Homicide impunity in Brazil between 2006 and 2016
CONCLUSIONS Most Brazilian states presented extremely high impunity indexes values. However, from 2010 to 2012, Brazilian society started to effectively combat impunity for serious violent crimes, including homicide. In São Paulo, this positive trend arose in the mid-1990s and that state currently shows impunity indexes values similar to those of developed countries.RESUMO OBJETIVO Descrever o n ível e a tendência temporal da impunidade do homicídio no Brasil. MÉTODOS Trata-se de estudo ecológico no qual dois índices de impunidade foram calculados a partir do número total de homicídios em determinado período...
Source: Revista de Saude Publica - December 11, 2020 Category: International Medicine & Public Health Source Type: research

Contribution of community health workers to primary health care performance in Brazil
CONCLUSIONS At a time when Brazil discusses whether community health workers should or should not remain in the same scale-up and skill level as they currently are, our results reinforce the importance of these workers for the care model advocated by the Brazilian Unified Health System. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 11, 2020 Category: International Medicine & Public Health Source Type: research

Patient and public involvement in health technology decision-making processes in Brazil
CONCLUSIONS There are regulatory advances and institutional activity supporting PPI in highly technical decision-making processes in Brazil, although heterogeneously among the analyzed institutions. The power of PPI to influence health technology deliberative processes still requires in-depth studies, including the characterization of stakeholders and the legitimacy of decisions.RESUMO OBJETIVO Caracterizar e discutir os processos formais de participa ção social previstos e implementados pelas instituições Agência Nacional de Vigilância Sanitária (Anvisa), Comissão Nacional de Incorporação de Tecnologias no SU...
Source: Revista de Saude Publica - December 11, 2020 Category: International Medicine & Public Health Source Type: research

Violence against pregnant women and associated factors in the city of Governador Valadares
CONCLUSION Violence against pregnant women is associated with behavioral factors and related to health care and diseases during pregnancy. It is essential to recognize factors associated by health professionals through actions to track situations of violence against women since the beginning of prenatal care, in order to enable early intervention.RESUMO OBJETIVO Caracterizar a viol ência contra a mulher durante a gestação e verificar a associação com os fatores socioeconômicos, demográficos, obstétricos, comportamentais, de assistência à saúde e doenças na gestação. MÉTODOS Estudo transversal realizado ...
Source: Revista de Saude Publica - December 11, 2020 Category: International Medicine & Public Health Source Type: research

Aging with health: aging in place strategies of a Portuguese population aged 65 years or older
CONCLUSIONS: We identified several strategies used by older adults to stay in their households as they age and the ways they mobilize their available resource s, as well as constraints of aging in place.RESUMO OBJETIVO: Identificar as estrat égias desenvolvidas por pessoas em processo de envelhecimento para se manter residindo na própria casa, apesar das fragilidades e das dificuldades com que deparam. MÉTODOS: A pesquisa foi realizada a partir de um inquérito a uma população com 65 anos ou mais no município português de Portim ão. Os dados foram recolhidos por questionário, em 2017, e submetidos a análise est...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Physical inactivity during leisure and school time is associated with the presence of common mental disorders in adolescence
CONCLUSIONS: Physical inactivity during leisure and school time is associated with the presence of common mental disorders in adolescence. The results suggest that sports practice, school physical education and physical activity during leisure time, even without reaching the current recommendation, are related to the mental health of young people.RESUMO OBJETIVO: Investigar a associa ção da inatividade física no lazer e na escola com os transtornos mentais comuns durante a adolescência. MÉTODOS: A amostra foi composta por 73.399 adolescentes (12 – 17 anos), participantes do Estudo de Riscos Cardiovasculares em Ado...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Cancer mortality in the Capitals and in the interior of Brazil: a four-decade analysis
CONCLUSIONS: Cancer mortality showed great variation among residents of capitals and the interior of the country's major regions. Clear decrease in mortality was seen for the main types in the Southeast and South regions. The North and Northeast regions have patterns compatible with cancers associated with poverty, while the large increase of the cancers related to sedentary lifestyle stand out.RESUMO OBJETIVO: Descrever a tend ência da mortalidade por câncer geral e tipos mais frequentes entre homens e mulheres residentes nas capitais e demais municípios das cinco macrorregiões do Brasil entre 1978 e 2017. MÉTODOS:...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Mortality trend due to Hepatitis B and C in the city of São Paulo, 2002–2016
CONCLUSIONS: The study provides a baseline for research on mortality trend and the impact of interventions, given the history of expanded detection and supply of treatments, including the most recent antivirals in Brazil, since 2015.RESUMO OBJETIVO: Descrever a mortalidade por hepatites B e C como causa b ásica no município de São Paulo, verificando a tendência dessas taxas, e avaliar a associação dessas doenças a outras no período de 2002 a 2016. MÉTODOS: Trata-se de um estudo de série temporal sobre mortalidade por hepatites B e C segundo sexo, com dados do Sistema de Informação de Mor talidade. A regressã...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Factors associated with neonatal near miss in Brazil
CONCLUSIONS: The results show that neonatal near miss was influenced by variables related to the organization of health services and by maternal characteristics.RESUMO OBJETIVO: Este estudo avalia a associa ção entre fatores sociodemográficos, características maternas, organização dos serviços de saúde e near miss neonatal em maternidades públicas e privadas do Brasil. MÉTODOS: Trata-se de uma coorte prospectiva de nascidos vivos da pesquisa Nascer no Brasil, realizada entre 2011 e 2012. As variáveis foram estabelecidas a partir da literatura e organizadas em três níveis: distal, intermediário e proximal. A...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Knowledge, attitudes and practices of university adolescents about syphilis: a cross-sectional study in the Northeast
CONCLUSION: Most participants ’ knowledge and attitude regarding syphilis were not sufficient to the adoption of an adequate sexual practice for the prevention of the disease, showing the need to investigate other variables that may be implicated in this cognitive incoherence.RESUMO OBJETIVO: Analisar conhecimentos, atitudes e pr áticas de adolescentes universitários sobre a sífilis. MÉTODOS: Estudo transversal, analítico, do tipo censitário, desenvolvido com o universo de adolescentes de 18 e 19 anos (n = 598), matriculados em três instituições de ensino superior presencial em município do Piauí (n = 598),...
Source: Revista de Saude Publica - December 4, 2020 Category: International Medicine & Public Health Source Type: research

