AbstractThisstudywasaimedtocomparethe health conditions and burden of formal and infor- mal caregivers of older adults. Cross-sectional and comparative study with a quantitative approach. The data were collected in 2014 in São Carlos/SP, using the Zarit Burden Interview and the SRQ 20 (Self Reported Questionnaire). Results: The sample included 15 formal and 35 informal care- givers. Among the formal caregivers, women were predominant (86.7%), with a mean age of 36.7, mean of 13.7 years of education, mean worklo- ad of 7.5 hours per day, 26.7% were diagnosed with emotional distress and they the majority mentioned feeling “a little overloaded” (40%). Concerning the informal caregivers, women were predominant (85.7%), 42.9% were the children of the older adult, with a mean age of 55.2 years, mean of 7.1 years of education, length of time as caregiver of 6.5 years, mean of 19.8 hours per day taking care of the older adult, 17 (48.6%) pre- sented mild overload and 16 (45.7%) presented emotional distress. Conclusions: The results re- vealed important differences and attention is nee- ded to planning interventions to improve health and work conditions of these people.
No presente estudo, a prevalência de sintomas depressivos, medidos pela Escala de Depressão Geriátrica – EDG, foi de 18,3%. As maiores preva- lências de sintomas depressivos estavam relacio- nadas aos idosos que apresentavam de 1 a 9 dentes na cavidade bucal, a percepção de boca seca e a percepção de dor na boca. Cabe ressaltar que tan- to possibilidade do acesso aos cuidados de saúde bucal quanto a prevalência dos sintomas depres- sivos dos idosos avaliados são semelhantes ao da população de idosos do município. No que diz respeito ao acesso aos serviços de saúde bucal, os idosos avaliados apesar de apresentarem cadastro nas unidades de saúde família, no momento do estudo, estas unidades não tinham equipes de saú- de bucal e não havia dentistas em algumas delas. Deste modo, não era garantindo o acesso aos cui- dados de saúde bucal, semelhante ao que acontece para todos os idosos do município. Em relação à prevalência de sintomas depressivos, os resultados deste estudo são semelhantes a um estudo de base populacional realizado com idosos neste mesmo município em 2014 2 . Diante dessas informações e
AbstractThe scope of thisstudywasto analyze the difference in the prevalence of cardiovascular disease (CVD) between 2000 and 2010 and its association with socio-economic and risk factors among the elderly. Bayesian multilevel models were applied to analyze the difference in the prev- alence of CVD, and the association between in- dividual characteristics and the presence of CVD was analyzed by logistic regression models with complex samples separately for 2000, 2006 and 2010. This research is part of the Health, Welfare and Aging (SABE) study, performed in Sao Pau- lo, Brazil, and used the samples collected in 2000, 2006 and 2010. An increase in the prevalence of cardiovascular disease among the elderly was ob- served during the period, from 17.9% in 2000, to 22.2% in 2006, attaining 22.9% in 2010. In reference tothe prevalence observed in 2000, the multilevel analysis indicated a significant increase in the presence of cardiovascular disease in 2006 (OR = 3.20 95%CI = 1.93-5.31) and 2010 (OR = 2.98 95%CI = 1.51-5.89), even after statistical adjustment for individual factors. The presence of CVD was associated with older age, smoking history, the presence of diabetes and hypertension, and an inverse association was observed between the presence of CVD and alcohol intake.
