Ciencia & saude coletiva最新文献_第4页

Ovarian cancer mortality in the states of Northeast and South Brazil (1980-2019): effect of age-period and cohort. 巴西东北部和南部各州卵巢癌死亡率（1980-2019）：年龄期和队列的影响

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-12 DOI: 10.1590/1413-81232025308.17032023

Amadeu Clementino Araújo Neto, Juliano Dos Santos, Rafael Tavares Jomar, Karina Cardoso Meira

{"title":"Ovarian cancer mortality in the states of Northeast and South Brazil (1980-2019): effect of age-period and cohort.","authors":"Amadeu Clementino Araújo Neto, Juliano Dos Santos, Rafael Tavares Jomar, Karina Cardoso Meira","doi":"10.1590/1413-81232025308.17032023","DOIUrl":"https://doi.org/10.1590/1413-81232025308.17032023","url":null,"abstract":"The scope of this study was to conduct an analysis on the effect of the Age-Period-Cohort (APC) on ovarian cancer mortality in the South and Northeast regions of Brazil. The APC models were estimated by Poisson regression through estimable functions in women aged 30 and over residing in the states of the South and Northeast regions. Upon estimating the APC models, a positive gradient was found in mortality rates with advancing age in all locations The South region showed a reduction in the risk of death in the last two periods (RR2010-2014 0.94; RR2015-2019 0.90, p<0.001) and a reduction in risk in the cohorts from 1900 to 1929 (RR1900-04 0.55, RR1925-1929 0.89, p<0.001); a similar profile was observed in all states. In the Northeast, there was a progressive increase in the risk of death in the last periods, ranging from 1.02 to 1.11 (2010-2014 vs. 2015-2019, p<0.001). An increased risk of death was observed in younger cohorts, varying from 0.31 to 1.54 (cohort 1900-1904 vs. 1985-1989). Similar results were observed in most of the states.: The conclusion drawn is that heterogeneity in the APC effect on ovarian cancer mortality, which may be correlated with the different rates of the population aging process, changes in the reproductive behavior of women, and inequalities in access to health services.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e17032023"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032885","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

Counseling strategies on the physical activity practice received by adults in Primary Health Care. 初级卫生保健中成人接受的身体活动咨询策略。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-04 DOI: 10.1590/1413-81232025307.05232023

Letícia Aparecida Calderão Sposito, Letícia Pechnicki Dos Santos, Alice Tatiane da Silva, Paulo Henrique Guerra, Mathias Roberto Loch, Cassiano Ricardo Rech, Ciro Romelio Rodriguez-Añez, Rogério César Fermino

{"title":"Counseling strategies on the physical activity practice received by adults in Primary Health Care.","authors":"Letícia Aparecida Calderão Sposito, Letícia Pechnicki Dos Santos, Alice Tatiane da Silva, Paulo Henrique Guerra, Mathias Roberto Loch, Cassiano Ricardo Rech, Ciro Romelio Rodriguez-Añez, Rogério César Fermino","doi":"10.1590/1413-81232025307.05232023","DOIUrl":"10.1590/1413-81232025307.05232023","url":null,"abstract":"This study analyzed the association between sociodemographic characteristics, health conditions, stages of change behavior, and the different counseling strategies on the physical activity (PA) practice received by users of Primary Health Care (PHC) of the Unified Health System. A cross-sectional study was conducted with a representative sample of 779 adults treated at the 15 Basic Health Units in São José dos Pinhais, Brazil. The variables were measured with valid instruments, and the counseling strategies were evaluated based on the \"5 As\" method. As main results, the two most frequently reported strategies were \"receiving information about PA benefits\" (91%) and \"assessing the PA level\" (84%). Age group, hypertension, number of comorbidities, and the medication consumed were consistently associated with at least 50% of the counseling strategies received (p < 0.05). No associations were observed between the variables analyzed and the two most frequently reported strategies. It is concluded that the counseling strategies received vary according to the some analyzed variables.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e05232023"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834226","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

Management strategies to expand access to supply of specialized services in the municipality of Rio de Janeiro, Brazil, between 2021 and 2024. 在2021年至2024年期间，在巴西里约热内卢市扩大专业服务供应的管理战略。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-12 DOI: 10.1590/1413-81232025307.18862024

