Ciencia & saude coletiva最新文献_第10页

[Gastric cancer cases in Brazil and waiting times for diagnosis and treatment].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-05 DOI: 10.1590/1413-81232025301.01222023

Thayana Calixto de Carvalho, Anne Karin da Mota Borges, Ilce Ferreira da Silva

{"title":"[Gastric cancer cases in Brazil and waiting times for diagnosis and treatment].","authors":"Thayana Calixto de Carvalho, Anne Karin da Mota Borges, Ilce Ferreira da Silva","doi":"10.1590/1413-81232025301.01222023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.01222023","url":null,"abstract":"The aim is to describe the sociodemographic and clinical-epidemiological profile of hospital cases of gastric cancer and to analyze factors associated with the Time-to-Treatment in Brazil. Exploratory study of sociodemographic and clinical-epidemiological characteristics of cases of gastric cancer. Time-to-Treatment were continuously estimated and then categorized into ≤ 60/> 60 days to estimate prevalence. Factors associated with delay in treatment were considered by simple and multiple logistic regression. Results: the time between diagnosis and initiation of treatment, both for cases that arrived without diagnosis and without treatment, and for those that arrived with diagnosis and without treatment, was shorter for cases whose 1st intervention was surgery and those with staging- III /IV. The main factors associated with delayed treatment were: age, region, marital status, education, city of residence, staging and first intervention received. There was a disparity in the time-to-treatment according to the 1st intervention received, staging and status of arrival at the institution. In addition, there was an association between sociodemographic and clinical factors and a delay in starting treatment.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e01222023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social health determinants associated with mammography performance according to the 2013 and 2019 National Health Survey.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-05 DOI: 10.1590/1413-81232025301.11452023

Denise Montenegro da Silva, Yanka Alcântara Cavalcante, Bruno Luciano Carneiro Alves de Oliveira, Marcos Venícios de Oliveira Lopes, Ana Fátima Carvalho Fernandes, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino

{"title":"Social health determinants associated with mammography performance according to the 2013 and 2019 National Health Survey.","authors":"Denise Montenegro da Silva, Yanka Alcântara Cavalcante, Bruno Luciano Carneiro Alves de Oliveira, Marcos Venícios de Oliveira Lopes, Ana Fátima Carvalho Fernandes, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino","doi":"10.1590/1413-81232025301.11452023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.11452023","url":null,"abstract":"Mammography is one of the main methods available for breast cancer screening in Brazil. However, differences in timely access and performance of the exam can be highlighted based on social determinants of health, considered relevant due to their influence on the health situation of a population. Thus, the present study aimed to identify the social determinants of health associated with access to and performance of mammography in Brazilian women. Cross-sectional and analytical study, based on secondary data from the National Health Survey (NHS) from 2013 and 2019 in Brazil. The main determinants of women who did not take the exam during the evaluated period were: aged 65 to 69 years, mixed race and black, living with more than three people, with incomplete primary education, in the 1st quintile of socioeconomic income, without health insurance, registered with the Family Health Strategy (FHS), and residents of the North and Northeast regions. There was a significant improvement in access to mammography exams in all states; however, structural factors, such as economic income, color, level of education, and age group were evident in why mammograms were not performed.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e11452023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ciência & Saúde Coletiva, National and International Science.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 DOI: 10.1590/1413-81232025301.16042024

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva

引用次数: 0

Between the streets and the RAPS: Integrative review on the access of the homeless population to Mental Health Services.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2024-07-26 DOI: 10.1590/1413-81232025301.07752024

Priscilla Victória Rodrigues Fraga, Maria Cecília Assis de Araújo, Anelise Andrade de Souza, Ana Luísa Jorge Martins, Ana Carolina de Moraes Teixeira Vilela Dantas, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Rômulo Paes-Sousa

{"title":"Between the streets and the RAPS: Integrative review on the access of the homeless population to Mental Health Services.","authors":"Priscilla Victória Rodrigues Fraga, Maria Cecília Assis de Araújo, Anelise Andrade de Souza, Ana Luísa Jorge Martins, Ana Carolina de Moraes Teixeira Vilela Dantas, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025301.07752024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.07752024","url":null,"abstract":"This integrative review systematized the factors that influence access to mental health services for the Homeless Population (HP) in harmful use of alcohol and other drugs in the Psychosocial Care Network (RAPS) in Brazil by categorizing the factors into access \"barriers\" and \"facilitators\". We selected 13 corresponding articles and subsequently assessed their methodological quality. We identified 19 access barriers and 22 access facilitators, observing a convergence and complementarity of the factors identified, with no disagreements between authors. Although there are specific barriers and facilitators related to substance use, most are connected to HP's conditions and lifestyles or how services address the HP. Discrimination, bureaucratic rigidity of services, and a lack of intra- and intersectoral integration were identified as significant barriers. On the other hand, Street Outreach Clinics and practices such as harm reduction and matrix-based support emerged as notable facilitators, adapting to patients' needs. Future studies should explore specific factors and the relationships between these factors.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e07752024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public policies for vulnerable populations: addressing health inequalities.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 DOI: 10.1590/1413-81232025301.15962024

