Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes
CONCLUSIONS Among the pregnant women, greater adherence to “ traditional Brazilian ” and “ healthy ” patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causality.RESUMO OBJETIVO Investigar a rela ção entre os padrões alimentares de gestantes com o excesso de peso materno e o diabetes mellitus gestaciona...
Source: Revista de Saude Publica - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Drug use in delivery hospitalization: Pelotas births cohort, 2015
CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used.RESUMO OBJETIVO: Identificar o padr ão de uso dos medicamentos durante a internação para o parto. MÉTODO: Estudo transversal realizado de junho a outubro de 2015, inserido na coorte de nascimentos de Pelotas de 2015. Todas as mulheres residentes na zona urbana da cidade que foram internadas para o parto fizeram parte da amostra. Foram coletadas informações referentes à ...
Source: Revista de Saude Publica - May 31, 2019 Category: International Medicine & Public Health Source Type: research

Equity analysis of resource distribution for the Popular Pharmacy Program
CONCLUSIONS Although the Brazilian Popular Pharmacy Program seeks to reduce the socioeconomic inequalities observed in access to pharmaceutical care, which integrates health care services, regional disparities in access to medicine persist. These regional differences are attributed mostly to allocation failures and problems in managing the conventional pharmaceutical care cycle provided through SUS pharmacies.RESUMO OBJETIVO Analisar a aloca ção regional dos recursos do Programa Farmácia Popular do Brasil, levando em conta a disponibilidade relativa do programa e as necessidades potenciais da regi&atil...
Source: Revista de Saude Publica - May 20, 2019 Category: International Medicine & Public Health Source Type: research

Environmental and socioeconomic analysis of malaria transmission in the Brazilian Amazon, 2010–2015
CONCLUSIONS As a disease of poverty, the reduction in wealth inequalities and, therefore, health inequalities, could reduce the transmission considerably. Besides, environmental risk factors as length of the wet season should be considered in the planning, prevention and control. Municipality-level and fine-scale analysis should be done together to improve the knowledge of the local dynamics of transmission. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 20, 2019 Category: International Medicine & Public Health Source Type: research

