Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-02DOI: 10.1590/1413-81232025302.08032023
Fernanda de Oliveira Meller, Antônio Augusto Schäfer, Bianca Languer Vargas, Vanise Dos Santos Ferreira Viero, Elizabet Saes-Silva, Micaela Rabelo Quadra, Samuel de Carvalho Dumith
{"title":"Home office is associated with weight gain during the COVID-19 pandemic: Brazilian population-based studies.","authors":"Fernanda de Oliveira Meller, Antônio Augusto Schäfer, Bianca Languer Vargas, Vanise Dos Santos Ferreira Viero, Elizabet Saes-Silva, Micaela Rabelo Quadra, Samuel de Carvalho Dumith","doi":"10.1590/1413-81232025302.08032023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.08032023","url":null,"abstract":"<p><p>The COVID-19 pandemic caused changes in life, affecting habits and behaviors, and one of its consequences is an increase in weight. We aimed to evaluate the association between remote work and weight gain during the COVID-19 pandemic in two cities in southern Brazil. A population-based cross-sectional study carried out in the southern region of Brazil. Data were collected face-to-face, in households selected by census sampling. The outcome was weight gain, and the exposure was remote working. To verify this association, Poisson Regression was used to calculate the crude and adjusted prevalence ratio and its 95% confidence intervals, using 5% significance level. In total, 2,152 individuals were interviewed. The prevalence of weight gain during the pandemic was 38.4% (95%CI 36.1-40.7), being significantly higher in those who worked remotely (47.0% vs 37.7, p=0.02). Those individuals who worked remotely were 23% more likely to gain weight during the pandemic compared to those who did not work remotely (PR: 1.23; 95%CI 1.02-1.49). Health and education services may be encouraged to implement educational actions at the collective level, aimed at enlightening the population and preventing weight gain in periods of confinement.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e08032023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398466","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}
{"title":"Use of special diets in Brazil: II National Food Survey, 2017-2018.","authors":"Beatriz Salari Bortolot, Marina Campos Araujo, Eliseu Verly Junior","doi":"10.1590/1413-81232025302.20662022","DOIUrl":"https://doi.org/10.1590/1413-81232025302.20662022","url":null,"abstract":"<p><p>This study aims to estimate the prevalence of special diets and analyze the sociodemographic profile, nutritional status, and eating habits of the Brazilian population that uses special diets. This cross-sectional study was conducted with data from the second 2017/2018 National Food Survey (n=45,689 individuals aged at least 10 years). We questioned the use of hypertension, diabetes, cholesterol, heart disease, and weight-loss diets. Dieting prevalence was estimated by sociodemographic characteristics and nutritional status, and logistic regression models were employed to assess factors associated with dieting. All analyses considered sample design and expansion factors. The prevalence of special diets was 14.3%. Weight-loss (5.2%) and hypertension (4.6%) diets were the most prevalent. Women, older adults, individuals with higher incomes, and obese individuals were more likely to follow any type of special diet than their peers.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e20662022"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398502","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}
{"title":"Food insecurity in pregnancy and intergenerational educational mobility.","authors":"Renata Cordeiro Fernandes, Doroteia Aparecida Höfelmann","doi":"10.1590/1413-81232025302.00942023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.00942023","url":null,"abstract":"<p><p>Food insecurity (FI) results from social deprivation and has consequences across generations. This study aims to evaluate the association between FI and intergenerational educational mobility of pregnant women. This cross-sectional study combines the educational level of women undergoing prenatal care in public primary health care facilities and that of their parents to investigate intergenerational educational mobility. Poisson's regression models with robust variance were performed to investigate the relation of FI and intergenerational educational mobility. In total, 602 pregnant women were evaluated. Pregnant women categorized in stable-low education mobility (PR 1.63 95%CI 1.03-2.56), and those who could not inform their fathers' educational levels (PR 1.66 95%CI 1.08-2.56) were more likely to live in households with FI. Women classified in stable-low (PR 1.70 95%CI 1.13-2.52), or downward educational attainment than their mothers presented higher prevalence of FI (PR 1.72 95%CI 1.12-2.63) compared to those with stable-high intergenerational education mobility. Pregnant women's education is determinant for breaking the intergenerational cycle of poverty and hunger.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e00942023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398463","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}
