Revista de saude publica最新文献

{"title":"Functional impact of long Covid on work performance and return to work: a cross-sectional study.","authors":"Fabio Cavalcanti Freitas, Vivian Cintra Sousa, Daniella de Melo, Diêgo Araújo de Moraes Ramos, Gabriela Sayuri Ochiai, Daniel Kolisch, Julia Costa Guimarães, Larissa Gomes da Silva, Erika Christina Gouveia E Silva, José Eduardo Pompeu, Ana Carolina Basso Schmitt","doi":"10.11606/s1518-8787.2026060007097","DOIUrl":"https://doi.org/10.11606/s1518-8787.2026060007097","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between long Covid and socioeconomic, clinical, healthcare, and functional factors with reduced work performance and difficulty returning to work.</p><p><strong>Methods: </strong>A cross-sectional study of individuals in São Paulo aged ≥ 18 years with long Covid (77.8%), with data collected between April 2023 and June 2024. A systematic random sample of severe and mild Covid-19 cases from March 2020 to January 2022. The severity of Covid-19 was classified according to the U.S. Centers for Disease Control and Prevention (CDC) guidelines. Prevalences were assessed, and a Poisson test was performed to examine the association between reduced work performance and difficulty returning to work and sociodemographic, clinical, healthcare-related, and functional factors considered significant (p ≤ 0.05). Among the participants, 43.9% experienced reduced work performance, and 22.2% had difficulty returning to work. Long Covid is defined as having two or more symptoms that develop and persist for more than four weeks after Covid-19, cannot be explained by an alternative diagnosis, and are assessed using a Likert scale for the intensity of self-reported symptoms (0-10). Participants' functional status was assessed using scales for basic activities (Katz), instrumental activities (Lawton), functional limitations (WHO-DAS), and sarcopenia (SARC-F).</p><p><strong>Results: </strong>Poorer work performance was associated with advanced age (PR = 2.20; 95%CI 1.27-3.80), as well as being the primary provider (PR = 1.55; 95%CI 1.05-2.29), and having moderate (OR = 2.99; 95%CI 1.60-5.58) or severe (OR = 4.88; 95%CI 2.59-9.19) functional impairment. For difficulty returning to work, the main association observed was severe functional impairment (OR = 4.33; 95%CI 1.58-11.80).</p><p><strong>Conclusion: </strong>It is noteworthy that advanced age and, particularly, severe functional impairment were significantly associated with poorer performance and difficulty returning to work in the studied population with long Covid.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e35"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimorbidity in the working-age population in Brazil: sociodemographic and behavioral factors.","authors":"Tamyres Araújo Andrade Donato, Amanda Cristina de Souza Andrade, Vanessa Moraes Bezerra","doi":"10.11606/s1518-8787.2026060007251","DOIUrl":"https://doi.org/10.11606/s1518-8787.2026060007251","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence of multimorbidity in the Brazilian working-age population and analyze its determinants, with an emphasis on sociodemographic and behavioral aspects.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using data from the 2019 National Survey of Health, involving employed individuals aged 18 years or older. The outcome was multimorbidity, characterized by the simultaneous presence of two or more chronic noncommunicable diseases, based on a list of 14 conditions. Poisson regression with robust variance was used to assess the association between sociodemographic variables, habits, behaviors, and health/service outcomes.</p><p><strong>Results: </strong>Among the 52,475 employed individuals, 22.6% (95%CI 21.9-23.2) had multimorbidity, which was more prevalent among: women; those aged 30 or older; those with lower levels of education; those who self-identified as white; and urban residents. Participation in public programs for physical activity, episodic heavy drinking, leisure-time screen time, self-rated health as fair/poor or very poor, a doctor's visit in the past year, and having health insurance were also positively associated with multimorbidity.</p><p><strong>Conclusion: </strong>The findings highlight the significant prevalence of multimorbidity among the working-age population in Brazil, with particular emphasis on social and behavioral determinants. These results reinforce the importance of health promotion strategies in multiple contexts, including workplaces, communities, and primary care settings.