[Neonatal deaths in a highly vulnerable area in Santos, S ão Paulo State, Brazil: examining healthcare issues from women's perspective].
In conclusion, although the prenatal care was positively rated by the women, there was no comprehensive care for them in relation to the experience of neonatal death, with dialogue and an offer of more adequate contraceptive methods given their health history, as well as counseling on the emotional distress resulting from these experiences. PMID: 31508694 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Devincenzi MU, Schraiber LB Tags: Cad Saude Publica Source Type: research

Rare diseases: who pays which bill?
PMID: 31508695 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Trajman A Tags: Cad Saude Publica Source Type: research

[Effect of age, period, and birth cohort on incapacity in community-dwelling elderly: the Bambu í Elderly Cohort (1997-2012)].
[Effect of age, period, and birth cohort on incapacity in community-dwelling elderly: the Bambuí Elderly Cohort (1997-2012)]. Cad Saude Publica. 2019 Sep 09;35(9):e00156018 Authors: Silva SLAD, Peixoto SV, Lima-Costa MF, Simões TC Abstract Time trends in the prevalence rates of incapacity in the elderly can occur due to the effects of age, period, or cohort. Age is related to biological factors, the period to the subject's environmental context, and the cohort to the subject's exposures from birth to the present. The study aimed to verify which time dimensions most influence the evolutio...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Silva SLAD, Peixoto SV, Lima-Costa MF, Simões TC Tags: Cad Saude Publica Source Type: research

[Mortality from heat waves in the city of Buenos Aires, Argentina (2005-2015)].
This study aimed to analyze mortality during heat waves in the city of Buenos Aires, Argentina, in 2005-2015. We used a time series design with generalized additive models, linking mortality to days of heat waves throughout the period, and to days of the heat wave in 2013, the longest wave since 1906, controlling for time variables, mean temperature, and humidity. Risk of death from natural causes increased by 14% (RR = 1.140; 95%CI: 1.108-1.173) during heat waves when compared to the other days in the hot season. The increase occurred in both sexes and in all age groups, and individuals under 15 years of age were more aff...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Chesini F, Abrutzky R, Titto E Tags: Cad Saude Publica Source Type: research

Women economic empowerment via cash transfer and microcredit programs is enough to decrease intimate partner violence? Evidence from a systematic review.
The objective of this study was to investigate the influence of women's economic empowerment in MP and CTP on the risk of physical, psychological and sexual violence through a systematic review. Papers/documents selection was conducted by two researchers according to the following criteria: published in English, Portuguese or Spanish; primary data; assessing the effect of MP or CTP on IPV; in heterosexual couples; on women beneficiaries of the intervention; using a comparator group eligible for an MP or CTP; and focusing on risk IPV as the outcomes. Our results showed that the impact of MP are mixed when it comes to physic...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Leite TH, Moraes CL, Marques ES, Caetano R, Braga JU, Reichenheim ME Tags: Cad Saude Publica Source Type: research

[Complex care, high cost, and loss of income: frequent issues for families of children and adolescents with rare health conditions].
Abstract Estimates point to more than seven thousand rare diseases already identified, representing 6 to 10% of all diseases. In Brazil, a rare disease is defined as one that affects up to 65 persons per 100,000. The quantification of costs for the families of patients with such conditions and their impact on income provides information capable of supporting public policies for these youngsters. The study aimed to estimate the cost and loss of earnings, viewed from the perspective of families of children and adolescents with cystic fibrosis, mucopolysaccharidosis, and osteogenesis imperfecta. The study included 99...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Pinto M, Madureira A, Barros LBP, Nascimento M, Costa ACCD, Oliveira NV, Albernaz L, Campos DS, Horovitz DDG, Martins AJ, Moreira MCN Tags: Cad Saude Publica Source Type: research

Cross-border healthcare and prognosis of HIV infection in the triple border Brazil-Paraguay-Argentina.
This study compares the prognosis of HIV patients from three groups, one involved in regional mobility, another in cross-border mobility in search for healthcare and the reference group which is composed by patients living in the same city of the health facility. This is a retrospective cohort study using medical records from a healthcare service in Brazil. Following survival analysis with log-rank test and Cox proportional hazard models, overall survival had no significant difference between patients who were involved in regional (HR = 1.03; 95%CI: 0.69-1.54; p = 0.89) or international (HR = 1.07; 95%CI: 0.58-1.97; p = 0....
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Zaslavsky R, Goulart BNG, Ziegelmann PK Tags: Cad Saude Publica Source Type: research

