4,525 results match your criteria Revista de saude publica[Journal]


Use of psychoactive drugs predicts functional disability among older adults.

Rev Saude Publica 2019 Jan 31;53:21. Epub 2019 Jan 31.

Instituto René Rachou. Fundação Oswaldo Cruz. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil.

Objective: Investigate whether the use of psychoactive drugs would be a predictor of incidence of functional disability among seniors living in community.

Methods: It is a population-based longitudinal study, developed between January 1, 1997 and December 31, 2011, with older adults living in community. The association between the use of psychoactive drugs and the development of functional disability for instrumental (IADLs) and basic (BADLs) activities of daily living was tested using the extended Cox proportional hazards model, which considers the measure of exposure of interest throughout the follow-up period. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000675DOI Listing
January 2019
4 Reads

Impacts of a Brazilian pharmaceutical program on the health of chronic patients.

Rev Saude Publica 2019 Jan 31;53:20. Epub 2019 Jan 31.

Instituto de Pesquisa Econômica Aplicada. Diretoria de Estudos e Políticas Sociais. Brasília, DF, Brasil.

Objective: To evaluate the impact of the expansion of access to medicines by the Programa Farmácia Popular do Brasil (PFPB - Brazilian Popular Pharmacy Program) on the indicators of hospitalizations and deaths by hypertension and diabetes.

Methods: To estimate the impact of the Brazilian Popular Pharmacy Program, the statistical model of fixed-effect difference in differences was used, considering: the divisions Rede Própria (RP - Proprietary Network) and Rede Conveniada (RC - Partnership Network); the exposure time of the municipality to the program; intramunicipal density, measured by the number of accredited establishments; and the coverage spillover effect into patients from nonparticipating municipalities. Data from 5,566 municipalities were used, for the period from 2003 to 2016, including: (i) administrative records of the PFPB, Sistema de Informações sobre Mortalidade (SIM - Information System on Mortality), and Sistema de Informações Hospitalares (SIH - Hospital Information System); ii) other health data managed by the Departamento de Informática do SUS (DATASUS - Department of Informatics of SUS); iii) sociodemographic data produced by the Brazilian Institute of Geography and Statistics (IBGE); and iv) data from the Relação Anual de Informações Sociais (RAIS - Annual List of Social Information). Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000733DOI Listing
January 2019
1 Read

WHODAS 2.0-BO: normative data for the assessment of disability in older adults.

Rev Saude Publica 2019 Jan 31;53:19. Epub 2019 Jan 31.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia. São Paulo, SP, Brasil.

Objective: To examine the normative data of WHODAS 2.0-BO for older Brazilians (World Health Disability Assessment Schedule - Brazilian version for older people) and its distribution according to sex, age, health, subjective health perception, performance in a mobility test and presence of chronic diseases and depression.

Methods: Cross-sectional study, with 350 participants with 60 years of age or older, men and women, patients of a geriatric specialized center for medical consultations or rehabilitation. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000586DOI Listing
January 2019

Validation of an anxiety scale for prenatal diagnostic procedures.

Rev Saude Publica 2019 Jan 31;53:18. Epub 2019 Jan 31.

Universidade do Sul de Santa Catarina. Faculdade de Medicina. Palhoça, SC, Brasil.

Objective: To perform a cross-cultural adaptation of the Prenatal Diagnostic Procedures Anxiety Scale questionnaire for application in the Brazilian cultural context.

Methods: The translation and back translation processes followed internationally accepted criteria. A committee of experts evaluated the semantic, idiomatic, experimental and conceptual equivalence, proposing a pre-final version that was applied in 10. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000621DOI Listing
January 2019

Resilience and mental health problems in children and adolescents who have been victims of violence.

Rev Saude Publica 2019 Jan 31;53:17. Epub 2019 Jan 31.

Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Pediatria. Campinas, SP, Brasil.

