Prevalence and characteristics of Brazilians aged 50 and over that received a doctor's diagnosis of COVID-19: the ELSI-COVID-19 initiative.
Abstract The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused over half a million deaths worldwide. Brazil has been particularly impacted, registering more than 1.3 million infections and 57,000 deaths by late June 2020. Aggregate numbers of cases are essential in modeling the epidemic and planning responses; however, more detailed analysis of risk factors associated with SARS-CoV-2 infection are needed. Our study provides an initial examination of characteristics associated with receiving a doctor's diagnosis of COVID-19 among a nationally representative sample of Brazilians aged 50 and ove...
Source: Cadernos de Saude Publica - November 20, 2020 Category: International Medicine & Public Health Authors: Macinko J, Seixas BV, Woolley NO, Andrade FB, Lima-Costa MF Tags: Cad Saude Publica Source Type: research

Relationship between work before the epidemic and having gone out to work during the epidemic among participants in the Brazilian Longitudinal Study of Aging: results of the ELSI-COVID-19 initiative.
The objective of this study was to examine the prevalence of going out to work during the COVID-19 epidemic, and the factors associated with this, among adults aged 50 years and over who were in paid employment before its onset. We used data from the second wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted through face-to-face interviews between August 2019 and March 2020 (before the onset of the epidemic), in a representative national sample of adults aged 50 and over, and data obtained through telephone interviews carried out among the same participants (ELSI-COVID-19 initiative), conducted betwe...
Source: Cadernos de Saude Publica - November 20, 2020 Category: International Medicine & Public Health Authors: Castro CMS, Vaz CT, Moreira BS, Mambrini JVM, Torres JL, Braga LS, Andrade FB, Lima-Costa MF Tags: Cad Saude Publica Source Type: research

Health behaviours and the adoption of individual protection measures during the new coronavirus pandemic: the ELSI-COVID-19 initiative.
The objective of this study was to evaluate whether healthy behaviours determine the adoption of individual protective measures to fight COVID-19. The data were obtained from the ELSI-COVID-19 initiative, a telephone survey conducted among participants in the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which includes a national sample representative of the population aged 50 years or older. The outcomes evaluated were three protective measures (not having left home in the past week, wearing a mask when leaving home, and sanitizing hands when returning home), and the explanatory variables were health behaviours (sm...
Source: Cadernos de Saude Publica - November 20, 2020 Category: International Medicine & Public Health Authors: Peixoto SV, Nascimento-Souza MA, Mambrini JVM, Andrade FB, Malta DC, Lima-Costa MF Tags: Cad Saude Publica Source Type: research

Protective behaviors for COVID-19 among Brazilian adults and elderly living with multimorbidity: the ELSI-COVID-19 initiative.
es BP Abstract To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in f...
Source: Cadernos de Saude Publica - November 20, 2020 Category: International Medicine & Public Health Authors: Batista SR, Souza ASS, Nogueira J, Andrade FB, Thumé E, Teixeira DSDC, Lima-Costa MF, Facchini LA, Nunes BP Tags: Cad Saude Publica Source Type: research

Alcohol outlets availability in school neighborhoods and alcohol use among adolescents.
DA Abstract This cross-sectional study investigated the association between alcohol use by adolescents and the availability of alcohol outlets in the neighborhood of public schools. We collected primary data including variables at individual and school neighborhood level. Multilevel logistic regression was used to estimate odds ratio (OR) with a 95% confidence interval (95%CI) for alcohol use with the exposure variables. A total of 18.4% (95%CI: 13.2; 24.1) of adolescents reported using alcohol, which was associated with variables on the individual level such as being 18 years or older, working, and having previo...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Cardoza LS, Machado CO, Santos CTD, Höfelmann DA Tags: Cad Saude Publica Source Type: research

"Women fear the law more than abusers": a study of public trust in health and legal response to violence against women in Santo Andr é, São Paulo State, Brazil.
"Women fear the law more than abusers": a study of public trust in health and legal response to violence against women in Santo André, São Paulo State, Brazil. Cad Saude Publica. 2020;36(10):e00114019 Authors: Evans DP, Hall CDX, DeSousa N, Wilkins JD, Chiang EDO, Vertamatti MAF Abstract Little is known about how perceptions of government affects women's views of violence against women. This qualitative study examines women's perceptions of violence against women laws and trust in the health and legal sector response in São Paulo State, Brazil. Thirty interviews with fem...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Evans DP, Hall CDX, DeSousa N, Wilkins JD, Chiang EDO, Vertamatti MAF Tags: Cad Saude Publica Source Type: research

