ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has changed the course of human history and killed millions of people worldwide. Its long-term consequences remain uncertain. This study aimed to describe the short- and long-term symptoms of COVID-19 among individuals in Goiás, central Brazil, who experienced acute mild or non-symptomatic SARS-CoV-2 infection during the first wave of the pandemic. This prospective cohort study included 110 healthcare workers, 18 safety workers, and 19 administrative support workers, who were followed up for 12 months after the onset of COVID-19. Most participants were healthy adult female healthcare professionals. At the onset of infection, the major symptoms were headache, myalgia, nasal congestion, cough, coryza, anosmia, ageusia, sore throat, fatigue, diarrhea, and dyspnea. Furthermore, 20.3% of the participants had three or more COVID-19 symptoms that persisted for at least 12 months. These included coryza, congestion, hair loss, sore throat, headache, myalgia, cough, memory loss, anosmia, and fatigue. This study revealed a high prevalence of persistent symptoms of COVID-19 in healthy individuals from central Brazil, which may present an additional burden on healthcare services. Further studies are required to investigate the sequelae of COVID-19 over periods greater than 12 months.
Subject(s)
COVID-19 , Pharyngitis , Adult , Humans , Female , COVID-19/epidemiology , SARS-CoV-2 , Myalgia , Anosmia , Cough/epidemiology , Prospective Studies , Headache/epidemiology , Headache/etiology , Pharyngitis/epidemiology , Health Personnel , Fatigue/epidemiology , Fatigue/etiology , Delivery of Health CareABSTRACT
BACKGROUND: Brazil occupies the fifth position in the ranking of the highest mortality rates due to RTI in the world. With the objective of promoting traffic safety and consequently reducing deaths, Brazil created the Life in Traffic Project (LTP). The main goal of LTP is reducing 50% of RTI deaths, by promoting interventions to tackle risk factors, such as driving under the influence of alcohol and excessive and/or inappropriate speed. Thus, the aim of this study was to estimate the magnitude of risky and protective factors for RTI in capitals participating in the LTP in Brazil. We estimated these factors according to sociodemographic (age group, sex, education, race and, type of road user). METHODS: A total of 5,922 car drivers and motorcyclists from 14 Brazilian capitals participating in the LTP were interviewed. Data collection was carried out in sobriety checkpoints at night and consisted of the administration of an interview and a breathalyzer test. Risky and protective behaviors associated with RTI were investigated. Covariates of the study were: age, sex, education, race and, type of road user. Poisson multiple regression analysis was used to assess the relationship between variables of interest. RESULTS: The prevalence of individuals with positive blood alcohol concentration (BAC) was 6.3% and who reported driving after drinking alcohol in the last 30 days was 9.1%. The others risky behaviors reported were: driving at excessive speed on roads of 50 km/h, using a cell phone for calls while driving, using a cell phone to send or read calls while driving, running a red light. Use of seatbelts and helmets showed prevalence above 96,0% Use of seatbelts showed prevalence of 98.6% among car drivers, and helmet use was described by 96.6% of motorcycle drivers. Most risky behaviors were more prevalent in younger age groups (except BAC measurement higher in older participants), in males (except for cell phone use), in participants with higher education level and without a driver's license. CONCLUSION: Excessive speed and driving under the influence of alcohol, defined as priorities within the LTP, need more consistent interventions, as they still have considerable prevalence in the cities investigated. The factors described such as cell phone usage and passing red traffic lights should also need to be prioritized as a focus on promoting traffic safety.
Subject(s)
Automobile Driving , Blood Alcohol Content , Male , Humans , Aged , Brazil/epidemiology , Accidents, Traffic/prevention & control , MotorcyclesABSTRACT
Background: Among chronic noncommunicable diseases (NCDs), Cardiovascular Diseases (CVD) are the main causes of premature mortality globally. The comprehensive care model focused on these diseases, presents as one of its components, the global cardiovascular risk screening (CVR).Objectives: To estimate cvR stratified by sociodemographic variables, as well as factors associated with moderate/high risk, in the adult population living in the municipality of Senador Canedo, metropolitan region of the state of Goiás, Midwest region of Brazil.Methods: The study was conducted through a household survey, through the application of a questionnaire with questions related to lifestyle and data collection such as weight, height, waist circumference, blood pressure, glycated hemoglobin and cholesterol dosage of 526 participants. Bivariate and multivariate analyses were performed using the Poisson regression model to analyze the factors associated with CVR according to the model proposed by the Framingham study.Results: The prevalence of High CVR was 12.2% (95%CI:9.5 - 15.5) and moderate CVR was 13.3% (95%CI:10.5 -16.8). The factors associated with high/moderate CVR were individuals without incomplete education or elementary (RPaj: 6.2; 95% CI: 1.3 - 29.7), insufficiently active (RPaj: 3.1; 95% CI: 1.8-5.0), and self-assessment of regular health status (RPaj: 1.8; 95% CI: 1.1-3.2).Conclusion: The present study allowed verifying the magnitude of CVR and the factors associated with high risk, consisting of an important instrument to guide the actions to prevent cardiovascular outcomes in the population attached to the family health strategy in the municipality of Senador Canedo.