esperado (menor ou igual a 0,5), a exceção as dos itens i6-P, i8-N e i10-P. Este cenário infere sobre a unidimensionalidade do questionário. No entan- to, analisando-se os resultados da AFP, constran- gido a dois fatores com rotação obliqua Promax (Tabela 2), verificou-se distribuição dos itens, tanto no fator 1 quanto no fator 2, quando con- siderado cargas fatoriais acima de 0,40. No fator 1 alocaram-se os itens i4-P, i6-P, i7-N, i9-P, i10-P, i13-N, i15-P e, no fator 2, os itens i1-N, i3-N, i8-N, i14-N. As variâncias do erro não apresen- taram alteração. Estes resultados inferem sobre a bidimensionalidade do questionário, mostrando
AbstractThisstudyaimedto review food and nutrition insecurity indicators associated with iron deficiency anemia in Brazilian children be- low 5 years. We searched in electronic databases (SciELO, Lilacs, and Medline) and selected stud- ies by titles, abstracts and full-text reading. Of the 1,023 studies analyzed, 11 fit the inclusion criteria. The results of the studies evidenced that iron deficiency anemia in Brazilian children was associated with sociodemographic and health in- dicators (male, age below 24 months, children of adolescent mothers, respiratory infections, diar- rhea, low maternal schooling, parents’ working conditions, nursery time, lack of basic sanitation, maternal anemia, lack of ferrous sulfate use by the mother and/or child and late onset of prena- tal care), nutritional indicators (low birth weight, diet characteristics, such as the habit of milk con- sumption close to meals, low exclusive and full breastfeeding time) and economic indicators (low per capita income). The food and nutrition inse- curity analyzed in thisstudy from the perspective of different indicators is associated with iron defi- ciency anemia in children under 5 years in Brazil. Key words Iron deficiency anemia, Iron deficien- cy, Food and nutrition security, Children Hercilio Paulino André 1
The readmission rate was much higher in ser- vices for at-risk adolescents, and almost all those who entered the service more than 5 times are in this group. This is justified because most are drug users and traffickers under death threat, in addition to displaying frequent behavior of devi- ation from social norms and having vulnerable families, which favors leaving foster care facilities for not being able to follow rules and for being attracted to street life.
AbstractThisstudyaimedto analyze foster care time and characteristics of adolescents in the in- stitutional foster care services in the city of Recife. This is a descriptive study with a quantitative ap- proach. Thestudy population consisted of all ad- olescents under foster care in the city of Recife-PE, in the period 2009-2013. The information was retrieved by consulting the Individual Assistance Plans (IAP), with 1,300 analyzed plans. Variables were categorized and described from absolute and relative frequency. Pearson’s chi-square test was used to verify the association between variables, with a significance level of 0.05. Three types of ser- vices were observed: for adolescents who are vic- tims of violence and neglect; at-risk with/without drug use; and with special needs. A predominance of older male adolescents, with lower school atten- dance, greater use of psychotropic substances, in- volved with socio-educational measures, suffering death threats and with a higher number of service entries-exits was observed. We can conclude that the different profiles of foster care services should be addressed and investigated in a particular way because they show different difficulties related tothe establishment of efficient public policies. Key words Shelter, Adolescent, Institutionalized population
29. Kernozek TW; Lamott EE. Comparisons of plantar pressures between de elderly and young adults. Division of Kinesiology, University of Minnesota. Gait & posture. 1995, 3: 143-148. 30. Houmard JA, Weidner ML, Gavigan KE, Tyndall GL, Hickey MS, Alshami A. Fiber type and citrate synthase activity in the human gastrocnemius and vastus lateralis with aging. J Appl Physiol. 1998, 85: 1337–1341.
The prevalence of sexual violence was initial- ly calculated with its respective confidence inter- vals of 95% (CI95%). To verify these associated factors, bivariate analyses were carried out with estimates of the Odds Ratio (OR) and its re- spective CI95% tothe significance level of 0.05. Following this, a multivariate analysis was con- ducted for an outcome inserted into the model of independent variables that presented association with the outcomes at a significance level inferi- or to 0.20, calculating the adjusted ORs (ORa) and its respective CI95%. All of the analyses were done in the program SPSS version 2.0, utilizing procedures of the Complex Samples Modules, suitable for analysis of data obtained by a com- plex sampling plan.
