Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 57
Filtrar
1.
Rev. APS ; 25(1): 89-106, 25/07/2022.
Artigo em Português | LILACS | ID: biblio-1393524

RESUMO

Conhecer as percepções das mães adolescentes sobre a gravidez na adolescência é importante subsídio para uma abordagem efetiva e integral pelos profissionais de saúde e para políticas de saúde. O estudo analisou as percepções de mães de 15 a 19 anos que frequentaram a Unidade Básica de Saúde em Divinolândia-SP para realização do pré-natal entre janeiro de 2016 à outubro de 2017. A pesquisa qualitativa foi realizada por meio de 17 entrevistas semiestruturadas, utilizando amostragem por exaustão. As entrevistas foram gravadas e transcritas na íntegra, e o material tratado por análise de conteúdo na modalidade temática. Foram identificadas 5 categorias de análise: (1) gravidez planejada durante a adolescência; (2) imaginário e realidades da gravidez na adolescência; (3) modificação dos projetos de vida; (4) motivação para a gravidez associada ao desejo de mudança de vida e fuga e (5) rede de apoio e proteção. As adolescentes relataram os desafios da maternidade e surpreenderam-se frente a uma realidade distinta da qual imaginavam, com modificação nos projetos de vida, no entanto as mães se confortaram perante o apoio social e familiar recebido, e apresentaram formas de lidar com as dificuldades e complexidades inerentes à maternidade. Os resultados deste estudo podem colaborar com programas de saúde que visem não só prevenir a gravidez não planejada, como também oferecer suporte à adolescente e apoiar o período puerperal, visto que é sentido como um período crítico na vida das mães.


It is relevant to know the perceptions of adolescent mothers about teenage pregnancy because it is a support for an effective and comprehensive approach by health professionals and health policies.The study analyzed the perceptions of mothers aged 15 to 19 years old who attended the Basic Health Unit in Divinolândia-SP for prenatal care, between January 2016 and October 2017. The qualitative research was carried out through 17 semi-structured interviews, using exhaust sampling. The interviews were recorded and transcribed, and the material was treated by content analysis in the thematic mode. Five categories of analysis were identified: (1) intended pregnancy during adolescence; (2) imaginary and realities of teenage pregnancy; (3) modification of life projects; (4) motivation for pregnancy associated with the desire for life change and escape and (5) support and protection network. Adolescents reported challenges and were surprised by a reality different from what they imagined, with changes in life projects, however, mothers were comforted by the social and family support received, and presented ways of dealing with the inherent difficulties and complexities of motherhood. The results of this study can collaborate with health programs, which aim not only to prevent unintended pregnancy, but also to support adolescents and support the puerperal period, as it is felt as a critical period in the lives of mothers.


Assuntos
Gravidez na Adolescência , Cuidado Pré-Natal , Percepção
2.
Rev. bras. med. fam. comunidade ; 17(44): 2510, 20220304. graf, tab
Artigo em Português | LILACS, Coleciona SUS | ID: biblio-1379863

RESUMO

Introdução: Do ponto de vista da saúde pública, a população masculina adulta mostra-se vulnerável ao uso de álcool e as suas consequências. A detecção precoce, assim como a busca por fatores associados são necessárias e as unidades de Saúde da Família são importantes locais para esta abordagem. Objetivo: Este estudo teve como objetivo identificar o uso de álcool em homens adultos e verificar sua associação com fatores socioeconômicos, demográficos e transtornos mentais (episódio depressivo maior e transtorno de ansiedade generalizada). Métodos: Foi realizado um estudo transversal em adultos de 20 a 59 anos do município de Piracicaba, cadastrados nas Unidades de Saúde da Família (USF) no ano 2018. Após análises descritivas, as variáveis com p<0,20 nas análises simples foram estudas em modelos de regressão binomial negativa múltipla. Pelo modelo final, estimaram-se as razões de médias ajustadas com os intervalos de 95% de confiança. Resultados: Observou-se prevalência de 26,9% de consumo de álcool na população estudada. O escore do The Alcohol Use Disorders Identification Test (AUDIT) apresentou relação direta com a idade (razões de médias ­ RM=1,02; intervalo de confiança ­ IC95% 0,99­1,03). Quanto à religião, protestantes e evangélicos apresentaram escore médio de AUDIT menor que os demais (RM=1,78; IC95% 1,14­2,79). Pessoas com transtorno mental apresentam escore médio de AUDIT maior que os sem transtorno (RM=2,30; IC95% 1,28­4,11). Conclusões: Concluímos que o consumo de álcool na população adulta masculina é bastante prevalente, que seu consumo aumenta com a idade, que a religião tem efeito protetor e que pessoas com depressão e ansiedade apresentam maior propensão ao uso. Com base nesses dados, destacamos a importância da USF no desenvolvimento de estratégias que rastreiem as condições de risco de sua população, bem como discutam abordagens e possíveis intervenções.