Health Diplomacy and Global Health: Latin American perspectives
ABSTRACT We will analyze and comment on the book Health Diplomacy and Global Health: Latin American Perspectives, edited by Paulo Marchiori Buss and Sebasti án Tobar and published by Editora Fiocruz. Throughout its 653 pages, the book brings prominent national and foreign authors in the field of Health Diplomacy and Global Health, depicting a decade in which Brazil had great international protagonism in the field of Public Health, especially in South-S outh cooperation, in an innovative and structuring manner. Furthermore, the chapters present theoretical aspects and basic principles of Global Health as a new field ...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Construction and validation of an instrument for the assessment of care provided to people with suicidal behavior
CONCLUSIONS The final version of the instrument was able to fulfill its objectives. It is useful as a support for epidemiological research and planning of health actions. The evaluation of professional approaches to suicidal behavior is crucial for the organization of suicide assistance services in primary health care, and for the integration of services provided by different care units.RESUMO OBJETIVO Desenvolver e validar um instrumento para avalia ção da assistência às pessoas com comportamento suicida por profissionais da atenção primária à saúde. MÉT...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Sampling strategy of an epidemiological survey using a satellite image program
CONCLUSIONS The careful methods used in this study, in which satellite images were used in the delimitation of epidemiological areas, ensure the quality of the estimates obtained and allow for these estimates to be used in oral health surveillance and health policies improvements. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Exploring the effect of time and sex in family and community violence from 2008 to 2014
ABSTRACT OBJECTIVE To evaluate the effect of the time and the sex of victims and perpetrators on the rates of family and community physical violence in a Brazilian municipality over seven years (2008 – 2014). METHODS We made a census analysis from non-fatal victims attended in the Forensic Institute of the Scientific Civil Police. The monthly and annual violence rates were calculated based on the population size of the municipality. Time series was evaluated by negative binomial regression models, based on the number of cases with population offset and considering the effect of the sex of victims and perpetrators. RE...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Challenges and lessons from a primary care intervention in a Brazilian municipality
CONCLUSIONS Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Prevalence and factors associated to chronic kidney disease in older adults
CONCLUSIONS The prevalence of chronic kidney disease was high in older adults, being associated with age, self-assessment of health as bad or very bad, obesity, diabetes and metabolic syndrome.RESUMO OBJETIVO Verificar a preval ência de doença renal crônica e os fatores a ela associados em idosos ( ≥ 60 anos). M ÉTODOS Trata-se de um inquérito de base populacional realizado em 2014, envolvendo 1.016 idosos residentes nas zonas urbana e rural do município de Rio Branco, Acre. A doença renal crônica foi definida pela taxa de filtração glomerular 29 mg/g. M...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Prenatal evaluation in primary care in Northeast Brazil: factors associated with its adequacy
CONCLUSIONS Prenatal care, when evaluated b y broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors ass ociated with adequacy must be considered by managers and health professionals.RESUMO OBJETIVO Caracterizar a assist ência pré-natal e verificar possíveis fatores associados à sua adequação. MÉTODOS Este é um estudo transversal rea...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Patient safety culture from the perspective of workers and primary health care teams
ABSTRACT OBJECTIVE Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “ Survey on Patient Safety Culture in Primary Health Care ” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS Patient safety cu...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Recommendations of physical activity and rest in a Colombian prenatal control program
CONCLUSIONS The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.RESUMEN OBJETIVO Determinar la frecuencia del registro de recomendaciones de actividad f ísica y reposo realizadas a las gestantes y explorar sus factores asociados, ...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Prenatal care in Southern Brazil: coverage, trend and disparities
This study included all recent mothers living in this municipality, between 1/1 and 12/31 of those years, who had a child weighing more than 500 grams or 20 weeks of gestational age in one of the only two local maternity hospitals. Trained interviewers applied, still in the hospital and up to 48 hours after delivery, a unique and standardized questionnaire, seeking to investigate maternal demographic and reproductive characteristics, the socioeconomic conditions of the family and the assistance received during pregnancy and childbirth. To assess the adequacy of prenatal care, the criteria proposed by Takeda were used, whic...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Health system financing paradigm in the state of São Paulo: a regional analysis
CONCLUSIONS The paradigm of the health sector ’ s financing in S ão Paulo revealed that the expenditure on primary health care, level elected by health policy as strategic because it depends on coordination and integral health care in the attention networks, was not considered a priority in relation to the expenditure with the medium and high complexity, exposin g the iniquities in the state ’ s regions.RESUMO OBJETIVO Analisar a aloca ção de recursos financeiros no Sistema Único de Saúde (SUS) no estado de São Paulo por nível de atenção, regi&atild...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Scheduling models and primary health care quality: a multilevel and cross-sectional study
ABSTRACT OBJECTIVE To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in Florian ópolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by p...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia
CONCLUSIONS A significant reduction in hospital admissions due to ambulatory care sensitive conditions in Entidad Promotora de Salud Sanitas enrollees were reported for the last five years in this study. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research

