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Oliveira CDS, Andrechuk CRS, Guimarães Lima M, Berti de Azevedo Barros M, Zancanella E, Marchiori de Oliveira Cardoso TA, Ceolim MF. Factors associated with the fragmentation and stability of the rest-activity rhythm in adults and older adults. Chronobiol Int 2024:1-12. [PMID: 38682468 DOI: 10.1080/07420528.2024.2346521] [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] [Received: 12/14/2023] [Accepted: 04/16/2024] [Indexed: 05/01/2024]
Abstract
This cross-sectional study aimed to identify factors related to the fragmentation and stability of the rest-activity rhythm (RAR) in adults and older adults. It is part of a larger research project investigating aspects concerning sleep duration, quality, and disorders in a representative subsample of the population. Sociodemographic data, lifestyle, health habits and subjective sleep variables were obtained; RAR records were collected by means of actigraphy and analyzed using non-parametric variables (IS, IV, M10, L5, RA, sL5, and sM10). Study participants were 313 individuals with complete actigraphy records. There was a prevalence of older adults (50.2%) and females (51.1%). Females, individuals with 4-8 y of education, and those who used alcohol abusively exhibited lower RAR fragmentation. Higher fragmentation was observed in individuals who napped and those reporting poor sleep quality. Greater rhythm stability was evident in females, older adults, those with 4-8 y of education, and those who had a partner. Smokers demonstrated lower RAR stability. These findings may contribute valuable insights for decision-making aimed at preventing and treating issues related to fragmentation and instability of the rhythm and its possible consequences to health.
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Affiliation(s)
| | | | - Margareth Guimarães Lima
- Department of Collective Health, School of Medical Science, Campinas State University, Campinas, Brazil
| | | | - Edilson Zancanella
- Department of Otorhinolaryngology, School of Medical Science, Campinas State University, Campinas, Brazil
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Lemos VC, Barros MBDA, Lima MG. Social inequalities in indicators of use of healthcare services by adolescents in Campinas, São Paulo, Brazil. CAD SAUDE PUBLICA 2024; 40:e00146523. [PMID: 38695456 PMCID: PMC11057481 DOI: 10.1590/0102-311xen146523] [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] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 01/05/2024] [Accepted: 01/14/2024] [Indexed: 05/06/2024] Open
Abstract
This study aimed to analyze the prevalence of indicators of use of healthcare services according to sex, income and race/skin color, in adolescents (aged 10-19 years old) based on data from the Health Survey of the Municipality of Campinas (ISACamp), carried out in 2014/2015 in Campinas, São Paulo, Brazil. The chi-square test was used to evaluate the differences between the outcome variables (indicators of use of healthcare service) and sex, income and race/skin color. Adjusted prevalence ratios (PR) were estimated using Poisson multiple regression models. The demand for medical care was high in the last year of the interview (79.2%), mostly attended by the Brazilian Unified National Health System (65.2%), with routine consultations being more prevalent for females (PR = 1.17; 95%CI: 1.01-1.34) and injury for the male population (PR = 0.47; 95%CI: 0.26-0.84). Economic and racial differences were found in the evaluation of the last medical consultation, with a higher prevalence of worse care among those with lower income (PR = 1.46; 95%CI: 1.14-1.87) and black people (PR = 1.27; 95%CI: 1.01-1.61). Inequalities remained for delay or failure to carry out exams (PR = 1.64; 95%CI: 1.02-2.64) and worse quality of dental care (PR = 2.10; 95%CI: 1.38-3.21) in those with lower income. Also, black people had fewer appointments with dentists (PR = 0.90; 95%CI: 0.82-0.99).
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Affiliation(s)
- Vivian Castro Lemos
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil
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Castro SS, Bassichetto KC, Lima MG, Cesar CLG, Goldbaum M, Barros MBDA. Impairments and related social inequalities among adults: a population-based study in São Paulo city, Brazil. Cien Saude Colet 2024; 29:e16962022. [PMID: 38655955 DOI: 10.1590/1413-81232024294.16962022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 06/23/2023] [Indexed: 04/26/2024] Open
Abstract
The study of the association of social variables with the prevalence of impairments can provide subsidies for more adequate care and health policies for the most needy people by incorporating social aspects. This article aims to estimate the prevalence of diverse types of impairments, the degree of difficulty, limitations, and the need for help they cause and attest whether this prevalence differ by educational attainment in individuals aged 20 years or older. This is a populational cross-sectional study (2015 Health Survey of São Paulo-ISA Capital). Data from 3184 individuals were analyzed via educational attainment as exposure variable and outcome variables related to visual, hearing, intellectual, and mobility impairments. 19.9% of participants had visual, 7.8%, hearing, 2.7%, intellectual, and 7.4%, mobility impairments. Mobility and intellectual impairments limited participants' daily activities the most, 70.3% and 63.3%, respectively; who, thus, needed the most help: 48.9% and 48.5%, respectively. Lower schooling was associated with a higher prevalence of impairments, greater need for help due to visual and intellectual impairments, and greater limitations due to hearing and visual impairments.
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Affiliation(s)
- Shamyr Sulyvan Castro
- Departamento de Fisioterapia, Universidade Federal do Ceará. R. Doutor José Lourenço 816 apto 2101. 60115-281 Fortaleza CE Brasil.
| | | | | | - Chester Luiz Galvão Cesar
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil
| | - Moisés Goldbaum
- Departamento de Medicina Preventiva, Universidade de São Paulo. São Paulo SP Brasil
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Souza DBDO, Barros MBDA, Lima MG. Sex differences in the impact of musculoskeletal disorders on health-related quality of life: a population-based study, Campinas, SP - ISACamp 2014/15. Cien Saude Colet 2024; 29:e18802022. [PMID: 38451658 DOI: 10.1590/1413-81232024293.18802022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 06/15/2023] [Indexed: 03/08/2024] Open
Abstract
This article aims to estimate the prevalence of musculoskeletal disorders (MD) on the adult population of Campinas, São Paulo, Brazil, verifying associated demographic and socioeconomic factors, and to analyze their impact on Health-Related Quality of Life (HRQoL) according to sex. A population-based study was conducted with 2,166 individuals using data from the ISACamp 2014/15. The Medical Outcomes Study SF-36-Item Short Form Health Survey (SF-36) was used to measure HRQoL according to MD. Prevalence ratios (PR) were estimated by Poisson regression. Musculoskeletal disorders had a prevalence of 8.5% (6.7% tendonitis and 2.7% work-related musculoskeletal disorders - WMSD). Results showed a higher prevalence of musculoskeletal disorders in women, active or on leave due to illness, and in individuals with higher education levels. Moreover, reduced HRQoL scores were observed in 6 of the 8 domains, due to MD. The mental component and physical component showed greater impairment respectively among women and men after self-reported WMSD. These findings point to substantial damage from musculoskeletal disorders on the population's HRQoL. WMSD affect the HRQoL of men and women distinctly.
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Affiliation(s)
- Donatila Barbieri de Oliveira Souza
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Marilisa Berti de Azevedo Barros
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Margareth Guimarães Lima
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
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Bassichetto KC, Lira MMDAT, Santos EFDS, Arroyave I, Farias SH, Barros MBDA. Infant mortality in the municipality of São Paulo: trend and social inequality (2006-2019). Rev Saude Publica 2023; 57:84. [PMID: 37971178 PMCID: PMC10631751 DOI: 10.11606/s1518-8787.2023057004791] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 09/23/2022] [Indexed: 11/19/2023] Open
Abstract
OBJECTIVE Considering the published evidence on the impact of recent economic crises and the implementation of fiscal austerity policies in Brazil on various health indicators, this study aims to analyze how the trend and socio-spatial inequality of infant mortality behaved in the municipality of São Paulo from 2006 to 2019. METHODS This is an ecological study with a temporal trend analysis that was developed in municipality of São Paulo, using three residence area strata differentiated according to their social vulnerability following the 2010 São Paulo Social Vulnerability Index. Infant mortality rate, as well as neonatal, and post-neonatal mortality rates, were calculated for each social vulnerability stratum, each year in the period, and for the first and last three triennia. Temporal trends were analyzed by the Prais-Winsten regression model and inequality magnitude, by rate ratios. RESULTS We found a decline in infant mortality rate and its components from 2006 to 2015, greater in the stratum with low social vulnerability and in the post-neonatal period when compared to the neonatal one. This decline ended in 2015, stagnating in the next period (2016-2019). Our analysis of infant mortality inequality across social vulnerability stratum showed a significant increase from the initial to the final triennia in the analyzed period; rate ratios increased from 1.36 to 1.48 in the high stratum (compared to the low social vulnerability stratum), and from 1.19 to 1.32 between the medium and low social vulnerability strata. CONCLUSIONS The observed stagnation of infant mortality rate decline in 2015 and the increase in socio-spatial inequality point to the urgent need to reformulate current public policies to reverse this situation and reduce inequalities in the risk of infant death.
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Affiliation(s)
- Katia Cristina Bassichetto
- Faculdade de Ciências MédicasSanta Casa de São PauloDepartamento de Saúde ColetivaSão PauloSPBrazil Faculdade de Ciências Médicas da Santa Casa de São Paulo . Departamento de Saúde Coletiva . São Paulo , SP , Brazil .
| | | | - Edige Felipe de Sousa Santos
- Universidade de São PauloFaculdade de Saúde PúblicaDepartamento de EpidemiologiaSão PauloSPBrazil Universidade de São Paulo . Faculdade de Saúde Pública da USP. Departamento de Epidemiologia . São Paulo , SP , Brazil .
| | - Ivan Arroyave
- Universidad de AntioquiaFacultad Nacional de Salud PúblicaMedellínColombia Universidad de Antioquia . Facultad Nacional de Salud Pública . Medellín , Colombia .
| | - Samantha Hasegawa Farias
- Universidade Estadual de CampinasFaculdade de Ciências MédicasDepartamento de Saúde ColetivaCampinasSPBrazil Universidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva , Campinas , SP , Brazil .
| | - Marilisa Berti de Azevedo Barros
- Universidade Estadual de CampinasFaculdade de Ciências MédicasDepartamento de Saúde ColetivaCampinasSPBrazil Universidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva , Campinas , SP , Brazil .
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Santi NMM, Gomes CS, da Silva DRP, Szwarcwald CL, Barros MBDA, Malta DC. Prevalence and incidence of insufficient physical activity in Brazilian adolescents during the pandemic: data from ConVid Adolescents. Rev Bras Epidemiol 2023; 26:e230049. [PMID: 37909630 PMCID: PMC10626909 DOI: 10.1590/1980-549720230049.2] [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] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 08/10/2023] [Accepted: 08/14/2023] [Indexed: 11/03/2023] Open
Abstract
OBJECTIVE To evaluate the prevalence and incidence of insufficient physical activity in Brazilian adolescents and identify the most affected subgroups during the pandemic. METHODS This study used data from the "ConVid Adolescents - Behavior Survey", which evaluated the behavior of 9,470 Brazilian adolescents during the period of social restriction due to the COVID-19 pandemic in 2020, through a self-administered online questionnaire. Participants were invited through a virtual "snowball" sampling procedure. Information was reported on the frequency of physical activity before and during the pandemic. The exposure variables used were gender, age group, race/skin color, region of Brazil, type of school, maternal education, financial difficulties during the pandemic, and social restrictions. Logistic regression models were used. RESULTS Adolescents engaged in less physical activity during the pandemic, as the prevalence of insufficient physical activity increased from 71.3% in the previous period to 84.3% during the pandemic. The incidence of insufficient physical activity during the pandemic was 69.6%. The subgroups of adolescents most affected were those who self-declared as black or with dark skin color, reported financial difficulties during the pandemic, lived in the Southeast and South regions of the country, and practiced intense or complete social distancing. CONCLUSION High incidences of insufficient physical activity were observed among Brazilian adolescents during the COVID-19 pandemic. It is recommended that further studies explore periods after those analyzed to identify the behavioral dynamics of adolescents upon returning to in-person activities.