Introduction: From the point of view of public health, the adult male population is vulnerable to alcohol use and its consequences. Early detection and the search for associated factors are necessary, and the Family Health Units are important places for this approach. Objective: This study aimed to identify the use of alcohol in adult men and to verify its association with socioeconomic and demographic factors and mental disorders (major depressive episode and generalized anxiety disorder). Methods: A cross-sectional analytical study was carried out on adults aged 20 to 59 years in the city of Piracicaba, Brazil, registered in Family Health Units in the year 2018. After descriptive analyses, variables with p<0.20 in simple analyses were studied in multiple negative binomial regression models. According to the final model, the adjusted ratios of means were estimated with 95% confidence intervals. Results: There was a high prevalence of alcohol consumption (26.9%) in the study population. Alcohol Use Disorders Identification Test (AUDIT) score increased with age (ratios of means ­ RoM=1.02; confidence interval ­ 95%CI 0.99­1.03). Concerning religion, Protestants and Evangelicals had an average AUDIT score lower than other religions (RoM=1.78; 95%CI 1.14­2.79). People with mental disorders have an average AUDIT score higher than those without disorders (RoM=2.30; 95%CI 1.28­4.11). Conclusions: The authors conclude that alcohol in the adult male population is prevalent, with consumption increasing with age; religion has a protective effect, and people with depression and anxiety are more likely to use it. Taking this into consideration, it is worth highlighting the importance of Family Health Units in the development of strategies to monitor the risk conditions of its population as well as the discussion and approach of interventions.


Introducción: Desde el punto de vista de la salud pública, la población masculina adulta es vulnerable al consumo de alcohol y sus consecuencias. La detección precoz, así como la búsqueda de factores asociados son necesarios y las unidades de Salud de la Familia son lugares importantes para ese abordaje. Objetivo: Este estudio tuvo como objetivo identificar el uso de alcohol en hombres adultos y verificar la asociación con trastornos socioeconómicos, demográficos y mentales (episodio depresivo mayor y trastorno de ansiedad generalizada). Métodos: Se realizó un estudio analítico transversal en adultos de 20 a 59 años de edad en la ciudad de Piracicaba registrados en las Unidades de Salud Familiar en el año 2018. Después de los análisis descriptivos, se estudiaron las variables con valor p<0,20 en análisis simples en modelos de regresión, binomio negativo múltiple. El modelo final estimó las razones medias ajustadas con los intervalos de confianza del 95%. Resultados: Hubo una alta prevalencia de consumo de alcohol, 26,9%. El puntaje AUDIT aumentó con la edad (RM=1,02; IC95% 0,99­1,03). Los protestantes y los evangélicos tuvieron un puntaje promedio de AUDIT más bajo que otras religiones (RM=1,78; IC95% 1,14­2,79). Las personas con trastornos mentales tienen un puntaje AUDIT promedio más alto que aquellos sin trastornos (RM=2,30; IC95% 1,28­4,11). Conclusiones: Concluimos que el alcohol en la población masculina adulta es prevalente, con la edad hay un aumento en el consumo, la religión tiene un efecto protector y que las personas con depresión y ansiedad tienen más probabilidades de usarlo, destacando la importancia de la USF en el desarrollo de estrategias que rastrean las condiciones población, así como la discusión y el enfoque de las intervenciones.


Assuntos
Humanos , Masculino , Adolescente , Adulto , Pessoa de Meia-Idade , Ansiedade , Atenção Primária à Saúde , Depressão , Consumo Excessivo de Bebidas Alcoólicas
3.
BMC Public Health ; 21(1): 2234, 2021 12 08.
Artigo em Inglês | MEDLINE | ID: mdl-34879828

RESUMO

BACKGROUND: Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. Therefore, factors associated with dental appointments scheduling can affect positively or negatively the use of dental services. The aim of the present study was to evaluate the indicators for dental appointment scheduling in Primary Health Care (PHC). METHODS: The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user sought for a dental appointment at the Primary Health Care Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. RESULTS: Only 58.1% of the users interviewed at these Primary Health Care Units seek the available dental care. The variables with the greatest effect on the outcome were the patient's age up to 42 years old (OR = 2.03, 95% CI: 1.96-2.10), at individual level, and 'oral health teams that assisted no more than a single family health team (FHT)' (OR = 1.29, 95% CI: 1.23-1.36) at contextual level. Other variables were also associated with the outcome, but with a smaller effect size. CONCLUSION: In conclusion, users' age and work process of OHT were indicators for dental appointment scheduling. Our results suggest that when OHT put the National Oral Health Policy guidelines into practice, by assisting only one FHT, the chance for PHC users seeking dental appointments is higher than OHTs that assist more than one FHT. Regarding age, patients aged up to 42 years are more likely to seek an appointment with a dentist.


Assuntos
Agendamento de Consultas , Atenção Primária à Saúde , Idoso , Brasil , Estudos Transversais , Assistência Odontológica , Humanos , Saúde Bucal
4.
Braz. j. oral sci ; 20: e211606, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253158

RESUMO

Aim: The present study sought to investigate dental caries experience and its association with sociodemographic, postnatal and breastfeeding variables in children in the agerange from 6 to 71 months of age, in the Xingu Indigenous Park, Mato Grosso, Brazil. Methods: This was an analytical cross-sectional study that used secondary data pertaining to 402 indigenous children of the Low, Middle and Eastern Xingu regions, who participated in the Oral Health Epidemiological Survey in 2013. The dependent variable was dental caries, dichotomized by the median (dmf-t≤1 and dmf-t>1). The data of independent variables were obtained by means of instruments of the Local Health Information System of the Xingu Indigenous Special Sanitary District (DSEI). Raw analyses were performed to test the association of the independent variables with the dependent variable. The variables were tested in the multiple logistic regression model. Results: The mean value of the dmf-t index was 2.60 and the prevalence of affected children was 51%. In the multiple analysis, only children older than 36 months (OR: 6.64; CI95%: 4.11 to 10.73) and those that were breastfed for a longer period of time (OR: 1.88; CI95%: 1.16 to 3.02) showed significant association with the dmf-t>1 index. Conclusion: Childhood dental caries among indigenous children was associated with age and breastfeeding prolonged for over 26 months, therefore, pointing out the need to offer dental follow-up care at earlier ages


