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":"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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-14DOI: 10.1590/1413-81232025302.00672023
Deborah Carvalho Malta, Laís Santos de Magalhães Cardoso, Guilherme Augusto Veloso, Renato Azeredo Teixeira, Adauto Martins Soares Filho, Juliana Bottoni de Souza, Crizian Saar Gomes, Matthew Cunningham, Antonio Luiz Pinho Ribeiro, Mohsen Naghavi
{"title":"Triple burden of mortality in municipalities in Minas Gerais according to the Global Burden of Disease study, 2000 to 2018.","authors":"Deborah Carvalho Malta, Laís Santos de Magalhães Cardoso, Guilherme Augusto Veloso, Renato Azeredo Teixeira, Adauto Martins Soares Filho, Juliana Bottoni de Souza, Crizian Saar Gomes, Matthew Cunningham, Antonio Luiz Pinho Ribeiro, Mohsen Naghavi","doi":"10.1590/1413-81232025302.00672023","DOIUrl":"10.1590/1413-81232025302.00672023","url":null,"abstract":"<p><p>To describe the temporal evolution of the main causes of mortality in Minas Gerais (MG), Brazil, and to verify the association with socioeconomic indicators. This is a mixed ecological study in which age-standardized mortality rates were calculated per 100,000 inhabitants due to noncommunicable diseases (NCDs), communicable, neonatal and nutritional diseases (NNDs) and external causes (ECs) for 853 municipalities in MG, according to data from the Global Burden of Disease (GBD) study, in the three-year periods 2000 to 2002 (T1), 2009 to 2011 (T2) and 2016 to 2018 (T3). Between T1 and T3, mortality due to NCDs predominated; there was a 22.4% decrease in the rates for NCDs (553.6 to 429.9) and a 29% decrease in the rates for NCDs (83 to 58.9), and a 3.5% increase in EC (62.2 to 64.4). The correlation coefficients were positive (R > 0.70; p < 0.05) and higher mortality rates were found in areas with worse socioeconomic status.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e00672023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398501","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: 2023-12-06DOI: 10.1590/1413-81232025302.09422023
Erik Michel Rodrigues de Souza, Natanael de Jesus Silva, Andhressa Araújo Fagundes
{"title":"[Trend analysis of the Food and Nutrition Surveillance System coverage among Quilombolas children in Brazil].","authors":"Erik Michel Rodrigues de Souza, Natanael de Jesus Silva, Andhressa Araújo Fagundes","doi":"10.1590/1413-81232025302.09422023","DOIUrl":"10.1590/1413-81232025302.09422023","url":null,"abstract":"<p><p>The study objective was to evaluate the temporal trend of nutritional status assessment coverage among Quilombola children in the Food and Nutrition Surveillance System (SISVAN). An ecological time-series study was conducted on the coverage of SISVAN data among Quilombola children under five years of age in Brazilian municipalities between 2008 and 2019. Prais-Winsten regression was performed to analyze the trend and the average annual percentage change (APC) of coverage, in accordance with demographic, socioeconomic and healthcare variables. The results revealed that national coverage varied from 0.1% in 2008 to 2.8% in 2013, decreasing to 0.3% in 2019. The national APC coverage was 11% from 2008 to 2019, corresponding to a stationary trend (p=0.68). All states showed an increase in coverage from 2008 to 2013, followed by a decrease through to 2019. The States of Mato Grosso do Sul and Sergipe showed an increasing trend, while Acre had a decreasing trend. The other states revealed a stationary trend. No temporal variation was observed in coverage according to the variables of interest. The conclusion drawn was that low SISVAN coverage was found among Quilombola children, with a steady temporal trend in most Brazilian states.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e09422023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398380","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: 2023-11-29DOI: 10.1590/1413-81232025302.13372023
Laressa Thaís Krefer, Walter Ferreira de Oliveira
{"title":"[Reformulations in the national mental health policy: analysis of assistance data in the period from 2012 to 2022].","authors":"Laressa Thaís Krefer, Walter Ferreira de Oliveira","doi":"10.1590/1413-81232025302.13372023","DOIUrl":"10.1590/1413-81232025302.13372023","url":null,"abstract":"<p><p>This article aims to analyze data on care in the field of public mental healthcare in Brazil from 2012 to 2022, corresponding to the years before and after the implementation of the New Mental Health Policy. For this purpose, quantitative methodology, of the longitudinal ecological study type, was used. Data was extracted for the period from 2012 to 2022. The sources used were Health Information Systems. The data was compiled into time series and analyzed using descriptive statistical techniques. The results pointed to the enhancement of outpatient services and a decrease in the expansion of Psychosocial Care Centers and Primary Care facilities after 2017, indicating compliance with the New Policy guidelines to deprioritize territorial and community-based services. The number of psychiatric hospitals showed little variation for the entire period, indicating not only alignment with the strengthening of hospital institutions indicated in the New Policy, but also weaknesses in the deinstitutionalization policy of the period prior to 2017. This study concludes that the effects of the changes in national policies on the organization, management and execution of the health system can be seen, but at the same time there is continuity in various aspects.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e13372023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398366","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":"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":"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":"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":"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}
{"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: 2023-11-08DOI: 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":"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}