[Performance of leprosy case-contact surveillance: a space-time analysis in Bahia State, Northeast Brazil].
Abstract The aim was to analyze the space-time trend in the proportion of contacts examined among those recorded, according to demographic profile of new leprosy cases in the State of Bahia, Brazil, in the 2003-2014 cohort. This was a state population-based ecological study with temporal and spatial analyses of the proportion of contacts examined among those recorded, according to characteristics of the reference leprosy case, based on the Information System for Notifiable Diseases of the Brazilian Ministry of Health. The time trend analysis was based on Poisson regression (Joinpoints). Spatial analysis used spati...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Souza EA, Ferreira AF, Pinto MSAP, Heukelbach J, Oliveira HX, Barbosa JC, Ramos AN Tags: Cad Saude Publica Source Type: research

Comparing food environment and food purchase in areas with low and high prevalence of obesity: data from a mapping, in-store audit, and population-based survey.
Segall-Corrêa AM Abstract Our study aimed to compare key aspects of the food environment in two low-income areas in the city of Campinas, São Paulo State, Brazil: one with low and the other with high prevalence of obesity. We compared the availability of retail food establishments, the types of food sold, and the residents' eating habits. Demographic and socioeconomic data and eating habits were obtained from a population-based health survey. We also analyzed local food environment data collected from remote mapping of the retail food establishments and audit of the foods sold. For comparison purposes...
Source: Cadernos de Saude Publica - September 9, 2019 Category: International Medicine & Public Health Authors: Camargo DFM, Belon AP, Marín-León L, Souza BFDNJ, Pérez-Escamilla R, Segall-Corrêa AM Tags: Cad Saude Publica Source Type: research

[Determinants of exclusive breastfeeding in low birthweight infants under six months of age].
Abstract The study aimed to assess factors associated with exclusive breastfeeding in low birthweight infants under six months of age in 64 Brazilian municipalities. This cross-sectional study included the 2,745 low birth weight infants under six months of age in the Survey on Prevalence of Breastfeeding (2008) in Brazilian municipalities. The outcome was exclusive breastfeeding. Individual determinants included socioeconomic characteristics (infants' age and sex), maternal characteristics (age bracket, work status, and parity), and characteristics of health services (birth in a Child-Friendly Hospital; place of o...
Source: Cadernos de Saude Publica - September 2, 2019 Category: International Medicine & Public Health Authors: Ortelan N, Venancio SI, Benicio MHD Tags: Cad Saude Publica Source Type: research

Milk consumption, dietary calcium intake and nutrient patterns from adolescence to early adulthood and its effect on bone mass: the 1993 Pelotas (Brazil) birth cohort.
The objective of this study is to evaluate the effect of milk consumption, dietary calcium intake and nutrient patterns (bone-friendly and unfriendly patterns) from late adolescence to early adulthood, on bone at 22 years of age. Cross-sectional analysis was performed with 3,109 participants from 1993 Pelotas (Brazil) birth cohort in the follow-ups of 18 and 22 years of age. Bone mineral density (BMD) of the lumbar spine, right femur and whole body were assessed at 22 years using a dual-energy X-ray absorptiometry (DXA). The exposure variables (dietary calcium, milk and nutrient patterns) were created by combining the cons...
Source: Cadernos de Saude Publica - September 2, 2019 Category: International Medicine & Public Health Authors: Bierhals IO, Vaz JDS, Menezes AMB, Wehrmeister FC, Pozza L, Assunção MCF Tags: Cad Saude Publica Source Type: research

[A convergence of "adequate" and "healthy": an analysis of the notion of adequate and healthy diet in public policies in Brazil].
[A convergence of "adequate" and "healthy": an analysis of the notion of adequate and healthy diet in public policies in Brazil]. Cad Saude Publica. 2019 Sep 02;35(8):e00250318 Authors: Paiva JB, Magalhães LM, Santos SMCD, Santos LADS, Trad LAB Abstract Since the turn of this century, quality of diet is no longer described only as "healthy", but also as "adequate", in the scope of Brazilian public policies for food and nutrition and for food and nutrition security. These notions have been developed and defended socially and historically and have undergone...
Source: Cadernos de Saude Publica - September 2, 2019 Category: International Medicine & Public Health Authors: Paiva JB, Magalhães LM, Santos SMCD, Santos LADS, Trad LAB Tags: Cad Saude Publica Source Type: research

