Uso de fisioterapia entre idosos usuários de serviços de atenção primária

A fisioterapia ocupa um papel importante na promoção da saúde e da autonomia para os idosos, e o sistema de atenção à saúde deve estar apto a oferecer suporte adequado para as pessoas desta faixa etária. Objetivo: Determinar a prevalência de uso de fisioterapia entre idosos (60 anos ou mais) usuários de serviços de atenção primária à saúde de Ribeirão Preto, Brasil, e investigar suas associações com variáveis como sexo, idade, nível educacional e classe socioeconômica. Métodos: Os dados foram coletados por entrevistas pessoais. Os idosos foram convidados a participar do estudo enquanto aguardavam por um atendimento médico em uma unidade de saúde. Modelos de regressão log-binomiais foram utilizados para ajustar os dados. A amostra foi composta por 224 (63%) mulheres e 133 (37%) homens. Resultados: Ao todo, 141 (39,5%) idosos relataram ter usado fisioterapia em algum momento de suas vidas. A prevalência de utilização da fisioterapia entre as mulheres foi de 42,0% (IC 95%: 35,4% - 48,7%) e entre homens foi de 35,3% (IC 95%: 27,2% - 44,1%). A utilização de fisioterapia foi mais frequente entre pessoas idosas portadoras de plano de saúde, classe socioeconômica mais privilegiada e maior escolaridade. Isto sugere que grupos mais privilegiados da população possuem maior acesso à fisioterapia e maior possibilidade de pagar por atendimento que pessoas sem cobertura de planos de saúde. Conclusão: A participação de fisioterapeutas na atenção primária à saúde deve ser encorajada, objetivando reduzir as desigualdades no acesso a tais recursos.The physiotherapy has an important role in the health promotion and autonomy for the elderly, and the healthcare system should be able to provide adequate support for older age groups. Objective: The objectives of this cross-sectional study were to determine the lifetime prevalence of physiotherapy utilization among elderly users (60 years of age or more) of primary healthcare facilities in Ribeirão Preto, Brazil, and to investigate its association with variables such as sex, age, educational level and socioeconomic status. Methods: Data were collected during face-to-face interviews. Participants were invited to participate in the study while they waited for their medical appointment in a primary healthcare facility. Log-binomial regression models were used for adjusting the data. The sample was composed of 224 (63%) women and 133 (37%) men. Results: Overall, 141 (39.5%) individuals reported undertaking physiotherapy sessions some time along their lifetimes. The prevalence of physiotherapy utilization among women was 42.0% (95% CI: 35.4 - 48.7) and among men was 35.3% (95% CI: 27.2 - 44.1). The utilization of physiotherapy was more frequent among elderlies who had health insurance coverage, higher socioeconomic status and higher educational level. This suggests that some groups of population have more access to physiotherapy due to a higher capacity to pay for healthcare when compared to uninsured people. Conclusion: The participation of physiotherapists in the primary care setting should be encouraged, in order to reduce inequalities in access to such resources

Impact of oral health on health-related quality of life : A cross-sectional study

Background: Despite the consensus regarding the existence of a relationship between “impacts on oral health” and “health-related quality of life”, this relationship, considering the latent nature of these variables, is still poorly investigated. Thus, we performed this study in order to determine the magnitude of the impacts of oral health, demographic and symptom/clinical variables on the health-related quality of life in a Brazilian sample of dental patients. Methods: A total of 1,007 adult subjects enrolled in the School of Dentistry of São Paulo State University (UNESP) - Araraquara Campus for dentistry care between September/2012 and April/2013, participated. 72.4 % were female. The mean age was 45.7 (SD = 12.5) years. The Oral Health Impact Profile (OHIP-14) and the Short Form Health Survey (SF-36) were used. The demographic and symptom/clinical variables collected were gender, age, economic status, presence of pain and chronic disease. The impact of studied variables on health-related quality of life were evaluated with a structural equation model, considering the factor “Health” as the central construct. The fit of the model was first analyzed by the evaluation of the goodness of fit indices (χ 2 /df ≤ 2.0, CFI and TLI ≥ 0.90 and RMSEA < 0.10) and the evaluation of the variables’ impact over health-related quality of life was based on the statistical significance of causal paths (β), evaluated by z tests, for a significance level of 5 %. Results: We observed adequate fit of the model to the data (χ 2 /df = 3.55; CFI = 0.95; TLI = 0.94; RMSEA = 0.05). The impacts on oral health explained 28.0 % of the variability of the health-related quality of life construct, while the total variance explained of the model was 39.0 %. For the demographic and symptom/clinical variables, only age, presence of pain and chronic disease showed significant impacts (p < 0.05). Conclusion: The oral health, age, presence of pain and chronic disease of individuals had significant influence on health-related quality of life.São Paulo Research Foundation (FAPESP

