro, 20270-901, Brazil
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Bezerra CDM, Assis SGD, Constantino P, Pires TO. Fatores associados ao sofrimento psíquico de agentes penitenciários do estado do Rio de Janeiro, Brasil. Rev bras saúde ocup 2021. [DOI: 10.1590/2317-6369000038218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivos: analisar o sofrimento psíquico de agentes penitenciários do estado do Rio de Janeiro e apontar os fatores a ele associados no âmbito social, destacando o ambiente de trabalho. Métodos: estudo quantitativo e qualitativo. As unidades prisionais foram selecionadas por meio da amostragem estratificada. Utilizou-se a escala de sofrimento psíquico Self-Reported Questionnaire (SRQ20) e uma escala de apoio social. Variáveis explicativas foram relacionadas tanto ao perfil profissional como aos fatores de âmbito social e do trabalho e foram utilizados modelos de regressão logística (stepwise). Resultados: participaram 217 homens e 100 mulheres, em nove unidades prisionais femininas e masculinas. A prevalência de sofrimento psíquico foi de 27,7%, sem diferenças segundo o gênero. Os sintomas mais frequentes foram: dormir mal (53,0%) e sentir-se nervoso, tenso ou agitado (52,0%). Entre os possíveis fatores que propiciam o sofrimento psíquico, estão: relacionamento interpessoal entre agentes e presos; ameaças constantes; superlotação; poucos profissionais e sobrecarga de trabalho. E entre os possíveis fatores protetores, estão: praticar alguma religião; ter apoio social; contar com a compreensão dos colegas; ter o reconhecimento de seu trabalho e relacionar-se bem com superiores. Conclusão: a superlotação e a insalubridade do ambiente trazem consequências negativas para a saúde mental dos trabalhadores; no entanto, formas de apoio social e valorização profissional podem protegê-los.
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AZEVEDO RN, BAZON MR. Severity levels of physical punishment of children/adolescents: cluster analysis. Estud psicol (Campinas) 2021. [DOI: 10.1590/1982-0275202138e190088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Physical punishment – corporal punishment – of children/adolescents is highly prevalent. The objective of this study was to verify if, in a sample of parents/caregivers, there would be subgroups that would differentiate themselves regarding the behavior of physically punishing the children, in terms of modalities, frequency, body parts of the child affected, and presence of parental anger in the act of punishing, denoting severity levels associated with differences in the psychosocial variables pointed out in the literature as risk factors for physical abuse. A quantitative approach was adopted, with a cross-sectional design and cluster method. The study included 87 parents/caregivers who practice physical punishment. The analyses indicated the existence of three clusters that differed in the level of severity of corporal punishment and some of the psychosocial variables, denoting the importance of developing services/programs to cope with violence against children/adolescents and specific psychosocial intervention strategies.
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Carvalho IEM, Silva GVFD, Haddad Junior V, Wosnick N, Nunes JLS. Lesão com infecção secundária e sequelas graves causadas por um peixe-robalo (Centropomus spp.) em um pescador. Rev bras saúde ocup 2021. [DOI: 10.1590/2317-6369000003420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Introdução: ferimentos causados por peixes são comuns entre pescadores e, se não forem adequadamente assistidos, podem levar a complicações significativas. Objetivo: reportar o caso de um pescador que se acidentou com um camurim/robalo (Centropomus spp.) e apresentou infecção secundária com sequelas graves. Métodos: as informações foram obtidas por meio de revisão de prontuários, entrevista com o paciente e registro fotográfico. Resultados: um pescador de 48 anos se acidentou, com a espícula da base da nadadeira do peixe, na falange do quinto quirodáctilo da mão esquerda, apresentando sinais flogísticos em todo o membro. O serviço de saúde não dispunha de condições para identificar o agente da infecção e diferentes antibióticos foram administrados. Sem resultados expressivos, a terapia antibiótica foi suspensa e foi adotado tratamento sintomático. Após 32 dias de hospitalização, o paciente teve alta. No entanto, dois meses após o acidente, a vítima desenvolveu abscesso do membro com limitação de movimentos dos quirodáctilos, necessitando de procedimento cirúrgico. Após o controle da infecção, apresentou sequelas como atrofia muscular, perda parcial de movimento, redução da capacidade motora, sensibilidade local e aparência da mão em garra. Conclusão: lesões causadas por peixes em pescadores podem resultar em consequências graves e irreversíveis e mais atenção deve ser dada ao tema.
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Ximenes VM, Nepomuceno BB, Moura Jr. JF, Abreu MKDA, Ribeiro GO. Propriedades Psicométricas da Versão Reduzida da Escala de Percepção de Suporte Social. Psico-USF 2020. [DOI: 10.1590/1413-82712020250214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo O suporte social é um processo relacional no qual ajudas informacionais, instrumentais e afetivas são oferecidas por grupos e/ou pessoas, capaz de produzir efeitos positivos no bem-estar, na saúde e no estresse. O estudo avaliou as propriedades psicométricas da versão reduzida da Escala de Percepção de Suporte Social (EPSS) para pessoas que vivem em pobreza. Participaram da pesquisa 1.113 adultos (questionários válidos) com idade média de 42,25 anos (DP = 17,57), homens (29,7%) e mulheres (70,3%), dos estados brasileiros Ceará, Amazonas e Paraná. Realizaram-se análises de confiabilidade, fatoriais exploratória e confirmatória. Verificou-se adequação de estrutura bifatorial do instrumento, além dos índices de confiabilidade e consistência interna. Os fatores apresentam satisfatórias cargas fatoriais e itens agrupados de maneira diferente da escala original. Originalmente compunha-se pelos fatores Suporte Prático e Suporte Emocional, propõe-se nova nomeação para Suporte Cognitivo-Instrumental e Suporte Emocional-Cooperativo. A versão reduzida da EPSS é adequada para populações que vivem em pobreza.