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e36"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of medication use among individuals with Covid-19 in Brazil: Epicovid 2.0.","authors":"Romina Buffarini, Cesar Gomes Victora, Pedro Curi Hallal, Mariângela Freitas da Silveira","doi":"10.11606/s1518-8787.2026060007542","DOIUrl":"10.11606/s1518-8787.2026060007542","url":null,"abstract":"<p><strong>Objective: </strong>To describe the patterns of medication use among individuals with Covid-19 to treat the disease in Brazil, according to area of residence, demographic and socioeconomic characteristics, religion, and level of trust in scientists.</p><p><strong>Methods: </strong>Epicovid 2.0 National Survey (2024) in 133 municipalities. The analysis included participants who reported having had an episode of Covid-19. The use of antibiotics, azithromycin, antipyretics, chloroquine, and ivermectin was assessed, in addition to the composite outcomes: use of chloroquine and/or ivermectin; chloroquine, ivermectin, and/or azithromycin (CIA); and use of any medication. The frequency of use and 95% confidence intervals were estimated, considering the complex sampling design and sample weighting.</p><p><strong>Results: </strong>The frequency of use of any medication to treat Covid-19 was 63.0% (95%CI 60.0-65.9). Antipyretics were the most commonly used (53.7%), followed by antibiotics (36.2%) and azithromycin (27.2%). The isolated use of ivermectin was reported by 23.6% and that of chloroquine by 12.1%; the use of ivermectin and/or chloroquine reached 27.8% and that of CIA, 39.0%. Overall, medication use was more frequent in the North, Northeast, and Central-West regions and among women. Use was concentrated among adults aged 40-59, people with low educational attainment, and those with lower incomes. Self-identified black and brown individuals reported higher use of chloroquine. Use of chloroquine, ivermectin, and combinations of these medications was more common among evangelicals (0.05 < p < 0.1) and among people who consulted doctors (p < 0.001). Participants who reported distrusting scientists reported higher use of chloroquine and chloroquine/ivermectin compared to those who reported trusting scientists.</p><p><strong>Conclusion: </strong>Four out of ten people who reported episodes of Covid-19 consumed medications not recommended by science to treat the disease. Medication use tended to be more frequent among women, in the northern half of Brazil, among evangelicals, and among people with lower income and education levels. These groups should be prioritized in future campaigns on the appropriate use of medications.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e33"},"PeriodicalIF":2.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicators of complementary feeding and social vulnerability in the Brazilian Amazon.","authors":"Steffany Martins Moreira, Isabel Giacomini, Lalucha Mazzucchetti, Marly Augusto Cardoso","doi":"10.11606/s1518-8787.2026060007513","DOIUrl":"10.11606/s1518-8787.2026060007513","url":null,"abstract":"<p><strong>Objective: </strong>To analyze Complementary Feeding Quality Indicators according to socioeconomic characteristics in Cruzeiro do Sul, Acre, Western Brazilian Amazon.</p><p><strong>Methods: </strong>This is a cross-sectional analysis nested within the MINA - Brazil birth cohort (n = 971), using data from the 1-year (n = 774) and 2-year (n = 854) follow-up visits. Dietary intake was assessed using a 24-hour recall to construct the Complementary Feeding Quality Indicators, adapted from World Health Organization recommendations: minimum dietary diversity, meat and/or egg consumption, ultra-processed food consumption, and zero fruit and vegetable consumption . Socioeconomic, neonatal, and morbidity variables were analyzed according to a hierarchical conceptual model (distal, intermediate, and proximal levels). Prevalence ratios (PR) were estimated using Poisson regression with robust variance and multiple adjustment; variables were selected based on theoretical assumptions or an association with p < 0.10 at each level.</p><p><strong>Results: </strong>Regarding meat and egg consumption, 79.0% of 1-year-old children and 89.9% of 2-year-old children consumed at least one food item from this group the previous day. High frequencies of ultra-processed food consumption were observed in the first (89.1%) and second (94.6%) years of life. The minimum dietary diversity indicator in the first year was less frequent among children from families with lower wealth indices (lowest tertile: PR = 0.74; 95%CI 0.63-0.86) and whose mothers were not engaged in paid work (PR = 0.87; 95%CI 0.80-0.95). Zero fruits and vegetables consumption was more prevalent among children from families with lower wealth indices (lowest tertilel: PR = 4.89; 95%CI 2.90-8.24).