Trends in prostate cancer mortality in the state of São Paulo, 2000 to 2015
CONCLUSION Although reductions in mortality are still slight, they indicate progress in prostate cancer control actions. Screening actions and changes in therapeutic behaviors in recent decades may be modifying incidence and survival, resulting in changes in the mortality profile. More detailed studies will be useful in understanding the factors that lead to the interregional variations found.RESUMO OBJETIVO Estimar a magnitude e identificar padr ões de mudança na mortalidade por câncer de próstata no estado de São Paulo e nas 17 redes regionais de atenção à saúde, segundo grupos etários a partir dos 50 anos, ...
Source: Revista de Saude Publica - August 28, 2020 Category: International Medicine & Public Health Source Type: research

Recent HIV Infection among men who have sex with men and transgender women in Tijuana
DISCUSSION A total of 11% of men newly diagnosed with HIV who have sex with men and transgender women in Tijuana were recently infected. The general lack of clustering between participants with recent infection suggests continued onward HIV transmission rather than an outbreak within a particular cluster. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - August 28, 2020 Category: International Medicine & Public Health Source Type: research

Brazilian public policy for chronic kidney disease prevention: challenges and perspectives
ABSTRACT Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-...
Source: Revista de Saude Publica - August 22, 2020 Category: International Medicine & Public Health Source Type: research

Regular use of dental services among university students in southern Brazil
CONCLUSION The results point to inequalities in the regular use of dental services related to socioeconomic factors and a lower use among university students with worse oral health conditions. These results suggest that public health prevention and promotion policies in higher education institutions must be carried out to ensure quality of life among these young adults.RESUMO OBJETIVO Verificar a preval ência e os fatores associados ao uso regular de serviços odontológicos em acadêmicos da Universidade Federal de Pelotas (UFPel). MÉTODOS Este estudo transversal entrevistou 1.865 estudantes de 18 anos ou mais de i...
Source: Revista de Saude Publica - August 22, 2020 Category: International Medicine & Public Health Source Type: research

The zero impact of the Vehicle Inspection Program on public health in São Paulo, SP
CONCLUSIONS No evidence confirms that the program had a measurable beneficial impact on morbidity and mortality due to respiratory and circulatory diseases.RESUMO OBJETIVO Analisar o impacto de duas interven ções (introdução e suspensão da inspeção veicular obrigatória) sobre a morbidade e mortalidade por condições associadas à poluição do ar no período de 2008 a 2017. MÉTODOS Séries temporais interrompidas (método Arima), com dados disponíveis em repositórios públicos. RESULTADOS Houve 229.337 internações por doenças respiratórias em crianças até 5 anos de idade, com 1.053 óbitos (coefic...
Source: Revista de Saude Publica - August 22, 2020 Category: International Medicine & Public Health Source Type: research

Profile of general hospitals in the Unified Health System
CONCLUSIONS The indicators point to three hospital profiles, characterized mainly by the production scale. Small hospitals show low performance, suggesting the need to reorganize hospital care provision, especially at the municipal level. The set of proposed indicators includes the main dimensions of hospital care, providing a tool that can help to plan and continuously monitor the hospital network of the Unified Health System.RESUMO OBJETIVO Caracterizar a organiza ção dos hospitais gerais brasileiros que prestam serviço ao Sistema Único de Saúde por meio de indicadores que descrevem as principais dimensões do cu...
Source: Revista de Saude Publica - August 15, 2020 Category: International Medicine & Public Health Source Type: research

Effectiveness of adherence to a renal health program in a health network in Peru
CONCLUSIONS The multidisciplinary care strategy with standardized assessments by stage is effective in reducing admission to .0when the patient is identified in early stages and in reducing mortality in advanced stages.RESUMEN OBJETIVO Evaluar la efectividad de la adherencia a un programa de salud renal en la reducci ón de mortalidad y progresión a hemodiálisis. MÉTODOS Utilizamos una base de datos que condensaba el seguimiento de los pacientes (2013-2017), los ingresos a diálisis de los mismos y la mortalidad por todas las causas en Perú. La adherencia al programa se estableció con el cumplimiento de v isitas ...
Source: Revista de Saude Publica - August 15, 2020 Category: International Medicine & Public Health Source Type: research

Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil
CONCLUSIONS In Brazil, fall-related hospitalizations, mortality, and lethality among older adults showed an upward trend from 1998 to 2015, with seasonal peaks in the second and third quarters. Considering we are in plain demographic transition, to improve hospital healthcare and encourage falls prevention programs among older adults is essential.RESUMO OBJETIVO Estimar as tend ências de internação, mortalidade e letalidade por quedas em idosos no Brasil e regiões. MÉTODOS Estudo descritivo realizado a partir de dados do Sistema de Informações Hospitalares do Sistema Único de Saúde. Foram incluídos os registros...
Source: Revista de Saude Publica - August 15, 2020 Category: International Medicine & Public Health Source Type: research

