Revista Brasileira de Epidemiologia最新文献_第9页

Fasting glucose of patients from public health care in the southern region of São Paulo: correlation with glycated hemoglobin and lipid levels. 圣保罗南部地区公共卫生保健患者的空腹血糖:与糖化血红蛋白和脂质水平的相关性

Revista Brasileira de Epidemiologia Pub Date : 2019-11-25 DOI: 10.1590/1980-549720190058

L. F. Franco, Ana Carolina Cintra Nunes Mafra, Mario Maia Bracco, Laercio Joel Franco, Larissa Kozloff Naves, Glória Maria Ferreira Ribeiro, C. L. P. Mangueira

{"title":"Fasting glucose of patients from public health care in the southern region of São Paulo: correlation with glycated hemoglobin and lipid levels.","authors":"L. F. Franco, Ana Carolina Cintra Nunes Mafra, Mario Maia Bracco, Laercio Joel Franco, Larissa Kozloff Naves, Glória Maria Ferreira Ribeiro, C. L. P. Mangueira","doi":"10.1590/1980-549720190058","DOIUrl":"https://doi.org/10.1590/1980-549720190058","url":null,"abstract":"INTRODUCTION\u0000Fasting glucose is a test used for monitoring diabetes mellitus, as well as its screening and diagnosis. The objective of this study was to evaluate fasting glucose results and their correlation with glycated hemoglobin and lipids.\u0000\u0000\u0000METHODS\u0000Cross-sectional study, involving 77,581 patients, attended in 2014.\u0000\u0000\u0000RESULTS\u0000The majority of the patients are women (65%). The age of the patients ranged from 18 to 115 years (mean of 53 ± 15.5). The agreement between fasting glucose and glycated hemoglobin was moderate (kappa = 0.416); however, it was substantial for the levels used for the diagnosis of diabetes (kappa = 0.689) and poor for pre-diabetes (kappa = 0.188). Fasting glucose ≥ 100 mg/dL was observed in 41.1% of the patients and 61.5% present glycated hemoglobin ≥ 5.7%. Lipid abnormalities are likeliest in patients with elevated fasting glucose. From those 14,241 individuals that had fasting glucose ≥ 126 mg/dL, the microalbuminuria test was performed in only 883 (6.2%) patients, with abnormal results in 201 (22.8%).\u0000\u0000\u0000CONCLUSIONS\u0000The high frequency of fasting glucose with abnormal results may reflect the high proportion of exams performed by individuals with diagnosis of diabetes, to evaluate their glycemic control. The low frequency of requests for microalbuminuria tests in those with probable diagnosis of diabetes reflects the little attention paid for the screening of chronic complications of diabetes. It calls attention the high frequency of dyslipidemia in those individuals, highlighting the fact that this is a population with high cardiovascular risk.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67308093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Estimation of salt intake in the Brazilian population: results from the 2013 National Health Survey. 巴西人口盐摄入量估算:2013年全国健康调查结果。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190009.supl.2

J. G. Mill, D. Malta, Í. Machado, Arthur Pate, Cimar Azeredo Pereira, Patrícia Constante Jaime, C. Szwarcwald, L. Rosenfeld

