Contextual and individual aspects related to musculoskeletal pain in adults in southern Brazil / Aspectos contextuais e individuais relacionados à dor osteomuscular em adultos do sul do Brasil

ABSTRACT BACKGROUND AND OBJECTIVES: Pain generates negative consequences in the personal and social life of individuals. The objective of this study was to investigate the association between musculoskeletal pain and individual and contextual aspects in adults in the south of Brazil. METHODS: Cross-sectional analysis of a population-based cohort study (n=571). Musculoskeletal pain was assessed using the adapted and translated version for Brazil of the Nordic Musculoskeletal Questionnaire (NMQ). In the multivariable analysis, the variables were adjusted for each other taking into account the two levels: contextual and individual. RESULTS: The prevalence of musculoskeletal pain was 71.1% (95% CI: 66.4-75.4). In the adjusted analysis, the following were associated with greater musculoskeletal pain at the contextual level: lower income, lower social support from the neighborhood and lower social action. At the individual level, sex (female), older age, lower education, lower social support and morbidities (≥ 3) were associated. CONCLUSION: The present research findings showed a high prevalence of musculoskeletal pain. Social action at the contextual level remained in the model after adjustment, this association suggests the contribution of socio-environmental factors to health outcomes.

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor gera consequências negativas na vida pessoal e social dos indivíduos. O objetivo deste estudo foi investigar a associação entre dor osteomuscular e aspectos individuais e contextuais em adultos do sul do Brasil. MÉTODOS: Análise transversal de um estudo de coorte de base populacional (n=571). A dor osteomuscular foi avaliada através da versão adaptada e traduzida para o Brasil do Questionário Nórdico de Sintomas Osteomusculares (QNSO). Na análise multivariável, as variáveis foram ajustadas entre si levando em consideração os dois níveis: contextual e individual. RESULTADOS: A prevalência de dor osteomuscular foi de 71,1% (IC 95%:66,4-75,4). Na análise ajustada estiveram associados a maior dor osteomuscular em nível contextual: menor renda, menor apoio social da vizinhança e menor ação social. Em nível individual estiveram associados o sexo (feminino), maior idade, menor escolaridade, menor apoio social e morbidades (≥3). CONCLUSÃO: Os achados desta pesquisa evidenciaram alta prevalência de dor osteomuscular. A ação social no nível contextual permaneceu no modelo após ajustamento, essa associação sugere a contribuição dos fatores socioambientais em desfechos de saúde.

Association between social capital and food patterns in women from Southern Brazil. / Associação entre capital social e padrões alimentares em mulheres do Sul do Brasil.

The present study aimed to verify the association between psychosocial aspects (social capital) and food patterns in adult women. A cross-sectional, population-based study was conducted with a representative sample of 1,128 women, aged 20 to 69 years, living in the urban area of the municipality of São Leopoldo, Rio Grande do Sul, Brazil, in 2015. The food patterns were identified based on the frequency of food intake and classified as: healthy (fruits, vegetables, and whole foods), at-risk (ultraprocessed foods), and Brazilian (rice and beans), while social capital was evaluated using a collective efficacy scale. It was observed that 18.9% of the sample was classified with high collective efficacy. After adjusting for potential confounding factors, a 44% higher probability was observed for adherence to the healthy pattern (PR [prevalence ratio] = 1.44; 95%CI [95% confidence interval]: 1.01-2.03; p = 0.040) and 71% higher for the Brazilian pattern (PR = 1.71; 95%CI: 1.18-2.47; p= 0.004) among women with a higher level of collective efficacy, when compared to those with a low level of collective efficacy. Thus, this study verified a significant relationship between psychosocial aspects and food intake in women.

