Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil

Diabetes is a significant public health burden on the basis of its increased incidence, morbidity, and mortality. This study aimed to estimate the prevalence of inadequate glycaemic control and its correlates in a large multicentre survey of Brazilian patients with diabetes. A cross-sectional study was conducted in a consecutive sample of patients aged 18 years or older with either type 1 or type 2 diabetes, attending health centres located in ten large cities in Brazil (response rate = 84%). Information about diabetes, current medications, complications, diet, and satisfaction with treatment were obtained by trained interviewers, using a standardized questionnaire. Glycated haemoglobin (HbA1c) was measured by high-performance liquid chromatography in a central laboratory. Patients with HbA1c ≥ 7 were considered to have inadequate glycaemic control. Overall 6,701 patients were surveyed, 979 (15%) with type 1 and 5,692 (85%) with type 2 diabetes. The prevalence of inadequate glycaemic control was 76%. Poor glycaemic control was more common in patients with type 1 diabetes (90%) than in those with type 2 (73%), P < 0.001. Characteristics significantly associated with improved glycaemic control included: fewer years of diabetes duration, multi professional care, participation in a diabetes health education program, and satisfaction with current diabetes treatment. Despite increased awareness of the benefits of tight glycaemic control, we found that few diabetic patients in Brazil met recommended glycaemic control targets. This may contribute to increased rates of diabetic complications, which may impact health care costs. Our data support the public health message of implementation of early, aggressive management of diabetes

Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil.

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2012-09-06T18:21:12Z No. of bitstreams: 1 Moreira ED Jr Prevalence and determinants ....pdf: 824458 bytes, checksum: 73d17375a7ffe6e1eb27033c01859e00 (MD5)Made available in DSpace on 2012-09-06T18:21:12Z (GMT). No. of bitstreams: 1 Moreira ED Jr Prevalence and determinants ....pdf: 824458 bytes, checksum: 73d17375a7ffe6e1eb27033c01859e00 (MD5) Previous issue date: 2002Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilRecent population-based surveys suggest that the prevalence of erectile dysfunction is between 30% and 56% among men over the age of 40. Most of these studies, however, are from the United States or Europe. We need estimates of erectile dysfunction from samples of Brazilian populations, as societies that differ ethnically, culturally, and economically may also differ with respect to potential risk factors for erectile dysfunction. OBJECTIVE: To determine the prevalence of erectile dysfunction and its potential correlates. SETTING: Santos, State of São Paulo. DESIGN: Cross-sectional study. PARTICIPANTS: A population-based sample of men aged 40-70 years. Out of 718 men invited, 342 (47.6%) returned a completed questionnaire. MAIN MEASUREMENTS: Data on demographic variables, medical history, lifestyle habits and degree of erectile dysfunction. RESULTS: The prevalence of any degree of erectile dysfunction was 45.9% (minimal, 33.9%; moderate, 8.5%; complete, 3.5%) and increased with age. In bivariate age-adjusted analyses comparing men with no erectile dysfunction or minimal erectile dysfunction with those with moderate or complete erectile dysfunction, histories of diabetes or hypertension, depressive symptoms, heavy smoking and obesity were significantly associated with increased prevalence of erectile dysfunction, whereas moderate alcohol consumption was inversely associated with erectile dysfunction. In the multivariate model, age was a strong predictor of erectile dysfunction, while history of diabetes or hypertension and heavy smoking remained significantly associated with increased prevalence of erectile dysfunction. CONCLUSION: We found higher prevalence of erectile dysfunction (45.9%) among men older than 40 years old in Brazil. The variables associated with erectile dysfunction may alert physicians to patients who are at risk of erectile dysfunction as well as offer clues to the etiology of erectile dysfunction. Physicians should routinely ask their patients about sexual health and erectile dysfunction

National survey on health, life style, sexual dysfunction and their management - Projet Avaliar