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Affiliation(s)
- Nathália Mota Mattos Santi
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-Graduação em Saúde Pública - Belo Horizonte (MG), Brasil
| | - Crizian Saar Gomes
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-Graduação em Saúde Pública - Belo Horizonte (MG), Brasil
| | - Danilo Rodrigues Pereira da Silva
- Universidade Federal de Sergipe, Departamento de Educação Física - São Cristóvão (SE), Brasil
- Universidad Autónoma de Chile, Faculty of Health Sciences - Providencia, Chile
| | - Célia Landmann Szwarcwald
- Fundação Oswaldo Cruz, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde - Rio de Janeiro (RJ), Brasil
| | | | - Deborah Carvalho Malta
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Saúde Pública - Belo Horizonte (MG), Brasil
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Santos EFDS, Louvison MCP, Oliveira ECT, Monteiro CN, Barros MBDA, Goldbaum M, Cesar CLG. Analysis of education level in access and use of health care services, ISA-Capital, São Paulo, Brazil, 2003 and 2015. CAD SAUDE PUBLICA 2023; 39:e00249122. [PMID: 37820229 PMCID: PMC10566551 DOI: 10.1590/0102-311xen249122] [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] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 04/03/2023] [Accepted: 06/02/2023] [Indexed: 10/13/2023] Open
Abstract
The great socioeconomic inequality that prevails in Brazil and the existence of a national health system with universal coverage places the need to monitor the evolution and social inequities regarding access to these services. This study aims to analyze the changes in the prevalence of health care use and the extent of social inequality in the demand, use and, access, resolution of health problems, satisfaction, and health care use of Brazilian Unified National Health System (SUS) according to education levels in the population living in the urban area of the Municipality of São Paulo, in 2003 and 2015. We analyzed data from two population-based household health surveys (Health Survey in São Paulo City - ISA-Capital) from 2003 and 2015. Dependent variables related to health care use in the two weeks preceding the survey and due to diseases included demand, access, satisfaction, problem resolution, and the public or private nature of the service. Prevalence was estimated using level of education and prevalence ratios (PR) by the Poisson regression. In the period, the demand for health care, access, resolution, and use of public health care increased from 2003 to 2015. Inequities in public health care use changed from 2003 to 2015 according to level of education. We found no social inequities in health care use in the municipality of São Paulo regarding demand, access, satisfaction, and resolution according to levels of education. Results show progress in the use and resolution of health care services, as well as the strong concentration of the use of SUS by the population with lower education. Results indicate the progress that SUS has made, but also show persistent challenges in the use and access to services.
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Affiliation(s)
| | | | - Elaine Cristina Tôrres Oliveira
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil
- Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, Brasil
| | | | | | - Moisés Goldbaum
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil
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Ferreira MDC, Arroyave I, Barros MBDA. Social inequalities in male cancer in a metropolis in the Southeast region of Brazil. Rev Saude Publica 2023; 57:38. [PMID: 37436263 DOI: 10.11606/s1518-8787.2023057004712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 06/30/2022] [Indexed: 07/13/2023] Open
Abstract
OBJECTIVE To analyze inequalities in incidence, mortality, and estimated survival for neoplasms in men according to social vulnerability. METHODS Analysis of cases and deaths of all neoplasms and the five most common in men aged 30 years or older in the city of Campinas (SP), between 2010 and 2014, using data from the Population-Based Cancer Registry (RCBP) and the Mortality Information System (SIM). The areas of residence were grouped into five social vulnerability strata (SVS) using São Paulo Social Vulnerability Index. For each SVS, age-standardized incidence and mortality rates were calculated. A five-year survival proxy was calculated by complementing the ratio of the mortality rate to the incidence rate. Inequalities between strata were measured by the ratios between rates, the relative inequality index (RII) and the angular inequality index (AII). RESULTS RII revealed that the incidence of all neoplasms (0.66, 95%CI 0.62-0.69) and colorectal and lung cancers were lower among the most socially vulnerable, who presented a higher incidence of stomach and oral cavity cancer. Mortality rates for stomach, oral cavity, prostate and all types of cancer were higher in the most vulnerable segments, with no differences in mortality for colorectal and lung cancer. Survival was lower in the most social vulnerable stratum for all types of cancer studied. AII showed excess cases in the least vulnerable and deaths in the most vulnerable. Social inequalities were different depending on the tumor location and the indicator analyzed. CONCLUSION There is a trend of reversal of inequalities between incidence-mortality and incidence-survival, and the most social vulnerable segment presents lower survival rates for the types of cancer, pointing to the existence of inequality in access to early diagnosis and effective and timely treatment.
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Affiliation(s)
- Maria do Carmo Ferreira
- Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Saúde Coletiva. Campinas, SP, Brasil
| | - Ivan Arroyave
- Universidad de Antioquia. Escuela Nacional de Salud Pública. Medellín, Antioquia, Colombia
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Malta DC, Gomes CS, Vasconcelos NMD, Alves FTA, Ferreira APDS, Barros MBDA, Lima MG, Szwarcwald CL. Smoking among Brazilian adolescents during the COVID-19 pandemic: a cross-sectional study. SAO PAULO MED J 2023; 141:e2022424. [PMID: 37255064 DOI: 10.1590/1516-3180.2022.0424.r1.30032023] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 03/29/2023] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND The social distancing measures during the coronavirus disease 2019 (COVID-19) pandemic resulted in mental suffering among adolescents, leading to risky consumption of psychoactive substances such as tobacco. OBJECTIVE To analyze the factors associated with tobacco use among adolescents during the COVID-19 social distancing period in Brazil. DESIGN AND SETTING Cross-sectional study used data from ConVid Adolescentes survey in Brazil. METHODS Tobacco use was assessed before and during social distancing. The explanatory variables investigated were sex, age, race/skin color, type of school, maternal education, region of residence, adherence to social restriction measures, number of close friends, sleep quality during the pandemic, mood, passive smoking, use of alcoholic beverages during the pandemic, sedentary behavior, and physical activity. A logistic regression model was used for the data analysis. RESULTS Tobacco use by adolescents did not change during the pandemic (from 2.58% to 2.41%). There was a higher chance of tobacco use among adolescents aged between 16 and 17 years, self-reported black ones, residing in the South and Southeast regions, reported feeling sad and loneliness, had sleeping problems that worsened, were using alcoholic beverages during the pandemic, and were passive smokers at home. Adolescents whose mothers had completed high school or higher, had strict social restrictions, and increased their physical activity during the pandemic had a lower chance of tobacco use. CONCLUSION Tobacco uses during the COVID-19 pandemic was higher in vulnerable groups, such as black adolescents and those with mental suffering.
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Affiliation(s)
- Deborah Carvalho Malta
- PhD. Physician and Associated Professor, Department of Maternal and Child Nursing and Public Health, Faculty of Nursing, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Crizian Saar Gomes
- PhD. Nutritionist and Post-doctoral Student, Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Nádia Machado de Vasconcelos
- MSc. Physician and Doctoral Student, Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | | | - Arthur Pate de Souza Ferreira
- PhD. Researcher, Department of Epidemiology and Quantitative Methods in Health, Fundação Oswaldo Cruz, Rio de Janeiro (RJ), Brazil
| | - Marilisa Berti de Azevedo Barros
- PhD. Physician and Full Professor, Department of Public Health, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil
| | - Margareth Guimarães Lima
- PhD. Researcher, Department of Public Health, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil
| | - Celia Landmann Szwarcwald
- PhD. Senior Researcher, Laboratório de Informação e Saúde (LIS), Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro (RJ), Brazil
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Lemos VC, Barros MBDA, Lima MG. Chronic diseases and health conditions in adolescents: Sex inequalities. Rev Bras Epidemiol 2023; 26:e230009. [PMID: 36629621 PMCID: PMC9838238 DOI: 10.1590/1980-549720230009.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 10/13/2022] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE To estimate the prevalence of chronic diseases and health conditions in adolescents from Campinas (São Paulo), investigating sex differences according to age group. METHODS This population-based study analyzed data from the ISACamp 2014/15 health survey, with a total of 1,022 adolescents interviewed. The interviewees consisted of 517 boys and 505 girls; 492 of them in the ten to 14 age group and 530 in the 15 to 19 age group. We verified the associations using the χ2 test with Rao Scott adjustment and estimated prevalence ratios (PR) with multiple Poisson regression adjusted for age. Analyses were also stratified by age group. RESULTS Respiratory diseases, such as rhinitis (25.3%), sinusitis (15.7%), and asthma (10.9%), were the most prevalent among adolescents. Health complaints were high, especially headaches (39.5%), emotional conditions (34.5%), allergies (27.5%), and back pain (21.3%). More than 22.0% of adolescents reported having three or more health conditions. Girls declared a higher number of health conditions (three or more) than boys (PR=2.27). CONCLUSION The study showed that adolescents presented a significant number of health conditions, particularly regarding complaints, indicating the need for clinical care and public policies aimed at controlling and preventing these diseases in this age group.
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Martini MCS, Assumpção DD, Barros MBDA, Mattei J, Barros Filho ADA. Prevalence of body weight dissatisfaction among adolescents: a systematic review. Rev paul pediatr 2023; 41:e2021204. [PMID: 36102398 PMCID: PMC9467670 DOI: 10.1590/1984-0462/2023/41/2021204] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Accepted: 10/03/2021] [Indexed: 11/22/2022]
Abstract
Objective: To identify the prevalence of weight dissatisfaction among adolescents aged 10-19 years and stratify the analysis by sex. Data source: A literature review of cross-sectional studies among healthy adolescents was performed. The U.S. National Library of Medicine/National Institutes of Health (PubMed), Ovid® (Wolters Kluwer), The Cumulative Index to Nursing and Allied Health Literature (CINAHL), and American Psychological Association (PsycINFO®) databases were searched between May 2019 and January 2020. Data synthesis: Initially, 3,700 records were identified, and 10 papers were obtained through other sources. After the removal of duplicates, 1,732 records were screened based on the titles and abstracts, and 126 were preselected for full-text analysis. After the application of the eligibility criteria, 34 papers were included in the present review. The studies were published between 1997 and 2020. The sample size ranged from <150 to >103,000 adolescents. The prevalence of weight dissatisfaction ranged from 18.0 to 56.6% in both sexes (10.8-82.5% among boys and 19.2-83.8% among girls). Conclusions: Based on the findings of the present systematic review, the prevalence of weight dissatisfaction is high among adolescents, especially girls. Such information can contribute to the planning of health and education programs addressing the issue of weight in adolescents.
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Lemos VC, Barros MBDA, Lima MG. Chronic diseases and health conditions in adolescents: Sex inequalities. Rev bras epidemiol 2023. [DOI: 10.1590/1980-549720230009] [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: 01/11/2023] Open
Abstract
ABSTRACT Objective: To estimate the prevalence of chronic diseases and health conditions in adolescents from Campinas (São Paulo), investigating sex differences according to age group. Methods: This population-based study analyzed data from the ISACamp 2014/15 health survey, with a total of 1,022 adolescents interviewed. The interviewees consisted of 517 boys and 505 girls; 492 of them in the ten to 14 age group and 530 in the 15 to 19 age group. We verified the associations using the χ2 test with Rao Scott adjustment and estimated prevalence ratios (PR) with multiple Poisson regression adjusted for age. Analyses were also stratified by age group. Results: Respiratory diseases, such as rhinitis (25.3%), sinusitis (15.7%), and asthma (10.9%), were the most prevalent among adolescents. Health complaints were high, especially headaches (39.5%), emotional conditions (34.5%), allergies (27.5%), and back pain (21.3%). More than 22.0% of adolescents reported having three or more health conditions. Girls declared a higher number of health conditions (three or more) than boys (PR=2.27). Conclusion: The study showed that adolescents presented a significant number of health conditions, particularly regarding complaints, indicating the need for clinical care and public policies aimed at controlling and preventing these diseases in this age group.