</p><p><strong>Conclusion: </strong>The results highlight the influence of socioeconomic factors on children's dietary patterns, reinforcing the importance of intersectoral strategies to promote food and nutritional security.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e34"},"PeriodicalIF":2.4,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using artificial intelligence to analyze violence against women in São Paulo.","authors":"Paulo Bandiera-Paiva, Andre Massahiro Shimaoka, Antonio Carlos da Silva Junior, Leonardo Martins Araujo, Débora Dupas Gonçalves do Nascimento, Maria Elisabete Salvador, Marcelo Batista Ribeiro, Kelsy Catherina Nema Areco, José Marcio Duarte, Nacime Salomão Mansur, Dulce Aparecida Barbosa","doi":"10.11606/s1518-8787.2026060007099","DOIUrl":"10.11606/s1518-8787.2026060007099","url":null,"abstract":"<p><strong>Objective: </strong>To propose the Health Research Standard Process for Artificial Intelligence framework, adapted from the Cross-Industry Standard Process for Data Mining approach, and apply it using time series and artificial intelligence techniques to analyze data from the Sistema de Informação de Agravos de Notificação (SINAN - Notifiable Diseases Information System) on violence against women in São Paulo, exploring sociodemographic, spatial, and predictive dimensions.</p><p><strong>Methods: </strong>The methodology was adapted to health research, replacing the original Business Understanding stage with Research Understanding by incorporating essential technical-scientific elements. We analyzed 80,148 reports of violence against women aged between 20 and 59 living in the city of São Paulo between 2013 and 2023. The analyses included descriptive statistics, calculation of prevalence ratios, decomposition and predictive modeling of time series capturing trends and seasonality, and geospatial analysis of notifications.</p><p><strong>Results: </strong>We observed temporal patterns and sociodemographic characteristics of the victims, with increasing trends in reports of physical, psychological, and sexual violence after 2015 and seasonal behavior. Among the associations, there was a 32% increase in the prevalence of sexual violence when the aggressor was under the influence of alcohol and a 2.47 times greater risk of sexual violence among pregnant women. The geospatial distribution revealed concentrations of notifications in peripheral areas of the municipality, such as the south, east, and central zones. Predictive modeling indicated that the upward trend will persist over the next 24 months, with estimated rates reaching up to 12 cases per 100,000 inhabitants.</p><p><strong>Conclusion: </strong>The applicability of the Health Research Standard Process for Artificial Intelligence was effective as a model for data analysis and the development of predictive algorithms in public health. It was possible to propose a replicable methodological matrix for future research and evidence-based interventions.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e28"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning and cancer survival: analysis of the Registro Hospitalar de Câncer do Estado de São Paulo.","authors":"Fernando Henrique de Albuquerque Maia, Lucas Buk Cardoso, Simone Aldrey Angelo, Yasmin Pacheco Gil Bonilha, Adeylson Guimarães Ribeiro, Maria Paula Curado, Gisele Aparecida Fernandes, Alexandre Dias Porto Chiavegatto Filho, Vanderlei Cunha Parro, Tatiana Natasha Toporcov","doi":"10.11606/s1518-8787.2026060007389","DOIUrl":"10.11606/s1518-8787.2026060007389","url":null,"abstract":"<p><strong>Objective: </strong>To compare the performance of different Survival Machine Learning (SML) algorithms in predicting the survival of cancer patients.</p><p><strong>Methods: </strong>Data from the Registro Hospitalar de Câncer do Estado de São Paulo (São Paulo State Cancer Registry Hospital) were used, covering the five most incident types of cancer (breast, prostate, lung, colorectal and cervix). Six algorithms were evaluated: Gradient Boosting Survival (GBS), Random Survival Forest (RSF), Support Vector Machine Survival (SVM-Survival), XGBoost Cox, XGBoost Accelerated Failure Time (AFT), and LightGBM. Performance was measured by the Concordance Index (C-Index), C-Index IPCW and Integrated Brier Score (IBS) metrics.