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-19T18:16:49Z No. of bitstreams: 1 Abdo CHN Pesquisa nacional sobre saude....pdf: 237645 bytes, checksum: 30ea5582da7b79a5744a8f2752917f36 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-19T18:30:16Z (GMT) No. of bitstreams: 1 Abdo CHN Pesquisa nacional sobre saude....pdf: 237645 bytes, checksum: 30ea5582da7b79a5744a8f2752917f36 (MD5)Made available in DSpace on 2017-06-19T18:30:16Z (GMT). No. of bitstreams: 1 Abdo CHN Pesquisa nacional sobre saude....pdf: 237645 bytes, checksum: 30ea5582da7b79a5744a8f2752917f36 (MD5) Previous issue date: 2003Universidade de São Paulo. Faculdade de Medicina. Departamento de Psiquiatria. São Paulo, SP, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Núcleo de Epidemiologia e Estatística. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil / Universidade de Columbia. New York, USAFaculdade de Medicina da ABC. Serviço de Urologia de Ensino. São Paulo, SP, Brasil / Hospital Israelita Albert Einstein. Instituto Dante Pazzanese de Cardiologia de São Paulo. São Paulo, SP, BrasilLaboratórios Pfizer. São Paulo, SP, BrasilOs autores apresentam três questionários (Projeto Avaliar), dois dos quais dirigidos a 6.000 médicos e outro para 120.000 pacientes do sexo masculino. O questionário para pacientes pesquisa saúde, hábitos e dificuldades sexuais. O questionário inicial para médicos investiga a conduta deles diante das queixas sexuais de seus pacientes. O questionário final avalia o grau de envolvimento e a mudança de conduta produzida nestes médicos pela experiência de responder e aplicar inventários desta natureza. Estas respostas estão sendo colhidas, após o que serão analisadas e publicadas.The authors present three questionaires (Projeto Avaliar), two of them directed to 6.000 physicians and the other one to 120.000 male patients. The questionnaire for patients researches health, habits and sexual problems. The first questionaire for physicians investigates their behavior concerning their patients' sexual complaints. The final questionnaire evaluates the degree of envolvement and the changes in these physician's behavior caused by answering and applying this kind of instruments. After being colleted, these answers will be analyzed and published

Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil

CONTEXT: Recent population-based surveys suggest that the prevalence of erectile dysfunction is between 30% and 56% among men over the age of 40. Most of these studies, however, are from the United States or Europe. We need estimates of erectile dysfunction from samples of Brazilian populations, as societies that differ ethnically, culturally, and economically may also differ with respect to potential risk factors for erectile dysfunction. OBJECTIVE: To determine the prevalence of erectile dysfunction and its potential correlates. SETTING: Santos, State of São Paulo. DESIGN: Cross-sectional study. PARTICIPANTS: A population-based sample of men aged 40-70 years. Out of 718 men invited, 342 (47.6%) returned a completed questionnaire. MAIN MEASUREMENTS: Data on demographic variables, medical history, lifestyle habits and degree of erectile dysfunction. RESULTS: The prevalence of any degree of erectile dysfunction was 45.9% (minimal, 33.9%; moderate, 8.5%; complete, 3.5%) and increased with age. In bivariate age-adjusted analyses comparing men with no erectile dysfunction or minimal erectile dysfunction with those with moderate or complete erectile dysfunction, histories of diabetes or hypertension, depressive symptoms, heavy smoking and obesity were significantly associated with increased prevalence of erectile dysfunction, whereas moderate alcohol consumption was inversely associated with erectile dysfunction. In the multivariate model, age was a strong predictor of erectile dysfunction, while history of diabetes or hypertension and heavy smoking remained significantly associated with increased prevalence of erectile dysfunction. CONCLUSION: We found higher prevalence of erectile dysfunction (45.9%) among men older than 40 years old in Brazil. The variables associated with erectile dysfunction may alert physicians to patients who are at risk of erectile dysfunction as well as offer clues to the etiology of erectile dysfunction. Physicians should routinely ask their patients about sexual health and erectile dysfunction

The epidemiology of erectile dysfunction and its correlates in men with chronic renal failure on hemodialysis in Londrina, southern Brazil.