{"title":"Estimation of salt intake in the Brazilian population: results from the 2013 National Health Survey.","authors":"J. G. Mill, D. Malta, Í. Machado, Arthur Pate, Cimar Azeredo Pereira, Patrícia Constante Jaime, C. Szwarcwald, L. Rosenfeld","doi":"10.1590/1980-549720190009.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190009.supl.2","url":null,"abstract":"OBJECTIVE\u0000To estimate the salt intake in the Brazilian population according to their urinary sodium excretion.\u0000\u0000\u0000METHODS\u0000The National Health Survey (2013) aimed to gather data on the health of adults (≥ 18 years) through a random selection of households. In each household, one adult was selected to have their biological data collected (anthropometry, blood pressure, and blood and urine tests). The urine sample was sent to a central laboratory to determine sodium (ion-selective electrode) and creatinine (Jaffé method) concentrations. Sodium excretion was estimated with the Tanaka equation.\u0000\u0000\u0000RESULTS\u0000Urinary sodium and creatinine concentrations were measured in 8,083individuals (58% women). The mean salt intake was estimated at 9.34 g/day (95% confidence interval - 95%CI 9.27 - 9.41) and was higher in males (9.63 g/day; 95%CI 9.52 - 9.74) than in females (9.08 g/day; 95%CI 8.99 - 9.17). Wefound no significant differences regarding age group, ethnicity, or schooling. Salt intake was higher in the Southeast and South regions and lower in the Northeast and North. Only 2.4% (95%CI 2.0 - 2.8) of the sample consumed less than 5 g/day, and 58.2% (95%CI 56.7 - 59.6) of participants had an estimated intake of 8 to 12 g/day.\u0000\u0000\u0000CONCLUSION\u0000The mean salt intake in the Brazilian population is approximately twice the recommended by the World Health Organization (5g/day).Given the association of high salt intake with hypertension and decreased renal function, these data indicate the need to adopt comprehensive public policies to reduce the consumption in the Brazilian population.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 45

Social inequalities in the food consumption profile of the Brazilian population: National Health Survey, 2013. 巴西人口食品消费状况中的社会不平等现象:2013年全国健康调查。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190011.supl.2

Lhaís de Paula Barbosa Medina, M. Barros, Neuciani Ferreira da Silva E Sousa, T. Bastos, M. Lima, C. Szwarcwald

{"title":"Social inequalities in the food consumption profile of the Brazilian population: National Health Survey, 2013.","authors":"Lhaís de Paula Barbosa Medina, M. Barros, Neuciani Ferreira da Silva E Sousa, T. Bastos, M. Lima, C. Szwarcwald","doi":"10.1590/1980-549720190011.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190011.supl.2","url":null,"abstract":"INTRODUCTION\u0000High income concentration prevails in Brazil and socioeconomic status influences living and health conditions, including dietary quality.\u0000\u0000\u0000OBJECTIVE\u0000To measure the magnitude of social inequalities in the food quality profile of the Brazilian population.\u0000\u0000\u0000METHOD\u0000We analyzed data from 60,202 adults who participated in the 2013 National Health Survey. The prevalence of indicators of food quality was estimated according to gender, ethnicity, income, schooling, and health insurance. We calculated prevalence ratios using multiple Poisson regression.\u0000\u0000\u0000RESULTS\u0000Healthy food consumption was more prevalent among females, white people, and individuals with higher socioeconomic status. However, we also found a higher prevalence of some foods considered unhealthy, such as sweets, sandwiches, snacks, and pizzas, among the most favored social segments, in women, and white people, expressing the concomitance of healthy and unhealthy eating habits. The comparison between the consumption of skim and low-fat milk according to income (prevalence ratio - PR = 4.48) presented the most significant difference.\u0000\u0000\u0000CONCLUSION\u0000In addition to the expressive social inequality identified in the Brazilian food profile, mixed patterns were detected, including healthy and unhealthy foods. These results point out the need for monitoring and promoting healthy eating habits, taking into account the social inequalities and contradictions concerning food intake.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1980-549720190011.supl.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Reference values for blood count laboratory tests in the Brazilian adult population, National Health Survey. 巴西成人血液计数实验室检测参考值，国家健康调查。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190003.supl.2

L. G. Rosenfeld, D. Malta, C. Szwarcwald, N. Bacal, Maria Alice Martins Cuder, Cimar Azeredo Pereira, André William Figueiredo, Alanna Gomes da Silva, Í. Machado, Wanessa Almeida da Silva, Gonzalo Vecina Neto, Jarbas Barbosa da Silva Júnior

