Epidemiologia e Servicos de Saude最新文献

{"title":"Factors associated with delayed initiation of breast cancer treatment at an oncology referral center in Juiz de Fora, Minas Gerais state, from 2010 to 2019: a cohort study.","authors":"Fernanda de Paula Ciribelli da Silva, Mirian Carvalho Souza, Neilane Bertoni","doi":"10.1590/S2237-96222024v33e20231177.en","DOIUrl":"10.1590/S2237-96222024v33e20231177.en","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze factors associated with delayed initiation of breast cancer treatment at an oncology referral center in Juiz de Fora, Minas Gerais state, between 2010 and 2019.</p><p><strong>Methods: </strong>This was a cohort study using data from the Hospital-based Cancer Registry. The probability of not starting treatment within 60 days, in accordance with Brazilian law, was estimated using Kaplan-Meier, method and its association with the factors studied was assessed using the Cox model, presenting hazard ratios (HR) and respective 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>Among the 911 participants, the probability of delayed treatment initiation was 18.8% (95%CI 16.4;21.5). Those who underwent treatment at a health service other than the one where the cancer was diagnosed had a significantly higher risk (HR: 3.49; 95%CI 3.00;4.07).</p><p><strong>Conclusion: </strong>Receiving a diagnosis and treatment at the same institution may help reduce waiting time to initiate cancer treatment.</p><p><strong>Main results: </strong>The probability of study participants not initiating treatment within 60 days was 18.8%. Undergoing treatment at a healthcare service other than the one where the diagnosis was made was the main factor associated with delay.</p><p><strong>Implications for services: </strong>Organizing healthcare services based on strategies that optimize referral flows and avoid transitions of care, can be crucial in reducing the time to initiation of breast cancer treatment.</p><p><strong>Perspectives: </strong>It is essential to improve the workflows at the different stages of health care to ensure timely initiation of oncological treatment.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231177"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082544","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":"Description of vaccination coverage and hesitancy obtained by epidemiological survey of children born in 2017-2018, in Belo Horizonte and Sete Lagoas, Minas Gerais, Brazil.","authors":"Taynãna César Simões, Orozimbo Henriques Campos Neto, Ana Paula França, José Cássio de Moraes, Adriana Ilha da Silva, Alberto Novaes Ramos, Ana Paula França, Andrea de Nazaré Marvão Oliveira, Antonio Fernando Boing, Carla Magda Allan Santos Domingues, Consuelo Silva de Oliveira, Ethel Leonor Noia Maciel, Ione Aquemi Guibu, Isabelle Ribeiro Barbosa Mirabal, Jaqueline Caracas Barbosa, Jaqueline Costa Lima, José Cássio de Moraes, Karin Regina Luhm, Karlla Antonieta Amorim Caetano, Luisa Helena de Oliveira Lima, Maria Bernadete de Cerqueira Antunes, Maria da Gloria Teixeira, Maria Denise de Castro Teixeira, Maria Fernanda de Sousa Oliveira Borges, Rejane Christine de Sousa Queiroz, Ricardo Queiroz Gurgel, Rita Barradas Barata, Roberta Nogueira Calandrini de Azevedo, Sandra Maria do Valle Leone de Oliveira, Sheila Araújo Teles, Silvana Granado Nogueira da Gama, Sotero Serrate Mengue, Taynãna César Simões, Valdir Nascimento, Wildo Navegantes de Araújo","doi":"10.1590/S2237-96222024v33e20231188.especial2.en","DOIUrl":"10.1590/S2237-96222024v33e20231188.especial2.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe vaccination coverage and hesitation for the basic children's schedule in Belo Horizonte and Sete Lagoas, Minas Gerais state, Brazil.</p><p><strong>Methods: </strong>Population-based epidemiological surveys performed from 2020 to 2022, which estimated vaccine coverage by type of immunobiological product and full schedule (valid and ministered doses), according to socioeconomic strata; and reasons for vaccination hesitancy.</p><p><strong>Results: </strong>Overall coverage with valid doses and vaccination hesitancy for at least one vaccine were, respectively, 50.2% (95%CI 44.1;56.2) and 1.6% (95%CI 0.9;2.7), in Belo Horizonte (n = 1,866), and 64.9% (95%CI 56.9;72.1) and 1.0% (95%CI 0.3;2.8), in Sete Lagoas (n = 451), with differences between socioeconomic strata. Fear of severe reactions was the main reason for vaccination hesitancy.</p><p><strong>Conclusion: </strong>Coverage was identified as being below recommended levels for most vaccines. Disinformation should be combated in order to avoid vaccination hesitancy. There is a pressing need to recover coverages, considering public health service access and socioeconomic disparities.