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2015-03-31T18:17:18Z No. of bitstreams: 1 Neto AF The epidemiology....pdf: 110037 bytes, checksum: 09d0b4a748770841e10c66532d2933ce (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2015-03-31T18:30:27Z (GMT) No. of bitstreams: 1 Neto AF The epidemiology....pdf: 110037 bytes, checksum: 09d0b4a748770841e10c66532d2933ce (MD5)Made available in DSpace on 2015-03-31T18:30:27Z (GMT). No. of bitstreams: 1 Neto AF The epidemiology....pdf: 110037 bytes, checksum: 09d0b4a748770841e10c66532d2933ce (MD5) Previous issue date: 2002Universidade Estadual de Londrina. Faculdade de Medicina. Departamento de Cirurgia. Curitiba, PA, BrasilUniversidade Estadual de Londrina. Faculdade de Medicina. Departamento de Cirurgia. Curitiba, PA, BrasilLaboratórios Pfizer. BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Núcleo de Epidemiologia e Estatística. Salvador, BA, Brasil / Hospital São Rafael. Salvador, BA, BrasilErectile dysfunction (ED) is a common condition in aging men, but little is known about the prevalence of ED in some specific groups of patients such as those with end-stage renal disease (ESRD). A cross-sectional study was conducted to determine the prevalence of ED in ESRD patients undergoing hemodialysis in two clinics of Londrina, Brazil. The prevalence and severity of ED were assessed using the International Index of Erectile Function and a single global question. The dependence of ED on independent variables was evaluated by logistic regression. Some degree of ED was found in 86.4% of our sample (n=118). Complete ED was reported by 25.4% of subjects, moderate ED by 35.4%, and minimal ED by 24.6%. Subjects or = 50 y old, it was 70.5%. Age, diabetes, and low income were significantly associated with ED. Although highly prevalent, only a low percentage of uremic ESRD patients on hemodialysis were being treated for ED. Our data suggest that ED is related to uremia and other comorbid conditions that often accompany ESRD

Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women--results of the Brazilian study on sexual behavior (BSSB).

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2015-03-26T12:45:43Z No. of bitstreams: 1 ABDO CHN Prevalence....pdf: 90234 bytes, checksum: cc397aa5cc038fcd8d953bb8e643a857 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2015-03-26T13:08:39Z (GMT) No. of bitstreams: 1 ABDO CHN Prevalence....pdf: 90234 bytes, checksum: cc397aa5cc038fcd8d953bb8e643a857 (MD5)Made available in DSpace on 2015-03-26T13:08:39Z (GMT). No. of bitstreams: 1 ABDO CHN Prevalence....pdf: 90234 bytes, checksum: cc397aa5cc038fcd8d953bb8e643a857 (MD5) Previous issue date: 2004University of São Paulo Medical School. Department and Institute of Psychiatry. São Paulo, SP, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, BrasilUniversity of São Paulo Medical School. Department and Institute of Psychiatry. São Paulo, SP, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil /University of São Paulo Medical School. Department and Institute of Psychiatry. São Paulo, SP, Brasil / Medical Manager of Laboratórios Pfizer. Obstetrician and Gynecologist. BrasilThe objective of this study was to assess the prevalence and risk factors of female sexual dysfunctions across a selection of social groups. In all, 1219 women in the community, aged 18 y or older, answered a 38-question self-applicable questionnaire. Statistical analysis was performed using multivariate logistic regression. The average age was 35.6 y (s.d.=12.31) and the average number of sexual intercourses was 2.8 (s.d.=1.94) a week. At least one sexual dysfunction was reported by 49% of the women; lack of sexual desire (LSD) by 26.7%; pain during sexual intercourse (PSI) by 23.1% and orgasmic dysfunction (OD) by 21%. Women aged over 40 y represented an LSD and OD risk factor, whereas women aged over 25 y showed less likelihood of presenting PSI. The educational level was inversely correlated with the risk of LSD, OD and PSI. Depression and cardiopathies increased PSI occurrences and women with diabetes mellitus showed a higher probability of developing LSD and OD. In conclusion, almost half the women had at least one sexual dysfunction, and prevalence increased with age and lower educational levels. Preventive medical care for the female population, mainly for patients with chronic and/or degenerative diseases, considerably reduced the chances of sexual dysfunction