Objective: To understand the process of resilience (social support and resources of the family environment) and the chance of mental health problems in children and adolescents (9-16 years) who have been victims of domestic violence, assisted in specialized services (Group 1 - G1) and in school services without reports of domestic violence (Group 2 - G2).

Methods: Various semi-structured instruments were applied to the pairs (guardian and child or adolescent): the Strengths and Difficulties Questionnaire (SDQ); the Resiliency Scales for Children and Adolescents (RSCA), including Scale I (SI - sense of control), Scale II (SII - relationship skills) and Scale III (SIII - emotional reactivity); the Social Support Appraisals; the Home Environment Resources Scale and a questionnaire created by the authors to characterize the population.

Results: There was no difference in the prevalence of resilience between G1 and G2. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000391DOI Listing
January 2019
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Aspects of work and sleep associated with work ability in regular aviation pilots.

Rev Saude Publica 2019 Jan 31;53:16. Epub 2019 Jan 31.

Universidade Católica de Santos. Departamento de Epidemiologia. Programa de Pós-Graduação em Saúde Coletiva. Santos SP, Brasil.

Objective: Analyze the association of work organization and sleep aspects with work ability in regular aviation pilots.

Methods: This is a cross-sectional epidemiological study with 1,234 regular aviation pilots who worked domestic and international flights, affiliated with the Brazilian Association of Civil Aviation Pilots. Data collection employed online questionnaire. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000345DOI Listing
January 2019

Dental care for early childhood in Brazil: from the public policy to evidence.

Rev Saude Publica 2019 Jan 31;53:15. Epub 2019 Jan 31.

Universidade Federal do Rio Grande do Sul. Programa de Pós-Graduação em Odontologia. Porto Alegre, RS, Brasil.

Objective: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care.

Methods: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000540DOI Listing
January 2019
2 Reads

Clinical pathways of breast cancer patients treated in the Federal District, Brazil.

Rev Saude Publica 2019 Jan 31;53:14. Epub 2019 Jan 31.

Universidade Estadual Paulista. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Coletiva. Departamento de Saúde Pública. Botucatu, SP, Brasil.

Objective: To identify the clinical pathways of women with breast cancer treated in public hospitals, and to analyze the factors that influence the time interval between the first appointment and the start of therapy.

Methods: A cross-sectional study was conducted with 600 women with breast cancer treated in nine public hospitals in the Brazilian Federal District. Patients were interviewed between September 2012 and September 2014. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000406DOI Listing
January 2019
1 Read

Assisted reproductive technology: prevalence and associated factors in Southern Brazil.

Rev Saude Publica 2019 Jan 31;53:13. Epub 2019 Jan 31.

Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.

Objective: To assess the prevalence of successful assisted reproductive technology and to identify the associated factors.

Methods: This population-based birth cohort study was carried out with 4,333 pregnant women expected to deliver in 2015 in the urban area of Pelotas, Southern Brazil. Use of an assisted reproductive technology procedure, type of assisted reproductive technology [in vitro fertilization or intracytoplasmic sperm injection or artificial insemination], number of embryos transferred, success of embryo transfer, number of attempts, and reported reasons for seeking assisted reproductive technology were the main outcomes measured. Read More

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https://www.revistas.usp.br/rsp/article/view/154097
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http://dx.doi.org/10.11606/S1518-8787.2019053000737DOI Listing
January 2019
4 Reads

Fetal mortality and the challenges for women's health care in Brazil.

Rev Saude Publica 2019 Jan 31;53:12. Epub 2019 Jan 31.

Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Departamento de Saúde Coletiva. Goiânia, GO, Brasil.

Objective: To establish a historical series of fetal mortality in Brazil and regions between 1996 and 2015, identifying its behavior and trend.

Methods: A descriptive study on cases of fetal deaths in Brazil and in each region reported from 1996 to 2015, registered in DATASUS and classified by ICD-10. Maternal age and schooling, duration of gestation and type of delivery were considered. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000714DOI Listing
January 2019
1 Read

Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort.