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Santos EFDS, Monteiro CN, Vale DB, Louvison M, Goldbaum M, Cesar CLG, Barros MBDA. Social inequalities in access to cancer screening and early detection: A population-based study in the city of São Paulo, Brazil. Clinics (Sao Paulo) 2023; 78:100160. [PMID: 36681068 PMCID: PMC9868844 DOI: 10.1016/j.clinsp.2022.100160] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVE This study monitors trends in access to cancer screening, focusing on mammography, Papanicolaou (Pap smear), and Prostate-Specific Antigen (PSA), assessing the magnitude of inequality in the city of São Paulo from 2003 to 2015 according to education level. METHOD This is a cross-sectional population-based study conducted with data from the 2003, 2008, and 2015 editions of the Health Survey of the City of São Paulo (ISA-Capital). Outcome variables were the proportion of mammography, Papanicolaou (Pap smear), and Prostate-Specific Antigen (PSA) tests according to the protocols. Inequality was measured by education level according to years of study. For static analysis, Poisson regression was used to estimate proportion ratios. RESULTS The proportion of Pap smears remained stationary at a high level (>89%) throughout the study period, while access to mammography and PSA tests significantly increased in the 2003‒2015 period. The present results indicate inequalities in access to cancer screening due to education, and being more expressive for mammography and PSA tests. However, this inequality significantly decreased over the period analyzed comparing the most educated individuals with those with the lowest educational level. In addition, an increase in the proportion of tests performed in the Brazilian Unified Health System was identified, especially for mammography and PSA tests, in the period 2003‒2015. CONCLUSIONS The inequalities observed in the access to preventive exams were influenced by the level of education. The offer of exams was expanded, more significantly for mammography and PSA, especially among the less educated group.
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Affiliation(s)
| | | | | | - Marília Louvison
- Faculdade de Saúde Pública, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | - Moisés Goldbaum
- Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil
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de Mello AV, Sarti FM, Barros MBDA, Goldbaum M, Cesar CLG, Fisberg RM. Differences in Cost-Effectiveness of Adherence to Nutritional Recommendations: Why, Where, and What? Int J Environ Res Public Health 2022; 20:772. [PMID: 36613092 PMCID: PMC9819702 DOI: 10.3390/ijerph20010772] [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: 11/22/2022] [Revised: 12/16/2022] [Accepted: 12/28/2022] [Indexed: 06/17/2023]
Abstract
Cost-effectiveness analysis of diets may comprise an important tool to promote food security; however, studies show divergent evidence regarding the relationship between diet quality and cost in diverse populations. Thus, this study assesses differences in cost-effectiveness ratios regarding adherence to nutritional recommendations using data representative of the population level in Sao Paulo municipality, Brazil. Information from adolescents and adult individuals (n = 1742) was used to estimate diet quality and cost in 2015. Differences in cost-effectiveness ratios were investigated through application of two diet quality indexes and exploration of individuals' personal and contextual characteristics. Results indicated that higher diet cost was associated with higher adherence to nutritional recommendations at the national level and inversely associated with adherence to international recommendations. Purchasing foods in street markets was linked to healthier diets at lower costs, and protein consumption was associated with higher diet cost regardless of diet quality; however, diet quality was linked to type of protein consumed by individuals. Differences in cost-effectiveness ratios were attributable to methodological choices in measuring dietary quality (why); individuals' personal and contextual characteristics, in particular, access to retail equipment (where); and certain food choices (what). Therefore, cost-effectiveness analyses should be tailored to policy goals and local environments to ensure proper assessment of nutrition programs and to foster improvements in nutritional diet quality at lower cost.
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Affiliation(s)
| | - Flavia Mori Sarti
- School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
| | | | - Moises Goldbaum
- School of Medicine, University of Sao Paulo, Sao Paulo 01246-903, Brazil
| | | | - Regina Mara Fisberg
- School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
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15
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Malta DC, Gomes CS, Cardoso LSDM, Ribeiro EG, Melo APS, Thalita Almeida Alves F, Souza MLMD, Lima MG, Barros MBDA, Szwarcwald CL. Qualidade do sono e vivências afetivas de adultos residentes no estado de Minas Gerais durante a pandemia de COVID-19. REME Rev Min Enferm 2022. [DOI: 10.35699/2316-9389.2022.38721] [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: 03/12/2023] Open
Abstract
Objetivos: verificar se a adesão à medida de distanciamento social e características sociodemográficas se associam com as alterações percebidas, durante a pandemia de COVID-19, na qualidade do sono e nas vivências afetivas de brasileiros residentes em Minas Gerais. Método: estudo transversal que analisou dados de questionário on-line aplicado a adultos e idosos residentes no estado de Minas Gerais. Foram estimadas prevalências e razões de prevalências, brutas e ajustadas, para as variáveis investigadas. Resultados: entre 35% e 55% dos respondentes referiram alterações nas vivências afetivas, como solidão, tristeza e ansiedade, e alterações do sono durante o período de isolamento social. Em geral, essas alterações foram mais frequentes entre aqueles que realizaram o isolamento de forma intensa ou total, indivíduos do sexo feminino e pessoas mais jovens. Conclusão: no presente estudo, foram observadas alterações importantes na qualidade de sono e nas vivências afetivas da população mineira, atingindo mais as pessoas do sexo feminino, pessoas mais jovens e que fizeram isolamento social intenso. É importante ofertar cuidados em saúde mental a fim de evitar os impactos negativos do distanciamento social em situações de pandemia.
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Gomes CS, Santi NMM, da Silva DRP, Werneck AO, Szwarcwald CL, de Azevedo Barros MB, Malta DC. The COVID-19 pandemic and changes in eating habits of Brazilian adolescents. Dialogues Health 2022; 1:100070. [PMID: 36785626 PMCID: PMC9632237 DOI: 10.1016/j.dialog.2022.100070] [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: 08/19/2022] [Revised: 10/10/2022] [Accepted: 10/30/2022] [Indexed: 11/06/2022]
Abstract
Introduction The social distancing imposed by the COVID-19 pandemic influenced lifestyle and modified dietary patterns. Our objective was to evaluate the consumption of fruits and vegetables (FV), and ultra-processed foods (UPF), before and after the COVID-19 pandemic, as well as to identify the sociodemographic factors associated. Methods This study used data from the "Convid Adolescents", a survey on health behaviors that were collected through an online questionnaire self-completed by 9.470 adolescents between 12 and 17 years of age during the pandemic in Brazil in 2020. Individuals were invited to participate through a chain-sampling procedure called "virtual snowballing". Information about FV, and UPF consumption before and during the pandemic period were reported. The independent variables used were sex, age group, race/color of skin, kind of school, education level of the mother, region of Brazil, financial difficulties during the pandemic, food insecurity, and social restrictions. Logistic regression models were used. Results There was a reduction in the low consumption of FV (83.5% to 80.3%) and there was no significant difference in the high consumption of UPF (38.9% to 38.1%) before and during the pandemic. The incidence of low consumption of FV and high consumption of UPF during the pandemic was 20% and 13.8%, respectively. Girls, private school adolescents, who reported having food insecurity and financial difficulties during the pandemic were the most affected subgroups. Conclusions Despite little change in the prevalence of FV and UPF consumption before and during the pandemic, the incidence of high consumption of UPF and low FV consumption was high, and it identified in specific population subgroups.
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Affiliation(s)
- Crizian Saar Gomes
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós Graduação em Saúde Pública, Belo Horizonte, Minas Gerais, Brazil
| | - Nathália Mota Mattos Santi
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós Graduação em Saúde Pública, Belo Horizonte, Minas Gerais, Brazil
| | | | - André Oliveira Werneck
- Universidade de São Paulo (USP), Escola de Saúde Pública, Departamento de Nutrição, São Paulo, Brazil
| | - Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde da Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | | | - Deborah Carvalho Malta
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Saúde Pública, Belo Horizonte, Minas Gerais, Brazil
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17
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Terra e Souza LH, Diaz-Quijano FA, de Azevedo Barros MB, Lima MG. Race (black-white) and sex inequalities in tooth loss: A population-based study. PLoS One 2022; 17:e0276103. [PMID: 36228031 PMCID: PMC9560604 DOI: 10.1371/journal.pone.0276103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 09/05/2022] [Indexed: 11/07/2022] Open
Abstract
The effect of health inequalities is determined by different socioeconomic, sex, and race conditions. This study aimed to analyze the association of tooth loss with race (defined by self-reported skin color) and sex. Based on the hypothesis that the association between tooth loss and race may be modified by sex, we also aimed to evaluate possible interactions between race and sex in association with this event, in a population-based study in the city of Campinas, Brazil. A directed acyclic graph was used to select covariates. The prevalence, of tooth loss was 19% higher in black women compared to white men (Prevalence ratio [PR]: 1.19; 95%CI: 1.05–1.34). Moreover, the prevalence of tooth loss in black women was 26% higher than in white women (PR: 1.26; 95%CI: 1.13–1.42); and, within the strata of black people, black women had 14% higher dental loss (PR: 1.14; 95%CI: 1.02–1.27) compared to black men. This study found a significant interaction between race and sex in tooth loss, with a disadvantage for black women. In addition, this work contributes to the discussion of health inequities and can support policies for the provision of universal dental care.
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Affiliation(s)
- Lívia Helena Terra e Souza
- Department of Collective Health, Collaborating Center for Health Situation Analysis (CCAS), School of Medical Science, University of Campinas, Campinas, São Paulo, Brazil
- * E-mail:
| | - Fredi Alexander Diaz-Quijano
- Department of Epidemiology, Laboratory of Causal Inference in Epidemiology [Laboratório de Inferência Causal em Epidemiologia], School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Marilisa Berti de Azevedo Barros
- Department of Collective Health, Collaborating Center for Health Situation Analysis (CCAS), School of Medical Science, University of Campinas, Campinas, São Paulo, Brazil
| | - Margareth Guimarães Lima
- Department of Collective Health, Collaborating Center for Health Situation Analysis (CCAS), School of Medical Science, University of Campinas, Campinas, São Paulo, Brazil
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Barros MBDA, Medina LDPB, Lima MG, Sousa NFDS, Malta DC. Changes in prevalence and in educational inequalities in Brazilian health behaviors between 2013 and 2019. CAD SAUDE PUBLICA 2022; 38Suppl 1:e00122221. [PMID: 35857955 DOI: 10.1590/0102-311x00122221] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 04/28/2022] [Indexed: 11/22/2022] Open
Abstract
Considering the relevance of health behaviors for chronic diseases prevalence and mortality and the increase in income concentration observed in the world and in Brazil, this study aimed to evaluate the changes in the prevalence and in the educational inequalities of Brazilian adult health behaviors between 2013 and 2019. We analyzed data of 49,025 and 65,803 adults (18-59 years of age) from the Brazilian National Health Survey (PNS), 2013 and 2019. Prevalence of health behaviors (smoking, alcohol intake, diet, physical activity and sedentarism) were estimated for three educational strata, for both surveys. Prevalence ratios (PR) between year of survey and between educational strata were estimated by Poisson regression models. Significant reductions were found in the prevalence of smoking, physical inactivity, sedentarism, insufficient consumption of fruits, and the excessive consumption of sweetened beverages. However, an increase was observed in alcohol consumption and binge drinking; vegetable consumption remained stable. Contrasting the favorable change in some behaviors, inequalities among schooling strata remained very high in 2019, specially for smoking (PR = 2.82; 95%CI: 2.49-3.20), passive smoking (PR = 2.88; 95%CI: 2.56-3.23) and physical inactivity (PR = 2.02; 95%CI: 1.92-2.13). There was a significant increase in the educational inequality regarding physical inactivity (21%), insufficient intake of fruit (8%) and in the frequent consumption of sweetened beverages (32%). The persistence and enlargement of inequalities highlight the behaviors and social segments that should be special targets for policies and programs focused in promoting healthy lifestyles.