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Zucoloto ML, Santos SF, Terada NAY, Martinez EZ. Construct validity of the Brazilian version of the Medical Outcomes Study Social Support Survey (MOS-SSS) in a sample of elderly users of the primary healthcare system. Trends Psychiatry Psychother 2019; 41:340-347. [PMID: 31851207 DOI: 10.1590/2237-6089-2018-0092] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 03/03/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To assess the psychometric properties of the Medical Outcomes Study Social Support Survey (MOS-SSS) considering a sample of elderly users of the primary healthcare facilities of Ribeirão Preto, state of São Paulo, southeast Brazil. METHODS The MOS-SSS is a widely used measurement of social support in different contexts, consisting of 19 items with answer categories that range on a 7-point rating scale. Data collection regarding the psychometric properties of the MOS-SSS was performed in a stratified sample of elderly users of primary healthcare facilities of Ribeirão Preto. Data were collected at five district basic health units located in the city through face-to-face interviews. Polychoric correlation matrix and exploratory (EFA) and confirmatory (CFA) factor analyses were performed. RESULTS A total of 357 elderly subjects aged 60 years or older participated in the study (62.7% females). According to the polychoric correlation matrix, higher coefficients of correlation (> 0.90) were detected among 12 pairs of items and grouped into four factors, as suggested for EFA. The results of the CFA confirmed the construct validity of the four-factor structure of the MOS-SSS when applied to our sample, as well as the stability of this model in distinct subsamples. CONCLUSION The four-factor structure of the MOS-SSS was found to be suitable and presented adequate construct validity for the assessment of social support in elderly users of primary healthcare facilities.
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Affiliation(s)
- Miriane Lucindo Zucoloto
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Scarlet Feitosa Santos
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil
| | | | - Edson Zangiacomi Martinez
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil
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Coutinho Medeiros G, Santos Thuler LC, Bergmann A. Factors influencing delay in symptomatic presentation of breast cancer in Brazilian women. Health Soc Care Community 2019; 27:1525-1533. [PMID: 31381214 DOI: 10.1111/hsc.12823] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 06/28/2019] [Accepted: 07/09/2019] [Indexed: 06/10/2023]
Abstract
The aim of this study was to evaluate delays in the presentation of symptomatic breast cancer in women (time interval between the perception of their first sign or symptom until the first medical appointment) and its risk factors. A cohort study composed of patients with breast cancer (symptomatic) admitted to an oncological centre in the city of Rio de Janeiro, Brazil was performed. The patients were interviewed during their first hospital visit. To assess time interval as a continuous variable, the median and interquartile ranges (IQR) were calculated. The outcome comprised delay in breast cancer presentation when time from the first sign or symptom perception to the first medical appointment was ≥90 days. A descriptive analysis was performed. The association between independent variables (epidemiological, social and demographic data, related to individual healthcare, clinical and current disease) and the outcome (delay in symptomatic presentation) was assessed by a univariate analysis applying odds ratios (OR). Associations with p < .20 in the univariate analysis were included in the multiple logistic regression model. Variables with a p < .05 were retained in the final model. A total of 388 women were included. The median time was of 41 days (interquartile range - IQR: 13.2-130.0); 34.3% delayed presentation at ≥ 90 days. After adjustment, the variables associated with a delay in presentation were frequency of gynaecological examination of over than 1 year (OR: 2.59, 95% CI: 1.67-4.05), no family history of breast cancer (OR: 1.96, 95% CI: 1.15-3.35), and income lower than the minimum wage (OR: 1.62, 95% CI: 1.03-2.55). A higher score in tangible support (OR: 0.98; 95% CI: 0.96-0.99) was associated with a lesser chance of delay in presentation. Thus, delay in presentation was associated with social barriers, access to health service, health information and individual factors.
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Affiliation(s)
| | - Luiz Claudio Santos Thuler
- Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil
- Rio de Janeiro State Federal University (UNIRIO), Rio de Janeiro, Brazil
| | - Anke Bergmann
- Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil
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Santos IND, Damião JDJ, Fonseca MDJMD, Cople-Rodrigues CDS, Aguiar OBD. Food insecurity and social support in families of children with sickle-cell disease. J Pediatr (Rio J) 2019; 95:306-313. [PMID: 29551323 DOI: 10.1016/j.jped.2018.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2017] [Revised: 12/26/2017] [Accepted: 01/23/2018] [Indexed: 10/17/2022] Open
Abstract
OBJECTIVE To examine the associations between food insecurity (IA) and social support in families of children with sickle-cell disease (DF). METHODS This cross-sectional study in families of 190 children from five to nine years old in follow-up at a hematology referral hospital in Rio de Janeiro State. IA was measured using the Brazilian food insecurity scale and social support was measured using the Brazilian version of the MOS social support survey instrument. The relation between IA and social support was analyzed by way of a multinomial logistic model. RESULTS There was IA in 62.2% of the families, in moderate and severe form in, respectively, 11.1% and 7.9% of cases. In families of children with DF, levels of mild and severe food insecurity (IALe and IAGr) were found to relate inversely to levels of social support in the following dimensions: informational support (IALe OR=0.98; 95% CI 0.96-0.99 and IAGr OR=0.95; 95% CI 0.92-0.98); social interaction (IALe OR=0.98; 95% CI 0.96-0.99 and IAGr OR=0.96; 95% CI 0.93-0.99) and tangible social support (IALe OR=0.97; 95% CI 0.96-0.99 and IAGr OR=0.97; 95% CI 0.94-0.99). CONCLUSION Considering the positive effects of social support on IA, public policies should be encouraged to assure food and nutritional security and social assistance for care for people with DF. Also, social support groups for people with DF should be strengthened.
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Affiliation(s)
- Isabel Nascimento Dos Santos
- Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-graduação em Alimentação, Nutrição e Saúde, Rio de Janeiro, RJ, Brazil
| | - Jorginete de Jesus Damião
- Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Nutrição, Departamento de Nutrição Social, Rio de Janeiro, RJ, Brazil
| | | | | | - Odaleia Barbosa de Aguiar
- Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Nutrição, Departamento de Nutrição Aplicada, Rio de Janeiro, RJ, Brazil.
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Santos IND, Damião JDJ, Fonseca MDJMD, Cople‐Rodrigues CDS, Aguiar OBD. Food insecurity and social support in families of children with sickle‐cell disease. Jornal de Pediatria (Versão em Português) 2019. [DOI: 10.1016/j.jpedp.2018.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Ribeiro SVO, Batista RFL, Ribeiro MRC, Pessoa KC, Simões VMF, Figueiredo FPD, Bettiol H. Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach. Rev Bras Saude Mater Infant 2019. [DOI: 10.1590/1806-93042019000100010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p<0.001), physical violence (SC=0.221 p<0.001) and those who presented depressive symptoms during pregnancy SC=0.322, p<0.001). Depressive symptoms during pregnancy mediated the effects on physical and psychological violence on maternal depression. Conclusions: pregnant women who were submitted to psychological and physical violence and presented depressive symptoms during pregnancy frequently reported more of having maternal depression symptoms.
