Profile Of Access And Use Of Medicines In The Brazilian Population-contributions And Challenges Of Pnaum-household Survey

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Quedas em idosos: fatores associados em estudo de base populacional

The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95% CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95% CI 1.61 - 3.88), widowed (PR = 1.74; 95% CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95% CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95% CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95% CI 1.09 - 2.74), headache (PR = 1.59; 95% CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95% CI 1.12 - 2.64), dizziness (PR = 2.82; 95% CI 1.98 - 4.02), insomnia (PR = 1.75; 95% CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95% CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95% CI 1.19 - 3,93). The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). A population-based cross-sectional study was carried out with two-stage cluster sampling. The sam173705718sem informaçãosem informaçãoIdentificar fatores associados à ocorrência de quedas em idosos, em estudo de base populaciona

Adolescentes Eutróficos Estão Satisfeitos Com O Seu Peso?

The high prevalence of obesity has led to public policies for combating it. People with normal weight may gain greater awareness of this issue and change their perceptions of their weight. The aim of this study was to evaluate the prevalence of body weight dissatisfaction among normal-weight adolescents, according to demographic and socioeconomic variables, health-related behavior and morbidities. DESIGN AND SETTING: Population-based cross-sectional study that used data from a health survey conducted in the city of Campinas, São Paulo, in 2008-2009. METHODS: The prevalence and prevalence ratios of weight dissatisfaction were estimated according to independent variables, by means of simple and multiple Poisson regression. RESULTS: 573 normal-weight adolescents aged 10 to 19 years (mean age 14.7 years) were analyzed. The prevalence of weight dissatisfaction was 43.7% (95% confidence interval, CI: 37.8-49.8). Higher prevalences of weight dissatisfaction were observed among females, individuals aged 15 to 19 years, those whose households had eight or more domestic appliances, former smokers, individuals who reported alcohol intake and those who had one or more chronic diseases. Lower prevalence of dissatisfaction was observed among adolescents living in substandard housing. Among the normal-weight adolescents, 26.1% wished to lose weight and 17.6% wished to gain weight. CONCLUSION: The results from this study indicate that even when weight is seen to be within the normal range, a high proportion of adolescents express dissatisfaction with their weight, especially females, older adolescents and those of higher socioeconomic level. © 2016, Associacao Paulista de Medicina. All rights reserved.134321922

Osteoporose Autorreferida Em População Idosa: Pesquisa De Base Populacional No Município De Campinas, São Paulo

Osteoporosis is a multifactorial disease that predisposes individuals to suffer falls and fractures, causing functional impairment and a consequent reduction in quality of life. Objective: To assess the prevalence and factors associated with self-reported osteoporosis in the elderly population living in Campinas, São Paulo, Brazil (ISACAMP 2008). Methods: Cross-sectional study with a random sample taken by conglomerates in 2 stages totaling 1,419 elderly people living in the urban area. The self-reported prevalence of osteoporosis was estimated according to socioeconomic and demographic variables, morbidity, health behaviors and problems. Crude prevalence ratios were estimated and adjusted by means of simple and multiple regressions using the Poisson svy commands in Stata 11.0 software. Results: We found a prevalence of osteoporosis of 14.8%, and significantly higher in females, in individuals who reported white skin, those who reported less than 7 hours of sleep/day, in patients with rheumatism/arthritis/arthrosis, asthma/bronchitis/ emphysema, tendinitis, dizziness, insomnia, common mental disorders, BMI < 27, health self-related as bad and very bad, and reporting falls occurring in the last 12 months. Conclusion: The present study, by identifying the factors associated with osteoporosis, identified segments of older people with a higher prevalence of the disease; to this information may contribute to the planning of public health policies and programs aimed at controlling the disease and its consequences. © 2016, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.19229430

Social Inequality In Health Among Women In Campinas, São Paulo State, Brazil [desigualdades Sociais Na Saúde De Mulheres Adultas No Município De Campinas, São Paulo, Brasil]

