Syphilis detection rate trend in aged people: Brazil, 2011-2019.

OBJECTIVE: To analyze the trend in the detection rate of syphilis in elderly people in Brazil from 2011 to 2019. METHODS: An ecological, time-series study with data from the Notifiable Diseases Information System. The temporal trend of syphilis detection rates was analyzed according to the Prais-Winsten linear regression method. RESULTS: 62,765 cases of syphilis in aged people were reported. There was a growing trend in the rate of syphilis detection in aged people in Brazil. The increase was of approximately six times, with a mean increase of 25% each year (annual percent change [APC]: 25.0; 95%CI 22.1-28.1). The increase in the detection rate was identified in both genders and for all age groups, with emphasis on the increase in females (APC: 49.1; 95%CI 21.9-26.8) and in the group aged 70 to 79 years old (APC: 25.8; 95%CI 23.3-28.3). All macro-regions of the country showed an increasing trend, with emphasis on the Northeast (APC: 51.2; 95%CI 43.0-59.8) and South (APC: 49.2; 95%CI 32.3-68.3). CONCLUSION: The growing trend in the detection rate of syphilis in aged people throughout Brazil highlights the need for planning and developing effective and multidisciplinary prevention actions and assistance adapted to this public.

Syphilis detection rate trend in aged people: Brazil, 2011-2019 / Tendência da taxa de detecção de sífilis em pessoas idosas: Brasil, 2011-2019

ABSTRACT Objective: To analyze the trend in the detection rate of syphilis in elderly people in Brazil from 2011 to 2019. Methods: An ecological, time-series study with data from the Notifiable Diseases Information System. The temporal trend of syphilis detection rates was analyzed according to the Prais-Winsten linear regression method. Results: 62,765 cases of syphilis in aged people were reported. There was a growing trend in the rate of syphilis detection in aged people in Brazil. The increase was of approximately six times, with a mean increase of 25% each year (annual percent change [APC]: 25.0; 95%CI 22.1-28.1). The increase in the detection rate was identified in both genders and for all age groups, with emphasis on the increase in females (APC: 49.1; 95%CI 21.9-26.8) and in the group aged 70 to 79 years old (APC: 25.8; 95%CI 23.3-28.3). All macro-regions of the country showed an increasing trend, with emphasis on the Northeast (APC: 51.2; 95%CI 43.0-59.8) and South (APC: 49.2; 95%CI 32.3-68.3). Conclusion: The growing trend in the detection rate of syphilis in aged people throughout Brazil highlights the need for planning and developing effective and multidisciplinary prevention actions and assistance adapted to this public.

RESUMO Objetivo: Analisar a tendência da taxa de detecção de sífilis em pessoas idosas no Brasil no período de 2011 a 2019. Métodos: Estudo ecológico, de série temporal, com dados do Sistema de Informação de Agravos de Notificação. Analisou-se a tendência temporal das taxas de detecção de sífilis segundo o método de regressão linear de Prais-Winsten. Resultados: Foram notificados 62.765 casos de sífilis em pessoas idosas. Verificou-se tendência crescente na taxa de detecção de sífilis em pessoas idosas no Brasil. O aumento foi de, aproximadamente, seis vezes, com incremento médio de 25% a cada ano (variação percentual anual [VPA]: 25,0; IC95% 22,1-28,1). O aumento na taxa de detecção foi identificado em ambos os sexos e para todos os grupos etários, com destaque para o incremento no sexo feminino (VPA: 49,1; IC95% 21,9-26,8) e no grupo com 70 a 79 anos de idade (VPA: 25,8; IC95% 23,3-28,3). Todas as macrorregiões do país apresentaram tendência crescente, com destaque para as regiões Nordeste (VPA: 51,2; IC95% 43,0-59,8) e Sul (VPA: 49,2; IC95% 32,3-68,3). Conclusão: A tendência crescente da taxa de detecção de sífilis em pessoas idosas em todo território brasileiro evidencia a necessidade de planejamento e desenvolvimento de ações efetivas e multiprofissionais de prevenção e assistência adaptada a esse público.

Metabolic syndrome in adolescents and antioxidant nutrient intake: a cross-sectional study.

OBJECTIVE: To verify the association between metabolic syndrome and its components, and intake of antioxidant nutrients in adolescents. METHODS: This is a cross-sectional study of the data of 327 adolescents in a high school in Teresina, Piauí, Brazil, pertaining to their socioeconomic background, anthropometric measurements, dietary intake (selenium; copper; zinc; vitamins A, C, and E), hemodynamics, and biochemical tests. The criteria for diagnosing metabolic syndrome in adolescents were applied. Binary logistic regression was used to verify the association between metabolic syndrome and its components, and intake of antioxidants. The level of significance was established at p<0.05. RESULTS: Prevalence of metabolic syndrome was 7.0%, with a significant association between body mass index and blood pressure. Lower tertiles of copper and vitamins A and E intake were associated with high triglyceride and glycemic levels. The association with vitamins A and E remained after adjustment. CONCLUSIONS: A significant association between lower vitamins A and E intake and metabolic syndrome components (altered triglycerides and glycemic levels) was found. Besides further studies on this issue, the need for health interventions was found, which ensures the appropriate intake of antioxidant nutrients during adolescence.