[Nuances between Safer Access and armed conflict in the context of primary healthcare in Rio de Janeiro, Brazil].
This study aimed to analyze the effects of the Safer Access strategy on the work process of health professionals in violent territories. An intervention study was conducted with 13 health workers in a family health unit in the west zone of Rio de Janeiro, a territory with great social vulnerability, marked by intense violence. The underlying theoretical and methodological frame of reference was institutional analysis. The methodology drew on institutional social/clinical encounters to provide reflections on the Safer Access strategy, which proved powerful for dealing with armed violence, helping Family Health teams to orga...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Santos RSD, Mourão LC, Almeida ACV, Daher DV, Santos KMD, Brazolino LD Tags: Cad Saude Publica Source Type: research

Inequalities in depressive symptoms between natives and immigrants in Europe: the mediating role of social exclusion.
e;n N Abstract The aim of this study was to analyze inequalities in depressive symptoms between natives and immigrant groups according to their length of residence in Europe, and to test the mediating role of social exclusion in explaining these differences. The study is based on cross-sectional data from the 7th round of the 2014 European Social Survey (sample of 1,792 immigrants and 22,557 native-born Europeans). Dependent variables: self-reported depressive symptoms. Independent variables: immigrant background and social exclusion factors that were classified into four groups. Socially excluded individuals were...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Arias-Uriona AM, Guillén N Tags: Cad Saude Publica Source Type: research

Burden of disease from COVID-19 and its acute and chronic complications: reflections on measurement (DALYs) and prospects for the Brazilian Unified National Health System.
This article discusses the relevance and difficulties of studying the burden of COVID-19 and its complications in the Brazilian context, highlighting the natural history of the disease and estimating indicators such as YLDs, considering the high burden of disease in planning strategies to deal with the consequences of COVID-19 after the pandemic. The article also discusses the future challenges to deal with the disease in the SUS and the effects on the calculation of DALYs. PMID: 33146278 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Campos MR, Schramm JMA, Emmerick ICM, Rodrigues JM, Avelar FG, Pimentel TG Tags: Cad Saude Publica Source Type: research

[Multimorbidity patterns and functional disability in elderly Brazilians: a cross-sectional study with data from the Brazilian National Health Survey].
Abstract The presence of multimorbidity patterns has been related to functional disability in basic activities (BADLs) and instrumental activities of daily living (IADLs), which are essential for elder individuals' self-care and autonomy. The study thus aimed to estimate the association between multimorbidity patterns and presence of functional disability in elderly Brazilians. This was a cross-sectional study using data from the Brazilian National Health Survey (PNS 2013) in a sample of elderly Brazilians (≥ 60 years). The measures of functional disability were from self-completed questionnaires, categorized i...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Schmidt TP, Wagner KJP, Schneider IJC, Danielewicz AL Tags: Cad Saude Publica Source Type: research

Amerindian genetic ancestry as a risk factor for tuberculosis? Critical perspectives and implications for public policies in indigenous peoples's health.
bra C PMID: 33146280 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Santos RV, Camacho LAB, Rego STA, Terena LE, Pontes AL, Beltrão JF, E A Coimbra C Tags: Cad Saude Publica Source Type: research

Vaccine failures: assessing yellow fever, measles, varicella, and mumps vaccines.
e;o DAD, Maia MLS Abstract Vaccination is one of the greatest public health interventions, based on its safety and effectiveness, but vaccination does not always mean immunization. Numerous aspects related both to the individual that receives the vaccine and the specificity of each vaccine administered are part of the process of obtaining adequate immunization, and it is essential to observe the aspects in order to avoid vaccine failures. The analysis of immunogenicity and effectiveness studies for the measles, varicella, and mumps vaccines point to the need to incorporate two doses into the basic vaccination cale...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Petraglia TCMB, Farias PMCM, Sá GRSE, Santos EMD, Conceição DAD, Maia MLS Tags: Cad Saude Publica Source Type: research