O presente estudo objetivou verificar a associação entre aspectos psicossociais (capital social) e padrões alimentares em mulheres adultas. Realizou-se um estudo transversal, de base populacional, com uma amostra representativa de 1.128 mulheres, de 20 a 69 anos de idade, residentes na área urbana do município de São Leopoldo, Rio Grande do Sul, em 2015. Os padrões alimentares foram identificados com base na frequência de consumo alimentar e classificados em: saudável (frutas, vegetais e alimentos integrais), de risco (alimentos ultraprocessados) e brasileiro (arroz e feijão), enquanto o capital social foi avaliado por meio de uma escala de eficácia coletiva. Observou-se que 18,9% da amostra foi classificada com alta eficácia coletiva. Após ajuste para potenciais fatores de confusão, observou-se uma probabilidade 44% maior para adesão ao padrão saudável (RP [razão de prevalência] = 1,44; IC95% [intervalo de confiança de 95%]: 1,01-2,03; p = 0,040) e 71% maior para o padrão brasileiro (RP = 1,71; IC95%: 1,18-2,47; p = 0,004) entre as mulheres com um maior nível de eficácia coletiva, quando comparadas às com baixo nível de eficácia coletiva. Assim, este estudo verificou uma relação significativa entre aspectos psicossociais e consumo alimentar em mulheres.

Associação entre capital social e padrões alimentares em mulheres do Sul do Brasil / Association between social capital and food patterns in women from Southern Brazil

Resumo O presente estudo objetivou verificar a associação entre aspectos psicossociais (capital social) e padrões alimentares em mulheres adultas. Realizou-se um estudo transversal, de base populacional, com uma amostra representativa de 1.128 mulheres, de 20 a 69 anos de idade, residentes na área urbana do município de São Leopoldo, Rio Grande do Sul, em 2015. Os padrões alimentares foram identificados com base na frequência de consumo alimentar e classificados em: saudável (frutas, vegetais e alimentos integrais), de risco (alimentos ultraprocessados) e brasileiro (arroz e feijão), enquanto o capital social foi avaliado por meio de uma escala de eficácia coletiva. Observou-se que 18,9% da amostra foi classificada com alta eficácia coletiva. Após ajuste para potenciais fatores de confusão, observou-se uma probabilidade 44% maior para adesão ao padrão saudável (RP [razão de prevalência] = 1,44; IC95% [intervalo de confiança de 95%]: 1,01-2,03; p = 0,040) e 71% maior para o padrão brasileiro (RP = 1,71; IC95%: 1,18-2,47; p = 0,004) entre as mulheres com um maior nível de eficácia coletiva, quando comparadas às com baixo nível de eficácia coletiva. Assim, este estudo verificou uma relação significativa entre aspectos psicossociais e consumo alimentar em mulheres.

Abstract The present study aimed to verify the association between psychosocial aspects (social capital) and food patterns in adult women. A cross-sectional, population-based study was conducted with a representative sample of 1,128 women, aged 20 to 69 years, living in the urban area of the municipality of São Leopoldo, Rio Grande do Sul, Brazil, in 2015. The food patterns were identified based on the frequency of food intake and classified as: healthy (fruits, vegetables, and whole foods), at-risk (ultraprocessed foods), and Brazilian (rice and beans), while social capital was evaluated using a collective efficacy scale. It was observed that 18.9% of the sample was classified with high collective efficacy. After adjusting for potential confounding factors, a 44% higher probability was observed for adherence to the healthy pattern (PR [prevalence ratio] = 1.44; 95%CI [95% confidence interval]: 1.01-2.03; p = 0.040) and 71% higher for the Brazilian pattern (PR = 1.71; 95%CI: 1.18-2.47; p= 0.004) among women with a higher level of collective efficacy, when compared to those with a low level of collective efficacy. Thus, this study verified a significant relationship between psychosocial aspects and food intake in women.

Oral health self-perception in quilombola communities in Rio Grande do Sul: a cross-sectional exploratory study. / Autopercepção de saúde bucal em comunidades quilombolas no Rio Grande do Sul: um estudo transversal exploratório.