The aim of this was study was to assess social inequalities in health status and use of health services according to level of schooling in women. This was a cross-sectional population-based study with a sample of 508 women from 20 to 59 years of age living in Campinas, São Paulo State, Brazil (ISA-Camp 2008). Women with less schooling showed higher prevalence of hypertension, circulatory problems, headache, dizziness, obesity, common mental disorders, worse self-rated health, use of dental prosthesis, and visual impairment, but lower prevalence for use of eyeglasses. There were no differences between the two schooling strata in prevalence of medical visits in the previous two weeks, use of medicines in the three previous days, Pap smear, breast selfexamination, clinical breast examination, hospitalizations and surgeries in the previous year, and rubella vaccination any time in life. The only significant differences were in use of dental services and mammograms. The results show social inequalities in various health indicators and equity in access to various components of the health services.281019031914Braveman, P., Health disparities and health equity: Concepts and measurement (2006) Annu Rev Public Health, 27, pp. 167-194Barros, M.B.A., Francisco, P.M.S.B., Zanchetta, L.M., César, C.L.G., Tendências das desigualdades sociais e demográficas na prevalência de doenças crônicas no Brasil, PNAD: 2003-2008 (2011) Ciênc Saúde Coletiva, 16, pp. 3755-3768Braveman, P., Cubbin, C., Egerter, S., Williams, D.R., Pamuk, E., Socioeconomic disparities in health in the United States: What the patterns tell us (2010) Am J Public Health, 100 (SUPPL. 1), pp. 186-196Kavanagh, A., Bentley, R.J., Turrell, G., Shaw, J., Dunstan, D., Subramanian, S.V., Socioeconomic position, gender, health behaviours and biomarkers of cardiovascular disease and diabetes (2010) Soc Sci Med, 71, pp. 1150-1160Artazcoz, L., Cortès, I., Borrell, C., Escribà-Agüir, V., Cascant, L., Social inequalities in the association between partner/marital status and health among workers in Spain (2011) Soc Sci Med, 72, pp. 600-607Barreto, S.M., Figueiredo, R.C., Doença crônica, auto-avaliação de saúde e comportamento de risco: Diferença de gênero (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 38-47Ferreira, S.R.G., Moura, E.C., Malta, D.C., Sarno, F., Frequência de hipertensão arterial e fatores associados: Brasil, 2006 (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 98-106Mackenbach, J.P., Stirbu, I., Roskam, A.J., Schaap, M.M., Menvielle, G., Leinsalu, M., Socioeconomic inequalities in health in 22 European countries (2008) N Engl J Med, 358, pp. 2468-2481Travassos, C., Viacava, F., Pinheiro, R., Brito, A., Utilização dos serviços de saúde no Brasil: Gênero, características familiares e condição social (2002) Rev Panam Salud Pública, 11, pp. 365-373Martins, L.P.L., Thuler, L.C.S., Valente, J.G., Cobertura do exame de Papanicolaou no Brasil e seus fatores determinantes: Uma revisão sistemática da literatura (2005) Rev Bras Ginecol Obstet, 27, pp. 485-492Oliveira, E.X.G., Pinheiro, R.S., Melo, E.C.P., Carvalho, M.S., Condicionantes socioeconômicos e geográficos do acesso à mamografia no Brasil, 2003-2008 (2011) Ciênc Saúde Coletiva, 16, pp. 3649-3664Silva, Z.P., Ribeiro, M.C.S.A., Barata, R.B., Almeida, M.F., Perfil sociodemográfico e padrão de utilização dos serviços de saúde do Sistema Único de Saúde (SUS), 2003-2008 (2011) Ciênc Saúde Coletiva, 16, pp. 3807-3816Barata, R.B., (2009) Como e por que as desigualdades sociais fazem mal à saúde, , Rio de Janeiro: Editora Fiocruz(Temas em Saúde)(2011) Plano de ações estratégicas para o enfrentamento das doenças crônicas nãotransmissíveis (DCNT) no Brasil 2011-2022, , Ministério da Saúde. Versão preliminar. Brasília: Ministério da SaúdeAlves, M.C.G.P., ISA-Campinas 2008/09: Plano de amostragem, , http://www.fcm.unicamp.br/centros/ccas/arquivos/plano_de_amostragem.pdf, (accessed on 02/Nov/2011)Mari, J.J., Williams, P., A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo (1986) Br J Psychiatry, 148, pp. 23-26(2010) Plano de ação para redução da incidência e mortalidade por câncer do colo do útero: Programa Nacional de Controle do Câncer do Colo do Útero, , Instituto Nacional de Câncer. Rio de Janeiro: Instituto Nacional de Câncer(2004) Controle do câncer de mama, , Instituto Nacional de Câncer. Brasília: Ministério da Saúde(2008) Plano de ação: Campanha nacional de vacinação para eliminação da rubéola no Brasil, , Departamento de Vigilância Epidemiológica, Secretaria de Vigilância em Saúde, Ministério da Saúde. Brasília: Ministério da SaúdeFerraro, A.R., Escolarização no Brasil: Articulando as perspectivas de gênero, raça e classe social (2010) Educação e Pesquisa, 36, pp. 505-526Solar, O., Irwin, A., (2010) A conceptual framework for action on the social determinants of health, , Geneva: World Health Organization(Discussion Paper Series on Social Determinants of Health, 2)(2011) Diminuindo diferenças: A prática das políticas sobre determinantes sociais da saúde: Documento de discussão, , Organização Mundial da Saúde. Rio de Janeiro: Organização Mundial da SaúdeBraveman, P.A., Egerter, S.A., Mockenhaupt, R.E., Broadening the focus: The need to address the social determinants of health (2011) Am J Prev Med, 40 (1 SUPPL. 