The impact of psychosocial factors on the risk of erectile dysfunction and inhibition of sexual desire in a sample of the Brazilian population

CONTEXT: Sexual dysfunctions can have origins in physical, psychological and psychosocial factors. OBJECTIVE: To describe the frequency of erectile dysfunction (ED) and female inhibition of sexual desire (ISD) in a Brazilian sample, and to estimate the risks of these dysfunctions. TYPE OF STUDY: Non-random survey. SETTING: Ten Brazilian cities. METHODS: 2,835 subjects (53% women) aged over 18 years answered a questionnaire about their general health and sex life. The chi-squared test and multivariate logistic regression were used. Values of p < 0.05 were considered significant. RESULTS: The women's average age was 36.6 years (± 13.3) and the men's was 39.5 (± 13.3). 14.7% of men presented moderate/complete ED and 34.6% of women presented ISD. Depression was mentioned by 16.8% of men and 29.7% of women. The chances of having ED and ISD were higher for subjects who had had lower school attainment. Lack of a job and depression gave rise to 1.5 times (95% CI: 1.0 - 2.3) and 1.9 times (95% CI: 1.2 - 3.0) greater chances of ED respectively. Compared with men aged up to 25 years, those aged 41-60 had 1.9 times (95% CI: 1.0 - 3.4) and those aged 61 and over had 5.4 times (95% CI: 2.3 - 12.6) greater risk of ED. For women, lack of a job gave rise to 1.5 times (95% CI: 1.1 - 1.9) greater chance of ISD; depression was not associated with higher risk. Compared with women aged up to 25 years, those aged 41-60 and 61 or over had, respectively, 2.9 times (95% CI: 2.0 - 4.1) and 7.5 times (95% CI: 3.0 -18.6) greater risk of ISD. DISCUSSION: Increasing unemployment has affected the whole population, but especially those with lower levels of school attainment. Such levels are positively linked with presence of sexual dysfunctions. CONCLUSION: Lack of jobs, age and low school attainment are risks for the sexual dysfunctions studied. Depression increased the risk of ED but not female ISD

Epidemiology of erectili disfunction in Brazil: results from a national research Avaliar Project

