Contraceptive discontinuities in the use of oral and injectable hormonal contraceptives, and male condoms
Cad Saude Publica. 2021 Feb 22;37(2):e0014220. doi: 10.1590/0102-311X00014220. eCollection 2021.ABSTRACTThe study aimed to estimate the total contraceptive discontinuity rates in the use of oral and injectable hormonal contraceptives, and male condoms and dropout rates due to switches to more effective and less effective methods. Data on 2,051 women, users of primary healthcare services in three Brazilian state capitals, were collected using the contraceptive calendar. The results showed that 24.5% of users of oral hormonal contraceptives, 33.5% of users of injectables, and 39% of users of male condoms had discontinued the...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Ana Luiza Vilela Borges Christiane Borges do Nascimento Chofakian Osmara Alves Viana Eveline do Amor Divino Source Type: research

Meanings, risk perceptions, and prevention strategies for pregnant women since the emergence of the Zika virus in Brazil
In conclusion, three years since the outbreak reached Brazil, the Zika virus still has a major impact on the lives of pregnant women. It is crucial to strengthen health communications activities to guarantee the availability of information on the disease that responds adequately to the population's needs.PMID:33624694 | DOI:10.1590/0102-311X00145819 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Fernanda Macedo da Silva Lima Jorge Alberto Bernstein Iriart Source Type: research

Temporal effects of corrected female homicide mortality estimates in Northeast Brazil
This study aimed to analyze the temporal effects (age, period, and cohort) on female homicide mortality in the states of Northeast Brazil from 1980 to 2017. This ecological time trend study used APC with a Bayesian approach and the deterministic method Integrated Nested Laplace Approximations (INLA) in the parameters' inference. The female homicide rates for each state of the Northeast were standardized by the direct method after correction of the death records for quality of information and underreporting. Data were also obtained on race/color, place of death, and means of perpetration. During the period analyzed, after c...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Karina Cardoso Meira Rafael Tavares Jomar Juliano Dos Santos Glauber Weder Dos Santos Silva Eder Samuel Oliveira Dantas Ezequiel Benigno Resende Weverton Thiago da Silva Rodrigues Cosme Marcelo Furtado Passos da Silva Tayn ãna César Simões Source Type: research

COVID-19 pandemic after the vaccine: the importance of continuing to implement basic primary prevention
Cad Saude Publica. 2021 Feb 22;37(2):e00003621. doi: 10.1590/0102-311X00003621. eCollection 2021.NO ABSTRACTPMID:33624696 | DOI:10.1590/0102-311X00003621 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Andrea Cioffi Source Type: research

Communicational relations between healthcare professionals and their influence on coordination of care
Cad Saude Publica. 2021 Feb 22;37(2):e00022020. doi: 10.1590/0102-311X00022020. eCollection 2021.ABSTRACTThe study aims to understand the influence of communicational relations among healthcare professionals in the coordination of care between levels. This is a qualitative study with data from the international multicenter study Equity-LA II, with dialectic hermeneutics as the theoretical reference. The authors listened to the audios from 15 interviews with professionals (7 physicians from primary care and 5 from specialized care, and 3 institutional supporters from primary care) in a municipal network in the Agreste regio...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Hylany Bezerra de Almeida Lygia Carmen de Moraes Vanderlei Marina Ferreira de Medeiros Mendes Paulo Germano de Frias Source Type: research

Comparison between self-reported and accelerometer-derived measurements for classifying children and adolescents as physically active in Chile
Cad Saude Publica. 2021 Feb 22;37(2):e00240620. doi: 10.1590/0102-311X00240620. eCollection 2021.ABSTRACTThe aim of this study was to compare self-reported with two accelerometer-derived methods to classify Chilean children and adolescents as physically active. In total, 247 students wore an accelerometer on their hips during 7 consecutive days to classify them as physically active based on (1) daily accumulation of ≥ 60 minutes of moderate-to-vigorous physical activity (MVPA) on each of the seven days, and (2) average MVPA ≥ 60 minutes/day. Also, participants were classified as physically active if they reported bei...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Nicolas Aguilar-Farias Sebastian Miranda-Marquez Marcelo Toledo-Vargas Damian Chandia-Poblete Source Type: research

"Kit-covid" and the Popular Pharmacy Program in Brazil
Cad Saude Publica. 2021 Feb 22;37(2):e00348020. doi: 10.1590/0102-311X00348020. eCollection 2021.NO ABSTRACTPMID:33624699 | DOI:10.1590/0102-311X00348020 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Cl áudia Du Bocage Santos-Pinto Elaine Silva Miranda Claudia Garcia Serpa Osorio-de-Castro Source Type: research