Efetividade de diferentes métodos para detecção de binge drinking em estudantes de Odontologia

El objetivo de ese trabajo fue estimar el comportamiento de beber entre estudiantes de Odontología y comparar la efectividad de métodos de rastreo para detección del binge drinking. Participaron 284 estudiantes. Se utilizó el AUDIT completo y sus formas reducidas (AUDIT-3 y AUDIT-C). Se construyó la curva ROC y se estimó su área. De los estudiantes, 91,0% y 90,6% del sexo masculino y femenino, respectivamente, relataron consumir bebidas alcohólicas. El binge drinking ocurrió en un 69,2% de los niños y 52,4% de las niñas. Los tres métodos presentaron buena capacidad discriminatoria. En el sexo femenino, hubo diferencia entre el AUDIT-3 y el AUDIT-C. Se observó alta superioridad de binge drinking entre los estudiantes. La versión completa y las reducidas del AUDIT se mostraron efectivas para detección del binge drinking.The purpose of this study was to estimate the alcoholic beverage consumption among undergraduate students of a Dentistry Course and compare the effectiveness of screening methods for the detection of binge drinking. A total of 284 undergraduate students participated in the research. We used the full AUDIT and their reduced forms (AUDIT-3 and AUDIT-C). In addition, a ROC curve was created and its area was calculated. Of the students, 91.0% and 90.6% of the male and female genders, respectively, reported alcohol beverage consumption. Bing-drinking behavior occurred in 69.2% of the men and in 52.4% of the women. The 3 methods showed good discriminatory ability. For the women, there was a significant difference between the AUDIT-3 and AUDIT-C. Both the complete version of AUDIT and its reduced forms presented good discriminatory ability.Objetivou-se neste trabalho estimar o comportamento de beber entre estudantes de Odontologia e comparar a efetividade de métodos de rastreamento para detecção do binge drinking. Participaram 284 estudantes. Utilizou-se o AUDIT completo e suas formas reduzidas (AUDIT-3 e AUDIT-C). Construiu-se a curva ROC e estimou-se sua área. Dos estudantes, 91,0 e 90,6% do sexo masculino e feminino, respectivamente, relataram consumir bebidas alcoólicas. O binge drinking ocorreu em 69,2% dos meninos e 52,4% das meninas. Os três métodos apresentaram boa capacidade discriminatória. No sexo feminino, houve diferença entre o AUDIT-3 e o AUDIT-C. Observou-se alta prevalência de binge drinking entre os estudantes. A versão completa e as reduzidas do AUDIT mostraram-se efetivas para detecção do binge drinking

Validation of a measuring instrument for the perception of oral health in women

The aim of this study was to estimate the reliability, validity and factorial invariance of the Portuguese version of the Geriatric/ General Oral Health Assessment Index (GOHAI) as applied to Brazilian women. A total 701 women over 18 years of age participated in this study. Telephone interviews were conducted. We evaluated the construct-related validity through factorial, convergent and discriminant validity. We carried out a confirmatory factor analysis using the χ2/df, CFI, GFI and RMSEA indexes. The invariance of the model in a second independent sample was estimated by multi-group analysis and internal consistency using Cronbach’s alpha coefficient. Items 5 and 9 presented factor weights below the adequate value and were removed. The three-dimensional and unifactorial model presented an adequate fit. We observed strong factorial invariance of the models in two independent samples (three-factor: ρλ = 0.62; pCov = 0.89, one-factor: ρλ = 0.81; pCov = 0.68) and weak factorial invariance between users and nonusers of dental prosthetics (threefactor: ρλ = 0.55; pCov = 0.01, one-factor: ρλ = 0.51; pCov = 0.02). The convergent validity was suboptimal. Internal consistency was adequate. The GOHAI applied to the study sample showed adequate reliability, factorial validity and stability in independent samples and between users and nonusers of dental prosthetics in both the threedimensional and the unifactorial structures