Fundamentos: Dentre as Doenças Crônicas não Transmissíveis (DCNT), as Doenças Cardiovasculares (DCV) são as principais causas de mortalidade prematura globalmente. O modelo de atenção integral voltado para essas doenças, apresenta como um dos seus componentes, o rastreamento de risco global cardiovascular (RCV).Objetivos: Estimar o RCV estratificado por variáveis sociodemográficas, bem como fatores associados ao risco moderado/alto, na população adulta residente no município de Senador Canedo, região metropolitana da capital do estado de Goiás, Região Centro-Oeste do Brasil.Métodos: O estudo foi realizado por meio de um inquérito domiciliar, através da aplicação de questionário com perguntas relativas ao estilo de vida e coleta de dados como peso, altura, circunferência da cintura, pressão arterial, dosagem de hemoglobina glicada e de colesterol de 526 participantes. As análises bivariada e multivariada foram realizadas por meio do modelo de regressão de Poisson para analisar os fatores associados ao RCV segundo o modelo proposto pelo estudo de Framingham.Resultados: A prevalência do RCV Alto foi de 12,2% (IC95%:9,5 - 15,5) e do RCV Moderado foi 13,3% (IC95%:10,5 -16,8). Os fatores associados ao RCV Alto/moderado, foram: indivíduos sem instrução ou fundamental incompleto (RPaj: 6.2; IC 95%: 1.3 - 29.7), insuficientemente ativo (RPaj: 3.1; IC 95%: 1.8-5.0), e autoavaliação do estado de saúde regular (RPaj: 1.8; IC 95%: 1.1-3.2).Conclusão: O presente trabalho permitiu verificar a magnitude do RCV e os fatores associados ao alto risco, consistindo num importante instrumento para orientar as ações de prevenção de desfechos cardiovasculares na população adstrita a estratégia saúde da família no município de Senador Canedo.
Subject(s)
COVID-19 , Brazil/epidemiology , COVID-19/epidemiology , Humans , SARS-CoV-2 , Vulnerable PopulationsABSTRACT
OBJECTIVE: To estimate prevalence and factors associated with hypertension in adults in Senador Canedo, Goiás, Brazil, in 2016. METHODS: This was cross-sectional survey, with three-stage cluster sampling. A questionnaire was applied and weight, height, waist circumference, blood pressure and total cholesterol levels were measured. Poisson regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). RESULTS: Hypertension prevalence was 23.6% (95%CI - 19.3;28.6) among the 709 participants. The associated factors were: sedentarism (PR=1.7 - 95%CI% 1.1;2.5); enlarged waist circumference (PR=5.9 - 95%CI 3.6;9.6); hypercholesterolemia (PR=2.6 - 95%CI 1.3;5.2); and age ≥60 years (PR=2.9 - 95%CI 1.3;6.2). CONCLUSION: Hypertension prevalence was lower than that described for Brazil as a whole in 2013. Physical inactivity, accumulated abdominal fat and age were factors associated with hypertension.
Subject(s)
Hypertension , Adult , Brazil/epidemiology , Cross-Sectional Studies , Humans , Hypertension/epidemiology , Middle Aged , Prevalence , Risk FactorsABSTRACT
Objetivo: Estimar a prevalência e fatores associados à hipertensão em adultos de Senador Canedo, Goiás, Brasil, no ano de 2016. Métodos: Inquérito transversal, de base populacional, com amostragem por conglomerados em três estágios. Foi aplicado questionário e realizadas aferições de peso, altura, circunferência da cintura, pressão arterial e dosagem do colesterol total. Empregou-se regressão de Poisson para estimar razões de prevalências (RP) e intervalos de confiança de 95% (IC95%). Resultados: Nos 709 participantes, a prevalência de hipertensão foi de 23,6% (IC95% 19,3;28,6). Os fatores associados foram: inativos no lazer (RP=1,7 - IC95% 1,1;2,5); circunferência de cintura aumentada (RP=5,9 - IC95% 3,6;9,6); hipercolesterolemia (RP=2,6 - IC95% 1,3;5,2); e idade ≥60 anos (RP=2,9 - IC95% 1,3;6,2). Conclusão: A prevalência de hipertensão foi inferior à descrita para o Brasil em 2013. Inatividade física, acúmulo de gordura abdominal e idade foram fatores associados à hipertensão.