Inflammatory markers and occurrence of falls: Bambuí Cohort Study of Aging
CONCLUSIONS Elevated levels of us-CRP, CCL5 and CXCL9, which were associated with falls, may contribute to a proper understanding of the mechanism associated with the occurrence of falls among older people.RESUMO OBJETIVO Analisar se marcadores inflamat órios estão associados a quedas em idosos vivendo na comunidade. MÉTODOS Estudo da coorte de idosos de Bambuí, envolvendo 1.250 participantes da linha de base do projeto. Foram coletadas informações sobre quedas nos últimos 12 meses, classificadas quanto à ocorrência (única ou múltipla) e gravidade ...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Perception of the operating agents about the Brazilian National School Feeding Program
CONCLUSIONS The results indicate the need for employment of nutritionist in sufficient numbers to meet the demands of the National School Feeding Program, investment in educational activities of healthy eating in schools, training of the School Feeding Board, greater availability of vehicles for school visits and assistance to family farmers in order to facilitate their participation in programs of institutional purchases and encourage the diversification of production.RESUMO OBJETIVO Identificar a percep ção de agentes operadores sobre o Programa Nacional de Alimentação Escolar. MÉTODOS ...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Health Survey in a Peruvian health system (ENSSA): design, methodology and general results
CONCLUSIONS This survey is the first performed in the population of EsSalud affiliates, applied at the national level, and has socio-economic and demographic data of the insured, their distribution, risk factors of health, prevalence of health problems and the degree of access to health services.RESUMEN OBJETIVO Reportar el dise ño, metodología y resultados iniciales de la Encuesta Nacional Socioeconómica de Acceso a la Salud de los Asegurados de EsSalud. MÉTODOS La Encuesta se ejecutó en los 24 departamentos del país. Los temas investigados fueron: características de la viv...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Health care are associated with worsening of frailty in community older adults
CONCLUSIONS The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.RESUMO OBJETIVO Identificar os fatores associados à piora da fragilidade em idosos residentes na comunidade. MÉTODOS Trata-se de um estudo longitudinal prospectivo e analítico. A coleta de dados na linha de base ocorreu no domicílio dos participantes a partir de uma amostragem aleatória por conglomerados. Foram analisadas vari&aacu...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Fetal and maternal factors are associated with mortality due to circulatory system disorders in children
CONCLUSIONS Fetal and maternal factors are associated with increased mortality due to diseases and malformations of the circulatory system. Measures to control these factors and improve access to their diagnosis and treatment would contribute to reducing the number of deaths caused by diseases and malformations of the circulatory system. However, the identification of environmental influences during gestation and birth on the risk of death should be carefully considered due to being influenced by genetic factors. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Factors associated with depression symptoms in women after breast cancer
ABSTRACT OBJECTIVE: To analyze the factors associated with the presence of depression symptoms in women after breast cancer. METHODS: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florian ópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Q uestionnaire...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Influence of strategic points in the dispersion of Aedes aegypti in infested areas
CONCLUSIONS: Strategic points are not confirmed as responsible for the vector's dispersion for properties in their surroundings. We highlight the importance of reviewing the current strategy of the vector control program in Brazil, seeking a balance from the technical, operational, and economic point of view, without disregarding the role of strategic points as major producers of mosquitoes and their importance in the dissemination of arboviruses in periods of transmission.RESUMO OBJETIVO: Avaliar se locais com grande quantidade de potenciais criadouros de formas imaturas de Aedes aegypti, denominados pontos estrat é...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Social inequalities in the use of contraceptives in adult women from Southern Brazil
CONCLUSIONS: The results indicated that differences persist in relation to contraception, which can be associated with both the difficulties of access to these inputs and the frailty of actions in reproductive health to achieve the needs and preferences of women who are more socially vulnerable.RESUMO OBJETIVO: Descrever os m étodos contraceptivos utilizados e fatores demográficos e socioeconômicos associados em mulheres adultas. MÉTODOS: Estudo transversal de base populacional com mulheres de 20 a 49 anos de São Leopoldo, RS, em 2015. Foram considerados três desfechos para analisar ...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Factors associated with environmental barriers of people with disabilities in Mexico
CONCLUSIONS: This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

VES-13 and WHOQOL-bref cutoff points to detect quality of life in older adults in primary health care
ABSTRACT OBJECTIVE: To determine Vulnerable Elders Survey (VES-13) and WHOQOL-bref cutoff points to detect poor quality of life (QoL) in older individuals. METHODS: This is a cross-sectional study, performed in all primary health care units in Samambaia, DF, Brazil. The data were collected from August 2016 to May 2017. The sample size of 466 older individuals treated in primary health care was obtained considering a 5% margin of error, 95% confidence level, 50% prevalence, and 20% possible losses, in a population of 13,259 older individuals. The subjects answered the VES-13 and WHOQOL-bref questionnaires. They were divided...
Source: Revista de Saude Publica - April 2, 2019 Category: International Medicine & Public Health Source Type: research

Lung transplantation and organ allocation in Brazil: necessity or utility
This article reviews the organ allocation philosophy focusing on the case of lung transplantations in Brazil.RESUMO A filosofia da aloca ção de órgãos é resultado de duas vertentes aparentemente inconciliáveis: utilitarismo e justiça distributiva. O processo de doação e transplante de órgãos no Brasil revela grandes desigualdades entre regiões e unidades da federação, desde a captação de órgãos até o implante dos ó rgãos. Nesse contexto, o transplante de pulmão é r...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research