COVID-19 e seu enfrentamento entre os residentes do Assentamento Mário Lago, Ribeirão Preto, estado de São Paulo

ABSTRACT: The objective of this study was to describe the health situation regarding the pandemic of COVID-19 and its coping strategies among residents of the Mário Lago Settlement, belonging to the Fazenda da Barra Sustainable Development Project (PDS) located in Ribeirão Preto, state of São Paulo. This is a cross-sectional, descriptive, survey-type study with stratified random sampling. A total of 158 residents, aged between 18 and 84 years, were interviewed between October 26, 2021, and January 28, 2022. The results obtained expose a situation of social vulnerability of its population, in which only 23.4% of the interviewees reached high school, and 95.6% have a family income of up to three minimum wages. Among the study participants, 17.1% tested positive for a COVID-19 test, and 42.4% reported that the pandemic significantly decreased household income, while 3.8% were left without income. In order for the settled populations to be better prepared for future crises such as the one caused by the COVID-19 pandemic, it is necessary to continue the actions already taken by the social and popular movements in the countryside and ensure the maintenance and development of social support networks. Objetivo deste trabalho foi descrever a situação de saúde quanto à pandemia de COVID-19 e seu enfrentamento entre os residentes do Assentamento Mário Lago, pertencente ao Projeto de Desenvolvimento Sustentável (PDS) Fazenda da Barra e localizado em Ribeirão Preto, estado de São Paulo. Trata-se de um estudo transversal, descritivo, do tipo inquérito, com amostragem aleatória estratificada. Foram entrevistados 158 residentes, com idade entre 18 e 84 anos, entre 26 de outubro de 2021 e 28 de janeiro de 2022. Os resultados obtidos expõem uma situação de vulnerabilidade social da sua população, em que apenas 23,4% dos entrevistados chegaram ao ensino médio, e 95,6% possuem uma renda familiar de até três salários mínimos. Dentre os participantes do estudo, 17,1% tiveram resultado positivo para um teste de COVID-19, e 42,4% relataram que a pandemia diminuiu muito a renda das pessoas da casa, enquanto 3,8% ficaram sem renda. Para que as populações assentadas estejam mais bem preparadas para futuras crises como a provocada pela pandemia de COVID-19, é necessária a continuidade das ações já realizadas pelos movimentos sociais e populares do campo e assegurar a manutenção e o desenvolvimento das redes de suporte social

Reliability and validity of self-reported burnout in college students: A cross randomized comparison of paper-and-pencil vs. online administration

Internet data collection is becoming increasingly popular in all research fields dealing with human perceptions, behaviors and opinions. Advantages of internet data collection, when compared to the traditional paper-and-pencil format, include reduced costs, automatic database creation, and the absence of researcher-related bias effects, such as availability and complete anonymity. However, the validity and reliability of internet gathered data must be established, in comparison to the usual paper-and-pencil accepted formats, before an inferential analysis can be done. In this study, we compared questionnaire data gathered from the internet with that from the traditional paper-and-pencil in a sample of college students. The questionnaires used were the Maslach Burnout Inventory – Student Survey (MBI-SS), the Oldenburg Burnout Inventory (OBI-SS) and the Copenhagen Burnout Inventory (CBI-SS). Data was gathered through a within-subject cross randomized and counterbalanced design, on both internet and paper-and-pencil formats. The results showed no interference in the application order, and a good reliability for both formats. However, concordance between answers was generally higher in the paperand- pencil format than on the internet. The factorial structure was invariant in the three burnout inventories. Data gathered in this study supports the Internet as a convenient, user-friendly, comfortable and secure data gathering method which does not affect the accepted factorial structures existent in the paper format of the three burnout inventories used