1), pp. 4-18Duda, R.B., Kim, M.P., Darko, R., Adanu, R.M.K., Seffah, J., Anarfi, J.K., Results of the Women's Health Study of Accra: Assessment of blood pressure in urban women (2007) Int J Cardiol, 117, pp. 115-122Le, H., Tfelt-Hansen, P., Skytthe, A., Kyvik, K.O., Olesen, J., Association between migraine, lifestyle and socioeconomic factors: A population-based crosssectional study (2011) J Headache Pain, 12, pp. 157-172Hagen, K., Vatten, L., Stovner, L.J., Zwart, J.A., Krokstad, S., Bovim, G., Low socio-economic status is associated with increased risk of frequent headache: A prospective study of 22,718 adults in Norway (2002) Cephalalgia, 22, pp. 672-679Pahim, L.S., Menezes, A.M.B., Lima, R., Prevalência e fatores associados à enxaqueca na população adulta de Pelotas, RS (2006) Rev Saúde Pública, 40, pp. 692-698Sabia, J.J., Rees, D.I., Individual heterogeneity and reverse causality in the relationship between migraine headache and educational attainment (2011) Econ Educ Rev, 30, pp. 913-923Neuhauser, H.K., Brevern, M., Radtke, A., Lezius, F., Feldmann, M., Ziese, T., Epidemiology of vestibular vertigo: A neurologic survey of general population (2005) Neurology, 65, pp. 894-904Salhofer, S., Lieba-Samal, D., Freydl, E., Bartl, S., Wiest, G., Wöber, C., Migraine and vertigo: A prospective diary study (2010) Cephalgia, 30, pp. 821-828Gigante, D.P., Moura, E.C., Sardinha, L.M.V., Prevalência de excesso de peso e obesidade e fatores associados, Brasil, 2006 (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 83-89Roskam, A.J.R., Kunst, A.E., van Oyen, H., Demarest, S., Klumbiene, J., Regidor, E., Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries (2010) Int J Epidemiol, 39, pp. 392-404Monteiro, C.A., Wolney, L.C., A tendência secular da obesidade segundo estratos sociais: Nordeste e Sudeste do Brasil, 1975-1989-1997 (1999) Arq Bras Endocrinol Metab, 43, pp. 186-194Araújo, T.M., Pinho, P.S., Almeida, M.M.G., Prevalência de transtornos mentais comuns em mulheres e sua relação com as características sociodemográficas e o trabalho doméstico (2005) Rev Bras Saude Matern Infant, 5, pp. 337-348Marín-León, L., Oliveira, H.B., Barros, M.B.A., Dalgalarrondo, P., Botega, N.J., Social inequality and common mental disorders (2007) Rev Bras Psiquiatr, 29, pp. 250-253Lund, C., Breen, A., Flisher, A.J., Kakuma, R., Corrigall, J., Joska, J.A., Poverty and common mental disorders in low and middle income countries: A systematic review (2010) Soc Sci Med, 71, pp. 517-528Brown, G.W., Harris, T., (1978) Social origins of depression: A study of psychiatric disorder in women, , London: TavistockBarros, M.B.A., Zanchetta, L.M., Moura, E.C., Malta, D.C., Auto-avaliação da saúde e fatores associados, Brasil, 2006 (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 27-37White, H.L., Matheson, F.I., Moineddin, R., Dunn, J.R., Glazier, R.H., Neighbourhood deprivation and regional inequalities in self-reported health among Canadians: Are we equally at risk? (2011) Health Place, 17, pp. 361-369Castro, S.S., César, C.L.G., Carandina, L., Barros, M.B.A., Alves, M.C.G.P., Goldbaum, M., Deficiência visual, auditiva e física: Prevalência e fatores associados em estudo de base populacional (2008) Cad Saúde Pública, 24, pp. 1773-1782Travassos, C., Oliveira, E.X.G., Viacava, F., Desigualdades geográficas e sociais no acesso aos serviços de saúde no Brasil: 1998 e 2003 (2006) Ciênc Saúde Coletiva, 11, pp. 975-986Barros, A.J.D., Bertoldi, A.D., Desigualdades na utilização e no acesso a serviços odontológicos: Uma avaliação em nível nacional (2002) Ciênc Saúde Coletiva, 7, pp. 709-717Pinheiro, R.S., Torres, T.Z.G., Uso de serviços odontológicos entre os Estados do Brasil (2006) Ciênc Saúde Coletiva, 11, pp. 999-1010Chavesa, S.C.L., Vieira-da-Silva, L.M., Inequalities in oral health practices and social space: An exploratory qualitative study (2008) Health Policy, 86, pp. 119-128Amorim, V.M.S.L., Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., Fatores associados à não realização do exame de Papanicolaou: Um estudo de base populacional no Município de Campinas, São Paulo, Brasil (2006) Cad Saúde Pública, 22, pp. 2329-2338Amorim, V.M.S.L., Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., Fatores associados a não realização da mamografia e do exame clínico das mamas: Um estudo de base populacional em Campinas, São Paulo, Brasil (2008) Cad Saúde Pública, 24, pp. 2623-2632Barros, M.B.A., Marin-León, L., Belon, A.P., Almeida, S.M., Restitutti, M.C., Marques, T.G., (2010) Mortalidade infantil, , Campinas: Departamento de Medicina Preventiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas/Secretaria Municipal de SaúdeOkura, Y., Urban, L.H., Mahoney, D.W., Jacobsen, S.J., Rodeheffer, R.J., Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure (2004) J Clin Epidemiol, 57, pp. 1096-1103Knight, M., Stewart-Brown, S., Fletcher, L., Estimating health needs: The impact of a checklist of conditions and quality of life measurement on health information derived from community surveys (2001) J Public Health Med, 23, pp. 179-186Bergmann, M.M., Jacobs, E.J., Hoffmann, K., Boeing, H., Agreement of self-reported medical history: Comparison of an in-person interview with a selfadministered questionnaire (2004) Eur J Epidemiol, 19, pp. 411-416Sousa, M.H., Silva, N.N., Estimativas obtidas de um levantamento complexo (2003) Rev Saúde Pública, 37, pp. 662-670Barros, M.B.A., Inquéritos domiciliares de saúde: Potencialidades e desafios (2008) Rev Bras Epidemiol, 11, pp. 6-1

