Prevalence of complementary and alternative medicine use in Brazil: results of the National Health Survey, 2019.

BACKGROUND: In recent decades, it has been possible to observe an increase in Complementary and Alternative Medicine (CAM) usage globally for both disease prevention and health promotion purposes. we aim to estimate the prevalence of CAM use and analyze associated factors in Brazil. METHODS: Observational study with data from the 2019 National Health Survey that evaluated a sample of Brazilian adults. The outcome was CAM use, such as acupuncture, homeopathy, medicinal plants and herbal medicines, meditation, and yoga in the last 12 months. A logistic regression model with a 99% confidence interval was used to assess factors associated with CAM use. RESULTS: The prevalence of CAM use in 2019 was 5.2% (CI99% = 4.8-5.6%), the most used modalities: medicinal plants and herbal medicines, with a prevalence of 3.0% (CI99% = 2.7-3.33) followed by: acupuncture 1.4% (CI99% = 1.3-1.6) homeopathy 0.9% (CI99% = 0.7-1.0), meditation 0.7% (CI99% = 0.6-0.8) and yoga 0.4% (CI99% = 0.4-0.5). We observed important geographical differences in CAM use in Brazil, with a higher prevalence in the North Region, 3.7% (CI99% = 2.81-4.75), where herbal medicines were more frequent the in the other regions. After estimating an adjusted model, women, older people, and people with a higher level of education and per capita income were the ones who used all types of CAM the most. The practice of yoga stands out among women 3.6% (CI99% = 2.49-5.28) and among individuals with higher per capita income 7.5% (CI99% = 2.97-18.93); meditation among individuals with higher educational level 13.4% (CI99% = 6.41-28.33) and acupuncture for those who declared regular or poor health 1.9% (CI99% = 1.51-2.39). CONCLUSIONS: We recommend that the Ministry of Health expand CAM access to Unified Health System users and promote health professionals' conscious and guided use for the Brazilian population.

Excesso de peso: característica dos trabalhadores de cozinhas coletivas? / Kitchen work and overweight: is there an association?

O estudo, de desenho transversal, teve como objetivo levantar a prevalência de sobrepeso e obesidade em trabalhadores de cozinhas (n = 200) de oito hospitais públicos localizados na grande Florianópolis, Santa Catarina, verificando se há algum fator de risco específico relacionado às condições de trabalho.Utilizaram-se, como grupo de comparação, trabalhadores das lavanderias (n =178) dos mesmos hospitais. Os dados foram coletados através de questionário estruturado e levantamento de medidas de peso e estatura. A prevalência de sobrepeso e obesidade (IMC ? 25 kg/m2) foi maior entre os trabalhadores de cozinhas, encontrano-se associação positiva entre as mulheres (RP = 1,3; IC 95% = 1,1 a 1,5). A variável ?beliscar? alimentos no local de trabalho mostrou se condição específica dos trabalhadores de cozinhas independentemente do sexo, sendo que os homens e as mulheres das cozinhas ?beliscam? alimentos freqüentemente no trabalho 5,7 e 3,9 vezes mais que os homens e mulheres das lavanderias, respectivamente. Sendo assim, o acesso ao alimento pode estarrelacionado à manutenção do excesso de peso e a maiores médias de peso entre as mulheres.

The aim of this study is to check the prevalence of overweight and/or obesity in kitchen workers and to observe if there is any specific risk factor related to their working conditions. It is a cross-sectional study with all the kitchen (n = 200) and laundry (n = 178) workers of eight public hospitals in Florianópolis, Santa Catarina, a state located in the South of Brazil. Collecting of data included checking their weighs and measures and their answers to a questionnaire.The prevalence of overweight and obesity (BM I? 25 kg/m2) was higher among kitchen workers; a positive association was found for females only (Prevalence Rate Ratio = 1,3; 95% CI; 1,1; 1,5). The variable ?food snacking? in the workplace was found to be typical for kitchen workers, either male or female. It was also found that both male and female kitchen workers frequently snack 5.7 and 3.9 more in the workplace than laundry workers. The easy access to food may be the reason for the highest weight levels among women.