scribe and analyze factors associated with sexu- al violence (SV) among primary school students in Brazil. Data from the National School Health Survey (PeNSE in Portuguese) in 2015 was ana- lyzed. The prevalence of total and disaggregated SV was calculated according to variables such as sociodemographic data, family context, mental health, risk behaviors, safety, and physical activ- ity. The Odds Ratios of suffering SV were estimat- ed according to variables that were statistically associated (p < 0.05) by means of multivariate analysis. The prevalence of SV was 4.0%. SV among school-age adolescents was associated with characteristics such as: age of < 13 years old; fe- male; black skin color; working; being assaulted by family members; having insomnia; feeling lonely; not having friends; consuming tobacco / alcohol regularly; having tried drugs; having started sex- ual activity; feeling insecure on the way to or at school; and having suffered bullying. Studying in a private school, having a mother with higher education, living with parents, and supervision by relatives were protective factors to SV. It was possible to identify students’ vulnerabilities to SV, which can support researchers, professionals, and families in the prevention of this type of violence. Key words Adolescents, School health, Sexual vi- olence, Health survey
associated with the treatment adherence of 150 elderly diabetics assisted in gerontogeriatric out- patient service in northeastern Brazil. Full adher- ence to therapy was self-reported by 27.3% of the elderly. In the bivariate analysis, adherence was associated with self-perceived health, beliefs in the use of medication, understanding explanations about diabetes and professional responsible for treatment guidance. After analysis adjustment, only beliefs in medicine were significant when comparing non-adherence with full adherence (OR = 9.65; CI95% 1.6; 56.6) and non-adher- ence with partial adherence (OR = 18.15; CI95% 3.5;95.4). It can be concluded that full adherence to diabetes treatment is low and is associated with beliefs in medications for disease control. It is nec- essary to develop additional studies to better de- fine the role of health beliefs and practices of care among elderly assisted in primary health care. Key words Adherence to treatment, Elderly, Dia- betes Mellitus, Primary health care
It is composed of a team of four pediatric physicians, one nurse and five nursing techni- cians. The consultations follow a previous sched- ule and have a monthly frequency. The first ap- pointment is scheduled at the time of discharge of the post-partum woman and subsequent visits upon child’s attendance at the outpatient clinic. In most cases, the child is accompanied by the mother, who becomes the main interlocutor of the health-disease situation at hand.
A análise estatística foi mediada pelo pro- grama Statistical Package for the Social Sciences (SPSS) versão 21.0, o qual gerou a frequência das variáveis estudadas, média e desvio padrão. O modelo de regressão logística robusta multivaria- da foi utilizado para analisar as correlações. Tais associações foram consideradas estatisticamente significativas quando o valor de p (probabilidade) foi menor ou igual a 0,05 nos testes realizados 12 .
carried out in Campinas (SP), they found the payment of the MMG test by the public system of 28.8% and by health plan/private payment of 71.2%. This finding may reflect the regional characteristics of each research and SUS organi- zation in each region. In Uberaba, one can con- sider the result found as a probable consequence of actions to promote the MMG test by the SUS, such as the “Pink October” campaign, which has a significant mobilization of public health ser- vices to encourage breast cancer screening in the city. Besides, the city’s territory is home to several universities, one of which is public, which facil- itates people’s access to screening tests through the partnership of these universities with other municipal public health services.
AbstractThe objective of thisstudywasto rese- arch the existence of sexism against women among primary healthcare (PHC) workers and to identify associated factors. Thiswas a cross-sectional study in which 163 PHC professionals of both sexes par- ticipated, all of whom were aged over 18 and had completed their primary or secondary education. The Gender Stereotyping and Ambivalent Sexism Inventory questionnaires were used. The average scores were more than 50% of the maximum score: Gender Stereotyping – 53.8%, hostile sexism – 58.2%, benevolent sexism – 64.1%. The average scores stratified by sociodemographic variables were higher. Significant differences in the hostile sexism score were found for sex (men scored higher than women), religion (higher scores for evangelical Christians) and among those who drank alcohol. For benevolent sexism, differences were found for schooling (greater scores for those who had only completed their primary education), religion (hi- gher scores for evangelical Christians and Catho- lics) and area of work (greater for those working in general services). The stratification of the Gender Stereotyping scores did not point to significant diffe- rences. Sexist prejudice was found to exist for hostile sexism, benevolent sexism and gender stereotyping. This finding could have a negative influence on the service-user relationship, leading to greater inequi- ties in health as a result of gender inequality. Key words Women’s health, Sexism, Health ine- quality, Healthcare staff, Health services
The predictors in the present study were com- ponents of time spent in sedentary behavior, in- cluding television viewing, playing video games, using the computer and non-screen activities (talking to friends, playing cards or dominoes, talking on the phone, driving, or as a passenger, reading or studying). The mean time spent in each of these behaviors (in a typical week) was asked separately for weekdays and weekends, assigning weight 5 to weekdays and weight 2 to weekends and dividing the result by 7 to obtain the mean time in minutes per day 14 . Screen entertainment
Fick D, Mion L, Beers M, Waller JL. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health 2008; 31(1):42-51. Chrischilles EA, Foley DJ, Wallace RB, Lemcke JH, Semla TP, Hanlon JT, Glynn RJ, Ostfeld AM, Guralnik JM. Use of medications by persons 65 and over: Data from the established populations for epidemiologic studies of the elderly. J Gerontol 1992; 47(5):137-144.