Poliomyelitis eradication in four stages.
This article's objective is to review the "state of the art" in the progress, obstacles, and strategies for achieving global polio eradication. Poliomyelitis control measures began in the 1960s with the advent of two vaccines, the oral polio vaccine (OPV) and the inactivated polio vaccine (IPV). From 1985 to 2020, strategies were implemented to reach the goal of eradication of wild poliovirus (WPV). Following the success with the interruption of indigenous WPV transmission in the Americas, the goal of global eradication was launched. We describe the process of eradication in four historical stages: (1) The advent...
Source: Cadernos de Saude Publica - November 6, 2020 Category: International Medicine & Public Health Authors: Verani JFS, Laender F Tags: Cad Saude Publica Source Type: research

Vaccines for neglected and emerging diseases in Brazil by 2030: the "valley of death" and opportunities for RD & I in Vaccinology 4.0.
Vaccines for neglected and emerging diseases in Brazil by 2030: the "valley of death" and opportunities for RD&I in Vaccinology 4.0. Cad Saude Publica. 2020;36Suppl 2(Suppl 2):e00128819 Authors: Homma A, Freire MDS, Possas C Abstract We examine the implications of the very low competitiveness of the Brazilian vaccine RD&I system, which precludes the development of all the important vaccines required by the National Immunization Program (NIP), severely impacting the healthcare of the population. In a country dramatically affected by COVID-19 pandemic and by an exponential increase in ...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Homma A, Freire MDS, Possas C Tags: Cad Saude Publica Source Type: research

Predictors of influenza vaccine uptake: translation into Portuguese and validation of a questionnaire.
The objective of this study was a cross-cultural adaptation of an instrument to assess predictors of influenza vaccine uptake in Brazilian adults. The authors conducted translation, back-translation, face validity, and a survey for construct validity. They also analyzed the factors associated with influenza vaccine uptake in 2017. An instrument originally with seven domains was identified and selected. In the factor analysis, four of the model's seven constructs were validated: Susceptibility, Barriers, Cues to action, and Self-efficacy. In the survey with 396 persons, 59.3% reported having received the influenza vaccine i...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Neves CR, Codeço CT, Luz PM, Garcia LMT Tags: Cad Saude Publica Source Type: research

The Brazilian National Immunization Program: 46 years of achievements and challenges.
s RAS Abstract The Brazilian National Immunization Program (PNI, in Portuguese) is coordinated by the Ministry of Health in cooperation with state and municipal health departments. Since the program's creation in 1973, it has become one of the country's most relevant public health interventions, having produced important results such as certification of Brazil as free of wild poliovirus circulation, the elimination rubella virus circulation, and an important reduction in cases and deaths from vaccine-preventable diseases. Brazil is one of the countries that offers the most vaccines free of cost to the population, ...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Domingues CMAS, Maranhão AGK, Teixeira AM, Fantinato FFS, Domingues RAS Tags: Cad Saude Publica Source Type: research

The first five-year evaluation of cystic fibrosis neonatal screening program in S ão Paulo State, Brazil.
The first five-year evaluation of cystic fibrosis neonatal screening program in São Paulo State, Brazil. Cad Saude Publica. 2020;36(10):e00049719 Authors: Maciel LMZ, Magalhães PKR, Ciampo IRLD, Sousa MLB, Fernandes MIM, Sawamura R, Bittar RR, Molfetta GA, Silva Júnior WAD Abstract The Hospital of the Ribeirão Preto Medical School, University of São Paulo is one of the three screening centers in São Paulo State, Brazil, and has included a test for cystic fibrosis (CF) since February 6, 2010, by a court order. We evaluated the first five years of this CF-newbor...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Maciel LMZ, Magalhães PKR, Ciampo IRLD, Sousa MLB, Fernandes MIM, Sawamura R, Bittar RR, Molfetta GA, Silva Júnior WAD Tags: Cad Saude Publica Source Type: research

Skin color, social inequalities and health in older adults: an analysis based on the SABE survey in Colombia.
Abstract Our study is based on the Colombia SABE survey (Health, Well-Being, and Aging Study), which included 23,694 individuals aged 60+ in urban and rural areas of the country. The analysis addresses adult self-perception of health status as a dependent variable and its relationships to ethnic/racial self-recognition and to interviewer-ascribed skin color as a phenotypic trait using a validated technique with a color palette. Social inequalities were determined based on the characterization of socioeconomic status, urban or rural residence, literacy, and the average years of education attained. Our study brought...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Mendez F, Urrea-Giraldo F, Ortega D Tags: Cad Saude Publica Source Type: research