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Aleitamento Materno , Índios Sul-Americanos , Saúde Bucal , Cárie Dentária
5.
Einstein (Sao Paulo) ; 19: eAO5554, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34495084

RESUMO

OBJECTIVE: To evaluate the consumption of ultra-processed foods among children, and to investigate associations with socioeconomic and demographic factors. METHODS: An analytical cross-sectional study with 599 children aged 6 months to 2 years, and listed as users of Family Health Units, in a medium-size city. Mothers were approached at home by researchers and community health workers from the Family Health Units, for data collection. Two questionnaires were used: the socioeconomic and demographic questionnaire, and the form Sistema de Vigilância Alimentar e Nutricional of Ministério da Saúde do Brasil , for children aged 6 months to 2 years. Ultra-processed food consumption and socioeconomic and demographic factors were defined as dependent and independent variables, respectively. Multiple regression analysis with a significance level of 5% was used to test associations between ultra-processed food consumption and socioeconomic and demographic variables. RESULTS: Ultra-processed food consumption was associated with child age between 1 and 2 years (OR=3.89; 95%CI: 2.32-6.50 and OR=3.33; 95%CI: 2.00-5.56, respectively), number of people living in the same household (OR=1.94; 95%CI: 1.23-3.05), and recipients of government benefits (OR=1.88; 95%CI: 1.15-3.04). CONCLUSION: Ultra-processed food consumption among children undergoing complementary feeding may be influenced by socioeconomic and demographic factors.


Assuntos
Comportamento Alimentar , Mães , Brasil , Criança , Pré-Escolar , Estudos Transversais , Demografia , Dieta , Feminino , Humanos , Lactente , Fatores Socioeconômicos
6.
Rev Bras Enferm ; 74(3): e20201140, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34320094

RESUMO

OBJECTIVES: to analyze the understanding of the Therapeutic Itinerary of people affected by stroke in the Unified Health System context of a medium-sized city in the state of São Paulo. METHODS: this is a clinical-qualitative, using in-depth semi-structured interviews, conducted in 2019 with 6 patients, a number determined by theoretical saturation. RESULTS: qualitative content analysis allowed the construction of four categories that emerged from the data: a) You are having a stroke! - Identifying the problem; b) Anguish and expectations in waiting for assistance; c) Helplessness and guidance for rehabilitation after hospital discharge; d) Spirituality in rehabilitation after stroke. FINAL CONSIDERATIONS: the affected people expressed feelings and meanings, such as fear, anguish, sadness, beliefs and uncertainties, in order to shed light on the complexity inherent to the experiences of Therapeutic Itinerary of stroke.


Assuntos
Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral , Brasil , Humanos , Percepção , Pesquisa Qualitativa , Acidente Vascular Cerebral/terapia
7.
BMC Res Notes ; 14(1): 116, 2021 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-33766088

RESUMO

OBJECTIVE: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. RESULTS: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p = 0.039) and number of individuals in the family (p = 0.003) were associated with non-adherence to dental treatment. It is concluded that the adolescents' social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.


Assuntos
Renda , Populações Vulneráveis , Adolescente , Estudos de Coortes , Assistência Odontológica , Humanos
8.
Rev. ciênc. méd., (Campinas) ; 30: 215047, 10 mar. 2021.
Artigo em Português | LILACS | ID: biblio-1150814

RESUMO

Objetivo O estudo descreveu a percepção dos usuários hipertensos e diabéticos sobre atenção à saúde prestada em Unidades Básicas de Saúde. Métodos Métodos básicos adotados: estudo qualitativo ocorreu no município de Itapeva (SP), no ano de 2015. Foram realizadas entrevistas semiestruturadas com 12 usuários acima de 18, durante mês e uma análise temática para interpretação. Resultados Foram identificados 2 eixos principais, a saber: 1) "Vivência do cuidado em Saúde" e 2) "Acessibilidade na atenção à Saúde". No eixo 1, foram identificados subeixos: acolhimento, dificuldade de atendimento, agenda programada, atendimento a demanda espontânea, concentração nas especialidades médicas, acesso ao serviço de urgência. Já no eixo 2, os seguintes subeixos: dificuldade e facilidade de transporte do paciente ao serviço de urgência. Conclusão No cenário estudado, os usuários que se sentiram acolhidos perceberam como resolutiva a atenção. Esse cenário propõe que, nos espaços estudados, há limitações na execução de tarefas que são da competência da Atenção Primária à Saúde, e o modo como estão efetivando a atenção não favoreceu o entendimento correto do funcionamento da Atenção Primária à Saúde proposto pelo Ministério da Saúde. Priorizar a educação em saúde e o empoderamento do usuário perante sua condição crônica são estratégias possíveis, consolidando a clínica ampliada. A necessidade de continuar estudos que explorem a percepção dos usuários com relação à atenção à saúde é relevante para compreender as barreiras e pontos positivos do serviço, e assim auxiliar no seu planejamento estratégico de ações, programas e atividades destinados aos usuários com doenças crônicas não-transmissíveis.


