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1.
Braz Oral Res ; 33: e122, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939501

RESUMO

The distribution of harms to health varies spatially determined by the socioeconomic conditions of the environment. This research aimed to assess the spatial distribution of dental caries in 12-year-old children and their correlation with socioeconomic indicators in Brazilian states. The sample of this ecological study comprised all the 26 Brazilian states and the Federal District. Thematic and correlation maps were constructed in order to assess the spatial dependency, as well as the correlation between dental caries and socioeconomic factors. The results showed that the states with the worst DMFT indexes were located in the north and northeast, showing spatial autocorrelation. These regions also had the worst results for the following variables: poverty, illiteracy, education, and income. The bivariate analysis showed that household income and education level had negative spatial correlation with the DMFT index, while illiteracy and poverty rates showed positive correlation. Despite advances in the decline of DMFT index in recent years, there is still an inequity in the distribution of the caries disease.


Assuntos
Índice CPO , Cárie Dentária/epidemiologia , Disparidades nos Níveis de Saúde , Brasil/epidemiologia , Criança , Características da Família , Feminino , Geografia , Humanos , Masculino , Pobreza , Fatores Socioeconômicos
2.
Rev Assoc Med Bras (1992) ; 65(8): 1086-1092, 2019 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-31531606

RESUMO

OBJECTIVE: The objective of this study was to analyze the hospitalizations of the elderly for conditions sensitive to primary care (ICSAP) and associated contextual factors, referring to elderly people aged 60 and over, living in municipalities in the Northeast region. METHODS: Characterized as being an ecological study using data from the Hospital Information System (SIH) and the Basic Attention Information System (SIAB) referring to elderly people aged 60 and over. RESULTS: The total hospitalization rate was 527,524, with the highest number due to heart failure, followed by cerebrovascular diseases, and infectious gastroenteritis. Analyzing the ICSAP rates with the contextual factors, all were significant. Regarding the coverage of basic care, a similarity occurred between them, and for the rate of the number of consultations among the elderly, despite the greater number of these in the municipalities with higher hospitalization rates, there was no significant difference between them. CONCLUSION: We conclude that the contextual factors interfere in the conditions of this hospitalization, necessitating, besides the improvement of primary care, an improvement in the living conditions of the elderly population.


Assuntos
Serviços de Saúde para Idosos/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Idoso , Brasil , Sistemas de Informação Hospitalar , Humanos , Pessoa de Meia-Idade , Fatores Socioeconômicos
3.
Rev. Assoc. Med. Bras. (1992) ; 65(8): 1086-1092, Aug. 2019. tab
Artigo em Inglês | LILACS-Express | ID: biblio-1041053

RESUMO

SUMMARY OBJECTIVE The objective of this study was to analyze the hospitalizations of the elderly for conditions sensitive to primary care (ICSAP) and associated contextual factors, referring to elderly people aged 60 and over, living in municipalities in the Northeast region. METHODS Characterized as being an ecological study using data from the Hospital Information System (SIH) and the Basic Attention Information System (SIAB) referring to elderly people aged 60 and over. RESULTS The total hospitalization rate was 527,524, with the highest number due to heart failure, followed by cerebrovascular diseases, and infectious gastroenteritis. Analyzing the ICSAP rates with the contextual factors, all were significant. Regarding the coverage of basic care, a similarity occurred between them, and for the rate of the number of consultations among the elderly, despite the greater number of these in the municipalities with higher hospitalization rates, there was no significant difference between them. CONCLUSION We conclude that the contextual factors interfere in the conditions of this hospitalization, necessitating, besides the improvement of primary care, an improvement in the living conditions of the elderly population.


RESUMO OBJETIVO Objetivou-se realizar uma análise das internações dos idosos por condições sensíveis à atenção primária (ICSAP) e fatores contextuais associados em idosos com 60 anos ou mais, residentes em municípios da Região Nordeste. MÉTODOS Caracterizou-se por ser um estudo ecológico utilizando dados do Sistema de Informação Hospitalar (SIH) e do Sistema de Informação da Atenção Básica (Siab) referentes a idosos com 60 anos ou mais. RESULTADOS A taxa total de internação foi de 527,524, sendo em maior quantidade aquelas por insuficiência cardíaca, seguidas das doenças cerebrovasculares e, em terceiro, as gastroenterites infecciosas. Analisando as taxas de ICSAP com os fatores contextuais, todas foram significativas. Em relação à cobertura da atenção básica, ocorreu uma similaridade entre eles, e para a taxa do número de consultas entre idosos, apesar do maior número destas nos municípios com maiores taxas de internação, não existiu diferença significativa entre eles. CONCLUSÃO Concluímos que os fatores contextuais interferem nas condições dessa internação, necessitando, além da melhoria da atenção primária, uma melhoria nas condições de vida da população idosa.

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