Rev Saude Publica 2019 Jan 31;53:11. Epub 2019 Jan 31.

Universidade Federal de Santa Catarina. Department of Public Health. Florianópolis, SC, Brasil.

Objective: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living.

Methods: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000659DOI Listing
January 2019
1 Read

Maternity leave and exclusive breastfeeding.

Rev Saude Publica 2019 Jan 31;53:10. Epub 2019 Jan 31.

Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil.

Objective: To analyze the association between maternity leave and exclusive breastfeeding and to estimate the prevalence of exclusive breastfeeding in children under six months of life.

Methods: Cross-sectional study, with mothers of children under six months of life, attended in primary health care units with Breast Milk Collection Services in the municipality of Rio de Janeiro, Brazil, in 2013 (n = 429). We analyzed characteristics concerning: maternal sociodemographic aspects, household, prenatal care, childbirth, maternal lifestyle, the child, health care, and infant feeding. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000244DOI Listing
January 2019

Socioeconomic inequality in dietary intake begins before 24 months in Brazilian children.

Rev Saude Publica 2019 Jan 31;53. Epub 2019 Jan 31.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição. São Paulo, SP, Brasil.

Objective: To assess dietary patterns by socioeconomic gradient of Brazilian infants and young children in 2006 and 2013.

Methods: Data from the National Demographic Survey (2006) and the National Health Survey (2013) were used. Food intake were described by wealth index, age range and survey year. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000679DOI Listing
January 2019

Study of Chronic Diseases (Edoc): methodological aspects.

Rev Saude Publica 2019 Jan 31;53. Epub 2019 Jan 31.

Fundação Instituto Brasileiro de Geografia e Estatística. Escola Nacional de Ciências Estatísticas. Rio de Janeiro, RJ, Brasil.

Objective: Describe the sampling design and other methodological aspects of the Study of Chronic Diseases (Edoc).

Methods: Edoc comprises two household surveys with distinct populations, one with adults aged 18 to 59 years (Edoc-A) and another with older adults aged 60 years or more (Edoc-I), living in Rio Branco, Acre. The selection of the participants used complex samples by clusters in two stages of selection, census enumeration areas (CEA) and household. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000847DOI Listing
January 2019
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Interventions to reduce the prescription of inappropriate medicines in older patients.

Rev Saude Publica 2019 Jan 31;53. Epub 2019 Jan 31.

Universidade de Sorocaba. Programa de Pós-Graduação em Ciências Farmacêuticas. Sorocaba, SP, Brasil.

Objective: Identify and critically evaluate systematic reviews addressing the effectiveness of interventions to reduce the number of prescriptions of potentially inappropriate medication to older patients.

Methods: This is an overview of systematic reviews. The studies were searched and selected from Medline, Cochrane Library, Embase, CINAHL, Virtual Health Library, and Web of Science databases, combining the terms aged, prescriptions, inappropriate prescribing and potentially inappropriate medication list with their entry terms and other related descriptors, published by June 2017. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000781DOI Listing
January 2019

The human exposome unraveling the impact of environment on health: promise or reality?

Rev Saude Publica 2019 Jan 31;53. Epub 2019 Jan 31.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde Ambiental. Grupo de Pesquisa eXsat. Expossoma e Saúde do Trabalhador. The Human Exposome Research Group. São Paulo, SP, Brasil.

Considering the innovative nature of the approach to human exposome, we present the state of the art of studies on exposome, and discuss current challenges and perspectives in this area. Several reading and discussion activities were conducted by the Expossoma e Saúde do Trabalhador (eXsat - Group Exposome and Worker's Health), with systematization of the literature in the area published between January 2005 and January 2017, available in the databases PubMed and Web of Science. This comment brings a thematic analysis to encourage the dissemination of the exposome approach for studies in the Public Health area. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000649DOI Listing
January 2019
1 Read

Association between diabetes mellitus and depressive symptoms in the Brazilian population.