Objective The study describes the perceptions of hypertensive and diabetic users regarding the health care provided in Basic Health Units. Methods The basic methods adopted were a qualitative study that took place in the city of Itapeva (SP) in 2015, semi-structured interviews that were conducted with 12 users older than 18 during the course of one month, and, finally, a thematic analysis for interpretation. Results Two main axes were identified, namely: 1) Experience of health care and 2) Accessibility in health care. In the first axis, six sub-axes were identified: reception, difficulties in service, scheduled agenda, meeting spontaneous demand, concentration on medical specialties, access to emergency services. On the second axis, the sub-axes discussed were the difficulty and ease of transporting the patient to the emergency department. Conclusion In the studied scenario, users who felt welcome perceived the attention received as resolving. This scenario suggests that there are limitations in the studied spaces as to the execution of tasks that are the competence of Primary Health Care and that the way that care is being provided has not favored the correct understanding of the functioning of Primary Health Care as proposed by the National Ministry of Health. Health education and user empowerment in the face of their chronic conditions are possible strategies consolidating the expanded clinic. There is a relevant need to further study and explore the users' perception of health care in order to understand the barriers and positive points of the service, and thus assist in their strategic planning of actions, programs, and activities aimed at users with chronic non-communicable diseases.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Atenção Primária à Saúde , Pesquisa Qualitativa , Diabetes Mellitus , Acesso aos Serviços de Saúde , Hipertensão
9.
Einstein (Säo Paulo) ; 19: eAO5554, 2021. tab
Artigo em Inglês | LILACS | ID: biblio-1339828

RESUMO

ABSTRACT Objective To evaluate the consumption of ultra-processed foods among children, and to investigate associations with socioeconomic and demographic factors. Methods An analytical cross-sectional study with 599 children aged 6 months to 2 years, and listed as users of Family Health Units, in a medium-size city. Mothers were approached at home by researchers and community health workers from the Family Health Units, for data collection. Two questionnaires were used: the socioeconomic and demographic questionnaire, and the form Sistema de Vigilância Alimentar e Nutricional of Ministério da Saúde do Brasil , for children aged 6 months to 2 years. Ultra-processed food consumption and socioeconomic and demographic factors were defined as dependent and independent variables, respectively. Multiple regression analysis with a significance level of 5% was used to test associations between ultra-processed food consumption and socioeconomic and demographic variables. Results Ultra-processed food consumption was associated with child age between 1 and 2 years (OR=3.89; 95%CI: 2.32-6.50 and OR=3.33; 95%CI: 2.00-5.56, respectively), number of people living in the same household (OR=1.94; 95%CI: 1.23-3.05), and recipients of government benefits (OR=1.88; 95%CI: 1.15-3.04). Conclusion Ultra-processed food consumption among children undergoing complementary feeding may be influenced by socioeconomic and demographic factors.


RESUMO Objetivo Avaliar a ingestão de alimentos ultraprocessados em crianças, e verificar se há associação com o contexto socioeconômico e demográfico. Métodos Trata-se de estudo analítico, do tipo transversal, com 599 crianças entre 6 meses e 2 anos de idade, cadastradas em Unidades de Saúde da Família, de um município de médio porte. Para a realização da coleta, as mães das crianças foram abordadas em seus domicílios pelas pesquisadoras e por um Agente Comunitário de Saúde da Unidade Saúde da Família e responderam dois questionários, o socioeconômico e demográfico e o marcador do Sistema de Vigilância Alimentar e Nutricional do Ministério da Saúde do Brasil para crianças entre 6 meses e 2 anos. A variável dependente do estudo foi a ingestão de alimentos ultraprocessados pela criança e as independentes foram as socioeconômicas e demográficas. Foi realizada análise de regressão múltipla, no nível de significância de 5%, para testar a associação entre a ingestão de alimentos ultraprocessados com as variáveis socioeconômicas e demográficas. Resultados A ingestão de ultraprocessados esteve associada com a idade da criança entre 1 e 2 anos (RC=3,89; IC95%: 2,32-6,50 e RC=3,33; IC95%: 2,00-5,56, respectivamente), com o número de pessoas que residiam na mesma casa (RC=1,94; IC95%: 1,23-3,05) e com as famílias que recebiam auxílio do governo (RC=1,88; IC95%: 1,15-3,04). Conclusão A ingestão de alimentos ultraprocessados por crianças no período da alimentação complementar pode ser influenciada por fatores socioeconômicos e demográficos.


Assuntos
Comportamento Alimentar , Mães , Fatores Socioeconômicos , Brasil , Demografia , Estudos Transversais , Dieta
10.
Rev. bras. enferm ; 74(3): e20201140, 2021. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-1288359

RESUMO

ABSTRACT Objectives: to analyze the understanding of the Therapeutic Itinerary of people affected by stroke in the Unified Health System context of a medium-sized city in the state of São Paulo. Methods: this is a clinical-qualitative, using in-depth semi-structured interviews, conducted in 2019 with 6 patients, a number determined by theoretical saturation. Results: qualitative content analysis allowed the construction of four categories that emerged from the data: a) You are having a stroke! - Identifying the problem; b) Anguish and expectations in waiting for assistance; c) Helplessness and guidance for rehabilitation after hospital discharge; d) Spirituality in rehabilitation after stroke. Final Considerations: the affected people expressed feelings and meanings, such as fear, anguish, sadness, beliefs and uncertainties, in order to shed light on the complexity inherent to the experiences of Therapeutic Itinerary of stroke.