Alcohol consumption during the COVID-19 pandemic: a necessary reflection for confronting the situation.
PMID: 33111838 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Garcia LP, Sanchez ZM Tags: Cad Saude Publica Source Type: research

Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013.
This study aimed to characterize risk groups for COVID-19 in Brazil and to estimate the number of individuals living in the same household with persons in the risk group. Data were used from the Brazilian National Health Survey (PNS) of 2013. To characterize the risk groups, a binary multiple logistic regression model was adjusted in which the response variable was the presence or absence of at least one condition associated with COVID-19 and the explanatory variables were age, sex, major geographic region, color or race, schooling, and workforce status of the residents interviewed by the study. The results show that age i...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Borges GM, Crespo CD Tags: Cad Saude Publica Source Type: research

[Gender and age differences in the completion of the schooling items in surveillance forms in Brazilian state capitals with higher dengue incidence, 2008-2017].
a GMD Abstract Brazil is among the countries of the world with the most dengue cases. Case reporting systems are essential for monitoring the disease's evolution, but few reporting forms are properly completed. Knowledge of the patients' schooling level is important for understanding the role of social inequality in the risk of illness. The article aims to describe the completion of the schooling item on dengue notification forms provided by Brazilian Information System on Diseases of Notification (SINAN) from 2008 to 2017, according to sex and age bracket in the state capitals of the Northeast and Southeast regio...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Guimarães LM, Cunha GMD Tags: Cad Saude Publica Source Type: research

[Fiscal incentives for pesticides as an anti-health and anti-environmental policy].
Abstract Pesticides are hazardous products, and fiscal incentives for such products directly and indirectly impact public resources for health in Brazil, since these incentives encourage pesticide use. The article thus aimed to estimate the tax relief for pesticides in Brazil in 2017. The methodology included a literature search on related tax legislation, followed by estimates based on pesticide expenditures according to the latest national Agricultural Census and foreign trade data. Tax exemptions on pesticides in 2017 totaled BRL 9.8 billion (USD 3.0 billion), of which: exemptions of BRL 6.2 billion (USD 1.9 bi...
Source: Cadernos de Saude Publica - October 30, 2020 Category: International Medicine & Public Health Authors: Cunha LND, Soares WL Tags: Cad Saude Publica Source Type: research

[Work demands and alcohol consumption: the job group's role].
M, Zúñiga C Abstract The current study aimed to determine whether workgroup identification and alcohol consumption social norms of workgroup moderates the relationship between job demands and alcohol consumption in workers. Regression analysis using the moderated moderation macro in a sample of workers from a telecommunications company in Chile (N = 1,143) supports the hypothesis of moderated moderation: high workgroup identification with with unfavorable social norms of alcohol consumption by the group buffered the relationship between job demands and alcohol consumption of workers (B = -0.080; t = ...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Güilgüiruca M, Quiñones M, Zúñiga C Tags: Cad Saude Publica Source Type: research

[Physicians' job satisfaction with the More Doctors Program in the State of Para íba, Brazil: assessment with structural equation modeling].
This study aimed to build a job quality assessment model for the More Doctors Program (PMM, in Portuguese) based on participating physicians' job satisfaction, using structural equation modeling. The assessment drew on a database with answers to a questionnaire developed by a group of the program's supervisors in the State of Paraíba, Brazil, and applied to physicians between December 2015 and September 2016. Exploratory factor analysis was performed to extract significant attributes and form final dimensions, and later confirmatory factor analysis was used to assess the relationship between variables. The initially...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Benevides PM, Melo Neto AJ, Silva ICBD, Tenório MEC, Soares GB, Soares RS, Sampaio J Tags: Cad Saude Publica Source Type: research

[Differences in contraceptive practice in the city of S ão Paulo, Brazil: results of the Ouvindo Mulheres population survey].
This article presents the prevalence of contraceptive practice and analyzes factors associated with lack of contraception use and with types of contraceptives. Prevalence of contraception was estimated for women with at least one heterosexual relation in the 12 months prior to the interview and who were not pregnant. Logistic regression was used to verify factors associated with lack of contraception use, and the CHAID model was used to identify associations with the types of contraceptives used. Prevalence of contraception was 84.8% (95%CI: 83.2-86.3). The most prevalent contraceptives were the pill and condoms. Factors a...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Lago TDGD, Kalckmann S, Alves MCGP, Escuder MML, Koyama M, Barbosa RM Tags: Cad Saude Publica Source Type: research

