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2.
PLoS One ; 14(12): e0225940, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31794582

RESUMO

OBJECTIVES: To estimate the prevalence of leisure-time physical activity (LTPA) or sports in the Brazilian population according to demographic and income variables. METHODS: Data from 60,202 Brazilian individuals (18 years and over) were analyzed, belonging to the National Health Survey 2013 sample. The prevalence of different modalities of LTPA and sports was estimated according to age, sex, skin color and income. The adjusted prevalence ratios were estimated by Poisson regression. RESULTS: Of every thousand Brazilians, 695 do not practice LTPA or sports. Walking is the most practiced LTPA (98/1000), followed by soccer (68/1000) and weight training (45/1000). For poor and black men, the most frequent LTPA was soccer, and, for women, gymnastics and walking. The prevalence of weight training and gymnastics was higher for white people compared with black people. All LTPA practices were more prevalent in individuals with higher income, except for soccer. Running on a treadmill and weight training had, respectively, 24.7 and 6.4 times higher prevalence in the richer quartile. CONCLUSIONS: The study allowed identifying the type of LTPA and sport reported as the most frequent by the Brazilian population according to age, sex, skin color, and income, detecting strong social disparities in these practices.

3.
BMC Health Serv Res ; 16(1): 683, 2016 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-27927241

RESUMO

BACKGROUND: Access to, and use of, dental health services in Brazil have improved since 2003. The increase of private health care plans and the implementation of the "Smiling Brazil" Program, the largest public oral health care program in the world, could have influenced this increase in access. However, we do not yet know if inequalities in the use of dental health services persist after the improvement in access. The aims of this study are to analyze socioeconomic differences for dental health service use between 2003 and 2008 in São Paulo and to examine changes in these associations since the implementation of the Smiling Brazil program in 2003. METHOD: Data was obtained via two household health surveys (ISA-Capital 2003 and ISA-Capital 2008) which investigated living conditions, lifestyle, health status and use of health care services. Logistic regression was used to analyze associations between socioeconomic factors and dental services use. Additionally, trends from 2003 to 2008 regarding socioeconomic characteristics and dental health service use were explored. RESULTS: Overall, dental health service use increased between 2003 and 2008 and was at both time points more common among those who had higher income, better education, better housing conditions, private health care plans and were Caucasian. Inequalities in use of dental health care did not decrease over time. Among the reasons for not seeking dental care, not having teeth and financial difficulty were more common in lower socioeconomic groups, while thinking it was unnecessary was more common in higher socioeconomic groups. CONCLUSIONS: The Brazilian oral health policy is still in a period of expansion and seems to have contributed slightly to increased dental health service use, but has not influenced socioeconomic inequalities in the use of these services. Acquiring deeper knowledge about inequalities in dental health service use will contribute to better understanding of potential barriers to reducing them.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Adolescente , Adulto , Idoso , Brasil , Criança , Pré-Escolar , Assistência à Saúde/estatística & dados numéricos , Assistência Odontológica/estatística & dados numéricos , Inquéritos de Saúde Bucal , Características da Família , Feminino , Serviços de Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Nível de Saúde , Humanos , Renda/estatística & dados numéricos , Lactente , Masculino , Pessoa de Meia-Idade , Saúde Bucal/estatística & dados numéricos , Classe Social , Fatores Socioeconômicos , Adulto Jovem
4.
Int J Equity Health ; 15(1): 148, 2016 11 17.
Artigo em Inglês | MEDLINE | ID: mdl-27852275

