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1.
Cien Saude Colet ; 27(4): 1477-1490, 2022 Apr.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35475828

RESUMO

The aim of the present study was to compare the Diet Quality Index-Digital Food Guide (DQI-DFG) to a more widely used measure in the literature: the Brazilian Healthy Eating Index-Revised (BHEI-R). A cross-sectional population-based study was conducted with 822 older adults (≥ 60 years) from the city of Campinas/SP, Brazil. The BHEI-R resulted in a higher overall score compared to DQI-DFG (62.9 vs. 47.7). For the BHEI-R, mean scores increased with age and were worse among smokers and individuals with a higher level of schooling. Regarding the DQI-DFG scores, no significant associations with age, schooling or smoking were detected; however, scores were higher in higher income segments. The components with the worst scores were whole grains, sodium and milk (BHEI-R); fruits, whole grains, roots/tubers, milk, refined cereals and red meat/processed (DQI-DFG). Divergences were found in the global scores and components of the indicators, reflecting important methodological differences. Studies of this nature constitute an opportunity to increase awareness regarding indicators of particular aspects of diet.


Objetivou-se avaliar o Índice de Qualidade da Dieta associado ao Guia Alimentar Digital (IQD-GAD) em comparação a outro mais utilizado e difundido na literatura, o Índice de Qualidade da Dieta Revisado (IQD-R). Estudo transversal de base populacional, com 822 idosos (≥ 60 anos) de Campinas, São Paulo. Utilizaram-se dados de um recordatório de 24 horas para efetuar os indicadores, cujas pontuações globais variam de zero a cem: quanto maior, melhor é a qualidade. Regressão linear simples e múltipla foi aplicada nas análises. O IQD-R resultou em maior pontuação global do que o IQD-GAD (62,9 vs. 47,5). No IQD-R, os escores médios foram melhores nos mais longevos e piores nos mais escolarizados e nos tabagistas. Quanto aos escores do IQD-GAD, não foram detectadas diferenças significativas em idade, escolaridade e tabagismo, mas foram maiores em segmentos de maior renda. Os componentes com piores pontuações: cereais integrais, sódio e leite (IQD-R); frutas, cereais integrais, raízes/tubérculos, leite, cereais refinados e carne vermelha/processada (IQD-GAD). Observaram-se discrepâncias nos escores globais e dos componentes dos indicadores, que refletem importantes diferenças metodológicas. Investigações dessa natureza configuram uma oportunidade de aprimorar a sensibilidade de indicadores a aspectos particulares da alimentação.


Assuntos
Dieta Saudável , Dieta , Idoso , Brasil , Estudos Transversais , Inquéritos sobre Dietas , Humanos
2.
Cad Saude Publica ; 38(3): e00093621, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35353879

RESUMO

This study aims to analyze the relationship between social isolation and loneliness with smoking in older adults. This is a cross-sectional, population-based study performed with 986 individuals aged 60 years or older. Data were collected from the Health Survey of the Municipality of Campinas (ISACamp 2014/2015), state of São Paulo, Brazil. We estimated the prevalence of smoking and smoking cessation according to independent variables and tested the associations using the chi-square test, considering a 5% significance level. Adjusted prevalence ratios were calculated using simple and multiple Poisson regression. Smoking and smoking cessation were not associated with most variables that indicate objective social isolation. "Often or always" loneliness was related to a higher prevalence of smoking (PR = 2.25; 95%CI: 1.38-3.66) whereas loneliness accompanied of self-reported emotional problems or common mental disorders was strongly associated with smoking and with lower smoking cessation (PR = 6.24; 95%CI: 1.37-28.47 and PR = 0.46; 95%CI: 0.28-0.77, respectively). These findings indicate that loneliness is a psychosocial aspect related to tobacco use which hinders smoking cessation in older adults, emphasizing the importance of emotional problems in this association.


Assuntos
Solidão , Fumar , Idoso , Brasil/epidemiologia , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Fumar/epidemiologia , Fumar Tabaco
3.
Cad Saude Publica ; 38(2): e00107521, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35262611

RESUMO

This study aims to analyze inequalities in the incidence, mortality, and survival of the main types of cancer in women according to the Social Vulnerability Index (SVI). The study was conducted in Campinas, São Paulo State, Brazil, from 2010 to 2014, and used data from the Population-based Cancer Registry and the Mortality Information System. Incidence and mortality rates standardized by age and 5-year survival estimates were calculated according to the social vulnerability strata (SVS), based on the São Paulo Social Vulnerability Index. Three SVS were delimited, with SVS1 being the lowest level of vulnerability and SVS3 being the highest. Rate ratios and the concentration index were calculated. The significance level was 5%. Women in SVS1 had a higher risk of breast cancer (0.46; 95%CI: 0.41; 0.51), colorectal cancer (0.56; 95%CI: 0.47; 0.68), and thyroid cancer (0.32; 95%CI: 0.26; 0.40), whereas women from SVS3 had a higher risk of cervical cancer (2.32; 95%CI: 1.63; 3.29). Women from SVS1 had higher mortality rates for breast (0.69; 95%CI: 0.53; 0.88) and colorectal cancer (0.69; 95%CI: 0.59; 0.80) and women from SVS3 had higher rates for cervical (2.35; 95%CI: 1.57; 3.52) and stomach cancer (1.43; 95%CI: 1.06; 1.91). Women of highest social vulnerability had lower survival rates for all types of cancer. The observed inequalities differed according to the location of the cancer and the analyzed indicator. Inequalities between incidence, mortality, and survival tend to revert and the latter is always unfavorable to the segment of highest vulnerability, indicating the existence of inequality in access to early diagnosis and timely treatment.


