Ethnoracial disparity among patients with dementia during COVID-19 pandemic
Cad Saude Publica. 2021 Oct 6;37(9):e00028321. doi: 10.1590/0102-311X00028321. eCollection 2021.ABSTRACTWe aim to examine the effect of the COVID-19 pandemic on the ethnoracial disparities in hospitalizations due to dementia and its related outcomes, in Brazil. A longitudinal panel study was carried out with data extracted from the Hospital Information Systems of the Brazilian Unified National Health System (SIH/SUS). We assessed the number of hospital admission per 100,000 inhabitants, mean inpatient spending, and inpatient mortality rate due to dementia during the first semester of 2019 and 2020. Data were stratified by ...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Natan Feter Jayne Santos Leite Ricardo Alt Airton Jos é Rombaldi Source Type: research

Identification of priority groups for COVID-19 vaccination in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00049821. doi: 10.1590/0102-311X00049821. eCollection 2021.ABSTRACTIn a context of community transmission and shortage of vaccines, COVID-19 vaccination should focus on directly reducing the morbidity and mortality caused by the disease. It was thus essential to define priority groups for vaccination by the Brazilian National Immunization Program (PNI in Portuguese), based on the risk of hospitalization and death from the disease. We calculated overrisk according to sex, age group, and comorbidities using hospitalization and death records from severe acute respiratory illness with conf...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Raquel Martins Lana La ís Picinini Freitas Cl áudia Torres Codeço Ant ônio Guilherme Pacheco Luiz Max Fagundes de Carvalho Daniel Antunes Maciel Villela Fl ávio Codeço Coelho Oswaldo Gon çalves Cruz Roberta Pereira Niquini Victor Bertollo Gomes Por Source Type: research

Evaluability study of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD)
Cad Saude Publica. 2021 Oct 8;37(10):e00081920. doi: 10.1590/0102-311X00081920. eCollection 2021.ABSTRACTWith the implementation of home care in the Brazilian Unified National Health System (SUS), the need to train administrators and health workers led to the creation of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD) in a partnership between the SUS Open University and the General Coordinating Division for Home Care, of the Brazilian Ministry of Health. Through courses in specialization, improvement, and self-instruction, the program achieved wide capillarity and scope in the country,...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Claudia Flemming Colussi Fernando Hellmann Marta Verdi Mauro Serapioni Leonardo Can çado Monteiro Savassi Diego Diz Ferreira Eliane Ricardo Charneski Fernando Mendes Massignam Luana Silvestre Dos Santos Maria Esther Souza Baibich Source Type: research

Effects of retirement pensions according to contribution time and age on Brazilians' health and wellbeing
Cad Saude Publica. 2021 Oct 8;37(10):e00084120. doi: 10.1590/0102-311X00084120. eCollection 2021.ABSTRACTAging of the Brazilian population with the country's diversity of demographic and territorial characteristics motivated this study on the effects of retirement pensions on health and wellbeing. The study thus analyzes the effects of retirement pensions in Brazil by age and contribution time through measures of overall self-rated health, depressive symptoms on the CES-D scale, and household and head-of-household income. The analyses were also disaggregated by gender and locality. The method used was Propensity Score Matc...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Rodrigo Carvalho Oliveira Rachel Helena Coelho Source Type: research

Assessment of health literacy in diabetic patients followed at a public outpatient clinic
Cad Saude Publica. 2021 Oct 8;37(10):e00084819. doi: 10.1590/0102-311X00084819. eCollection 2021.ABSTRACTHealth literacy (HL) assumes individuals' knowledge, motivation, and competencies to access, understand, evaluate, and apply health information to make judgments and decisions in daily life, related to healthcare, prevention of diseases, and health promotion to maintain or improve quality of life. The study aimed to measure the level of HL and associated factors: sex, age, schooling, income, skin color, self-rated health status, type of diabetes, and presence of comorbidities. The authors assessed 107 adults with diabet...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Ana Luiza Braz Pav ão Guilherme Loureiro Werneck Luis Saboga-Nunes Rosane Aparecida de Sousa Source Type: research