Mortality by road traffic injuries in Brazil (2000–2016): capital cities versus non-capital cities
CONCLUSIONS: We conclude that RTI mortality rates in non-capital cities in Brazil showed alarming trends when compared with those observed in capital cities. The development of effective traffic safety actions is almost always limited to Brazilian capitals and large cities. Municipalities with higher risk should be prioritized to strengthen public policies for prevention and control.RESUMO OBJETIVO: Comparar a magnitude e tend ência da mortalidade por acidentes de transporte terrestre (ATT) nas capitais e demais municípios de cada estado brasileiro nos anos de 2000 a 2016. MÉTODOS: Foi realizada análise de séries te...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Do primary and specialized care physicians know and use coordination mechanisms?
CONCLUSION: We conclude the fragmentation of the system and care can be faced in the complementarity of measures that make it possible to know the mechanisms, develop professional skills, institutionalize and promote organizational conditions for the effective use of coordination mechanisms throughout the healthcare network.RESUMO OBJETIVOS: Analisar se m édicos da atenção primária à saúde e da atenção especializada conhecem e utilizam mecanismos de coordenação do cuidado entre níveis assistenciais. MÉTODOS: Estudo transversal, do tipo inquérito, com aplicação do instrumento COORDENA-BR a médicos da aten...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Frailty in community-dwelling older people: comparing screening instruments
CONCLUSIONS: Although the analyses show moderate agreement and strong positive correlation between the instruments, the indicated prevalence of frailty is discrepant. Our results attest the need to standardize the instrument for assessing frailty in community-dwelling older people.RESUMO OBJETIVO: Comparar os instrumentos Edmonton Frail Scale (EFS) e Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) quanto ao grau de concordância e de correlação, bem como comparar modelos descritivos com variáveis associadas à fragilidade em idosos brasileiros comunitários. MÉTODOS: Estudo transversal, aninhado a uma coor...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Academic productivism: when job demand exceeds working time
CONCLUSIONS: The findings suggest that the professors ’ work organization and mental health are interrelated: the higher the perception of pressure to publish academic work, the greater the stress. However, this result does not seem to be reflected in the job satisfaction (or dissatisfaction). The apparently deliberate extension of working hours hides the precariousness and increased work to which professors have been subjected in recent years by public policies that commercialize education in Brazil.RESUMO OBJETIVOS: Avaliar a associa ção entre a percepção da pressão por publicações com a satisfação e o estre...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

HIV continuum of care among trans women and travestis living in São Paulo, Brazil
CONCLUSIONS: Our data suggest an increase in the testing and treatment policy implementation among trans women in the city of São Paulo, although gaps have been found in the linkage to care. However, young trans women and those not registered in health care service may benefit from efforts to engage this part of the population in care to improve HIV treatment and care outcomes. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - November 20, 2020 Category: International Medicine & Public Health Source Type: research