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Vettore MV, Ahmad SFH, Machuca C, Fontanini H. Socio-economic status, social support, social network, dental status, and oral health reported outcomes in adolescents. Eur J Oral Sci 2019; 127:139-146. [DOI: 10.1111/eos.12605] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Mario V. Vettore
- Academic Unit of Dentistry, Oral Health and Society; School of Clinical Dentistry; University of Sheffield; Sheffield UK
| | - Saousan F. H. Ahmad
- Academic Unit of Dentistry, Oral Health and Society; School of Clinical Dentistry; University of Sheffield; Sheffield UK
| | - Carolina Machuca
- Academic Unit of Dentistry, Oral Health and Society; School of Clinical Dentistry; University of Sheffield; Sheffield UK
| | - Humberto Fontanini
- Family Health Strategy, Municipal Health, Secretariat of Dourados; Dourados Brazil
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Gonçalves L, Barbisan GK, Rebouças CDAV, da Rocha NS. Longitudinal Investigation of Psychotherapy Outcomes (LIPO): Description of the Study Protocol. Front Psychiatry 2019; 10:212. [PMID: 31024364 PMCID: PMC6463494 DOI: 10.3389/fpsyt.2019.00212] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 03/25/2019] [Indexed: 11/13/2022] Open
Abstract
Background: Despite extensive research in the field of psychotherapies, few studies have compared the primary psychotherapies of naturalistic design, which represents real-life situations. Objective: The objectives of this study were to evaluate three modalities of evidence-based psychotherapy for clinical, psychosocial, and biological outcomes and to identify the mediators and confounders of this process. Our primary hypothesis is that all psychotherapies will improve clinical and psychosocial outcomes and will increase BDNF levels. Methods: Design: longitudinal, naturalistic. Participants: One hundred twenty-six patients who underwent one of three evidence-based modalities of individual psychotherapy [psychodynamic psychotherapy (PDT), interpersonal psychotherapy (IPT), and cognitive-behavioral psychotherapy (CBT)] were included. Measure: Primary outcomes are divided into three domains of variables: clinical (general psychiatric symptoms), biological (serum BDNF levels), and psychosocial (resilience, quality of life, coping strategies, social support, and quality of life-adjusted years of life). Confounding/mediator variables included clinical (personality traits, type of psychotherapy, number of sessions, concomitant use of pharmacological treatment, history of previous psychotherapeutic treatment, medical and psychiatric comorbidities, and psychiatric diagnosis), psychosocial (psychosocial stressors, therapeutic alliance, and defense mechanism style), and other (religiosity) factors. Procedure: The follow-up period will be baseline and 6 months and 1 year after entering the study. The study will include 42 controls for biological variables only. Sample size calculation considered a significance level of 5% and a power of 80% to detect a difference of 0.22 with a standard deviation of 0.43, assuming losses of 20-30% of patients. The comparison between the modalities of psychotherapy will be by generalized estimating equations (GEE) model, the analysis of mediators by the Hayes method, and confounders by multivariate logistic regression. Discussion: The findings of this study are intended to demonstrate the outcomes of evidence-based psychotherapies for clinical, psychosocial, and biological parameters and to understand the mediators and confounders of this process in a real-life setting for patients with severe mental illness, thus contributing to the establishment of evidence-based public health policies in the field of psychological interventions.
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Affiliation(s)
- Leonardo Gonçalves
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Guillherme Kirsten Barbisan
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | | | - Neusa Sica da Rocha
- Post-Graduation Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
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Khazaee-Pool M, Bahrami M, Luque JS, Pashaei T, Taymoori P, Roshani D. Validation of the Farsi version of the medical outcomes study-social support survey for mammography. BMC Public Health 2018; 18:1280. [PMID: 30458735 PMCID: PMC6247754 DOI: 10.1186/s12889-018-6174-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Accepted: 11/01/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social support can provide psychosocial benefits to promote positive health behaviors such as mammography screening. The purpose of this study was to assess the psychometric properties of the Mammography Social Support (MSS) scale among Iranian woman. METHODS Participants were selected from women referring to healthcare centers in Sanandaj, Iran. A total of 434 questionnaires were completed (response rate 91%). The study sample for study 1 included 204 participants for the Exploratory Factor Analysis (EFA). Construct validity was determined by confirmatory factor analysis (CFA) using a study sample of 230 women in study 2. The reliability coefficient for each scale was calculated using Cronbach's alpha, corrected item-total correlations and test-retest respectively. RESULTS CFA affirmed the three-factor structure of the MSS in measuring the functional dimensions of social support for mammography behavior consisting of 19 items. Initial results of the CFA did not fully support the proposed three-factor model. After the model was modified, the fit indices indicated, x2 was 2.3, Comparative Fit Index (CFI) = 0.96, Tucker- Lewis Index (TLI) = 0.95 providing a strong fit to the data. Cronbach's alphas for the subscales ranged from 0.82 and 0.90, whereas the alpha for the overall scale was 0.91. The 2-week test-retest reliability of MSS was 0.95. CONCLUSION This study provides evidence for the psychometric properties to support the Farsi version of the MSS when applied to Iranian women. Exploring the three-factor model in relation to related concepts is suggested for future studies.
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Affiliation(s)
- Maryam Khazaee-Pool
- Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Mitra Bahrami
- Health Education and Promotion, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - John S Luque
- Institute of Public Health, Florida A&M University, Science Research Center, Tallahassee, Florida, USA
| | - Tahereh Pashaei
- Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Parvaneh Taymoori
- Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
| | - Deam Roshani
- Faculty of Medicine, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Aragão EIS, Campos MR, Portugal FB, Gonçalves DA, Mari JDJ, Fortes SLCL. Social Support patterns in Primary Health Care: differences between having physical diseases or mental disorders. Cien Saude Colet 2018; 23:2339-2350. [PMID: 30020386 DOI: 10.1590/1413-81232018237.21012016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 08/06/2016] [Indexed: 11/22/2022] Open
Abstract
The social support network is a health protective factor involving physical, mental and psychological aspects, providing a better quality of life, favoring better adaptation to adverse conditions, promoting resilience and mobilizing resources for a more effective coping with negative life events that can lead to illness. We aimed to analyze the association between physical diseases, common mental disorders and the social support network of patients serviced at primary care facilities in the cities of Rio de Janeiro and São Paulo through a cross-sectional study with 1,466 patients in the 18-65 years age group. We used the Social Network Index (SNI) to assess the support network through the categories of isolation and integration. The doctor/nurse completed the questionnaire to evaluate the physical disease diagnosis, while the Hospital Anxiety and Depression Scale was used to detect mental disorders. We found that the pattern of social support was different depending on the presence of physical diseases or mental disorders. Negative associations were found between diabetes and isolation; integration and anxiety; integration and depression. Positive associations were identified between isolation and anxiety and isolation and depression.