RESUMO

BACKGROUND: Considering the high socioeconomic inequalities prevailing in Brazil and lifestyle as a strong determinant of morbidity and premature mortality, our purpose was to evaluate the degree of socioeconomic disparities in the prevalence of health behaviors among Brazilian adult population using data from the 2013 Brazilian National Health Survey. METHOD: Based on a sample of 49,025 individuals aged 20 to 59 years, we estimated the prevalence of several health behaviors and a score of unhealthy behaviors according to gender, education, race/color and possession of private health insurance. The prevalence ratios adjusted by age and gender were estimated by means of multiple Poisson regression and the analyses took into account the sampling design. RESULTS: Significant social inequalities were identified in the Brazilian adults. Higher prevalence of current smoking, leisure-time physical inactivity, sedentary lifestyle, whole milk consumption and low ingestion of greens, vegetables, and fruits were observed among the less educated, in the non-white population, and among those without private health insurance. Higher prevalence of heavy episodic drinking was found in the non-white population, but no difference in the consumption of fatty meat was found according to skin color. Score of unhealthy behavior higher than 6 was more frequent in lower educational strata (PR = 3.74) in the non-white population (PR = 1.39) and among those without private health insurance (PR = 1.78). Compared to women, men had higher prevalence rates of smoking, hazardous alcohol consumption, and fatty meat consumption and lower consumption of greens, vegetables and fruits. CONCLUSION: The results of the study emphasize the importance of monitoring social inequalities in health as part of national health policies and the urgent need to prioritize actions to promote healthy behaviors, especially among the most socially vulnerable segments of society.


Assuntos
Escolaridade , Comportamentos Relacionados com a Saúde , Seguro Saúde , Estilo de Vida , Pobreza , Assunção de Riscos , Adolescente , Adulto , Consumo de Bebidas Alcoólicas , Brasil , Grupos de Populações Continentais , Dieta , Exercício , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Comportamento Sedentário , Fatores Sexuais , Fumar , Fatores Socioeconômicos , Adulto Jovem
5.
J Pediatr (Rio J) ; 92(3): 251-9, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26738890

RESUMO

OBJECTIVE: To analyze calcium intake in adolescents according to sociodemographic variables, health-related behaviors, morbidities, and body mass index. METHODS: This was a cross-sectional population-based study, with a two-stage cluster sampling that used data from a survey conducted in Campinas, São Paulo, Brazil, between 2008 and 2009. Food intake was assessed using a 24-hour dietary recall. The study included 913 adolescents aged 10-19 years. RESULTS: Average nutrient intake was significantly lower in the segment with lower education of the head of the family and lower per capita family income, in individuals from other cities or states, those who consumed fruit less than four times a week, those who did not drink milk daily, those who were smokers, and those who reported the occurrence of headaches and dizziness. Higher mean calcium intake was found in individuals that slept less than seven hours a day. The prevalence of calcium intake below the recommendation was 88.6% (95% CI: 85.4-91.2). CONCLUSION: The results alert to an insufficient calcium intake and suggest that certain subgroups of adolescents need specific strategies to increase the intake of this nutrient.


Assuntos
Cálcio na Dieta/administração & dosagem , Ingestão de Alimentos , Comportamento Alimentar , Adolescente , Saúde do Adolescente , Adulto , Brasil , Criança , Estudos Transversais , Ingestão de Energia , Feminino , Frutas , Humanos , Masculino , Inquéritos Nutricionais , Estado Nutricional , Fatores Socioeconômicos , População Urbana , Adulto Jovem
6.
Sleep Med ; 13(2): 139-44, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22137111

RESUMO

OBJECTIVE: The aim of the present study was to assess sleep patterns in the adult population of the city of Campinas (Brazil) according to socioeconomic/demographic variables, chronic diseases, and symptoms. METHODS: A population-based cross-sectional study was conducted using data from the Campinas Health Survey (ISACAMP) carried out in 2008 and 2009. A total of 2637 individuals aged 18 years or older (obtained from a probabilistic sample) were analyzed. Associations between sleep pattern and the independent variables were determined using the chi-square test. Multinomial logistic regression models were used to adjust for confounders. RESULTS: The prevalence of six or fewer hours of sleep was greater among individuals aged 40 years or older and among divorced or single individuals. The sleep pattern of nine or more hours was more prevalent among those with less than 40 years of age, among those who were divorced, or single, among those with a lower level of schooling, those who did not work and housewives. Both short and long sleep patterns were more prevalent among individuals with heart disease, vascular problems, rheumatism/arthritis/arthrosis, osteoporosis, or emotional problems. The prevalence of the short sleep duration was greater among individuals with back problems and those with three or more health conditions. A strong association was found between sleep duration and sleep quality. CONCLUSIONS: Socio-demographic factors and health diseases were associated to sleep duration. This issue should be considered in health promotion strategies.