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Lima MG, Barros MBDA, Malta DC, Medina LDPB, Szwarcwald CL. Association of self-reported sleep problems with morbidities and multimorbidities according to sex: National Health Survey 2019. Epidemiol Serv Saude 2022; 31:e2021386. [PMID: 35730889 PMCID: PMC9897816 DOI: 10.1590/ss2237-9622202200007.especial] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 10/25/2021] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVE To evaluate the association between self-reported sleep problems and the presence of non-communicable diseases (NCDs) and multimorbidity, and whether these associations differ by sex. METHODS This is a cross sectional study performed with data from the Brazilian National Health Survey, 2019. Prevalence ratios between morbidities, the number of NCDs, and the self-report of sleep problems were estimated by Poisson regression with robust variance, according to sex. RESULTS This study analysed data from 85,531 Brazilians age ≥ 18 years. The self-reported sleep problems were associated with all the herein studied morbidities and multimorbidities. The prevalence of sleep problems was higher in those who stated one or two (PR = 2.37; 95%CI 2.22;2.54) and three or more NCDs (PR = 4.73; 95%CI 4.37;5.11). Prevalence ratios of the association with diabetes, lung disease, mental disease, renal disease and multimorbidities were higher among males. CONCLUSION NCDs significantly impacted sleep quality, with a particularly stronger association in both, males and females.
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Affiliation(s)
| | | | | | | | - Célia Landmann Szwarcwald
- Fundação Instituto Oswaldo Cruz, Instituto de Comunicação e
Informação Científica e Tecnológica em Saúde, Rio de Janeiro, RJ, Brazil
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20
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Assumpção DD, Caivano S, Corona LP, Barros MBDA, Barros Filho ADA, Domene SMÁ. Diet quality among older adults: What the Index Associated with the Digital Food Guide and the Brazilian Healthy Eating Index-Revised Reveal. Cien Saude Colet 2022; 27:1477-1490. [PMID: 35475828 DOI: 10.1590/1413-81232022274.00932021] [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: 08/04/2020] [Accepted: 06/01/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to compare the Diet Quality Index-Digital Food Guide (DQI-DFG) to a more widely used measure in the literature: the Brazilian Healthy Eating Index-Revised (BHEI-R). A cross-sectional population-based study was conducted with 822 older adults (≥ 60 years) from the city of Campinas/SP, Brazil. The BHEI-R resulted in a higher overall score compared to DQI-DFG (62.9 vs. 47.7). For the BHEI-R, mean scores increased with age and were worse among smokers and individuals with a higher level of schooling. Regarding the DQI-DFG scores, no significant associations with age, schooling or smoking were detected; however, scores were higher in higher income segments. The components with the worst scores were whole grains, sodium and milk (BHEI-R); fruits, whole grains, roots/tubers, milk, refined cereals and red meat/processed (DQI-DFG). Divergences were found in the global scores and components of the indicators, reflecting important methodological differences. Studies of this nature constitute an opportunity to increase awareness regarding indicators of particular aspects of diet.
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Affiliation(s)
- Daniela de Assumpção
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
| | - Simone Caivano
- Curso de Nutrição, Universidade Federal de São Paulo. Santos SP Brasil
| | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. Limeira SP Brasil
| | - Marilisa Berti de Azevedo Barros
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
| | - Antonio de Azevedo Barros Filho
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
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Barros MBDA, Lima MG, Malta DC, Azevedo RCSD, Fehlberg BK, Souza Júnior PRBD, Azevedo LO, Machado ÍE, Gomes CS, Romero DE, Damacena GN, Werneck AO, Silva DRPD, Almeida WDSD, Szwarcwald CL. Mental health of Brazilian adolescents during the COVID-19 pandemic. Psychiatry Res Commun 2022; 2:100015. [PMID: 34977912 PMCID: PMC8695311 DOI: 10.1016/j.psycom.2021.100015] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 11/06/2021] [Accepted: 12/10/2021] [Indexed: 01/27/2023]
Abstract
We aimed to assess the factors associated with frequent sadness and nervousness in Brazilian adolescents, during the Covid-19 pandemic, in 9470 adolescents (aged 12-17 years), interviewed from June 27 to September 17, 2020. Prevalences and prevalence ratios were estimated according to socio-demographic variables and factors related to family, school, friends, and health. Brazilian adolescents often felt sad (32.4%) and nervous (48.7%). Higher prevalences of these feelings were related to: being female; aged 15-17 year; from families with financial difficulties; having learned little or nothing with remote education; missing friends; having few friends; family disagreements; having regular/bad health before the pandemic; and worsened health and sleep during the pandemic. Higher prevalence of nervousness was also found in adolescents who worked before the pandemic and those who reported lack of concentration and not knowing if they had COVID-19. Sadness and nervousness in Brazilian adolescents is high and the need for action by the government, schools, health services, and parents to mitigate the impact of the pandemic on the physical and mental health of adolescents. Special attention must be paid to adolescents with previous health problems and those belonging to the most socially vulnerable population.
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Affiliation(s)
| | | | | | | | | | | | - Luiz Otávio Azevedo
- Institute of Communication and Scientific and Technological Information in Health, Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil
| | - Ísis Eloah Machado
- School of Medicine, Federal University of Ouro Preto. Ouro Preto, MG, Brazil
| | - Crizian Saar Gomes
- School of Nursing. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil
| | - Dália Elena Romero
- Institute of Communication and Scientific and Technological Information in Health, Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil
| | - Giseli Nogueira Damacena
- Institute of Communication and Scientific and Technological Information in Health, Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil
| | | | | | - Wanessa da Silva de Almeida
- Institute of Communication and Scientific and Technological Information in Health, Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil
| | - Célia Landmann Szwarcwald
- Institute of Communication and Scientific and Technological Information in Health, Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil
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Ferreira MDC, Sarti FM, Barros MBDA. Social inequalities in the incidence, mortality, and survival of neoplasms in women from a municipality in Southeastern Brazil. CAD SAUDE PUBLICA 2022; 38:e00107521. [DOI: 10.1590/0102-311x00107521] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 08/28/2021] [Indexed: 12/24/2022] Open
Abstract
This study aims to analyze inequalities in the incidence, mortality, and survival of the main types of cancer in women according to the Social Vulnerability Index (SVI). The study was conducted in Campinas, São Paulo State, Brazil, from 2010 to 2014, and used data from the Population-based Cancer Registry and the Mortality Information System. Incidence and mortality rates standardized by age and 5-year survival estimates were calculated according to the social vulnerability strata (SVS), based on the São Paulo Social Vulnerability Index. Three SVS were delimited, with SVS1 being the lowest level of vulnerability and SVS3 being the highest. Rate ratios and the concentration index were calculated. The significance level was 5%. Women in SVS1 had a higher risk of breast cancer (0.46; 95%CI: 0.41; 0.51), colorectal cancer (0.56; 95%CI: 0.47; 0.68), and thyroid cancer (0.32; 95%CI: 0.26; 0.40), whereas women from SVS3 had a higher risk of cervical cancer (2.32; 95%CI: 1.63; 3.29). Women from SVS1 had higher mortality rates for breast (0.69; 95%CI: 0.53; 0.88) and colorectal cancer (0.69; 95%CI: 0.59; 0.80) and women from SVS3 had higher rates for cervical (2.35; 95%CI: 1.57; 3.52) and stomach cancer (1.43; 95%CI: 1.06; 1.91). Women of highest social vulnerability had lower survival rates for all types of cancer. The observed inequalities differed according to the location of the cancer and the analyzed indicator. Inequalities between incidence, mortality, and survival tend to revert and the latter is always unfavorable to the segment of highest vulnerability, indicating the existence of inequality in access to early diagnosis and timely treatment.
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Ribeiro TCS, Barros MBDA, Lima MG. Smoking and loneliness in older adults: a population-based study in Campinas, São Paulo State, Brazil. CAD SAUDE PUBLICA 2022; 38:e00093621. [DOI: 10.1590/0102-311x00093621] [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: 04/11/2021] [Accepted: 10/15/2021] [Indexed: 11/21/2022] Open
Abstract
This study aims to analyze the relationship between social isolation and loneliness with smoking in older adults. This is a cross-sectional, population-based study performed with 986 individuals aged 60 years or older. Data were collected from the Health Survey of the Municipality of Campinas (ISACamp 2014/2015), state of São Paulo, Brazil. We estimated the prevalence of smoking and smoking cessation according to independent variables and tested the associations using the chi-square test, considering a 5% significance level. Adjusted prevalence ratios were calculated using simple and multiple Poisson regression. Smoking and smoking cessation were not associated with most variables that indicate objective social isolation. “Often or always” loneliness was related to a higher prevalence of smoking (PR = 2.25; 95%CI: 1.38-3.66) whereas loneliness accompanied of self-reported emotional problems or common mental disorders was strongly associated with smoking and with lower smoking cessation (PR = 6.24; 95%CI: 1.37-28.47 and PR = 0.46; 95%CI: 0.28-0.77, respectively). These findings indicate that loneliness is a psychosocial aspect related to tobacco use which hinders smoking cessation in older adults, emphasizing the importance of emotional problems in this association.
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Barros MBDA, Medina LDPB, Lima MG, Azevedo RCSD, Sousa NFDS, Malta DC. Association between health behaviors and depression: findings from the 2019 Brazilian National Health Survey. Rev Bras Epidemiol 2021; 24:e210010. [PMID: 34910064 DOI: 10.1590/1980-549720210010.supl.2] [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: 05/24/2021] [Accepted: 08/09/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To analyze the association of depression with various health behaviors and to verify if they differ according to gender or income. METHODS This is a cross-sectional study based on data of 65,803 Brazilian adults (18-59 years old) interviewed in the National Health Survey, conducted in 2019. Presence or absence of depression was evaluated using the Patient Health Questionnaire (PHQ)-9. The prevalence of smoking, alcohol consumption, physical activity, sedentary lifestyle and food indicators were estimated according to the presence of depression. Stratified analyses were made according to sex and income, and prevalence ratios were estimated using the Poisson Regression. RESULTS We found a significant association between depression and all indicators studied, except occasional alcohol consumption. Depression was associated with heavy episodic drinking and insufficient consumption of fruits and vegetables only in women. In men, the associations of depression with sedentary lifestyle and with being a former smoker were stronger than in women. The occasional consumption of alcohol was more prevalent only in men without depression. The analysis stratified by income showed that the association of depression with physical inactivity is stronger in the higher-income group, while with heavy episodic drinking is only significant in the lower-income stratum. CONCLUSION The results point to the need to consider mental health in programs aimed at reducing harmful health behaviors and the specificity of sociodemographic groups.
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Malta DC, Bernal RTI, Lima MG, Silva AGD, Szwarcwald CL, Barros MBDA. Socioeconomic inequalities related to noncommunicable diseases and their limitations: National Health Survey, 2019. Rev Bras Epidemiol 2021; 24:e210011. [PMID: 34910065 DOI: 10.1590/1980-549720210011.supl.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Accepted: 07/26/2021] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVE to analyze socioeconomic inequalities in the self-reported prevalence of NonCommunicable Diseases (NCDs) and their disabilities in the Brazilian adult population. METHODS Cross-sectional study with data from the National Health Survey carried out in 2019. The self-reported prevalences of individuals with some noncommunicable diseases were calculated, according to sociodemographic characteristics; and the prevalence and prevalence ratio of these diseases and degrees of disability, according to education and possession of a private health plan. RESULTS 47.6% of the population reported having at least one noncommunicable diseases. Noncommunicable diseases increased progressively with age and were more prevalent in women (PR 1.13; 95%CI 1.1-1.15), in black (PR 1.04; 95%CI 1.01-1, 06) or brown individuals (PR 1.05; 95%CI 1.01-1.09), illiterate or with incomplete elementary education (PR 1.12; 95%CI 1.08-1.16), in the Southeast (PR 1.10; 95%CI 1.05-1.14) and the South (PR 1.07; 95%CI 1.03-1.12) and among individuals who do not have private health insurance (PR 1.02; 95%CI 1.0-1.05). For the majority of noncommunicable diseases investigated, the highest reports of disabilities were among those with low education and without health insurance. CONCLUSION adults with less education and without private health plans have a higher prevalence of noncommunicable diseases and a higher degree of disability. Thus, it is important to analyze health indicators in the face of different populations and disparities, in order to understand and monitor health inequalities.