RESUMEN Objetivos: analizar la comprensión del Itinerario Terapéutico de personas afectadas por ictus en el contexto del Sistema Único de Salud de una ciudad mediana del estado de São Paulo. Métodos: clínico-cualitativo, mediante entrevistas semiestructuradas en profundidad, realizadas en 2019, con 6 pacientes, número determinado por saturación teórica. Resultados: el análisis de contenido cualitativo permitió la construcción de cuatro categorías que surgieron de los datos: a) ¡Estás sufriendo un derrame cerebral! - La identificación del problema; b) Angustia y expectativa en espera de asistencia; c) Desamparo y orientación para la rehabilitación después del alta hospitalaria; d) Espiritualidad en la rehabilitación después de un ictus. Consideraciones Finales: las personas afectadas expresaron sentimientos y significados, como miedo, angustia, tristeza, creencias e incertidumbres, con el fin de arrojar luz sobre la complejidad inherente al Itinerario Terapéutico de las experiencias del ictus.


RESUMO Objetivos: analisar a compreensão sobre o Itinerário Terapêutico de pessoas acometidas por acidente vascular cerebral no contexto do Sistema Único de Saúde de município de médio porte do estado de São Paulo. Métodos: clínico-qualitativo, com uso de entrevistas semiestruturadas em profundidade, realizadas em 2019, com 6 pacientes, número determinado pela saturação teórica. Resultados: a análise qualitativa de conteúdo permitiu a construção de quatro categorias que emergiram dos dados: a) Você está tendo um derrame! - A identificação do problema; b) Angústias e expectativas na espera por atendimento; c) O desamparo e a orientação para reabilitação após a alta hospitalar; d) A espiritualidade na reabilitação após Acidente Vascular Cerebral. Considerações Finais: as pessoas acometidas expressaram sentimentos e significados, como medo, angústias, tristezas, crenças e incertezas, de forma a jogar luz sobre a complexidade inerente às experiências de Itinerário Terapêutico do acidente vascular cerebral.

11.
RGO (Porto Alegre) ; 69: e2021012, 2021. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BBO - Odontologia | ID: biblio-1250644

RESUMO

ABSTRACT Objective Understanding the individual and collective behavior of individuals about their oral health conditions is important to prevent and control of dental caries. This study aimed to seek evidence of the relationship between social capital and caries experience. Methods Using a systematic review with meta-analysis, we searched articles in PubMed, ISI Web of Knowledge, LILACS, IBECS, BBO, SCIELO, The Cochrane Library and MEDLINE databases. Studies with humans, of all ages and languages, published until July 2019, which related social capital to the caries experience, were included in this review. Results We identified 1163 articles evaluated considering inclusion and exclusion criteria, leaving 5 articles selected to compose the study sample, and only 3 included in the meta-analysis. In the final analysis p value was significant (p <0.001), showing that both social cohesion and neighborhood empowerment are associated with the caries experience. In the random model, the individual has 2.39 chances of not having the caries disease. The results reinforce the importance of community social capital in the caries experience of individuals. Conclusions The high level of community social capital is directly related to lower caries experience rates.


RESUMO Objetivo A compreensão do o padrão de comportamento dos indivíduos no nível individual e coletivo frente às suas condições de saúde bucal é de importância inequívoca para prevenção e controle da cárie dentária. Nesta perspectiva o objetivo deste estudo foi buscar evidências da relação entre o capital social e a experiência de cárie. Métodos Utilizando como método revisão sistemática com meta-análise, foram pesquisados artigos nas bases de dados PubMed, ISI Web of Knowledge, LILACS, IBECS, BBO, SciELO, The Cochrane Library e MEDLINE. Estudos com humanos, de todas as idades e línguas, publicados até julho de 2019, que relacionaram o capital social com a experiência de cárie, foram incluídos nesta revisão. Resultados Foram identificados 1163 artigos, que passaram por avaliação sob critérios de inclusão e exclusão, restando 5 artigos selecionados para compor a amostra do estudo, sendo apenas 3 incluídos na meta-análise. Na análise final o p-valor foi significativo (<0,001), mostrando que tanto a coesão social como o empoderamento de vizinhança estão associados com a experiência de cárie. No modelo randômico foi constatado que o indivíduo tem 2,39 chances de não ter a doença cárie. Os resultados do estudo reforçam a importância do capital social comunitário na experiência de cárie dos indivíduos. Conclusão O alto nível de capital social comunitário tem relação direta com menores índices de experiência de cárie nos indivíduos.

12.
Rev. salud pública ; 22(4): e207, July-Aug. 2020.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1341634

RESUMO

RESUMO Objetivo Investigar os motivos para procura dos serviços de urgência por usuários classificados com risco não urgente em duas Unidades de Pronto Atendimento de um município de médio porte do Estado de São Paulo. Metodologia Os dados qualitativos, utilizando a técnica de análise de conteúdo, foram obtidos por meio de entrevistas semiestruturadas com 756 indivíduos que procuraram os serviços das Unidades de Pronto Atendimento. Destes, 417 (55%) foram classificados com risco não urgentes e elegíveis para o estudo. Resultados Foram detectadas seis categorias principais de motivos para a busca de atendimento nas Unidades de Pronto Atendimento: falta de infraestrutura da unidade de saúde mais próximo; percepção de dor e sintomas de emergência; proximidade casa/trabalho; demora de agendamento e atendimento na Atenção Primária à Saúde; qualidade do atendimento nas Unidades de Pronto Atendimento; hábito de frequentar o serviço. Tais categorias foram agrupadas em quatro eixos temáticos referentes a: a) percepção de urgência; b) comodidade; c) dificuldade de acesso; d) qualidade do serviço. Conclusão Conclui-se a partir destes achados a necessidade de se fortalecer cada vez mais a atenção básica a fim de garantir acesso facilitado aos usuários e maior resolutividade dos casos que podem ser atendidos neste seguimento, em articulação com toda a rede de atenção à saúde.