Rômulo Paes-Sousa

引用次数: 0

Construction and validation of an instruction manual of nutritional care for severely obese people in the Unified Health System.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-18 DOI: 10.1590/1413-81232025301.05572023

Mariana de Moura E Dias, Olívia Gonçalves Leão Coelho, Flávia Galvão Cândido, Helen Hermana Miranda Hermsdorff

{"title":"Construction and validation of an instruction manual of nutritional care for severely obese people in the Unified Health System.","authors":"Mariana de Moura E Dias, Olívia Gonçalves Leão Coelho, Flávia Galvão Cândido, Helen Hermana Miranda Hermsdorff","doi":"10.1590/1413-81232025301.05572023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.05572023","url":null,"abstract":"This article describes the construction and validation of an instruction manual geared toward nutritional care (NC) for people with severe obesity in the Brazilian Unified Health System (SUS). In the production of this instruction manual, a broad literature review was conducted for the identification and discussion of topics to be treated. The content and appearance validity were conducted according to the Delphi technique and to focus groups, respectively, with evaluators who were nutritionists and practitioners, from different regions of Brazil. According to the Delphi technique, the instruction attributes and their content as a whole were properly and sufficiently evaluated according to values obtained for the Content Validity Index (CVI > 0.8). In the focus groups, the saturation of content was reached. Furthermore, discussions considering the reality of SUS were conducted and subsequently incorporated into the instructions in order to adequate the final version of the instructions to SUS professionals' needs. In conclusion, the instruction manual produced to fill the gap regarding nutritional care for people with severe obesity presents an adequate content in terms of both quality and topics of interest (content validation), and is applicable within the reality of SUS nutritionists (appearance validity).","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e05572023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Performance of the "a body shape index" as a discriminator of obesity and sarcopenic obesity - ELSA-Brasil].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-18 DOI: 10.1590/1413-81232025301.03162023

Jane Kellen Silva, Odaleia Barbosa de Aguiar, Maria de Fátima Haueisen Sander Diniz, José Ueleres Braga, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca

{"title":"[Performance of the \"a body shape index\" as a discriminator of obesity and sarcopenic obesity - ELSA-Brasil].","authors":"Jane Kellen Silva, Odaleia Barbosa de Aguiar, Maria de Fátima Haueisen Sander Diniz, José Ueleres Braga, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca","doi":"10.1590/1413-81232025301.03162023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03162023","url":null,"abstract":"The scope of this study was to determine the diagnostic performance of ABSI for obesity and sarcopenic obesity, compared to the results of bioimpedance analysis (BIA) and BMI, by sex and age group. It involved a cross-sectional study with 12,793 participants in the second round of ELSA-Brasil (Longitudinal Study of Adult Health in Brazil), which obtained measurements of body fat percentage using BIA and anthropometry, verifying the performance of the diagnostic tests in order to compare the indices. The results showed that for obesity in men in all three age groups, the sensitivity was below 49%. Specificity ranged from 73% to 93%, with a higher percentage in the 65 to 79 age group. The same pattern was found for women, with sensitivity lower than 42%, and specificity ranged from 85% to 92%, and was higher in older women. With respect to sarcopenic obesity, the sensitivity and specificity among men in the three age groups were 72% was 99%, respectively. Among women, sensitivity was around 95% and specificity around 70% in all age groups. ABSI, compared to BIA, showed a reduced ability to identify obesity. However, it proved to be a good marker of sarcopenic obesity.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03162023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Alcohol consumption and incidence of abdominal obesity in participants of the ELSA-Brasil cohort after nine years of follow-up].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-02 DOI: 10.1590/1413-81232025301.14652022

Laís Lago Marinho, Oscar Geovanny Enriquez-Martinez, Gustavo Velásquez-Meléndez, Maria Carmen Viana, Glaucia Cristina de Campos, Maria Del Carmen Bisi Molina