</p><p><strong>Main results: </strong>Vaccination coverage of children up to 4 years old was 50.2% in Belo Horizonte, and 64.9% in Sete Lagoas. Fear of severe reactions and believing that vaccination against eradicated diseases is unnecessary were the main reasons for vaccination hesitancy.</p><p><strong>Implications for services: </strong>Recovery of high vaccination coverage among children, considering public health service access conditions and socioeconomic inequities. Acting on reasons for hesitancy that can assist in targeting actions.</p><p><strong>Perspectives: </strong>The multifactorial context of vaccination hesitancy demands the development of health education strategies to raise awareness about child immunization.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe2","pages":"e20231188"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127278","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 in the epidemiological risk of leprosy in the state of Goiás-Brazil between 2010 and 2021.","authors":"Caio Cesar Barbosa, Rafael Alves Guimarães, Nayara Figueiredo Vieira","doi":"10.1590/S2237-96222024v33e20231435.en","DOIUrl":"10.1590/S2237-96222024v33e20231435.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze trends in epidemiological risk of leprosy in Goiás state, Brazil, and its health macro-regions, between 2010 and 2021.</p><p><strong>Method: </strong>This is a time series analysis of the composite leprosy epidemiological risk index in Goiás. We used cases held on the Notifiable Health Conditions Information System for calculating indicators separately and risk, classified as high, medium, low and very low. Trends were analyzed using Prais-Winsten linear regression and risk maps were produced.</p><p><strong>Results: </strong>Goiás showed high leprosy endemicity (24.8 cases/100,000 inhabitants) and medium epidemiological risk between 2019 and 2021 (0.58). A stationary trend was found (annual percentage change, 0.50; 95% confidence interval, -3.04; 4.16) for risk of leprosy in Goiás as a whole and in its Central-West and Central-Southeast macro-regions.</p><p><strong>Conclusion: </strong>There is need for actions to reduce the epidemiological risk of leprosy, especially where its trend is stationary, this includes early screening for new cases and health education.</p><p><strong>Main results: </strong>Leprosy persists in Goiás state, Brazil, in an endemic form, with heterogeneous distribution. There has been a reduction in the number of municipalities with high epidemiological risk of leprosy, but challenges include active transmission and late diagnosis.</p><p><strong>Implications for services: </strong>Long-term strategies for prevention, early detection, treatment and monitoring of people with leprosy and their contacts are needed.</p><p><strong>Perspectives: </strong>It is crucial to strengthen health policies targeting leprosy in Goiás state, prioritizing continuing education and training programs for health professionals working in the entire territory.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231435"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082545","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":"National Vaccination Coverage Survey and its importance amid the challenges.","authors":"Márcia de Cantuária Tauil, Laylla Ribeiro Macedo, Ana Goretti Kalume Maranhão","doi":"10.1590/S2237-96222024v33e2024418.especial2.en","DOIUrl":"10.1590/S2237-96222024v33e2024418.especial2.en","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe2","pages":"e2024418"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127279","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":"Racial inequalities in child vaccination and barriers to vaccination in Brazil among live births in 2017 and 2018: an analysis of a retrospective cohort of the first two years of life.","authors":"Antonio Fernando Boing, Alexandra Crispim Boing, Ana Paula França, José Cássio de Moraes, Adriana Ilha da Silva, Alberto Novaes Ramos, Ana Paula França, Andrea de Nazaré Marvão Oliveira, Antonio Fernando Boing, Carla Magda Allan Santos Domingues, Consuelo Silva de Oliveira, Ethel Leonor Noia Maciel, Ione Aquemi Guibu, Isabelle Ribeiro Barbosa Mirabal, Jaqueline Caracas Barbosa, Jaqueline Costa Lima, José Cássio de Moraes, Karin Regina Luhm, Karlla Antonieta Amorim Caetano, Luisa Helena de Oliveira Lima, Maria Bernadete de Cerqueira Antunes, Maria da Gloria Teixeira, Maria Denise de Castro Teixeira, Maria Fernanda de Sousa Oliveira Borges, Rejane Christine de Sousa Queiroz, Ricardo Queiroz Gurgel, Rita Barradas Barata, Roberta Nogueira Calandrini de Azevedo, Sandra Maria do Valle Leone de Oliveira, Sheila Araújo Teles, Silvana Granado Nogueira da Gama, Sotero Serrate Mengue, Taynãna César Simões, Valdir Nascimento, Wildo Navegantes de Araújo","doi":"10.1590/S2237-96222024v33e20231216.especial2.en","DOIUrl":"10.1590/S2237-96222024v33e20231216.especial2.