lish the profile of caregivers of pediatric patients diagnosed with Cystic Fibrosis (CF). It was a cross-sectional, descriptive and prospective study in which the caregivers of fibrocystic patients were interviewed during pharmaceutical consultation in a reference center of a University Hospital in southern Brazil. General information was ob- tained about the caregivers and about their un- derstanding of the disease, drug consumption and dynamics of treatment at home and at school. Seventy-five caregivers were interviewed. Most of them were female, 37.3 years old on average, mothers of the patients who did not work outside the home. Seventy-one caregivers declared dif- ficulties in drug acquisition and patient support associations were highlighted as the main alter- native to avoid the interruption of treatment. Another fact observed wasthe overload of the caregiving process on the shoulders of only one caregiver resulting in social and economic impacts and changes tothe family’s daily routine. This fact emphasizes the need of intervention by a qualified multidisciplinary team to identify and alleviate difficulties, investing in interpersonal relations and administering care.
AbstractThe scope of thisstudywasto identify individual and contextual factors associated with the self-perceived need for dental treatment and for prostheses among elderly Brazilians. An anal- ysis was performed with data from the SB Bra- zil 2010 epidemiological survey conducted by the Ministry of Health with a sample of 7,619 elderly individuals. Multilevel logistic regression models of mixed random and fixed effects were used tothe estimate odds ratio (OR) with 95% confidence in- terval (95% CI) between the dependent variables and individual and contextual factors. Of the in- dividuals assessed, 3,848 (50.5%) reported a need for dental treatment and 4,236 (55.6%) believed they have the need for prostheses. The results of multilevel logistic regression showed that gender, self-reported skin color, income and coverage by the oral health teams in the Family Health Pro- gram were associated with self-perception. Thisstudy revealed a greater influence of individual factors on the self-perceived need for dental treat- ment and prostheses by elderly Brazilians. This information can help to identify the inequalities that affect this population group and in setting priorities for the planning of health services. Key words Elderly, Family health program, Den- tal health surveys, Oral Health, Multilevel analy- sis, Health inequalities
AbstractThe scope of thisstudywasto charac- terize malocclusion in 12-year-old Brazilian chil- dren and identify associated socio-demographic aspects. It is a cross-sectional and analytical study based on an Oral Health Survey (SB Brasil 2010). A sample of 5,539 was included, among which 41% had some degree of malocclusion according tothe Dental Aesthetic Index (DAI). Descrip- tive, bivariate and multiple multinomial logis- tic regression analyses were conducted. Defined malocclusion was greater among those who rated their oral health as neither satisfied/nor dissatis- fied (OR 1.24; CI95%1.03-1.50) and dissatisfied (OR 1.76; CI95%1.50-2.08). Severe malocclusion was greater among children in the Southeast (OR 1.44; CI95%1.06-1.96) and South (OR 1.52; CI95%1.05-2.19), male (OR 1.24; CI95%1.03- 1.48), black/brown (OR 1.39; CI95%1.14-1.69) who rated their oral health as neither satisfied/nor dissatisfied (OR 1.79; CI95%1.41-2.26) and dis- satisfied (OR 2.20; CI95%1.77-2.72). Very severe malocclusion was higher among residents of cap- itals (OR 1.36; CI95%1.07-1.71) who evaluated their oral health as neither satisfied/nor dissatis- fied (OR 1.58; CI95%1.22-2.05) and dissatisfied (OR 2.44; CI95%1.96-3.03). The prevalence of malocclusion is high among Brazilian children, the severity being associated with socio-demo- graphic aspects.