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Affiliation(s)
- Ellen Ingrid Souza Aragão
- Universidade do Estado do Rio de Janeiro. R. Vinte e Oito de Setembro 77, Maracanã. 22000-000 Rio de Janeiro RJ
| | | | | | | | - Jair de Jesus Mari
- Departamento de Psiquiatria, Universidade Federal de São Paulo. São Paulo SP Brasil
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Corrêa de Queiroz Herkrath AP, Herkrath FJ, Bessa Rebelo MA, Vettore MV. Determinants of Health-Related and Oral Health–Related Quality of Life in Adults With Orofacial Clefts. Cleft Palate Craniofac J 2018. [DOI: 10.1177/1055665618763377] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objectives: To investigate the structural and intermediary determinants of health-related quality of life (HRQoL) and oral health–related quality of life (OHRQoL) among adults with cleft lip and/or palate (CL/P). Design and Participants: A cross-sectional study was conducted with patients enrolled at the referral center for craniofacial anomalies in Manaus, Brazil. Adults aged 18 years or more with nonsyndromic CL/P were selected. Main Outcome Measures: Both HRQoL and OHRQoL were assessed using the 36-item Short-Form Health Survey and the Oral Impacts on Daily Performance, respectively. Individual interviews and oral examinations were conducted to collect data on socioeconomic and demographic characteristics, social ties, health-related behaviors, compliance of CL/P protocol, chronic diseases, type of CL/P, oral clinical measures, and CL/P-related measures. Poisson regression was used to test the association of independent variables with HRQoL and OHRQoL outcomes. Results: The mean age of the 96 participants was 29.4 ± 9.1 years. Low family income, female sex, low social support, type of CL/P, and dental caries were associated with poor HRQoL and poor OHRQoL ( P < .05). Poor HRQoL was also associated with chronic diseases ( P < .05). Adults with low education, low social network, and smokers were more likely to have worse OHRQoL ( P < .05). Conclusions: Structural and intermediary determinants were related to HRQoL and OHRQoL in adults with CL/P, suggesting the need for interdisciplinary approaches to improve the management of CL/P and intersectoral actions to reduce the impact of social inequalities.
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Affiliation(s)
| | - Fernando José Herkrath
- State University of Amazonas, Manaus, Brazil
- Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz, Manaus, Brazil
| | | | - Mario Vianna Vettore
- Academic Unit of Oral Health, Dentistry and Society, University of Sheffield, Sheffield, United Kingdom
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Ramires CMN, Branco-Barreiro FCA, Peluso ÉTP. Quality of life related factors for parents of children with hearing loss. Cien Saude Colet 2018; 21:3245-3252. [PMID: 27783797 DOI: 10.1590/1413-812320152110.224720] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 01/14/2016] [Indexed: 11/22/2022] Open
Abstract
Hearing loss among children, particularly those with severe and profound hearing impairment, has an effect on their communication and development, which in turn can have a significant impact on their parents. This study aimed to evaluate the quality of life of parents of children with hearing loss and identify the associated factors. A cross-sectional study was carried out involving parents of children that went through phonoaudiological therapy at a public university clinic in the city of São Paulo. The research instruments used were: the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-bref), the Social Support Questionnaire 6 (SSQ-6) and the General Health Questionnaire (GHQ-12). Inferential statistical analysis was performed using the Student's t-test. The study included 29 parents, 26 mothers and 3 fathers, of 27 children with severe and profound hearing impairment. The mean of the domain scores of the WHOQOL-bref, on a scale of 0-100, ranged between 40-60 and the overall score was 53. The best performance was achieved in the physical domain (60.3) and the worst in the environment domain (40.5). The main factor associated with all domains of the WHOQOL-bref, as well as overall score was being satisfied with social support.
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Affiliation(s)
| | | | - Érica Toledo Piza Peluso
- Universidade Anhanguera de São Paulo. Av. Raimundo Pereira de Magalhães 3305, Pirituba. 05145-200 São Paulo SP Brasil.
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Tabb KM, Huang H, Valdovinos M, Toor R, Ostler T, Vanderwater E, Wang Y, Menezes PR, Faisal-Cury A. Intimate Partner Violence Is Associated with Suicidality Among Low-Income Postpartum Women. J Womens Health (Larchmt) 2018; 27:171-178. [DOI: 10.1089/jwh.2016.6077] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Karen M. Tabb
- University of Illinois at Urbana-Champaign, School of Social Work, Urbana, Illinois
- Identifying Depression through Early Assessment (IDEA) Research Team, University of Illinois at Urbana-Champaign, Urbana, Illinois
| | - Hsiang Huang
- Identifying Depression through Early Assessment (IDEA) Research Team, University of Illinois at Urbana-Champaign, Urbana, Illinois
- Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts
- Faculty of Medicine, Institute of Psychiatry and LIM-23, University of São Paulo, São Paulo, Brazil
| | - Miriam Valdovinos
- University of Connecticut, School of Social Work, West Hartford, Connecticut
| | - Raman Toor
- University of Washington Department of Psychiatry and Behavioral Sciences, Seattle, Washington
| | - Teresa Ostler
- University of Illinois at Urbana-Champaign, School of Social Work, Urbana, Illinois
| | - Erin Vanderwater
- University of Illinois at Urbana-Champaign, School of Social Work, Urbana, Illinois
- Identifying Depression through Early Assessment (IDEA) Research Team, University of Illinois at Urbana-Champaign, Urbana, Illinois
| | - Yang Wang
- University of Illinois at Urbana-Champaign, School of Social Work, Urbana, Illinois
- Identifying Depression through Early Assessment (IDEA) Research Team, University of Illinois at Urbana-Champaign, Urbana, Illinois
| | - Paulo Rossi Menezes
- Faculty of Medicine, Department of Epidemiology LIM-39, University of São Paulo, São Paulo, Brazil
| | - Alexandre Faisal-Cury
- Identifying Depression through Early Assessment (IDEA) Research Team, University of Illinois at Urbana-Champaign, Urbana, Illinois
- Faculty of Medicine, Department of Epidemiology LIM-39, University of São Paulo, São Paulo, Brazil
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França-Santos D, Oliveira AJD, Salles-Costa R, Lopes CDS, Sichieri R. [Gender and age differences in social support and body mass index in adults in Greater Metropolitan Rio de Janeiro, Brazil]. CAD SAUDE PUBLICA 2017. [PMID: 28640327 DOI: 10.1590/0102-311x00152815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The objective was to investigate gender and age differences in the association between dimensions of social support and body mass index (BMI) in a sample of 1,465 adults (20 to 59 years) in a population-based study in Duque de Caxias, Rio de Janeiro State, Brazil. Anthropometry was conducted by trained evaluators and social support obtained by the Medical Outcomes Study, adapted and validated for the Brazilian population. The analyses were performed with multiple linear regressions, stratified by gender and age bracket, considering the sample's expansion factor and complex design. Obesity prevalence was 28% in women and 16.2% in men. After adjusting for confounders, a negative association was observed between social support and BMI in men 40-49 years of age, and in emotional support/information (β = -2.04), and positive social interaction (β = -2.40). There was a positive association for social support and BMI in men 50-59 years of age in emotional support/information (β = 1.84). The study indicates that social support can protect against obesity in men in some dimensions and age brackets. However, social support does not appear to be a protective factor in women.