Health Complexity Assessment in Primary Care : a validity and feasibility study of the INTERMED tool

Acknowledgments We would like to thank Professor Craig Ramsay for his comments on this work during an international meeting held at the Health Services Research Unit of the University of Aberdeen in July 2019.Peer reviewedPublisher PD

Ergonews: um telejornal para o ensino de ergonomia em Odontologia

During their undergraduate course, dentists need to be aware about the risk they are exposed to in their work environment so they can avoid them. Thus, we proposed a TV newscast entitled "Ergonews" which was presented to the 2nd-year undergraduate Dentistry students at Araraquara Dental School – UNESP, in order to expand and enhance their knowledge in the discipline of Ergonomics in Dentistry I. The newscast has included a reporter and a "philosopher", the latter having the function to issue philosophical opinions not always correct about the concepts of ergonomics. The topics covered were: i. the importance of rationalizing work to increase productivity and quality of life of the dentists; ii. requirements of ergonomic posture, occupational health, and the importance of cross infection control in dental practice; iii. dental equipment and delegation of functions - four hands work. Each “Ergonews” episode was prepared previously to the class and all recordings were edited using the Movie Maker. The newscast was presented to students during the Ergonomics in Dentistry I classes, every 15 days, using multimedia projection, with an average duration of 10 minutes. After the presentation of each "Ergonews" episode, students were asked to evaluate critically the concepts of ergonomics issued by "philosopher" in the newscast. It can be concluded that the "Ergonews" was an auxiliary method to promote learning about ergonomics in dentistry.Los cirujanos dentales requieren ser concientizados durante su formación sobre los riesgos a que están expuestos en su ambiente de trabajo para que puedan así evitarlos. Por lo tanto, se propuso producir y presentar un noticiero titulado "Ergonews", dirigido a los estudiantes del segundo año de Licenciatura de Odontología, Facultad de Odontología de Araraquara - UNESP con el fin de ampliar y mejorar sus conocimientos en la disciplina de Ergonomía en Odontología I. El noticiero contaba con un reportero y también con un "filósofo", cuya función era la de emitir opiniones filosóficas, no siempre correctas, acerca de los conceptos de ergonomía. Los temas tratados fueron los siguientes: (a) la importancia de racionalizar el trabajo para aumentar la productividad y la calidad de vida del dentista; (b) requisitos de una postura ergonómica, salud ocupacional, la importancia del control de las infecciones cruzadas en la práctica dental; (c) equipo dental y la delegación de funciones, el trabajo en equipo. El diario fue grabado antes de su presentación y todas las grabaciones fueron editadas utilizando Maker. El noticiero fue presentado a los estudiantes en el aula, utilizando un proyector de video en la clase de Ergonomía en Odontología I y con una duración media de 10 minutos con periodicidad quincenal. Después de la presentación de cada noticiero "Ergonews" se les pidió a los estudiantes que evaluaran críticamente los conceptos de ergonomía emitidos por el "filósofo" del noticiero, con el objetivo de asentar dichos conocimientos adquiridos durante la clase. Se puede concluir que el noticiero "Ergonews" era una forma adicional para promover el aprendizaje acerca de la ergonomía en la odontología.Os cirurgiões-dentistas durante sua formação profissional precisam ser conscientizados a respeito do risco a que estão expostos em seu ambiente de trabalho para que possam evitá-los. Assim, propôs-se elaborar e apresentar um telejornal intitulado “Ergonews” direcionado aos estudantes do 2º ano do curso de graduação da Faculdade de Odontologia de Araraquara - UNESP com o intuito de ampliar e reforçar os conhecimentos adquiridos na disciplina de Ergonomia em Odontologia I. O telejornal contou com uma repórter e também um “filósofo”, cuja função foi emitir opiniões filosóficas nem sempre corretas a respeito dos conceitos de ergonomia. Os assuntos abordados foram: i. importância da racionalização do trabalho para aumento da produtividade e da qualidade de vida do cirurgião-dentista; ii. requisitos de postura ergonômica, saúde ocupacional, importância do controle de infecção cruzada na prática odontológica; iii. equipamentos odontológicos e delegação de funções - trabalho a quatro mãos. O jornal foi gravado previamente à sua apresentação e todas as gravações foram editadas utilizando-se o Movie Maker. O telejornal foi apresentado aos estudantes em sala de aula, utilizando projeção multimídia, nas aulas de Ergonomia em Odontologia I e apresentou média de duração de 10 minutos e periodicidade quinzenal. Após a apresentação de cada “Ergonews” os estudantes avaliaram de forma crítica os conceitos de ergonomia emitidos pelo “filósofo” do telejornal, com o objetivo de fazê-los sedimentar o aprendizado adquirido durante a aula. Pode-se concluir que o “Ergonews” foi uma forma auxiliar de promover o aprendizado sobre ergonomia em Odontologia