Sociodemographic, dietary, and lifestyle factors associated with increased body fat in adolescents of S ão Luís, Maranhão State, Brazil
In conclusion, female adolescents 19 years of age that consumed alcohol and that did not eat breakfast or lunch had higher body fat, as did physically active male adolescents. Meanwhile, male adolescents in socioeconomic class D/E had less body fat.PMID:34644753 | DOI:10.1590/0102-311X00088320 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Karen das Gra ças Ferreira Passos Santana Maylla Luanna Barbosa Martins Bragan ça Bianca Rodrigues de Oliveira Carla Cristine Nascimento da Silva Coelho Ant ônio Augusto Moura da Silva Source Type: research

COVID-19 as a syndemic: a theoretical model and foundations for a comprehensive approach in health
In conclusion, the lessons learned from the syndemic approach to COVID-19 call on government and society to develop policies that link clinical, sanitary, socioeconomic, and environmental interventions.PMID:34644754 | DOI:10.1590/0102-311X00119021 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Jos é Patrício Bispo Júnior Djanilson Barbosa Dos Santos Source Type: research

Intergenerational perceptions and practices in breastfeeding and child feeding among quilombola women in Goi ás State, Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00148720. doi: 10.1590/0102-311X00148720. eCollection 2021.ABSTRACTThis exploratory qualitative study aimed to identify sociocultural and intergenerational aspects of perception and practices in child feeding among quilombola women, members of maroon communities in Brazil. A focus group with 12 mothers and another group with four grandmothers of children under five years of age were conducted in a rural quilombola community in the State of Goiás, Brazil. The data were analyzed with thematic content analysis, yielding four central themes and respective subthemes, which were then ...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Priscila Olin Silva Muriel Bauermann Gubert Amanda Kellen Pereira da Silva Luc élia Luiz Pereira Leonor Maria Pacheco Santos Gabriela Buccini Source Type: research

Critical reviews: on books, readings, and critical readers
Cad Saude Publica. 2021 Oct 8;37(10):e00175921. doi: 10.1590/0102-311X00175921. eCollection 2021.NO ABSTRACTPMID:34644756 | DOI:10.1590/0102-311X00175921 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Martha Cristina Nunes Moreira Source Type: research

Usual source of healthcare and use of sexual and reproductive health services by female sex workers in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00188120. doi: 10.1590/0102-311X00188120. eCollection 2021.ABSTRACTThe fact of having a usual source of care can improve access to health services and preventive activities. The article aimed to estimate the proportion of factors associated with usual source of care among female sex workers. This was a socio-behavioral survey with 4,328 female sex workers, ≥ 18 years, in 12 Brazilian cities. Female sex workers were recruited by the respondent-driven sampling method (RDS). A descriptive profile was performed of the female sex workers who had usual source of care and the association w...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Talita Castro Garcia Matteoni Laio Magno Carla Gianna Luppi Alexandre Grangeiro Celia Landmann Szwarcwald In ês Dourado Source Type: research

Self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents: a population-based study
This study's objective was to estimate the association between self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents in Brazilian workers. This was a cross-sectional study with data from the Brazilian National Health Survey (PNS-2013). The dependent variable was self-reported hearing impairment, and three principal exposures were analyzed: noise, industrial dust, and chemical substances. Logistic regression was performed, estimating crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI). The principal exposure variables were adjusted for each other and by covar...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Dan úbia Hillesheim Fernanda Zucki Simone Mariotti Roggia Karina Mary de Paiva Source Type: research

Lifestyle-related behaviors and depressive symptoms in college students
This study sought to examine the association between lifestyle-related behaviors and depressive symptoms among college students. This cross-sectional study analyzed baseline data of a dynamic-cohort study from a public university in Central-Western Brazil, in all 21 undergraduate full-time courses. Students up to 25 years old who were enrolled for the first time in a university were included in the study, except pregnant and/or nursing women. All students who met the eligibility criteria were invited to participate in the study. From a total of 1,212 eligible students, 1,038 were included (85.6%). All participants answered...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Fl ávia da Silva Taques Vieira Ana Paula Muraro Paulo Rog ério Melo Rodrigues Rosely Sichieri Rosangela Alves Pereira M árcia Gonçalves Ferreira Source Type: research