{"title":"[Alcohol consumption and incidence of abdominal obesity in participants of the ELSA-Brasil cohort after nine years of follow-up].","authors":"Laís Lago Marinho, Oscar Geovanny Enriquez-Martinez, Gustavo Velásquez-Meléndez, Maria Carmen Viana, Glaucia Cristina de Campos, Maria Del Carmen Bisi Molina","doi":"10.1590/1413-81232025301.14652022","DOIUrl":"https://doi.org/10.1590/1413-81232025301.14652022","url":null,"abstract":"The scope of this article is to analyze the correlation between alcohol consumption and abdominal obesity in participants of the ELSA-Brasil cohort after a follow-up period of nine years. A longitudinal analysis was performed with baseline and follow-up data from ELSA-Brasil. At baseline, 15,105 civil servants were enrolled. After exclusions, the final sample consisted of 3,591 participants. Anthropometric and lifestyle data were collected, and abdominal obesity was diagnosed in accordance with the World Health Organization parameters. The t-test and chi-square test were applied, and crude and adjusted Poisson models were assessed. The results revealed that more than 70% of the sample reported alcohol use. In nine years, an increase in abdominal obesity and alcohol consumption was observed among men and women. A total of 1,588 new cases of abdominal obesity were identified. Higher alcohol consumption increased the risk of abdominal obesity in men (1.15, 95%CI 1.01-1.31, p < 0.001). The conclusion drawn was that after a follow-up period of 9 years, the highest risk of abdominal obesity was observed only in men who increased their alcohol consumption.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e14652022"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Offer and participation in body practices and physical activities in primary health care in Brazil: analysis from 2014 to 2022].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-20 DOI: 10.1590/1413-81232025301.09492023

Fabio Fortunato Brasil de Carvalho, Paulo Henrique Guerra, Debora Bernardo da Silva, Leonardo Araújo Vieira

{"title":"[Offer and participation in body practices and physical activities in primary health care in Brazil: analysis from 2014 to 2022].","authors":"Fabio Fortunato Brasil de Carvalho, Paulo Henrique Guerra, Debora Bernardo da Silva, Leonardo Araújo Vieira","doi":"10.1590/1413-81232025301.09492023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.09492023","url":null,"abstract":"The scope of this article is to analyze the temporal trend and macro-regional distribution of the options on offer in terms of collective activities of bodily practices and physical activities (BPPA) and the number of participants in primary health care, developed by all health professionals and by Physical Education Professionals in Brazil. It involved an ecological time-series study, using data from the Health Information System for Primary Health Care (Sisab) between 2014 and 2022, which was assessed using regression analysis and Joinpoint software. At the national level, the results revealed an increase in the number of collective BPPA activities and participants in primary health care developed by all health professionals and by Physical Education Professionals between 2014 and 2019, followed by a reduction in both in 2020. The upward trend resumed in 2021 and 2022. The conclusion drawn is that, despite the exceptional scenario caused by the COVID-19 pandemic, upward trends have been identified in both the options on offer of collective BPPA activities and in the number of participants.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e09492023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health in the Legal Amazon: an analysis of morbidity and mortality indicators between 2010 e 2021.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-09 DOI: 10.1590/1413-81232025301.03722023

Natasha Rayane de Oliveira Lima, Beatriz Fátima Alves de Oliveira, Ismael Henrique da Silveira, Igor Neves de Oliveira, Ranieri Flávio Viana de Sousa, Eliane Ignotti

{"title":"Health in the Legal Amazon: an analysis of morbidity and mortality indicators between 2010 e 2021.","authors":"Natasha Rayane de Oliveira Lima, Beatriz Fátima Alves de Oliveira, Ismael Henrique da Silveira, Igor Neves de Oliveira, Ranieri Flávio Viana de Sousa, Eliane Ignotti","doi":"10.1590/1413-81232025301.03722023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03722023","url":null,"abstract":"We carried out the health situation analysis in the Legal Amazon through morbidity and mortality indicators and the comparison between intra and inter-state federation of the region and Brazil. Analysis of the health situation, trends, and identification of clusters in the Brazilian Amazon, for the period from 2010 to 2021, using secondary data available in official health information systems. Circulatory diseases were the main cause of death, representing 23% of deaths. External causes and respiratory diseases contributed 16% and 9% of deaths, respectively; 52.6% of infant deaths occurred in the early neonatal period, and the infant mortality rate remained above the national average. The ratio of maternal mortality was also high and above the national average between 2010 and 2021. The dengue incidence rate remained below the national average with a drop trend of -59.50%. However, rates of Chagas disease, AIDS, Hansen's disease, American cutaneous leishmaniasis and tuberculosis remained above average rates in the country. It was concluded that the population of the Brazilian Amazon faces health challenges. The findings facilitate the identification of territorial priorities for the implementation of actions that impact morbidity and mortality reduction in the region.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03722023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0