[The incorporation of nusinersen by the Brazilian Unified National Health System: critical thoughts on the institutionalization of health technology assessment in Brazil].
Abstract In April 2019, a ruling was signed for the incorporation of the drug nusinersen by the Brazilian Unified National Health System (SUS). Nusinersen is the most expensive drug ever incorporated by the SUS and is used to treat type I 5q spinal muscular atrophy. The incorporation has been described as a milestone in decision-making on new technologies in the SUS, enabled through a risk-sharing agreement. The article discusses the process involved in the incorporation of nusinersen, highlighting the context, timing, and technical issues, in addition to possible consequences for the institutionalization of healt...
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Caetano R, Hauegen RC, Osorio-de-Castro CGS Tags: Cad Saude Publica Source Type: research

Prevalence of falls and associated factors in community-dwelling older Brazilians: a systematic review and meta-analysis.
io DC Abstract Falls determine huge epidemiological, clinical, and economic burden in the older population worldwide, presenting high odds of severe disability. The present study aimed to estimate the prevalence of falls and associated factors in older Brazilians using a systematic review with meta-analysis. Searches were performed in SciELO, PubMed, LILACS, Web of Science, Scopus and PsycINFO databases with no date or language restrictions. Studies on community-dwelling older persons aged ≥ 60 years from both sexes and with a sample size of ≥ 300 participants included. Exclusion criteria were studies conduc...
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Elias Filho J, Borel WP, Diz JBM, Barbosa AWC, Britto RR, Felício DC Tags: Cad Saude Publica Source Type: research

Burden of smoking in Brazil and potential benefit of increasing taxes on cigarettes for the economy and for reducing morbidity and mortality.
In conclusion, the burden of disease and economic losses associated with smoking is high in Brazil, and tax increases are capable of averting deaths, illness, and costs to society. PMID: 31483047 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Pinto M, Bardach A, Palacios A, Biz A, Alcaraz A, Rodriguez B, Augustovski F, Pichon-Riviere A Tags: Cad Saude Publica Source Type: research

Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil.
This study was conducted with 1,096 women. Structured interviews were conducted using a standard pre-tested questionnaire. Obesity was defined as body mass index (BMI) ≥ 30kg/m2. Circular buffers of 400m in radius were created based on the centroid of the women's houses who participated, in the 45 census tracts inhabited by them. Neighborhood food establishments were identified through systematic survey of all streets in the study areas and geographical coordinates of shops were collected. Establishments were evaluated using the NEMS tool. The prevalence of obesity was 33% among the women participants. After adjusting f...
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Backes V, Bairros F, Cafruni CB, Cummins S, Shareck M, Mason K, Dias-da-Costa JS, Olinto MTA Tags: Cad Saude Publica Source Type: research

[The influence of information from the Brazilian National Health Survey on the current estimate and trend in exclusive breastfeeding in Brazil].
Abstract The study aimed to discuss the consistency of estimates of maternal breastfeeding in the Brazilian National Health Survey (PNS) and the implications for the analysis of trends in these indicators from 1986 to 2013. The main limitation for the current estimate (2013) of breastfeeding indicators based on the PNS and their trend (1986-2013) is the absence of the interview date in the microdata, thus hindering a precise calculation of age. Previous studies have shown different scenarios for exclusive breastfeeding based on the PNS: 36.6% (stabilization of prevalence in comparison to 2006 [Brazilian National S...
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Rinaldi AEM, Conde WL Tags: Cad Saude Publica Source Type: research

Trends in the number of traffic accident victims on Brazil's federal highways before and after the start of the Decade of Action for Road Safety.
In conclusion, before the DARS, there was an upward monthly trend in the number of fatal and injured victims of traffic accidents on Brazil's federal highways. After the start of the DARS, in 2011, there was an inverse trend, namely a decline in these outcomes in the country. PMID: 31483050 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 29, 2019 Category: International Medicine & Public Health Authors: Andrade FR, Antunes JLF Tags: Cad Saude Publica Source Type: research