Assuntos
Neoplasias da Mama , Neoplasias , Neoplasias do Colo do Útero , Brasil/epidemiologia , Neoplasias da Mama/epidemiologia , Pré-Escolar , Cidades , Feminino , Humanos , Incidência , Neoplasias/epidemiologia , Fatores Socioeconômicos
4.
Psychiatry Res Commun ; 2(1): 100015, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34977912

RESUMO

We aimed to assess the factors associated with frequent sadness and nervousness in Brazilian adolescents, during the Covid-19 pandemic, in 9470 adolescents (aged 12-17 years), interviewed from June 27 to September 17, 2020. Prevalences and prevalence ratios were estimated according to socio-demographic variables and factors related to family, school, friends, and health. Brazilian adolescents often felt sad (32.4%) and nervous (48.7%). Higher prevalences of these feelings were related to: being female; aged 15-17 year; from families with financial difficulties; having learned little or nothing with remote education; missing friends; having few friends; family disagreements; having regular/bad health before the pandemic; and worsened health and sleep during the pandemic. Higher prevalence of nervousness was also found in adolescents who worked before the pandemic and those who reported lack of concentration and not knowing if they had COVID-19. Sadness and nervousness in Brazilian adolescents is high and the need for action by the government, schools, health services, and parents to mitigate the impact of the pandemic on the physical and mental health of adolescents. Special attention must be paid to adolescents with previous health problems and those belonging to the most socially vulnerable population.

5.
Sleep Med ; 91: 205-210, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33736945

RESUMO

This study aimed to investigate the effect of Chronic Noncommunicable Diseases (CNCDs) on the onset or increase in sleep problems during the COVID-19 pandemic period. The role of the report of sadness or nervousness during the pandemic was also evaluated as a mediator of this association. Data from a behavior survey during COVID-19, conducted in Brazil with 45,161 people (18 years old or older), from April 24 to May 24, 2020, were used. The outcome variable was the onset or increase in sleep problems, and the exposure variable was the presence of CNCDs. The adjusted Odds Ratio of the association between CNCDs and sleep was estimated, and a mediation analysis was performed to test the effect of the report of sadness or nervousness on this association, using the Karlson Holm Breen method. The increase in sleep problems was reported by 44.9% of the population, and 33.9% reported at least one CNCD. The chance of sleep problems was higher among people with diabetes (1.34; 1.05-1.71), hypertension (1.26; 1.06-1.50), and with coronary heart diseases (1.36; 1.13-1.65) or respiratory diseases (1.42; 1.04-1.93). Compared to people without CNCDs, individuals with at least one CNCD had a 36% greater chance of impaired sleep (1.36; 1.19-1.55). The report of sadness or nervousness explained 45.1% of the association between CNCD and sleep. Our findings alert us to care for the emotional state and sleep of chronic patients during the waves of the COVID-19 pandemic, and indicate the need for sleep monitoring in this population.


Assuntos
COVID-19 , Doenças não Transmissíveis , Transtornos do Sono-Vigília , Adolescente , Adulto , Brasil/epidemiologia , COVID-19/epidemiologia , Doença Crônica , Humanos , Doenças não Transmissíveis/epidemiologia , Pandemias , Sono , Transtornos do Sono-Vigília/epidemiologia
6.
Cad. Saúde Pública (Online) ; 38(3): e00093621, 2022. tab
Artigo em Inglês | LILACS | ID: biblio-1364637

RESUMO

This study aims to analyze the relationship between social isolation and loneliness with smoking in older adults. This is a cross-sectional, population-based study performed with 986 individuals aged 60 years or older. Data were collected from the Health Survey of the Municipality of Campinas (ISACamp 2014/2015), state of São Paulo, Brazil. We estimated the prevalence of smoking and smoking cessation according to independent variables and tested the associations using the chi-square test, considering a 5% significance level. Adjusted prevalence ratios were calculated using simple and multiple Poisson regression. Smoking and smoking cessation were not associated with most variables that indicate objective social isolation. "Often or always" loneliness was related to a higher prevalence of smoking (PR = 2.25; 95%CI: 1.38-3.66) whereas loneliness accompanied of self-reported emotional problems or common mental disorders was strongly associated with smoking and with lower smoking cessation (PR = 6.24; 95%CI: 1.37-28.47 and PR = 0.46; 95%CI: 0.28-0.77, respectively). These findings indicate that loneliness is a psychosocial aspect related to tobacco use which hinders smoking cessation in older adults, emphasizing the importance of emotional problems in this association.


O estudo busca analisar a relação entre isolamento social, solidão e tabagismo entre idosos. Trata-se de um estudo transversal de base populacional que incluiu 986 indivíduos com 60 anos ou mais. Os dados foram obtidos do Inquérito de Saúde de Município de Campinas (ISACamp 2014/2015), São Paulo, Brasil. Foram estimadas as taxas de prevalência do tabagismo e da cessação do tabagismo de acordo com as variáveis independentes e testadas as associações através do teste de qui-quadrado, considerando nível de significância de 5%. Foram calculadas as razões de prevalência ajustadas com o uso de regressão de Poisson simples e múltipla. O tabagismo e a cessação do tabagismo não mostraram associação com a maioria das variáveis que indicam isolamento social objetivo, enquanto o relato da solidão muitas vezes ou sempre esteve relacionado a uma maior prevalência de tabagismo (RP = 2,25; IC95%: 1,38-3,66). A solidão, acompanhada pelo autorrelato de problemas emocionais ou a presença de transtornos mentais comuns, esteve fortemente associada com o tabagismo e com menor prevalência de cessação do tabagismo (RP = 6,24; IC95%: 1,37-28,47 e RP = 0,46; IC95%: 0,28-0,77, respectivamente). Os achados sustentam o papel da solidão enquanto aspecto psicossocial relacionado ao uso de tabaco e ao impedimento da cessação do tabagismo em idosos e destacam a importância de problemas emocionais nessa associação.