Pesticides: the hidden poisons on our table
Cad Saude Publica. 2021 Feb 10;37(2):00004321. doi: 10.1590/0102-311X00004321.NO ABSTRACTPMID:33624735 | DOI:10.1590/0102-311X00004321 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Maria Tereza Borges Araujo Frota Carlos Eduardo Siqueira Source Type: research

Being a woman and studying laws: anthropological approaches to harassment and their resistance at a public university in Mexico City, Mexico
This article describes harassment practices in higher education and explains why they are taken for granted, besides documenting forms of resistance reported by some students and professors. From January 2016 to March 2017, nine in-depth interviews were held with students who had experienced harassment at a public school of law in Mexico City, Mexico, besides interviews with three male students and two female professors. The findings suggest that some professors harass selectively, based on dress codes associated with gender stereotypes. Harassment can be viewed as an exemplary punishment with corrective purposes, or part ...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Daniel Hern ández-Rosete Juan Carlos G ómez-Palacios Source Type: research

Challenges and strides in the control of pesticide residues in Brazil: 15 years of the Program for Analysis of Pesticide Residues in Food Products
Cad Saude Publica. 2021 Feb 10;37(2):e00116219. doi: 10.1590/0102-311X00116219. eCollection 2021.ABSTRACTIn Brazil, since 2001, pesticides in food products have been monitored by the Program for Analysis of Pesticide Residues in Food Products (PARA, in Portuguese). The study aimed to analyze the challenges and strides in the control of pesticide residues in food products in Brazil based on the program's results from 2001 to 2015. A descriptive-analytical document review was conducted that used data from reports by the PARA, available at the website of the Brazilian Health Regulatory Agency. The program's main challenges fe...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Carla Vanessa Alves Lopes Guilherme Souza Cavalcanti de Albuquerque Source Type: research

Sexually transmissible infections in African-descendant women in maroon communities in Brazil: prevalence and associated factors
Cad Saude Publica. 2021 Feb 10;37(2):e00174919. doi: 10.1590/0102-311X00174919. eCollection 2021.ABSTRACTThe study aimed to estimate the prevalence of sexually transmissible infections (STIs) and associated factors in women in quilombola (maroon) communities in Brazil. This was a population-based cross-sectional study of quilombola women from March 2017 to January 2019. A questionnaire was used with sociodemographic, behavioral, and clinical information. A gynecological examination was performed for the collection of uterine cervical cells for oncotic cytology and the detection of Chlamydia trachomatis, Neisseria gonorrhoe...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Jerusa Araujo Dias Tha ís Verly Luciano Maria Carmen Lopes Ferreira Silva Santos Carlos Musso Eliana Zandonade Liliana Cruz Spano Angelica Espinosa Miranda Source Type: research

Health-related quality of life (SF-36) in back pain: a population-based study, Campinas, S ão Paulo State, Brazil
Cad Saude Publica. 2021 Feb 10;37(2):e00206019. doi: 10.1590/0102-311X00206019. eCollection 2021.ABSTRACTOur study aimed at assessing back pain impact over health-related quality of life (HRQoL). This is a cross-sectional population-based study that analyzed 1,192 adults. The dependent variables were the SF-36 scales and the main independent variables was back pain characterized by location, number of back pain region, intensity, frequency and limitations. Simple and multiple linear regression models were performed to estimate the crude and adjusted beta-coefficients (gender, age, schooling and co-morbidity conditions). Ba...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Aparecida Mari Iguti Margareth Guimar ães Marilisa Berti Azevedo Barros Source Type: research

Normative and subjective need for dental prosthesis: accuracy and agreement in a population based-study
Cad Saude Publica. 2021 Feb 10;37(2):e0052720. doi: 10.1590/0102-311X0052720. eCollection 2021.ABSTRACTThe aim of our study was to compare normative need for dental prosthesis (estimated by dentists) with subjective need (self-reported) by testing the accuracy and agreement and comparing direction and magnitude of associations with independent variables using both as outcomes. A representative sample of a birth cohort study (n = 900) was assessed at 31 years of age. Subjective need was obtained from questionnaire. Both normative and subjective need variables were dichotomized in (a) individuals with need for dental prosthe...
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Authors: Luiz Alexandre Chisini Hugo Ramalho Sarmento Bernardo Lessa Horta Fl ávio Fernando Demarco Marcos Britto Correa Source Type: research