[Cost-effectiveness between pazopanib and sunitinib for metastatic renal cancer from the perspective of the Brazilian Unified National Health System].
This article assesses cost-effectiveness between pazopanib and sunitinib in the treatment of metastatic renal cancer. A cost-effectiveness study was performed from the perspective of a federal hospital under the Brazilian Unified National Health System (SUS). TKI effectiveness and safety outcomes were applied to the decision tree model. Clinical data were extracted from patient charts, and direct costs were consulted from official Ministry of Health sources. The cost of 10 months of treatment, including the costs of the TKI, procedures and management of adverse events, was BRL 98,677.19 for pazopanib and BRL 155,227.11 for...
Source: Cadernos de Saude Publica - August 22, 2019 Category: International Medicine & Public Health Authors: Meirelles IO, Couto DHN, Costa RSD Tags: Cad Saude Publica Source Type: research

[Budget impact of the incorporation of second-line drug treatment for diabetic macular edema in the Brazilian Unified National Health System from the perspective of the Minas Gerais State Health Department, Brazil].
Abstract The study's objective was to perform budget impact assessment for the incorporation of second-line intravitreal antiangiogenic therapy for diabatic macular edema in the scope of the Brazilian Unified National Health System (SUS) in Minas Gerais state, Brazil, discussing the incorporation's state budget feasibility. The budget impact assessment was performed as a deterministic method according to Ministry of Health guidelines. The study included patients with probable first-line treatment failure in a five-year timeline for all the technologies assessed. The analysis included the drugs bevacizumab (off-lab...
Source: Cadernos de Saude Publica - August 22, 2019 Category: International Medicine & Public Health Authors: Izidoro JB, Piazza T, Andrade EIG, Alvares-Teodoro J Tags: Cad Saude Publica Source Type: research

[Adverse drug reactions reported to the Brazilian pharmacovigilance system from 2008 to 2013: descriptive study].
er RS Abstract The study aimed to analyze suspected adverse drug reactions reported to Brazil's pharmacovigilance system (Notivisa-medicamento) from 2008 to 2013. This was a descriptive study whose analytical units in the database were reports and drug-adverse reactions pairs. A total of 26,554 reports were identified, for a reporting rate of 22.8/million inhabitants/year. Reports in female patients prevailed (60.5%), as did white color/race (58.1%). Age ranged from 0 to 112 years (median = 46 years). Nearly one-third (32.5%) of suspected adverse drug reactions occurred in vulnerable populations (elderly and child...
Source: Cadernos de Saude Publica - August 22, 2019 Category: International Medicine & Public Health Authors: Mota DM, Vigo Á, Kuchenbecker RS Tags: Cad Saude Publica Source Type: research

Urban violence and risk factors for femicide in the Brazilian Amazon.
This study aimed to assess intentional homicides of women, focusing on femicides, highlighting the characteristics and risk factors. This was a cross-sectional study based on daily surveillance of homicides in the press and mortality records. The study considered fatal victims of assault in women over 11 years of age in Manaus, Amazonas State, Brazil, in 2016-2017. Classification of femicide was based on Brazil's Law n. 13,104/2015. Relative risk was estimated by Poisson regression, and a hierarchical model was used to include variables in the models. Analyses were performed in the R statistical package. Of 138 fatal victi...
Source: Cadernos de Saude Publica - August 22, 2019 Category: International Medicine & Public Health Authors: Orellana JDY, Cunha GMD, Marrero L, Horta BL, Leite IDC Tags: Cad Saude Publica Source Type: research

Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study.
This study aimed to reassess the psychometric properties of the Hospital Survey on Patient Safety Culture (HSOPSC) adapted to Portuguese for use in the Brazilian context. An observational, cross-sectional study was performed in a large, private, non-profit, acute care hospital, reference in patient safety, in a major Brazilian metropolis. Participants were selected from a non-probability sample of all eligible personnel in the various hospital departments invited to participate in the study. Reliability of the HSOPSC was assessed by estimating Cronbach's alpha for each dimension. confirmatory factor analysis (CFA), a matri...
Source: Cadernos de Saude Publica - August 22, 2019 Category: International Medicine & Public Health Authors: Reis CT, Laguardia J, Barros CG, Andreoli PBA, Martins M Tags: Cad Saude Publica Source Type: research