Survival Of Aids Patients In The Southeast And South Of Brazil: Analysis Of The 1998-1999 Cohort [sobrevida De Pacientes Com Aids Das Regiões Sudeste E Sul Do Brasil: Análise Da Coorte De 1998-1999]

The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the Epidemiological Surveillance System of the National STD/AIDS Program. Use of a questionnaire allowed analyzing 2,091 patient charts. Based on the Kaplan-Meier method, estimated survival was at least 108 months after diagnosis in 59.5% of patients in the Southeast and 59.3% in the South. Cox regression models showed, in both regions, an increase in survival in patients on antiretroviral therapy, those classified as AIDS cases according to the CD4 T-cell criterion, females, and those with more schooling. Other factors associated with longer survival in the Southeast were: white skin color, no history of tuberculosis since the AIDS diagnosis, negative hepatitis B serology, and access to a multidisciplinary health team. In the South, age below 40 years was associated with longer survival.27SUPPL. 1S79S92Fonseca, M.G.P., Bastos, F.I., Twenty-five years of the AIDS epidemic in Brazil: Principal epidemiological findings, 1980-2005 (2007) Cad Saúde Pública, (23 SUPPL 3), pp. S333-S344Boletim Epidemiológico AIDST 2008, 1. , Ministério da Saúde, Ano(2004) Critérios De Definição De Casos De AIDS Em Adultos E Crianças, , Ministério da Saúde, Brasília: Ministério da SaúdeDourado, I., Veras, M.A.S.M., Barreira, D., Brito, A.M., Tendências da epidemia de AIDS no Brasil após a terapia antirretroviral (2006) Rev Saúde Pública, (SUPPL 40), pp. 9-17Casseb, J., Fonseca, L.A., Veiga, A.P., Almeida, A., Bueno, A., Ferez, A.C., AIDS incidence and mortality in a hospital based cohort of HIV-1 seropositive patients receiving highly active antiretroviral therapy in São Paulo, Brazil (2003) AIDS Patient Care STDS, 17, pp. 447-452Crum, N.F., Riffemburg, R.H., Wegner, S., Agan, B.K., Tasker, S.A., Spooner, K.M., Comparison of causes of death and mortality rates among HIV infected persons: Analysis of the pre, early, and late HAART (highly active antiretroviral therapy) eras (2006) J Acquir Immune Defic Syndr, 41, pp. 194-200Santos, N.J.S., Tayra, A., Silva, S.R., Buchala, C.M., Laurenti, R., A AIDS no estado de São Paulo: As mudanças no perfil da epidemia e perspectivas da vigilância epidemiológica (2002) Rev Bras Epidemiol, 5, pp. 286-310Messeri, P., Lee, G., Abramson, D.M., Aidala, A., Chiasson, M.A., Jessop, D.J., Antiretroviral therapy and declining AIDS mortality in New York City (2003) Med Care, 41, pp. 512-521Vellozi, C., Brooks, J.T., Bush, T.J., Conley, L.J., Henry, K., Carperter, C.C.J., The study to understand the natural history of HIV and AIDS in the era of effective therapy (SUN Study) (2009) Am J Epidemiol, 169, pp. 642-652Quinn, T.C., HIV epidemiology and the effects of antiviral therapy on long term consequences (2008) AIDS, (22 SUPPL 3), pp. S7-S12Targets and Commitments Made By the Member-States At the United Nation General Assembly Special Session On HIV/AIDS, , http//www.unaids.org/en/dataanalysis/monitoringcountryprogress/2010progr essreportssubmittedbycountries/brazil_2010_country_progress_report_en.pd f, Brazilian Ministry of Health, accessed on Jul/2010Chequer, P., Hearst, N., Hudes, E.S., Castilho, E., Rutherford, G., Loures, L., Determinants of survival in adult Brazilian AIDS patients, 1982-1989.The Brazilian State AIDS Program Co-ordinators (1992) AIDS, 6, pp. 483-487Marins, J.R., Jamal, L.E., Chen, S.Y., Barros, M.B., Hudes, E.S., Barbosa, A.A., Dramatic improvement in survival among adult Brazilian AIDS patients (2003) AIDS, 17, pp. 1675-1682Collet, D., (2003) Modeling Survival Data In Medical Research, , 2nd Ed. Boca Raton: Chapman & HallEpidemiology of HIV/AIDS, United States, 1981-2005 (2006) MMWR Morb Mortal Wkly Rep, 55, pp. 589-592. , Centers for Disease Control and PreventionWong, K.H., Chan, K.C., Lee, S.S., Delayed progression to death and to AIDS in a Hong Kong cohort of patients with advanced HIV type 1 disease during the era of highly active antiretroviral therapy (2004) Clin Infect Dis, 39, pp. 853-860Gadelha, A.J., Accacio, N., Costa, R.L.B., Galhardo, M.C., Cotrim, M.R., Souza, R.V., Morbidity and survival in advanced AIDS in Rio de Janeiro, Brazil (2002) Rev Inst Med Trop São Paulo, 44, pp. 179-186Hacker, M.A., Petersen, M.L., Enriquez, M., Bastos, F.I., Highly active antiretroviral therapy in Brazil: The challenge of universal access in a context of social inequality (2004) Rev Panam Salud Pública, 16, pp. 78-83Krishnan, S., Dunbar, M.S., Minnis, A.M., Medlin, C.A., Gerdts, C.E., Padian, N.S., Poverty, gender inequalities and women's risk of Human Immunodeficiency Virus/AIDS (2008) Ann N Y Acad Sci, 1136, pp. 101-110Antunes, J.L.F., Waldman, E.A., Borrel, C., Is it possible to reduce AIDS death without reinforcing socioeconomic inequalities in health? (2005) Int J Epidemiol, 34, pp. 586-592Castilho, E.A., Szwarcwald, C.L., Brito, A.M., Fatores associados à interrupção de tratamento anti-retroviral em adultos com AIDS, Rio Grande do Norte, Brasil, 1999-2002 (2006) Rev Assoc Med Bras (1992), 52, pp. 86-92Neme, M.I.B., Carvalho, H.B., Souza, M.F.M., ARV therapy adherence in Brazil (2004) AIDS, (18 SUPPL 3), pp. 515-520Pérez-Hoyos, S., Amo, J., Muga, R., Romero, J., Olalla, P.G., Guerrero, R., Effectiveness of highly active antiretroviral therapy in Spanish cohorts of HIV seroconverters: Differences by transmission category (2003) AIDS, 17, pp. 353-359Porta, D., Forastiere, F., Fusco, D., Perucci, C.A., Lazio AIDS Surveillance Collaborative Group. Socioeconomic status and survival of persons with AIDS before and after introduction of Highly Active Antiretroviral Therapy (2000) Epidemiology, 11, pp. 496-501. , Rapiti EPrograma Nacional DST E AIDS, , http://www.aids.gov.br/cgi/deftohtm.exe?tabnet/aids.def, Ministério da Saúde, accessed on 26/Aug/2009Giovanetti, M.C., Santos, N.J.S., Westin, C.P., Darré, D., Gianna, M.C., A implantação do quesito cor/raça nos serviços de DST/AIDS no Estado de São Paulo (2007) Saúde Soc, 16, pp. 163-170Fry, P.H., Monteiro, S., Maio, M.C., Bastos, F.I., Santos, R.V., AIDS tem cor ou raça? Interpretação de dados e formulação de políticas de saúde no Brasil (2007) Cad Saúde Pública, 23, pp. 497-523Batista, L.E., (2002) Mulheres E Homens Negros: Saúde, Doença E Morte [Doctoral Dissertation], , Araraquara: Fa-culdade de Ciências e Letras, Universidade Estadual PaulistaFonseca, M.G.P., Lucena, F.F.A., Souza, A., Bastos, F.I., AIDS mortality, "race or color", and social inequality in a context of universal access to highly active antiretroviral therapy (HAART) in Brazil, 1999- 2004 (2007) Cad Saúde Pública, (23 SUPPL 3), pp. S445-S455Marins, J.R.P., (2004) Estudo De Sobrevida Dos Pacientes De AIDS Segundo Escolaridade, Co-infecção Hepatite C E Tuberculose. Coorte Brasileira 1995-1996 [Doctoral Dissertation], , Campinas: Faculdade de Ciências Médicas, Universidade Estadual de CampinasFerreira, M.S., Borges, A.S., Avanços no tratamento da hepatite pelo vírus B (2007) Rev Soc Bras Med Trop, 40, pp. 451-462Mussini, C., Manzardo, C., Johnson, M., Monforte, A., Uberti-Foppa, C., Antinori, A., Patients presenting with AIDS in the HAART era: A collaborative cohort analysis (2008) AIDS, 22, pp. 2461-2469Nemes, M.I.B., Alencar, T.M.D., (2008) Equipe Qualiaids. Avaliação Da Assistência Ambulatorial Aos Adultos Vivendo Com HIV/AIDS, , Qualiaids. Relatório 2007/2008. Brasília: Ministério da SaúdeMelchior, R., Nemes, M.I.B., Basso, C.R.B., Castanheira, E.R.L., Alves, M.T.S.B., Buchalla, C.M., Avaliação da estrutura organizacional assistência ambulatorial em HIV/AIDS no Brasil (2006) Rev Saúde Pública, 40, pp. 143-15