{"title":"Reference values for blood count laboratory tests in the Brazilian adult population, National Health Survey.","authors":"L. G. Rosenfeld, D. Malta, C. Szwarcwald, N. Bacal, Maria Alice Martins Cuder, Cimar Azeredo Pereira, André William Figueiredo, Alanna Gomes da Silva, Í. Machado, Wanessa Almeida da Silva, Gonzalo Vecina Neto, Jarbas Barbosa da Silva Júnior","doi":"10.1590/1980-549720190003.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190003.supl.2","url":null,"abstract":"OBJECTIVE\u0000To describe reference values for blood counts obtained from laboratory tests in the Brazilian adult population according to laboratory results from the National Health Survey (Pesquisa Nacional de Saúde - PNS), by gender, age group and skin color.\u0000\u0000\u0000METHODS\u0000The initial sample consisted of 8,952 adults. To determine the reference values, individuals with prior diseases and outliers were excluded. Mean values, standard deviation and limits were stratified by gender, age group and skin color.\u0000\u0000\u0000RESULTS\u0000For red blood cells, men presented a mean value of 5.0 million per mm3 (limits: 4.3-5.8) and women, 4.5 million per mm3 (limits: 3.9-5.1). Hemoglobin levels were higher among men with a mean of 14.9 g/dL (13.0-16.9), and in women, 13.2 g/dL (11.5-14.9). The mean number of white blood cells among men was 6.142/mm3 (2.843-9.440) and 6.426/mm3 (2.883-9.969) for women. Other parameters showed close values between the genders. Regarding age groups and skin color, mean values, standard deviation and limits of the exams presented small variations.\u0000\u0000\u0000CONCLUSION\u0000Hematological reference values based on the national survey allow for the establishment of specific reference limits for gender, age and skin color. The results presented here may contribute to the establishment of better evidence and criteria for the care, diagnosis and treatment of diseases.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Reference values for laboratory tests of cholesterol, glycosylated hemoglobin and creatinine of the Brazilian adult population. 巴西成人胆固醇、糖化血红蛋白和肌酐实验室检测参考值。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190002.supl.2

C. Szwarcwald, D. Malta, Cimar Azeredo Pereira, André William Figueiredo, W. Almeida, Í. Machado, N. Bacal, Alanna Gomes da Silva, Jarbas Barbosa da Silva Júnior, L. G. Rosenfeld

{"title":"Reference values for laboratory tests of cholesterol, glycosylated hemoglobin and creatinine of the Brazilian adult population.","authors":"C. Szwarcwald, D. Malta, Cimar Azeredo Pereira, André William Figueiredo, W. Almeida, Í. Machado, N. Bacal, Alanna Gomes da Silva, Jarbas Barbosa da Silva Júnior, L. G. Rosenfeld","doi":"10.1590/1980-549720190002.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190002.supl.2","url":null,"abstract":"INTRODUCTION\u0000This article aims to estimate reference values for laboratory tests of cholesterol, glycosylated hemoglobin and creatinine for the Brazilian adult population.\u0000\u0000\u0000METHODS\u0000A descriptive study carried out with laboratory data from the National Health Survey (Pesquisa Nacional de Saúde - PNS). Samples of blood and urine were collected in a PNS subsample of 8,952 individuals aged 18 years old or older. To determine the reference values, exclusion criteria were applied: presence of previous diseases and outliers, defined by values outside the range estimated by the mean ± 1.96 × standard deviation. Subsequently, reference values were calculated according to gender, age group and race/skin color.\u0000\u0000\u0000RESULTS\u0000Differences in reference values according to gender were observed. Women had higher values of total cholesterol, LDL-c and HDL-c. Glycosylated hemoglobin showed similar values in relation to gender, and creatinine was higher among men. The mean reference values were higher in the elderly population, aged 60 years old or older. The mean, lower and upper limits of total cholesterol and fractions of non-white people were slightly lower. There was no difference according to race/skin color for glycosylated hemoglobin and creatinine.\u0000\u0000\u0000CONCLUSION\u0000The establishment of national reference parameters for laboratory tests, adapted to the sociodemographic and geographic characteristics, provides relevant information for evaluation of diagnosis and treatment of chronic diseases in Brazil.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Laboratory exams of the National Health Survey: methodology of sampling, data collection and analysis. 全国健康调查的实验室检查:抽样、数据收集和分析方法。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190004.supl.2

C. Szwarcwald, D. Malta, Paulo Roberto Borges de Souza Júnior, Wanessa da Silva de Almeida, Giseli Nogueira Damacena, Cimar Azeredo Pereira, L. Rosenfeld