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Affiliation(s)
- Debora França-Santos
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Aldair José de Oliveira
- Laboratório de Dimensões Sociais Aplicadas à Atividade Física e ao Esporte, Universidade Federal Rural do Rio de Janeiro, Seropédica, Brasil
| | - Rosana Salles-Costa
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Claudia de Souza Lopes
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Rosely Sichieri
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
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Portugal FB, Campos MR, Correia CR, Gonçalves DA, Ballester D, Tófoli LF, Mari JDJ, Gask L, Dowrick C, Bower P, Fortes S. Social support network, mental health and quality of life: a cross-sectional study in primary care. CAD SAUDE PUBLICA 2016; 32:e00165115. [PMID: 28001210 DOI: 10.1590/0102-311x00165115] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 03/11/2016] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.
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Affiliation(s)
| | - Mônica Rodrigues Campos
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | | | | | - Linda Gask
- University of Manchester, Manchester, U.K
| | | | | | - Sandra Fortes
- Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
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PESSINI J, GERAGE AM, MEURER ST, BARBOSA AR, LOPES ACS, BENEDETTI TRB. Cross-cultural equivalence and psychometric proprieties of the social support scale for healthy eating habits. REV NUTR 2016. [DOI: 10.1590/1678-98652016000600005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective: To assess the cross-cultural equivalence and psychometric proprieties of the Brazilian version of the Eating Habits Social Support Scale. Methods: The scale was administered to 381 subjects aged 24 to 86 years from Recife and Belo Horizonte, Brazil. Cross-cultural equivalence was evaluated by expert agreement. The psychometric proprieties were assessed by factor validity (factor analysis), internal consistency (Cronbach's alpha), and reproducibility (intraclass correlation coefficient), using a test-retest with an interval of seven days. Results: Factor analysis identified two factors for each social support group (friends and family). The questions were clustered by type of social support (positive or negative comments). The eigenvalues for family social support were 3.22 and 3.00, corresponding to 62.2% of the total variance. For friend social support, the eigenvalues were 3.02 and 2.95, explaining 59.7% of the total variance. In the internal consistency analysis, the alpha values ranged from 0.83 to 0.75. The reproducibility intraclass correlation coefficient ranged from 0.676 to 0.873. All these values were acceptable, indicating the validity and reliability of the scale. Conclusion: The Brazilian version of the Eating Habits Social Support Scale presented cross-cultural equivalence and psychometric characteristics that were appropriate for Brazilian adults and older adults. This scale is easy to use and obtained high scores for question clarity and answer options.
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Alves NS, Gavina VP, Cortellazzi KL, Antunes LAA, Silveira FM, Assaf AV. Analysis of clinical, demographic, socioeconomic, and psychosocial determinants of quality of life of persons with intellectual disability: a cross-sectional Study. Spec Care Dentist 2016; 36:307-314. [DOI: 10.1111/scd.12196] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Nayara Silva Alves
- Department of Specific Formation; Nova Friburgo Dental School; Fluminense Federal University; Rio de Janeiro Brazil
| | | | - Karine Laura Cortellazzi
- Professor, Department of Specific Formation; University of Campinas (FOP-UNICAMP); São Paulo Brazil
| | - Lívia Azeredo Alves Antunes
- Professor, Department of Specific Formation; Nova Friburgo Dental School; Fluminense Federal University; Rio de Janeiro Brazil
| | - Flávia Maia Silveira
- Department of Specific Formation; Nova Friburgo Dental School; Fluminense Federal University; Rio de Janeiro Brazil
| | - Andréa Videira Assaf
- Department of Specific Formation; Nova Friburgo Dental School; Fluminense Federal University; Rio de Janeiro Brazil
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Interlenghi Gdos S, Salles-Costa R. Inverse association between social support and household food insecurity in a metropolitan area of Rio de Janeiro, Brazil. Public Health Nutr 2015; 18:2925-33. [PMID: 26449470 DOI: 10.1017/S1368980014001906] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To verify the association between perceived social support and household food insecurity (HFI). DESIGN A cross-sectional survey. SETTING A population-based study with a representative sample of households from a metropolitan area of Rio de Janeiro, Brazil, conducted in 2010. HFI was estimated with the Brazilian Food Insecurity Scale (EBIA). Social support was assessed using the adapted and validated Brazilian version of the Medical Outcomes Study Social Support Survey. Multinomial logistic regression was used to evaluate the association between social support and HFI, adjusting for potential confounders. SUBJECTS Adults (n 1022) aged 19-60 years old (27% men, 73% women) who were responsible for feeding the household. RESULTS Individuals with high scores of social support were less likely to experience moderate HFI (OR=0·96; 95% CI 0·94, 0·99) and severe HFI (OR=0·96; 95% CI 0·94, 0·98). CONCLUSIONS These findings indicate that social support may contribute to reducing HFI in populations vulnerable to poverty. Strategies to increase social relationships should be encouraged in this group to enhance their perceived social support.