Health conditionalities in the Brazilian Income Transfer Program and food and nutritional surveillance: narratives by primary healthcare workers
Cad Saude Publica. 2021 Oct 8;37(10):e00249120. doi: 10.1590/0102-311X00249120. eCollection 2021.ABSTRACTThe study aimed to understand the narratives of primary healthcare workers in the city of Rio de Janeiro, Brazil, on the challenges and potentialities of food and nutritional surveillance activities in the context of the Brazilian Income Transfer Program, vis-à-vis the limits of its implementation. The study adopted a qualitative, evaluative, and participatory approach. From 2018 to 2019, five focus groups were held with 60 university-level healthcare workers from 24 health units and one focus group with 13 commu...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Jorginete de Jesus Dami ão Evelyne Lobato Juliana Paulo E Silva Claudia Val éria Cardim da Silva Luciana Maria Cerqueira Castro Luciana Azevedo Maldonado Alexandro Alves Ribeiro Source Type: research

Factors associated with underreporting of cases of multidrug-resistant tuberculosis in the state of Rio de Janeiro, Brazil: probabilistic database linkage
This study estimated the proportion of underreporting of multidrug-resistant tuberculosis (MDR-TB) and associated factors in the State of Rio de Janeiro, Brazil, as well as the proportion of deaths in this group. A retrospective cohort study was conducted using probabilistic database linkage. Cases with the results of the drug sensitivity test (DST) with MDR-TB pattern recorded in the Laboratory Environment Management System (GAL) from 2010 to 2017 were linked to cases reported to the Special TB Treatments System (SITETB). Simple and multiple logistic regressions were performed to estimate factors associated with underrepo...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Marcela Lopes Bhering da Silva Patr ícia Durovini Paulo Mota Afr ânio Lineu Kritski Source Type: research

Looking back on 20 years of work at the Porto Pharmacovigilance Centre, Portugal
This study aimed to characterize the reports of adverse drug reactions received by the Porto Pharmacovigilance Centre (UFPorto), Portugal, in the unit's two decades of work. The analysis included all reports of suspected adverse drug reactions received from January 2001 to December 2019. We calculated the annual reporting rates and distribution by origin, type of notifier and place of work, severity, prior knowledge, and causality of the reported adverse drug reactions. During the study period, UFPorto received 9,711 notifications of suspected adverse drug reactions. Hospital institutions reported the most suspected advers...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Renato Ferreira-da-Silva In ês Ribeiro-Vaz Ana Marta Silva Joana Marques Jorge Junqueira Pol ónia Source Type: research

The genesis of the Family Health Support Center (NASF) in the primary healthcare agenda in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00310820. doi: 10.1590/0102-311X00310820. eCollection 2021.ABSTRACTThe article reports on the sociogenesis of the Family Health Support Center (NASF) in Brazil, based on document analysis and 16 in-depth interviews with key informants. Based on triangulation of data and sources and with Pierre Bourdieu as the theoretical reference, a sociohistorical analysis was performed to build a timeline of events related to the formulation of the NASF, including conflicts, interests, alliances, and agreements to allow the proposal's implementation. Four moments were identified in the history of th...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Erika Rodrigues de Almeida Maria Guadalupe Medina Source Type: research

Data quality analysis of deaths committed by the police in the city of S ão Paulo, Brazil, 2014-2015
Cad Saude Publica. 2021 Oct 8;37(10):e00317020. doi: 10.1590/0102-311X00317020. eCollection 2021.ABSTRACTDeadly police force is a public health problem. Although the Mortality Information System (SIM) is the most reliable record of deaths from violence, the same is not true for cases of deadly police force, which displays a high degree of underreporting when compared to data from the São Paulo Department of Law Enforcement (SSP-SP). The current study aimed to estimate underreporting in the two official data sources (SIM and SSP-SP), identifying the ICD-10 categories used in cases of incorrectly classified deadly pol...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Marcelo Ryngelblum Maria Fernanda Tourinho Peres Source Type: research

Ethnoracial disparity among patients with dementia during COVID-19 pandemic
Cad Saude Publica. 2021 Oct 6;37(9):e00028321. doi: 10.1590/0102-311X00028321. eCollection 2021.ABSTRACTWe aim to examine the effect of the COVID-19 pandemic on the ethnoracial disparities in hospitalizations due to dementia and its related outcomes, in Brazil. A longitudinal panel study was carried out with data extracted from the Hospital Information Systems of the Brazilian Unified National Health System (SIH/SUS). We assessed the number of hospital admission per 100,000 inhabitants, mean inpatient spending, and inpatient mortality rate due to dementia during the first semester of 2019 and 2020. Data were stratified by ...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Natan Feter Jayne Santos Leite Ricardo Alt Airton Jos é Rombaldi Source Type: research