Moreira DC, Bispo J únior JP, Nery AA, Cardoso JP. Avaliação do trabalho dos Núcleos Ampliados de Saúde da Família e Atenção Básica (NASF-AB) por usuários, segundo os atributos da atenção primária. Cad Saúde Pública 2020; 36:e00031420
Cad Saude Publica. 2021 Feb 10;37(2):ER031420. doi: 10.1590/0102-311XER031420. eCollection 2021.ABSTRACT[This corrects the article doi: 10.1590/0102-311X00031420].PMID:33624741 | DOI:10.1590/0102-311XER031420 (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - February 24, 2021 Category: International Medicine & Public Health Source Type: research

[Pharmaceutical globalization and biological citizenship: notes on the implementation of post-exposure prophylaxis in the State of Rio Grande do Sul, Brazil].
es TR Abstract Based on a multicenter ethnographic field survey on the implementation of post-exposure prophylaxis (PEP) in the State of Rio Grande do Sul, Brazil, this article discusses aspects of micropolitics in the supply of "new preventive technologies" based on the concepts of pharmaceutical globalization and biological citizenship. Combined prevention suggests the joint use of behavioral, biomedical, and structural strategies to confront HIV, but on the margins of this policy's co-construction, actions by health services in Rio Grande do Sul showed a profound fragmentation of this combination in t...
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Costa AHC, Gonçalves TR Tags: Cad Saude Publica Source Type: research

Economic burden of physical inactivity in hospitalizations due to dementia: a Brazilian nationwide study.
Abstract Our study aimed at determining the economic burden of leisure-time physical inactivity in hospitalizations due to dementia in Brazil. In this national-wide descriptive study, we used secondary data from the Brazilian Health Informatics Department and from the latest Brazilian National Health Survey (2013). Rate of hospitalization and economic cost were extracted from 2013. Leisure-time physical inactivity prevalence was used to estimate its population attributable fraction for dementia. Outcomes were stratified into sex (man/woman), age groups (
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Feter N, Leite JS, Cardoso RK, Rombaldi AJ Tags: Cad Saude Publica Source Type: research

[Impact of calendar effect on morbidity and mortality from external causes in tourist towns in the State of S ão Paulo, Brazil, from 2004 to 2014].
This study aims to analyze the association between temporal variations in injuries and deaths from external causes and periods of greater flow of visitors in tourist municipalities (counties) on the coastline of the state of São Paulo, Brazil, from 2004 to 2014. This is an ecological study of daily and monthly time series based on data from the Brazilian Mortality Information System (SIM) and Brazilian Hospital Information System of the Brazilian Unified National Health System (SIH/SUS) from January 1, 2004, to December 31, 2014, using as the analytical units the four municipalities on the northern coast of the Stat...
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Silva PCD, Camacho LAB, Carmo CND Tags: Cad Saude Publica Source Type: research

Latent class analysis of COVID-19 symptoms in Brazil: results of the PNAD-COVID19 survey.
Abstract The lack of mass testing for COVID-19 diagnosis creates the need to determine the magnitude of the disease based on its clinical symptoms. The study aimed to analyze the profile of COVID-19 symptoms and related aspects in Brazil. The author analyzed the sample of participants from the Brazilian National Household Sample Survey (PNAD-COVID19) conducted in May 2020. Latent class analysis (LCA) was performed with sociodemographic covariables and 11 symptoms reported by 346,181 individuals. Rao-Scott test and standardized residual analysis were used to measure the association with the pattern of health servic...
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Moreira RDS Tags: Cad Saude Publica Source Type: research

[Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of S ão Paulo, Brazil].
[Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of São Paulo, Brazil]. Cad Saude Publica. 2021;37(1):e00242219 Authors: Sanine PR, Dias A, Machado DF, Zarili TFT, Carrapato JFL, Placideli N, Nunes LO, Mendonça CS, Castanheira ERL Abstract The aim was to assess the association between the organizational quality of children's healthcare in primary care services and variables in the management context. An evaluative survey in 151 primary care services in 40 municipalities (counties) in the interior of the ...
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Sanine PR, Dias A, Machado DF, Zarili TFT, Carrapato JFL, Placideli N, Nunes LO, Mendonça CS, Castanheira ERL Tags: Cad Saude Publica Source Type: research