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MEZZAVILLA RDS, HASSELMANN MH. Physical intimate partner violence and low birth weight in newborns from primary health care units of the city of Rio de Janeiro. REV NUTR 2016. [DOI: 10.1590/1678-98652016000300006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To investigate the association between physical intimate partner violence and low birth weight. Methods This cross-sectional study included 604 children with approximately 30 days of age who visited four primary health care units in the city of Rio de Janeiro , Brazil, for the second dose of hepatitis B vaccine. Children with a birth weight below 2.500 g were considered underweight. Information regarding physical intimate partner violence was obtained by the Portuguese version of the Conflict Tactics Scale. The study investigated the 12 months prior to interview. Physical intimate partner violence was analyzed as a dichotomous variable and cumulatively. Associations between physical intimate partner violence and low birth weight were verified by logistic regression models based on crude and adjusted odds ratios and their respective 95% confidence intervals. Results Some (7.1%) babies were born underweight, and 33.6% of the mothers had been exposed to physical intimate partner violence. Physical intimate partner violence was significantly associated with low birth weight (OR=3.69; 95%CI=1.57-8.66). Notably, the odds of low birth weight increase with the severity of violence. Conclusion These findings draw attention to the consequences of physical intimate partner violence on the nutritional status of newborns and emphasize the need of greater attention during prenatal care to improve women's quality of life and to reduce the rate of low birth weight.
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Moraes CLD, Marques ES, Reichenheim ME, Ferreira MDF, Salles-costa R. Intimate partner violence, common mental disorders and household food insecurity: an analysis using path analysis. Public Health Nutr 2016; 19:2965-74. [DOI: 10.1017/s1368980016001178] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
AbstractObjectiveTo investigate the direct and indirect associations between psychological and physical intimate partner violence and the occurrence of common mental disorders (CMD) and how they relate to the occurrence of household food insecurity (HFI).DesignThis was a population-based cross-sectional study. Intimate partner violence was assessed using the Brazilian version of the Revised Conflict Tactics Scale (CTS2) and HFI was assessed using the Brazilian Food Insecurity Scale. The propositional analytical model was based on a review of the literature and was tested using path analysis.SettingDuque de Caxias, Greater Rio de Janeiro, Brazil (April–December 2010).SubjectsWomen (n 849) who had been in a relationship in the 12 months preceding the interview.ResultsBoth psychological and physical violence were found to be major risk factors of HFI. Psychological violence was associated with HFI indirectly via physical violence and CMD, and directly by an unidentified path. The effects of physical violence seemed to be manifested exclusively through CMD. Most of the variables in the propositional model related to socio-economic position, demographic characteristics, degree of women’s social support and partner alcohol misuse were retained in the ‘final’ model, indicating that these factors contribute significantly to the increased likelihood of HFI.ConclusionsThe results reinforce the importance of considering domestic violence and other psychosocial aspects of family life when implementing interventions designed to reduce/eradicate HFI.
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Amendola F, Alvarenga MRM, Gaspar JC, Yamashita CH, Oliveira MADC. Face validity of an index of family vulnerability to disability and dependence. Rev Esc Enferm USP 2016; 45 Spec No 2:1736-42. [PMID: 22569664 DOI: 10.1590/s0080-62342011000800017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2011] [Accepted: 11/29/2011] [Indexed: 11/22/2022] Open
Abstract
This study aimed to propose and validate an index to identify families in a vulnerable situation to disability and dependency. It was adapted from the Index of Family Development (IFD), by adding indicators associated with the emergence of disability and dependency. Delphi technique was used to validation and five experts were consulted in the matter. The adopted level of agreement between judges was 80%. After two rounds of evaluations, adjustments were made related to the form and content of the instrument. Items were transferred from one component to another, some were added, others, deleted. The resulting Index is composed of eight domains, 38 components and 103 questions. The resulting Index is composed of eight domains, 38 components and 103 questions. The multidisciplinary contribution to the construction of an index that aims to capture the physical and social vulnerability of the families to disability and dependence provided the first step for the development of a tool for diagnosis and intervention that can be used by health professionals enrolled in primary care.
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Ferreira CL, Santos LMO, Maia EMC. [Resilience among the elderly cared for by the primary healthcare network in a city of northeast Brazil]. Rev Esc Enferm USP 2016; 46:328-34. [PMID: 22576535 DOI: 10.1590/s0080-62342012000200009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2010] [Accepted: 09/27/2011] [Indexed: 11/22/2022] Open
Abstract
The objective of this study is to evaluate the capacity of resilience, self-esteem and social support among the elderly by means of an exploratory study. The convenience sample consisted of elderly users of the public healthcare network in Natal-RN, Brazil, who answered the questionnaire and the Resilience, Self-Esteem and Social Support Scales. Participants were 65 seniors, with a mean age of 71 years, 81% female, with poor socio-economic conditions. It was found that the elderly participants have resilient characteristics, positive self-esteem and social support perceived as satisfactory, despite their losses and decline due to aging. Furthermore, moderate and positive correlations were observed between resilience and self-esteem, because as one increased, the other also increased. Therefore, it appears that resilience, considered a resource that assists development, favors staying well through this critical period, as well as the protective factors, which are important health indicators.
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Affiliation(s)
- Camomila Lira Ferreira
- Departamento de Psicologia, Universidade Federal do Rio Grande do Norte, Rio Grande do Norte, RN, Brasil.
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Brito CNDO, Alves SV, Ludermir AB, Araújo TVBD. Postpartum depression among women with unintended pregnancy. Rev Saude Publica 2016; 49:33. [PMID: 26083941 PMCID: PMC4544504 DOI: 10.1590/s0034-8910.2015049005257] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2013] [Accepted: 10/20/2014] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE To analyze the association between unintended pregnancy and postpartum depression. METHODS This is a prospective cohort study conducted with 1,121 pregnant aged 18 to 49 years, who attended the prenatal program devised by the Brazilian Family Health Strategy, Recife, PE, Northeastern Brazil, between July 2005 and December 2006. We interviewed 1,121 women during pregnancy and 1,057 after childbirth. Unintended pregnancy was evaluated during the first interview and postpartum depression symptoms were assessed using the Edinburgh Postnatal Depression Screening Scale. The crude and adjusted odds ratios for the studied association were estimated using logistic regression analysis. RESULTS The frequency for unintended pregnancy was 60.2%; 25.9% presented postpartum depression symptoms. Those who had unintended pregnancies had a higher likelihood of presenting this symptoms, even after adjusting for confounding variables (OR = 1.48; 95%CI 1.09;2.01). When the Self Reporting Questionnaire (SRQ-20) variable was included, the association decreased, however, remained statistically significant (OR = 1.42; 95%CI 1.03;1.97). CONCLUSIONS Unintended pregnancy showed association with subsequent postpartum depressive symptoms. This suggests that high values in Edinburgh Postnatal Depression Screening Scale may result from unintended pregnancy.