Sociocultural factors related to the physical activity in boys and girls: PeNSE 2012
CONCLUSIONS: One-fifth of adolescents practice physical activity regularly, demonstrating the need for specific public policies to increase the percentage of active young people in the country. Maternal schooling, healthy eating habits and family supervision were associated with regular physical activity in boys and girls, evidencing the importance of the family for the acquisition of healthy habits in this age group.RESUMO OBJETIVO: Verificar em adolescentes brasileiros dos sexos masculino e feminino a associa ção de características demográficas, psicossociais, comportamentais e socioculturais ...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research

Diabetes mellitus mortality in a municipality in the state of São Paulo, 2010 to 2014
CONCLUSIONS: As a diagnosis of local health care, the significant increase in age-standardized mortality rates, premature mortality and potential years of life lost in the studied municipality point to the need for improvements in health promotion and disease prevention measures. It is our hope that the results presented in this study contribute to the monitoring of mortality rates in the coming years.RESUMO OBJETIVO: Descrever a mortalidade por diabetes mellitus segundo sexo e idade em um munic ípio do estado de São Paulo, 2010 – 2014. M ÉTODOS: Estudo ecológico, de série temporal,...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research

Impact of oral condition on the quality of life of homeless people
CONCLUSIONS: The prevalence of oral health impact on quality of life of homeless people was high and higher than that verified in the overall Brazilian population. The impact was associated with the need for upper prosthesis, regardless of sociodemographic characteristics of the individuals.RESUMO OBJETIVO: Descrever a preval ência do impacto da saúde bucal na qualidade de vida e sua associação com a condição dentária e fatores sociodemográficos de indivíduos em situação de rua. MÉTODOS: A amostra foi composta por 116 indivíduos adult...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research

The human exposome unraveling the impact of environment on health: promise or reality?
ABSTRACT Considering the innovative nature of the approach to human exposome, we present the state of the art of studies on exposome, and discuss current challenges and perspectives in this area. Several reading and discussion activities were conducted by the Expossoma e Sa úde do Trabalhador (eXsat – Group Exposome and Worker's Health), with systematization of the literature in the area published between January 2005 and January 2017, available in the databases PubMed and Web of Science. This comment brings a thematic analysis to encourage the dissemination of the exposome approach for studies in the Public H...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Interventions to reduce the prescription of inappropriate medicines in older patients
CONCLUSIONS: The systematic reviews included in this overview showed potential benefits of different interventions. However, it was not possible to determine the most effective intervention. Combined interventions are likely to provide better results than isolated interventions.RESUMO OBJETIVO: Identificar e avaliar criticamente revis ões sistemáticas sobre a efetividade de intervenções para reduzir a prescrição de medicamentos potencialmente inapropriados para pacientes idosos. MÉTODOS: Overview de revisões sistemáticas. A busca e a seleção dos e...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Use of psychoactive drugs predicts functional disability among older adults
CONCLUSIONS: The study showed a prospective association between the use of psychoactive drugs and functional disability. These results indicate the need to carefully assess the prescription of psychoactive drugs for older adults and monitor their usage in order to detect damages to the health of users.RESUMO OBJETIVO: Investigar se o uso de psicof ármacos seria um preditor da incidência de incapacidade funcional entre idosos residentes em comunidade. MÉTODOS: Trata-se de um estudo longitudinal de base populacional, desenvolvido entre primeiro de janeiro de 1997 e 31 de dezembro de 2011, junto a idosos r...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Impacts of a Brazilian pharmaceutical program on the health of chronic patients
ABSTRACT OBJECTIVE: To evaluate the impact of the expansion of access to medicines by the Programa Farm ácia Popular do Brasil (PFPB – Brazilian Popular Pharmacy Program) on the indicators of hospitalizations and deaths by hypertension and diabetes. METHODS: To estimate the impact of the Brazilian Popular Pharmacy Program, the statistical model of fixed-effect difference in differences was used, considering: the divisions Rede Pr ópria (RP – Proprietary Network) and Rede Conveniada (RC – Partnership Network); the exposure time of the municipality to the program; intramunicipal density, measu...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

