Prediction of low birth weight with hypoglycemia in glucose tolerance test
CONCLUSIONS: In pregnant women without factors that could modify fetal weight, the predictive model created by combining FG< p10 during 75g OGTT with nulliparity was significantly associated with increased risk of LBW. REGISTRATION: ClinicalTrials.gov: NCT04144595.RESUMEN OBJETIVO: Determinar el valor de la combinaci ón de la glucosa en ayunas menor que el percentil 10 (GA< p10) durante la prueba de tolerancia oral a la glucosa con 75 gramos (PTG-75g) con caracter ísticas maternas para predecir bajo peso al nacer (BPN) establecido mediante tablas de Intergrowth-21st. MÉTODOS: Estudio de cohorte prospectivo de m...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Older adult health and primary care: autonomy, vulnerabilities and challenges of care
CONCLUSION: Distinctly from an individual attribute, autonomy has proved to be the expression of relational characteristics, requiring plural and flexible practical-moral strategies, techniques and horizons, although always guided by the same ethical commitment to respect the singular needs of individuals.RESUMO OBJETIVO: Compreender as rela ções entre a autonomia e processos de saúde-doença-cuidado do idoso no cotidiano da atenção primária à saúde. MÉTODOS: Investigação qualitativa desenvolvida em 2019, em uma unidade básica de saúde da região central da cidade de São Paulo, utilizando observação parti...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Factors associated with prematurity in reported cases of congenital syphilis
CONCLUSION: The prematurity due to congenital syphilis is a preventable condition, provided that pregnant women with syphilis are treated appropriately. Weaknesses in prenatal care are associated with this outcome, which highlights the importance of public policies oriented to improve the quality of prenatal care.RESUMO OBJETIVO: Analisar os fatores associados à prematuridade em casos notificados de sífilis congênita no município de Fortaleza, Ceará, Brasil. MÉTODOS: Estudo transversal realizado em dez maternidades públicas de Fortaleza, Ceará, Brasil. Foram incluídos 478 casos notificados de sífilis congênita...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Oral health indicators and sociodemographic factors in Brazil from 2008 to 2015
CONCLUSIONS: The access to primary care and oral health services increased in Brazil, while a decrease occurred in mutilating treatment and provision of preventive actions, with disparities among municipalities with different MHDI levels over time. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Adverse events following immunization in pregnant women from Minas Gerais
CONCLUSION: This study shows the need for continuing education for the multidisciplinary team, in order to reduce cases of AEFI and ensure the adequate completion of notifications by health professionals.RESUMO OBJETIVO: Analisar a distribui ção dos eventos adversos pós-vacinação (EAPV) em gestantes do estado de Minas Gerais, entre 2015 e 2019. MÉTODOS: Estudo epidemiológico, descritivo, realizado com dados de EAPV, do período de 2015 a 2019, registrados no Sistema de Informação da Vigilância de Eventos Adversos, no estado d e Minas Gerais (MG), Brasil. Foram analisados 670 EAPV em gestantes. As estimativas fo...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

User satisfaction in relation to Primary Health Care services in Brazil
CONCLUSION: To ensure the improvement of the quality of services offered in PHC in Brazil, the aspects of user satisfaction identified in this study should be considered in the organization and management of services.RESUMO OBJETIVO: Analisar a satisfa ção de usuários em relação ao acesso, à infraestrutura e à qualidade dos serviços na Atenção Primária à Saúde (APS) no Brasil. MÉTODOS: Estudo transversal com dados de 114.615 usuários vinculados a 30.523 equipes de saúde, obtidos por meio do banco de dados do Programa Nacional de M elhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Foram estu...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Breastfeeding patterns and factors associated with early weaning in the Western Amazon
CONCLUSION: Compared to infants in EBF, those in BF at hospital discharge were more likely to wean. Public health efforts should prioritize EBF at hospital discharge, promote breastfeeding in the first hour of life, and prevent alcohol consumption risks during pregnancy, cross-breastfeeding and pacifier use.RESUMO OBJETIVO: Caracterizar os padr ões de amamentação nos primeiros seis meses de vida e fatores associados ao desmame precoce numa coorte de nascidos vivos em Rio Branco, Acre. MÉTODOS: Estudo prospectivo com nascidos vivos entre abril e junho de 2015. As entrevistas com as mães ocorreram logo após o nascime...
Source: Revista de Saude Publica - May 17, 2021 Category: International Medicine & Public Health Source Type: research

Erratum: Aging with health: aging in place strategies of a Portuguese population aged 65 years or older
We report cognitive, language and motor neurodevelopment, assessed by the Bayley-III test, in 31 non-microcephalic children at age 3 with PCR-confirmed maternal Zika virus exposure (Rio de Janeiro, 2015 – 2016). Most children had average neurodevelopmental scores, however, 8 children (26%) presented delay in some domain. Language was the most affected: 7 children (22.6%) had a delay in this domain (2 presenting severe delay). Moderate delay was detected in the cognitive (3.2%) and motor (10%) domains. Maternal illness in the third trimester of pregnancy and later gestational age at birth were associated with higher Bayle...
Source: Revista de Saude Publica - May 10, 2021 Category: International Medicine & Public Health Source Type: research