</p><p><strong>Results: </strong>The XGBoost AFT model showed the best C-Index results for breast (0.7845), lung (0.7368), colorectal (0.7618), and cervix (0.7726), while GBS was superior for prostate (0.7574). Clinical staging was consistently the most important variable, according to the explainability analysis.</p><p><strong>Conclusion: </strong>The SML algorithms showed good predictive performance, regardless of cancer type, sample size and censoring proportion. These models show potential for subsidizing cancer planning and supporting strategic decisions in the organization of cancer care networks.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e31"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visceral leishmaniasis in a peri-urban area of São Paulo associated with Nyssomyia whitmani.","authors":"Amanda Andrade do Rosário, Kleber Agari Campos, Glédson Bandeira Maia, Maria Luiza Bregieiro Abuassi, Gabriela Salvador, Cynthia Piateli, Márcia Dalastra Laurenti, Vânia Lúcia Ribeiro da Matta, Gabriela Araújo Flores, Roberto Mitsuyoshi Hiramoto, Jose Eduardo Tolezano, Fredy Galvis Ovallos","doi":"10.11606/s1518-8787.2026060007326","DOIUrl":"10.11606/s1518-8787.2026060007326","url":null,"abstract":"<p><strong>Objective: </strong>To investigate an outbreak of canine visceral leishmaniasis and the circulation of Leishmania in phlebotomine species in a peri-urban area in the municipality of São Paulo.</p><p><strong>Methods: </strong>Twelve dogs were assessed for Leishmania infection and sandflies were collected using Shannon and CDC light traps. The presence of the parasite in the captured female sandflies was analyzed by molecular method.</p><p><strong>Results: </strong>Of the dogs analyzed, four were seropositive both in the rapid serological test and by ELISA for Le. infantum. Among the 8,354 phlebotomines captured, Nyssomyia whitmani predominated in the area (98.2%) and DNA from Le. infantum and Le. braziliensis was detected in females of this species, indicating potential participation in the transmission cycle of the visceral leishmaniasis agent.</p><p><strong>Conclusion: </strong>The findings of this study demonstrate the occurrence of an outbreak of canine visceral leishmaniasis in the Perus district, in the municipality of São Paulo, characterized by the presence of dogs infected with Le. infantum and potential transmission associated with the phlebotomine Ny. whitmani. It also reinforces the importance of entomological surveillance of susceptible vectors and the integration of information in a one health approach, with a view to the early detection of potential transmission foci.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e32"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication strategies in childhood vaccine hesitancy: a scoping review.","authors":"Elisangela Rodolfo Miras, Cristiane Spadacio, Bruna Aparecida Gonçalves, Elda de Oliveira, Paulo Henrique Nico Monteiro, Luan Nascimento Lázaro, Pamela Machado Polato, Júlia Zaparolli, Lorruan Alves Dos Santos, Camila Carvalho de Souza Amorim Matos, Carolina Luisa Alves Barbieri, Marcia Thereza Couto","doi":"10.11606/s1518-8787.2026060007242","DOIUrl":"10.11606/s1518-8787.2026060007242","url":null,"abstract":"<p><strong>Objective: </strong>To analyze how communicative configurations are addressed in empirical studies on childhood vaccine hesitancy, with an emphasis on the strategies and communication channels used, as well as on how these elements influence parents' and caregivers' decisions.</p><p><strong>Methods: </strong>A scoping review was conducted across five databases (Scopus, Web of Science, PubMed, SciELO, and LILACS) on childhood vaccine hesitancy and communication strategies, including articles published between 2015 and 2017 in English, Portuguese, Spanish, and French. Empirical studies on childhood vaccination were included, with children's age as defined by the study authors. Data extracted independently by five researchers were analyzed through thematic synthesis, based on a coding matrix that categorized findings into core themes. The analysis was theoretically guided by Hepp and Hasebrink's concept of communicative configurations.</p><p><strong>Results: </strong>Twenty-two studies were analyzed, mostly conducted in the United States (n = 9), primarily involving parents/caregivers and healthcare professionals. Social media emerged as a central medium, with an ambivalent role: as a source of misinformation, but also a channel for pro-vaccine messages. Strategies featuring clear scientific messages, the MOTIVE tool, and analyses of anti-vaccine discourses were promising in increasing vaccination intention. Trust-based relationships between physicians and families and message tailoring were identified as fundamental.