Identification of priority groups for COVID-19 vaccination in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00049821. doi: 10.1590/0102-311X00049821. eCollection 2021.ABSTRACTIn a context of community transmission and shortage of vaccines, COVID-19 vaccination should focus on directly reducing the morbidity and mortality caused by the disease. It was thus essential to define priority groups for vaccination by the Brazilian National Immunization Program (PNI in Portuguese), based on the risk of hospitalization and death from the disease. We calculated overrisk according to sex, age group, and comorbidities using hospitalization and death records from severe acute respiratory illness with conf...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Raquel Martins Lana La ís Picinini Freitas Cl áudia Torres Codeço Ant ônio Guilherme Pacheco Luiz Max Fagundes de Carvalho Daniel Antunes Maciel Villela Fl ávio Codeço Coelho Oswaldo Gon çalves Cruz Roberta Pereira Niquini Victor Bertollo Gomes Por Source Type: research

Evaluability study of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD)
Cad Saude Publica. 2021 Oct 8;37(10):e00081920. doi: 10.1590/0102-311X00081920. eCollection 2021.ABSTRACTWith the implementation of home care in the Brazilian Unified National Health System (SUS), the need to train administrators and health workers led to the creation of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD) in a partnership between the SUS Open University and the General Coordinating Division for Home Care, of the Brazilian Ministry of Health. Through courses in specialization, improvement, and self-instruction, the program achieved wide capillarity and scope in the country,...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Claudia Flemming Colussi Fernando Hellmann Marta Verdi Mauro Serapioni Leonardo Can çado Monteiro Savassi Diego Diz Ferreira Eliane Ricardo Charneski Fernando Mendes Massignam Luana Silvestre Dos Santos Maria Esther Souza Baibich Source Type: research

Effects of retirement pensions according to contribution time and age on Brazilians' health and wellbeing
Cad Saude Publica. 2021 Oct 8;37(10):e00084120. doi: 10.1590/0102-311X00084120. eCollection 2021.ABSTRACTAging of the Brazilian population with the country's diversity of demographic and territorial characteristics motivated this study on the effects of retirement pensions on health and wellbeing. The study thus analyzes the effects of retirement pensions in Brazil by age and contribution time through measures of overall self-rated health, depressive symptoms on the CES-D scale, and household and head-of-household income. The analyses were also disaggregated by gender and locality. The method used was Propensity Score Matc...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Rodrigo Carvalho Oliveira Rachel Helena Coelho Source Type: research

Assessment of health literacy in diabetic patients followed at a public outpatient clinic
Cad Saude Publica. 2021 Oct 8;37(10):e00084819. doi: 10.1590/0102-311X00084819. eCollection 2021.ABSTRACTHealth literacy (HL) assumes individuals' knowledge, motivation, and competencies to access, understand, evaluate, and apply health information to make judgments and decisions in daily life, related to healthcare, prevention of diseases, and health promotion to maintain or improve quality of life. The study aimed to measure the level of HL and associated factors: sex, age, schooling, income, skin color, self-rated health status, type of diabetes, and presence of comorbidities. The authors assessed 107 adults with diabet...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Ana Luiza Braz Pav ão Guilherme Loureiro Werneck Luis Saboga-Nunes Rosane Aparecida de Sousa Source Type: research

Sociodemographic, dietary, and lifestyle factors associated with increased body fat in adolescents of S ão Luís, Maranhão State, Brazil
In conclusion, female adolescents 19 years of age that consumed alcohol and that did not eat breakfast or lunch had higher body fat, as did physically active male adolescents. Meanwhile, male adolescents in socioeconomic class D/E had less body fat.PMID:34644753 | DOI:10.1590/0102-311X00088320 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Karen das Gra ças Ferreira Passos Santana Maylla Luanna Barbosa Martins Bragan ça Bianca Rodrigues de Oliveira Carla Cristine Nascimento da Silva Coelho Ant ônio Augusto Moura da Silva Source Type: research