[Excess deaths during the COVID-19 pandemic: underreporting and regional inequalities in Brazil].
This study aimed to estimate the excess deaths and their differences in adults 20 years and older in Manaus (Amazonas State), Fortaleza (Ceará State), Rio de Janeiro, and São Paulo, according to place of death, demographic characteristics, and trajectory over time. The data were obtained from the Mortality Information System and the Central Information Office of the National Civil Registry. The estimates of expected deaths were obtained from quasi-Poisson generalized additive models, adjusting for overdispersion. From February 23 to June 13, 2020, 74,410 natural deaths were recorded in the four cities, with 4...
Source: Cadernos de Saude Publica - February 11, 2021 Category: International Medicine & Public Health Authors: Orellana JDY, Cunha GMD, Marrero L, Moreira RI, Leite IDC, Horta BL Tags: Cad Saude Publica Source Type: research

[Eating away from home and biomarkers for chronic noncommunicable diseases in Brazilian adolescents].
Abstract The study aimed to assess the relationship between food consumption away from home and alterations in biomarkers for chronic noncommunicable diseases in Brazilian adolescents. This cross-sectional study used data from the Study of Cardiovascular Risk Factors in Adolescents (ERICA), conducted in 36,956 adolescents in 2013/2014. The relationship between food consumption away from home and each target outcome (hypertriglyceridemia, hypercholesterolemia, hyperglycemia, high glycated hemoglobin, and hyperinsulinemia) was tested with logistic regression models adjusted for age, school system (public versus priv...
Source: Cadernos de Saude Publica - February 4, 2021 Category: International Medicine & Public Health Authors: Morais SR, Bezerra IN, Souza AM, Vergara CMAC, Sichieri R Tags: Cad Saude Publica Source Type: research

Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services.
Abstract The article presents a review of ethnographic studies in the scientific literature on hospital emergency services, with the objective of systematizing the studies and their principal findings, referring to the health-disease-healthcare process in hospital emergency services from an ethnographic perspective. An integrative literature review was performed of studies published in Argentine and international indexed journals and in the following electronic databases: PubMed, VHL, Scopus, Redalyc, and SciELO. The corpus of the analysis consisted of a total of 69 articles, which were submitted to content analys...
Source: Cadernos de Saude Publica - January 29, 2021 Category: International Medicine & Public Health Authors: Sy A, Moglia B, Aragunde G, Derossi P Tags: Cad Saude Publica Source Type: research

Public spaces and physical activity in adults: insights from a mixed-methods study.
The objectives of this mixed-methods study were: (i) to assess the quantitative association between access to public spaces and physical activity; (ii) to assess the modification of the association by public spaces quality, area-level walkability, and social stratifiers; (iii) to explain the quantitative results using qualitative data. Quantitative data were obtained with a household survey in two arid-climate Mexican cities in 2017-2018. physical activity was measured with the Global Physical Activity Questionnaire. Access to public spaces was measured in buffers centered on survey blocks, walkability with area-level indi...
Source: Cadernos de Saude Publica - January 29, 2021 Category: International Medicine & Public Health Authors: Bojorquez I, Romo-Aguilar ML, Ojeda-Revah L, Tena F, Lara-Valencia F, García H, Díaz R, Aranda P Tags: Cad Saude Publica Source Type: research

Birth by cesarean delivery and central adiposity in adolescents from a birth cohort.
In conclusion, there was no association between cesarean section delivery and greater central adiposity in the studied adolescents. PMID: 33503161 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - January 29, 2021 Category: International Medicine & Public Health Authors: Abreu JDMF, Abreu SLL, Bragança MLBM, Cavalcante LFP, França AKTDC, Ribeiro CCC, Lamy Filho F Tags: Cad Saude Publica Source Type: research

[Gifts and testimonies: sharing of experiences and memories among mothers of children with complex health conditions].
Abstract The American online journal Complex Child, written by and for mothers of complex children, has documented an important collection of personal experiences since 2008. We analyzed 126 editions of the journal, in which our approach was to search in the writings for positive (and thus counterhegemonic) meanings, based on an experience that has found little room in the social imaginary except for that of personal tragedy. Assuming the position of these mothers as politically and historically situated, we identified the dimension of testimonies. Marcel Mauss' theory of the gift, as well as the notion of social ...
Source: Cadernos de Saude Publica - January 29, 2021 Category: International Medicine & Public Health Authors: Paez AS, Moreira MCN Tags: Cad Saude Publica Source Type: research

