Social Inequalities In Health Among The Elderly [desigualdades Sociais Em Saúde Entre Idosos]

The aim of the present study was to assess social inequalities in health status, health behavior and the use of health services based on education level. A population-based cross-sectional study was carried out involving 1,518 elderly residents of Campinas, São Paulo State, Brazil. Significant demographic and social differences were found between schooling strata. Elderly individuals with a higher degree of schooling are in greater proportion alcohol drinkers, physically active, have healthier diets and a lower prevalence of hypertension, diabetes, dizziness, headaches, back pain, visual impairment and denture use, and better self-rated health. But, there were no differences in the use of health services in the previous two weeks, in hospitalizations or surgeries in the previous year, nor in medicine intake over the previous three days. Among elderly people with hypertension and diabetes, there were no differences in the regular use of health services and medication. The results demonstrate social inequalities in different health indicators, along with equity in access to some health service components.27SUPPL.2198208Braveman, P.A., 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. S186-S196Silva, J.B., Barros, M.B.A., Epidemiologia e desigualda-de: Notas sobre a teoria e a história (2002) Rev Panam Salud Pública, 12, pp. 375-383Equitity in health and health care: A WHO/SIDA initiative (1996) Geneva: World Health Organization, , World Health Organization(2008) As Causas Sociais Das Iniqüidades Em Saúde No Brasil/CNDSS, , Comissão Nacional dos Determinantes Sociais em Saúde, Rio de Janeiro: Editora FiocruzMarmot, M., WHO Commission on Social Determinants of Health. Closing the health gap in a generation: The work of the Commission on Social Determinants of Health and its recommendations (2009) Glob Health Promot, (SUPPL. 1), pp. 23-27Gwatkin, D.R., Health inequalities and the health of the poor: What can we do? (2000) Bull World Health Organ, 78, pp. 3-18Liberatos, P., Link, B.G., Kelsey, J.L., The measurement of social class in epidemiology (1988) Epidemiol Rev, 10, pp. 87-120Muntaner, C., Borrel, C., Benach, J., Pasarín, M.I., Fe-Randes, E., The association of social class and social stratification with patterns of general and mental health in a Spanish population (2003) Int J Epidemiol, 32, pp. 950-958Wilkinson, R.G., Income distribution and life expectancy (1992) BMJ, 304, pp. 165-168Espelt, A., Borrell, C., Rodríguez-Sanz, M., Muntaner, C., Pasarín, M.I., Benach, J., Inequalities in health by social class dimensions in European countries of different political traditions (2008) Int J Epidemiol, 37, pp. 1095-1105Robert, S., House, J., SES differentials in health by age and alternative indicators of SES (1996) J Aging Health, 8, pp. 359-388Crimmins, E.M., Kim, J.K., Seeman, T.E., Poverty and biological risk: The earlier "aging" of the poor (2009) J Gerontol a Biol Sci Med Sci, 64, pp. 286-292Adams, J.M., White, M., Biological ageing: A fundamental, biological link between socioeconomic status and health? (2004) Eur J Public Health, 14, pp. 331-334Huisman, M., Kunst, A.E., Mackenbach, J.P., Socioeco-nomic inequalities in morbidity among the elderly: A European overview (2003) Soc Sci Med, 57, pp. 861-873Kaplan, M.S., Huguet, N., Feeny, D.H., McFarland, B.H., Self-reported hypertension prevalence and income among older adults in Canada and the United States (2010) Soc Sci Med, 70, pp. 844-849Fang, R., Kmetic, A., Millar, J., Drasic, L., Disparities in chronic disease among Canada's low-income populations (2009) Prev Chronic Dis, 6, pp. A115Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., (2008) As Dimensões Da Saúde: Inquérito Populacio-nal Em Campinas, S P, , São Paulo: Editora HucitecBarbor, T.E., la Fuente, J.R., Saunders, J., Grant, M., (1992) AUDIT-The Alcohol Use Disorders Identification Test: Guidelines For Use In Primary Health Care, , Geneva: World Health OrganizationCervi, A., Franceschni, S.C.C., Priore, S.E., Análise crítica do uso do índice de massa corporal para idosos (2005) Rev Nutr, 18, pp. 765-775Mari, 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. 23-26Mackenbach, 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. 