COVID-19 as a syndemic: a theoretical model and foundations for a comprehensive approach in health
In conclusion, the lessons learned from the syndemic approach to COVID-19 call on government and society to develop policies that link clinical, sanitary, socioeconomic, and environmental interventions.PMID:34644754 | DOI:10.1590/0102-311X00119021 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Jos é Patrício Bispo Júnior Djanilson Barbosa Dos Santos Source Type: research

Intergenerational perceptions and practices in breastfeeding and child feeding among quilombola women in Goi ás State, Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00148720. doi: 10.1590/0102-311X00148720. eCollection 2021.ABSTRACTThis exploratory qualitative study aimed to identify sociocultural and intergenerational aspects of perception and practices in child feeding among quilombola women, members of maroon communities in Brazil. A focus group with 12 mothers and another group with four grandmothers of children under five years of age were conducted in a rural quilombola community in the State of Goiás, Brazil. The data were analyzed with thematic content analysis, yielding four central themes and respective subthemes, which were then ...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Priscila Olin Silva Muriel Bauermann Gubert Amanda Kellen Pereira da Silva Luc élia Luiz Pereira Leonor Maria Pacheco Santos Gabriela Buccini Source Type: research

Critical reviews: on books, readings, and critical readers
Cad Saude Publica. 2021 Oct 8;37(10):e00175921. doi: 10.1590/0102-311X00175921. eCollection 2021.NO ABSTRACTPMID:34644756 | DOI:10.1590/0102-311X00175921 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Martha Cristina Nunes Moreira Source Type: research

Usual source of healthcare and use of sexual and reproductive health services by female sex workers in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00188120. doi: 10.1590/0102-311X00188120. eCollection 2021.ABSTRACTThe fact of having a usual source of care can improve access to health services and preventive activities. The article aimed to estimate the proportion of factors associated with usual source of care among female sex workers. This was a socio-behavioral survey with 4,328 female sex workers, ≥ 18 years, in 12 Brazilian cities. Female sex workers were recruited by the respondent-driven sampling method (RDS). A descriptive profile was performed of the female sex workers who had usual source of care and the association w...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Talita Castro Garcia Matteoni Laio Magno Carla Gianna Luppi Alexandre Grangeiro Celia Landmann Szwarcwald In ês Dourado Source Type: research

Self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents: a population-based study
This study's objective was to estimate the association between self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents in Brazilian workers. This was a cross-sectional study with data from the Brazilian National Health Survey (PNS-2013). The dependent variable was self-reported hearing impairment, and three principal exposures were analyzed: noise, industrial dust, and chemical substances. Logistic regression was performed, estimating crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI). The principal exposure variables were adjusted for each other and by covar...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Dan úbia Hillesheim Fernanda Zucki Simone Mariotti Roggia Karina Mary de Paiva Source Type: research

Lifestyle-related behaviors and depressive symptoms in college students
This study sought to examine the association between lifestyle-related behaviors and depressive symptoms among college students. This cross-sectional study analyzed baseline data of a dynamic-cohort study from a public university in Central-Western Brazil, in all 21 undergraduate full-time courses. Students up to 25 years old who were enrolled for the first time in a university were included in the study, except pregnant and/or nursing women. All students who met the eligibility criteria were invited to participate in the study. From a total of 1,212 eligible students, 1,038 were included (85.6%). All participants answered...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Fl ávia da Silva Taques Vieira Ana Paula Muraro Paulo Rog ério Melo Rodrigues Rosely Sichieri Rosangela Alves Pereira M árcia Gonçalves Ferreira Source Type: research

Health conditionalities in the Brazilian Income Transfer Program and food and nutritional surveillance: narratives by primary healthcare workers
Cad Saude Publica. 2021 Oct 8;37(10):e00249120. doi: 10.1590/0102-311X00249120. eCollection 2021.ABSTRACTThe study aimed to understand the narratives of primary healthcare workers in the city of Rio de Janeiro, Brazil, on the challenges and potentialities of food and nutritional surveillance activities in the context of the Brazilian Income Transfer Program, vis-à-vis the limits of its implementation. The study adopted a qualitative, evaluative, and participatory approach. From 2018 to 2019, five focus groups were held with 60 university-level healthcare workers from 24 health units and one focus group with 13 commu...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Jorginete de Jesus Dami ão Evelyne Lobato Juliana Paulo E Silva Claudia Val éria Cardim da Silva Luciana Maria Cerqueira Castro Luciana Azevedo Maldonado Alexandro Alves Ribeiro Source Type: research