Rev Saude Publica 2018 Dec 20;53:05. Epub 2018 Dec 20.

Universidade de Sorocaba. Programa de Pós-Graduação em Ciências Farmacêuticas. Sorocaba, SP, Brasil.

Objective: To determine the prevalence of current depressive symptoms in people with diabetes mellitus and their association with the disease.

Methods: Data were collected from the Brazilian National Health Survey (Pesquisa Nacional de Saúde - PNS), a cross-sectional, population-based study conducted in 2013. Study participants were selected by simple random cluster sampling in three stages: census tracts, households, and residents aged ≥ 18 years. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000608DOI Listing
December 2018
1 Read

Effectiveness of brief group intervention in the harmful alcohol use in primary health care.

Rev Saude Publica 2018 Dec 20;53:04. Epub 2018 Dec 20.

Escola de Enfermagem da Universidade de São Paulo. Departamento de Enfermagem Materno-Infantil e Psiquiátrica. São Paulo, SP, Brasil.

Objective: To verify the effectiveness of brief group intervention, performed by nurses, in reducing the hazardous or harmful alcohol use in users of a primary health care service.

Methods: Clinical and randomized trial with follow-up of three months. The sample had 180 individuals with a pattern of hazardous or harmful alcohol use, recruited in a Basic Health Unit in the city of São Paulo. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000498DOI Listing
December 2018
1 Read

Smoking cessation during pregnancy: a population-based study.

Rev Saude Publica 2018 Dec 20;53:03. Epub 2018 Dec 20.

Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Programa de Pós-Graduação em Epidemiología. Pelotas, RS, Brasil.

Objective: To measure the prevalence of smoking cessation during pregnancy and to identify factors associated with its occurrence.

Methods: The present survey included all puerperal women living in the municipality of Rio Grande, RS, whose birth occurred between January 1 and December 31, 2013. A single standardized questionnaire was applied, in the hospital, within 48 hours of delivery. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000619DOI Listing
December 2018
8 Reads

Hospitalizations due to primary care sensitive conditions: an ecological study.

Rev Saude Publica 2018 Dec 20;53:02. Epub 2018 Dec 20.

Universidade Federal de Goiás. Faculdade de Enfermagem. Goiânia, GO, Brasil.

Objective: To evaluate the trend of hospitalizations due to primary care sensitive conditions and its relationship with the Family Health Strategy coverage.

Methods: Ecological study of time series using the records from the Hospital Information System, from 2005 to 2015, with data for the state of Goiás, Brazil. Trend analyses were performed by the generalized linear regression method of Prais-Winsten with robust variance, which allowed to verify if the trend of hospitalizations due to primary care sensitive conditions was stationary (p > 0. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000403DOI Listing
December 2018
1 Read

Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Quality of Prenatal Care Questionnaire (QPCQ).

Rev Saude Publica 2018 Dec 20;53:01. Epub 2018 Dec 20.

Universidade do Sul de Santa Catarina. Programa de Pós-Graduação em Ciências da Saúde. Palhoça, SC, Brasil.

Objective: To translate and to observe the psychometric measures of the Brazilian version of the Quality of Prenatal Care Questionnaire.

Methods: The translation protocol followed the standards of the International Society for Pharmacoeconomics and Outcomes Research. Descriptive statistics were performed to identify characteristics of 280 literate postpartum women in a public hospital. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000565DOI Listing
December 2018
1 Read

What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil?

Rev Saude Publica 2018 Nov 29;52:96. Epub 2018 Nov 29.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia. São Paulo, SP, Brasil.

The successful Programa Nacional de Imunizações do Brasil (Brazilian National Immunization Program) has been experiencing a major challenge with regard to vaccination coverage for children, which has been dropping. Several aspects are related, but certainly vaccine hesitancy has been strengthening itself as one of the main concerns of Brazilian public administrators and researchers. Vaccine hesitancy is the delay in acceptance or refusal despite having the recommended vaccines available in health services, being a phenomenon that varies over time, over location and over types of vaccines. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052001199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284490PMC
November 2018
16 Reads

The influence of mode of delivery on neonatal and maternal short and long-term outcomes.

