Prevalence and factors associated with inadequate work ability among community health workers in Montes Claros, Minas Gerais state, Brazil: a cross-sectional study, 2018.

OBJECTIVE: To estimate the prevalence and analyze factors associated with inadequate work ability among community health workers (CHWs). METHODS: This was a cross-sectional study conducted with CHWs, from July to October 2018, in Montes Claros, state of Minas Gerais, Brazil; work ability, sociodemographic, occupational, and clinical factors were investigated; prevalence ratios (PRs) with 95% confidence intervals (95%CI) were calculated using Poisson regression. RESULTS: Of the 675 CHWs, 25.8% (95%CI 22.7;29.2) showed inadequate work ability; length of service greater than five years (PR = 1.64; 95%CI 1.24;2.18), poor health status (PR = 2.10; 95%CI 1.56;2.83), depressive symptoms (PR = 1.98; 95%CI 1.54;2.55) and voice disorders (PR = 1.85; 95%CI 1.26;2.73) were associated with the event. CONCLUSION: There was a high prevalence of inadequate work ability, associated with occupational and clinical factors. MAIN RESULTS: There was a high prevalence of inadequate work ability among community health workers (CHWs), associated with occupational and clinical factors. IMPLICATIONS FOR SERVICES: This study can contribute to the planning of preventive actions and the promotion of the work ability of CHWs, with repercussions on the quality of service provided by these professionals. PERSPECTIVES: Longitudinal studies are strongly recommended in order to establish cause-and-effect relationships between the variables investigated.

Prevalence and factors associated with inadequate work ability among community health workers in Montes Claros, Minas Gerais state, Brazil: a cross-sectional study, 2018 / Prevalencia y factores asociados a la capacidad laboral inadecuada entre los trabajadores comunitarios de salud en Montes Claros, Minas Gerais, Brasil: estudio transversal, 2018 / Prevalência e fatores associados à capacidade inadequada para o trabalho entre agentes comunitários de saúde de Montes Claros, Minas Gerais: estudo transversal, 2018

ABSTRACT Objective To estimate the prevalence and analyze factors associated with inadequate work ability among community health workers (CHWs). Methods This was a cross-sectional study conducted with CHWs, from July to October 2018, in Montes Claros, state of Minas Gerais, Brazil; work ability, sociodemographic, occupational, and clinical factors were investigated; prevalence ratios (PRs) with 95% confidence intervals (95%CI) were calculated using Poisson regression. Results Of the 675 CHWs, 25.8% (95%CI 22.7;29.2) showed inadequate work ability; length of service greater than five years (PR = 1.64; 95%CI 1.24;2.18), poor health status (PR = 2.10; 95%CI 1.56;2.83), depressive symptoms (PR = 1.98; 95%CI 1.54;2.55) and voice disorders (PR = 1.85; 95%CI 1.26;2.73) were associated with the event. Conclusion There was a high prevalence of inadequate work ability, associated with occupational and clinical factors.

RESUMEN Objetivo Estimar la prevalencia y analizar factores asociados a la inadecuada capacidad para el trabajo entre los agentes comunitarios de salud (ACSs). Métodos Estudio transversal realizado con ACS, de julio a octubre de 2018, en Montes Claros, Minas Gerais, Brasil; se investigó la capacidad de trabajo y factores sociodemográficos, ocupacionales y clínicos; las razones de prevalencia (RP) con intervalos de confianza del 95% (IC95%) se calcularon mediante regresión de Poisson. Resultados De los 675 ACS, el 25,8 % (IC95% 22,7;29,2) presentó capacidad laboral inadecuada; tiempo de servicio superior a 5 años (RP = 1,64; IC95% 1,24;2,18), mal estado de salud (RP = 2,10; IC95% 1,56;2,83), síntomas depresivos (RP = 1,98; IC95% 1,54;2,55) y trastornos de la voz (RP = 1,85; IC95% 1,26;2,73) estaban relacionados con el evento. Conclusión Hubo alta prevalencia de capacidad inadecuada para el trabajo, asociada a factores laborales y clínicos.

RESUMO Objetivo Estimar a prevalência e analisar fatores associados à capacidade inadequada para o trabalho entre agentes comunitários de saúde (ACS). Métodos Estudo transversal realizado com ACS, no período de julho a outubro de 2018, em Montes Claros, Minas Gerais, Brasil; foi investigada a capacidade para o trabalho, fatores sociodemográficos, laborais e clínicos; razões de prevalência (RPs) com intervalos de confiança de 95% (IC95%) foram calculadas por regressão de Poisson. Resultados Dos 675 ACS estudados, 25,8% (IC95% 22,7;29,2) apresentaram capacidade inadequada para o trabalho; tempo de serviço superior a cinco anos (RP = 1,64; IC95% 1,24;2,18), percepção do estado de saúde ruim (RP = 2,10; IC95% 1,56;2,83), sintomas depressivos (RP = 1,98; IC95% 1,54;2,55) e distúrbios da voz (RP = 1,85; IC95% 1,26;2,73) estiveram associados ao evento. Conclusão Houve prevalência elevada de capacidade inadequada para o trabalho, associada a fatores laborais e clínicos.