Adverse drug reactions in patients with COVID-19 in Brazil: analysis of spontaneous notifications of the Brazilian pharmacovigilance system.
Abstract In March 2020, the World Health Organization announced the new COVID-19 pandemic, which represented a challenge for health services and professionals. An effective treatment against this disease has not yet been developed; as such, several drugs are used without evidence of efficacy, which in some cases may lead to unwanted events. This is a cross-sectional study with the objective of evaluating adverse drug reactions (ADRs) in patients with COVID-19, identified between March 1 and August 15, 2020, in Brazil, as well as assessing the factors associated with the emergence of severe reactions. To compare th...
Source: Cadernos de Saude Publica - January 29, 2021 Category: International Medicine & Public Health Authors: Melo JRR, Duarte EC, Moraes MV, Fleck K, Silva ASDNE, Arrais PSD Tags: Cad Saude Publica Source Type: research

Association between "a body shape index" and mortality: Bambu í Cohort Study of Aging, Brazil.
This article aims to evaluate the joint and separate association between abdominal and general adiposity indicators and mortality. Data was collected from 1,366 older adults in the Bambuí Cohort Study of Aging with complete information for all variables of interest. The outcome variable was all-cause time until death; exposure variables were a body shape index (ABSI), waist circumference (WC), waist-to-height ratio (WHtR) and body mass index (BMI), assessed at the beginning of the study, and at the 3rd, 5th and 11th year of follow-up. Association between the quartiles of anthropometric indicators and mortality was c...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Nascimento-Souza MA, Mambrini JVM, Peixoto SV, Lima-Costa MF Tags: Cad Saude Publica Source Type: research

[Consumption of psychotropic medications in primary healthcare in Ribeir ão Preto, São Paulo State, Brazil].
[Consumption of psychotropic medications in primary healthcare in Ribeirão Preto, São Paulo State, Brazil]. Cad Saude Publica. 2021;37(1):e00060520 Authors: Oliveira JRF, Varallo FR, Jirón M, Ferreira IML, Siani-Morello MR, Lopes VD, Pereira LRL Abstract The consumption of psychotropic drugs is considered a public health problem, due to the potential for addiction and the occurrence of adverse events. In this context, the current study aimed to characterize the consumption of psychotropic medications dispensed in primary healthcare units in Ribeirão Preto, São Paulo ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Oliveira JRF, Varallo FR, Jirón M, Ferreira IML, Siani-Morello MR, Lopes VD, Pereira LRL Tags: Cad Saude Publica Source Type: research

[Impact of social distancing on reports of violence against children and adolescents in Rio Grande do Sul, Brazil].
This study aimed to analyze the rates of reports of violence against children and adolescents in the state of Rio Grande do Sul, Brazil, from 2015 to 2020, and the changes in trends by period due to the novel coronavirus pandemic (COVID-19). This is an ecological time series study with secondary data obtained from the Bi Saúde Portal in the panel on Interpersonal Violence and Suicide. The study collected reports on violence in individuals 0 to 19 years of age in the months of March and April each year, stratified by sex, age bracket, race/color, and type of violence. Prais-Winsten regression was used to analyze the ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Levandowski ML, Stahnke DN, Munhoz TN, Hohendorff JV, Salvador-Silva R Tags: Cad Saude Publica Source Type: research

[Impact of tobacco control on healthcare costs for acute myocardial infarction in Uruguay: costs based on Diagnosis-Related Groups].
Abstract Tobacco is the leading modifiable cause of cardiovascular disease, cancer, and respiratory diseases and is thus a serious global public health problem. In 2006, Uruguay implemented the World Health Organization Framework Convention on Tobacco Control (WHO-FCTC) and achieved a decrease in the smoking rate and improvements in cardiovascular and respiratory health. We analyzed the clinical and economic impacts of tobacco control measures on the healthcare costs for acute myocardial infarction, which was reduced by 17%. The costs avoided for other diseases were not included. The study examined the trend in a ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Paolillo-Cabrera E, Torres F, Machado F, Scasso A, Alvarado A, Genta D, Tort P, Tortorella S, Laluz S, Cabrera D, Sandoya E Tags: Cad Saude Publica Source Type: research