Objetivo: Estimar la prevalencia y los factores asociados con la hipertensión en adultos de Senador Canedo, Goiás, Brasil, en el año 2016. Métodos: Encuesta con muestreo por conglomerados en tres etapas. Se aplicó cuestionario y evaluaron medidas de peso, altura, circunferencia de cintura, presión arterial y colesterol total. La regresión de Poisson se usó para estimar las razones de prevalencia (RP) y los intervalos de confianza del 95% (IC95%). Resultados: EEntre los 709 participantes, la prevalencia de hipertensión fue del 23,6% (IC95% 19,3; 28,6). Los factores asociados fueron: inactivo en el tiempo libre (RP=1,6 - IC95% 1,1; 2,5); aumento de la circunferencia de la cintura (RP=1,7 - IC95% 1,1;2,5); hipercolesterolemia (RP=5,9 - IC95% 3,6;9,6); y edad ≥60 años (RP=2,9 - IC95% 1,3;6,2). Conclusión: La prevalencia de hipertensión fue menor que la descrita para Brasil en 2013. La inactividad física, la acumulación de grasa abdominal y la edad fueron factores asociados con la hipertensión.
Objective: To estimate prevalence and factors associated with hypertension in adults in Senador Canedo, Goiás, Brazil, in 2016. Methods: This was cross-sectional survey, with three-stage cluster sampling. A questionnaire was applied and weight, height, waist circumference, blood pressure and total cholesterol levels were measured. Poisson regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). Results: A prevalência de hipertensão foi de 23,6% (IC95% - 19,3;28,6) entre os 709 participantes. Os fatores associados foram: sedentarismo (RP=1,7 - IC95% 1,1;2,5); circunferência da cintura aumentada (RP=5,9 - IC 95% 3,6;9,6); hipercolesterolemia (RP=2,6 - IC 95% 1,3;5,2); e idade ≥60 anos (RP=2,9 - IC95% 1,3;6,2). Conclusion: Hypertension prevalence was lower than that described for Brazil as a whole in 2013. Physical inactivity, accumulated abdominal fat and age were factors associated with hypertension.
Subject(s)
Humans , Adult , Middle Aged , Chronic Disease , Prevalence , Risk Factors , Hypertension/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Health SurveysABSTRACT
Objective. To estimate the prevalence and factors associated with hypertension in adults from Senador Canedo, Goiás, Brazil, in the year 2016. Methods. Cross-sectional study, with three-stage cluster sampling. A questionnaire was applied and measurements of weight, height, waist circumference, blood pressure and total cholesterol levels were performed. Poisson regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). Results. Of the 709 participants, the prevalence of hypertension was 23.6% (95%CI 19.3;28.6). The associated factors were: sedentarism (PR=1.7 95%CI% 1.1;2.5); increased waist circumference (PR=5.9 95%CI 3.6;9.6); hypercholesterolemia (PR=2.6 95%CI 1.3;5.2); and age ≥60 years (PR=2.9 95%CI 1.3;6.2). Conclusion. The prevalence of hypertension was lower than that described for Brazil in 2013. Physical inactivity, large weight circumference and age were factors associated with hypertension.
Objetivo. Estimar a prevalência e fatores associados à hipertensão em adultos de Senador Canedo, Goiás, Brasil, no ano de 2016. Métodos. Inquérito transversal, de base populacional, com amostragem por conglomerados em três estágios. Foi aplicado questionário e realizadas aferições de peso, altura, circunferência da cintura, pressão arterial e dosagem do colesterol total. Empregou-se regressão de Poisson para estimar razões de prevalências (RP) e intervalos de confiança de 95% (IC95%). Resultados. Nos 709 participantes, a prevalência de hipertensão foi de 23,6% (IC95% 19,3;28,6). Os fatores associados foram: inativos no lazer (RP=1,7 IC95% 1,1;2,5); circunferência de cintura aumentada (RP=5,9 IC95% 3,6;9,6); hipercolesterolemia (RP=2,6 IC95% 1,3;5,2); e idade ≥60 anos (RP=2,9 IC95% 1,3;6,2). Conclusão. A prevalência de hipertensão foi inferior à descrita para o Brasil em 2013. Inatividade física, acúmulo de gordura abdominal e idade foram fatores associados à hipertensão.