Epidemiologia e Servicos de Saude最新文献

{"title":"Reviewed article: Santos TSS, Guimarães LMF, Freitas PP, Campos SF, Cardoso CS, Toral N, Lopes ACS. Percurso metodológico qualitativo para elaboração de Instrutivo de Manejo da Obesidade no SUS, 2018-2020. Epidemiol Serv Saude. 2025:34;e20240365.","authors":"Haroldo da Silva Ferreira","doi":"10.1590/S2237-96222025v34e20240365.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240365.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240365.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to dietary practices recommended by the Dietary Guidelines for the Brazilian Population among people with obesity: baseline of a community trial carried out at the Health Fitness Program in Belo Horizonte, Brazil, 2022-2023.","authors":"Mariana Souza Lopes, Vitória Marli Serafim Moreira Silva, Nathália Luíza Ferreira, Maria Cecília Ramos de Carvalho, Patrícia Pinheiro de Freitas, Aline Cristine Souza Lopes","doi":"10.1590/S2237-96222024v34e20240287.en","DOIUrl":"https://doi.org/10.1590/S2237-96222024v34e20240287.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze sociodemographic and health factors associated with high levels of adherence to dietary practices recommended by the Dietary Guidelines for the Brazilian Population among people with obesity taking part in the Health Fitness Program in Belo Horizonte, Minas Gerais, Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional study with a representative sample of Health Fitness Program participants with obesity who were ≥20 years old. Sociodemographic and health data were collected, and the adherence to the Dietary Guidelines scale was assessed, classified as: low (<32 points), medium (32-41 points) and high (>41 points). Multivariate logistic regression was performed.</p><p><strong>Results: </strong>In all, 1,109 individuals participated, the majority of whom were women (92.5%) and had at least one chronic disease (85.8%). The majority self-rated their health status as very good/good (62.2%), 62.8% had hypertension and 68.0% had Class 1 Obesity. 46.0% had good levels of adherence to the Dietary Guidelines. After adjustment, high levels of adherence were associated with being elderly (odds ratio [OR] 1.47; 95%CI 1.1; 2.0), having higher income (OR 0.58; 95%CI 0.41; 0.81) and better self-rated health (regular: OR 0.73; 95%CI 0.55; 0.96; poor/very poor: OR 0.26; 95%CI 0.13; 0.52).</p><p><strong>Conclusion: </strong>High levels of adherence to the Dietary Guidelines were associated with stage of life, better income and positive self-rated health, highlighting the need to target efforts towards adults and vulnerable groups.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240287"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Batista JFC, Santos MAA, Lima SO. Trend of epidemiological indicators and factors associated with tuberculosis treatment dropout and death among street people in Brazil: an ecological and cross-sectional study, 2014-2022. Epidemiol Serv Saude. 2025:34;20240273.","authors":"Daniela de Almeida Pereira","doi":"10.1590/S2237-96222024v34e20240273.b","DOIUrl":"https://doi.org/10.1590/S2237-96222024v34e20240273.b","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240273.b"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vancomycin-resistant Enterococcus infections in a hospital in Salvador, Bahia: a descriptive study, 2021-2023.","authors":"Verônica França Rocha, Matheus Sales Barbosa, Euclimeire da Silva Neves, Valmira de Jesus Santos, Renata Ferreira da Silva Rego, Tiago Lôbo Pessoa, Marcelo Telles Ribeiro, Jessica Lais Almeida Dos Santos, Felicidade Mota Pereira, Joice Neves Reis","doi":"10.1590/S2237-96222024v34e20240135.en","DOIUrl":"https://doi.org/10.1590/S2237-96222024v34e20240135.en","url":null,"abstract":"<p><strong>Objective: </strong>To address the occurrence of an outbreak of vancomycin-resistant Enterococcus in inpatient units intended for COVID-19 patients in a hospital in Salvador, Brazil, specialized in infectious diseases, which underwent several adaptations with effect from March 2020.</p><p><strong>Methods: </strong>This is a descriptive study of patients with positive culture results for vancomycin-resistant Enterococcus between January 2021 and December 2023. The vanA/vanB genotype was defined by real-time polymerase chain reaction, and the clonal profile, by pulsed-field gel electrophoresis. Descriptive analyses were performed and presented as proportions.