[Judicialization of access to medicines: analysis of lawsuits in the state of Rio Grande do Norte, Brazil].
This study aimed to analyze the lawsuits demanding access to medicines in the state of Rio Grande do Norte, Brazil, from 2013 to 2017, describing their sociodemographic, legal, and medical/health characteristics. This was a descriptive study in which the unit of analysis was the individual judicial process for requesting medicines in which the state was the defendant. The data were obtained by consulting the website of the Rio Grande do Norte Court of Justice. A total of 987 suits were analyzed, in which the majority of the plaintiffs were females (58.8%), with a mean age of 48.3 years, and residing in the state's interior...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Oliveira YMDC, Braga BSF, Farias AD, Vasconcelos CM, Ferreira MAF Tags: Cad Saude Publica Source Type: research

[Performance of Brazilian municipalities in the supply of specialized oral health services].
li AG Abstract The study aimed to analyze factors associated with the availability of specialized dental services in Brazilian municipalities. This was an ecological study with a sample of 776 municipalities that participated in the first cycle of the Program to Improve Access and Quality of Dental Specialization Centers (PMAQ-CEO, in Portuguese) survey held in 2014. The study's dependent variables consisted of a coefficient created with variables on the number of professionals and the workweek of dentists in the minimum set of specialties, per 10,000 inhabitants. Exploratory factor analysis was performed to creat...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Galvão MHR, Roncalli AG Tags: Cad Saude Publica Source Type: research

Social support from family and friends for physical activity in adolescence: analysis with structural equation modeling.
This study analyzes social support from family and friends for adolescents to practice physical activity. Guided by the Social-Ecological Theory, an observational cross-sectional structural equations modeling was applied to 2,710 Brazilians adolescents aged from 14 to 18 years. We identified that the greater the social support from friends (β = 0.30; RMSEA = 0.065; CFI = 0.953; TLI = 0.922; SRMR = 0.048) and family, the greater the adolescents physical activity (β = 0.27; RMSEA = 0.015; CFI = 0.997; TLI = 0.995; SRMR = 0.013). However, support from both sources indicated no adequate adjustment values in the same ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Lisboa T, Silva WRD, Silva DAS, Felden ÉPG, Pelegrini A, Lopes JJD, Beltrame TS Tags: Cad Saude Publica Source Type: research

Birth weight of indigenous children in Brazil: results of the First National Survey of Indigenous People's Health and Nutrition.
This study aimed to analyze the birth weight of indigenous children based on data from the First National Survey of Indigenous People's Health and Nutrition, Brazil (2008-2009). This is the first study to address indigenous children's birth weight based on a nationwide representative sample. Mean birth weights and the respective standard deviations were calculated according to geopolitical region, sex, type of birth, and birthplace. The chi-square test was used to analyze differences in proportions, and Kruskal-Wallis and Mann-Whitney U tests in means, considering sample design and data normality. We found no records on bi...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Ferreira AA, Souza MC, Cardoso AM, Horta BL, Santos RV, Welch JR, A Coimbra CE Tags: Cad Saude Publica Source Type: research

Health, childlessness and poverty in Latin American countries.
Abstract Recent literature proposes that poverty could lead women to remain childless, thus attenuating or reverting higher fertility typically observed among women of lower schooling level. We explore the role of health in this approach: does health have a distinctive detrimental effect on fertility among women of lower schooling levels? To that end, we compute the gap in the definite childlessness rate by self-reported disability status across schooling levels. Due to the scarcity of survey data from definite childless women, in addition to the small sample sizes, we use census samples. Focusing on women between...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Castro R, Tapia J Tags: Cad Saude Publica Source Type: research

[Users' assessment of the work by the Expanded Family Health and Basic Healthcare Centers (NASF-AB) according to attributes of primary care].
In conclusion, the work by the NASF-AB displayed limitations for the development of comprehensive PHC. The results also suggest potentialities with the capacity to strengthen primary care that have not been fully explored. PMID: 33440417 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Moreira DC, Bispo Júnior JP, Nery AA, Cardoso JP Tags: Cad Saude Publica Source Type: research

The vulnerabilities of lives: Zika, women and children in Alagoas State, Brazil.
This study aims to describe and analyze the vulnerabilities of the women and children most affected by the Zika epidemic in Brazil. Alagoas has the lowest Human Development Index in Brazil and one of the highest rates of adolescent pregnancy. Between December 2016 and March 2017, interviews were conducted with 54 women with children affected by Zika. The interviews had two components: a narrative-oriented conversation and a semi-structured questionnaire. This comprehensive mixed methods case study represented 45% of the confirmed CZS cases and 20% of the cases under investigation in the state at that time. The women are pr...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Ambrogi IG, Brito L, Diniz D Tags: Cad Saude Publica Source Type: research