Fernanda Adães Britto, André Luis Paes Ramos, Audrey Fischer, Paula Bortolon

{"title":"Management strategies to expand access to supply of specialized services in the municipality of Rio de Janeiro, Brazil, between 2021 and 2024.","authors":"Fernanda Adães Britto, André Luis Paes Ramos, Audrey Fischer, Paula Bortolon","doi":"10.1590/1413-81232025307.18862024","DOIUrl":"10.1590/1413-81232025307.18862024","url":null,"abstract":"This study is to describe the management models adopted by the capital city of Rio de Janeiro in the area of health units between 2021 and 2024. An ecological, time-series, descriptive study was carried out using public data from official systems and documentary analysis of formal partnership instruments signed by the Municipality of Rio de Janeiro. The results were presented by identifying the problem situation for each level of care and the alternative management model adopted by the Direct Administration. The evolution of health indicators during the period of change in management was analyzed. The Social Health Organizations model was resumed in the management of all Primary Health Care (PHC) units, with a return to PHC coverage and complete teams. In specialized care, Civil Society Oganizations were hired to set up surgical specialty centers in hospital units, with a five-fold increase in the number of surgeries offered. In hospital care, two models have gained prominence: the Municipal Public Company and the Public-Private Partnership.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18862024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834276","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

Twenty years of the Primary Care Reform in Portugal: lessons learned and new challenges. 葡萄牙初级保健改革二十年：经验教训和新挑战。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-13 DOI: 10.1590/1413-81232025307.21532024

Luis Augusto Pisco, Victor Borges Ramos

{"title":"Twenty years of the Primary Care Reform in Portugal: lessons learned and new challenges.","authors":"Luis Augusto Pisco, Victor Borges Ramos","doi":"10.1590/1413-81232025307.21532024","DOIUrl":"10.1590/1413-81232025307.21532024","url":null,"abstract":"In 1971, in a disruptive process with the dominant culture, the creation of a community network of health centers was begun in Portugal, with universal coverage of the national territory. In October 2005, an ambitious PHC reform was launched. The experience of this reform is now being revisited, motivating some reflections on the lessons learned and on challenges for the future. The last 20 years have been divided into four periods: from 2005 to 2010, marked by the reformist impulse that transformed the traditional hierarchical organization of health centers into networks of multidisciplinary family health service (FHS) teams; between 2010 and 2015, focusing on the severe financial crisis that affected the global economy; from 2015 to 2020, marked by economic and social consequences and the post-crisis recovery; and between 2020 and 2025, tainted by the COVID-19 pandemic, the lasting impacts of the pandemic, and, in the past two years, the generalization of the joint administration of primary, long-term, and hospital care under the legal figure of local health units (LHUs). Considering the full spectrum, the authors propose the integration of the aspects analyzed under the multidimensional perspective of the concept of Local Health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e21532024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834291","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

Rio de Janeiro: Lessons learned, a legacy for primary care, and contributions for Brazil. 里约热内卢de Janeiro：吸取的教训、初级保健的遗产和对巴西的贡献。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 DOI: 10.1590/1413-81232025307.05022025

Daniel Soranz, Heloiza Machado de Souza

引用次数: 0

Dynamic evaluation of a COVID-19 death prediction model using Extreme Gradient Boosting Predictive Model. 基于极端梯度增强预测模型的COVID-19死亡预测模型动态评价

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1590/1413-81232025307.18112024

José Carlos Prado Junior, Alexandre Evsukoff, Roberto de Andrade Medronho

{"title":"Dynamic evaluation of a COVID-19 death prediction model using Extreme Gradient Boosting Predictive Model.","authors":"José Carlos Prado Junior, Alexandre Evsukoff, Roberto de Andrade Medronho","doi":"10.1590/1413-81232025307.18112024","DOIUrl":"10.1590/1413-81232025307.18112024","url":null,"abstract":"The COVID-19 pandemic has evolved dynamically with the emergence of new variants and an increase in vaccination coverage. Given the high fatality rate of severe COVID-19, disease severity prediction models must incorporate these temporal variations. In this light, the present study seeks to develop a model to predict COVID-19 mortality in hospitalized patients. The Extreme Gradient Boost model was used to predict COVID-19 mortality upon hospital admission, and the results were correlated with laboratory test results, vaccination status, comorbidities, and clinical signs and symptoms at the time of admission. Clinical data from electronic medical records, vaccination databases, and severe acute respiratory syndrome (SARS) reports were used. The XGBoost model performed best, with an area under the curve (AUC) of 96.4% at epidemiological week 53 of 2020. The most significant variables for the model were body temperature, blood pressure, respiratory rate, heart rate, urea, magnesium, sodium, and C reactive protein levels. Our study identified key clinical and laboratory variables for predicting COVID-19 mortality.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18112024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834267","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