WHODAS 2.0-BO: normative data for the assessment of disability in older adults
CONCLUSIONS: A score corresponding to 12 points in the 90 percentile on a scale from zero to 40 was observed, which suggests severe disability. The score in WHODAS 2.0-BO increased with the advance in age, as well as in the presence of comorbidities, negative health perception, depression, high blood pressure, visual and hearing impairment and mobility impairment.RESUMO OBJETIVO: Examinar os dados de normatiza ção do WHODAS 2.0-BO para idosos brasileiros (World Health Disability Assessment Schedule – Brazilian version for older people) e sua distribui ção de acordo com sexo, idade, percep&...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Validation of an anxiety scale for prenatal diagnostic procedures
CONCLUSIONS: The Brazilian version is reliable and valid for use in the diagnosis of anxiety related to the performance of ultrasound procedures in prenatal care. Due to the lack of correlation with the rest of the construct, it is suggested that item 2 be removed from the final version.RESUMO OBJETIVO: Proceder à adaptação transcultural do questionário Prenatal Diagnostic Procedures Anxiety Scale para aplicação no contexto cultural brasileiro. MÉTODOS: Os processos de tradução e retrotradução seguiram critérios aceitos internacionalmente. ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Resilience and mental health problems in children and adolescents who have been victims of violence
CONCLUSIONS: The quality and perception of social support and resources present in the home environment may have facilitated the development of resilience in the studied children and adolescents. Violence may have increased the chance of mental health problems, domestic violence being an aggravating factor. There is need for research on aspects that predict resilience and investment in intervention strategies for this population, as a way to promote mental health.RESUMO OBJETIVO: Compreender o processo de resili ência (suporte social e recursos do ambiente familiar) e a chance de problemas de saúde mental em c...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Aspects of work and sleep associated with work ability in regular aviation pilots
CONCLUSIONS: Work organization was a determining factor for decreased work ability, especially concerning aspects related to rest and its influence on the sleep of pilots.RESUMO OBJETIVO: Analisar a associa ção da organização do trabalho e dos aspectos do sono com a capacidade para o trabalho entre pilotos da aviação regular. MÉTODOS: Foi realizada uma pesquisa epidemiológica transversal, com 1.234 pilotos da aviação regular, que realizavam voos de rotas nacionais e internacionais, afiliados à Associação Brasileira de Pilotos da Avia...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Dental care for early childhood in Brazil: from the public policy to evidence
CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units ’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.RESUMO OBJETIVO: Avaliar se caracter ísticas dos serviços de saúde, da equipe de saúde bucal e do cirurgião-dentista estão associadas à prestação de atendimento odontológico a crianças de até cinco anos de idade na atenç...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Clinical pathways of breast cancer patients treated in the Federal District, Brazil
CONCLUSIONS: We observed that multiple pathways were covered by women with breast cancer treated in public services of the Federal District. Socioeconomic iniquities and several aspectos of the pathways covered were associated with a longer time interval between the first appointment and the start of breast cancer therapy.RESUMO OBJETIVO: Conhecer os itiner ários terapêuticos de mulheres com câncer de mama tratadas em hospitais públicos, assim como analisar os fatores que influenciam o intervalo de tempo entre a primeira consulta e o início do tratamento. MÉTODOS: Realizou-se um estu...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Assisted reproductive technology: prevalence and associated factors in Southern Brazil
CONCLUSIONS: The use of assisted reproductive technology services was reported by only a few women in the Pelotas 2015 Birth Cohort Study. Our study highlights sociodemographic factors associated to assisted reproductive technology procedures. To better understand the patterns and barriers in overall use of assisted reproductive technology services over time, national-level trend studies in assisted reproductive technology treatments and outcomes, as well as studies exploring the characteristics of women who have sought this kind of treatment are needed in low-middle income countries. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Fetal mortality and the challenges for women's health care in Brazil
CONCLUSIONS: The quality of information about fetal deaths, investments in research committees, and improvement in the quality of prenatal care should be prioritized to enable more effective coping and to reduce the fetal mortality rate in Brazil.RESUMO OBJETIVO: Tra çar uma série histórica da mortalidade fetal no Brasil e regiões entre 1996 e 2015, identificando seu comportamento e tendência. MÉTODOS: Estudo descritivo sobre casos de óbitos fetais no Brasil e em cada região notificados de 1996 a 2015, registrados no Datasus e classificados pela CID-10. A idade e escol...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort
CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.RESUMO OBJETIVO: Avaliar a associa ção entre a renda contextual e a incidência de incapacidade nas atividades básicas e instrumentais da vida diária. MÉTODOS: Trata-se de estudo de coorte, com amostra de idosos (n = 1.196) residentes em Florianópolis, SC. As incidências de incapacidades foram avaliadas por meio do relato de dificuldade o...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Maternity leave and exclusive breastfeeding
CONCLUSIONS: Maternity leave has contributed to the practice of exclusive breastfeeding for children under six months of life, which indicates the importance of this benefit in protecting exclusive breastfeeding for women inserted in the formal labor market.RESUMO OBJETIVO: Analisar a associa ção entre a licença-maternidade e o aleitamento materno exclusivo e estimar a prevalência de aleitamento materno exclusivo em crianças menores de seis meses de vida. MÉTODOS: Estudo transversal, com mães de crianças menores de seis meses, assistidas por unidades básicas de ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Socioeconomic inequality in dietary intake begins before 24 months in Brazilian children
CONCLUSIONS: DP1 is a characteristic pattern for richer infants and young children since 2006, while DP2 is a characteristic pattern for all infants and young children in 2013, regardless of wealth index. Dietary inequality between the poor and the rich seems to begin in childhood. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Study of Chronic Diseases (Edoc): methodological aspects
CONCLUSIONS: The Edoc has as important developments the analyses of epidemiological profile of the population from the capital of the state of Acre, contributing to the production of knowledge in public health with useful information for decisions in public health policies.RESUMO OBJETIVO: Descrever o desenho amostral e os demais aspectos metodol ógicos do Estudo das Doenças Crônicas (Edoc). MÉTODOS: O Edoc compreende duas pesquisas domiciliares com populações distintas, uma com adultos de 18 a 59 anos (Edoc-A) e outra com idosos de 60 anos ou mais (Edoc-I), residentes em Rio Branco...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research