ABSTRACT Objective The aim of this study was investígate the reasons for the demand for these services by users rated on two non-urgent emergency care units of a medium-sized municipality of São Paulo. Methodology Qualitative data were collected through semi-structured interviews with 756 individuals who sought the services of emergency care units and, of these, 417 (55%) users were classified as non-urgent risk and were eligible for the study. Results It was observed six major categories of motives among that seeking care in emergency care units: lack of infrastructure of the nearest health unit; perception of pain and symptoms of emergency; home/work proximity; takes care of scheduling and primary health care; quality of care in the emergency care units; habit of attending services. These categories were grouped into four themes concerning: a) perception of urgency; b) convenience; c) difficulty of access and d) quality of service. Conclusion It was concluded from these findings the need to strengthen primary care system in order to ensure facilitated access for users and better resolution of cases that can be seen treated in this level, in conjunction with the entire network of health care.


RESUMEN Objetivo Investigar las razones por las cuales usuarios clasificados como riesgos "no urgentes" buscan servicios de urgencia en dos lugares de pronto atención de un municipio de meso porte del Estado de São Paulo. Metodología Los datos cualitativos, utilizando la técnica de análisis de contenido, fueron obtenidos por medio de entrevistas semiestruturadas con 756 individuos que buscaron atención en dos servicios de pronto atención. De estos, 417 (55%) fueron clasificados con riesgo no urgentes y elegibles para el estudio. Resultados Se destacaron seis categorías principales de razones para la búsqueda de atención en los servicios de pronto atención: falta de infraestructura de la unidad de salud más cercana; percepción de dolor y síntomas de emergencia; proximidad entre la casa y el trabajo; retraso para agendar cita y lograr atendimiento en la atención primaria; calidad de atendimiento en los servicios de pronto atención; hábito de asistir a los servicios. Las categorías fueron agrupadas en cuatro ejes temáticos referentes a; a) percepción de urgencia; b) comodidad; c) dificultad de acceso y d) calidad del servicio. Conclusión Se concluye a partir de estos hallazgos que es necesario fortalecer cada vez más la atención básica a fin de garantizarles a los usuarios un acceso que les facilite una mayor resolución de los casos que pueden ser atendidos en este seguimiento, en conexión con toda la red de atención a la salud.

13.
Braz Oral Res ; 34: e040, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520075

RESUMO

This study aimed to identify factors associated with the need for complete dentures in one dental arch or both, among the elderly population. The cross-sectional household study was conducted with a representative sample of elderly people (65 years or older) in the state of São Paulo, Brazil, in 2015. The dependent variable was the need for complete dentures (in one arch or both), and independent variables were socioeconomic and demographic conditions, social capital, self-perception of oral health and access to dental services. Simple and multinomial logistic regression models tested effect measures (p < 0.05). A total of 5,948 elderly people participated. Results indicated that those with greater chances of needing a complete denture in one arch were male (OR = 1.54; CI95%:1.04-2.29), with fewer household goods (OR = 2.25; CI95%:1.50-3.38), lower monthly household income: R$501-1500 (OR = 3.44; CI95%:1.27-9.35), R$1501-2500 (OR = 4.11; CI95%:1.50-11.27), R$2501-4500 (OR = 2.76; CI95%:1.10-6.95), self-reported need for a complete denture (OR = 4.75; CI95%:3.08-7.35), ≥3 years since last dental appointment (OR = 1.80; CI95%:1.06-3.05), and dissatisfaction with last dental appointment (OR = 1.80; CI95%:1.06-3.05). There were more chances of the need for complete dentures in both arches among older elders (OR = 1.44; CI95%:1.06-1.88), with lower monthly household income: R$ < 501 (OR = 4.45; CI95%:1.71-11.60), R$501-1500 (OR = 4.01; CI95%:2.14-7.51), R$1501-2500 (OR = 2.95; CI95%:1.64-5.32), < 3 years of education (OR = 1.45; CI95%:1.13-1.85), feeling unhappy (OR = 2.74; CI95%:1.35-5.57), self-reported need for a complete denture (OR = 8.48; CI95%:5.75-12.50), dissatisfaction with their mouth (OR = 2.38; CI95%:1.64-3.46), ≥3 years since last dental appointment (OR = 4.28; CI95%:2.85-6.43), and dissatisfaction with last dental appointment (OR = 4.28; CI95%:2.85-6.43). The several dimensions of the determinants of the need for a complete denture reflect the influence of both demographic and socioeconomic aspects, social capital, self-perception of oral health and access to dental services.


Assuntos
Prótese Total/estatística & dados numéricos , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Arco Dental , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Modelos Logísticos , Masculino , Saúde Bucal/estatística & dados numéricos , Autoimagem , Fatores Socioeconômicos , Inquéritos e Questionários
14.
Rev Paul Pediatr ; 38: e2018084, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31939505

RESUMO

OBJECTIVE: To analyze the scientific literature on Baby-Led Weaning with an integrative literature review to identify risks and benefits. DATA SOURCE: The databases used were: National Library of Medicine (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS - Literatura Latino-Americana e do Caribe em Ciências da Saúde), US National Library of Medicine (PubMed), and Virtual Health Library (BVS - Biblioteca Virtual em Saúde) in December 2017. The inclusion criteria established were publications in English with the descriptor "baby-led weaning" in the heading, abstract, or keywords, classified as original articles, of primary nature, and available online and in full. We excluded review articles, editorials, letters to the editor, critical commentaries, and books on the subject, as well as articles not available in full and duplicates. DATA SUMMARY: We identified 106 articles, of which 17 met the selection criteria. The Baby-Led Weaning method was significantly associated with the baby's satiety, the start of complementary feeding, and adequacy of weight gain. On the other hand, choking and the intake of micronutrients were negatively associated, however with no statistical differences. CONCLUSIONS: Despite the benefits found, the risks still deserve attention and should be investigated with longitudinal randomized controlled studies to ensure the safety of the method when practiced exclusively.