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe timely vaccination completion and obstacles in the first 24 months of life in Brazil, examining associations with maternal race/skin color.</p><p><strong>Methods: </strong>Study participants were 37,801 children born in 2017 and 2018 included in the National Immunization Coverage Survey. We calculated prevalence and 95% confidence intervals for timely vaccine completeness and obstacles at 5, 12 and 24 months of life, according to maternal race/skin color. Associations were analyzed using logistic regression.</p><p><strong>Results: </strong>7.2% (95%CI 6.3;8.2) of mothers faced difficulties in taking their children to be vaccinated, and 23.4% (95%CI 21.7;25.1) were not vaccinated when taken. These proportions were 75% (95%CI 1.25;2.45) and 97% (95%CI 1.57;2.48) higher, respectively, among Black mothers. At least one vaccination was delayed among 49.9% (95%CI 47.8;51.9) and 61.1% (95%CI 59.2;63.0) of children by 5 and 12 months, respectively. These rates were higher among Black/mixed race mothers.</p><p><strong>Conclusion: </strong>There are racial inequalities in both the obstacles faced and in vaccination rates in Brazil.</p><p><strong>Main results: </strong>Marked racial inequalities were found in the obstacles to vaccination of children under 24 months in Brazil and to timely vaccination at 5 months and in the first year of life.</p><p><strong>Implications for services: </strong>Racial inequalities in the occurrence of vaccination shortcomings in health services, in the objective restrictions faced by families in taking their children to vaccination centers and in incomplete vaccination in a timely manner need to be addressed by the Brazilian National Health System.</p><p><strong>Perspectives: </strong>Equal public policies to address barriers to vaccination and qualification of health services need to be implemented. Studies need to deepen understanding of the structural determinants that lead to racial disparities.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe2","pages":"e20231216"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082546","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":"Dietary patterns of children living in slums and their associated factors: a cross-sectional study, 2019-2022.","authors":"Gabriela Rossiter Stux Veiga, Bruna Merten Padilha, Lídia Bezerra Barbosa, Thaysa Barbosa Cavalcante Brandão, Telma Maria de Menezes Toledo Florêncio, Marilia de Carvalho Lima","doi":"10.1590/S2237-96222024v33e20231275.en","DOIUrl":"10.1590/S2237-96222024v33e20231275.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify dietary patterns and analyze factors associated with the consumption profile of socially vulnerable children, Maceió, state of Alagoas, Brazil, August 2019 to December 2021.</p><p><strong>Methods: </strong>This was a cross-sectional study; sociodemographic, anthropometric and food consumption variables were collected, factor analysis was used to identify dietary patterns; associations were analyzed using Poisson regression.</p><p><strong>Results: </strong>Among the 567 children studied, two dietary patterns were identified, healthy and unhealthy; age ≥ 24 months (PR = 2.75; 95%CI 1.83;4.14), male gender (PR = 0.66; 95%CI 0.49;0.87) and maternal schooling ≤ 9 years (PR = 0.61; 95%CI 0.46;0.81) was higher in the healthy pattern; the unhealthy pattern was associated with age ≥ 24 months (PR = 1.02; 95%CI 1.01;1.03) and male gender (PR = 1.46; 95%CI 1.08;1.98).</p><p><strong>Conclusion: </strong>The healthy pattern was more frequent in children aged ≥ 24 months, less frequent in male children and mothers with low level of schooling; children aged ≥ 24 months and males showed a higher prevalence of the unhealthy pattern.</p><p><strong>Main results: </strong>Two dietary patterns were defined, healthy and \"unhealthy\", which were associated with male gender, age ≥ 24 months and maternal schooling ≤ 9 years of study.</p><p><strong>Implications for services: </strong>The study data can assist health professionals dedicated to primary healthcare services, such as nutritionists, in planning interventions to promote healthy eating habits aimed at children.</p><p><strong>Perspectives: </strong>Prospective studies with these populations are necessary to assess the causality of the associations found in this study, aiming to plan more effective public health actions.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231275"},"PeriodicalIF":2.