Leveraging the power of digital health to fight pandemics: The example of ÆSOP. 利用数字卫生的力量抗击流行病：以ÆSOP为例。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-01-09 DOI: 10.1590/1413-81232025307.19342024

Izabel Marcilio, Pilar Veras Tavares Florentino, Thiago Cerqueira-Silva, Juracy Bertoldo-Junior, George Caique Gouveia Barbosa, Vinícius de Araujo Oliveira, Viviane Boaventura, Gerson Oliveira Penna, Pablo Ivan Pereira Ramos, Manoel Barral-Netto

{"title":"Leveraging the power of digital health to fight pandemics: The example of ÆSOP.","authors":"Izabel Marcilio, Pilar Veras Tavares Florentino, Thiago Cerqueira-Silva, Juracy Bertoldo-Junior, George Caique Gouveia Barbosa, Vinícius de Araujo Oliveira, Viviane Boaventura, Gerson Oliveira Penna, Pablo Ivan Pereira Ramos, Manoel Barral-Netto","doi":"10.1590/1413-81232025307.19342024","DOIUrl":"10.1590/1413-81232025307.19342024","url":null,"abstract":"Emerging outbreaks highlight the need for early warning systems, but low-resource centers often face challenges to maintain surveillance capabilities. Administrative data-based systems offer a cost-efficient approach to strengthening surveillance. The present study evaluated whether a primary health care (PHC)-based early warning system could anticipate respiratory outbreak detection, when compared to traditional surveillance. Weekly counts of influenza-like illness PHC encounters in Rio de Janeiro were analyzed from October 2019 to May 2020 and from October 2021 to May 2022. PHC data was compared to weekly surveillance notifications and used time series regression to estimate predicted counts of PHC encounters. Subsequent outbreak warnings were then issued. Our study identified 659,230 influenza-like illness PHC encounters in the first period, and 702,886 in the second period. In the first period, PHC data deviated from baseline two weeks before the rise in notifications during the first COVID-19 wave and one week earlier in the second period. The PHC-based system successfully triggered warnings capable of anticipating the surveillance system. Our findings show PHC-based early warning systems can anticipate outbreaks earlier than traditional surveillance, supporting their role in enhancing surveillance in low-resource settings.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e19342024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834275","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

Factors associated with the quality of the doctor-patient relationship in Brazil. 与巴西医患关系质量相关的因素。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-12-11 DOI: 10.1590/1413-81232025307.13332024

Lucas Wollmann, Lisiane Hauser, Christina van der Feltz-Cornelis, Sotero Serrate Mengue, Rudi Roman, Milena Rodrigues Agostinho Rech, Erno Harzheim

{"title":"Factors associated with the quality of the doctor-patient relationship in Brazil.","authors":"Lucas Wollmann, Lisiane Hauser, Christina van der Feltz-Cornelis, Sotero Serrate Mengue, Rudi Roman, Milena Rodrigues Agostinho Rech, Erno Harzheim","doi":"10.1590/1413-81232025307.13332024","DOIUrl":"10.1590/1413-81232025307.13332024","url":null,"abstract":"This study investigated the influence of patient- and doctor-related factors on the quality of this relationship, measured by the Patient-Doctor Relationship Questionnaire (PDRQ-9), within the primary care setting of Brazil's SUS (Unified Health System). Data were collected from 5,971 adult patients and 494 doctors from Family Health Units (USF) across all regions of Brazil. Multivariate analysis indicated that only patient characteristics were significantly associated with the quality of the doctor-patient relationship. These included living in urban areas, being male, having ten or more years of education, obtaining a same-day consultation, having more than three consultations per year with the same doctor, and being seen at a USF with high-quality primary care. The findings highlight inequalities in the doctor-patient relationship, showing that patients who share common characteristics with their doctors (urban background and higher education) or consult in higher-quality primary care settings report more satisfactory relationships. This underscores the importance of developing doctors' cultural competence and the impact of service organization on relationship quality.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e13332024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834271","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