2468-2481(2004) Bra-sil, 15 Capitais E Distrito Federal, 2002-2003, , Instituto Nacional de Câncer. Inquérito domiciliar sobre comportamentos de risco e morbidade refe-rida de doenças e agravos não transmissíveis, Rio de Janeiro: Instituto Nacional de Câncer(2008) Vigilância De Fatores De Risco E Proteção Para Doenças Crônicas Por Inquérito Telefônico. Brasí-lia, , Secretaria de Vigilância em Saúde/Secretaria de Gestão Estratégica e Participativa. VIGITEL Brasil 2007, Ministério da Saúde, Série G. Estatísticas e Informação em Saúde)Mendoza-Sassi, R.A., Beria, J.U., Prevalence of alcohol use disorders and associated factors: A population-based study using AUDIT in southern Brazil (2003) Addiction, 98, pp. 799-804Barros, M.B.A., Botega, N., Dalgalarrondo, P., Marin-Le-on, L., Oliveira, H.B., Prevalence of alcohol abuse and associated factors in a population-based study (2007) Rev Saúde Pública, 41, pp. 502-509Shankar, A., McMunn, A., Steptoe, A., Health-related behaviors in older adults relationships with socio-economic status (2010) Am J Prev Med, 38, pp. 39-46Florindo, A.A., Hallal, P.C., Moura, E.C., Malta, D.C., Practice of physical activities and associated factors in adults, Brazil (2006) Rev Saúde Pública 200943 Suppl, 2, pp. S65-S73Azevedo-e-Silva, G., Valente, J.G., Almeida, L.M., Moura, E.C., Malta, D.C., Tobacco smoking and level of education in Brazil (2006) Rev Saúde Pública, 43 (2 SUPPL.), pp. S48-S56Peixoto, S.V., Firmo, J.O., Lima-Costa, M.F., Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study) (2005) Rev Saúde Públi-ca, 39, pp. 746-753Jaime, P.C., Figueiredo, I.C., Moura, E.C., Malta, D.C., Factors associated with fruit and vegetable consumption in Brazil (2006) Rev Saúde Pública 200943 Suppl, 2, pp. S57-S64Salehi, L., Eftekhar, H., Mohammad, K., Tavafian, S.S., Jazayery, A., Montazeri, A., Consumption of fruit and vegetables among elderly people: A cross sectional study from Iran (2010) Nutr J, 13, p. 2Stringhini, S., Sabia, S., Shipley, M., Brunner, E., Nabi, H., Kivimaki, M., Association of socioeconom-ic position with health behaviors and mortality (2010) JAMA, 303, pp. 1159-1166Barros, M.B.A., Cesar, C.L.G., Carandina, L., Torre, G.D., Desigualdades sociais na prevalência de doenças crônicas no Brasil, PNAD-2003 (2006) Ciênc Saúde Cole-tiva, 11, pp. 911-926Machado, G.P.M., Barreto, S.M., Passos, V.M.A., Lima-Costa, M.F., Projeto Bambuí: Prevalência de sin-tomas articulares crônicos em idosos (2004) Rev Assoc Med Bras, 50, pp. 367-372Barreto, S.M., Figueiredo, R.C., Doença crônica, au-to-avaliação de saúde e comportamento de risco: Diferença de gênero (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 38-47Lethbridge-Cejku, M., Schiller, J.S., Bernadel, L., Summary health statistics for U.S. adults: National Health Interview Survey, 2002 (2004) Vital Health Stat, 10 (222), pp. 1-151Frazão, P., Costa, C.M., Almeida, M.F., Risks associated with tendinitis: Effects from demographic, socio-economic, and psychological status among Brazilian workers (2010) Am J Ind Med, 53, pp. 72-79Ryskulova, A., Turczyn, K., Makuc, D.M., Cotch, M.F., Klein, R.J., Janiszewski, R., Self reported age-related eye diseases and visual impairment in the United States: Results of the 2002 National Health Interview Survey (2008) Am J Public Health, 98, pp. 454-461Castro, S.S., César, C.L., Carandina, L., Barros, M.B.A., Al-Ves, M.C.G.P., Goldbaum, M., Deficiência visual, audi-tiva e física: Prevalência e fatores associados em estudo de base populacional (2008) Cad Saúde Pública, 24, pp. 1773-1782Barros, M.B.A., Zanchetta, L.M., Moura, E.C., Malta, D.C., Auto-avaliação da saúde e fatores associados, Bra-sil (2006) Rev Saúde Pública, 43 (2 SUPPL.), pp. S27-S37Alves, L.C., Leite, I.D., Machado, C.J., Factors associated with functional disability of elderly in Brazil: A multilevel analysis (2010) Rev Saúde Pública, 44, pp. 468-478Barros, A.J.D., Bertoldi, A.D., Desigualdades na utili-zação e no acesso a serviços odontológicos: Uma avaliação em nível nacional (2002) Ciênc Saúde Coletiva, 7, pp. 709-717Patel, R., Lawlor, D.A., Ebrahim, S., British Women's Heart and Health Study cohort. Socio-economic position and the use of preventive health care in older British women: A cross-sectional study using data from the British Women's Heart and Health Study cohort (2007) Fam Pract, 24, pp. 7-10Zaitune, M.P.A., Barros, M.B.A., Cesar, C.L.G., Carandina, L., Goldbaum, M., Hipertensão em idosos: Prevalên-cia, fatores associados e práticas de controle no Município de Campinas, São Paulo, Brasil (2006) Cad Saúde Pública, 22, pp. 285-294Silveira, E.A., Araújo, C.L., Gigante, D.P., Barros, A.J.D., Lima, M.S., Validação do peso e altura referidos para o diagnóstico do estado nutricional em uma popula-ção de adultos no Sul do Brasil (2005) Cad Saúde Pública, 21, pp. 235-245Skinner, K.M., Miller, D.R., Lincoln, E., Lee, A., Kazis, L.E., Concordance between respondent self-reports and medical records for chronic conditions: Experience from the Veterans Health Study (2005) J Ambul Care Manage, 28, pp. 102-110Knight, 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. 179-186Mackenbach, J.P., Looman, C.W., van der Meer, J.B., Differences in the misreporting of chronic conditions, by level of education: The effect on inequalities in prevalence rates (1996) Am J Public Health, 86, pp. 706-71