[Ethnic and racial inequalities in hospital admissions due to avoidable causes in under-five Brazilian children, 2009-2014].
This article analyzes ethnic and racial inequalities in cause-related hospitalizations in under-five children in Brazil as a whole and the country's five major geographic regions, with an emphasis on PCSCs and acute respiratory infections (ARIs). Using data from the Hospital Information Systems of the Brazilian Unified National Health System (SIH/SUS), 2009-2014, the authors calculated proportions, rates, and rate ratios for PCSCs, adjusted by sex and age after multiple imputation of missing data on color/race. The principal causes of hospitalization were respiratory tract infections (37.4%) and infectious and parasitic di...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Farias YN, Leite IDC, Siqueira MAMT, Cardoso AM Tags: Cad Saude Publica Source Type: research

[Classification of color/race in children from indigenous households in Brazil].
Abstract Studies on racial classification systems in Brazil reveal the influence of socioeconomic factors in the expression of color/race categories, especially for whites and blacks. The aim of this study was to analyze specific family arrangements between fathers, mothers, and children, at least one of whom was indigenous. Based on the sample from the 2010 Population Census, we selected households with at least three residents (father, mother, and children), at least one of whom was indigenous. Children were characterized according to color/race (white, brown, and indigenous), sex, age, per capita household inco...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Marinho GL, Bastos JL, Longo LAFB, Tavares FG Tags: Cad Saude Publica Source Type: research

[Indigenous health care model: the case of the DSEI Xingu].
a PPG PMID: 31433028 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Mendonça SBM, Rodrigues D, Pereira PPG Tags: Cad Saude Publica Source Type: research

[Mortality from suicide in indigenous children in Brazil].
This study aimed to describe the characteristics, distribution, and mortality rates from suicide in indigenous children in Brazil compared to non-indigenous children. This descriptive study covered the years from 2010 to 2014, using national databases. The study collected deaths in individuals 10 to 14 years of age whose underlying cause was "inentional self-inflicted injury". Hanging was the most frequently used means in both indigenous and non-indigenous children, although it was more frequent in the former. Among indigenous children, suicides in hospitals or other healthcare establishments were less common tha...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Souza MLP Tags: Cad Saude Publica Source Type: research

[Excess weight in Xukuru indigenous children in Ororub á, Pernambuco State, Brazil: magnitude and associated factors].
This study estimated the prevalence rates and risk of overweight and excess weight in Xukuru children in the village of Ororubá, Pernambuco State, and assessed the socioeconomic and demographic factors potentially associated with these conditions. This cross-sectional study analyzed the associations between adequate weight, excess weight (overweight and obesity), and risk of overweight according to the indices and cutoff points of the World Health Organization for children and the explanatory variables, using multinomial logistic regression. Prevalence of excess weight was 7.7% and risk of overweight was 24.2%. The ...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Fávaro TR, Ferreira AA, Cunha GMD, Coimbra CEA Tags: Cad Saude Publica Source Type: research

[Basic sanitation and inequalities in color/race in urban households with under-five children, with a focus on the indigenous population].
This study aimed to analyze the presence of basic sanitation services in households with children under five years of age located in urban areas of Brazil, with a focus on indigenous children. This cross-sectional study was based on data from the 2010 Population Census. We calculated the rates of households with running water (public system), sewage disposal (public system or septic tanks), and garbage collection (directly or via public dumpsters). Multiple logistic regression (MLR) models were used to estimate associations between color/race and presence of sanitation services, based on odds ratios (OR). The study conside...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Raupp L, Cunha GM, Fávaro TR, Santos RV Tags: Cad Saude Publica Source Type: research

[The health and nutrition of indigenous children in Chile (Mapuche)].
Abstract The aim of this study was to conduct a review of the health and nutritional status of Chilean indigenous children, specifically Mapuche children, as published in the literature and specific population-based studies. The searches were conducted in PubMed and LILACS in the last 15 years. From 2006 to 2015, the poverty rate was higher in the indigenous population, with a decrease in the gap from 16% in 2006 to 7.7% in 2015 (p
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Amigo H, Bustos P Tags: Cad Saude Publica Source Type: research