Oral Health Policy in Brazil: transformations and setbacks from 2019 to 2022. 巴西口腔卫生政策：2019年至2022年的转变和挫折

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-21 DOI: 10.1590/1413-81232025307.00622024

Lília Paula de Souza Santos, Sônia Cristina Lima Chaves, Ana Maria Freire de Souza Lima, Débora Maria Oliveira Cruz Vilela, Carla Vânia de Oliveira Figueiredo, Thamyres Pereira Lima, Catharina Leite Matos Soares

{"title":"Oral Health Policy in Brazil: transformations and setbacks from 2019 to 2022.","authors":"Lília Paula de Souza Santos, Sônia Cristina Lima Chaves, Ana Maria Freire de Souza Lima, Débora Maria Oliveira Cruz Vilela, Carla Vânia de Oliveira Figueiredo, Thamyres Pereira Lima, Catharina Leite Matos Soares","doi":"10.1590/1413-81232025307.00622024","DOIUrl":"10.1590/1413-81232025307.00622024","url":null,"abstract":"This study presents the systematic assessment of oral health policy in Brazil at the federal level during the Bolsonaro administration (2019-2022). The analysis involves document review and secondary data analysis, tracking institutional actions, implementation of public dental services, oral health indicator outcomes, and federal public financing in comparison to 2018. The Bolsonaro government was hit by the COVID-19 pandemic and by the end of it, 29,122 OHTs had been implemented, with population coverage of 46.8% and an increase of 3.8% compared to the previous government. The number of specialized centers increased by 4.1%. Dental consultation coverage was 5.6% and the collective action of supervised tooth brushing was 0.14%, both with the lowest results in the historical series. Specialized dental actions showed a 12.4% and 16,0% reduction in endodontic and periodontal treatment. Only dental prostheses showed an increase (29.4%). The pandemic has influenced the results of the oral health policy, with a reduction in coverage of the first dental appointment and in the collective action of supervised tooth brushing and specialized procedures.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e00622024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834279","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 international growth references to assess nutritional status in a sample of adolescents from Northeastern Brazil. 在巴西东北部青少年样本中评估营养状况的国际生长参考的表现。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-28 DOI: 10.1590/1413-81232025307.03122024

Mariane Helen de Oliveira, Gerson Ferrari, Breno Guilherme de Araújo Tinoco Cabral, Paulo Moreira Silva Dantas, Roberto Fernandes da Costa

{"title":"Performance of international growth references to assess nutritional status in a sample of adolescents from Northeastern Brazil.","authors":"Mariane Helen de Oliveira, Gerson Ferrari, Breno Guilherme de Araújo Tinoco Cabral, Paulo Moreira Silva Dantas, Roberto Fernandes da Costa","doi":"10.1590/1413-81232025307.03122024","DOIUrl":"10.1590/1413-81232025307.03122024","url":null,"abstract":"This study aimed to assess the obesity diagnostic accuracy based on body fat mass (FM) in a sample of adolescents from northeastern Brazil, and to compare their nutritional status classified by the height and body mass index (BMI) references from the World Health Organization (WHO/2007), Centers for Disease Control And Prevention (CDC/2000), International Obesity Task Force (IOTF/2012), Brazil (2006) and MULT (2023). We selected 256 adolescents (10-19y) from the city of Natal, Brazil. Their nutritional status was classified according to the growth references and the obesity classification and the diagnostic accuracy were performed according to their FM, obtained through the Dual-energy X-ray absorptiometry (DXA). The Bland-Altman method was used to verify the concordance among the growth references. The highest obesity prevalence (4.3%) was by applying WHO, CDC and Brazil and the highest critical difference (CD) was found between the BMI references of WHO and MULT (CD = 0.61). The MULT presented the highest values for sensitivity (0.98; 95%CI: 0.96-0.99) and positive likelihood ratio values (+LR) (4.88; 95%CI: 0.85-28.17). Therefore, it seemed to address contemporary growth trends, as it presented great accuracy for diagnosing obesity in this sample of adolescents from northeastern Brazil.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e03122024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834281","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