[Association of victimization from bullying with body mass index in schoolchildren].
Abstract Many schoolchildren report bullying by their classmates because of their physical appearance. Teenagers' body weight is one of the main reasons for this victimization. The current study aims to investigate the association between victimization from bullying and body mass index (BMI) in Brazilian schoolchildren. This was a cross-sectional study using data from the Brazilian National School Health Survey (PeNSE) in 2015 for students from 11 to 15 years of age. The analysis used the Probit model. The probability of victimization from bullying was 46% in Brazilian schoolchildren in this age bracket. There was...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Russo LX Tags: Cad Saude Publica Source Type: research

Millennium Development Goals: the impact of healthcare interventions and changes in socioeconomic factors and sanitation on under-five mortality in Brazil.
rc;F Abstract The United Nations approved the Millennium Development Goals (MDGs) in 2000, including Target 4.A, or a two-thirds reduction in under-five mortality by 2015. Brazil reached this target in 2010. The current study aimed to analyze the trend in under-five mortality and the correlation with healthcare, socioeconomic, and sanitation indicators in Brazil's major geographic regions that helped the country meet the MDGs. This was an ecological study using secondary data for Brazil according to Intermediate Urban Linkage Regions (RIAU in Portuguese) from 2001 to 2017. Analyses of tendencies were performed wit...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Marinho CDSR, Flor TBM, Pinheiro JMF, Ferreira MÂF Tags: Cad Saude Publica Source Type: research

[Enforcement of the Menino Bernardo Law on Networks for the Protection and Care of Children and Adolescents in Brazil].
Abstract Although many countries have passed laws to ban the use of physical violence for purported educational purposes, the World Health Organization has stated that the enforcement of such laws is still a challenge. The study thus aimed to verify whether networks in Brazil for the protection and care of children and adolescents at risk are organized to enforce the Menino Bernardo Law (Law n. 13,010/2014). Using a qualitative and exploratory approach, the study interviewed 16 professional staff members from different services in these networks in a city in the state of Rio Grande do Sul, Brazil. The data collect...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Trindade AA, Hohendorff JV Tags: Cad Saude Publica Source Type: research

Patient safety in dental care: an integrative review.
The objective was to identify and explore studies on patient safety in Dentistry. An integrative literature review was performed in MEDLINE via PubMed, Scopus via Portal Capes, and the Regional Portal of the Virtual Health Library, using the terms patient safety and dentistry in English, Spanish, and Portuguese, starting in 2000. The research cycle in patient safety was used, as proposed by the World Health Organization to classify studies. We analyzed 91 articles. The most common adverse events were allergies, infections, diagnostic delay or failure, and technical error. Measures to mitigate the problem highlight the need...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Corrêa CDTSO, Sousa P, Reis CT Tags: Cad Saude Publica Source Type: research

The effect of lockdown on the COVID-19 epidemic in Brazil: evidence from an interrupted time series design.
Abstract In response to the COVID-19 pandemic, governments worldwide have implemented social distancing policies with different levels of both enforcement and compliance. We conducted an interrupted time series analysis to estimate the impact of lockdowns on reducing the number of cases and deaths due to COVID-19 in Brazil. Official daily data was collected for four city capitals before and after their respective policies interventions based on a 14 days observation window. We estimated a segmented linear regression to evaluate the effectiveness of lockdown measures on COVID-19 incidence and mortality. The initial...
Source: Cadernos de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Authors: Silva L, Figueiredo Filho D, Fernandes A Tags: Cad Saude Publica Source Type: research

40 years of immunization in Mozambique: a narrative review of literature, accomplishments, and perspectives.
This study aims to describe the characteristics of the EPI and review the available information related to immunization service in Mozambique, its accomplishments and perspectives. A narrative review of the literature was carried out and the electronic databases accessed were VHL, Google Scholar, and PubMed between 1979 and 2019, using descriptors related to the theme. A total of 28 articles and other relevant sources have been consulted for the review. The national immunization coverage in Mozambique between 1997 (47%) and 2015 (66%) improved 19 percentual points; also immunization coverage of children under 12 months has...
Source: Cadernos de Saude Publica - October 20, 2020 Category: International Medicine & Public Health Authors: Cassocera M, Chissaque A, Martins MRO, Deus N Tags: Cad Saude Publica Source Type: research