[Tuberculosis in indigenous children and adolescents in Brazil: factors associated with death and treatment dropout].
Abstract The study aimed to describe clinical and sociodemographic characteristics, estimate incidence, and analyze factors associated with dropout and death during treatment of TB cases reported in indigenous children and adolescents in Brazil from 2006 to 2016. A historical case series was performed on incidence according to age bracket and major geographic region, and multinomial logistic regression was used to explain factors associated with treatment dropout and death. Of the 2,096 reported cases, 88.2% evolved to cure, 7.2% dropped out of treatment, and 4.6% evolved to death. There was a predominance of case...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Viana PVS, Codenotti SB, Bierrenbach AL, Basta PC Tags: Cad Saude Publica Source Type: research

Violence against indigenous children and adolescents in Venezuela.
, Perdomo G Abstract Research on violence in indigenous communities refers to traditional practices of competition for scarce goods and clashes with other populations over their territories. Violence against children is not described, and authors of some studies state a tradition of good treatment towards them. In our study we shows that the situation has changed and new forms of violence are affecting 725,000 inhabitants from 51 indigenous groups of Venezuela, especially those composed of children and adolescents. The method used was interviews with key informants and for secondary census, civil society data and ...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Briceño-León R, Perdomo G Tags: Cad Saude Publica Source Type: research

[Health promotion with indigenous women: the contribution of ethnography on self-care practices among the Munduruku people in the Amazonas State, Brazil].
Abstract Longevity, health, and collective and individual well-being are among the socially shared expectations of the Munduruku people who live on the Kwatá-Laranjal Indian Reservation in Amazonas State, Brazil. Daily life in a cosmos full of beings is surrounded by dangers that threaten these expectations, and whose agencies can result in disease and death. Based on ethnography, through participant observation and narratives, we analyze the self-care practices dedicated to the construction of the Munduruku woman's body, valuing the perspectives and active role of "lay" persons in this process. T...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Dias-Scopel RP, Scopel D Tags: Cad Saude Publica Source Type: research

The health of indigenous children and adolescents in Latin America.
PMID: 31433036 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Tavares FG, Ferreira AA Tags: Cad Saude Publica Source Type: research

[Assessment of prenatal care for indigenous women in Brazil: findings from the First National Survey of Indigenous People's Health and Nutrition].
This study assesses prenatal care for indigenous women 14-49 years of age with children under five years of age in Brazil. The First National Survey of Indigenous People's Health and Nutrition assessed 3,967 women who met these criteria, of whom 41.3% in the North, 21.2% in the Central, 22.2% in the Northeast, and 15% in the South/Southeast. Prenatal care was offered to 3,437 (86.6%) of these women. The North of Brazil showed the highest proportion of indigenous women who did not receive prenatal care. Coverage was 90.4%, but only some 30% began prenatal care in the first trimester, and only 60% of the eligible women were ...
Source: Cadernos de Saude Publica - August 19, 2019 Category: International Medicine & Public Health Authors: Garnelo L, Horta BL, Escobar AL, Santos RV, Cardoso AM, Welch JR, Tavares FG, Coimbra CEA Tags: Cad Saude Publica Source Type: research

[Incorporation of technologies by the Canadian and Brazilian health systems: prospects for progress in assessment processes].
Abstract One of the main challenges for modern health systems is to guarantee equitable access to technologies with proven quality, safety, efficacy, and cost-effectiveness, as well as to ensure that their use is based on high-quality scientific evidence. Health technology assessment (HTA) is one of the most widely used strategies in the world to support decisions on health technologies. The article analyzes how HTA systems are organized in Brazil and Canada and discusses the implications for planning the incorporation of technologies in Brazil, considering the challenges posed by the regionalization process and t...
Source: Cadernos de Saude Publica - August 15, 2019 Category: International Medicine & Public Health Authors: Silva HPD, Elias FTS Tags: Cad Saude Publica Source Type: research

Air pollutants as a risk factor for cognitive impairment and dementia.
PMID: 31411270 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Silva DRR, Suemoto CK, Gouveia N Tags: Cad Saude Publica Source Type: research