Factors associated with underreporting of cases of multidrug-resistant tuberculosis in the state of Rio de Janeiro, Brazil: probabilistic database linkage
This study estimated the proportion of underreporting of multidrug-resistant tuberculosis (MDR-TB) and associated factors in the State of Rio de Janeiro, Brazil, as well as the proportion of deaths in this group. A retrospective cohort study was conducted using probabilistic database linkage. Cases with the results of the drug sensitivity test (DST) with MDR-TB pattern recorded in the Laboratory Environment Management System (GAL) from 2010 to 2017 were linked to cases reported to the Special TB Treatments System (SITETB). Simple and multiple logistic regressions were performed to estimate factors associated with underrepo...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Marcela Lopes Bhering da Silva Patr ícia Durovini Paulo Mota Afr ânio Lineu Kritski Source Type: research

Looking back on 20 years of work at the Porto Pharmacovigilance Centre, Portugal
This study aimed to characterize the reports of adverse drug reactions received by the Porto Pharmacovigilance Centre (UFPorto), Portugal, in the unit's two decades of work. The analysis included all reports of suspected adverse drug reactions received from January 2001 to December 2019. We calculated the annual reporting rates and distribution by origin, type of notifier and place of work, severity, prior knowledge, and causality of the reported adverse drug reactions. During the study period, UFPorto received 9,711 notifications of suspected adverse drug reactions. Hospital institutions reported the most suspected advers...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Renato Ferreira-da-Silva In ês Ribeiro-Vaz Ana Marta Silva Joana Marques Jorge Junqueira Pol ónia Source Type: research

The genesis of the Family Health Support Center (NASF) in the primary healthcare agenda in Brazil
Cad Saude Publica. 2021 Oct 8;37(10):e00310820. doi: 10.1590/0102-311X00310820. eCollection 2021.ABSTRACTThe article reports on the sociogenesis of the Family Health Support Center (NASF) in Brazil, based on document analysis and 16 in-depth interviews with key informants. Based on triangulation of data and sources and with Pierre Bourdieu as the theoretical reference, a sociohistorical analysis was performed to build a timeline of events related to the formulation of the NASF, including conflicts, interests, alliances, and agreements to allow the proposal's implementation. Four moments were identified in the history of th...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Erika Rodrigues de Almeida Maria Guadalupe Medina Source Type: research

Data quality analysis of deaths committed by the police in the city of S ão Paulo, Brazil, 2014-2015
Cad Saude Publica. 2021 Oct 8;37(10):e00317020. doi: 10.1590/0102-311X00317020. eCollection 2021.ABSTRACTDeadly police force is a public health problem. Although the Mortality Information System (SIM) is the most reliable record of deaths from violence, the same is not true for cases of deadly police force, which displays a high degree of underreporting when compared to data from the São Paulo Department of Law Enforcement (SSP-SP). The current study aimed to estimate underreporting in the two official data sources (SIM and SSP-SP), identifying the ICD-10 categories used in cases of incorrectly classified deadly pol...
Source: Cadernos de Saude Publica - October 13, 2021 Category: International Medicine & Public Health Authors: Marcelo Ryngelblum Maria Fernanda Tourinho Peres Source Type: research

Global challenges for equitable access to COVID-19 vaccination
Cad Saude Publica. 2021 Sep 22;37(9):e00056521. doi: 10.1590/0102-311X00056521. eCollection 2021.NO ABSTRACTPMID:34586160 | DOI:10.1590/0102-311X00056521 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Luis Eugenio Portela Fernandes de Souza Paulo Marchiori Buss Source Type: research

Social vulnerability and health crisis in Brazil
Cad Saude Publica. 2021 Sep 22;37(9):e00071721. doi: 10.1590/0102-311X00071721. eCollection 2021.NO ABSTRACTPMID:34586161 | DOI:10.1590/0102-311X00071721 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Andr é Roncaglia de Carvalho Luciana Rosa de Souza Solange Ledi Gon çalves Eloiza Regina Ferreira de Almeida Source Type: research