Choosing a hospital assistance ship to fight the covid-19 pandemic
CONCLUSIONS: This study brings valuable contribution to academia and society, since it represents the application of a multi-criteria decision-aid method in the state of the art to contribute to the solution of a real problem that affects millions of people in Brazil and worldwide.RESUMO OBJETIVO: Aplicar o m étodo multicritério THOR 2 para selecionar o navio de assistência hospitalar (NAsH) da Marinha do Brasil mais indicado para apoiar o combate à pandemia de covid-19. MÉTODOS: Para a estruturação e modelagem do problema, foram usados os três primeiros estágios da Soft Systems Methodology. Já para a avaliaç...
Source: Revista de Saude Publica - August 13, 2020 Category: International Medicine & Public Health Source Type: research

Prevalence and factors associated with active transportation to school for adolescents
CONCLUSION: Age and social support for physical activity were associated with ATS. Parents who practice together, give rides, and remark on physical activities increase the likelihood of adolescent boys using ATS. Social support from friends to physical activity increased the likelihood of both genders using ATS.RESUMO OBJETIVO: Verificar a preval ência e os fatores associados ao transporte ativo para a escola em adolescentes brasileiros de escolas públicas. MÉTODOS: Estudo transversal, com amostra representativa de 1.984 adolescentes (55,9% meninas). Os fatores sociodemográficos incluídos foram sexo, idade, escolar...
Source: Revista de Saude Publica - August 13, 2020 Category: International Medicine & Public Health Source Type: research

A methodology for apportioning federal SUS resources: the health needs index
CONCLUSIONS The proposal addresses the absence of studies presenting quantitative simulations of federal resources distribution within the scope of SUS to the FUs, based on the apportionment criteria defined by Law 141/2012, in order to contribute to the reduction health i nequalities and mitigate the effects of the economic crisis.RESUMO OBJETIVO Apresentar o desenvolvimento de uma metodologia de rateio dos recursos da Uni ão para os estados no Sistema Único de Saúde, baseada em necessidades de saúde medidas pelas dimensões demográfica, socioeconômica, epidemiológica e geográfica. MÉTODOS A proposta de meto...
Source: Revista de Saude Publica - August 3, 2020 Category: International Medicine & Public Health Source Type: research

Knowledge translation in the reality of Brazilian public health
ABSTRACT The term knowledge translation has been used to describe the process of applying research results to the real world, in order to enhance the quality and effectiveness of health care and services. The aim of this article is to discuss the incorporation of knowledge translation in the Brazilian public health. The article addresses the basic activities of knowledge translation and lists challenges and perspectives in Brazilian scenario. Brazil began to move towards understanding the process of translating scientific knowledge into practice. Investing in pilot studies to adapt the so-called effective interventions to ...
Source: Revista de Saude Publica - July 25, 2020 Category: International Medicine & Public Health Source Type: research

Neoliberalism in Latin America: effects on health system reforms
CONCLUSION The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population ’ s health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society.RESUMO OBJETIVO Analisar as recomenda ções dos organismos internacionais pautadas no Consenso de Washington para as reformas dos sistemas de saúde de países selecionados da América Latina e Cari...
Source: Revista de Saude Publica - July 25, 2020 Category: International Medicine & Public Health Source Type: research

Food processing and cardiometabolic risk factors: a systematic review
CONCLUSIONS The Nova food classification stands out in the area of nutritional epidemiology when assessing the effects of food processing on health outcomes. Although caution is required in the interpretation, the results indicated that the consumption of ultra-processed foods can have an unfavorable impact in the health of individuals.RESUMO OBJETIVO Revisar sistematicamente as evid ências da associação entre consumo de alimentos de acordo com o processamento e fatores cardiometabólicos em adultos e idosos. MÉTODOS Dois avaliadores independentes analisaram as bases de dados eletrônicas PubMed, Web of Science e ...
Source: Revista de Saude Publica - July 25, 2020 Category: International Medicine & Public Health Source Type: research

Social distancing patterns in nine municipalities of Rio Grande do Sul, Brazil: the Epicovid19/RS study
CONCLUSIONS The extremes of age are more protected by social distancing , but some groups remain highly exposed. This can be an important limiting factor in controlling progression of the COVID-19 pandemic.RESUMO OBJETIVO Descrever pr áticas de distanciamento social em nove municípios do Rio Grande do Sul por sexo, idade, escolaridade e cidade. MÉTODOS Foram realizados dois estudos transversais sequenciais representativos da população urbana nos municípios de Canoas, Caxias do Sul, Ijuí, Passo Fundo, Pelotas, Porto Alegr e, Santa Cruz do Sul, Santa Maria e Uruguaiana com o intuito de estimar a prevalência popu...
Source: Revista de Saude Publica - July 25, 2020 Category: International Medicine & Public Health Source Type: research