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Affiliation(s)
- Deborah Carvalho Malta
- Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Regina Tomie Ivata Bernal
- Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | | | - Alanna Gomes da Silva
- Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
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Szwarcwald CL, Souza Júnior PRBD, Damacena GN, Stopa SR, Barros MBDA, Malta DC. Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019. Rev Bras Epidemiol 2021; 24:e210017. [PMID: 34910071 DOI: 10.1590/1980-549720210017.supl.2] [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: 06/02/2021] [Accepted: 08/30/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To estimate prevalence of healthy behaviors among individuals aged 30 years or more, diagnosed with arterial hypertension and diabetes mellitus, using information from the National Health Survey, 2019. METHODS Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according the following conditions: having arterial hypertension; arterial hypertension only; diabetes mellitus; diabetes mellitus only; arterial hypertension and diabetes mellitus only; without chronic non-communicable diseases. Poisson regression models and crude and adjusted prevalence ratios for sex, age group, and schooling were used. The proportion of recommendations received by patients with arterial hypertension and diabetes mellitus was estimated by type of care (public/private). RESULTS A total of 69,285 individuals aged 30 years or more was analyzed. Compared to individuals without non-communicable diseases, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among individuals with arterial hypertension (39.9% - 95%CI 38.8-41.0) and those with diabetes mellitus (42.8% - 95%CI 40.7-44.9). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9-20.6) and 21.9% (95%CI 20,3-23.5), respectively. Prevalence of not smoking reached values close to 90% and significant prevalence ratios, whereas the practice of physical activity had levels below 30% and non-significant prevalence ratios. The proportion of healthy eating recommendations reached 90%, but it was close to 70% for not smoking. CONCLUSIONS It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality.
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Affiliation(s)
- Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | | | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | - Sheila Rizzato Stopa
- Department of Health Analysis and Surveillance of Non-Communicable Diseases, Secretariat of Health Surveillance, Ministry of Health - Brasília (DF), Brazil
| | | | - Deborah Carvalho Malta
- Maternal Child Nursing and Public Health Department, Nursing School, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
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Malta DC, Bernal RTI, Gomes CS, Cardoso LSDM, Lima MG, Barros MBDA. Inequalities in the use of health services by adults and elderly people with and without noncommunicable diseases in Brazil, 2019 National Health Survey. Rev Bras Epidemiol 2021; 24:e210003. [PMID: 34910057 DOI: 10.1590/1980-549720210003.supl.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 08/26/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate the use of health services and limitations in performing usual activities by adults and elderly people with and without noncommunicable chronic diseases (NCDs), according to sociodemographic strata. METHODS This is a cross-sectional study in which data from the 2019 National Health Survey were analyzed. The final sample corresponded to 88,531 households with interviews carried out, referring to individuals aged 18 years and above. The prevalence of use of services by the population with NCDs was compared with that of the population without NCDs and stratified by socioeconomic and demographic variables. Prevalence ratios (PRs) and 95% confidence intervals (95%CI) were calculated. RESULTS In 2019, 47.6% (95%CI 47.0-48.3) of the population reported having one or more NCDs. Population with NCDs had more medical consultations in the last 12 months (adjusted PR [APR]=1.21; 95%CI 1.20-1.23), used more health services in the last 2 weeks (APR=2.01; 95%CI 1.91-2.11), were referred to more hospitalization (APR=2.11; 95%CI 1.89-2.36), and had more limitations in performing usual activities (APR=2.52; 95%CI 2.30-2.76), compared with the population without NCDs. A positive dose-response gradient was observed between the number of comorbidities and the use of services. In all socioeconomic and demographic strata, the prevalence of indicators was higher in people with NCDs. CONCLUSION The presence of NCDs was associated with a higher frequency of use of health services (i.e., consultation, use of services, and hospitalization) and the restriction of usual activities in all socioeconomic and demographic strata.
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Affiliation(s)
- Deborah Carvalho Malta
- Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.,Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Regina Tomie Ivata Bernal
- Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Crizian Saar Gomes
- Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | | | - Margareth Guimarães Lima
- Department of Collective Health, Faculty of Medical Sciences, Universidade de Campinas - Campinas (SP), Brazil
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Sousa NFDS, Barros MBDA, Medina LDPB, Malta DC, Szwarcwald CL. Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by gender: 2019 National Health Survey. Rev Bras Epidemiol 2021; 24:e210015. [PMID: 34910069 DOI: 10.1590/1980-549720210015.supl.2] [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: 05/18/2021] [Accepted: 07/16/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the association of major depressive disorder with chronic non-communicable diseases and multimorbidity in Brazilian adults, stratified by gender, as well as examine the interaction between gender and chronic non-communicable diseases in association with major depressive disorder. METHODS Based on a sample of 65,803 adults from the 2019 National Health Survey, we estimated the prevalence of major depressive disorder (≥10 points in the Patient Health Questionnaire) according to the presence of chronic non-communicable diseases and multimorbidity (≥2 chronic diseases). Prevalence ratios and their respective confidence intervals were calculated by Poisson regression, and multiplicative interaction terms were used to assess the role of gender in the associations. RESULTS The prevalence of major depressive disorder among Brazilian adults (18-59 years) was 10.9%, with a statistically significant difference between men (6.0%) and women (15.4%) (p<0.001). Individuals with any chronic non-communicable disease and multimorbidity showed a higher prevalence of major depressive disorder, both in the general population and in each gender. However, the association of major depressive disorder with chronic non-communicable diseases tended to be stronger among men. Data also showed an interaction between the male gender and multimorbidity or specific diseases, such as arthritis or rheumatism, heart disease, and chronic kidney disease, in association with major depressive disorder. CONCLUSION The results reveal a significant association between major depressive disorder and chronic non-communicable diseases in both genders and raise the hypothesis that the effects of multimorbidity and certain diseases may be greater on the mental health of men.
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Paiva MMD, Lima MG, Barros MBDA. [Falls and health-related quality of life: influence of frequency and location type of falls]. Cien Saude Colet 2021; 26:5099-5108. [PMID: 34787202 DOI: 10.1590/1413-812320212611.3.29902019] [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] [Received: 02/03/2019] [Accepted: 11/03/2019] [Indexed: 11/22/2022] Open
Abstract
This article aims to evaluate health-related quality of life (HRQOL) according to the frequency and characteristics of falls in the elderly. A cross-sectional study was carried out with data from a household health survey conducted in 2014 and 2015, in Campinas, SP. The dependent variables were the SF-36 domains and, the independent ones, the occurrence and the characteristics of the falls. The mean and mean differences of the SF-36 scores were estimated by simple and multiple linear regression. The study reveals that the impact on HRQOL depends significantly on the characteristics of falls. Larger declines and a greater number of SF-36 domains were observed in the elderly who suffered three or more falls (compared to those with one or two falls), reporting falls from fainting/dizziness (compared to falls due to tripping), those who fell at home (versus falls occurring elsewhere) and reported falling limitation in daily activities. Only in the falls with these characteristics did the domain of emotional aspects be affected. The impact on HRQoL, including emotional aspects, depends on the characteristics of the falls that need to be considered in prevention actions and in the control of the consequences of falls in the quality of life of the elderly.
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Affiliation(s)
- Mariana Mapelli de Paiva
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil. .,Instituto Federal do Norte de Minas Gerais, Campus Almenara. Almenara MG Brasil
| | - Margareth Guimarães Lima
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Marilisa Berti de Azevedo Barros
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
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Sousa NFDS, Lima MG, Barros MBDA. Social inequalities in indicators of active aging: a population-based study. Cien Saude Colet 2021; 26:5069-5080. [PMID: 34787199 DOI: 10.1590/1413-812320212611.3.24432019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 10/15/2019] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to analyze inequalities in active aging indicators according to race/skin color, level of education, income, and possession of health insurance among 986 older people who participated in the 2014/15 Campinas Health Survey. We estimated the prevalence of participation in 11 activity domains using Poisson regression. The findings reveal similar levels of participation among white and black people in all the domains of the social dimension. The prevalence of work-related physical activity was higher among black people (14.1% compared to 8.2% in white people) and the prevalence of internet use was higher among white people (PR = 2.11). The prevalence of participation in leisure time physical activity, internet use, courses, and in all domains of the social dimension except attendance at religious services was higher among respondents in the highest educational and income groups and among those with health insurance. The findings reveal that older people with a higher income and higher level of education are more likely to participate in activities associated with better health and well-being. The study also shows that older people place a significant demand on Brazil's public health system since individuals who depend exclusively on public health services tend to participate less in activities that are shown to promote health benefits.
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Affiliation(s)
- Neuciani Ferreira da Silva Sousa
- Departamento de Saúde Coletiva, Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. R. Quarenta e Nove 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil.
| | - Margareth Guimarães Lima
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil
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Abstract
OBJECTIVES To analyze the magnitude of changes in the incidence and mortality from cervical cancer (CC) and breast cancer (BC) in Campinas, São Paulo State, between the five-year periods of 1991-1995 and 2010-2014. METHODS data on cancer were obtained from the Campinas Population-Based Cancer Registry and data on deaths from the Mortality Information System of the Computing Department of the Unified Health System. Age-standardized incidence and mortality rates were calculated by the direct method, with the respective 95% confidence intervals. The magnitude of the changes was measured by the rate ratio (rate ratio; 95%CI). RESULTS among the periods studied, there was a threefold increase in the detection rate of in situ CC (3.03; 95%CI: 2.64-3.47) and fivefold increase for in situ BC (5.23; 95%CI: 4.98-5.50). The proportion of cases of in situ BC in relation to the total number of cases of BC increased from 3.31% to 11.05%. The incidence rate of invasive CC decreased by 57% (0.43; 95%CI: 0.40-0.47), and the incidence rate of invasive BC increased by 40% (1.40; 95%CI: 1.33-1.47). The mortality rate of the CC decreased by 58% (0.42; 95%CI: 0.32-0.56), and that of BC by 15% (0.85; 95%CI: 0.82-0.89). CONCLUSION the incidence of in situ carcinomas of CC and BC increased in almost two decades. The rate of invasive carcinoma of CC decreased, and that of BC increased. Mortality from both cancers decreased. Observing these changes is useful for assessing the impact of the actions carried out in the period and for planning future actions.
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Affiliation(s)
- Maria do Carmo Ferreira
- Universidade Estadual de CampinasFaculdade de Ciências MédicasPrograma de Pós-Graduação em Saúde ColetivaCampinasSPBrasilUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Saúde Coletiva. Campinas, SP, Brasil
| | - Diama Bhadra Vale
- Universidade Estadual de CampinasFaculdade de Ciências MédicasDepartamento de TocoginecologiaCampinasSPBrasilUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil
| | - Marilisa Berti de Azevedo Barros
- Universidade Estadual de CampinasFaculdade de Ciências MédicasDepartamento de Saúde ColetivaCampinasSPBrasilUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. Campinas, SP, Brasil
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Pereira MG, Assumpção DD, Barros MBDA, Zangirolani LTO. Consumption of ultra-processed foods and associated factors in adults: evidence from the 2008-2009 Campinas Health Survey. Cien Saude Colet 2021; 26:3815-3824. [PMID: 34468675 DOI: 10.1590/1413-81232021269.2.31062019] [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: 04/23/2019] [Accepted: 12/20/2019] [Indexed: 11/21/2022] Open
Abstract
The aim of the present study was to evaluate the consumption of ultra-processed (UP) foods and associated factors among adults. We used cross-sectional data on 947 adults from the 2008-2009 Campinas Health Survey. Food consumption data were collected using the 24-h dietary recall method and food items were classified according to NOVA classification based on the nature, extent and purpose of industrial processing. Linear regression models were run to evaluate the association between the consumption UP foods and predictor variables with a 5% significance level. The average daily energy intake per capita was 2000.6 kcal and UP foods represented 24.1% of this intake. UP food consumption was higher among women and increased with the increase in schooling. Consumption was also higher among young adults between 20 and 29 years old as well as ex-smokers and individuals who were physically active at leisure. The results show that there is still time to intervene in favor of the health of the adult population. Thus, studies dedicated to the investigation of food intake from the perspective of the NOVA classification, the possible repercussions for health and the evaluation of food and nutrition actions and policies should be prioritized in the current context of Brazil.