Health care seeking due to COVID-19 related symptoms and health care cancellations among older Brazilian adults: the ELSI-COVID-19 initiative.
Abstract The continent of the Americas has the greatest number of people infected and deaths associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the world. Brazil occupies the 2nd position in numbers of infected cases and deaths, preceded only by the United States. Older adults and those with pre-existing chronic illnesses are more vulnerable to the consequences of the virus. The SARS-CoV-2 epidemic has serious consequences for health services. Therefore, an assessment of the pandemic's effect on the older Brazilian population is urgently needed. The study examines the prevalence of COV...
Source: Cadernos de Saude Publica - October 20, 2020 Category: International Medicine & Public Health Authors: Macinko J, Woolley NO, Seixas BV, Andrade FB, Lima-Costa MF Tags: Cad Saude Publica Source Type: research

ELSI-COVID-19 initiative: methodology of the telephone survey on coronavirus in the Brazilian Longitudinal Study of Aging.
This article presents this initiative methodology and some sociodemographic characteristics of the 6,149 participants in the survey first round, relative the Brazilian population within the same age group. PMID: 33053061 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 20, 2020 Category: International Medicine & Public Health Authors: Lima-Costa MF, Macinko J, Andrade FB, Souza Júnior PRB, Vasconcellos MTL, Oliveira CM Tags: Cad Saude Publica Source Type: research

Social distancing, use of face masks and hand washing among participants in the Brazilian Longitudinal Study of Aging: the ELSI-COVID-19 initiative.
Abstract The aim of the study was to examine the prevalence of social distancing, the use of face masks and hand washing when leaving home among Brazilian adults aged 50 or over. Data from 6,149 telephone interviews were used, conducted between May 26 and June 8, 2020 among participants in the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Social distancing was defined by not having left home in the last seven days. Only 32.8% of study participants did not leave home during the period considered, 36.3% left between one and two times, 15.2% between three and five times and 15.7% left every day. The main reaso...
Source: Cadernos de Saude Publica - October 20, 2020 Category: International Medicine & Public Health Authors: Lima-Costa MF, Mambrini JVM, Andrade FB, Peixoto SWV, Macinko J Tags: Cad Saude Publica Source Type: research

Aging in Brazil and the novel coronavirus: the ELSI-COVID-19 initiative.
PMID: 33053059 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 12, 2020 Category: International Medicine & Public Health Authors: Lima-Costa MF Tags: Cad Saude Publica Source Type: research

[Intermunicipal healthcare flows and perinatal births and deaths in Greater Metropolitan Rio de Janeiro, Brazil, in 2011 and 2014].
Abstract The regionalization of perinatal care should consider existing healthcare structures for facilitating access. This spatial-temporal ecological study identified intermunicipal flows of perinatal births and deaths in Greater Metropolitan Rio de Janeiro, Brazil, in 2011 and 2014, defined parameters, and systematized proposals for organizing the regionalization of perinatal care. The data sources were the Brazilian Information System on Live Births, Mortality Information System, National Registry of Healthcare Establishments, and 2010 Population Census. The study identified existing relations between the moth...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Silva RID, Santos LHBD, Strauch JCM, Cavalcanti MLT, Kale PL Tags: Cad Saude Publica Source Type: research

["Measuring hunger": psychometric scales of food insecurity and indigenous peoples in Brazil].
["Measuring hunger": psychometric scales of food insecurity and indigenous peoples in Brazil]. Cad Saude Publica. 2020;36(10):e00208019 Authors: Athila AR, Leite MS Abstract The Brazilian Food Insecurity Scale (EBIA) was validated for the Brazilian context in 2004. Since then, the scale has evaluated and measured the experience of food insecurity in rural and urban households, initially in the Brazilian National Household Sample Survey and later in the Brazilian National Survey of Demographic and Health. However, indigenous peoples have not been examined specifically in these surveys, despit...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Athila AR, Leite MS Tags: Cad Saude Publica Source Type: research