El objetivo de este estudio fue analizar la relación entre el aislamiento social y la soledad con el hábito de fumar en adultos mayores. Se trata de un estudio transversal basado en población, realizado con 986 individuos con 60 años o mayores. Los datos se recogieron de la Encuesta de Salud de la Ciudad de Campinas (ISACamp 2014/2015), estado de São Paulo, Brasil. Estimamos la prevalencia del hábito de fumar y dejar de fumar según variables independientes y probamos las asociaciones usando el test chi-cuadrado, considerando un nivel de significancia de un 5%. Se calcularon las ratios de prevalencia usando una regresión simple y múltiple de Poisson. Fumar y dejar de fumar no estuvieron asociadas con la mayor parte de variables que indican aislamiento social objetivo, mientras que informar soledad a menudo o siempre estuvo relacionado con una más alta prevalencia de tabaquismo (RP = 2,25; IC95%: 1,38-3,66). Soledad acompañada de problemas emocionales autoinformados o la presencia de desórdenes mentales comunes estuvo fuertemente asociado con el tabaquismo y con una menor prevalencia de dejar de fumar (RP = 6,24; IC95%: 1,37-28,47 y RP = 0,46; IC95%: 0,28-0,77, respectivamente). Estos resultados apoyan el papel de la soledad como un aspecto psicosocial relacionado con el consumo de tabaco y el impedimento de dejar de fumar en adultos mayores, además de subrayar la importancia de problemas emocionales en esta asociación.


Assuntos
Dependência de Heroína/epidemiologia , Solidão , Brasil/epidemiologia , Estudos Transversais , Fumar Tabaco , Pessoa de Meia-Idade
7.
Cad. Saúde Pública (Online) ; 38(2): e00107521, 2022. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1360287

RESUMO

This study aims to analyze inequalities in the incidence, mortality, and survival of the main types of cancer in women according to the Social Vulnerability Index (SVI). The study was conducted in Campinas, São Paulo State, Brazil, from 2010 to 2014, and used data from the Population-based Cancer Registry and the Mortality Information System. Incidence and mortality rates standardized by age and 5-year survival estimates were calculated according to the social vulnerability strata (SVS), based on the São Paulo Social Vulnerability Index. Three SVS were delimited, with SVS1 being the lowest level of vulnerability and SVS3 being the highest. Rate ratios and the concentration index were calculated. The significance level was 5%. Women in SVS1 had a higher risk of breast cancer (0.46; 95%CI: 0.41; 0.51), colorectal cancer (0.56; 95%CI: 0.47; 0.68), and thyroid cancer (0.32; 95%CI: 0.26; 0.40), whereas women from SVS3 had a higher risk of cervical cancer (2.32; 95%CI: 1.63; 3.29). Women from SVS1 had higher mortality rates for breast (0.69; 95%CI: 0.53; 0.88) and colorectal cancer (0.69; 95%CI: 0.59; 0.80) and women from SVS3 had higher rates for cervical (2.35; 95%CI: 1.57; 3.52) and stomach cancer (1.43; 95%CI: 1.06; 1.91). Women of highest social vulnerability had lower survival rates for all types of cancer. The observed inequalities differed according to the location of the cancer and the analyzed indicator. Inequalities between incidence, mortality, and survival tend to revert and the latter is always unfavorable to the segment of highest vulnerability, indicating the existence of inequality in access to early diagnosis and timely treatment.


O estudo teve como objetivo analisar desigualdades na incidência, mortalidade e sobrevida de câncer em mulheres de acordo com o Índice de Vulnerabilidade Social (IVS). O estudo foi realizado em Campinas, Estado de São Paulo, Brasil, no período de 2010 a 2014 e usou dados do Registro de Câncer de Base Populacional (RCBP) e do Sistema de Informação de Mortalidade (SIM). Foram calculadas as taxas de incidência e mortalidade padronizadas por idade e estimativas de sobrevida em cinco anos de acordo com estratos de vulnerabilidade social. Foram demarcados três estratos com base no IVS de São Paulo, onde o estrato 1 representava o nível de menor vulnerabilidade e o estrato 3 o de maior vulnerabilidade. Foram calculadas razões de taxas e índice de concentração, com nível de significância de 5%. Foram encontrados riscos mais elevados de câncer de mama (0,46; IC95%: 0,41; 0,51), colorretal (0,56; IC95%: 0,47; 0,68) e tireoide (0,32; IC95%: 0,26; 0,40) em mulheres do estrato 1 e de colo uterino em mulheres do estrato 3 (2,32; IC95%: 1,63; 3,29). Mulheres do estrato 1 tiveram taxas mais elevadas de câncer de mama (0,69; IC95%: 0,53; 0,88) e colorretal (0,69; IC95%: 0,59; 0,80), e mulheres do estrato 3 tiveram taxas mais elevadas de câncer do colo uterino (2,35; IC95%: 1,57; 3,52) e estômago (1,43; IC95%: 1,06; 1,91). Para todos os tipos de câncer, a sobrevida era mais baixa em mulheres do estrato de maior vulnerabilidade social. As desigualdades observadas mostraram diferenças de acordo com a localização do tumor e o indicador utilizado. Além disso, há uma tendência de inverter as desigualdades entre incidência, mortalidade e sobrevida, onde a sobrevida sempre é desfavorável para o estrato de maior vulnerabilidade, indicando a existência de desigualdades em acesso ao diagnóstico precoce e tratamento precoce.