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Affiliation(s)
- Mayara Gonçalves Pereira
- Curso de Nutrição, Universidade Federal de São Paulo (UNIFESP). R. Silva Jardim 136, Vila Mathias. 11015-020 Santos SP Brasil.
| | - Daniela de Assumpção
- Centro Colaborador em Análise de Situação de Saúde, Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil
| | - Marilisa Berti de Azevedo Barros
- Centro Colaborador em Análise de Situação de Saúde, Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil
| | - Lia Thieme Oikawa Zangirolani
- Laboratório de Segurança Alimentar e Nutricional e Políticas Públicas, Departamento de Políticas Públicas e Saúde Coletiva, UNIFESP. Santos SP Brasil
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Silva GMD, Assumpção DD, Barros MBDA, Barros Filho ADA, Corona LP. [Low intake of dietary fibers among the elderly: 2014/2015 ISACAMP population-based study]. Cien Saude Colet 2021; 26:3865-3874. [PMID: 34468679 DOI: 10.1590/1413-81232021269.2.28252019] [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] [Received: 06/28/2019] [Accepted: 12/04/2019] [Indexed: 12/12/2022] Open
Abstract
The scope of this article is to evaluate the prevalence of inadequate dietary fiber intake and associated factors among elderly adults. A cross-sectional population-based study evaluating participants from the Health Survey of the City of Campinas (ISACAMP) was conducted in 2014/2015, with 1,074 elderly individuals (≥60 years). Dietary fiber intake was obtained using a 24-hour recall, and the prevalence of inadequate fibers was estimated according to the cut-off point of the Institute of Medicine (30 g/day for men and 21 g/day for women). The factors evaluated were sociodemographic conditions (sex, age, schooling, income, marital status), health (number of reported diseases) and lifestyle (physical activity, smoking and alcohol consumption). The prevalence of inadequate dietary fiber intake was 86.6%, being higher in men (RP=1.10), single or divorced (RP=1.09) and physically inactive (PR=1.07). Elderly adults with higher incomes and who reported having 1 to 2 chronic non-communicable diseases had a higher intake of fibers. The high prevalence of inadequate dietary fiber intake in the elderly adults indicates that health and nutrition actions should be developed to ensure adequate dietary intake of these compounds.
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Affiliation(s)
- Graziele Maria da Silva
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | - Daniela de Assumpção
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, UNICAMP. Campinas SP Brasil
| | | | | | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
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Malta DC, Gomes CS, Barros MBDA, Lima MG, Silva AGD, Cardoso LSDM, Werneck AO, Silva DRPD, Ferreira APDS, Romero DE, Freitas MIDF, Machado ÍE, Souza Júnior PRBD, Damacena GN, Azevedo LO, Almeida WDSD, Szwarcwald CL. The COVID-19 pandemic and changes in the lifestyles of Brazilian adolescents. Rev Bras Epidemiol 2021; 24:e210012. [PMID: 34105593 DOI: 10.1590/1980-549720210012] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Accepted: 03/01/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze changes in the lifestyles of Brazilian adolescents during the COVID-19 pandemic. METHODS Cross-sectional study carried out with adolescents who participated in the survey "ConVid Adolescentes - Pesquisa de Comportamentos". The indicators related to lifestyles before and during the COVID-19 pandemic were evaluated: consumption of healthy and unhealthy foods, physical activity and sedentary behavior, smoking and consumption of alcohol. Prevalence and 95% confidence intervals were calculated for the total population and according to sex and age group. RESULTS A total of 9,470 adolescents participated in the study. During the period of social distancing, there was an increase in the prevalence of vegetables consumption (from 27.34 to 30.5%), frozen foods (from 13.26 to 17.3%), chocolates and sweets (from 48.58 to 52.51%), and time in front of screens (from 44.57 to 70.15%). On the other hand, there was a decrease in the practice of physical activity (from 28.70 to 15.74%) and in the consumption of alcohol (from 17.72 to 12.77%). Differences were observed according to sex and age group. CONCLUSION The results show changes in the lifestyle of adolescents and an increase in health risk behaviors.
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Affiliation(s)
- Deborah Carvalho Malta
- Postgraduate Program in Public Health, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.,Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Crizian Saar Gomes
- Postgraduate Program in Public Health, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | | | | | - Alanna Gomes da Silva
- Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | | | | | | | - Arthur Pate de Souza Ferreira
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | - Dália Elena Romero
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | | | - Ísis Eloah Machado
- School of Medicine, Universidade Federal de Ouro Preto - Ouro Preto (MG), Brazil
| | | | - Giseli Nogueira Damacena
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | - Luiz Otávio Azevedo
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | - Wanessa da Silva de Almeida
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
| | - Célia Landmann Szwarcwald
- Institute of Communication and Scientific and Technological Information in Health, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil
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Fehlberg BK, Barros MBDA, Lima MG. Health behaviors and multimorbidity associated with bruxism: Population-based study. Oral Dis 2021; 29:245-253. [PMID: 34056810 DOI: 10.1111/odi.13928] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 04/26/2021] [Accepted: 05/26/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Determine the prevalence of possible bruxism in the adult population of Campinas, Brazil, and investigate its association with health behaviors, health status, and multimorbidity. METHODS A population-based cross-sectional study was conducted with data from the 2014/2015 Campinas Health Survey. The sample was composed of 1986 adults (≥20 years of age). The data were collected with the aid of a pre-coded questionnaire, and the dependent variable was self-reported bruxism (possible bruxism). The prevalence of possible bruxism was estimated according to the independent variables (health-related behaviors, morbidities, demographic and socioeconomic characteristics). A hierarchical model was employed using stepwise backward regression in two stages. Principal component analysis was also performed to identify multimorbidity patterns. RESULTS The prevalence of possible bruxism was 13.6%. Associations were found with the consumption of alcoholic beverages, sleep quality, and the number of chronic diseases/health problems. Bruxism was more associated with multimorbidity pattern 2, which was composed of asthma, rhinitis, sinusitis, dizziness/vertigo, migraine/headache, emotional/mental problem, back pain, and allergy. CONCLUSION The present findings justify the planning of actions directed at reducing the consumption of alcoholic beverages and can help guide the health actions of the multidisciplinary team, prioritizing a reduction in the harm caused by the simultaneous presence of health problems associated with possible bruxism.
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Affiliation(s)
- Bruna Kelly Fehlberg
- Department of Public Health, School of Medical Sciences, University of Campinas-UNICAMP, Campinas, Brazil
| | | | - Margareth Guimarães Lima
- Department of Public Health, School of Medical Sciences, University of Campinas-UNICAMP, Campinas, Brazil
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Figueiredo TKF, Aguiar RGD, Florindo AA, Alves MCGP, Barros MBDA, Goldbaum M, Ferrari G, Fisberg RM, Cesar CLG. Changes in total physical activity, leisure and commuting in the largest city in Latin America, 2003-2015. Rev Bras Epidemiol 2021; 24:e210030. [PMID: 34076092 DOI: 10.1590/1980-549720210030] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 02/22/2021] [Indexed: 01/30/2023] Open
Abstract
OBJECTIVE To analyze the prevalence of physical inactivity and the average time of practice of total physical activity and by domains (leisure and commuting), according to gender, age group and schooling, between 2003 and 2015, in residents of the urban area of the city of São Paulo. METHODS Data from Household Health Surveys in the Municipality of São Paulo (2003: n = 2,514; 2015: n = 4,043). The International Physical Activity Questionnaire was used to measure total, leisure, and commuting physical activity. Results were presented in < 10 minute/week periods, physical inactivity and minutes/week, according to evaluation period, sex, age and schooling. RESULTS Prevalence of < 10 minutes/week periods in 2003 and 2015 were: 22.5 and 28.9% for the total; 56.7 and 58.3% for leisure; and 35.2 and 39.9% for commuting, with significant change only in the total item, among adolescents (10.3 to 18.8%). For physical inactivity, prevalence rates were: 54.9 and 61.6% (total); 78.2 and 78.9% (leisure); and 72 and 79.9% (commuting), with significant changes only for commuting among adults (67.8 to 77.4%). For the average in minutes per week, in total, there was a significant decrease for female adolescents (138.2 minute/week) and adults with 0-8 (122.6 minutes/week) and 9-11 years (96.7 minutes/week) years of schooling; in commuting, there was a reduction for female adolescents (95 minutes/week); and male adults (95 minutes/week) and female adults (82 minutes/week). CONCLUSIONS There were no reductions in the prevalence of < 10 min/week periods or leisure physical inactivity. Commuting physical inactivity has become even more common.
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Affiliation(s)
| | | | - Alex Antonio Florindo
- School of Arts, Sciences and Humanities, Universidade de São Paulo - São Paulo (SP), Brazil
| | | | | | - Moisés Goldbaum
- Medical School, Universidade de São Paulo - São Paulo (SP), Brazil
| | - Gerson Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile - Santiago, Chile
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Malta DC, Gomes CS, Barros MBDA, Lima MG, Almeida WDSD, Sá ACMGND, Prates EJS, Machado ÍE, Silva DRPD, Werneck ADO, Damacena GN, Souza Júnior PRBD, Azevedo LOD, Montilla DER, Szwarcwald CL. Noncommunicable diseases and changes in lifestyles during the COVID-19 pandemic in Brazil. Rev Bras Epidemiol 2021; 24:e210009. [PMID: 33950138 DOI: 10.1590/1980-549720210009] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 12/14/2020] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE To compare lifestyle changes during the COVID-19 pandemic according to the presence or absence of noncommunicable diseases (NCDs) in Brazilian adults. METHODS Cross-sectional study, using data from the ConVid survey, between April and May 2020. The following variables were evaluated: lifestyle and presence of one or more NCDs (diabetes, hypertension, respiratory disease, heart disease, and cancer). Sociodemographic characteristics were used as adjustment. Relative frequencies and confidence intervals (CI) of 95% of the explanatory variables were calculated before and during the pandemic. For the comparison of groups, with or without NCDs, crude and adjusted (PRadj) prevalence ratios were estimated by Poisson regression. RESULTS There was a reduction in physical activity (60% in those without NCDs and 58% in those with NCDs) and in vegetable consumption (10.8% in those without NCDs and 12.7% in those with NCDs). On the other hand, there was an increase in the time spent watching television and on screens of computer/tablet (302% and 43.5% in those without NCDs and 196.5% and 30.6% with NCDs, respectively); consumption of frozen meals (43.6% in those without NCDs and 53.7% with NCDs), snacks (42.3% without NCDs and 31.2% with NCDs), and chocolate (14.8% without NCDs). During the pandemic, patients with NCDs were less active (PRadj = 0.77; 95%CI 0.65 - 0.92), had greater habit of watching TV (PRadj = 1.16; 95%CI 1.08 - 1.26), and consumed less vegetables (PRadj = 0.88; 95%CI 0.81 - 0.96). CONCLUSION It was evident that adults with NCDs had their lifestyles more altered during the COVID-19 pandemic.
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Affiliation(s)
- Deborah Carvalho Malta
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil
| | - Crizian Saar Gomes
- Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil
| | | | - Margareth Guimarães Lima
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - Campinas (SP), Brasil
| | - Wanessa da Silva de Almeida
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
| | | | | | - Ísis Eloah Machado
- Departamento de Medicina de Família, Saúde Mental e Coletiva, Escola de Medicina, Universidade Federal de Ouro Preto - Ouro Preto (MG), Brasil
| | | | - André de Oliveira Werneck
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
| | | | - Luiz Otávio de Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
| | - Dalia Elena Romero Montilla
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
| | - Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
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38
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Lima MG, Barros MBDA, Szwarcwald CL, Malta DC, Romero DE, Werneck AO, Souza Júnior PRBD. Association of social and economic conditions with the incidence of sleep disorders during the COVID-19 pandemic. CAD SAUDE PUBLICA 2021; 37:e00218320. [PMID: 33950076 DOI: 10.1590/0102-311x00218320] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 12/11/2020] [Indexed: 02/02/2023] Open
Abstract
Sleep is a fundamental aspect for maintaining physical and emotional health, as well as one's well-being. Few studies have assessed the effect of socioeconomic conditions on sleep in the COVID-19 pandemic. Our objective was to analyze the increase or incidence of sleep disorders according to demographic and economic conditions, prior to the pandemic, and according to changes in financial, occupational, and household conditions during the pandemic. This study was conducted via web access, using data from April 24 to May 24, with 45,160 Brazilians (aged 18 or older), with a sample weighted by Brazilian National Household Sample Survey (PNAD) data. Change in sleep quality (outcome), monthly income, effect on family income, occupation/work, gender, age group, marital status, and change in domestic work (exposures) were reported. The percentages of onset or increase of sleep disorders and adjusted odds ratio were estimated. The chance of exacerbation of sleep disorders was 34%, 71%, and twice as high in people with income less than one minimum wage before the pandemic, in those who lost their job and in those who had a great decrease in their income/were without income, respectively. The chance of worsening sleep disorders was 82% higher in women; three times higher (OR = 3.14) in the population aged from 18 to 29, compared to the older adults; and higher with the increase in the amount of housework (OR = 2.21). Financial and occupational factors were determinants in the worsening of self-reported sleep quality, requiring rapid actions on these conditions in order to minimize this effect. Gender, age group, and household routines also deserve attention regarding sleep quality.