Ingestão De Carnes Em Adultos: Estudo De Base Populacional Na Cidade De Campinas, Brasil. Um Estudo Transversal

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Meat is a food with high nutritional density that has significant participation in the Brazilian diet. However, in excess it can cause harm to health. The aim of this study was to analyze the meat intake (g/day) among adults according to sociodemographic, behavioral and health situation characteristics, and to assess the types of meat most consumed. DESIGN AND SETTING: Cross-sectional population-based study conducted in the city of Campinas, São Paulo, Brazil, in 2008 and 2009. METHODS: Two-stage cluster sampling was used. The analysis included 948 adults between 20 and 59 years, who were participants in the Campinas Health Survey. Meat intake was assessed using 24-hour dietary recall. RESULTS: The mean meat intake adjusted for sex and age was 182.3 g (95% CI: 170.6-193.9 g), with significantly lower intake among women, individuals aged 50 years or over, those with the presence of two or more self-reported chronic diseases and those with three or more health complaints. Higher meat intake was found in segments with intermediate monthly family income (between 1 and 3 minimum wages), those with 16 or more appliances per household and those who consumed soft drinks seven days a week. Beef was consumed most frequently (44%) among the meats in the diet, followed by poultry, fish and pork. CONCLUSION: The data from this study reveal high meat intake in the population of Campinas and identify the segments that need to be prioritized for strategies directed towards appropriate meat intake. © 2016, Associacao Paulista de Medicina. All rights reserved.1342138145409747-2006-8, CNPq, Conselho Nacional de Desenvolvimento Científico e TecnológicoConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Survival of patients with AIDS and association with level of education level and race/skin color in South and Southeast Brazil: a cohort study, 1998-1999