</p><p><strong>Results: </strong>Fifteen Enterococcus spp. infected/colonized patients were identified, of which 7 were E. faecalis, 7 were E. faecium and 1 was E. gallinarum. Two clonal profiles were identified: E. faecalis profile A and E. faecium profile C. The vanA genotype was predominant. Possible cross-contamination of disinfected materials and other dirty materials used for bathing and waste disposal was detected in utility/sluice room sinks.</p><p><strong>Conclusion: </strong>The vancomycin-resistant Enterococcus outbreak in the inpatient units was controlled after implementing a unidirectional flow of disinfection of materials in utility/sluice rooms.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240135"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trend of epidemiological indicators and factors associated with tuberculosis treatment dropout and death among street people in Brazil: an ecological and cross-sectional study, 2014-2022.","authors":"Jefferson Felipe Calazans Batista, Marcos Antonio Almeida-Santos, Sonia Oliveira Lima","doi":"10.1590/S2237-96222024v34e20240273.en","DOIUrl":"https://doi.org/10.1590/S2237-96222024v34e20240273.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend of epidemiological indicators and factors associated with tuberculosis treatment dropout and death among street people.</p><p><strong>Methods: </strong>This is a cross-sectional study on tuberculosis among street people in Brazil from 2014-2022, using data from the Notifiable Health Conditions Information System (Sistema de Informação de Agravos de Notificação). We calculated cure, dropout, incidence and mortality indicators. The temporal trend of the indicators was estimated using Prais-Winsten regression, expressed via average percentage change (APC). Notification form variables were used to estimate factors associated with tuberculosis treatment dropout and death using logistic regression, resulting in odds ratios (OR) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>In all, 21,904 tuberculosis cases were reported. In Brazil as a whole, APC for cure was -5.8% (95%CI -7.9; -3.8), while in the Southeast region, APC for incidence was -6.2% (95%CI -8.9; -3.5) and for mortality it was -5.3% (95%CI -10.0; -0.4). Predictors of dropout were: absence of directly observed treatment (OR 3.92; 95%CI 3.65; 4.20), being 20-39 years old (OR 1.81; 95%CI 1.41; 2.33) and use of illicit drugs (OR 1.57; 95%CI 1.46; 1.69). Factors associated with death were: absence of directly observed treatment (OR 3.18; 95%CI 2.86; 3.54), being >60 years old (OR 3.14; 95%CI 2.14; 4.61) and use of illicit drugs (OR 1.18; 95%CI 1.05; 1.34).</p><p><strong>Conclusion: </strong>The tuberculosis scenario in this population is worrying and its challenging context requires greater effort to achieve better screening and treatment, considering the multiple risk factors identified.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240273"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Almeida ALS, Sousa TMS, Caldeira TCM, Claro RM. Association between adherence to the Food Guide golden rule and health characteristics among adult Brazilian women: a cross-sectional study with VIGITEL data, 2018-2021. Epidemiol Serv Saude. 2025:34;20240232.","authors":"Cláudia Tramontt","doi":"10.1590/S2237-96222025v34e20240232.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240232.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240232.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leprosy elimination phase in Alagoas, 2001-2022: an ecological study.","authors":"Lucas Vinícius de Lima, Gabriel Pavinati, Rayssa Gysele Teixeira da Silva, Itanielly Gomes Queiroz, Gustavo Laine Araújo de Oliveira, Sandra Maria Barbosa Durães, Miguel Angel Aragón López, Kleydson Bonfim Andrade Alves, Francisco Beraldi-Magalhães, Gabriela Tavares Magnabosco","doi":"10.1590/S2237-96222024v34e20240255.en","DOIUrl":"https://doi.org/10.1590/S2237-96222024v34e20240255.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the epidemiological scenario and leprosy elimination phase in the municipalities of Alagoas state, Brazil, from 2001 to 2022.</p><p><strong>Methods: </strong>This is an ecological study using surveillance data from the Notifiable Health Conditions Information System; detection and prevalence rates of the disease, along with absolute and relative frequencies, were used; temporal trends were evaluated using joinpoint regression, spatial autocorrelation was assessed with Moran's index, and municipalities were classified according to the Leprosy Elimination Monitoring Tool (LEMT) proposed by the World Health Organization.