</p><p><strong>Conclusion: </strong>Health communication is essential for addressing childhood vaccine hesitancy. The reviewed studies indicate that integrated strategies combining evidence-based public policies with personalized and culturally sensitive communication are key to promoting vaccine uptake and increasing confidence in vaccines.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e26"},"PeriodicalIF":2.4,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccine hesitancy in Brazil: post-pandemic challenges and the use of artificial intelligence.","authors":"Ana Paula Sayuri Sato","doi":"10.11606/s1518-8787.2026060007418","DOIUrl":"10.11606/s1518-8787.2026060007418","url":null,"abstract":"<p><p>Vaccine hesitancy is a global public health challenge, and its characteristics change according to the social and epidemiological context. This commentary seeks to stimulate debate on the dynamic nature of the definition and determinants of vaccine hesitancy, especially in the wake of the Covid-19 pandemic and the population's increased access to new forms of information-seeking, such as artificial intelligence. Scientific production on childhood vaccine hesitancy in Brazil before 2016 was focused on high-income families. After 2016, there was an increase in production on vaccine hesitancy, considering the World Health Organization's 2014 determinants model. After the start of the pandemic, there was a significant increase in studies on disinformation and the politicization of the vaccine. Currently, the use of generative artificial intelligence, which is increasingly common in the search for information on vaccines, is being considered.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e29"},"PeriodicalIF":2.4,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and content validity of the PGSI into Brazilian Portuguese.","authors":"Carla Cavalheiro Moura, Daniel Tornaim Spritzer, Rodrigo Menezes Machado, Rodrigo Nogueira Borghi, Nathalia Seminário Gabioneta, André Monezi de Andrade, Hermano Tavares","doi":"10.11606/s1518-8787.2026060007368","DOIUrl":"10.11606/s1518-8787.2026060007368","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to cross-culturally adapt the Problem Gambling Severity Index (PGSI) into Brazilian Portuguese and to conduct a preliminary assessment of its content and face validity.</p><p><strong>Methods: </strong>The adaptation process followed internationally recognized guidelines and included several stages: initial translation, translation synthesis, back-translation, review by a committee of experts, evaluation by an expert panel of 11 specialists, pre-test with participants from the general population, and final revision. The Content Validity Index (CVI), Clarity Index (CI), and Content Validity Ratio (CVR) were calculated based on the experts' evaluations. As a first step, establishing semantic and content validity is essential before broader psychometric testing can be meaningfully conducted in the target population.</p><p><strong>Results: </strong>The adapted PGSI demonstrated strong content validity, with all items reaching a CVI of 0.90 or higher and an overall mean of 0.98. The CI ranged from 2.63 to 2.90, and the CVR indicated high agreement regarding the essentiality of the items. Face validity testing with 33 participants from the general population revealed that all items were rated as understandable or entirely understandable by most participants (84.9% to 100%). Expert feedback was also used to refine the wording of items, particularly to distinguish between \"gaming\" and \"gambling\" in the Brazilian context.</p><p><strong>Conclusion: </strong>The Brazilian Portuguese version of the PGSI presented robust preliminary evidence of semantic, conceptual, and cultural adequacy. This version fills a critical methodological gap and provides a culturally appropriate screening and monitoring tool for use in clinical and research settings in Brazil, supporting prevention and public health monitoring of gambling-related harms, including financial impacts. Future studies will evaluate additional psychometric properties further to consolidate its use in clinical and epidemiological contexts.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e27"},"PeriodicalIF":2.4,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}