Fiscal austerity and its effects on the Brazilian Health Economic-Industrial Complex in the context of the COVID-19 pandemic
Cad Saude Publica. 2021 Sep 22;37(9):e00100521. doi: 10.1590/0102-311X00100521. eCollection 2021.NO ABSTRACTPMID:34586162 | DOI:10.1590/0102-311X00100521 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Erika Santos Arag ão Francisco R ózsa Funcia Source Type: research

Trend in the prevalence of anemia in children from maroon communities according to two population-based surveys in Alagoas State, Brazil (2008-2018)
Cad Saude Publica. 2021 Sep 22;37(9):e00122520. doi: 10.1590/0102-311X00122520. eCollection 2021.ABSTRACTThe study aimed to assess trends in the prevalence of anemia in children from quilombos (maroon communities) in Alagoas State, Brazil. This was a descriptive study comparing the results of two household surveys (2008; n = 950 and 2018; n = 426), involving a sample of children from 6 to 59 months of age. Anemia was diagnosed as hemoglobin
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: La íse Gabrielly Matias de Lima Santos Carla Mariana Xavier Ferreira Artur Belo Azevedo Samara Luiza Silva Santos Samir Buainain Kassar Marly Augusto Cardoso Haroldo da Silva Ferreira Source Type: research

Health and work in Brazil: physical and psychosocial demands
This study aims to describe the prevalence and factors associated of physical and psychosocial demands among Brazilian workers. Data were obtained from the 2013 Brazilian National Health Survey. Physical demand was defined as jobs that require intense physical effort or excessive walking, whereas psychosocial demand was defined as involvement in stressful activities. Multivariate logistic regression was used to estimate the association between demands and health conditions, occupational characteristics, and work conditions. Out of 39,590 participants, 54.4% reported physical demands and 35.5% psychosocial demands at work. ...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Patr ícia Pinheiro de Freitas Mariana Souza Lopes Ada Ávila Assunção Aline Cristine Souza Lopes Source Type: research

We need to talk about avoidability of fetal deaths in Brazil
Cad Saude Publica. 2021 Sep 24;37(9):e00196121. doi: 10.1590/0102-311X00196121. eCollection 2021.NO ABSTRACTPMID:34586165 | DOI:10.1590/0102-311X00196121 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Eliane de Freitas Drumond Source Type: research

Politics, economy, and health: lessons from COVID-19
Cad Saude Publica. 2021 Sep 22;37(9):e00200221. doi: 10.1590/0102-311X00200221. eCollection 2021.NO ABSTRACTPMID:34586166 | DOI:10.1590/0102-311X00200221 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Hudson Pacifico da Silva Luciana Dias de Lima Source Type: research

Reply to Letter by Drumond
Cad Saude Publica. 2021 Sep 24;37(9):e00206821. doi: 10.1590/0102-311X00206821. eCollection 2021.NO ABSTRACTPMID:34586167 | DOI:10.1590/0102-311X00206821 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Sandra Costa Fonseca Pauline Lorena Kale Gra ça Helena Maia do Canto Teixeira Vania Gloria Silami Lopes Source Type: research

The scope of practice of primary health care physicians in rural and urban areas in Brazil
This study aimed to identify differences in the scope of practice of primary care physicians and find the main factors associated with expanded practice in rural and urban areas of Brazil. Data from an online survey with 2,277 primary care physicians, conducted between January and March 2016, were used. Differences regarding activities and procedures performed by physicians per area were verified using Kruskal-Wallis/Dunn's post hoc and chi-square tests. Multivariate linear regression analyses were done using a bootstrap technique to identify the main factors associated with an expanded scope of practice. Regardless of the...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Ana Cristina van Stralen Cristiana Leite Carvalho S ábado Nicolau Girardi Celia Regina Pierantoni Ilka Afonso Reis Mariangela Leal Cherchiglia Source Type: research