Assuntos
Comportamento Alimentar/psicologia , Fenômenos Fisiológicos da Nutrição do Lactente/fisiologia , Resposta de Saciedade/fisiologia , Desmame , Obstrução das Vias Respiratórias/epidemiologia , Aleitamento Materno/estatística & dados numéricos , Estudos de Casos e Controles , Saúde da Criança/normas , Estudos Transversais , Humanos , Lactente , Estudos Longitudinais , Aumento de Peso/fisiologia
15.
Rev. Paul. Pediatr. (Ed. Port., Online) ; 38: e2018084, 2020. tab, graf
Artigo em Inglês, Português | LILACS | ID: biblio-1057222

RESUMO

ABSTRACT Objective: To analyze the scientific literature on Baby-Led Weaning with an integrative literature review to identify risks and benefits. Data source: The databases used were: National Library of Medicine (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS - Literatura Latino-Americana e do Caribe em Ciências da Saúde), US National Library of Medicine (PubMed), and Virtual Health Library (BVS - Biblioteca Virtual em Saúde) in December 2017. The inclusion criteria established were publications in English with the descriptor "baby-led weaning" in the heading, abstract, or keywords, classified as original articles, of primary nature, and available online and in full. We excluded review articles, editorials, letters to the editor, critical commentaries, and books on the subject, as well as articles not available in full and duplicates. Data summary: We identified 106 articles, of which 17 met the selection criteria. The Baby-Led Weaning method was significantly associated with the baby's satiety, the start of complementary feeding, and adequacy of weight gain. On the other hand, choking and the intake of micronutrients were negatively associated, however with no statistical differences. Conclusions: Despite the benefits found, the risks still deserve attention and should be investigated with longitudinal randomized controlled studies to ensure the safety of the method when practiced exclusively.


RESUMO Objetivo: Analisar a literatura científica referente ao desmame guiado pelo bebê (Baby-Led Weaning) por meio de revisão integrativa de literatura a fim de identificar riscos e benefícios. Fonte de dados: As bases de dados utilizadas foram: National Library of Medicine (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), US National Library of Medicine (PubMed) e Biblioteca Virtual em Saúde (BVS); e a busca foi realizada em dezembro de 2017. Os critérios de inclusão estabelecidos foram publicações em inglês com o descritor "baby-led weaning" no título, resumo ou palavras-chave em artigos classificados como originais de natureza primária, disponibilizados online e na íntegra. Excluíram-se artigos de revisão, editoriais, cartas ao editor, comentários críticos e livros abordando o assunto, assim como artigos não disponíveis na íntegra e duplicatas. Síntese dos dados: Identificaram-se 106 artigos, dos quais 17 faziam parte do critério de seleção. O método Baby-Led Weaning teve associação significativa com a saciedade do bebê, início da alimentação complementar e adequação de ganho de peso. Já o engasgo e a ingestão de micronutrientes foram associados negativamente, contudo sem diferenças estatísticas. Conclusões: Apesar dos benefícios apontados, os riscos ainda merecem atenção por meio de pesquisas longitudinais controladas e randomizadas para fornecer mais segurança para a sua prática de forma exclusiva.


Assuntos
Humanos , Lactente , Resposta de Saciedade/fisiologia , Desmame , Comportamento Alimentar/psicologia , Fenômenos Fisiológicos da Nutrição do Lactente/fisiologia , Aleitamento Materno/estatística & dados numéricos , Aumento de Peso/fisiologia , Estudos de Casos e Controles , Saúde da Criança/normas , Estudos Transversais , Estudos Longitudinais , Obstrução das Vias Respiratórias/epidemiologia
16.
Braz Oral Res ; 33: e118, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31859707

RESUMO

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35-44 years. Hierarchical logistic regression analysis was proposed. Outcome variables (decayed teeth, missing teeth and DMFT) and independent variables were included in the model, considering the distal (income and schooling); intermediate (social capital) and proximal levels (sex and ethnicity). Results showed that income up to 1,500 reais - US$ 367.6 in 11/11/2019 - (OR = 1.91;1.75-2.08), schooling up to 8 years (OR = 1.32;1.12-1.56) and non-white ethnicity (OR = 1.54;1.35-1.76) were more likely to have decayed teeth. Income up to 1500 reais (OR = 1.29;1.15-1.44), schooling up to 8 years (OR = 2.13;1.90-2.38), low social capital (OR = 1.84;1.65-2.04), medium social capital (OR = 1.15;1.01-1.30) and females were more likely to have lost teeth (OR = 1.13;1.03-1.23). Schooling up to 8 years (OR = 1.51;1.35-1.69), low social capital (OR = 1.25; 1.14-1.37) and female (OR = 1.40,1.19-1.53) were associated with DMFT. It was concluded that sociodemographic factors and low social capital were associated with the experience of caries, which should be taken into account in the formulation of public policies.