Scaling anomaly in cosmic string background

We show that the classical scale symmetry of a particle moving in cosmic string background is broken upon inequivalent quantization of the classical system, leading to anomaly. The consequence of this anomaly is the formation of single bound state in the coupling interval \gamma\in(-1,1). The inequivalent quantization is characterized by a 1-parameter family of self-adjoint extension parameter \omega. It has been conjectured that the formation of loosely bound state in cosmic string background may lead to the so called anomalous scattering cross section for the particles, which is usually seen in molecular physics.Comment: 4 pages,1 figur

Suppression of charged particle production at large transverse momentum in central Pb-Pb collisions at sNN=2.76\sqrt{s_{\rm NN}} = 2.76 TeV

Inclusive transverse momentum spectra of primary charged particles in Pb-Pb collisions at $\sqrt{s_{_{\rm NN}}}$ = 2.76 TeV have been measured by the ALICE Collaboration at the LHC. The data are presented for central and peripheral collisions, corresponding to 0-5% and 70-80% of the hadronic Pb-Pb cross section. The measured charged particle spectra in $|\eta|<0.8$ and $0.3 < p_T < 20$ GeV/$c$ are compared to the expectation in pp collisions at the same $\sqrt{s_{\rm NN}}$, scaled by the number of underlying nucleon-nucleon collisions. The comparison is expressed in terms of the nuclear modification factor $R_{\rm AA}$. The result indicates only weak medium effects ($R_{\rm AA} \approx$ 0.7) in peripheral collisions. In central collisions, $R_{\rm AA}$ reaches a minimum of about 0.14 at $p_{\rm T}=6$-7GeV/$c$ and increases significantly at larger $p_{\rm T}$. The measured suppression of high-$p_{\rm T}$ particles is stronger than that observed at lower collision energies, indicating that a very dense medium is formed in central Pb-Pb collisions at the LHC.Comment: 15 pages, 5 captioned figures, 3 tables, authors from page 10, published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/98

Two-pion Bose-Einstein correlations in central Pb-Pb collisions at sNN\sqrt{s_{\rm NN}} = 2.76 TeV

The first measurement of two-pion Bose-Einstein correlations in central Pb-Pb collisions at $\sqrt{s_{\rm NN}} = 2.76$ TeV at the Large Hadron Collider is presented. We observe a growing trend with energy now not only for the longitudinal and the outward but also for the sideward pion source radius. The pion homogeneity volume and the decoupling time are significantly larger than those measured at RHIC.Comment: 17 pages, 5 captioned figures, 1 table, authors from page 12, published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/388

Strange particle production in proton-proton collisions at s=0.9\sqrt{s}=0.9 TeV with ALICE at the LHC

The production of mesons containing strange quarks (K$^0_s$, $\phi$) and both singly and doubly strange baryons ($\Lambda$, Anti-$\Lambda$, and $\Xi$+Anti-$\Xi$) are measured at central rapidity in pp collisions at $\sqrt{s}$ = 0.9 TeV with the ALICE experiment at the LHC. The results are obtained from the analysis of about 250 k minimum bias events recorded in 2009. Measurements of yields (dN/dy) and transverse momentum spectra at central rapidities for inelastic pp collisions are presented. For mesons, we report yields () of 0.184 $\pm$ 0.002 stat. $\pm$ 0.006 syst. for K$^0_s$ and 0.021 $\pm$ 0.004 stat. $\pm$ 0.003 syst. for $\phi$. For baryons, we find = 0.048 $\pm$ 0.001 stat. $\pm$ 0.004 syst. for $\Lambda$, 0.047 $\pm$ 0.002 stat. $\pm$ 0.005 syst. for Anti-$\Lambda$ and 0.0101 $\pm$ 0.0020 stat. $\pm$ 0.0009 syst. for $\Xi$+Anti-$\Xi$. The results are also compared with predictions for identified particle spectra from QCD-inspired models and provide a baseline for comparisons with both future pp measurements at higher energies and heavy-ion collisions.Comment: 33 pages, 21 captioned figures, 10 tables, authors from page 28, published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/387