Analisar a sobrevida de pessoas com aids e sua associação com escolaridade e raça/cor da pele. Coorte de diagnosticados entre 1998 e 1999, nas regiões Sul e Sudeste do Brasil, com análise de sobrevida (método de Kaplan--Meier), estratificada por escolaridade e raça/cor da pele; a análise multivariada foi realizada mediante regressão de Cox. Foram incluídas 2.091 pessoas com sobrevida em 60 meses, a percentuais de 65% entre brancos e 62% entre pretos/pardos; o uso irregular de antirretrovirais (HR=11,2 - IC95%8,8;14,2) e a idade ≥60 anos (HR=2,5 - IC95%1,4;4,4) foram relacionados com menor sobrevida; escolaridade >8 anos (HR=0,4 - IC95%0,3;0,6) e sexo feminino (HR=0,6 - IC95%0,5;0,8) relacionaram-se positivamente com sobrevida; os menos escolarizados tiveram sobrevida menor. Menor escolaridade sobrepôs-se às diferenças de raça/cor da pele, quando relacionada à sobrevida; tais desigualdades explicaram as diferenças observadas, mesmo com políticas de acesso universal aos antirretrovirais. Síndrome da Imunodeficiência Adquirida; Sobrevivência (Saúde Pública); Análise de Sobrevida; Escolaridade; Origem Étnica e Saúde281To analyze the survival of people with AIDS and association with schooling and race/skin color. METHODS: this was a retrospective cohort study of people diagnosed with AIDS between 1998 and 1999, in the South and Southeast regions of Brazil. We used survival analysis (Kaplan-Meier method), stratified by schooling and race/skin color and multivariate analysis was performed using Cox regression. RESULTS: the study included 2,091 people who had survived at 60 months, with 65% survival among White participants and 62% among Black/brown participants. Irregular use of antiretroviral (HR=11.2 - 95%CI8.8;14.2), and age ≥60 years (HR=2.5 - 95%CI1.4;4.4) were related to lower survival; schooling >8 years (HR=0.4 - 95%CI0.3;0.6) and being female (HR=0.6 - 95%CI0.5;0.8) were positively related to survival; those with less schooling had lower survival. CONCLUSION: lower schooling levels overlap race/skin color differences in relation to survival; these inequalities explain the differences found, despite the policies on universal access to antiretroviral.OBJETIVO: analisar a sobrevida de pessoas com aids e sua associação com escolaridade e raça/cor da pele. MÉTODOS: coorte de diagnosticados entre 1998 e 1999, nas regiões Sul e Sudeste do Brasil, com análise de sobrevida (método de Kaplan--Meier), estratificada por escolaridade e raça/cor da pele; a análise multivariada foi realizada mediante regressão de Cox. RESULTADOS: foram incluídas 2.091 pessoas com sobrevida em 60 meses, a percentuais de 65% entre brancos e 62% entre pretos/pardos; o uso irregular de antirretrovirais (HR=11,2 - IC95%8,8;14,2) e a idade ≥60 anos (HR=2,5 - IC95%1,4;4,4) foram relacionados com menor sobrevida; escolaridade >8 anos (HR=0,4 - IC95%0,3;0,6) e sexo feminino (HR=0,6 - IC95%0,5;0,8) relacionaram-se positivamente com sobrevida; os menos escolarizados tiveram sobrevida menor. CONCLUSÃO: menor escolaridade sobrepôs-se às diferenças de raça/cor da pele, quando relacionada à sobrevida; tais desigualdades explicaram as diferenças observadas, mesmo com políticas de acesso universal aos antirretrovirais.OBJETIVO: analizar la sobrevida de personas con sida y su asociación con escolaridad y raza/color de la piel. MÉTODOS: cohorte de diagnosticados entre 1998 y 1999, en las regiones Sur y Sudeste de Brasil, con análisis de supervivencia (Kaplan-Meier), estratificados por educación y raza/color de la piel; el análisis multivariante se realizó con regresión de Cox. RESULTADOS: fueron incluidas 2.091 personas con sobrevida de 60 meses, a porcentuales de 65% entre blancos y 62% entre negros/pardos; el uso irregular de antirretrovirales (HR=11,2 - IC95%8,8;14,2) y la edad ≥60 años (HR=2,5 - IC95%1,4;4,4) se relacionaron con una menor sobrevida; escolaridad >8 años (HR=0,4 - IC95%0,3;0,6) y sexo femenino (HR=0,6 - IC95%0,5;0,8) se relacionaron positivamente con sobrevida; los menos escolarizados tuvieron sobrevida menor. CONCLUSIÓN: menor escolaridad se superpuso a las diferencias de raza/color de la piel referida, cuando relacionada a la supervivencia; tales desigualdades explicaron las diferencias observadas, aún con políticas de acceso universal a antirretrovirales

Sleep Duration And Health Status Self-assessment (sf-36) In The Elderly: A Population-based Study (isa-camp 2008) [duração Do Sono E Estado De Saúde Autorreferido (sf-36) Em Idosos: Estudo De Base Populacional (isa-camp 2008)]