{"title":"Laboratory exams of the National Health Survey: methodology of sampling, data collection and analysis.","authors":"C. Szwarcwald, D. Malta, Paulo Roberto Borges de Souza Júnior, Wanessa da Silva de Almeida, Giseli Nogueira Damacena, Cimar Azeredo Pereira, L. Rosenfeld","doi":"10.1590/1980-549720190004.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190004.supl.2","url":null,"abstract":"INTRODUCTION\u0000This article aims at describing the National Health Survey (Pesquisa Nacional de Saúde- PNS) methodology of collecting laboratory exams data.\u0000\u0000\u0000METHODOLOGY\u0000A subsample of 25% of the census tracts was selected, according to the stratification of the PNS sample, with a probability inversely proportional to the difficulty of collection. The collection of blood and urine was done in the households by a laboratory agent, among residents selected for individual interview. Due to the difficulties found in the field work, the sample did not reach the minimum expected number in some strata, and a post-stratification procedure was proposed for the data analysis.\u0000\u0000\u0000RESULTS\u0000The collection of biospecimens was performed in 8,952 individuals. Laboratory tests were: glycated hemoglobin; total cholesterol; LDL cholesterol; HDL cholesterol; serology for dengue; red blood cell count (erythrogram) and white series count (leukogram); high performance liquid chromatography (HPLC) for diagnosis of hemoglobinopathies; creatinine. Theexcretion of potassium, salt and sodium and creatinine was estimated in the urine. The database of laboratory exams was weighed and made publicly available on the Oswaldo Cruz Foundation's PNS website and can be accessed without prior authorization.\u0000\u0000\u0000CONCLUSION\u0000The total subsample of laboratory exams is of great value, since it allowed us to establish national reference parameters adequate to sociodemographic and geographic characteristics of the Brazilian population, providing relevant and complementary information for the analysis of the health situation of Brazil.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 31

Evaluation of renal function in the Brazilian adult population, according to laboratory criteria from the National Health Survey. 根据国家健康调查实验室标准对巴西成年人肾功能的评估。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190010.supl.2

D. Malta, Í. Machado, Cimar Azeredo Pereira, André Willian Figueiredo, Lilian Kelen de Aguiar, W. Almeida, M. F. M. Souza, L. G. Rosenfeld, C. Szwarcwald

{"title":"Evaluation of renal function in the Brazilian adult population, according to laboratory criteria from the National Health Survey.","authors":"D. Malta, Í. Machado, Cimar Azeredo Pereira, André Willian Figueiredo, Lilian Kelen de Aguiar, W. Almeida, M. F. M. Souza, L. G. Rosenfeld, C. Szwarcwald","doi":"10.1590/1980-549720190010.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190010.supl.2","url":null,"abstract":"OBJECTIVE\u0000To evaluate the renal function of the Brazilian adult population, according to laboratory criteria of the National Health Survey (Pesquisa Nacional de Saúde - PNS).\u0000\u0000\u0000METHODOLOGY\u0000A descriptive study was carried out with laboratory data from the PNS, which was collected between the years 2014 and 2015. Population prevalence of the serum creatinine (CR) and estimated glomerular filtration rate (GFR) according to sociodemographic variables, were analyzed from the PNS laboratory data.\u0000\u0000\u0000RESULTS\u0000The sample consisted of 8,535 individuals aged 18 years old or older for the study of CR and 7,457 for the study of GFR. The GFR prevalence < 60 mL/min/1.73 m2 was 6.7% (95%CI 6.0 - 7.4), higher in women (8.2% 95%CI 7.2 - 9.2) than in men (5.0% 95%CI 4.2 - 6.0) p < 0.001, and in elderly > 60 years old it was 21.4%. For the values of CR ≥ 1.3 mg/dL in men were 5.5% (95%CI 4.6 - 6.5), and in women values of CR ≥ 1.1 mg/dL were 4.6% (95%CI 4.0 - 5.4), with no diference between the genders, p = 0.140.\u0000\u0000\u0000CONCLUSION\u0000Results from the PNS laboratory identified a higher prevalence of chronic kidney disease in the Brazilian population than that estimated in self-reported studies, with higher GFR < 60 mL/min/1.73 m2 in women, and reaching one fifth of the elderly. These tests may be useful for the purpose of identifying the disease early on and thus preventing the progression of renal damage and reduce the risk of cardiovascular events and mortality.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1980-549720190010.supl.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Prevalence of diabetes mellitus as determined by glycated hemoglobin in the Brazilian adult population, National Health Survey. 巴西成人中糖化血红蛋白测定的糖尿病患病率，国家健康调查。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190006.supl.2

