Quality of life in individuals initiating antiretroviral therapy: a cohort study
CONCLUSIONS These results show an improvement in the quality of life over time in people living with HIV on antiretroviral therapy. They also highlight the need to monitor and provide health care support, especially for individuals with signs and symptoms of anxiety and depression and that report adverse reactions to medicines at the beginning of treatment.RESUMO OBJETIVO Avaliar longitudinalmente a altera ção da qualidade de vida em pessoas que vivem com HIV iniciando a terapia antirretroviral, atendidas em três serviços públicos de referência na assistência especializada ao HIV em Belo Horizonte. MÉTODOS Estud...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research
Spatial pattern of mortality from breast and cervical cancer in the city of São Paulo
CONCLUSION The spatial pattern of mortalit y from the studied cancers, over time, suggests association with the best socioeconomic conditions of the municipality, either as protection (cervical) or risk (breast). This knowledge may direct resources to prevent and promote health in the territories.RESUMO OBJETIVOS Verificar o padr ão espacial da mortalidade pelos cânceres de mama e do colo do útero, em áreas da atenção primária à saúde, levando em consideração as condições socioeconômicas. MÉTODOS O estudo é ecológico, de janeiro de 2000 a dezembro de 2016. A área de estudo é o município de São Pau...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research
Accidental falls in middle-aged women
CONCLUSIONS Falls occur significantly in women aged 50 years or over, indicating that they are not restricted to older adults and that there is a need to initiate preventive measures earlier. Both studies showed similar magnitudes of occurrence of accidental falls and reinforced their multifactorial nature. In addition, hyperuricemia may be a potential new factor associated with falls.RESUMO OBJETIVO Estimar a preval ência de quedas acidentais em mulheres e identificar possíveis associações de variáveis sociodemográficas, clínicas e de hábitos de vida com as quedas, em 2007 e 2014. MÉTODOS Foram realizados dois...
Source: Revista de Saude Publica - December 17, 2020 Category: International Medicine & Public Health Source Type: research
Group Prenatal Care in Mexico: perspectives and experiences of health personnel
CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training.RESUMEN OBJETIVO Identificar barreras y facilitadores de la implementaci ón del modelo de Atención Prenatal en Grupo en México (APG), desde la perspectiva del personal de salud. MÉTODOS Estudio cualitativo descriptivo ...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Premature mortality due to cervical cancer: study of interrupted time series
CONCLUSIONS: Premature mortality rates due to cervical cancer are high in Brazil and its macroregions. This interrupted time series was not able to reveal the effectiveness of initiatives related to the Pact for Health on premature deaths from cervical cancer nationally and in all macroregions equally. The best results are restricted to the Northeast region.RESUMO OBJETIVO: Verificar o efeito do Pacto Pela Sa úde na mortalidade prematura (30 – 69 anos) atribu ída a câncer de colo uterino no Brasil e nas suas macrorregiões, utilizando modelagem de séries temporais interrompidas. MÉTODOS: A regressão segmentada fo...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Does socioeconomic inequality occur in the multimorbidity among Brazilian adults?
CONCLUSIONS: The frequency of comorbidities in Brazilian adults is high, especially in absolute terms. We only observed socioeconomic inequalities in multimorbidities among men.RESUMO OBJETIVO: Avaliar a preval ência de multimorbidade e a associação desta com indicadores socioeconômicos entre adultos brasileiros. MÉTODOS: Estudo transversal que utilizou dados oriundos da Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil, realizada entre 2013 e 2014. M ultimorbidade foi definida como a coexistência, no mesmo indivíduo, de duas ou mais doenças crônicas, e é mensur...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Older adults with dementia: knowledge and attitudes of physicians in health units
ABSTRACT OBJECTIVE: To describe the knowledge and attitudes of general practitioners of the basic health network of the city of S ão Paulo in relation to patients with dementia and identify patterns of attitudes. METHODS: A total of 10% of the basic health units in the city of São Paulo (n = 45) were randomly distributed into six regional health coordination centers. Up to two general practitioners were interviewed in each unit, with a total of 81 physicians interviewed. They answered the translated and cross-culturally adapted version for Brazil of two British questionnaires, the knowledge quiz (knowledge about dement...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
The effects of sexual violence experienced in childhood and adolescence on undergraduate students