[Factors associated with orthostatic hypotension in adults: the ELSA-Brasil study].
This study aimed to investigate factors associated with orthostatic hypotension in 14,833 individuals 35-74 years of age. This was a cross-sectional study of baseline data (2008-2010) from the Longitudinal Study of Adult Health (ELSA-Brasil). Postural testing was performed after 20 minutes resting in supine position and active adoption of orthostatic posture. Blood pressure was measured in supine position and at 3 minutes in orthostatic position with an oscillometer (HEM 705 CP, Omron, São Paulo, Brazil). Orthostatic hypotension was defined as a drop of ≥ 20mmHg in systolic blood pressure and/or a drop of ≥ 10...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Velten APC, Benseñor I, Souza JB, Mill JG Tags: Cad Saude Publica Source Type: research

Science and the challenges of complexity in health problems.
PMID: 31411272 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Carvalho MS Tags: Cad Saude Publica Source Type: research

Psychometric properties of the hospital birth satisfaction scale: Birth in Brazil survey.
The objective of this study was to analyze the psychometric properties of the hospital birth satisfaction scale with data from the first follow-up interview of the Birth in Brazil survey. The 11 questions of the scale were asked by telephone up to six months after discharge in a stratified random sample of 16,109 women residing in all five regions of the country. The sample was randomly divided into two halves. Exploratory factor analysis (EFA) was applied to the first half in order to identify the scale's factorial structure. The scree plot suggested the scale to be one-dimensional. The EFA demonstrated a good fit of the ...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Costa DDO, Ribeiro VS, Ribeiro MRC, Esteves-Pereira AP, Sá LGC, Cruz JADS, Leal MDC, Silva AAMD Tags: Cad Saude Publica Source Type: research

"A body shape index" and its association with arterial hypertension and diabetes mellitus among Brazilian older adults: National Health Survey (2013).
"A body shape index" and its association with arterial hypertension and diabetes mellitus among Brazilian older adults: National Health Survey (2013). Cad Saude Publica. 2019 Aug 12;35(8):e00175318 Authors: Nascimento-Souza MA, Lima-Costa MF, Peixoto SV Abstract The aim was to evaluate the separate and joint association of abdominal adiposity indicators (a body shape index - ABSI, waist circumference - WC, waist-to-height ratio - WHtR) and body mass index (BMI) with arterial hypertension and diabetes mellitus, in Brazilian older adults. Data from the 2013 Brazilian National Health Survey (PN...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Nascimento-Souza MA, Lima-Costa MF, Peixoto SV Tags: Cad Saude Publica Source Type: research

Nexus of exclusion and challenges for sustainability and health in an urban periphery in Brazil.
The objective is to investigate synergies and contradictions based on social practices in the urban nexus in the neighborhood of Novo Recreio in the city of Guarulhos, Greater Metropolitan São Paulo, Brazil. The methodology consists of a qualitative ethnographic study drawing on practice theory as the reference, with direct field observations and narratives. The results featured social practices associated with systematic lack of water, precarious public lighting and transportation, and difficult access to fresh and healthy foods. The study of social practices between synergies and contradictions allowed verifying t...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Giatti LL, Urbinatti AM, Carvalho CM, Bedran-Martins AM, Santos IPO, Honda SO, Fracalanza AP, Jacobi PR Tags: Cad Saude Publica Source Type: research

Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors.
This study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g and/or gestational age ≥ 20 weeks), neonatal deaths (
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Varela AR, Schneider BC, Bubach S, Silveira MF, Bertoldi AD, Duarte LSM, Menezes AMB, Domingues MR, Bassani DG Tags: Cad Saude Publica Source Type: research

Life-threatening conditions at birth: an analysis of causes of death and survival estimate for under-five children in live birth cohorts.
Abstract Despite the reduction in under-five mortality, the causes are still mostly avoidable, and survival may be compromised by life-threatening conditions at birth. The study estimated the burden of life-threatening conditions at birth, neonatal near miss, and mortality, with an emphasis on avoidable causes, as well as under-five survival in live birth cohorts. This was a retrospective cohort study of live birth in the city of Rio de Janeiro, Brazil (2012-2016). The databases from the Brazilian Information System on Live Births and the Brazilian Mortality Information System were linked. Pragmatic criteria were ...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Kale PL, Silva KSD, Saraceni V, Coeli CM, Torres TZG, Vieira FMDSB, Rocha NM, Fonseca SC Tags: Cad Saude Publica Source Type: research