Rev Saude Publica 2018 Nov 29;52:95. Epub 2018 Nov 29.

Universidade Federal de Sergipe. Departamento de Medicina. Aracaju, SE, Brasil.

Objective: To evaluate the impact of mode of delivery on breastfeeding incentive practices and on neonatal and maternal short and long-term complications.

Methods: A cohort study was conducted between June 2015 and April 2016 with 768 puerperal women from 11 maternities in Sergipe, interviewed in the first 24 hours, 45-60 days and 6-8 months after delivery. Associations between breastfeeding incentive practices, neonatal and maternal, both short-term and late complications, and the exposure variables were evaluated by the relative risk (95%CI) and the Fisher exact test. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000742DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280623PMC
November 2018
5 Reads

Cost effectiveness of the cancer prevention program for carriers of the BRCA1/2 mutation.

Rev Saude Publica 2018 Nov 29;52:94. Epub 2018 Nov 29.

Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Instituto do Câncer do Estado de São Paulo. Divisão de Oncologia Clínica. São Paulo, SP, Brasil.

Objective: To analyze the cost effectiveness of the diagnostic program for the germline mutation in BRCA1/2 genes and of preventative strategies for the relatives of patients diagnosed with ovarian cancer associated with this mutation.

Methods: The study analyzed the cost effectiveness by developing an analysis of the Markov decision process from the perspective of the National Health System. The strategies compared reflect upon the adoption of genetic testing and preventative strategies for relatives or the usual care currently proposed. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280621PMC
November 2018
8 Reads

Barriers between community screening for visual problems and treatments in a tertiary center.

Rev Saude Publica 2018 Nov 29;52:85. Epub 2018 Nov 29.

Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço. São Paulo, SP, Brasil.

Objective: To evaluate the effectiveness of mobile ophthalmic unit screenings and to investigate barriers between community care and resolution of the problem at a tertiary center.

Methods: This prospective study evaluated a convenience sample from 10 municipalities in São Paulo State, Brazil. Patients were assessed in the municipality by a mobile ophthalmic unit and underwent a complete ophthalmic consultation. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280626PMC
November 2018
10 Reads

Socioeconomic status moderates the association between perceived environment and active commuting to school.

Rev Saude Publica 2018 Nov 29;52:93. Epub 2018 Nov 29.

Pontifícia Universidade Católica do Paraná. Grupo de Pesquisa em Atividade Física e Qualidade de Vida. Curitiba, PR, Brasil.

Objective: To analyze the moderator effect of socioeconomic status in the association between the perceived environment and active commuting to school.

Methods: A total of 495 adolescents and their parents were interviewed. Perceived environment was operationalized in traffic and crime safety and assessed with the Neighborhood Environment Walkability Scale. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280624PMC
November 2018
4 Reads

Implication of violence against women on not performing the cytopathologic test.

Rev Saude Publica 2018 Nov 23;52:89. Epub 2018 Nov 23.

Universidade Federal de Pelotas. Departamento de Nutrição. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.

Objective: To analyze the association between intimate partner violence and not performing the cytopathologic test in the last three years.

Methods: It is a transversal study, performed in 26 health units in the city of Vitória, state Espírito Santo, from march to September 2014. The sample was constituted by 106 primary care female users, aging from 30 to 59 years-old. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000496DOI Listing
November 2018
1 Read

Cognitive screening test in primary care: cut points for low education.

Rev Saude Publica 2018 Nov 23;52:88. Epub 2018 Nov 23.

Universidade de São Paulo. Faculdade de Medicina. Programa Terceira Idade (PROTER), Instituto de Psiquiatria. São Paulo, SP, Brasil.