Impact of COAP on access to primary care in Ceará and Mato Grosso do Sul through the analysis of interrupted time series
CONCLUSIONS: The COAP continues to be the regulatory instrument of regionalization force, however, the results obtained by adhering to it in the expansion of primary care in Ceará and Mato Grosso do Sul makes us question wh ether the contractual model, as predicted, is the best instrument for advancing regionalization in the Brazilian Unified Health System.RESUMO OBJETIVO: Analisar o impacto da implementa ção do Contrato Organizativo de Ação Pública (COAP) sobre a ampliação do acesso à atenção básica nos estados do Ceará e Mato Grosso do Sul. MÉTODOS: Utilizou-se o método de séries temporais interrompidas...
Source: Revista de Saude Publica - May 10, 2021 Category: International Medicine & Public Health Source Type: research

Performance and perception on front-of-package nutritional labeling models in Brazil
CONCLUSION: FOPNL must be implemented on food labels in Brazil, considering that it increases the nutritional understanding, reduces the perception of healthiness and the purchase intention of products with critical nutrients. Warnings showed a better performance when compared with other models.RESUMO OBJETIVO: Avaliar o desempenho e a percep ção de cinco modelos de rotulagem nutricional frontal (RNF) entre consumidores brasileiros. MÉTODOS: Estudo transversal, com aplicação de questionário online a 2.400 indivíduos, alocados de forma aleatória em seis grupos de estudo, sendo um controle e cinco expostos a modelo...
Source: Revista de Saude Publica - May 10, 2021 Category: International Medicine & Public Health Source Type: research

Breast imaging hindered during covid-19 pandemic, in Brazil
This study compares the number of mammograms performed in 2019 and 2020, in women aged 50 – 69 years, stratified by month, in each federal state, and the presence of palpable lumps (physician-reported). RESULTS: In total, 1,948,471 mammograms were performed in 2019 and 1,126,688 in 2020, for the population studied. These values represent a 42% decline. Monthly, a significant decreased is observed after April 2020. The results varied slightly according to federal state; yet the entire country was affected. Rond ônia was the most affected state, with 67% decline. The proportion of women presenting palpable lumps increase...
Source: Revista de Saude Publica - May 10, 2021 Category: International Medicine & Public Health Source Type: research

Neurodevelopment in the third year of life in children with antenatal ZIKV-exposure
We report cognitive, language and motor neurodevelopment, assessed by the Bayley-III test, in 31 non-microcephalic children at age 3 with PCR-confirmed maternal Zika virus exposure (Rio de Janeiro, 2015 – 2016). Most children had average neurodevelopmental scores, however, 8 children (26%) presented delay in some domain. Language was the most affected: 7 children (22.6%) had a delay in this domain (2 presenting severe delay). Moderate delay was detected in the cognitive (3.2%) and motor (10%) domains. Maternal illness in the third trimester of pregnancy and later gestational age at birth were associated with higher Bayle...
Source: Revista de Saude Publica - April 24, 2021 Category: International Medicine & Public Health Source Type: research

Prevalence and factors associated with covid-19 vaccine hesitancy in Maranhão, Brazil
CONCLUSION: The prevalence of vaccine hesitancy in Maranh ão and its association with individual, contextual, and clinical factors enable us to identify the groups and contexts of greatest resistance, requiring special attention from public strategies to ensure wide vaccination.RESUMO OBJETIVOS: Estimar a preval ência e fatores associados à hesitação ao uso da vacina contra o vírus SARS-CoV-2 no Maranhão, Brasil. MÉTODOS: Estudo transversal de base populacional realizado de 19 a 30 de outubro de 2020. As estimativas consideraram agrupamento, estratificação e não resposta. A seleção da amostra f oi realizada ...
Source: Revista de Saude Publica - April 24, 2021 Category: International Medicine & Public Health Source Type: research

Locomotor activity in Aedes aegypti with different insecticide resistance profiles
CONCLUSIONS: Our results indicate that insecticide-resistant Ae. aegypti populations show increased locomotor activity, which may affect the transmission dynamics of their arboviruses. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 24, 2021 Category: International Medicine & Public Health Source Type: research

Climate change and environmental health in undergraduate health degrees in Latin America
CONCLUSIONS: Courses on climate change and environmental health have been scarcely introduced in the curriculum grids of the health field in Latin American universities. This could weaken the important role that health professionals play in providing health care to the population.RESUMEN OBJETIVO: Analizar la incorporaci ón de cursos de cambio climático y salud ambiental en las mallas curriculares del grado en Medicina, Enfermería, Nutrición y Psicología clínica en universidades latinoamericanas. MÉTODOS: Revisión documental de tipo descriptiva y transversal. Se analizaron las mallas curriculares de las die z pri...
Source: Revista de Saude Publica - April 24, 2021 Category: International Medicine & Public Health Source Type: research