Environmental exposure to benzene: evaluation of urinary S-PMA and polymorphism (CYP2E1-1293G > C and NQO1 609C > T) in Campos El íseos residents, Duque de Caxias, Rio de Janeiro State, Brazil.
Environmental exposure to benzene: evaluation of urinary S-PMA and polymorphism (CYP2E1-1293G>C and NQO1 609C>T) in Campos Elíseos residents, Duque de Caxias, Rio de Janeiro State, Brazil. Cad Saude Publica. 2019 Aug 12;35(7):e00198618 Authors: Silva CB, Mota CL, Almeida YR, Emídio V, Fonseca ASA, Mitri S, Moreira JC Abstract Benzene is one of the most important substances for assessment, due to its significant use, the environmental contamination resulting from its emission and the effects on human health. It is classified by the International Agency for Research on Cancer (IARC) ...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Silva CB, Mota CL, Almeida YR, Emídio V, Fonseca ASA, Mitri S, Moreira JC Tags: Cad Saude Publica Source Type: research

[Primary health care reform in Portugal, 2005-2018: the future and challenges of coming of age].
This article aims to analyze PHC reform in Portugal according to different phases in its development, using Kingdon's multiple streams model to reflect on the evolution in the reform process and its future, from the perspective of a process that seeks to achieve universal access to health. The working methodology was a document and case study with a qualitative approach and evaluative dimensions. The study was based on material on PHC in Portugal, published both in Portugal and elsewhere. Kingdon's multiple streams model was used to explain the actual and contextual development of policies implemented during the PHC reform...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Lapão LV, Pisco L Tags: Cad Saude Publica Source Type: research

[Evaluation of the performance of regionalization of health surveillance in six Brazilian Health Regions].
In conclusion, in general, the higher the level of socioeconomic development and services supply, the better the performance in regionalization of health surveillance. The evaluation portrays the complexity of contexts in different regions of Brazil, thus contributing to understanding the dynamics of health surveillance regionalization in Brazil. PMID: 31411304 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Albuquerque AC, Cesse EÂP, Felisberto E, Samico IC, Frias PG Tags: Cad Saude Publica Source Type: research

The integration challenge in Canadian regionalization.
Abstract In the 1990s, regionalization was introduced in Canada through administrative delegation in order to achieve a number of reform objectives, but among the most important was to improve the integration of services across diverse health sectors. Despite the failure of regionalization in fulfilling its promise of integration, regionalization still provides a foundation for achieving system-wide integration. For this to occur, however, regional and provincial health authorities need to be given the effective accountability for primary care. Given that primary healthcare physicians provide the majority of prima...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Marchildon G Tags: Cad Saude Publica Source Type: research

[Physicians' commuting in five health regions in S ão Paulo, Brazil: patterns and intervening factors].
[Physicians' commuting in five health regions in São Paulo, Brazil: patterns and intervening factors]. Cad Saude Publica. 2019 Aug 12;35Suppl 2(Suppl 2):e00135018 Authors: Seixas PHD, Ibañez N, Silva JAD, Bueno ACV, Lima S Abstract The article aims to analyze physicians' commuting from a new perspective, verifying their movement and work supply between health regions, specifically in five regions in the state of São Paulo, Brazil. This movement was referred to as physicians' commuting, defined as the diversity of job situations over the course of a given time period in given geogr...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Seixas PHD, Ibañez N, Silva JAD, Bueno ACV, Lima S Tags: Cad Saude Publica Source Type: research

Civic programmatic participation in public health: the case of Argentina.
Abstract Since the Alma Ata World Health Organization Conference in 1978, countries around the world have adopted institutions that promote the participation of citizens in their public health systems. The main objectives of this article are two-fold. First, we describe the origins and implementation of a national-level civic participatory program that was in place in Argentina in the mid-2000s: the Local Participatory Projects (Proyectos Locales Participativos). Second, we analyze the 201 local participatory projects that were carried out in Argentina between 2007 and 2008. We study health and environmental probl...
Source: Cadernos de Saude Publica - August 12, 2019 Category: International Medicine & Public Health Authors: Falleti TG, Cunial SL Tags: Cad Saude Publica Source Type: research