El objetivo fue analizar las inequidades en la incidencia, mortalidad y supervivencia de los principales tipos de cáncer en mujeres, según el Índice de Vulnerabilidad Social (IVS). El estudio se llevó a cabo en Campinas, estado de São Paulo, Brasil, durante el período 2010-2014, y se usaron datos del Registro de Cáncer de Base Poblacional (RCBP) y el Sistema de Información de Mortalidad (SIM). Las tasas de incidencia y mortalidad estandarizadas por edad, así como las estimaciones de supervivencia durante cinco años, se calcularon según los estratos de vulnerabilidad social (SVS). Se delimitaron tres SVS, basados en el IVS de São Paulo, con SVS1 siendo el nivel más bajo de vulnerabilidad y SVS3 siendo el nivel más alto de vulnerabilidad. Se calcularon los cocientes de tasas y el índice de concentración. El nivel de significancia fue 5%. Se encontró un riesgo más alto de cáncer de la mama (0,46; IC95%: 0,41; 0,51), colorrectal (0,56; IC95%: 0,47; 0,68), y tiroides (0,32; IC95%: 0,26; 0,40) en mujeres de SVS1, y cáncer cervical en mujeres de SVS3 (2,32; IC95%: 1,63; 3,29). Respecto a la mortalidad, las mujeres de SVS1 tuvieron tasas más altas en cáncer de la mama (0,69; IC95%: 0,53; 0,88) y colorrectal (0,69; IC95%: 0,59; 0,80) y las mujeres de SVS3 tuvieron tasas más altas en cáncer cervical (2,35; IC95%: 1,57; 3,52) y estómago (1,43; IC95%: 1,06; 1,91). Para todos los tipos de cáncer, las tasas de supervivencia fueron más bajas en mujeres del estrato social con más alta vulnerabilidad social. Las inequidades sociales observadas difirieron según la localización del cáncer y el indicador analizado, y no hubo una tendencia para revertir las inequidades entre incidencia, mortalidad y supervivencia, las últimas siempre fueron desfavorables para el segmento de más alta vulnerabilidad, indicando la existencia de desigualdad en el acceso a un diagnóstico temprano y un tratamiento oportuno.


Assuntos
Humanos , Feminino , Neoplasias da Mama/epidemiologia , Neoplasias do Colo do Útero , Neoplasias/epidemiologia , Fatores Socioeconômicos , Brasil/epidemiologia , Incidência , Cidades
8.
Rev Bras Epidemiol ; 24(suppl 2): e210003, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910057

RESUMO

OBJECTIVE: The objective of this study was to investigate the use of health services and limitations in performing usual activities by adults and elderly people with and without noncommunicable chronic diseases (NCDs), according to sociodemographic strata. METHODS: This is a cross-sectional study in which data from the 2019 National Health Survey were analyzed. The final sample corresponded to 88,531 households with interviews carried out, referring to individuals aged 18 years and above. The prevalence of use of services by the population with NCDs was compared with that of the population without NCDs and stratified by socioeconomic and demographic variables. Prevalence ratios (PRs) and 95% confidence intervals (95%CI) were calculated. RESULTS: In 2019, 47.6% (95%CI 47.0-48.3) of the population reported having one or more NCDs. Population with NCDs had more medical consultations in the last 12 months (adjusted PR [APR]=1.21; 95%CI 1.20-1.23), used more health services in the last 2 weeks (APR=2.01; 95%CI 1.91-2.11), were referred to more hospitalization (APR=2.11; 95%CI 1.89-2.36), and had more limitations in performing usual activities (APR=2.52; 95%CI 2.30-2.76), compared with the population without NCDs. A positive dose-response gradient was observed between the number of comorbidities and the use of services. In all socioeconomic and demographic strata, the prevalence of indicators was higher in people with NCDs. CONCLUSION: The presence of NCDs was associated with a higher frequency of use of health services (i.e., consultation, use of services, and hospitalization) and the restriction of usual activities in all socioeconomic and demographic strata.


Assuntos
Doenças não Transmissíveis , Adulto , Idoso , Brasil/epidemiologia , Estudos Transversais , Serviços de Saúde , Inquéritos Epidemiológicos , Humanos , Doenças não Transmissíveis/epidemiologia , Doenças não Transmissíveis/terapia
9.
Rev Bras Epidemiol ; 24(suppl 2): e210010, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910064

RESUMO

OBJECTIVE: To analyze the association of depression with various health behaviors and to verify if they differ according to gender or income. METHODS: This is a cross-sectional study based on data of 65,803 Brazilian adults (18-59 years old) interviewed in the National Health Survey, conducted in 2019. Presence or absence of depression was evaluated using the Patient Health Questionnaire (PHQ)-9. The prevalence of smoking, alcohol consumption, physical activity, sedentary lifestyle and food indicators were estimated according to the presence of depression. Stratified analyses were made according to sex and income, and prevalence ratios were estimated using the Poisson Regression. RESULTS: We found a significant association between depression and all indicators studied, except occasional alcohol consumption. Depression was associated with heavy episodic drinking and insufficient consumption of fruits and vegetables only in women. In men, the associations of depression with sedentary lifestyle and with being a former smoker were stronger than in women. The occasional consumption of alcohol was more prevalent only in men without depression. The analysis stratified by income showed that the association of depression with physical inactivity is stronger in the higher-income group, while with heavy episodic drinking is only significant in the lower-income stratum. CONCLUSION: The results point to the need to consider mental health in programs aimed at reducing harmful health behaviors and the specificity of sociodemographic groups.


Assuntos
Depressão , Comportamentos Relacionados com a Saúde , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Brasil/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Rev Bras Epidemiol ; 24(suppl 2): e210011, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910065

RESUMO

OBJECTIVE: to analyze socioeconomic inequalities in the self-reported prevalence of NonCommunicable Diseases (NCDs) and their disabilities in the Brazilian adult population. METHODS: Cross-sectional study with data from the National Health Survey carried out in 2019. The self-reported prevalences of individuals with some noncommunicable diseases were calculated, according to sociodemographic characteristics; and the prevalence and prevalence ratio of these diseases and degrees of disability, according to education and possession of a private health plan. RESULTS: 47.6% of the population reported having at least one noncommunicable diseases. Noncommunicable diseases increased progressively with age and were more prevalent in women (PR 1.13; 95%CI 1.1-1.15), in black (PR 1.04; 95%CI 1.01-1, 06) or brown individuals (PR 1.05; 95%CI 1.01-1.09), illiterate or with incomplete elementary education (PR 1.12; 95%CI 1.08-1.16), in the Southeast (PR 1.10; 95%CI 1.05-1.14) and the South (PR 1.07; 95%CI 1.03-1.12) and among individuals who do not have private health insurance (PR 1.02; 95%CI 1.0-1.05). For the majority of noncommunicable diseases investigated, the highest reports of disabilities were among those with low education and without health insurance. CONCLUSION: adults with less education and without private health plans have a higher prevalence of noncommunicable diseases and a higher degree of disability. Thus, it is important to analyze health indicators in the face of different populations and disparities, in order to understand and monitor health inequalities.