D. Malta, B. Duncan, Maria Inês Schmidt, Í. Machado, Alanna Gomes da Silva, Regina Tomei Ivata Bernal, Cimar Azeredo Pereira, Giseli Nogueira Damacena, Sheila Rizzato Stopa, L. Rosenfeld, C. Szwarcwald

{"title":"Prevalence of diabetes mellitus as determined by glycated hemoglobin in the Brazilian adult population, National Health Survey.","authors":"D. Malta, B. Duncan, Maria Inês Schmidt, Í. Machado, Alanna Gomes da Silva, Regina Tomei Ivata Bernal, Cimar Azeredo Pereira, Giseli Nogueira Damacena, Sheila Rizzato Stopa, L. Rosenfeld, C. Szwarcwald","doi":"10.1590/1980-549720190006.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190006.supl.2","url":null,"abstract":"OBJECTIVE\u0000To analyze the prevalence of diabetes mellitus (DM) according to different diagnostic criteria, in the Brazilian adult population, according to laboratory results from the Brazilian National Health Survey.\u0000\u0000\u0000METHODS\u0000Analysis of laboratory data from the National Health Survey, collected between 2014 and 2015. The prevalence of diabetes was calculated according to different diagnostic criteria. The prevalence of diabetes was calculated according to the criterion of glycosylated hemoglobin ≥ 6.5% or using medication, using Poisson regression and calculating crude and adjusted PR and 95%CI.\u0000\u0000\u0000RESULTS\u0000The prevalence of diabetes according to different criteria varies from 6.6 to 9.4%. Intermediate or pre-diabetes hyperglycemia ranged from 6.8 to 16.9%. Considering laboratory criteria or medication use, the prevalence of DM was 8.4 (95%CI 7.65-9.11). The adjusted PR for gender, age, educational level and region was lower for males (PR 0.75; 95%CI 0.63 - 0.89), increased with age: 30 to 34 years (PR 2.32; 95% CI 1.33 - 4.07), 40 to 59 years PR 8.1; 95%CI 4.86 - 13.46), 60 years old or older (PR 12.6; 95%CI 7.1 - 21.0), and higher educational levels was protective (PR 0.8; 95%CI 0.6 - 0.9). Therewas a higher PR in the Central West Region (PR 1.3; 95%CI 1.04 - 1.7), in overweight people (PR 1.8; 95%CI 1.4 - 2.1), and in obese people (PR 3.3; 95%CI 2.6 - 4.1).\u0000\u0000\u0000CONCLUSION\u0000The prevalence of diabetes was higher in females, people over 30 years of age, in populations with low educational levels, and people who were overweight and obese. The study advances in determining the diabetes situation in the country through laboratory criteria.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1980-549720190006.supl.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

Self-reported medical diagnosis of heart disease and associated risk factors: National Health Survey. 自我报告的心脏病医学诊断及相关危险因素:全国健康调查。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190016.supl.2