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Affiliation(s)
| | | | - Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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39
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Szwarcwald CL, Souza Júnior PRBD, Damacena GN, Malta DC, Barros MBDA, Romero DE, Almeida WDSD, Azevedo LO, Machado ÍE, Lima MG, Werneck AO, Silva DRPD, Gomes CS, Ferreira APDS, Gracie R, Pina MDFD. ConVid - Behavior Survey by the Internet during the COVID-19 pandemic in Brazil: conception and application methodology. CAD SAUDE PUBLICA 2021; 37:e00268320. [PMID: 33950078 DOI: 10.1590/0102-311x00268320] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 06/19/2020] [Indexed: 02/07/2023] Open
Abstract
The ConVid - Behavior Survey was conducted in Brazil from April 24 to May 24, 2020, aiming to investigate changes in lifestyles and health conditions during the COVID-19 pandemic. In this article, we present the conception and methodology of the research. We used a cross-sectional study using an Internet questionnaire, with questions validated in previous health surveys. The sampling method "virtual snowball" was used, as well as post-stratification procedures. The results related to chronic non-communicable diseases and pre-pandemic lifestyles were compared with estimates from the 2013 Brazilian National Health Survey and 2019 Surveillance of Risk and Protective Factors for Chronic Diseases by Telephone Survey. The total sample was 45,161 people. After data weighing, the sample distributions of demographic variables were similar to population variables. Only people with a low schooling level were underrepresented. The comparison with the previous results showed similarity in most estimates: recommended consumption of fruits and vegetables (22.1%), recommended physical activity (35.2%), tobacco smoking habit (12.3%), frequent and abusive alcohol consumption (6.7%), obesity (21.2%), self-reported prevalence of hypertension (18.6%), diabetes (7.1%), and heart disease (4.4%). The online survey made it possible to know the population's health conditions during the pandemic. The similarity of the indicators with those obtained in traditional research allowed the validation of the mean estimates. Studies are needed to investigate how the endogenous effects of virtual social networks can be considered when estimating variance.
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Affiliation(s)
- Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | - Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Wanessa da Silva de Almeida
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Luiz Otávio Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Ísis Eloah Machado
- Escola de Medicina, Universidade Federal de Ouro Preto, Ouro Preto, Brasil
| | | | | | | | - Crizian Saar Gomes
- Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | - Arthur Pate de Souza Ferreira
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Renata Gracie
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Maria de Fátima de Pina
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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40
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Silva DRPD, Werneck AO, Malta DC, Souza Júnior PRBD, Azevedo LO, Barros MBDA, Szwarcwald CL. Changes in the prevalence of physical inactivity and sedentary behavior during COVID-19 pandemic: a survey with 39,693 Brazilian adults. CAD SAUDE PUBLICA 2021; 37:e00221920. [PMID: 33950077 DOI: 10.1590/0102-311x00221920] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 12/11/2020] [Indexed: 11/22/2022] Open
Abstract
This study analyzed changes in the prevalence of physical inactivity and sedentary behaviors according to correlates during the COVID-19 pandemic among Brazilian adults. A national retrospective online survey was conducted with 39,693 Brazilian adults. Physical activity (weekly frequency and daily duration; cut-off point of 150 minutes/week), TV-viewing time and computer/tablet use (daily duration; cut-off point of 4 hours/day) before and during the pandemic period were reported. Sex, age group, schooling level, skin color, per capita income, country region, working status during the quarantine, and adherence to the quarantine were the correlates. Descriptive statistics were used. The prevalence of physical inactivity, high TV-viewing time and computer/tablet use increased, respectively, 26%, 266%, and 38% during the pandemic. While increases in physical inactivity and computer/tablet were more widespread, higher increases in the prevalence of high TV viewing tiem were observed among younger adults (660%), with higher schooling level (437%) and those who were at home office (331%). The prevalence of physical inactivity and sedentary behaviors increased in all population sub-groups during the COVID-19 pandemic in Brazil.
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Affiliation(s)
| | | | | | | | - Luiz Otávio Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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41
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Szwarcwald CL, Damacena GN, Barros MBDA, Malta DC, Souza Júnior PRBD, Azevedo LO, Machado ÍE, Lima MG, Romero D, Gomes CS, Werneck AO, Silva DRPD, Gracie R, Pina MDFD. Factors affecting Brazilians' self-rated health during the COVID-19 pandemic. CAD SAUDE PUBLICA 2021; 37:e00182720. [PMID: 33950075 DOI: 10.1590/0102-311x00182720] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 07/28/2020] [Indexed: 01/02/2023] Open
Abstract
This is a cross-sectional study investigating the factors affecting brazilians' self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression models were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social restraint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for mental health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (adjusted OR = 3.60, p < 0.001). People who experienced sleep problems, worsening of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eating behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biological, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil.
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Affiliation(s)
- Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | - Luiz Otávio Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Ísis Eloah Machado
- Escola de Medicina, Universidade Federal de Ouro Preto, Ouro Preto, Brasil
| | | | - Dália Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Crizian Saar Gomes
- Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | | | | | - Renata Gracie
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Maria de Fátima de Pina
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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42
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Malta DC, Gomes CS, Souza Júnior PRBD, Szwarcwald CL, Barros MBDA, Machado ÍE, Romero DE, Lima MG, Silva AGD, Prates EJS, Cardoso LSDM, Damacena GN, Werneck AO, Silva DRPD, Azevedo LO. Factors associated with increased cigarette consumption in the Brazilian population during the COVID-19 pandemic. CAD SAUDE PUBLICA 2021; 37:e00252220. [PMID: 33852666 DOI: 10.1590/0102-311x00252220] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 03/01/2021] [Indexed: 01/08/2023] Open
Abstract
Social distancing measures adopted in various countries to mitigate the impact of the COVID-19 pandemic can lead to unwanted effects on their populations' health and behaviors. This study aimed to investigate smoking behavior in the Brazilian adult population during the COVID-19 pandemic and analyze factors associated with the increase in cigarette consumption. An online survey was performed, and the final sample included 45,160 individuals. The study used post-stratification weights and calculated crude prevalence ratios (PR) and adjusted by sex, age, and schooling, and respective 95% confidence intervals (95%CI). Poisson regression models with robust variance were applied to analyze associations between increased cigarette consumption and sociodemographic variables and adherence to social distancing, quality of sleep, state of mind, and changes in work and earnings. Prevalence of smokers was 12% (95%CI: 11.1-12.9), 34% of whom reported an increase in cigarette consumption. The increase was greater among women (PR = 1.27; 95%CI: 1.01-1.59) and individuals with incomplete secondary schooling (PR = 1.35; 95%CI: 1.02-1.79). The increase in cigarette consumption was associated with worse quality of sleep, feeling isolated from family members or sad, depressed, or anxious, loss of earnings, and worse self-rated health. Health promotion strategies, smoking prevention, and encouragement for smoking cessation, as well as mental health interventions, should be continued and reinforced in the context of social distancing during the COVID-19 pandemic.
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Affiliation(s)
| | - Crizian Saar Gomes
- Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | | | - Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Ísis Eloah Machado
- Escola de Medicina, Universidade Federal de Ouro Preto, Ouro Preto, Brasil
| | - Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | | | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | - Luiz Otávio Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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Romero DE, Muzy J, Damacena GN, Souza NAD, Almeida WDSD, Szwarcwald CL, Malta DC, Barros MBDA, Souza Júnior PRBD, Azevedo LO, Gracie R, Pina MDFD, Lima MG, Machado ÍE, Gomes CS, Werneck AO, Silva DRPD. Older adults in the context of the COVID-19 pandemic in Brazil: effects on health, income and work. CAD SAUDE PUBLICA 2021; 37:e00216620. [PMID: 33825801 DOI: 10.1590/0102-311x00216620] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 12/17/2020] [Indexed: 11/21/2022] Open
Abstract
The goal of this study is to characterize the population of older adults in Brazil during the COVID-19 pandemic with regard to health, socioeconomic conditions, gender inequality, adherence to social distancing and feelings of sadness or depression. It is a cross-sectional study carried out with Brazilian older adults who responded to an online health survey (N = 9,173), using a "virtual snowball" sampling method. Data were collected online via a self-administered questionnaire. Prevalence and confidence interval estimates were performed and verified for independence using Pearson's chi-square test. During the pandemic there was a fall in household income among almost half of older adults. Extreme social distancing was practiced by 30.9% (95%CI: 27.8; 34.1) and 12.2% (95%CI: 10.1; 14.7) did not adhere to it. Older adults who were not working before the pandemic adhered in greater numbers to extreme social distancing measures. Most of them presented comorbidities associated with a higher risk of developing the severe form of COVID-19. Feelings of loneliness, distress and sadness were frequent among older adults, especially women. The COVID-19 pandemic widened the inequality gap by affecting the most vulnerable older people. Strategies to mitigate loneliness and social distancing should consider social vulnerability and the marked difference between men and women in terms of household composition and socioeconomic and working conditions. The development of representative surveys of Brazilian older adults is recommended, investigating the impact of the pandemic on this population.
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Affiliation(s)
- Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Jéssica Muzy
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Giseli Nogueira Damacena
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Nathalia Andrade de Souza
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Wanessa da Silva de Almeida
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Celia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | - Luiz Otávio Azevedo
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Renata Gracie
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Maria de Fátima de Pina
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Ísis Eloah Machado
- Escola de Medicina, Universidade Federal de Ouro Preto, Ouro Preto, Brasil
| | - Crizian Saar Gomes
- Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Malta DC, Gomes CS, Silva AGD, Cardoso LSDM, Barros MBDA, Lima MG, Souza Junior PRBD, Szwarcwald CL. Use of health services and adherence to social distancing by adults with Noncommunicable Diseases during the COVID-19 pandemic, Brazil, 2020. Cien Saude Colet 2021; 26:2833-2842. [PMID: 34231696 DOI: 10.1590/1413-81232021267.00602021] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 03/22/2021] [Indexed: 11/22/2022] Open
Abstract
The present study investigates the association between the self-reported diagnosis of noncommunicable disease (NCD) and the adherence to social distancing and the use of health services during the COVID-19 pandemic. This was a cross-sectional study with Brazilian adults who participated in the ConVid- Behavior Survey, conducted online between April 24 and May 24, 2020(n = 45.161). This studyconsidered the following NCDs: diabetes, hypertension, respiratory disease, heart disease, and cancer, and evaluated the use of health services and the adherence to social distancing, as well as estimated the prevalences and adjusted prevalence ratio (aPR); 33,9% (95% CI: 32,5-35,3) referred to one or more NCD. Individuals with NCDsshowed a greater adherence to intense social distancing (aPR: 1,07;95% CI: 1,03-1,11), sought out health services more often (aPR:1,24; 95% CI:1,11-1,38), and found greater difficultyin scheduling doctor's appointments (aPR:1.52; 95% CI 1,35-1,71), receiving healthcare treatment (APR:1,50;95% CI:1,22-1,84) and medication (APR:2,17;95% CI:1,77-2,67), and performing examinations (APR:1,78;95% CI:1,50-2,10) and scheduled interventions (APR:1,65;95% CI:1,16-2,34). The presence of NCDs was associated with social distancing, seeking out health care, and difficulty in using health services.