CONCLUSION: The abuses are presented in several forms and affect, even in long term, the survivors' life. The sexual violence theme should be addressed and widely discussed in all spheres of society in order to mobilize, to sensitize, and provide society with knowledge, demystifying this subject and drawing attention to this important social issue.RESUMO OBJETIVO: Investigar a preval ência de adolescentes e adultos jovens que foram vítimas de violência sexual em algum momento da vida e comparar a presença de sintomas depressivos e ansiosos, qualidade de vida e uso de álcool, tabaco e drogas ilícitas entre esta popul...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Occupational exposure to pesticides and health symptoms among family farmers in Brazil
CONCLUSIONS: Acute and mental health symptoms were observed, both among farmers and helpers. Thus, surveillance actions must be reinforced in Brazil, technical support and safety training improved, focused on applicators and helpers, who are occupationally and environmentally exposed to pesticides. Agricultural practices of these groups with less pesticide use should receive incentive. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Trend of preventable deaths up to the 6th day of life in the state of São Paulo – 2008 to 2017
CONCLUSIONS: Mortality up to the 6th day of life presented greater difficulty of reduction when compared with the other age components. The absence of a reduction trend in preventable deaths due to the attention to women during delivery points to possible fragility in the attention to delivery.RESUMO OBJETIVO: Analisar a tend ência da mortalidade infantil neonatal precoce no estado de São Paulo segundo evitabilidade e região de residência. MÉTODO: Estudo ecológico com dados secundários de 2008 a 2017, obtidos a partir do Sistema de Informação sobre Nascidos Vivos e do Sistema de Informação sobre Mortalidade. A...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Population-based seroprevalence of SARS-CoV-2 and the herd immunity threshold in Maranhão
CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reporte d. The local herd immunity threshold may have been reached or might be reached soon. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Judicialization of medicines: effectiveness of rights or break in public policies?
CONCLUSIONS: Court decisions for the supply of medicines violate health rules and make it difficult to manage pharmaceutical assistance, which may weaken the implementation of these policies.RESUMO OBJETIVO: Analisar se as demandas judiciais por medicamentos movidas contra o estado do Rio Grande do Norte est ão de acordo com critérios médico-sanitários e de gestão da assistência farmacêutica estabelecidos pelas políticas públicas de acesso a medicamentos vigentes no Brasil. MÉTODOS: Foi conduzido um estudo descritivo e retrospectivo das ações judiciais individuais que pleiteavam medicamento s no estado do Rio...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Health financing in Brazil and the goals of the 2030 Agenda: high risk of failure
CONCLUSION: If there is no change in the current SUS financing framework, something unlikely under Constitutional Amendment No. 95, associated with the redefinition of health policy priorities, the risk of non-compliance with the SDG 3 of the Agenda 2030 is very high.RESUMO OBJETIVO: Examinar o financiamento do Sistema Único de Saúde (SUS) de 2010 a 2019 e analisar as tendências recentes da alocação de recursos federais para grandes áreas de atuação do sistema, bem como a possibilidade de alcance das metas do Objetivo de Desenvolvimento Sustentável (ODS) 3 da Agenda 2030. MÉTODOS: Dados da execução or çament...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Catastrophic health expenditure and multimorbidity among older adults in Brazil
CONCLUSIONS: The results draw attention to the need for an integrated approach of multimorbidity in health services, in order to avoid CHE, particularly among older adults with worse socioeconomic conditions.RESUMO OBJETIVO: Estimar a rela ção entre gasto catastrófico em saúde (GCS) e multimorbidade em amostra nacional representativa da população brasileira com 50 anos de idade ou mais. MÉTODOS: Foram utilizados dados de 8.347 participantes do Estudo Longitudinal da Saúde dos Idosos Brasileiros (2015 – 2016). A vari ável dependente foi o GCS, definido pela razão entre as despesas com saúde do adulto de 50 an...
Source: Revista de Saude Publica - December 14, 2020 Category: International Medicine & Public Health Source Type: research
Cost analysis in a Traditional, Complementary and Integrative Medicine unit in Brazil
CONCLUSIONS The service has a cost per user compatible with a specialized service; however, TCIM offers a comprehensive and holistic approach, which can have a positive impact on quality of life.RESUMO OBJETIVO Analisar os custos de um servi ço especializado em Medicinas Tradicionais Complementares e Integrativas (MTCI) no Nordeste brasileiro, com o intuito de fornecer dados sobre o custo atrelado à implantação e manutenção de serviços dessa natureza e identificar o custo médio por usuário para o Sistema Único de Saúde. MÉT ODOS Trata-se de uma avaliação econômica do tipo parcial, com caráter descritiv...
Source: Revista de Saude Publica - December 11, 2020 Category: International Medicine & Public Health Source Type: research