Association between diabetes mellitus and depressive symptoms in the Brazilian population
CONCLUSIONS Interventions to improve depressive symptoms should be prioritized in people with diabetes are female, older adults, indigenous, widowed, separated/divorced, obese and with incomplete elementary education. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 20, 2018 Category: International Medicine & Public Health Source Type: research

Effectiveness of brief group intervention in the harmful alcohol use in primary health care
ABSTRACT OBJECTIVE To verify the effectiveness of brief group intervention, performed by nurses, in reducing the hazardous or harmful alcohol use in users of a primary health care service. METHODS Clinical and randomized trial with follow-up of three months. The sample had 180 individuals with a pattern of hazardous or harmful alcohol use, recruited in a Basic Health Unit in the city of S ão Paulo. A sociodemographic questionnaire and the Alcohol Use Disorders Identification Test (Audit) were applied. The experimental group underwent the Brief Group Intervention, which had four group sessions, with weekly meetings. ...
Source: Revista de Saude Publica - December 20, 2018 Category: International Medicine & Public Health Source Type: research

Smoking cessation during pregnancy: a population-based study
CONCLUSIONS Although pregnancy is a window of opportunity for smoking cessation, the rate of cessation was low. The prevalence of cessation was higher among mothers with lower risk of complications, suggesting the need for interventions prioritizing pregnant women of lower socioeconomic levels.RESUMO OBJETIVO Medir a preval ência de cessação do tabagismo durante a gestação e identificar fatores associados à sua ocorrência. MÉTODOS O presente inquérito incluiu todas as puérperas residentes no município de Rio Grande, RS, cujo parto tenha ocorrido ent...
Source: Revista de Saude Publica - December 20, 2018 Category: International Medicine & Public Health Source Type: research