Assuntos
Doenças não Transmissíveis , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Doenças não Transmissíveis/epidemiologia , Prevalência , Fatores Socioeconômicos
11.
Rev Bras Epidemiol ; 24(suppl 2): e210015, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910069

RESUMO

OBJECTIVE: To analyze the association of major depressive disorder with chronic non-communicable diseases and multimorbidity in Brazilian adults, stratified by gender, as well as examine the interaction between gender and chronic non-communicable diseases in association with major depressive disorder. METHODS: Based on a sample of 65,803 adults from the 2019 National Health Survey, we estimated the prevalence of major depressive disorder (≥10 points in the Patient Health Questionnaire) according to the presence of chronic non-communicable diseases and multimorbidity (≥2 chronic diseases). Prevalence ratios and their respective confidence intervals were calculated by Poisson regression, and multiplicative interaction terms were used to assess the role of gender in the associations. RESULTS: The prevalence of major depressive disorder among Brazilian adults (18-59 years) was 10.9%, with a statistically significant difference between men (6.0%) and women (15.4%) (p<0.001). Individuals with any chronic non-communicable disease and multimorbidity showed a higher prevalence of major depressive disorder, both in the general population and in each gender. However, the association of major depressive disorder with chronic non-communicable diseases tended to be stronger among men. Data also showed an interaction between the male gender and multimorbidity or specific diseases, such as arthritis or rheumatism, heart disease, and chronic kidney disease, in association with major depressive disorder. CONCLUSION: The results reveal a significant association between major depressive disorder and chronic non-communicable diseases in both genders and raise the hypothesis that the effects of multimorbidity and certain diseases may be greater on the mental health of men.


Assuntos
Transtorno Depressivo Maior , Adulto , Brasil/epidemiologia , Doença Crônica , Estudos Transversais , Transtorno Depressivo Maior/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Multimorbidade , Prevalência
12.
Rev Bras Epidemiol ; 24(suppl 2): e210017, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910071

RESUMO

OBJECTIVE: To estimate prevalence of healthy behaviors among individuals aged 30 years or more, diagnosed with arterial hypertension and diabetes mellitus, using information from the National Health Survey, 2019. METHODS: Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according the following conditions: having arterial hypertension; arterial hypertension only; diabetes mellitus; diabetes mellitus only; arterial hypertension and diabetes mellitus only; without chronic non-communicable diseases. Poisson regression models and crude and adjusted prevalence ratios for sex, age group, and schooling were used. The proportion of recommendations received by patients with arterial hypertension and diabetes mellitus was estimated by type of care (public/private). RESULTS: A total of 69,285 individuals aged 30 years or more was analyzed. Compared to individuals without non-communicable diseases, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among individuals with arterial hypertension (39.9% - 95%CI 38.8-41.0) and those with diabetes mellitus (42.8% - 95%CI 40.7-44.9). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9-20.6) and 21.9% (95%CI 20,3-23.5), respectively. Prevalence of not smoking reached values close to 90% and significant prevalence ratios, whereas the practice of physical activity had levels below 30% and non-significant prevalence ratios. The proportion of healthy eating recommendations reached 90%, but it was close to 70% for not smoking. CONCLUSIONS: It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality.


Assuntos
Diabetes Mellitus , Hipertensão , Brasil/epidemiologia , Estudos Transversais , Atenção à Saúde , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/terapia , Estilo de Vida Saudável , Humanos , Hipertensão/epidemiologia , Prevalência , Fatores de Risco
13.
Cien Saude Colet ; 26(suppl 3): 5069-5080, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34787199

RESUMO

The objective of this study was to analyze inequalities in active aging indicators according to race/skin color, level of education, income, and possession of health insurance among 986 older people who participated in the 2014/15 Campinas Health Survey. We estimated the prevalence of participation in 11 activity domains using Poisson regression. The findings reveal similar levels of participation among white and black people in all the domains of the social dimension. The prevalence of work-related physical activity was higher among black people (14.1% compared to 8.2% in white people) and the prevalence of internet use was higher among white people (PR = 2.11). The prevalence of participation in leisure time physical activity, internet use, courses, and in all domains of the social dimension except attendance at religious services was higher among respondents in the highest educational and income groups and among those with health insurance. The findings reveal that older people with a higher income and higher level of education are more likely to participate in activities associated with better health and well-being. The study also shows that older people place a significant demand on Brazil's public health system since individuals who depend exclusively on public health services tend to participate less in activities that are shown to promote health benefits.


O objetivo deste estudo foi analisar desigualdades em indicadores de envelhecimento ativo, segundo raça/cor, escolaridade, renda e posse de plano de saúde entre 986 idosos participantes do Inquérito de Saúde de Campinas, São Paulo - 2014/2015. Estimaram-se as prevalências de participação dos idosos em 11 atividades e as razões de prevalência foram calculadas pela regressão de Poisson. Os resultados revelaram que brancos e negros participavam de forma semelhante de todas as atividades da dimensão social, porém na atividade física realizada no trabalho se observou predomínio de negros (14,1% versus 8,2%), e no uso da Internet se constatou maior prevalência de brancos (RP = 2,11). Entre os idosos com maior escolaridade, renda mais elevada e posse de plano de saúde foram observadas maiores prevalências de participação em atividades físicas de lazer, uso da Internet, realização de cursos e atividades sociais, exceto cultos religiosos. Os resultados revelam que os idosos com maior acúmulo de recursos educacionais e financeiros têm mais acesso às atividades que são reconhecidamente associadas à saúde e ao bem-estar. O estudo também identificou importantes demandas para o SUS, pois a população que depende exclusivamente desse sistema apresentou menor participação em atividades benéficas à saúde.