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Faisal-Cury A, Menezes PR, Quayle J, Matijasevich A. Unplanned pregnancy and risk of maternal depression: secondary data analysis from a prospective pregnancy cohort. PSYCHOL HEALTH MED 2016; 22:65-74. [PMID: 26920489 DOI: 10.1080/13548506.2016.1153678] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE to evaluate the relationship between unplanned pregnancy (UP), a common problem in high and low income countries and maternal depression (MD). METHODS Secondary analysis of data from a prospective cohort study with pregnant women recruited from 10 primary care clinics of the public sector in São Paulo, Brazil. Participants were questioned about pregnancy intention at 20-30 weeks of gestation. The Self Report Questionnaire score >7 was used to evaluated the presence of depression during pregnancy and 11 months after childbirth. Four groups of MD were defined: never; antenatal only; postnatal only; persistent (both antenatal/postnatal). Multinomial logistic regression was used to assess the relationship between UP and MD, controlling for confounding. RESULTS Data were analysed for 701 at the postpartum period. Five hundred and sixty-two (67.8%) women did not plan the pregnancy. Women with UP had 2.5 more risk of being depressed during both assessments (during pregnancy and postpartum) when compared to women with a planned pregnancy (RR: 2.5; 95% CI: 1.47:4.30). In the adjusted models, women with UP were significantly more likely to have persistent depression (RR: 2.3; 95% CI: 1.2:4.3). CONCLUSION UP is an independent risk factor for persistent depression, but not for postpartum depression.
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Affiliation(s)
| | - Paulo Rossi Menezes
- a Department of Preventive Medicine , University of São Paulo , São Paulo , Brazil
| | - Julieta Quayle
- a Department of Preventive Medicine , University of São Paulo , São Paulo , Brazil
| | - Alicia Matijasevich
- a Department of Preventive Medicine , University of São Paulo , São Paulo , Brazil
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Portugal FB, Campos MR, Gonçalves DA, Mari JDJ, Fortes SLCL. Qualidade de vida em pacientes da atenção primária do Rio de Janeiro e São Paulo, Brasil: associações com eventos de vida produtores de estresse e saúde mental. Ciênc saúde coletiva 2016; 21:497-508. [DOI: 10.1590/1413-81232015212.20032015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Accepted: 05/17/2015] [Indexed: 11/21/2022] Open
Abstract
Resumo A qualidade de vida (QV) é um constructo subjetivo, que pode ser associado negativamente a fatores como os transtornos mentais e os eventos de vida produtores de estresse (EVPE). O objetivo deste artigo é identificar a associação entre variáveis demográficas, socioeconômicas, transtorno mental comum, sintomas sugestivos de ansiedade e depressão, EVPE com QV na Atenção Primária (AP). Estudo transversal realizado com 1.466 pacientes atendido na AP, nos munícipios de São Paulo e Rio de Janeiro, em 2009 e 2010. Realizou-se análise bivariada por meio do Teste-t e regressão linear múltipla para cada domínio de QV. Os escores de QV para os domínios físico, psicológico, relações sociais e meio ambiente foram, respectivamente de, 64,7, 64,2, 68,5 e 49,1. Pela análise multivariada foram encontradas associações do domínio físico com os problemas de saúde e discriminação, do psicológico com discriminação, das relações sociais com problemas financeiros/estruturais, causas externas e problemas de saúde, e do meio ambiente com problemas financeiros/estruturais, causas externas e discriminação. As variáveis de saúde mental, os problemas de saúde e os problemas/financeiros estruturais foram os que se associaram negativamente à QV.
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Vettore MV, Faerstein E, Baker SR. Social position, social ties and adult's oral health: 13 year cohort study. J Dent 2015; 44:50-6. [PMID: 26673750 DOI: 10.1016/j.jdent.2015.12.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Revised: 11/01/2015] [Accepted: 12/03/2015] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES This study explored different pathways by which social position and social ties influence adult's oral health over a 13-year period. METHODS A cohort investigation (Pro-Saúde Study) was conducted of non-faculty civil servants at a university in Rio de Janeiro, Brazil (N=1613). Baseline data collected in 1999 included age, social position, social ties, and access to dental care. Psychological factors and smoking were assessed in 2001, whereas tooth loss and self-rated oral health (SROH) were collected in 2012. A hypothesised model exploring different direct and indirect pathways was developed and tested using structural equation modelling. RESULTS The model was a good fit to the data and accounted for 40% and 27% of the variance in tooth loss and SROH, respectively. A greater social position was linked to more social ties (β=0.31), health insurance (β=0.48), low psychological distress (β=0.07), less smoking (β=-0.21), more regular dental visiting (β=0.30), less tooth loss (β=-0.44) and better SROH (β=-0.25) over time. Social position (β=0.0005) and social ties (β=-0.0015) were linked indirectly with psychological distress, smoking and tooth loss. Social position was linked indirectly with social ties, psychological distress and SROH (β=-0.0071). CONCLUSIONS Poor social position and weak social ties were important predictors for tooth loss and poor SROH in adults over the 13-year period. Direct and indirect pathways via psychological factors and smoking on the aforementioned relationships were identified, suggesting different areas of intervention to promote adults' oral health. CLINICAL SIGNIFICANCE Adult's oral health is influenced by social conditions through direct and indirect pathways, including via psychological factors and smoking.
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Affiliation(s)
- Mario Vianna Vettore
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, United Kingdom.
| | - Eduardo Faerstein
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Pavilhão João Lyra Filho, 7° andar blocos D e E, e 6° andar bloco E., Rua São Francisco Xavier, 524-Maracanã, Rio de Janeiro CEP 20550-013, Brazil.
| | - Sarah Ruth Baker
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, United Kingdom.
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Cruz Dantas MM, Bezerra de Araújo PC, Da Silva Revorêdo L, Guerra Pereira H, Chaves Maia EM. Mães de recém-nascidos prematuros e a termo hospitalizados : avaliação do apoio social e da sintomatologia ansiogênica. Acta Colomb Psicol 2015; 18:129-138. [DOI: 10.14718/acp.2015.18.2.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
O presente estudo tem como objetivo investigar se existe relação entre apoio social e sintomas de ansiedade em mães de bebês prematuros hospitalizados em Unidade de Terapia Intensiva Neonatal (UTIN). Além disso, objetiva-se comparar a prevalência de sintomas de ansiedade e o apoio social percebido por mães de recém nascidos prematuros hospitalizados em UTIN e mães de neonatos a termo. Trata-se de um estudo transversal, do qual participaram 70 genitoras de bebês a termo e 70 mães de recém-nascidos prematuros internados. Os instrumentos utilizados foram a Escala de Apoio Social e o Inventário de Ansiedade Traço-Estado. Na análise dos dados foi usado o Teste U de Mann-Whitney e o Teste de Correlação de Spearman. Os resultados das correlações investigadas no grupo de mães de neonatos pré-termo, demonstraram haver uma associação negativa de intensidade fraca entre a Ansiedade-Estado e o Apoio Emocional, assim como relação negativa de intensidade de fraca a moderada entre a Ansiedade-Traço e o Apoio Social. Ademais, foi encontrada uma diferença estatisticamente significativa entre os grupos pesquisados, tendo as genitoras de bebês prematuros apresentado uma mediana maior de Ansiedade-Estado. Destaca-se, portanto, a importância deste estudo ao constatar que existe relação entre sintomas de ansiedade e o apoio social percebido por mães de recém-nascidos prematuros hospitalizados. Também foi possível realizar a comparação entre genitoras que estavam vivendo o período do puerpério, sendo observado que a ansiedade do tipo situacional é mais prevalente em mães de neonatos pré-termo.