R. Gonçalves, Desirré Sant'Ana Haikal, M. Freitas, Í. Machado, D. Malta

{"title":"Self-reported medical diagnosis of heart disease and associated risk factors: National Health Survey.","authors":"R. Gonçalves, Desirré Sant'Ana Haikal, M. Freitas, Í. Machado, D. Malta","doi":"10.1590/1980-549720190016.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190016.supl.2","url":null,"abstract":"OBJECTIVE\u0000To analyze the risk factors associated with the self-reported medical diagnosis of heart disease in Brazil.\u0000\u0000\u0000METHODS\u0000This is a cross-sectional study, analyzing information from 60,202 adult participants of the Brazilian National Health Survey in 2013. Heart disease was defined by self-reported medical diagnosis of heart disease. We analyzed associations between the occurrence of disease and sociodemographic characteristics, health conditions and lifestyle. A hierarchical binary logistic regression model was used.\u0000\u0000\u0000RESULTS\u0000The prevalence of self-reported diagnosis of heart disease in Brazil was 4.2% (confidence interval of 95% [95%CI] 4.0 ‒ 4.3) and was associated with females (odds ratio [OR] = 1.1; 95%CI 1.1 ‒ 1.1), people 65 years old or older (OR = 4.7; 95%CI 3.3 ‒ 5.6), poor or very poor health conditions (OR = 4.1; 95%CI 3.5 ‒ 4.6) and fair health conditions (OR = 2.4; 95%CI 2.2 ‒ 2.7), hypertensive individuals (OR = 2.4; 95%CI 2.2 ‒ 2.7), those with increased cholesterol (OR = 1.6; 95%CI 1.5 ‒ 1.8), overweight individuals (OR = 1.5; 95%CI 1.4 ‒ 1.8) and obese individuals (OR = 2.0; 95%CI 1.7 ‒ 2.2), sedentary behavior (OR = 1.5; 95%CI 1.02 ‒ 2.1), former smokers (OR = 1.4; 95%CI 1.3 ‒ 1.6) or current smokers (OR = 1.2; 95%CI 1.03 ‒ 1.3) and the consumption of fruits and vegetables 5 or more days each week (OR = 1.5; 95%CI 1.1 ‒ 1.5).\u0000\u0000\u0000CONCLUSION\u0000The importance of knowledge on the prevalence of heart disease and associated risk factors in the present Brazilian epidemiological context must be emphasized because it guides actions to control and prevent cardiovascular diseases, the leading cause of death in Brazil and worldwide.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Use of antihypertensive and antidiabetic medications in Brazil: an analysis of socioeconomic differences. National Health Survey, 2013. 巴西抗高血压和抗糖尿病药物的使用:社会经济差异分析全国健康调查，2013年。

Revista Brasileira de Epidemiologia Pub Date : 2019-10-07 DOI: 10.1590/1980-549720190014.supl.2

Camila Nascimento Monteiro, M. Lima, C. Szwarcwald, Tássia Fraga Bastos, M. B. D. A. Barros

{"title":"Use of antihypertensive and antidiabetic medications in Brazil: an analysis of socioeconomic differences. National Health Survey, 2013.","authors":"Camila Nascimento Monteiro, M. Lima, C. Szwarcwald, Tássia Fraga Bastos, M. B. D. A. Barros","doi":"10.1590/1980-549720190014.supl.2","DOIUrl":"https://doi.org/10.1590/1980-549720190014.supl.2","url":null,"abstract":"OBJECTIVES\u0000To analyze the socioeconomic and demographic differences in medication use to control hypertension and diabetes mellitus in Brazil.\u0000\u0000\u0000METHOD\u0000Data from the National Health Survey (Pesquisa Nacional de Saúde - PNS) performed in Brazil in 2013 with a representative sample of the population aged 18years old or older were analyzed. The use of medications for hypertension and diabetes according to income, education, race, possession of a private health insurance plan and region of household were estimated. Theprevalence ratios adjusted for sex and age were also estimated using Poisson regression.\u0000\u0000\u0000RESULTS\u000081.4% of the hypertensive population used medication to control the disease. The use was higher among females, white/Caucasian individuals and those with a private health plan. In the case of diabetes mellitus, 80.2% of the population used medication to control the disease and the use was higher in elderly patients, patients with a higher level of education, patients with a private health plan, and patients in the Southeast region. Inequalities according to income and health plan were small even in the strata of sex, age and geographic region analyzed.\u0000\u0000\u0000CONCLUSION\u0000We found a high use of medication to control hypertension and diabetes. Socioeconomic inequalities in use were not expressive, probably due to medication policies that promote greater and equitable access to medicines in Brazil.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67307470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12