Assuntos
Envelhecimento , Promoção da Saúde , Idoso , Inquéritos Epidemiológicos , Humanos , Renda , Fatores Socioeconômicos
14.
Cien Saude Colet ; 26(suppl 3): 5099-5108, 2021.
Artigo em Português | MEDLINE | ID: mdl-34787202

RESUMO

This article aims to evaluate health-related quality of life (HRQOL) according to the frequency and characteristics of falls in the elderly. A cross-sectional study was carried out with data from a household health survey conducted in 2014 and 2015, in Campinas, SP. The dependent variables were the SF-36 domains and, the independent ones, the occurrence and the characteristics of the falls. The mean and mean differences of the SF-36 scores were estimated by simple and multiple linear regression. The study reveals that the impact on HRQOL depends significantly on the characteristics of falls. Larger declines and a greater number of SF-36 domains were observed in the elderly who suffered three or more falls (compared to those with one or two falls), reporting falls from fainting/dizziness (compared to falls due to tripping), those who fell at home (versus falls occurring elsewhere) and reported falling limitation in daily activities. Only in the falls with these characteristics did the domain of emotional aspects be affected. The impact on HRQoL, including emotional aspects, depends on the characteristics of the falls that need to be considered in prevention actions and in the control of the consequences of falls in the quality of life of the elderly.


O objetivo deste artigo é avaliar a qualidade de vida relacionada à saúde (QVRS) segundo a frequência e as características das quedas em idosos. Trata-se de um estudo transversal desenvolvido com dados de inquérito domiciliar de saúde realizado em 2014 e 2015, em Campinas, São Paulo. As variáveis dependentes foram os domínios do SF-36 e, as independentes, a ocorrência e as características das quedas. As médias e as diferenças de médias dos escores do SF-36 foram estimadas por regressão linear simples e múltipla. O estudo revela que o impacto na QVRS depende significativamente das características das quedas. Declínios de maior magnitude e em maior número de domínios do SF-36 foram constatados nos idosos que sofreram três ou mais quedas (em comparação com aqueles com uma ou duas quedas), nos que relataram quedas por desmaio/tontura (comparando com quedas provocadas por tropeção), nos que caíram no domicílio (versus as quedas ocorridas em outros locais) e nos que relataram limitação decorrente das quedas nas atividades diárias. Apenas nas quedas com essas características o domínio de aspectos emocionais se mostrou afetado. O impacto na QVRS, inclusive nos aspectos emocionais, depende das características das quedas, que precisam ser consideradas nas ações de prevenção e no controle das consequências das quedas na qualidade de vida dos idosos.


Assuntos
Qualidade de Vida , Idoso , Estudos Transversais , Inquéritos Epidemiológicos , Humanos , Modelos Lineares
15.
Rev Saude Publica ; 55: 67, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34730748

RESUMO

OBJECTIVES: To analyze the magnitude of changes in the incidence and mortality from cervical cancer (CC) and breast cancer (BC) in Campinas, São Paulo State, between the five-year periods of 1991-1995 and 2010-2014. METHODS: data on cancer were obtained from the Campinas Population-Based Cancer Registry and data on deaths from the Mortality Information System of the Computing Department of the Unified Health System. Age-standardized incidence and mortality rates were calculated by the direct method, with the respective 95% confidence intervals. The magnitude of the changes was measured by the rate ratio (rate ratio; 95%CI). RESULTS: among the periods studied, there was a threefold increase in the detection rate of in situ CC (3.03; 95%CI: 2.64-3.47) and fivefold increase for in situ BC (5.23; 95%CI: 4.98-5.50). The proportion of cases of in situ BC in relation to the total number of cases of BC increased from 3.31% to 11.05%. The incidence rate of invasive CC decreased by 57% (0.43; 95%CI: 0.40-0.47), and the incidence rate of invasive BC increased by 40% (1.40; 95%CI: 1.33-1.47). The mortality rate of the CC decreased by 58% (0.42; 95%CI: 0.32-0.56), and that of BC by 15% (0.85; 95%CI: 0.82-0.89). CONCLUSION: the incidence of in situ carcinomas of CC and BC increased in almost two decades. The rate of invasive carcinoma of CC decreased, and that of BC increased. Mortality from both cancers decreased. Observing these changes is useful for assessing the impact of the actions carried out in the period and for planning future actions.


Assuntos
Neoplasias da Mama , Neoplasia Intraepitelial Cervical , Neoplasias do Colo do Útero , Brasil/epidemiologia , Neoplasias da Mama/epidemiologia , Feminino , Humanos , Incidência , Mortalidade , Sistema de Registros , Neoplasias do Colo do Útero/epidemiologia
16.
Ciênc. Saúde Colet ; 26(supl.3): 5099-5108, Oct. 2021. tab
Artigo em Português | LILACS | ID: biblio-1345753

RESUMO

Resumo O objetivo deste artigo é avaliar a qualidade de vida relacionada à saúde (QVRS) segundo a frequência e as características das quedas em idosos. Trata-se de um estudo transversal desenvolvido com dados de inquérito domiciliar de saúde realizado em 2014 e 2015, em Campinas, São Paulo. As variáveis dependentes foram os domínios do SF-36 e, as independentes, a ocorrência e as características das quedas. As médias e as diferenças de médias dos escores do SF-36 foram estimadas por regressão linear simples e múltipla. O estudo revela que o impacto na QVRS depende significativamente das características das quedas. Declínios de maior magnitude e em maior número de domínios do SF-36 foram constatados nos idosos que sofreram três ou mais quedas (em comparação com aqueles com uma ou duas quedas), nos que relataram quedas por desmaio/tontura (comparando com quedas provocadas por tropeção), nos que caíram no domicílio (versus as quedas ocorridas em outros locais) e nos que relataram limitação decorrente das quedas nas atividades diárias. Apenas nas quedas com essas características o domínio de aspectos emocionais se mostrou afetado. O impacto na QVRS, inclusive nos aspectos emocionais, depende das características das quedas, que precisam ser consideradas nas ações de prevenção e no controle das consequências das quedas na qualidade de vida dos idosos.