The aim of this study was to determine the association between sleep duration and health status among the elderly. A population-based study was carried out with 1,418 elderly individuals using data from the health survey of Campinas, São Paulo State, Brazil (ISA-Camp 2008). Linear regression models were used to determine associations between the physical and mental components and subscales of the SF-36 and sleep duration. Elderly male individuals who slept ≤ 6 hours obtained lower mean SF-36 scores for the vitality and mental health scales and the mental component summary than those who slept for seven to eight hours. All scales were negatively associated with sleep duration ≥ 10 hours, except bodily pain. Scores for the mental health, vitality and role-emotional subscales were lower among women who slept for less than five hours. Mental health was negatively associated with ≥ 10 hours of sleep. Sleep deprivation and excessive sleep were associated with poorer health status, with differences between genders, principally in the long duration sleep categories.28916741684Ware, J.E., Kosinski, M., Bjorner, J.B., Turner-Bowker, D.M., Gandek, B., Maruish, M.E., (2007) User's manual for the SF-36v2 Health Survey, , Lincoln: Quality Metric Inc.;Lima, M.G., Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: A population-based study (2009) Rev Panam Salud Pública, 25, pp. 314-321Alonso, J., Ferrer, M., Gandek, B., Ware Jr., E., Aaronson, N.K., Mosconi, P., JHealth-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project (2004) Qual Life Res, 13, pp. 283-298Tsay, S.Y., Chi, L.Y., Lee, C.H., Chou, P., Health-related quality of life as a predictor of mortality among community-dwelling older persons (2007) Eur J Epidemiol, 22, pp. 19-26Frybach, D.G., Dunham, N.C., Palta, M., Hanmer, J., Buechner, J., Cherepanov, D., US norms for six generic health-related quality-of-life indexes from the National Health Measurement study (2007) Med Care, 45, pp. 1162-1170Cappuccio, F.P., D'Elia, L., Strazzullo, P., Miller, M.A., Sleep duration and all-cause mortality: A systematic review and meta-analysis of prospective studies (2010) Sleep, 33, pp. 585-592Ferrie, J.E., Shipley, M.J., Cappuccio, F.P., Brunner, E., Miller, M.A., Kumari, M., A prospective study of change in sleep duration: Associations with mortality in the Withehall II Cohort (2007) Sleep, 30, pp. 1659-1666Geib, L.T.C., Cataldo Neto, A., Wainberg, R., Nunes, M.L., Sono e envelhecimento (2003) Rev Psiquiatr Rio Gd Sul, 25, pp. 453-465Nagai, M., Hoshide, S., Kario, K., Sleep duration as a risk factor for cardiovascular disease: A review of a recent literature (2010) Curr Cardiol Rev, 6, pp. 54-61Mill, J.G.V., Hoogendisk, W.J.G., Vogelzangs, N., Dyck, R.V., Penninx, B., Insomnia and sleep duration in a large cohort of patients with major depressive disorder and anxiety disorders (2010) J Clin Psychiatry, 71, pp. 239-246Lima, M.G., Francisco, P.M.S.B., Barros, M., Sleep duration pattern and chronic disease in Brazilian adults (ISACAMP 2008/2009) (2012) Sleep Med, 13, pp. 139-144Patel, S.R., Malhotra, A., White, D.P., Gottlieb, D.J., Hu, F.B., Association between reduced sleep and weight gain in women (2006) Am J Epidemiol, 164, pp. 947-954Knutson, K.L., Sleep duration and cardiometabolic risk: A review of the epidemiologic evidence (2010) Best Pract Res Clin Endocrinol Metab, 24, pp. 731-743Birchler-Pedross, A., Schröder, C.M., Münch, M., Knoblauch, V., Blatter, K., Schnitzler-Sack, C., Subjective well-being is modulated by cicardian phase, sleep pressure, age and gender (2009) J Biol Rhythm, 24, pp. 232-242Akerstedt, T.A., Nilsson, P.M., Sleep as restitution: An introduction (2003) J Int Med, 254, pp. 6-12Ohayon, M.M., Interactions between sleep normative data and sociocultural characteristics in elderly (2004) J Psychosom Res, 56, pp. 479-486Tamakoshi, A., Yoshiyki, O., Self-reported sleep duration as predictor of all-cause mortality: Results from the JACC study, Japan (2004) Sleep, 27, pp. 51-54Souza, C.S., Reimão, R., Epidemiologia da insônia (2004) Psicol Estud, 9, pp. 3-7Campos, H.H., Bittencourt, L.R.A., Haidar, M.A., Tufik, S., Baracat, E.C., Prevalência de distúrbios do sono na pós-menopausa (2005) Rev Bras Ginecol Obstet, 27, pp. 731-736Burazeri, G., Gofin, J., Kark, J.D., Over 8 hours of sleepmaker of increased mortality in Mediterranean population: Follow-up population study (2003) Croat Med J, 44, pp. 193-198Ikehara, S., Iso, H., Date, C., Kikuchi, S., Watanabe, Y., Wada, Y., Association of sleep duration with mortality from cardiovascular disease and other causes for Japanese men and women: The JACC Study (2009) Sleep, 32, pp. 259-301Krueger, P.M., Friedman, E.M., Sleep duration in the United States: A cross-sectional population-based Study (2009) Am J Epidemiol, 169, pp. 1052-1063Hale, L., Do, P., Racial differences in self-reports of sleep duration in a population-based study (2007) Sleep, 30, pp. 1096-1103Adams, P.F., Schoenborn, C.A., Health behaviors of adults: United States, 2002-04. National Center for Health Statistics (2006) Vital Health Stat, 10 (230), pp. 1-140Faubel, R., Lopez-Garcia, E., Guallar-Castillón, P., Balboa-Castillo, T., Gutiérrez-Fisac, J.L., Banegas, J.R., Sleep duration and health-related quality of life among older adults: A population-based cohort in Spain (2009) Sleep, 32, pp. 1059-1068Steptoe, A., Pearcey, V., Wardle, J., Sleep duration and health in young adults (2006) Arch Intern Med, 166, pp. 1689-1692Pilcher, J.J., Ginter, D.R., Sadowsky, B., Sleep quality versus quantity: Relationships between sleep and measures of health, well-being and sleepiness in college students (1997) J Psychom Res, 42, pp. 583-596Magee, C.A., Caputi, P., Iverson, D.C., Relationships between self-rated health, quality of life and sleep duration in middle aged and elderly Australians (2011) Sleep Med, 12, pp. 346-350Winkelman, J.W., Redline, S., Baldwin, C.M., Resnick, H.E., Newman, A.B., Gottlieb, D.J., Polysomnographic and health-related quality of life correlates of restless leg syndrome in the sleep heart health study (2009) Sleep, 32, pp. 772-778Li, J., Dong, Q., Liu, J.J., Yang, L.S., Ye, D.Q., Huang, F., Sleep and quality of life among rural elderly in Anhui province (2010) Zhonghua Liu Xing Bing Xue Za Zhi, 31, pp. 405-408Arvidsson, S., Arvidsson, B., Fridlind, B., Bergaman, S., Factors promoting health-related quality of life in people with rheumatic diseases: A 12 month longitudinal study (2011) BMC Musculoskelet Disord, 12, p. 102Ware, J.E., Kosinsk, M., (2009) SF-36 physical & mental health summary scales: A manual for users of version 1, , 2nd Ed. Lincoln: Quality Metric Inc.;Ciconelli, R.M., Ferraz, M.B., Santos, W., Meinão, I., Quaresma, M.R., Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36) (1999) Rev Bras Reumatol, 39, pp. 143-150Laguardia, J., Campos, M.R., Travassos, C.M., Najar, A.L., Anjos, L.A., Vasconcellos, M.M., Psychometric evaluation sample of Brazilian households: Results of the survey Pesquisa Dimensões Sociais das Desigualdades (PSDS), Brazil, 2008 (2011) Health Qual Life Outcomes, 9, p. 61Wyss, K., Wagner, A.K., Whiting, D., Mtasiwa, D.M., Tanner, M., Gandek, B., Validation of the Kiswalhili version of the SF-36 Health Survey in a representative sample of an urban population in Tanzania (1999) Qual Life Res, 8, pp. 111-120Li, L., Wang, H.M., Shen, Y., Chinese SF-36 Health Survey: Translation, cultural adaptation, validation and normalization (2003) J Epidemiol Community Health, 57, pp. 259-265Lima, M.G., Barros, M.B.A., César, C.L.G., Goldbaum, M., Carandina, L., Ciconelli, R.M., Health related quality of life among the elderly: A population-based study using SF-36 survey (2009) Cad Saúde Pública, 25, pp. 2159-2167Lima, M.G., Barros, M.B.A., Cesar, C.L.G., Carandina, L., Goldbaum, M., Alves, M.C.G.P., Health-related behavior and quality of life among the elderly: A population-based study (2011) Rev Saúde Pública, 45, pp. 845-893Sabanayagam, C., Shankar, A., Sleep duration and cardiovascular disease: Results from the National Health Interview Survey (2010) Sleep, 33, pp. 1037-1042Castro-Costa, E., Dewey, M.E., Ferri, C.P., Uchôa, E., Firmo, J.O.A., Rocha, F.L., Association between sleep duration all-cause mortality in old age: 9-year follow-up of the Bambuí Cohort Study, Brazil (2011) J Sleep Res, 20, pp. 303-310Heslop, P., Smith, G.D., Metcalfe, C., McLeod, J., Hart, C., Sleep duration and mortality: The effect of short or long sleep duration on cardiovascular and allcause mortality in working men and women (2002) Sleep Medicine, 3, pp. 305-314Gottlieb, D.J., Punjabi, N.M., Newman, A.B., Resnick, H.E., Redline, S., Baldwin, C.M., Association of sleep time with diabetes mellitus and impaired glucose tolerance (2005) Arch Intern Med, 165, pp. 863-868Hublin, C., Partnen, M., Koskenvuo, M., Kaprio, J., Sleep and mortality: A population-based 22 year followup study (2007) Sleep, 30, pp. 1245-1253Gangwisch, J.E., Heymsfield, S.B., Boden-Albala, B., Buijs, R.M., Kreier, F., Opler, M.G., Sleep duration associated with mortality in elderly, but not middle-aged, adults in a large US sample (2008) Sleep, 31, pp. 1087-1096Cappuccio, F.P., Strazzullo, P., D'Elia, L., Miller, M.A., Quantity and quality of sleep and incidence of type 2 diabetes (2010) Diabetes Care, 33, pp. 414-420Veras, R.P., Crescimento da população idosa no Brasil: Transformações e consequências na sociedade (1987) Rev Saúde Pública, 21, pp. 225-233Chien, K.L., Chen, P.C., Hsu, H.C., Su, T.C., Sung, F.C., Chen, M.F., Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: Report from a community-based cohort (2010) Sleep, 33, pp. 177-184Lauderdale, D.S., Knutson, K.L., Yan, L.L., Liu, K., Rathouz, P.J., Sleep duration: How well do self-reports reflect objective measures? The CARDIA Sleep Study (2008) Epidemiology, 19, pp. 838-845Lockley, S.W., Skene, D.J., Arendt, J., Comparison between subjective and actigraphic measurement of sleep and sleep rhythms (1999) J Sleep Res, 8, pp. 175-183Carlson, P., Self-perceived health in East and West Europe: Another European health divide (1998) Soc Sci Med, 46, pp. 1355-1366Brock, D.W., The separatibility of health and wellbeing (2002) Summary measures of population health. Concepts, ethics, measurement and applications, pp. 115-120. , In: Murray CJL, Joshua AS, Mathers CD, Lopez A, editors, Geneva: World Health Organizatio

