Embedded implementation research determinants in Latin American health systems
CONCLUSIONS: Despite its limitations, EIR is effective in creating a sense of ownership of research results among implementers, which helps bridge the gap between research and decision-making in health systems. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 24, 2021 Category: International Medicine & Public Health Source Type: research

Psychiatric hospitalizations by the Unified Health System in Brazil between 2000 and 2014
CONCLUSION Even in the face of adversity, the National Mental Health Policy has advanced in its goal of progressively reducing hospital beds and increasing the supply of substitute services such that both strategies were associated with the reduced inpatient rates. But the changes were felt with greater intensity in the first years of the policy ’ s implementation, becoming less pronounced in recent years.RESUMO OBJETIVO Caracterizar o perfil dos pacientes que foram internados por transtornos mentais e comportamentais pelo Sistema Único de Saúde (SUS) no Brasil entre 2000 e 2014, bem como verificar como aspectos da ...
Source: Revista de Saude Publica - April 16, 2021 Category: International Medicine & Public Health Source Type: research

Ageism against older adults in the context of the COVID-19 pandemic: an integrative review
CONCLUSION According to most publications, although ageism has always been present, it became more evident during the COVID-19 pandemic as a form of discrimination against older adults. “ Ageist ” discourses may exert a negative influence in older adults ’ lives, causing severe social and psychological impacts.RESUMO OBJETIVO Descrever os principais resultados de estudos sobre preconceito, estereotipia e discrimina ção relacionados à idade (ageismo) no contexto da pandemia da covid-19. MÉTODOS Trata-se de uma revisão integrativa da literatura sobre o ageismo no contexto da pandemia da covid-19, realizada ...
Source: Revista de Saude Publica - April 15, 2021 Category: International Medicine & Public Health Source Type: research

Nova score for the consumption of ultra-processed foods: description and performance evaluation in Brazil
CONCLUSION The Nova score for the consumption of ultra-processed foods, obtained in a quick and practical manner, shows a good potential in reflecting the dietary share of UPF in Brazil.RESUMO OBJETIVO Descrever o escore Nova de consumo de alimentos ultraprocessados e avaliar seu potencial para refletir, no contexto brasileiro, a participa ção desses alimentos na dieta. MÉTODOS Estudo realizado na cidade de São Paulo com amostra de conveniência de 300 adultos, que responderam, em cerca de três minutos, em um tablet, a um questionário eletrônico de autorrelato sobre o consumo, no dia anterior, de 23 subgrupos d...
Source: Revista de Saude Publica - April 15, 2021 Category: International Medicine & Public Health Source Type: research

Major depressive disorder in detention officers
CONCLUSION The high MDD prevalence in these detention officers was associated with sociodemographic factors and, especially, aspects of their work.RESUMO OBJETIVO Identificar fatores associados a transtorno depressivo maior (TDM) em agentes penitenci ários. MÉTODOS Este estudo de corte transversal incluiu todos os agentes penitenciários do maior complexo prisional do estado da Bahia (Brasil). Num questionário autoaplicado, coletaram-se informações sociodemográficas, ocupacionais e de saúde. A variável de desfecho – TDM – foi avaliada pelo Patient Health Questionnaire-9 (PHQ-9) e classificada pelo m éto...
Source: Revista de Saude Publica - April 15, 2021 Category: International Medicine & Public Health Source Type: research

Impact of matrix support on older adults in primary care: randomized community trial
CONCLUSIONS Matrix support actions, such as pedagogical attribution and horizontal care for health teams, have the potential to contribute to the articulation of models of care for older adults. REBEC registro BR-7b9xffRESUMO OBJETIVO Analisar o impacto do apoio matricial em sa úde ao idoso na atenção primária de acordo com as dimensões de fragilidade aferidas por meio do índice de vulnerabilidade clínico-funcional (IVCF-20). MÉTODOS Trata-se de ensaio comunitário randomizado controlado (ECRC), desenvolvido no norte de Minas Gerais, Brasil, em 2018. Inicialmente ocorreu, por meio do IVCF-20, a estratifica...
Source: Revista de Saude Publica - April 15, 2021 Category: International Medicine & Public Health Source Type: research

Prelabor cesarean section: the role of advanced maternal age and associated factors
CONCLUSIONS AMA was an independent risk factor for prelabor cesarean in public and private services. In the public, prelabor cesarean in AMA was more influenced by clinical criteria. Higher chance of prelabor cesarean section in nulliparous women increases the chance of cesarean section in multiparous women, as we showed in this study, which increases the risk of anomalous placental implantation. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 15, 2021 Category: International Medicine & Public Health Source Type: research