{"title":"Living conditions, diet quality and associated factors in women and children from quilombola communities in Goiás, Brazil.","authors":"Priscila Olin Silva, Raquel Machado Schincaglia, Leonor Maria Pacheco Santos, Muriel Bauermann Gubert","doi":"10.1590/1413-81232025302.07502023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.07502023","url":null,"abstract":"<p><p>The study aimed to describe health and living conditions and analyze factors associated with the quality of the diet of women and children under 5 years of age in 9 rural quilombola communities, certified and without land title in the state of Goiás. Cross-sectional study, in which were constructed the indicators of consumption of ultra-processed foods, diet diversity and diet quality. The association of socioeconomic factors with indicators of dietary diversity and quality was assessed using Pearson's chi-square test, Fischer's exact test and logistic regression analysis. 203 women and 73 children aged 0 to 59 months participated in the study. In women, greater dietary diversity associated with higher income, non-participation in an income transfer program and higher education; in children, fewer people living in the household, B/C socioeconomic classification and diverse maternal diet. Low diet quality in children associated with less diversity in the maternal diet; in women, the income variable was associated with lower diet quality in the chi-square analysis, but the multiple analysis showed an opposite result for this variable. There is an urgency to implement effective actions to guarantee the right to health and adequate and healthy food for this population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e07502023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398496","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-18DOI: 10.1590/1413-81232025302.07302023
Juliana Petri Tavares, Miguel Lucas Silva da Paixão, Lizandra Santos Vieira, Gabriel Fernandes Gonçalves, Daiane Dal Pai, Wagner de Lara Machado
{"title":"Implications of physical and psychological alterations on Civil Police officers' quality of life.","authors":"Juliana Petri Tavares, Miguel Lucas Silva da Paixão, Lizandra Santos Vieira, Gabriel Fernandes Gonçalves, Daiane Dal Pai, Wagner de Lara Machado","doi":"10.1590/1413-81232025302.07302023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.07302023","url":null,"abstract":"<p><p>To assess the relationship of physical and psychological changes with quality of life in Civil Police officers from Porto Alegre. Cross-sectional study carried out with 237 workers in Porto Alegre, Brazil. The physical and psychological changes were evaluated by means of the Standardised Nordic Questionnaire, Self-Reporting Questionnaire, Maslach Burnout Inventory, and Effort-Reward Imbalance instruments. Quality of life was assessed using the World Health Organization Quality of Life tool. Of all 237 Police officers, 51.9% were men with a mean age of 41.4 years old (± 8.58), and they had been active in the function for 6 (3-14) years. The minor psychiatric disorders (MPD) were positively influenced by musculoskeletal symptoms and by burnout, and exerted a negative influence on the QoL Physical domain. The QoL was negatively influenced by musculoskeletal symptoms, by MPDs and by stress. The QoL Environment domain presented an inverse relationship with stress, which was intensified by burnout. Physical and psychological changes affect Police officers' QoL, impacting on the health system.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e07302023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398494","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-08DOI: 10.1590/1413-81232025302.12012023
Helvo Slomp Junior, Maria Paula Cerqueira Gomes, Tulio Batista Franco, Emerson Elias Merhy
{"title":"[Harm reduction as a strategy to slow care].","authors":"Helvo Slomp Junior, Maria Paula Cerqueira Gomes, Tulio Batista Franco, Emerson Elias Merhy","doi":"10.1590/1413-81232025302.12012023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.12012023","url":null,"abstract":"<p><p>This article deals with the relationship between time, in health care, and the society where it takes place. Care as a clinic committed to the integrality of the health-disease process and to the autonomy of the subjects, which takes place in the intercessory encounters. It deals with two dimensions of care time: the chronos or duration between two events, which guides health interventions with deadlines and goals to control the results; and the aiôn temporality of events. Such dimensions are examined in the society of performance or weariness, and the possibility of privileging interruptions, the contemplative \"not doing\" and the temporal in-between. Based on the propositions of a social movement and a verbal neologism, \"slow care\" is proposed as the construction of strategies for managing either the various chronological times that cross the health care, and the opening of oneself to events and the interferences they produce, as resonances, subtleties, small changes (aiôn). Finally, harm reduction is pointed out as a strategy of slow care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e12012023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398338","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}
{"title":"Food as the basis for a healthy life.","authors":"Vania de Matos Fonseca","doi":"10.1590/1413-81232025302.17962024","DOIUrl":"https://doi.org/10.1590/1413-81232025302.17962024","url":null,"abstract":"","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e17962024"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398430","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-11DOI: 10.1590/1413-81232025302.01112023
Tatiane Ferreira Petroni, Mario Augusto Ono