Objective: To establish the diagnostic accuracy of the Brazilian version of the General Practitioner Assessment of Cognition (GPCOG-Br) compared to the Mini-Mental State Examination (MMSE) in individuals with low educational level.

Methods: Ninety-three patients (≥ 60 years old) from Brazilian primary care units provided sociodemographic, cognitive, and functional data. Receiver operating characteristics, areas under the curve (AUC) and logistic regressions were conducted. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280619PMC
November 2018
2 Reads

Human visceral leishmaniasis and relationship with vector and canine control measures.

Rev Saude Publica 2018 Nov 23;52:92. Epub 2018 Nov 23.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia. São Paulo, SP, Brasil.

Objective: Estimate the coverage of control measures of visceral leishmaniasis and relate them with the occurrence of human visceral leishmaniasis in endemic urban area.

Methods: Cases of human and canine visceral leishmaniasis were considered as study population and evaluated by a serological survey conducted in Araçatuba, state São Paulo, from 2007 to 2015. The cases of human visceral leishmaniasis were geocoded by the address of the patients and the canine disease by the address of the dogs' owners. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280620PMC
November 2018
2 Reads

Evidence-based decision making and promotion of physical activity among directors of local health departments.

Rev Saude Publica 2018 Nov 23;52:90. Epub 2018 Nov 23.

Pontifícia Universidade Católica do Paraná. Grupo de Pesquisa em Atividade Física e Qualidade de Vida. Curitiba, PR, Brasil.

Objective: To describe the steps involved in evidence-based decision making for the implementation of programs aimed at the promotion of physical activity.

Methods: It is a descriptive, cross-sectional study with quali-quantitative approach, held with municipal health secretaries chosen deliberately by regional health representatives of the state of Paraná. A total of 27 secretaries participated in a telephone interview consisting of 17 open questions. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280625PMC
November 2018
1 Read

Cost-effectiveness analysis of natural birth and elective C-section in supplemental health.

Rev Saude Publica 2018 Nov 23;52:91. Epub 2018 Nov 23.

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Fundação Oswaldo Cruz. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.

Objective: To conduct a cost-effectiveness analysis of natural childbirth and elective C-section for normal risk pregnant women.

Methods: The study was conducted from the perspective of supplemental health, a health subsystem that finances private obstetric care, represented in Brazil by health plan operators. The reference populations were normal risk pregnant women, who could undergo natural childbirth or elective C-section, subdivided into primiparous and multiparous women with previous uterine scar. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280622PMC
November 2018
1 Read

Intrafamilial and extrafamilial sexual assault and its association with alcohol consumption.

Rev Saude Publica 2018 Nov 14;52:86. Epub 2018 Nov 14.

Columbia University Mailman School of Public Health. Department of Epidemiology. New York, USA.

Objective: Analyze the prevalence of intrafamilial and extrafamilial sexual assault in adolescents of Peru and its association with alcohol consumption.

Methods: We used a two-step and stratified probabilistic sampling to select male and female students in secondary education from all over Peru. The study included data from 54,756 students with information on demographics, alcohol and drug use, and sexual assault. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280627PMC
November 2018
9 Reads

Effectiveness of antiretroviral therapy in the single-tablet regimen era.

Rev Saude Publica 2018 Nov 14;52:87. Epub 2018 Nov 14.

Universidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública. Belo Horizonte, MG, Brasil.

Objective: To evaluate the effectiveness of antiretroviral therapy and the associated factors according to the type of regimen used: Single Tablet Regimen or Multiple Tablet Regimen.

Methods: Prospective cohort of 440 patients (male, 74.3%, median age, 36 years old) who initiated antiretroviral therapy between Jan/14 and Dec/15 at a referral service in Belo Horizonte. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280632PMC
November 2018
12 Reads

Challenges of aging in the context of social inequalities.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):1s. Epub 2018 Oct 25.

Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.

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http://dx.doi.org/10.11606/S1518-8787.201805200supl2edDOI Listing
October 2018
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Aging and public health: the Brazilian Longitudinal Study of Aging (ELSI-Brazil).