Assuntos
Inquéritos Epidemiológicos/estatística & dados numéricos , Cardiopatias/epidemiologia , Doenças Reumáticas/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Sono/fisiologia , Adulto , Brasil/epidemiologia , Doença Crônica , Feminino , Humanos , Modelos Logísticos , Masculino , Fatores Socioeconômicos
7.
J Pediatr ; 156(3): 456-60, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20004911

RESUMO

OBJECTIVE: To assess dietary quality and associated factors in adolescents. STUDY DESIGN: We conducted a population-based cross-sectional study in a sample of 1584 adolescents living in areas of the state of São Paulo, Brazil. Dietary intake was measured with the 24-hour recall method, and dietary quality was assessed by means of the Health Eating Index (HEI), adapted to fit to the local requirements. Linear regression analyses were performed to assess the association between the HEI and demographic, socioeconomic, and lifestyle variables. RESULTS: A total of 97.1% of the adolescents studied had an inadequate diet or a diet that needed improvement. The mean overall HEI score was 59.7. Lower mean HEI scores were found for fruits, dairy products, and vegetables. Male adolescents who were physically active and lived in a house or apartment had higher HEI scores. The multiple regression analyses showed that the quality of the diet improved as age decreased. Adolescents who lived in houses or apartments had higher HEI scores than adolescents living in shacks or slums, regardless of age and energy intake. CONCLUSIONS: Dietary quality is associated with income and age. A better understanding of the factors associated can provide input to the formulation of policies and development of nutritional actions.


Assuntos
Fenômenos Fisiológicos da Nutrição do Adolescente , Dieta , Comportamentos Relacionados com a Saúde , Adolescente , Brasil/epidemiologia , Criança , Ingestão de Energia , Feminino , Humanos , Estilo de Vida , Masculino , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Características de Residência , Adulto Jovem
8.
Rev Saude Publica ; 40(3): 428-35, 2006 Jun.
Artigo em Português | MEDLINE | ID: mdl-16810366

RESUMO

OBJECTIVE: To investigate the prevalence of reported pulmonary disease among elderly subjects, according to sociodemographic and economic characteristics, lifestyle, physical mobility, and health status. METHODS: This was a cross-sectional population-based study that included 1,957 elderly subjects (aged 60 and over). Information was collected by means of interviews. Subjects were selected using a two-stage probabilistic, stratified, cluster sampling strategy in six municipalities in the State of São Paulo between 2001 and 2002. Descriptive statistics, chi-squared association tests, prevalence ratios, and 95% confidence intervals were utilized. Adjusted analysis was carried out by Poisson regression. RESULTS: Among the interviewees, around 7% reported pulmonary disease. There was no association between pulmonary disease and influenza vaccination. Adjusted analysis identified the following factors that were independently associated with reported disease: smoking (PR: 2.03; 95% CI: 1.39-2.97); medication use (PR: 2.05; 95% CI: 1.11-3.79); health status self-assessed as poor or very poor (PR: 1.89; 95% CI: 1.20-2.96); and depression, anxiety, or emotional problems (PR: 1.86; 95% CI: 1.11-3.10). CONCLUSIONS: The findings from the present study reinforce the importance of respiratory diseases among the elderly, particularly in more vulnerable groups. Preventive measures and specific care for such groups are therefore justified.


Assuntos
Nível de Saúde , Estilo de Vida , Pneumopatias/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Métodos Epidemiológicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
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