Factors associated with stress, anxiety, and depression during social distancing in Brazil
CONCLUSION This study may help develop and systematically plan measures aimed to prevent, early identify, and properly manage clinical signs and symptoms of stress, anxiety, and depression during the Covid-19 pandemic. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 9, 2021 Category: International Medicine & Public Health Source Type: research

Abortion after the Zika virus epidemic in Northeast Brazil
This study describes body weight changes among participants of the NutriNet Brasil cohort (n = 14,259) during the covid-19 pandemic. We analyzed data reported before the pandemic onset (01/26/2020 to 03/18/2020) and about six months after (09/14/2020 to 10/19/2020). Our results show that 19.7% of the participants gained ≥ 2 kg. Weight gain was directly associated with male gender, lower education, and previous presence of overweight, and inversely associated with age. In turn, 15.2% lost ≥ 2kg, being directly associated with male gender and previous presence of overweight and inversely associated with age.RESUMO Este...
Source: Revista de Saude Publica - April 2, 2021 Category: International Medicine & Public Health Source Type: research

Smoking prevalence and economic crisis in Brazil
CONCLUSION An economic crisis have varied impacts on the smoking habits of different population groups. Tobacco control policies should entail a detailed understanding of smoking epidemiology, especially during an economic crisis. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 2, 2021 Category: International Medicine & Public Health Source Type: research

Factors associated with musculoskeletal symptoms in professionals working in sitting position
CONCLUSIONS The high prevalence of musculoskeletal symptoms found and the associated factors indicate the need to propose specific actions and care for this population, such as immediate treatment of symptoms and changes in the organization and work environment, to achieve balance and harmony in the demands of prolonged sitting work and avoid its impact effect of this condition on public health.RESUMO OBJETIVOS Estimar a preval ência de sintomas osteomusculares e analisar os fatores a eles associados em profissionais de setores administrativos que trabalham predominantemente na postura sentada. MÉTODOS Trata-se de e...
Source: Revista de Saude Publica - April 2, 2021 Category: International Medicine & Public Health Source Type: research

Body weight changes in the NutriNet Brasil cohort during the covid-19 pandemic
This study describes body weight changes among participants of the NutriNet Brasil cohort (n = 14,259) during the covid-19 pandemic. We analyzed data reported before the pandemic onset (01/26/2020 to 03/18/2020) and about six months after (09/14/2020 to 10/19/2020). Our results show that 19.7% of the participants gained ≥ 2 kg. Weight gain was directly associated with male gender, lower education, and previous presence of overweight, and inversely associated with age. In turn, 15.2% lost ≥ 2kg, being directly associated with male gender and previous presence of overweight and inversely associated with age.RESUMO Este...
Source: Revista de Saude Publica - March 8, 2021 Category: International Medicine & Public Health Source Type: research

Access to Primary Health Care by older adults from rural areas in Southern Brazil
CONCLUSIONS The FHS has reached the vulnerable older rural population, approaching an equitable public health system. However, further evaluations are necessary to verify the quality and adequacy of care, given that social structure, enabling factors (such as economic condition), and possible beliefs regarding health still establish the standards for choosing a service.RESUMO OBJETIVO Caracterizar o acesso e utiliza ção de serviços de saúde considerados como referência pela população rural idosa de um município do sul do Brasil, com cobertura de 100% da área rural pela Estratégia Saúde da Família (ESF), inve...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research

Financial impact of the change in the vulnerability profile of More Doctors Program
CONCLUSION The change of vulnerability methodology adopted for the PMMB will represent serious consequences, that is, less population assistance and high financial impact for the municipalitie s of the state of São Paulo in a scenario of budget limitations.RESUMO OBJETIVO Calcular o fluxo de profissionais e o impacto financeiro do Projeto Mais M édicos para o Brasil (PMMB), dentro do Programa Mais Médicos (PMM), para o Ministério da Saúde e os municípios do estado de São Paulo aderentes, no período de janeiro de 2019 a março de 2022. MÉTODOS Realizou-se estudo de impacto financeiro a partir de bases de dados...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research

Analysis of the interrelationships between factors influencing blood pressure in adults
CONCLUSIONS Results suggest that increasing age is associated with increased blood pressure, adiposity, glycemia and smoking, as well as with reduced physical activity and alcohol consumption. Males were associated with increased blood pressure and greater use of alcohol and cigarettes. Higher adiposity indicators were correlated with increased blood pressure and glycemic levels; higher alcohol consumption was associated with increased adiposity. Higher consumption of fruits and vegetables, as well as active control of hypertension were associated with reduced blood pressure. Better socioeconomic status was associated with...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research