</p><p><strong>Results: </strong>Between 2010 and 2022, there was a significant annual decrease of -2.89% (95% confidence interval [95%CI] -5.65; -0.91) in the prevalence rate, -4.43% (95%CI -6.56; -2.20) in the detection rate in the general population and -6.03% (95%CI -10.00; -1.46) in the detection rate in the population under 15 years of age; significant high-high clusters (p-value <0.050) were observed in the municipalities of Jacaré dos Homens, Pão de Açúcar and Carneiros; according to the LEMT in 2022: 7 (6.8%) municipalities were in phase 1 - up to interruption of transmission, 41 (40.2%) in phase 2 - up to disease elimination, 27 (26.5%) in phase 3 - post-elimination surveillance and 27 (26.5%) in phase 4 - non-endemic status.</p><p><strong>Conclusion: </strong>The data pointed to trends of reduction in the leprosy burden in the state, although some municipalities continue to show high rates; the use of LEMT with secondary data should be approached cautiously, as the absence of reported cases does not imply disease elimination in scenarios of underreporting and underdiagnosis.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240255"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Silva MAL, Mendes LL, Leite MA, Rocha LL, Borges CA, Levy RB, Louzada MLC. Food purchasing places classification system based on the Dietary Guidelines for the Brazilian Population: Locais-Nova. Epidemiol Serv Saude. 2025:34;20240361.","authors":"Patrícia Freitas","doi":"10.1590/S2237-96222025v34e20240361.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240361.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240361.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Almeida ALS, Sousa TMS, Caldeira TCM, Claro RM. Association between adherence to the Food Guide golden rule and health characteristics among adult Brazilian women: a cross-sectional study with VIGITEL data, 2018-2021. Epidemiol Serv Saude. 2025:34;20240232.","authors":"Maria Cecília Ramos de Carvalho","doi":"10.1590/S2237-96222025v34e20240232.b","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240232.b","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240232.b"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between adherence to the Food Guide golden rule and health characteristics among adult Brazilian women: a cross-sectional study with VIGITEL data, 2018-2021.","authors":"Ana Luiza de Souza Almeida, Taciana Maia de Sousa, Thais Cristina Marquezine Caldeira, Rafael Moreira Claro","doi":"10.1590/S2237-96222025v34e20240232.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240232.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess association of adherence to the golden rule of the Food Guide for the Brazilian Population with health characteristics among adult women according to sociodemographic characteristics.</p><p><strong>Methods: </strong>This is a cross-sectional study with 102,057 women interviewed by the Chronic Disease Risk and Protective Factors Surveillance Telephone Survey System in the Brazilian state capital cities and Federal District between 2018 and 2021. Outcome variables included obesity, hypertension, diabetes, depression and negative self-rated health. Adherence to the golden rule was rated by scores (-13 to +12 points) that combined the consumption of ultra-processed foods (negative) and fresh and minimally processed foods (positive). This score was categorized according to consumption tertiles, with low adherence (first tertile), moderate adherence (second tertile) and high adherence (third tertile). Logistic regression was used to calculate the adjusted odds ratios (OR) (by sociodemographic variables) and 95% confidence intervals (95%CI) of the outcomes in relation to adherence to the Guide.</p><p><strong>Results: </strong>Compared to low adherence, moderate adherence was inversely associated with obesity (OR 0.86; 95%CI 0.78; 0.93) and negative self-rated health (OR 0.72; 95%CI 0.62; 0.84). High adherence was inversely associated with obesity (OR 0.72; 95%CI 0.65; 0.79), hypertension (OR 0.85; 95%CI 0.78; 0.93), depression (OR 0.69; 95%CI 0.59; 0.82) and negative self-rated health (OR 0.55; 95%CI 0.45; 0.67).</p><p><strong>Conclusion: </strong>Adherence to the Guide's golden rule was inversely associated with chronic diseases and negative self-rated health among adult Brazilian women.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240232"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}