OBJECTIVE:: There's a shortage of evidence on the oral health of quilombolas. This study aims to describe oral health self-perception, as well as to verify its associated factors in quilombola communities in the state of Rio Grande do Sul. METHODS:: The data for this cross-sectional health survey were collected by application of a questionnaire. Since this study was part of a survey on nutritional security, the probabilistic cluster sample was estimated for the outcome of nutritional insecurity, comprising 583 individuals across quilombola communities in Rio Grande do Sul. The association between the outcome of negative oral health self-perception and sociodemographic, general health, and oral health variables was measured by prevalence ratios obtained through Poisson regressions with robust variance and 95% confidence intervals. RESULTS:: Negative self-rated oral health was reported by 313 (53.1%) of the individuals. Satisfaction with chewing ability and satisfaction with oral appearance were associated with a higher prevalence of negative perception of oral health, while there was no association between the outcome and number of teeth. Use of alcohol had a borderline association with the outcome. CONCLUSION:: Satisfaction with appearance and chewing ability are factors associated with oral-health self-perception of the quilombolas in Rio Grande do Sul.

Autopercepção de saúde bucal em comunidades quilombolas no Rio Grande do Sul: um estudo transversal exploratório / Oral health self-perception in quilombola communities in Rio Grande do Sul: a cross-sectional exploratory study

RESUMO: Objetivo: Há escassez de literatura sobre a saúde bucal dos quilombolas. O presente estudo procurou descrever a autopercepção de saúde bucal, bem como verificar fatores a ela associados em comunidades quilombolas no Estado do Rio Grande do Sul. Métodos: Os dados para este estudo transversal foram coletados por meio da aplicação de um questionário. Posto que o estudo fez parte de um levantamento sobre segurança alimentar, a amostra probabilística por conglomerado foi estimada para o desfecho de insegurança alimentar, consistindo de 583 indivíduos de comunidades quilombolas no Rio Grande do Sul. A associação entre o desfecho de autopercepção de saúde bucal negativa e variáveis sociodemográficas, de saúde geral e bucal foi aferida por intermédio de razões de prevalência obtidas por meio de regressão de Poisson com variância robusta, com intervalo de confiança de 95% (IC95%). Resultados: Autopercepção negativa de saúde bucal foi reportada por 313 (53,1%) indivíduos. Satisfação com mastigação e com aparência bucal esteve relacionada com maior prevalência de percepção negativa de saúde bucal, não havendo associação entre o número de dentes e o desfecho. Uso de álcool teve uma associação fraca com o desfecho. Conclusão: Satisfação com aparência e mastigação é fator associado com autopercepção de saúde bucal dos quilombolas no Rio Grande do Sul.

ABSTRACT: Objective: There’s a shortage of evidence on the oral health of quilombolas. This study aims to describe oral health self-perception, as well as to verify its associated factors in quilombola communities in the state of Rio Grande do Sul. Methods: The data for this cross-sectional health survey were collected by application of a questionnaire. Since this study was part of a survey on nutritional security, the probabilistic cluster sample was estimated for the outcome of nutritional insecurity, comprising 583 individuals across quilombola communities in Rio Grande do Sul. The association between the outcome of negative oral health self-perception and sociodemographic, general health, and oral health variables was measured by prevalence ratios obtained through Poisson regressions with robust variance and 95% confidence intervals. Results: Negative self-rated oral health was reported by 313 (53.1%) of the individuals. Satisfaction with chewing ability and satisfaction with oral appearance were associated with a higher prevalence of negative perception of oral health, while there was no association between the outcome and number of teeth. Use of alcohol had a borderline association with the outcome. Conclusion: Satisfaction with appearance and chewing ability are factors associated with oral-health self-perception of the quilombolas in Rio Grande do Sul.

[Utilization and coverage of a Food and Nutritional Surveillance System in Rio Grande do Sul state, Brazil]. / Utilização e cobertura do Sistema de Vigilância Alimentar e Nutricional no Estado do Rio Grande do Sul, Brasil.