{"title":"Impact of healthcare-associated infections on mortality of hospitalized patients with COVID-19: a systematic review.","authors":"Tatiane Ferreira Petroni, Mario Augusto Ono","doi":"10.1590/1413-81232025302.01112023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.01112023","url":null,"abstract":"<p><p>Although most cases of COVID-19 are mild cases, severe cases requiring hospitalization and mechanical ventilation were sufficient to overwhelm healthcare systems worldwide, leading to more than 6 million deaths and the increase in healthcare associated infections (HAIs). The incidence of HAIs in COVID-19 hospitalized patients has been addressed in systematic reviews, but in these there was no description of mortality related to these infections. Therefore, the aim of this review was to evaluate the impact of HAIs on mortality of hospitalized patients with COVID-19, specially by multidrug resistant bacteria as Acinetobacter baumannii. A systematic review was carried out in the PubMed database on July 2022 using the keywords \"healthcare-associated infection\" OR \"nosocomial infection\" AND \"COVID-19\" AND \"Acinetobacter baumannii\". The incidence of HAIs in COVID-19 patients was 18.85%, with 42.17% of mortality rate and relative risk (RR) 2.08 (95%CI 1.61-2.68). Considering that the risk of death was twice greater in co-infection COVID-19/HAI, it is essential the broad vaccination against COVID-19 and the adoption of measures to reduce HAI incidence in hospitalized patients and mortality by superinfections.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e01112023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398493","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-22DOI: 10.1590/1413-81232025302.13232023
Thaysa de Aguiar Batista, Isabelle Karine Ramos de Lima, Ilma Kruze Grande de Arruda, Anna Karla de Oliveira Tito Borba
{"title":"[Methods for evaluating the frailty syndrome in elderly people with diabetes: an integrative review].","authors":"Thaysa de Aguiar Batista, Isabelle Karine Ramos de Lima, Ilma Kruze Grande de Arruda, Anna Karla de Oliveira Tito Borba","doi":"10.1590/1413-81232025302.13232023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.13232023","url":null,"abstract":"<p><p>This study aims to synthesize the available knowledge about the methods used to assess frailty syndrome in elderly people with diabetes in the community. This is an integrative review of the literature carried out in the LILACS, PubMed, Embase, Web of Science and Scopus databases. A total of 19 articles were included, categorized based on the type of instrument: unidimensional, which includes only the physical elements of frailty, and multidimensional, which incorporates the cognitive and psychosocial domains. Frailty was found to be present in all the articles included, ranging from 28.2% to 80% for unidimensional instruments and 9.4% to 46.2% for multidimensional instruments. Scientific evidence has demonstrated that there is a clear distinction between the various instruments analyzed and, depending on the reality to be applied, the cut-off points for the items that comprise the frailty scales should be adapted to the study population. In view of this, further studies are needed to investigate simpler methods for identifying frailty syndrome that facilitate its use in primary health care, in order to identify the risk of developing frailty early on, as it is the gateway of the health system responsible for the close and longitudinal monitoring of elderly people.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e13232023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398340","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-14DOI: 10.1590/1413-81232025302.16312023
Mariana Silva Macedo, Jorge Henrique Santos Saldanha, Larissa Riani Costa Tavares, Kátia Suely Queiroz Silva Ribeiro, Silvia Lanziotti Azevedo da Silva, Fernando Pierette Ferrari, Rafaela Raulino Nogueira, Milena Maria Cordeiro de Almeida
{"title":"[Primary health organization models and care practices for people with disabilities in Brazil].","authors":"Mariana Silva Macedo, Jorge Henrique Santos Saldanha, Larissa Riani Costa Tavares, Kátia Suely Queiroz Silva Ribeiro, Silvia Lanziotti Azevedo da Silva, Fernando Pierette Ferrari, Rafaela Raulino Nogueira, Milena Maria Cordeiro de Almeida","doi":"10.1590/1413-81232025302.16312023","DOIUrl":"https://doi.org/10.1590/1413-81232025302.16312023","url":null,"abstract":"<p><p>The scope of the Care Network for People with Disabilities in Brazil is to enhance access to, and improve health care for, people with disabilities (PwD) with the participation of primary health care (PHC). The objective of this study was to estimate the association between the PHC organization model and health practices aimed at PwD at this level of care. It involved a cross-sectional study with 1,377 qualified PHC professionals in 8 Brazilian states, part of the REDECIN-BRASIL survey. Logistic regression was performed to estimate the association between the PHC model and the Family Health Strategy (FHS) Model and the frequency of care aimed at PwDs. The Traditional PHC Model revealed a positive and statistically significant association with a lower frequency of practices aimed at PwD in PHC, compared to the FHS model, with regression adjustment for knowledge about the care network for PwD. Prenatal care, home care and health education are more frequent practices in the FHS model, however, creating lines of care, clinical protocols, intersectoral actions and articulation with community resources are still challenges for both models.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e16312023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398347","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}