Abstract This article aims to evaluate health-related quality of life (HRQOL) according to the frequency and characteristics of falls in the elderly. A cross-sectional study was carried out with data from a household health survey conducted in 2014 and 2015, in Campinas, SP. The dependent variables were the SF-36 domains and, the independent ones, the occurrence and the characteristics of the falls. The mean and mean differences of the SF-36 scores were estimated by simple and multiple linear regression. The study reveals that the impact on HRQOL depends significantly on the characteristics of falls. Larger declines and a greater number of SF-36 domains were observed in the elderly who suffered three or more falls (compared to those with one or two falls), reporting falls from fainting/dizziness (compared to falls due to tripping), those who fell at home (versus falls occurring elsewhere) and reported falling limitation in daily activities. Only in the falls with these characteristics did the domain of emotional aspects be affected. The impact on HRQoL, including emotional aspects, depends on the characteristics of the falls that need to be considered in prevention actions and in the control of the consequences of falls in the quality of life of the elderly.


Assuntos
Humanos , Idoso , Qualidade de Vida , Modelos Lineares , Estudos Transversais , Inquéritos Epidemiológicos
17.
Ciênc. Saúde Colet ; 26(supl.3): 5069-5080, Oct. 2021. tab
Artigo em Português | LILACS | ID: biblio-1345735

RESUMO

Resumo O objetivo deste estudo foi analisar desigualdades em indicadores de envelhecimento ativo, segundo raça/cor, escolaridade, renda e posse de plano de saúde entre 986 idosos participantes do Inquérito de Saúde de Campinas, São Paulo - 2014/2015. Estimaram-se as prevalências de participação dos idosos em 11 atividades e as razões de prevalência foram calculadas pela regressão de Poisson. Os resultados revelaram que brancos e negros participavam de forma semelhante de todas as atividades da dimensão social, porém na atividade física realizada no trabalho se observou predomínio de negros (14,1% versus 8,2%), e no uso da Internet se constatou maior prevalência de brancos (RP = 2,11). Entre os idosos com maior escolaridade, renda mais elevada e posse de plano de saúde foram observadas maiores prevalências de participação em atividades físicas de lazer, uso da Internet, realização de cursos e atividades sociais, exceto cultos religiosos. Os resultados revelam que os idosos com maior acúmulo de recursos educacionais e financeiros têm mais acesso às atividades que são reconhecidamente associadas à saúde e ao bem-estar. O estudo também identificou importantes demandas para o SUS, pois a população que depende exclusivamente desse sistema apresentou menor participação em atividades benéficas à saúde.


Abstract The objective of this study was to analyze inequalities in active aging indicators according to race/skin color, level of education, income, and possession of health insurance among 986 older people who participated in the 2014/15 Campinas Health Survey. We estimated the prevalence of participation in 11 activity domains using Poisson regression. The findings reveal similar levels of participation among white and black people in all the domains of the social dimension. The prevalence of work-related physical activity was higher among black people (14.1% compared to 8.2% in white people) and the prevalence of internet use was higher among white people (PR = 2.11). The prevalence of participation in leisure time physical activity, internet use, courses, and in all domains of the social dimension except attendance at religious services was higher among respondents in the highest educational and income groups and among those with health insurance. The findings reveal that older people with a higher income and higher level of education are more likely to participate in activities associated with better health and well-being. The study also shows that older people place a significant demand on Brazil's public health system since individuals who depend exclusively on public health services tend to participate less in activities that are shown to promote health benefits.


Assuntos
Humanos , Idoso , Envelhecimento , Promoção da Saúde , Fatores Socioeconômicos , Inquéritos Epidemiológicos , Renda
18.
Cien Saude Colet ; 26(suppl 2): 3815-3824, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34468675

RESUMO

The aim of the present study was to evaluate the consumption of ultra-processed (UP) foods and associated factors among adults. We used cross-sectional data on 947 adults from the 2008-2009 Campinas Health Survey. Food consumption data were collected using the 24-h dietary recall method and food items were classified according to NOVA classification based on the nature, extent and purpose of industrial processing. Linear regression models were run to evaluate the association between the consumption UP foods and predictor variables with a 5% significance level. The average daily energy intake per capita was 2000.6 kcal and UP foods represented 24.1% of this intake. UP food consumption was higher among women and increased with the increase in schooling. Consumption was also higher among young adults between 20 and 29 years old as well as ex-smokers and individuals who were physically active at leisure. The results show that there is still time to intervene in favor of the health of the adult population. Thus, studies dedicated to the investigation of food intake from the perspective of the NOVA classification, the possible repercussions for health and the evaluation of food and nutrition actions and policies should be prioritized in the current context of Brazil.


O objetivo do estudo foi avaliar o consumo de alimentos ultraprocessados (UP) e fatores associados em adultos. Trata-se de um estudo transversal de base populacional, com dados do Inquérito de Saúde de Campinas (ISACamp) 2008-2009. Analisou-se dados de 947 adultos, avaliou-se o consumo alimentar por recordatório de 24h e classificou-se os alimentos utilizando a NOVA classificação baseada na natureza, extensão e propósito do processamento industrial de alimentos. O teste de associação entre o consumo de UP e as variáveis preditoras utilizou modelo de regressão linear múltiplo com significância à 5%. O consumo energético médio foi 2.002,6 kcal per capita/dia, das quais 24,1% atribui-se aos UP. O consumo de UP foi maior em mulheres e aumentou conforme o grau de escolaridade, também foi maior entre os adultos jovens, entre 20 e 29 anos, assim como entre os ex-fumantes e os fisicamente ativos no lazer. Os resultados revelam que ainda há tempo de intervir em favor da saúde da população adulta. Nesse sentido, pesquisas que se dediquem a estudar o consumo alimentar na perspectiva da NOVA classificação de alimentos, as possíveis repercussões para saúde e a avaliação das ações e políticas de alimentação e nutrição devem ser prioritárias no contexto atual do país.