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Affiliation(s)
- Deborah Carvalho Malta
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Universidade Federal de Minas Gerais. Av. Alfredo Balena 190 5º andar, Escola de Enfermagem, Santa Efigênia. 30130100 Belo Horizonte MG Brasil.
| | - Crizian Saar Gomes
- Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | - Alanna Gomes da Silva
- Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | | | | | - Margareth Guimarães Lima
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas São Paulo Brasil
| | | | - Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
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Carvalho SDL, Filho ADAB, Barros MBDA, de Assumpção D. Do you think that you eat more than you should? Perception of adolescents from a Brazilian municipality. J Pediatr (Rio J) 2021; 97:66-74. [PMID: 32105605 PMCID: PMC9432109 DOI: 10.1016/j.jped.2019.11.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 10/20/2019] [Accepted: 11/07/2019] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES To estimate the prevalence of the perception of eating more than one should and the associated factors in adolescents, and to analyze differences in dietary indicators according to the perception of overeating. METHODS This is a cross-sectional population-based study with a sample of 912 adolescents, participants of a food consumption survey conducted in 2015-2016, in Campinas, SP, Brazil. RESULTS The prevalence of the perception of eating more than one should was 35.0%, and higher in those who declared themselves non-white, those who had excess weight, those who had high waist circumference, those who would like to change their weight, those who did something to lose weight, and those who evaluated themselves as fat. The prevalence rates were also higher in those who perceived the quality of their diet as poor, who had higher frequencies of consumption of sweets, soft drinks, cold meats, and lower frequencies of consumption of fruits, raw vegetables, and breakfast up to three times a week. Among those who considered themselves as overeating, higher intakes of energy, carbohydrate, protein, fat, added sugar, and sodium were observed, and prevalence rates of 38.5% for overweight and 66.2% for obesity were identified. CONCLUSION The perception of eating more than one should was associated with unhealthy eating practices, the self-assessment of a poor quality diet, dissatisfaction with weight, and inadequate nutritional status. There is a need for further studies to investigate the application of the question "Do you think that you eat more than you should?" as a health behavior indicator.
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Affiliation(s)
| | | | - Marilisa Berti de Azevedo Barros
- Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Departamento de Saúde Coletiva, Campinas, SP, Brazil
| | - Daniela de Assumpção
- Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Departamento de Pediatria, Campinas, SP, Brazil.
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Monteiro CN, Santos FTC, Costa KS, Barros MBDA, Cesar CLG, Goldbaum M. Use of medicines in São Paulo, Brazil, and State Health Care Coverage, 2003 and 2015. Clinics (Sao Paulo) 2021; 76:e2781. [PMID: 34287478 PMCID: PMC8266172 DOI: 10.6061/clinics/2021/e2781] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 05/31/2021] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To analyze the use and acquisition of medicines in São Paulo, Brazil, in 2003 and 2015, according to sociodemographic factors, socioeconomic status, and health conditions of the population. METHODS Data were obtained from population health surveys "ISA-Capital". Descriptive analysis, bivariate analysis, and logistic regression models were used to evaluate the use of medicines and coverage by the Brazilian Unified Health System (SUS) according to socioeconomic status and health conditions in two periods: 2003 and 2015. RESULTS From 2003 to 2015, the surveys showed an increase in the income and education level of the study population. There was no increase in the prevalence of chronic diseases and use of medicines from 2003 to 2015. The provision of medicines by SUS was higher in 2015 than in 2003, and the coverage by SUS was higher in the population with lower education level and income in both 2003 and 2015. CONCLUSIONS The use of medicines, mainly for chronic disease control, did not change over the years, and there was an increase in SUS coverage for medicines during 2003-2015 in all population groups, with a greater impact on the lower socioeconomic status population. The programs of the provision of medicines implanted since 2003 had influenced the greater SUS coverage for medicines and in the reduction of inequalities in access to medicines.
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Affiliation(s)
- Camila Nascimento Monteiro
- Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Nucleo de Indicadores e Sistemas de Informacao, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR
- *Corresponding author. E-mail:
| | | | - Karen Sarmento Costa
- Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, BR
| | | | | | - Moisés Goldbaum
- Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
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Jordão KSDLU, Assumpção DD, Barros MBDA, Barros Filho ADA. VITAMIN E INTAKE AND FOOD SOURCES IN ADOLESCENT DIET: A CROSS-SECTIONAL POPULATION-BASED STUDY. Rev Paul Pediatr 2020; 39:e2019295. [PMID: 33331545 PMCID: PMC7737246 DOI: 10.1590/1984-0462/2021/39/2019295] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Accepted: 02/16/2020] [Indexed: 11/21/2022]
Abstract
Objective: To assess vitamin E intake and its relationship with sociodemographic
variables, and to identify the main dietary sources of the nutrient in the
diet of adolescents. Methods: This is a population-based cross-sectional study that used data from 891
adolescents living in Campinas, SP, participating in ISACamp 2014/15 (Health
Survey) and ISACamp-Nutri 2015/16 (Food Consumption and Nutritional Status
Survey). The nutrient intake averages were estimated using the Generalized
Linear Model, adjusted for the total energy of the diet. Dietary sources of
vitamin E were identified from the calculation of the relative
contribution. Results: The average vitamin E intake was 3.2 mg for adolescents aged 10 to 13 years
and 3.5 mg for those aged 14 to 19 years, results far below the recommended
values of 9 and 12 mg, respectively. The prevalence of inadequacy was 92.5%.
Ten foods/food groups represented 85.7% of vitamin E present in the
adolescents’ diet; the vegetable oils group accounted for more than a
quarter of the contribution (25.5%), followed by cookies (9.1%) and beans
(8.9%). Conclusions: There were a low intake and a high prevalence of inadequate vitamin E intake
among adolescents in Campinas, with vegetable oil as the main source. For
the total number of adolescents, almost 33% of the nutrient content was
derived from foods of poor nutritional quality such as cookies, packaged
snacks, and margarine. The results of this study can guide public health
actions that aim to improve the quality of adolescents’ diets.
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Inazumi CK, Andrechuk CRS, Lima MG, Zancanella E, de Azevedo Barros MB, de Oliveira Cardoso TAM, Ceolim MF. Is napping related with health-related behaviors and sleep habits among adolescents? A population-based study. Appl Nurs Res 2020; 56:151373. [PMID: 33280791 DOI: 10.1016/j.apnr.2020.151373] [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] [Received: 10/30/2019] [Revised: 09/29/2020] [Accepted: 10/09/2020] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Changes in sleep quality and quantity occur in adolescence and can lead to the compensatory behavior of daytime napping. OBJECTIVE Analyze factors related to napping in adolescents. METHODS A population-based cross-sectional study was conducted with 1022 adolescents who participated in the 2014-2015 Health Survey of the city of Campinas, state of São Paulo, Brazil. Napping was the dependent variable. Sociodemographic characteristics, living habits, health-related behaviors, feelings of loneliness, satisfaction with life and nocturnal sleep habits were the independent variables. Data analysis was performed using Rao-Scott chi-square test, unpaired Student's t-test and Poisson regression analysis; p < 0.05 was considered significant. The software STATA was used for analysis. RESULTS Mean participant age was 14.6 years (SD: 2.7; range: 10 to 19 years). Males accounted for 50.9% of the sample and 55.7% had white skin color. A total of 40.5% reported napping. Napping was more common in females (p = 0.006), the 14-to-17-year-old age group (p = 0.002), those who took medications in the previous 15 days (p = 0.001), those who were insufficiently active (p = 0.036), those who reported little or no satisfaction with life (p = 0.008) and those who woke up in bad mood (p = 0.004). Adolescents who napped also reported shorter sleep during the week (p < 0.001) and a perceived greater need for sleep (p < 0.001). CONCLUSION The prevalence of napping among the adolescents was independently associated with shorter average sleep, a perceived greater need for sleep than that obtained and waking up in a bad mood.
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Affiliation(s)
- Cristina Kano Inazumi
- Faculty of Nursing, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil.
| | - Carla Renata Silva Andrechuk
- Faculty of Nursing, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
| | - Margareth Guimarães Lima
- Department of Collective Health, School of Medical Science, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
| | - Edilson Zancanella
- Department of Otorhinolaryngology, School of Medical Science, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
| | - Marilisa Berti de Azevedo Barros
- Department of Collective Health, School of Medical Science, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
| | - Tânia Aparecida Marchiori de Oliveira Cardoso
- Department of Neurology, School of Medical Science, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
| | - Maria Filomena Ceolim
- Faculty of Nursing, Campinas State University, Tessália Vieira de Camargo Street, #126, Cidade Universitária Zeferino Vaz, 13083-887 Campinas, São Paulo, Brazil
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Pinheiro PC, Barros MBDA, Szwarcwald CL, Machado ÍE, Malta DC. Differences between self-reported and laboratory measures of diabetes, chronic kidney disease, and hypercholesterolemia. Cien Saude Colet 2020; 26:1207-1219. [PMID: 33886751 DOI: 10.1590/1413-81232021264.44582020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 12/02/2020] [Indexed: 11/22/2022] Open
Abstract
This paper aims to compare the self-reported prevalence measured by laboratory tests and the false positive and negative values for diabetes, chronic kidney disease, and hypercholesterolemia. We used information from the interview and laboratory tests of the National Health Survey (2013, 2014-2015). Sensitivity and specificity were calculated by gender, age, schooling, having health insurance, and time since the last medical visit. We used logistic regression to analyze associated factors with false positives and negatives. Sensitivity was higher for diabetes and among older adults and those who had a medical visit more recently. Specificity was high for all diseases, with better performance among younger people, those with high schooling, and a visit more than one year ago. The likelihood of false positives and negatives decreased with schooling and increased with age. Low sensitivity suggests that prevalence might be higher than indicated by self-reported measures.
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Affiliation(s)
- Pedro Cisalpino Pinheiro
- Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG). Av. Professor Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.
| | | | - Célia Landmann Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fiocruz. Rio de Janeiro RJ Brasil
| | - Ísis Eloah Machado
- Departamento de Medicina de Família, Saúde Mental e Coletiva, Universidade Federal de Ouro Preto. Ouro Preto MG Brasil
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Carvalho SDL, Barros Filho ADA, Barros MBDA, Assumpção DD. Qualidade da dieta segundo a autoavaliação de adolescentes: resultados do ISACamp-Nutri. Ciênc saúde coletiva 2020; 25:4451-4461. [DOI: 10.1590/1413-812320202511.06792019] [Citation(s) in RCA: 2] [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: 08/16/2018] [Accepted: 03/16/2019] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivou-se estimar as prevalências de autoavaliação da qualidade da dieta de adolescentes e identificar os motivos de não a considerar muito boa/boa; calcular o escore global e de cada componente do Índice de Qualidade da Dieta Revisado (IQD-R) segundo as categorias de autoavaliação. Estudo transversal de base populacional com amostra por conglomerados e em dois estágios, realizado em Campinas-SP. Foram analisadas 891 entrevistas. As prevalências de autoavaliação da qualidade da dieta foram de 57,3% como muito boa/boa, 34,6% como regular e 8,1% como ruim/muito ruim. A autoavaliação como regular ou ruim foi associada ao consumo de doces, salgadinhos/biscoitos, cereais integrais (10-14 anos) e de fast-food (15-19 anos). Para os que foram classificados com pior qualidade da dieta (1º tercil dos escores do IQD-R), 52,5% consideravam a alimentação muito boa/boa e apenas 13,1% como ruim/muito ruim. O escore do IQD-R revelou-se significativamente menor nos que achavam a alimentação ruim (50,0 pontos) comparados aos que disseram muito boa/boa (55,4 pontos). Os que consideravam a alimentação ruim apresentaram consumo inferior de frutas, cereais integrais, e superior de gorduras sólidas e açúcares. Os achados revelam incoerência na autoavaliação da qualidade da dieta em relação aos escores insatisfatórios observados.
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