Association between cesarean section and human capital in adulthood: 1982 and 1993 Pelotas birth cohorts, Rio Grande do Sul State, Brazil
This study aims to assess the association between mode of delivery and human capital among young adults enrolled in the 1982 and 1993 Pelotas birth cohorts, Rio Grande do Sul State, Brasil. In 1982 and 1993, the maternity hospitals of the municipality were daily visited, the births identified, and those live births, whose family lived in the urban area of Pelotas, were examined and their mothers interviewed. Information on mode of delivery, vaginal or cesarean, was provided by the mother in the perinatal study. Performance in intelligence tests achieved schooling and income were evaluated in the 30 years visit at the 1982 ...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Mayra Pacheco Fernandes Nat ália Peixoto Lima Fernando C Barros Helen Gon çalves Ana Maria Baptista Menezes Fernando C ésar Wehrmeister Fernando Pires Hartwig Bernardo Lessa Horta Source Type: research

Frailty in elderly individuals and perception of problems in indicators of attributes of primary healthcare: results of the ELSI-Brasil
This study aimed to examine the association between frailty syndrome and the perception of problems in indicators of attributes in primary healthcare (PHC) among elderly Brazilians. This was a cross-sectional study with 5,432 participants 60 years or older in the first wave of the Brazilian Longitudinal Study of Aging (ELSI-Brasil), conducted in 2015 and 2016. Frailty, the independent variable, was defined according to the theoretical framework of the frailty phenotype, and the indicators of problems in PHC attributes, the dependent variables, were obtained from questions related to health services use. Access, longitudina...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Alexandre Moreira de Melo Silva Juliana Vaz de Melo Mambrini Juliana Mara Andrade Fabiola Bof de Andrade Maria Fernanda Lima-Costa Source Type: research

Bioethical considerations on models for end-of-life care
Cad Saude Publica. 2021 Sep 22;37(9):e00264320. doi: 10.1590/0102-311X00264320. eCollection 2021.ABSTRACTThe article discusses contemporary societies' three institutionalized fields in end-of-life care and their respective models of death: euthanasia/assisted suicide; medical futility; and kalothanasia, the basis for the modern hospice movement. The article also analyzes how these models impact patients' lives and the conceptual weakness of some traditionally used banners such as that of human dignity. It also comments on orthothanasia, a widely used concept in the Brazilian bioethical literature, as well as rational suici...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Ciro Augusto Floriani Source Type: research

Persons with disabilities during the COVID-19 pandemic: guaranteeing fundamental rights and equity in care
Cad Saude Publica. 2021 Sep 22;37(9):e00291720. doi: 10.1590/0102-311X00291720. eCollection 2021.ABSTRACTThis is a scoping review of the PubMed, Scopus, BIREME, SciELO, and Web of Science databases, including publications from December 2019 to May 2020 with the objective of identifying and systematizing the literature on the status of persons with disabilities in the initial months of the COVID-19 pandemic. The review aimed to search for original peer-reviewed articles published in indexed journals, in addition to the specialized gray literature. We reviewed 386 texts and included 33 articles and documents in the study. Th...
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Jorge Henrique Santos Saldanha Ana Paula Medeiros Pereira Amanda Oliveira Costa Dos Santos Beatriz Santos Miranda Herc ília Kayla Santos de Carvalho Lilia Campos Nascimento Mariana Santos Amaral Mariana Silva Macedo Melissa Catrini Milena Maria Cordeiro Source Type: research

Sedimentation of health technology assessment in hospitals: a scoping review
This study revealed the importance of identifying factors such as sustainability, growth, and evolution of hospital-based HTA in countries with and without a tradition in this field.PMID:34586173 | DOI:10.1590/0102-311X00352520 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Johnathan Portela da Silva Galdino Erika Barbosa Camargo Flavia Tavares Silva Elias Source Type: research

Global challenges for equitable access to COVID-19 vaccination
Cad Saude Publica. 2021 Sep 22;37(9):e00056521. doi: 10.1590/0102-311X00056521. eCollection 2021.NO ABSTRACTPMID:34586160 | DOI:10.1590/0102-311X00056521 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Luis Eugenio Portela Fernandes de Souza Paulo Marchiori Buss Source Type: research

Social vulnerability and health crisis in Brazil
Cad Saude Publica. 2021 Sep 22;37(9):e00071721. doi: 10.1590/0102-311X00071721. eCollection 2021.NO ABSTRACTPMID:34586161 | DOI:10.1590/0102-311X00071721 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 29, 2021 Category: International Medicine & Public Health Authors: Andr é Roncaglia de Carvalho Luciana Rosa de Souza Solange Ledi Gon çalves Eloiza Regina Ferreira de Almeida Source Type: research