Assuntos
Cárie Dentária/epidemiologia , Capital Social , Adulto , Brasil/epidemiologia , Estudos Transversais , Índice CPO , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Distribuição por Sexo , Fatores Socioeconômicos , Inquéritos e Questionários
17.
Mundo saúde (Impr.) ; 43(2): [326-343], abr., 2019. tab
Artigo em Inglês, Português | LILACS | ID: biblio-1054506

RESUMO

Impact of maternal self-efficacy and associatedfactors on maintaining exclusive breastfeeding in the city of Piracicaba-SP: Cohort study


Impacto da autoeficácia materna e fatores associadosna manutenção do aleitamento materno exclusivo nomunicípio de Piracicaba-SP: Estudo de Coorte


Assuntos
Feminino , Humanos , Lactente , Aleitamento Materno , Autoeficácia , Desmame , Centros de Saúde , Política de Saúde
18.
Braz Oral Res ; 33: e014, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-30892410

RESUMO

Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclusion and dental appearance in underprivileged Brazilian adolescents. This analytical cross-sectional study was conducted in Piracicaba, Brazil, and evaluated 884 adolescents from 13 to 19 years of age. The dependent variable was satisfaction with dental appearance, and the independent variables were classified as individual (components of the Dental Aesthetic Index - DAI, sex and age) and contextual (social exclusion index). For statistical analysis, multilevel regression models were estimated. The individual variables were considered Level 1, and the contextual variable was considered Level 2, with a level of significance of 5%. The mean age of the adolescents was 15.3 years. Female adolescents more frequently affirmed that they were satisfied with their dental appearance than did male individuals. There was an increase in dissatisfaction with oral health with the increase in anterior maxillary overjet, midline diastema, larger anterior irregularity in the maxilla, larger anterior irregularity in the mandible, anterior open bite and antero-posterior molar relation. Satisfaction with dental appearance was associated with individual factors such as sex and DAI components.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Autoimagem , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Satisfação do Paciente , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
19.
BMC Health Serv Res ; 19(1): 133, 2019 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-30808367

RESUMO

BACKGROUND: The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality (considering the neonatal and post-neonatal dimensions) and maternal mortality in the state of São Paulo, Brazil. METHODS: In this ecological study, data from national official open sources were used to conduct a population-based study. The units analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality (in both neonatal and post-neonatal dimensions) and maternal mortality rates were calculated for every 1000 live births, referring to 2013. Subsequently, the association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. For statistical analysis, we used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted "p" at 5%. RESULTS: The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. CONCLUSIONS: It was concluded that the Family Health Care Strategy was a Primary Care organization model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model when planning the organization of Primary Care services for the population.


Assuntos
Mortalidade Materna , Atenção Primária à Saúde , Adulto , Brasil/epidemiologia , Cesárea/mortalidade , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Recém-Nascido , Mortalidade Materna/tendências , Modelos Estatísticos , Análise Multivariada , Gravidez
20.
Cien Saude Colet ; 24(1): 307-314, 2019 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30698263

RESUMO

We evaluated the association between quality of life, family cohesion and sociodemographic factors of beneficiary families of the BolsaFamília Program (PBF). This was an analytical, cross-sectional study with exploratory methodology. The sample was composed of 385 respondents. The dependent variable was the quality of life (WHOQOL-BREF), and the independent variables were sociodemographic characteristics, self-rated health, family cohesion and adaptability (FACES III). The best quality of life was associated with an age younger than or equal to 36 years (OR = 2.15), higher educational level (OR = 1.54), good/very good health (OR = 6.39), not having current health problem (OR = 5.68), no treatment (OR = 1.76), moderate (OR = 3.39) and high (OR = 3.66) family cohesion and moderate adaptability (OR = 2.23). Individuals from families with moderate and high family cohesion were more likely to have a better quality of life than those from families with low cohesion. The male volunteers were 3.54 times more likely to have a better quality of life. It was concluded that moderate and high levels of cohesion may impact positively to the quality of life of persons receiving the PBF, indicating that social programs should seek to strengthen these dynamics.


Avaliou-se a associação entre qualidade de vida, coesão familiar e fatores sociodemográficos de famílias beneficiárias do Programa Bolsa Família (PBF). Estudo transversal, analítico e de caráter exploratório com amostra representativa de 385 entrevistados. A variável dependente foi a qualidade de vida (WHOQOL-BREF), e as variáveis independentes quantificadas em características sociodemográficas, autopercepção sobre saúde, coesão e adaptabilidade familiar (FACES III). A melhor qualidade de vida associou-se com idade menor ou igual a 36 anos (OR = 2,15), maior nível educacional (OR = 1,54), boa/muito boa saúde (OR = 6,39), não ter problema de saúde atual (OR = 5,68), sem tratamento (OR = 1,76), moderada (OR = 3,39) e alta (OR = 3,66) coesão familiar e moderada adaptabilidade (OR = 2,23). Indivíduos provenientes de famílias com moderada e alta coesão familiar tiveram mais chance de ter uma melhor qualidade de vida do que aqueles vindos de famílias com baixa coesão. Os voluntários do sexo masculino tiveram 3,54 vezes mais chance de apresentar uma melhor qualidade de vida. Concluiu-se que níveis moderados e altos de coesão podem impactar positivamente uma melhor qualidade de vida das pessoas beneficiárias do PBF, indicando que as ações sociais devem buscar o fortalecimento dessa dinâmica.


Assuntos
Relações Familiares , Nível de Saúde , Pobreza , Qualidade de Vida , Adulto , Fatores Etários , Estudos Transversais , Escolaridade , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Política Pública , Fatores Sexuais , Fatores Socioeconômicos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...