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):2s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.

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http://dx.doi.org/10.11606/S1518-8787.201805200supl2apDOI Listing
October 2018
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Factors associated with the receipt of pensions among older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):15s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.

Objective: To describe the prevalence of receipt of pensions and associated factors in a nationally representative sample of the Brazilian population aged 50 years and over.

Methods: We used data from 9,130 participants from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) baseline survey. The outcome variable was receipt of pensions from any source. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000665DOI Listing
October 2018
12 Reads

Care and functional disabilities in daily activities - ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):9s. Epub 2018 Oct 25.

Instituto de Pesquisa Econômica Aplicada. Diretoria de Estudos e Políticas Sociais. Rio de Janeiro, RJ, Brasil.

Objective: To investigate the prevalence of demand and provision of care for the Brazilian population with functional disabilities in activities of daily living.

Methods: This is a quantitative and descriptive study using baseline data from ELSI-Brazil (Brazilian Longitudinal Study of Aging), a cohort study with a representative sample of the Brazilian population aged 50 years or older (n = 9,412). We considered the demand for care from the self-report of having some difficulty to perform at least one activity of daily life (eating, bathing, going to the toilet, dressing, moving in a room [ambulation], and transferring from chair [transfer]). Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000650DOI Listing
October 2018
9 Reads

Life course and work ability among older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):11s. Epub 2018 Oct 25.

Universidade Federal de Minas Gerais. Escola de Educação Física, Fisioterapia e Terapia Ocupacional. Programa de Pós-graduação em Ciências da Reabilitação. Belo Horizonte, MG, Brasil.

Objective: To examine factors associated with perception of work ability in a nationally representative sample of Brazilians aged 50 years and over.

Methods: We used data from 8,903 participants of the baseline survey of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The dependent variable was self-rated work ability (good or very good versus fair, poor, or very poor). Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000648DOI Listing
October 2018
2 Reads

Aspects of social participation and neighborhood perception: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):18s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.

Objective: To determine the impact of the physical and social surroundings of the neighborhood, which are presented as facilitators or barriers for the social participation of Brazilian older adults.

Methods: The study was conducted in a probabilistic representative sample of the Brazilian population aged 50 years and older and who lived in urban areas (n = 7,935). The response variable was social participation, which was defined from two questions about activities performed with other persons: visited friends or relatives in their homes in the last 12 months (yes, no); went out with other persons to public places, such as restaurant, movies, club, park, in the last 12 months (yes, no). Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000647DOI Listing
October 2018
8 Reads

Adequate control of hypertension among older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):13s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.

Objective: To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services.

Methods: The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000646DOI Listing
October 2018
2 Reads

Hospitalizations among older adults: results from ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):3s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil.

Objective: To examine the factors associated with hospital use and their frequency in a nationally representative sample of the Brazilian population aged 50 years or older.

Methods: Data from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted in 2015-2016, were used. Predisposing, enabling and need factors for the use of health services were considered. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000639DOI Listing
October 2018
10 Reads

Multimorbidity: The Brazilian Longitudinal Study of Aging (ELSI-Brazil).

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):10s. Epub 2018 Oct 25.

Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Pelotas, RS, Brasil.

Objective: To evaluate the occurrence and factors associated with multimorbidity among Brazilians aged 50 years and over.

Methods: This is a cross-sectional study in a nation-based cohort of the non-institutionalized population in Brazil. Data were collected between 2015 and 2016. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000637DOI Listing
October 2018
9 Reads

Falls among Brazilian older adults living in urban areas: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):12s. Epub 2018 Oct 25.

Universidade de Brasília. Faculdade de Ceilândia. Programa de Pós-graduação em Ciências e Tecnologias em Saúde. Brasília, DF, Brasil.

Objective: To assess the prevalence and factors associated with falls in a nationally representative sample of older Brazilians residing in urban areas.