This article seeks to describe the utilization and coverage percentage of the Nutritional and Food Surveillance System (SISVAN-Web) in the Regional Health Offices of Rio Grande do Sul in 2010 and to assess its correlation with socio-economic, demographic and health system organization variables at the time. It is an ecological study that used secondary data from the SISVAN-Web, the Department of Primary Health Care, the IT Department of the Unified Health System and the Brazilian Institute of Geography and Statistics. The evaluation of utilization and coverage data was restricted to nutritional status. The percentage of utilization of SISVAN-Web refers to the number of cities that fed the system. Total coverage was defined as the percentage of individuals in all stages of the life cycle monitored by SISVAN-Web. It was found that 324 cities fed the application, corresponding to a utilization percentage of 65.3%. Greater system coverage was observed in all Regional Health Coordination (RHC) Units for ages 0 to 5 years and 5-10 years. There was a significant association between the percentage of utilization of SISVAN-Web and Family Health Strategy coverage in each RHC Unit. The results of this study indicated low percentages of utilization and coverage of SISVAN-Web in Rio Grande do Sul.

Utilização e cobertura do Sistema de Vigilância Alimentar e Nutricional no Estado do Rio Grande do Sul, Brasil / Utilization and coverage of a Food and Nutritional Surveillance System in Rio Grande do Sul state, Brazil

O objetivo deste artigo é descrever o percentual de utilização e a cobertura do Sistema de Vigilância Alimentar e Nutricional - Web (SISVAN-Web) nas Coordenadorias Regionais de Saúde do Rio Grande do Sul em 2010 e verificar sua correlação com variáveis socioeconômicas, demográficas e de organização do sistema de saúde. Estudo ecológico que utilizou dados secundários do SISVAN-Web, Departamento de Atenção Básica do Ministério da Saúde, Departamento de Informática do Sistema Único de Saúde e Instituto Brasileiro de Geografia e Estatística. A avaliação de utilização e cobertura restringiu-se aos dados de estado nutricional. Percentual de utilização refere-se ao número de municípios que alimentaram o sistema. Cobertura total foi definida como o percentual de indivíduos acompanhados pelo SISVAN-Web. Verificou-se que 324 municípios do RS alimentaram o aplicativo, correspondendo a um percentual de utilização de 65,3%. Observou-se em todas as CRS uma maior cobertura do sistema nas idades de 0 a 5 anos e 5 a 10 anos. Verificou-se relação significativa entre o percentual de utilização do SISVAN-Web e a cobertura da Estratégia de Saúde da Família (ESF) em cada CRS. Os resultados deste estudo indicaram baixos percentuais de utilização e cobertura do SISVAN-Web no Rio Grande do Sul em 2010.

This article seeks to describe the utilization and coverage percentage of the Nutritional and Food Surveillance System (SISVAN-Web) in the Regional Health Offices of Rio Grande do Sul in 2010 and to assess its correlation with socio-economic, demographic and health system organization variables at the time. It is an ecological study that used secondary data from the SISVAN-Web, the Department of Primary Health Care, the IT Department of the Unified Health System and the Brazilian Institute of Geography and Statistics. The evaluation of utilization and coverage data was restricted to nutritional status. The percentage of utilization of SISVAN-Web refers to the number of cities that fed the system. Total coverage was defined as the percentage of individuals in all stages of the life cycle monitored by SISVAN-Web. It was found that 324 cities fed the application, corresponding to a utilization percentage of 65.3%. Greater system coverage was observed in all Regional Health Coordination (RHC) Units for ages 0 to 5 years and 5-10 years. There was a significant association between the percentage of utilization of SISVAN-Web and Family Health Strategy coverage in each RHC Unit. The results of this study indicated low percentages of utilization and coverage of SISVAN-Web in Rio Grande do Sul.