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-21T17:04:40Z No. of bitstreams: 1 Moreira Jr. ED Epidemiologia da Disfunção eretil....pdf: 2941078 bytes, checksum: bc77ef11d4ed97560e859aa97a194bfd (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-21T17:13:19Z (GMT) No. of bitstreams: 1 Moreira Jr. ED Epidemiologia da Disfunção eretil....pdf: 2941078 bytes, checksum: bc77ef11d4ed97560e859aa97a194bfd (MD5)Made available in DSpace on 2017-06-21T17:13:19Z (GMT). No. of bitstreams: 1 Moreira Jr. ED Epidemiologia da Disfunção eretil....pdf: 2941078 bytes, checksum: bc77ef11d4ed97560e859aa97a194bfd (MD5) Previous issue date: 2004Laboratórios PfizerFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Núcleo de Epidemiologia e Estatística. Salvador, BA, Brasil / Hospital São Rafael. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Núcleo de Epidemiologia e Estatística. Salvador, BA, BrasilUniversidade de São Paulo. Faculdade de Medicina. Departamento de Psiquiatria. São Paulo, SP, BrasilSociedade Brasileira de Urologia. BrasilLaboratórios Pfizer do Brasil. São Paulo, SP, BrasilObjetivos: Estimar a prevalência de disfunção erétil (DE) e investigar características sociodemográficas, médicas e hábitos de vida potencialmente relacionados à DE em pacientes no Brasil. Métodos: Pacientes do sexo masculino, com idade >18 anos, foram convidados a participar de uma pesquisa sobre DE ao comparecerem a uma consulta médica ambulatorial entre os meses de agosto/2002 e janeiro/2003. Foram selecionados consecutivamente 20 pacientes por cada médico(a) que colaborou com o estudo. O grau de DE foi avaliado por pergunta única de auto-avaliação global e a disfunção classificada como "nenhuma", "mínima", "moderada" ou "completa". Foi empregada análise multivariada através de regressão logística para calcular a razão de prevalência de "odds" e intervalos de confiança de 95% para as potenciais co-variáveis. Resultados: Entre os 71.503 participantes, a prevalência de algum grau de DE foi 53,5% (mínima 20,8%, moderada 26,3% e completa 6,4%). A prevalência e o grau de severidade da DE aumentaram significativamente com a idade. Baixa escolaridade, cor/etnia negra ou mestiça, tabagismo, sedentarismo e diagnóstico de diabetes, depressão, hiperplasia benigna de próstata, cardiopatia, hipertensão ou hipercolesterolemia foram significativamente associados com prevalência aumentada de DE. Nos últimos 3 anos, somente 27% dos pacientes foram perguntados sobre problemas sexuais durante uma consulta médica, embora 81% achem que deveriam ser indagados sobre o assunto e 78% não sintam vergonha para discutir esse tipo de problema com seu médico. Conclusões: DE é uma condição comum, acometendo aproximadamente metade dos pacientes atendidos em consultórios médicos no Brasil. Apesar disso, apenas 27% dos pacientes foram perguntados sobre possíveis problemas sexuais durante uma consulta médica. A investigação sistemática de disfunções sexuais deveria fazer parte da avaliação médica de rotina. Ao contrário do que poderia se argumentar, a maioria dos homens no Brasil concorda com essa prática e não sentiria vergonha em discutir problemas sexuais com seu médico.Objectives: To determine the prevalence of erectile dysfunction (ED) and to investigate its potential sociodemographic, medical, and lifestyle correlates among patients in Brazil. Methods: Male patients age 18 years old or more were invited to participate in a survey about ED while attending a a routine office visit or consultation between August/2002 and January/2003. Twenty patients were consecutively recruited by each doctor participating in the survey. ED was assessed by a single global self-rating question, and responses were used to classify subjects as having no/minimal/moderate/complete ED. Multivariate logistic regression analyses were carried out to calculate prevalence odds ratios and 95% confidence intervals for potential covariates. Results: Among the 71,503 participants, the prevalence of ED was 53.5% (minimal 20.8%, moderate 26.3% and complete 6.4%). Prevalence and severity of ED increased significantly with age. Low educational attainment; black or mixed race/ethnicity, smoking, sedentary lifestyle and being diagnosed with diabetes, depression, benign prostate hyperplasia, heart disease, hypertension, or hypercholesterolemia were significantly associated with increased prevalence of ED. In the past 3 years, only 27% of the patients were asked about sexual problems during a medical consultation, although 81% think they should be asked about this matter and 78% do not feel embarrassed to talk about this subject with their doctors. Conclusions: ED is a common problem, affecting about half of the patients attending a medical consultation in Brazil. Despite that, only 27% of the patients were asked about sexual problems during a medical consultation. The systematic assessment of sexual problems should be part of a routine office consultation. As opposed to one may argue, most men in Brazil agree with this practice and would not feel embarrassed to discuss about sexual problems with their doctor