Desigualdades de renda na saúde bucal e no acesso aos serviços odontológicos na população Brasileira : pesquisa nacional de saúde, 2013

Despite the improvement in oral health conditions observed in the Brazilian population, there are still high social inequalities that must be monitored. To evaluate income inequality in oral hygiene practices, oral health status and the use of dental services in the adult and senior Brazilian population. Data from the National Health Survey conducted in 2013 (Pesquisa Nacional de Saúde – PNS 2013) were used for the population aged 18 years old or older. Inequalities were found among the income strata in most of the oral health indicators evaluated. The greatest inequalities were observed in the use of dental floss, in hygiene practices (PR = 2.85 in adults and PR = 2.45 in seniors), and in total tooth loss (PR = 6.74 in adults and PR = 2.24 in seniors) and difficulty in chewing (PR = 4.49 in adults and PR = 2.67 in seniors) among oral condition indicators. The magnitude of inequalities was high in both groups in most oral condition indicators. Income was a factor that persisted in limiting access to dental services, and even the lower income segments had high percentages that paid for dental consultations. Based on data from the first PNS, the findings of this study enabled the identification of oral health and dental care aspects more compromised by income differentials, thus, contributing to the planning of dental care in Brazil and to stimulate the monitoring of these disparities with data from future surveys222CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ817122/2015Apesar da melhora das condições de saúde bucal constatada na população brasileira, persistem elevadas desigualdades sociais que precisam ser monitoradas. Avaliar a desigualdade de renda nas práticas de higiene bucal, nas condições bucais e no uso de serviços odontológicos na população brasileira de adultos e idosos. Foram utilizados dados da Pesquisa Nacional de Saúde realizada em 2013 (PNS 2013) referentes à população de 18 anos ou mais. Detectaram-se desigualdades entre os estratos de renda na maioria dos indicadores de saúde bucal avaliados. As desigualdades de maior magnitude foram verificadas no uso de fio dental, nas práticas de higiene (RP = 2,85 nos adultos e RP = 2,45 nos idosos), e na perda de todos os dentes (RP = 6,74 nos adultos e RP = 2,24 nos idosos) e dificuldade de mastigar (RP = 4,49 nos adultos e RP = 2,67 nos idosos) entre os indicadores de condições bucais. Na maioria dos indicadores de condições bucais a magnitude das desigualdades foi elevada em ambos os grupos. A renda mostrou-se um fator que persiste limitando o acesso aos serviços odontológicos e, mesmo os segmentos de menor renda apresentaram elevados percentuais que pagam por consulta odontológica. Por meio dos dados da primeira PNS, os achados do estudo permitiram identificar aspectos de saúde e de atenção bucais mais comprometidos pelos diferenciais de renda, podendo, nesse sentido, contribuir para o planejamento da assistência odontológica no país e para estimular o monitoramento destas disparidades com dados das próximas pesquisa