Challenges for the Brazilian State from the COVID-19 pandemic: the case of paradiplomacy in the state of Maranh ão.
Challenges for the Brazilian State from the COVID-19 pandemic: the case of paradiplomacy in the state of Maranhão. Cad Saude Publica. 2021;36(12):e00155720 Authors: Alvarenga AA, Rocha EMS, Filippon J, Andrade MAC Abstract As the COVID-19 pandemic has spread worldwide in 2020, populations, authorities, and local and global health governance institutions have been affected differently. Global Health Diplomacy and "paradiplomacy" have become relevant instruments and arenas for the challenges raised by the pandemic, especially for non-State or subnational actors. This Essay analyzes the ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Alvarenga AA, Rocha EMS, Filippon J, Andrade MAC Tags: Cad Saude Publica Source Type: research

Individual and contextual predictors of children's hemoglobin levels from Southern Brazilian municipalities in social vulnerability.
This study aims to evaluate the variability of children's hemoglobin levels from municipalities in social vulnerability and its association with factors of individual and municipal nature. This is a cross-sectional, multi-center study, with children data (12-59 months) collected from 48 municipalities of the Southern region of Brazil, that were included in the Brazil Without Poverty Plan. Individuals' data were collected using a structured questionnaire, and secondary and ecological data of children's municipalities were collected via national surveys and institutional websites. The outcome was defined as the hemoglobin le...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Silva DLF, Höfelmann DA, Taconeli CA, Lang RMF, Dallazen C, Tietzmann DC, Moreira JD, Silva SAD, Nilson EAF, Gonçalves VSS, Crispim SP Tags: Cad Saude Publica Source Type: research

Inequality, geographic situation, and meanings of action in the COVID-19 pandemic in Brazil.
Abstract This Essay reflects on how socio-spatial inequalities and geographic situations condition the COVID-19 pandemic in Brazil, as well as actions to deal with the pandemic, with arguments backed by the literature. Socio-spatial inequality is defined as a process and structural condition of a territory marked by inherited and updated vulnerabilities, resulting from a relationship of exploitation, spoliation, and oppression in the current period of globalization. The authors argue that the COVID-19 pandemic can have more serious repercussions in contexts of greater socio-spatial inequality, with systemic and ch...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Albuquerque MV, Ribeiro LHL Tags: Cad Saude Publica Source Type: research

[Sponsorship by the food and beverage industries in Brazilian professional soccer: an obstacle to the promotion of healthy eating].
ta PM Abstract Sponsorship by ultra-processed food and beverage companies is a common marketing practice in sports, capable of influencing consumers, with unknown effects in Brazil. The study aimed to identify the profile of food and beverage companies sponsoring professional soccer teams in Brazil and to associate the occurrence of this sponsorship with the teams' characteristics. The sample included companies from these industries sponsoring 20 major league soccer teams competing in the Brazilian Championship in 2018. The food companies were identified according to the products based on the NOVA classification, ...
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Matos JP, Araújo LCM, Horta PM Tags: Cad Saude Publica Source Type: research

[Social inequities in teenage mothers and the relationship to adverse perinatal outcomes in South American populations].
o JSL Abstract The aim was to explain differences in the rates of adverse perinatal events in teenage mothers with low and high schooling. The sample was collected from the Latin American Colaborative Study of Congenital Malformations (ECLAMC) database. From a total of 2,443,747 births in 93 hospitals, 66,755 live newborns without congenital malformations were recruited from 2000 to 2017. Teenage mothers were classified according to low, medium, and high schooling. A multivariate model was used that included reproductive history, access to health services, demographic and socioeconomic variables, and ethnic group....
Source: Cadernos de Saude Publica - January 15, 2021 Category: International Medicine & Public Health Authors: Ratowiecki J, Santos MR, Poletta F, Heisecke S, Elias D, Gili J, Gimenez L, Pawluk M, Uranga R, Cosentino V, Campaña H, Rittler M, Camelo JSL Tags: Cad Saude Publica Source Type: research

Challenges for implementation of the COVID-19 vaccination campaign in Brazil.
PMID: 33440416 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - January 11, 2021 Category: International Medicine & Public Health Authors: Domingues CMAS Tags: Cad Saude Publica Source Type: research