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Tofani AA, Lamarca GDA, Sheiham A, Vettore MV. The different effects of neighbourhood and individual social capital on health-compromising behaviours in women during pregnancy: a multi-level analysis. BMC Public Health 2015; 15:890. [PMID: 26369830 PMCID: PMC4570677 DOI: 10.1186/s12889-015-2213-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 09/02/2015] [Indexed: 11/21/2022] Open
Abstract
Background This study assessed clustering of three health-compromising behaviours and explored the association of neighbourhood and individual social capital with simultaneous health-compromising behaviours and patterns of those behaviours in women in the first trimester of pregnancy (baseline) and during the second and third trimesters of pregnancy (follow-up). Methods A longitudinal study was conducted on a representative sample of women recruited in antenatal care units grouped in 46 neighbourhoods from Brazil. Neighbourhood-level measures (social capital and socioeconomic status), individual social capital (social support and social networks) and socio-demographic variables were collected at baseline. Smoking, alcohol consumption and inadequate diet were assessed at baseline and follow-up. Clustering was assessed using an observed to expected ratio method. The association of contextual and individual social capital with the health-compromising behaviours outcomes was analyzed through multilevel multivariate regression models. Results Clustering of the three health-compromising behaviours as well as of smoking and alcohol consumption were identified at both baseline and follow-up periods. Neighbourhood social capital did not influence the occurrence of simultaneous health-compromising behaviours. More health-compromising behaviours in both periods was inversely associated with low levels of individual social capital. Low individual social capital predicted smoking during whole pregnancy, while high individual social capital increased the likelihood of stopping smoking and improving diet during pregnancy. Maintaining an inadequate diet during pregnancy was influenced by low individual and neighbourhood social capital. Conclusions Three health-compromising behaviours are relatively common and cluster in Brazilian women throughout pregnancy. Low individual social capital significantly predicted simultaneous health-compromising behaviours and patterns of smoking and inadequate diet during pregnancy while low neighbourhood social capital was only relevant for inadequate diet. These findings suggest that interventions focusing on reducing multiple behaviours should be part of antenatal care throughout pregnancy. Individual and contextual social resources should be considered when planning the interventions.
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Affiliation(s)
- Andrea Almeida Tofani
- National Institute of Cancer, Ministry of Health of Brazil, Praça Cruz Vermelha, 23, Centro - Rio de Janeiro, RJ, CEP: 20230-130, Brazil. .,Institute of Studies in Public Health, Federal University of Rio de Janeiro, Avenida Horácio Macedo, S/N - Próximo a Prefeitura Universitária da UFRJ, Ilha do Fundão - Cidade Universitária, Rio de Janeiro, RJ, CEP 21941-598, Brazil.
| | - Gabriela de Almeida Lamarca
- Centre of Studies, Policies and Information on Social Determinants of Health, National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro, RJ, CEP: 21041-210, Brazil.
| | - Aubrey Sheiham
- Department of Epidemiology and Public Health, University College London, London, WC1E 6BT, UK.
| | - Mario Vianna Vettore
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 2TA, UK.
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Abstract
Este estudo transversal, exploratório-descritivo, verificou a prevalência de Transtorno Mental e Comportamental (TMC) e percepção do suporte familiar em Policiais Civis de Santa Catarina, afastados do trabalho pela Perícia Médica do Estado, no período entre 2009 e 2010. Utilizaram-se na coleta de dados: a) planilha de dados de prevalência de TMC da Secretaria de Estado da Administração/SC; b) inventário de percepção de suporte familiar; c) investigação das dimensões desse suporte e do processo de adoecimento relacionado ao trabalho, na perspectiva do policial e do familiar. Os dados de prevalência referem-se aos afastamentos por TMC (n = 148) no período mencionado e os de suporte familiar, aos policiais (n = 19) e familiares (n = 13) participantes da entrevista. Detectou-se que, para cada 100 policiais, 4,6 foram afastados por TMC. A percepção do suporte familiar por parte dos policiais indicou ser ele um recurso importante durante o período de afastamento do trabalho, na recuperação e no retorno à atividade, corroborando a existência de uma associação inversa entre nível de apoio social e sofrimento psíquico. Conclui-se que o incentivo à valorização do suporte familiar e o estímulo às relações interpessoais na família, no trabalho e nas relações sociais ampliadas, tornam-se ferramentas importantes para a percepção de bem-estar e se relacionam com o aumento da satisfação de vida, da autoestima e, por consequência, contribuem para o controle dos sintomas.
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Ferreira MDF, Moraes CLD, Reichenheim ME, Verly Junior E, Marques ES, Salles-Costa R. Effect of physical intimate partner violence on body mass index in low-income adult women. CAD SAUDE PUBLICA 2015; 31:161-72. [DOI: 10.1590/0102-311x00192113] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2013] [Accepted: 07/03/2014] [Indexed: 11/22/2022] Open
Abstract
This study aimed to assess whether physical intimate partner violence affects the nutritional status of adult women with different levels of body mass index (BMI). This was a population-based cross-sectional study with 625 women selected through complex multistage cluster sampling. Information on physical intimate partner violence was obtained with the Revised Conflict Tactics Scales, and nutritional status was measured as BMI (kg/m2). A quantile regression model was used to assess the effect of physical intimate partner violence at all percentiles of BMI distribution. Physical intimate partner violence occurred in 27.6% of the women (95%CI: 20.0; 35.2). Mean BMI was 27.9kg/m2 (95%CI: 27.1; 28.7). The results showed that physical intimate partner violence was negatively associated with BMI between the 25th and 85th percentiles, corresponding to 22.9 and 31.2kg/m2. The findings support previous studies indicating that physical intimate partner violence can reduce BMI in low-income women.
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