Ergonews: um telejornal para o ensino de ergonomia em Odontologia

Os cirurgiões-dentistas durante sua formação profissional precisam ser conscientizados a respeito do risco a que estão expostos em seu ambiente de trabalho para que possam evitá-los. Assim, propôs-se elaborar e apresentar um telejornal intitulado “Ergonews” direcionado aos estudantes do 2º ano do curso de graduação da Faculdade de Odontologia de Araraquara - UNESP com o intuito de ampliar e reforçar os conhecimentos adquiridos na disciplina de Ergonomia em Odontologia I. O telejornal contou com uma repórter e também um “filósofo”, cuja função foi emitir opiniões filosóficas nem sempre corretas a respeito dos conceitos de ergonomia. Os assuntos abordados foram: i. importância da racionalização do trabalho para aumento da produtividade e da qualidade de vida do cirurgião-dentista; ii. requisitos de postura ergonômica, saúde ocupacional, importância do controle de infecção cruzada na prática odontológica; iii. equipamentos odontológicos e delegação de funções - trabalho a quatro mãos. O jornal foi gravado previamente à sua apresentação e todas as gravações foram editadas utilizando-se o Movie Maker. O telejornal foi apresentado aos estudantes em sala de aula, utilizando projeção multimídia, nas aulas de Ergonomia em Odontologia I e apresentou média de duração de 10 minutos e periodicidade quinzenal. Após a apresentação de cada “Ergonews” os estudantes avaliaram de forma crítica os conceitos de ergonomia emitidos pelo “filósofo” do telejornal, com o objetivo de fazê-los sedimentar o aprendizado adquirido durante a aula. Pode-se concluir que o “Ergonews” foi uma forma auxiliar de promover o aprendizado sobre ergonomia em Odontologia

Brazilian adults’ attitudes and practices regarding the mandatory COVID-19 vaccination and their hesitancy towards childhood vaccination

Background: This study investigated the attitudes and practices of Brazilian adults regarding the mandatory COVID-19 vaccination and their hesitancy towards the vaccination of children. Methods: Between March and May 2022, Brazilian adults answered an online questionnaire distributed through social media. The SAGE-WG questionnaire was adapted to measure hesitancy to the vaccination of children. Results: Of the 1007 participants, 67.4% believed that adult COVID-19 vaccination should be mandatory. Just over half of the participants (51.5%) believed that parents and/or guardians should decide if their children should be vaccinated against COVID-19 or not and 9.1% were unsure. Individuals who were younger, non-religious and had higher awareness of COVID-19 risks and critics of the federal government’s performance in combating the pandemic were more likely to agree with mandatory adult vaccination. However, less agreement among parents and/or guardians concerning children’s vaccination was observed, with lower scores for hesitancy to the vaccination of children. Conclusion: In Brazil, there is still far from a consensus on mandatory COVID-19 vaccination for adults and a significant proportion of the population believes that parents and/or guardians should be free to decide on their children’s vaccination. These views are associated with age, religion, knowledge of COVID-19 risks and political inclination