Difficulty in performing activities of daily living and the need for help in older adults: evidence on social distancing models from the ELSI-COVID-19 initiative.
Abstract To analyze whether the older adults with difficulty or need of help to perform basic or instrumentals activities of daily living are more socially distanced in times of COVID-19. A total of 4,035 older adults participated in the telephone interviews from the second wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Difficulty, need and receiving help were classified into: (1) independents; (2) had difficulty without need for care; (3) had difficulty, needed and have received care from someone within their household; (4) had difficulty, needed and have received care from someone outside their...
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Oliveira DC, Oliveira CM, Lima-Costa MF, Alexandre TDS Tags: Cad Saude Publica Source Type: research

[Situating atention deficit and hyperactivity in Portugal: social, historical, and ethical dimensions of an emerging global health issue].
Abstract Attention deficit and hyperactivity disorder (ADHD) is considered one of the most frequent behavioral and neurodevelopmental problems in school-age children and adolescents, both in Portugal and worldwide. The diagnostic categorization of ADHD and the prescription of psychostimulants as its first-line treatment have been the object not only of scientific research and clinical validation, but also of controversy and social critique, especially in light of the concept of medicalization. Despite its high profile and salience in such diverse fields as education, pharmaceuticals, mental health, and public poli...
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Filipe AM Tags: Cad Saude Publica Source Type: research

Labor, health and vulnerability in the COVID-19 pandemic.
Abstract This essay discusses the repercussions of the COVID-19 pandemic on the relation between labor and health, from the perspective of the workers' risk and vulnerability. The pandemic has represented a humanitarian crisis, since both the disease and the measures to contain it lead to persistent socioeconomic effects. In this context, the labor category has an important role, either because of the feasibility of maintaining the social distancing and living conditions allowed by the employment relationship, or because of the impossibility of adopting protection strategies due to job insecurity. The essay was in...
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Santos KOB, Fernandes RCP, Almeida MMC, Miranda SS, Mise YF, Lima MAG Tags: Cad Saude Publica Source Type: research

Protecting healthcare workers in the COVID-19 pandemic: respirator shortages and health policy responses in South America.
PMID: 33331543 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Blair KJ, Martinez-Vernaza S, Segura E, Barrientos JLG, Garber K, Gualtero-Trujillo SM, Juillard C, Castro R Tags: Cad Saude Publica Source Type: research

ERRATA: Fatores associados ao peso ao nascer de crian ças indígenas Terena, residentes na área urbana de Campo Grande, Mato Grosso do Sul, Brasil.
ERRATA: Fatores associados ao peso ao nascer de crianças indígenas Terena, residentes na área urbana de Campo Grande, Mato Grosso do Sul, Brasil. Cad Saude Publica. 2020;36(12):eER086819 Authors: Abstract [This corrects the article doi: 10.1590/0102-311X00086819]. PMID: 33331544 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Tags: Cad Saude Publica Source Type: research

Impact of clinical, sociodemographic and quality of life factors on dialysis patient survival: a nine-year follow-up cohort study.
This study aimed to identify the factors associated with mortality in a prospective cohort of CKF patients. Sociodemographic, clinical, nutritional, lifestyle and quality of life data were collected from 712 patients. The instruments used were the Short-Form Health Survey (SF-36), Global Subjective Assessment (GSA) and Charlson Comorbidity Index (CCI) questionnaires. A total of 444 patients died during the study. After five years of follow-up, factors such as not being married (hazard ratio - HR = 1.289, 95%CI: 1.001; 1.660), a low frequency of leisure activities (HR = 1.321; 95%CI: 1.010; 1.727) and not being transplanted...
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Brito DCS, Machado EL, Reis IA, Cherchiglia ML Tags: Cad Saude Publica Source Type: research

Occupational exposures and health-related quality of life in the Manaus Metropolitan Region, Amazonas State, Brazil: a cross-sectional study.
Abstract We aimed to investigate the association between occupational exposures and health-related quality of life among both informal and formal workers in the Brazilian Amazon. We conducted a cross-sectional study with working adults in the Manaus Metropolitan Region, Amazonas State, in 2015. Participants were selected through a three-step probabilistic sampling. The primary outcome was the health-related quality of life indicator, measured by the Brazilian validated version of the European Quality of Life 5-Dimensions 3-Levels (EQ-5D-3L) tool. Adjusted multivariate analysis was performed by Tobit regression and...
Source: Cadernos de Saude Publica - December 19, 2020 Category: International Medicine & Public Health Authors: Tiguman GMB, Caicedo-Roa M, Silva MT, Galvao TF Tags: Cad Saude Publica Source Type: research