Methods: Data from 4,174 participants (60 years or older) from the baseline of ELSI-Brazil, conducted between 2015 and 2016, were used. The outcome variable was the reporting of one or more falls in the last 12 months. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000635DOI Listing
October 2018
2 Reads

Cognitive function among older adults: ELSI-Brazil results.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):4s. Epub 2018 Oct 25.

Universidade Federal de São Paulo. Faculdade de Medicina. Departamento de Psicobiologia. São Paulo, SP, Brasil.

Objective: To investigate macroregional variations in cognitive function in a national sample representative of the Brazilian population aged 50 years and older.

Methods: Data from the baseline of the Longitudinal Study of Brazilian Elderly (ELSI-Brazil), collected between 2015 and 2016, were used. Memory was measured by means of a 10-word list and executive function, by semantic verbal fluency, based on the naming of animals. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000629DOI Listing
October 2018
18 Reads

Life course socioeconomic inequalities and oral health status in later life: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):7s. Epub 2018 Oct 25.

University College London, Department of Epidemiology & Public Health. London, UK.

Objective: To investigate the association between life course socioeconomic conditions and two oral health outcomes (edentulism and use of dental prostheses among individuals with severe tooth loss) among older Brazilian adults.

Methods: This was a cross-sectional study with data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) which includes information on persons aged 50 years or older residing in 70 municipalities across the five great Brazilian regions. Regression models using life history information were used to investigate the relation between childhood (parental education) and adulthood (own education and wealth) socioeconomic circumstances and edentulism and use of dental prostheses. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000628DOI Listing
October 2018
12 Reads

Cost-related underuse of medications in older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):8s. Epub 2018 Oct 25.

Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social. Belo Horizonte, MG, Brasil.

Objective: To assess the prevalence and factors associated with cost-related underuse of medications in a nationally representative sample of Brazilians aged 50 years and over.

Methods: Among the 9,412 participants of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), 6,014 reported using at least one medication on regular basis and were included in the analysis. Underuse of medications was by stopping taking or reducing the number of tablets or the dose of any prescribed medication for financial reasons. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000622DOI Listing
October 2018
7 Reads

Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):14s. Epub 2018 Oct 25.

University of Illinois at Urbana-Champaign. Kinesiology and Community Health. Champaign, IL, USA.

Objective: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality.

Methods: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealth-related inequalities in basic activities of daily living by the concentration index. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000617DOI Listing
October 2018
28 Reads

Frailty profile in Brazilian older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):17s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil.

Objective: To estimate the prevalence of frailty and to evaluate the associated factors in the non-institutionalized Brazilian population aged 50 years or older.

Methods: The analyses were conducted in 8,556 participants of the baseline survey of the Longitudinal Study of Health of the Brazilian Elderly (ELSI-Brazil) conducted in 2015 and 2016. Frailty was defined based on five characteristics: weight loss, weakness, slowness, exhaustion and low level of physical activity. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000616DOI Listing
October 2018
18 Reads

Factors associated with perceived quality of life in older adults: ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):16s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil.

Objective: To identify factors associated with perceived quality of life in a representative national sample of the population aged 50 or over.

Methods: Data from 7,651 participants of the baseline ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between 2015 and 2016, were used. The perceived quality of life was measured by the CASP-19 scale - (CASP - control, autonomy, self-fulfillment and pleasure), considering the highest tertile as good quality of life. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000613DOI Listing
October 2018
2 Reads

Physical activity practice among older adults: results of the ELSI-Brazil.

Rev Saude Publica 2018 Oct 25;52Suppl 2(Suppl 2):5s. Epub 2018 Oct 25.

Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.

Objective: To describe the prevalence of the practice of physical activity (PA) among older Brazilian adults and associated factors. In addition, potential effect modifiers of the association between PA and age were investigated.

Methods: We have analyzed data from 8,736 participants (92. Read More

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http://dx.doi.org/10.11606/S1518-8787.2018052000605DOI Listing
October 2018
16 Reads