[Quality of diet and daily spending on food by adults with cardiovascular disease in Brazil].
ADP Abstract Adherence to a healthy diet depends on factors such as food prices, while studies in developed countries have identified higher costs of more nutritional foods. The current study aimed to assess the direct food expenditures by adults with cardiovascular disease in Brazil, investigating the relationship between cost and quality of diet. The study used data from a randomized clinical trial, the BALANCE Program. The current study is a cross-sectional baseline analysis of participants with high adherence to the trial, conducted in 35 sites in all five major geographic regions of Brazil. Food consumption ...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Torreglosa CR, Sarti FM, Bersch-Ferreira ÂC, Weber B, Santos RHN, Chiavegatto Filho ADP Tags: Cad Saude Publica Source Type: research

[Leprosy-related mortality in the State of Piau í, Brazil: time trends and spatial patterns, 2000-2015].
[Leprosy-related mortality in the State of Piauí, Brazil: time trends and spatial patterns, 2000-2015]. Cad Saude Publica. 2020;36(9):e00093919 Authors: Araújo OD, Ferreira AF, Araújo TME, Silva LCLD, Lopes WMPS, Neri ÉAR, Cardoso JA, Costa JM, Moura EH, Bezerra SMG, Macêdo MS, Ramos AN Abstract The study aimed to analyze spatial patterns and time trends in leprosy-related mortality in the State of Piauí, Brazil, from 2000 to 2015. This was a mixed ecological study with a spatial and temporal state-based approach, using data from the Brazilian Mortality Informa...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Araújo OD, Ferreira AF, Araújo TME, Silva LCLD, Lopes WMPS, Neri ÉAR, Cardoso JA, Costa JM, Moura EH, Bezerra SMG, Macêdo MS, Ramos AN Tags: Cad Saude Publica Source Type: research

[The dynamic of the supply of pediatric palliative care: a multiple case study].
The objective was to analyze the dynamic involving the supply of palliative care for eligible children from the perspective of health professionals and families. A qualitative exploratory multiple case study was performed. This was a cross-section of data from a thesis that evaluated care for hospitalized children who were eligible for palliative care. The data were collected in a teaching hospital serving as the reference for high-complexity care in São Luís, Maranhão State, Brazil, from October 2016 to July 2017, interpreted with thematic analysis. The participants were 18 family members and 30 healt...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Lima SF, Lamy ZC, Motta VBRD, Roma TM, Gomes CMRP, Souza TP Tags: Cad Saude Publica Source Type: research

The correspondence between the structure of the terrestrial mobility network and the spreading of COVID-19 in Brazil.
Abstract The inter-cities mobility network is of great importance in understanding outbreaks, especially in Brazil, a continental-dimension country. We adopt the data from the Brazilian Ministry of Health and the terrestrial flow of people between cities from the Brazilian Institute of Geography and Statistics database in two scales: cities from Brazil, without the North region, and from the São Paulo State. Grounded on the complex networks approach, and considering that the mobility network serves as a proxy for the SARS-CoV-2 spreading, the nodes and edges represent cities and flows, respectively. Network...
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Freitas VLS, Konstantyner TCRO, Mendes JF, Sepetauskas CSDN, Santos LBL Tags: Cad Saude Publica Source Type: research

Could severe mobility and park use restrictions during the COVID-19 pandemic aggravate health inequalities? Insights and challenges from Latin America.
PMID: 33027476 [PubMed - as supplied by publisher] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 8, 2020 Category: International Medicine & Public Health Authors: Cortinez-O'Ryan A, Moran MR, Rios AP, Anza-Ramirez C, Slovic AD Tags: Cad Saude Publica Source Type: research

A "total social fact": COVID-19 and indigenous peoples in Brazil.
A "total social fact": COVID-19 and indigenous peoples in Brazil. Cad Saude Publica. 2020 Oct 02;36(10):e00268220 Authors: Santos RV, Pontes AL, Coimbra CEA PMID: 33027432 [PubMed - as supplied by publisher] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - October 2, 2020 Category: International Medicine & Public Health Authors: Santos RV, Pontes AL, Coimbra CEA Tags: Cad Saude Publica Source Type: research

Immunization, surveillance, and the global health security agenda: historical perspectives and implications for national immunization programs.
PMID: 32965326 [PubMed - as supplied by publisher] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Andrus JK Tags: Cad Saude Publica Source Type: research