Assuntos
Ingestão de Energia , Fast Foods , Adulto , Estudos Transversais , Dieta , Feminino , Manipulação de Alimentos , Inquéritos Epidemiológicos , Humanos , Adulto Jovem
19.
Cien Saude Colet ; 26(suppl 2): 3865-3874, 2021.
Artigo em Português | MEDLINE | ID: mdl-34468679

RESUMO

The scope of this article is to evaluate the prevalence of inadequate dietary fiber intake and associated factors among elderly adults. A cross-sectional population-based study evaluating participants from the Health Survey of the City of Campinas (ISACAMP) was conducted in 2014/2015, with 1,074 elderly individuals (≥60 years). Dietary fiber intake was obtained using a 24-hour recall, and the prevalence of inadequate fibers was estimated according to the cut-off point of the Institute of Medicine (30 g/day for men and 21 g/day for women). The factors evaluated were sociodemographic conditions (sex, age, schooling, income, marital status), health (number of reported diseases) and lifestyle (physical activity, smoking and alcohol consumption). The prevalence of inadequate dietary fiber intake was 86.6%, being higher in men (RP=1.10), single or divorced (RP=1.09) and physically inactive (PR=1.07). Elderly adults with higher incomes and who reported having 1 to 2 chronic non-communicable diseases had a higher intake of fibers. The high prevalence of inadequate dietary fiber intake in the elderly adults indicates that health and nutrition actions should be developed to ensure adequate dietary intake of these compounds.


O objetivo deste artigo é avaliar a prevalência de inadequação do consumo de fibras alimentares e seus fatores associados em idosos. Estudo transversal de base populacional que avaliou participantes do Inquérito de Saúde do Município de Campinas (ISACAMP) em 2014/2015, com 1.074 idosos (≥60 anos). O consumo de fibras na dieta foi obtido utilizando um recordatório de 24h, e foi estimada a prevalência de inadequação de fibras de acordo com o ponto de corte do Institute of Medicine (30 g/dia para homens e 21 g/dia para mulheres). Os fatores avaliados foram condições sociodemográficas (sexo, idade, escolaridade, renda, estado conjugal), de saúde (número de doenças referidas) e estilo de vida (atividade física, tabagismo e etilismo). A prevalência de inadequação do consumo de fibras alimentares foi de 86,6%, sendo maior em homens (RP=1,10), em solteiros ou divorciados (RP=1,09) e inativos fisicamente (RP=1,07). Idosos de maior renda e que relataram ter de 1 a 2 doenças crônicas não transmissíveis tiveram maior ingestão de fibras. A alta prevalência da inadequação do consumo de fibras alimentares em idosos aponta para que sejam desenvolvidas ações de saúde e nutrição a fim de garantir um consumo alimentar adequado destes compostos.


Assuntos
Dieta , Fibras na Dieta , Adulto , Idoso , Estudos Transversais , Ingestão de Energia , Feminino , Humanos , Renda , Estilo de Vida , Masculino
20.
Preprint em Português | SciELO Preprints | ID: pps-2942

RESUMO

Objective: To estimate prevalence of healthy behaviors among individuals aged 30 years or over diagnosed with arterial hypertension (AH) and diabetes mellitus (DM) using information from the National Health Survey, 2019. Methods: Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according to have AH; AH only; DM; DM only; AH and DM only; without chronic non-communicable disease (NCD). Poisson regression models and crude and adjusted prevalence ratios (PR) for sex, age group, and educational level were used. The proportions of recommendations received among AH and DM patients were estimated by type of care (public/private). Results: A total of 69285 individuals aged 30 years or older was analyzed. Compared to individuals without NCD, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among AH individuals (39.9%; 95%CI 38.8-41.0%) and DM individuals (42.8%; 95%CI 40.7-44.9%). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9-20.6%) and 21.9% (95%CI:20, 3-23.5%), respectively. Prevalence of not smoking reached values ​​close to 90% and significant PRs, while the practice of physical activity had levels below 30% and non-significant PRs. The proportions of healthy eating recommendations reached 90% but were close to 70% for not smoking. Conclusions: It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality


Objetivo: Estimar as prevalências dos comportamentos saudáveis entre os indivíduos de 30 anos ou mais com diagnóstico de hipertensão arterial (HA) e diabetes mellitus (DM) utilizando as informações da Pesquisa Nacional de Saúde, 2019. Métodos: Estudo corte-transversal com amostragem por conglomerados e amostra aleatória simples nos três estágios. Os indivíduos foram agregados segundo ter HA; apenas HA; DM; apenas DM; apenas HA e DM; sem doença crônica não transmissível (DCNT). Foram utilizados modelos de regressão de Poisson e razões de prevalências (RP) brutas e ajustadas por sexo, grupo de idade, e grau de escolaridade. As proporções de recomendações recebidas entre os hipertensos e diabéticos foram estimadas por tipo de atendimento (público/privado). Resultados: Foram analisados 69285 indivíduos com 30 anos ou mais. Comparados aos indivíduos sem DCNT, as prevalências de consumo de frutas e hortaliças ≥5 dias na semana foram significativamente maiores entre os hipertensos (39,9%; IC95% 38,8-41,0%) e diabéticos (42,8%; IC95% 40,7-44,9%). Contudo, as de não ter consumido alimento ultraprocessado foram baixas, 19,7% (IC95% 18,9-20,6%) e 21,9% (IC95%:20,3-23,5%), respectivamente. As prevalências de não fumar alcançaram valores próximos a 90% e RP significativas enquanto a prática de atividade física teve níveis inferiores a 30% e RP não significativas. As proporções de recomendações recebidas de alimentação saudável alcançaram 90%, mas foram próximas a 70% para não fumar. Conclusões:    É preciso estimular a prática dos estilos de vida saudáveis e prover informações sobre os benefícios da atividade física e os efeitos nocivos da alimentação não saudável para o bem-estar e envelhecimento com qualidade.

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