Prevalence of non-communicable diseases in Brazilian children: follow-up at school age of two Brazilian birth cohorts of the 1990's

<p>Abstract</p> <p>Background</p> <p>Few cohort studies have been conducted in low and middle-income countries to investigate non-communicable diseases among school-aged children. This article aims to describe the methodology of two birth cohorts, started in 1994 in Ribeirão Preto (RP), a more developed city, and in 1997/98 in São Luís (SL), a less developed town.</p> <p>Methods</p> <p>Prevalences of some non-communicable diseases during the first follow-up of these cohorts were estimated and compared. Data on singleton live births were obtained at birth (2858 in RP and 2443 in SL). The follow-up at school age was conducted in RP in 2004/05, when the children were 9-11 years old and in SL in 2005/06, when the children were 7-9 years old. Follow-up rates were 68.7% in RP (790 included) and 72.7% in SL (673 participants). The groups of low (<2500 g) and high (≥ 4250 g) birthweight were oversampled and estimates were corrected by weighting.</p> <p>Results</p> <p>In the more developed city there was a higher percentage of non-nutritive sucking habits (69.1% vs 47.9%), lifetime bottle use (89.6% vs 68.3%), higher prevalence of primary headache in the last 15 days (27.9% vs 13.0%), higher positive skin tests for allergens (44.3% vs 25.3%) and higher prevalence of overweight (18.2% vs 3.6%), obesity (9.5% vs 1.8%) and hypertension (10.9% vs 4.6%). In the less developed city there was a larger percentage of children with below average cognitive function (28.9% vs 12.2%), mental health problems (47.4% vs 38.4%), depression (21.6% vs 6.0%) and underweight (5.8% vs 3.6%). There was no difference in the prevalence of bruxism, recurrent abdominal pain, asthma and bronchial hyperresponsiveness between cities.</p> <p>Conclusions</p> <p>Some non-communicable diseases were highly prevalent, especially in the more developed city. Some high rates suggest that the burden of non-communicable diseases will be high in the future, especially mental health problems.</p

Ações de Prevenção da Deficiência Mental, dirigidas a Gestantes e Recém-Nascidos, no âmbito da Saúde Pública da Grande Vitória-ES

The accomplishment of prevention in Public Health requires a systematized knowledge for the proposition of a program and its evaluation. When it comes to the prevention of Mental Deficiency, which afflicts around 10% of the population, little is known in Brazil. By adopting a methodology for cataloging MD preventive actions in hospitals and health units, with pregnant women and newborns, it was possible to describe and analyze the actions of the public health system in Greater Vitoria/ES, indicating the levels of prevention which were most covered. Preventive actions (PA) of five large public hospitals, nine health units and six health offices, from 1996 to 1997 were studied. Data from 25 interviews show that these places made 51.5% of the 433 possible PA (57.4% of primary prevention and 45.5% of the secondary). Along with the particularization of the action of each municipality and place researched, the obtained data was useful for analyses and possible changes in maternal-infantile health indicators.Faire de la prévention dans la santé publique est conditionné par une très bonne connaissance afin de proposer des programmes et les évaluer. Au Brésil, on sait peu de choses sur la prévention de la déficience mentale, qui atteint pourtant 10 % de la population. Adoptant une méthodologie et pour faire un catalogue des actions préventives de déficience mentale dans les hôpitaux et les unités de santé, pour les femmes enceintes et les nouveau-nés, on a pu décrire et analyser les actions de santé publique dans la ville de Grande Vitoria (État du Espirito Santo), indiquant le niveau de prévention les plus couverts. On a regroupé les actions de prévention de cinq hôpitaux publics importants, neuf (31 %) unités de santé et six bureaux centralisateurs, entre 1996 et 97. Les données de vingt-cinq entrevues montrent que ces locaux réalisent 51,5 % des 433 actions de prévention possibles (57,4 % de prévention primaire et 45,5 % de secondaire). En détaillant les réalisations de chaque municipalité et local étudié, les chiffres fournissent des ressources pour des analyses et les modifications possibles dans les indicateurs de santé maternelle et infantile.Fazer prevenção em Saúde Pública implica em conhecimento sistematizado para a proposição de programas e sua avaliação. Quanto à prevenção de Deficiência Mental, que atinge cerca de 10% da população, pouco se conhece no país. Adotando uma metodologia para levantamento de ações preventivas de DM em hospitais e unidades de saúde, junto a gestantes e recém-nascidos, fo i possível descrever e analisar a atuação da rede pública de saúde da Grande Vitória/ES, indicando os níveis de prevenção mais atendidos. Foram levantadas as ações de prevenção (AP) de cinco hospitais públicos de grande porte, nove (31%) unidades de saúde e seis secretarias de saúde, entre 1996-97. Os dados de 25 entrevistas mostram que esses locais realizavam 51,5% das 433 AP possíveis (57,4% da prevenção primária e 45,5% da secundária). Particularizando a atuação de cada município e local pesquisado, os dados fornecem subsídios para análises e possíveis mudanças nos indicadores de saúde materno-infantil