Surveillance of adverse events following immunization in the late 2010s: an overview of the importance, tools, and challenges.
This study analyzed activities in the surveillance of adverse events following immunization (AEFI) based on data from the scientific literature, websites of immunization programs and health andregulatory agencies, and the authors' expertise in the areas of immunizations and pharmacovigilance. With the increase in the number of vaccines in the basic immunization schedule and expansion of the population's access, it has become essential to establish an efficient surveillance system for AEFI in Brazil. However, underreporting of cases in Brazil and in other countries hinders the detection of AEFI, especially rare events. Cons...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Oliveira PMN, Lignani LK, Conceição DAD, Farias PMCM, Takey PRG, Maia MLS, Camacho LAB Tags: Cad Saude Publica Source Type: research

Regulatory evolution and challenges from the perspective of public laboratiories vaccine producers in Brazil.
e MDS Abstract The regulation of biological products has evolved rapidly in recent years due to quality issues impacting people's lives and the advent of new technologies, with constant changes in regulations that dictate how a product is registered, produced, and monitored. In the case of vaccines, the responsibility of regulators and manufacturers in guaranteeing quality, safety, and efficacy is even more critical, since vaccines are mostly used in children and healthy patients. In this scenario, manufacturers need to create strategies to keep their products and installations adequate and up-to-date with a fully...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Stávale MCM, Leal MDLF, Freire MDS Tags: Cad Saude Publica Source Type: research

[Epidemiological characteristics of leprosy in elderly Brazilians and comparison with other age groups (2016-2018)].
Abstract The article aimed to describe epidemiological indicators and characteristics of new cases of leprosy in elderly Brazilians in 2016-2018, compared to other age groups. A descriptive cross-sectional cohort study was conducted with data from the Information System on Diseases of Notification (SINAN). New leprosy cases were categorized by age groups: 60 or more, 40-59, 15-39, and 15 years of age. Pearson's chi-square test was used to verify differences between groups. A total of 81,205 new leprosy cases were reported in Brazil. Of these, 24.1% were elderly, 37.7% from 40-59 years, 31.9% from 15-39 years, and ...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Rocha MCN, Nobre ML, Garcia LP Tags: Cad Saude Publica Source Type: research

The experience with volunteer and collaborative work in mental health and psychosocial care during the COVID-19 pandemic.
Abstract Brazil is the country of the world with the second most COVID-19 cases and deaths, and the pandemic's impacts pose multiple challenges for mental health. This paper reports on experience with the emergency organization of the volunteer and collaborative Working Group (GT, in Portuguese) on mental health and psychosocial care aimed at producing rapid responses for health services in the context of COVID-19. The study involved the identification and systematization of current evidence in the scientific literature on mental health and psychosocial care in public health emergencies and pandemics, with the est...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Kabad JF, Noal DDS, Passos MFD, Melo BD, Pereira DR, Serpeloni F, Souza MSE, Kadri MRE, Lima CC, Magrin NP, Freitas CM Tags: Cad Saude Publica Source Type: research

Racial inequalities and death on the horizon: COVID-19 and structural racism.
a RM Abstract COVID-19 incidence and mortality in countries with heavy social inequalities differ in population terms. In countries like Brazil with colonial histories and traditions, the social markers of differences are heavily anchored in social and racial demarcation, and the political and social dynamics and processes based on structural racism act on this demarcation. The pandemic's actual profile in Brazil clashes with narratives according to which COVID-19 is a democratic pandemic, an argument aligned with the rhetoric of racial democracy that represents a powerful strategy aimed at maintaining the subalte...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Oliveira RG, Cunha APD, Gadelha AGDS, Carpio CG, Oliveira RB, Corrêa RM Tags: Cad Saude Publica Source Type: research

[Trends in performance indicators and production monitoring in Specialized Dental Clinics in Brazil].
This study aimed to assess time trends in production and performance indicators in secondary dental care services in the Brazilian Unified National Health System (SUS) from 2008 to 2018. A time series study was conducted, based on production data from the Specialized Dental Clinics (CEOs in Portuguese) obtained from the Ambulatory Information System of the SUS. The monitoring indicator was assessed as the proportion of clinics that met the monthly target set for each specialty (primary care, endodontics, surgery, periodontics). Dental services' performance was defined as poor for those that met only one or no targets in th...
Source: Cadernos de Saude Publica - September 24, 2020 Category: International Medicine & Public Health Authors: Andrade FB, Pinto RDS, Antunes JLF Tags: Cad Saude Publica Source Type: research