Metabolic syndrome in adolescents and antioxidant nutrient intake: a cross-sectional study

SUMMARY OBJECTIVE: To verify the association between metabolic syndrome and its components, and intake of antioxidant nutrients in adolescents. METHODS: This is a cross-sectional study of the data of 327 adolescents in a high school in Teresina, Piauí, Brazil, pertaining to their socioeconomic background, anthropometric measurements, dietary intake (selenium; copper; zinc; vitamins A, C, and E), hemodynamics, and biochemical tests. The criteria for diagnosing metabolic syndrome in adolescents were applied. Binary logistic regression was used to verify the association between metabolic syndrome and its components, and intake of antioxidants. The level of significance was established at p<0.05. RESULTS: Prevalence of metabolic syndrome was 7.0%, with a significant association between body mass index and blood pressure. Lower tertiles of copper and vitamins A and E intake were associated with high triglyceride and glycemic levels. The association with vitamins A and E remained after adjustment. CONCLUSIONS: A significant association between lower vitamins A and E intake and metabolic syndrome components (altered triglycerides and glycemic levels) was found. Besides further studies on this issue, the need for health interventions was found, which ensures the appropriate intake of antioxidant nutrients during adolescence.

Rastreamento do câncer do colo do útero em um estado do nordeste brasileiro / Trial of cervical cancer in a northeast brazilian state / Rastreo del cáncer del colo del útero en un estado del nordeste brasileño

Introdução: O câncer do colo do útero caracteriza-se como um importante problema de saúde pública mundial. Objetivo: Diante do exposto o presente artigo objetivou rastrear os casos de câncer de colo de útero em um estado do nordeste brasileiro. Material e Método: Trata-se de um estudo descritivo/retrospectivo observacional de base populacional, utilizando dados dos exames citopatológicos realizados entre os anos de 2012 a 2014 no estado do Piauí, registrados no Sistema de Informação do câncer do colo do útero (SISCOLO) e disponibilizados no site do Departamento de Informática do Sistema Único de Saúde (DATASUS). Resultados: Foram registradas no SISCOLO 513.910 citologias de mulheres residentes nos municípios do estado do Piauí. Observa-se um maior número de exames realizados do ano de 2013, com a maioria desses realizados em mulheres na faixa etária de 25 a 64 anos, pardas e com ensino fundamental incompleto. O epitélio escamoso foi o mais representado nas amostras citopatológicas, sendo os agentes microbiológicos mais frequentes no colo uterino os cocos, os Lactobacillus sp e os Bacilos. Foi verificado dentre as alterações celulares benignas a inflamação como achado mais presente e as células escamosas indeterminadas não neoplásicas foram as atipias em células escamosas mais presente. Conclusão: Dessa forma é importante a adoção de estratégias que melhorem a coleta desses dados, que são importantes fontes de informações em saúde e que podem ser utilizados para a implementação de possíveis políticas nesse campo e em pesquisas da área de saúde(AU)

Introduction: Cervical cancer is characterized as a major public health problem worldwide. Objective: In view of the above, this article aimed to track the cases of cervical cancer in a state in the Brazilian Northeast. Methods: This is a population-based observational descriptive / retrospective study using data from the cytopathological examinations performed between the years of 2012 to 2014 in the state of Piauí, registered in the Cervical Cancer Information System (SISCOLO) and made available on the website of the Department of Informatics of the Unified Health System (DATASUS). Results: 513,910 Pap smears were registered in SISCOLO of women living in the municipalities of the state of Piauí. A greater number of examinations were carried out in the year 2013, with the majority of the exams being carried out in women between the ages of 25 and 64 years, with browns and incomplete primary education. The squamous epithelium was the most represented in the cytopathological samples, being the microbiological agents more frequent in the cervix the cocci, the Lactobacillus sp and the Bacilli. Among the benign cellular alterations the inflammation was found as the most present finding and the undetermined squamous non-neoplastic cells were the most present squamous cell atypia. Conclusion: Thus, it is important to adopt strategies that improve the collection of these data, which are important sources of health information and can be used to implement possible policies in this field and in health research(AU)

Introducción: El cáncer de cuello de útero se caracteriza como un importante problema de salud pública mundial. Objetivo: Ante el expuesto el presente artículo objetivó rastrear los casos de cáncer de cuello de útero en un estado del nordeste brasileño. Métodos: Se trata de un estudio descriptivo / retrospectivo observacional de base poblacional, utilizando datos de los exámenes citopatológicos realizados entre los años de 2012 a 2014 en el estado de Piauí, registrados en el Sistema de Información del cáncer del cuello del útero (SISCOLO) y disponibles en el sitio del Departamento de Informática del Sistema Único de Salud (DATASUS). Resultados: Se registraron en el SISCOLO 513.910 citologías de mujeres residentes en los municipios del estado de Piauí. Se observa un mayor número de exámenes realizados del año 2013, con la mayoría de estos realizados en mujeres en el grupo de edad de 25 a 64 años, pardas y con enseñanza fundamental incompleta. El epitelio escamoso fue el más representado en las muestras citopatológicas, siendo los agentes microbiológicos más frecuentes en el cuello uterino los cocos, los Lactobacillus sp y los Bacilos. Se verificó entre las alteraciones celulares benignas la inflamación como hallazgo más presente y las células escamosas indeterminadas no neoplásicas fueron las atipias en células escamosas más presentes. Conclusión: De esta forma es importante la adopción de estrategias que mejoren la recolección de esos datos, que son importantes fuentes de información en salud y que pueden ser utilizados para la implementación de posibles políticas en ese campo y en investigaciones del área de salud(AU)