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082481","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":"Excess mortality during the COVID-19 pandemic and its spatial distribution in the state of Pernambuco, Brazil: an ecological study.","authors":"Letícia Moreira Silva, Amanda Priscila de Santana Cabral Silva, Maria Helena Rodrigues Galvão, Ana Lúcia Andrade da Silva, Lívia Teixeira de Souza Maia","doi":"10.1590/S2237-96222024v33e20231014.en","DOIUrl":"10.1590/S2237-96222024v33e20231014.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate excess mortality during the COVID-19 pandemic and its spatial distribution in Pernambuco, Brazil.</p><p><strong>Methods: </strong>This was an ecological, descriptive and analytical study of deaths, by municipality, recorded on the Mortality Information System, in 2020 and 2021. Excess mortality was measured by comparing observed and expected deaths, the latter estimated by calculating standardized mortality ratio (SMR). SMR and respective confidence intervals (95%CI) were calculated. Spatial analysis was performed by calculating the Global and Local Moran Index.</p><p><strong>Results: </strong>Excess mortality was 20.6% and 27.5%, respectively, in 2020 and 2021, with positive spatial correlation (p-value < 0.05). More populous municipalities (2020: SMR = 1.26; 95%CI 1.24;1.27 and 2021: SMR = 1.34; 95%CI 1.32;1.34), more developed municipalities (2020: SMR = 1.43; 95%CI 1.41;1.44 and 2021: SMR = 1.51;95%CI 1.50;1.53) and municipalities in the Sertão region (2020:SMR = 1.31;95%CI 1.30;1.33 and 2021: SMR = 1.44; 95%CI 1.42;1.46) showed greater excess deaths.</p><p><strong>Conclusion: </strong>Excess mortality coincided with peak periods of COVID-19 transmission.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231014"},"PeriodicalIF":2.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857067","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":"Validation study of obstetric hospitalization data held on the Brazilian National Health System Hospital Information System for maternal morbidity surveillance: Brazil, 2021-2022.","authors":"Rosa Maria Soares Madeira Domingues, Lana Dos Santos Meijinhos, Luis Carlos Torres Guillen, Marcos Augusto Bastos Dias, Valéria Saraceni, Rejane Sobrinho Pinheiro, Natália Santana Paiva, Cláudia Medina Coeli","doi":"10.1590/S2237-96222024v33e20231252.en","DOIUrl":"10.1590/S2237-96222024v33e20231252.en","url":null,"abstract":"<p><strong>Objective: </strong>To validate the Brazilian National Health System Hospital Information System (SIH/SUS) for maternal morbidity surveillance.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted in 2021/2022, taking as its reference a national study on maternal morbidity (MMG) conducted in 50 public and 28 private hospitals; we compared SIH/SUS and MMG data for hospitalization frequency, reason and type of discharge and calculated sensitivity, specificity, positive and negative likelihood ratios for seven diagnoses and four procedures.</p><p><strong>Results: </strong>Hospitalizations identified on SIH/SUS (32,212) corresponded to 95.1% of hospitalizations assessed by MMG (33,867), with lower recording on SIH/SUS (85.5%) for private hospitals [10,036 (SIH/SUS)]; 11,742 (MMG)]; compared to MMG, SIH/SUS had a lower proportion of hospitalizations due to \"complications during pregnancy\" (9.7% versus 16.5%) as well as under-recording of all diagnoses and procedures assessed, except \"ectopic pregnancy\".</p><p><strong>Conclusion: </strong>Better recording of diagnoses and procedures on SIH/SUS is essential for its use in maternal morbidity surveillance.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231252"},"PeriodicalIF":2.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857068","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 in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021.","authors":"Wygor Bruno E Silva Morais, Fernando Ferraz do Nascimento, Jardeliny Corrêa da Penha, Jesusmar Ximenes Andrade, Márcio Dênis Medeiros Mascarenhas, Malvina Thais Pacheco Rodrigues","doi":"10.1590/S2237-96222024V33E20231483.en","DOIUrl":"10.1590/S2237-96222024V33E20231483.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the trend in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021.</p><p><strong>Methods: </strong>This was an time series study using Mortality Information System data. Annual percentage change (APC) and 95% confidence intervals (95% CI) were calculated using Prais-Winsten linear regression.</p><p><strong>Results: </strong>Mortality showed a stationary trend for Brazil as a whole (APC = 0.6; 95%CI -4.2;3.0), a falling trend in individuals aged 20-29 years in the South (APC = -7.4; 95%CI -10.0;-4.3) and Northeast (APC = -3.4; 95%CI -6.4;-0.4) regions, in people aged 30-39 in the Midwest region (APC = -3,8; 95%CI -7.4;-0.1) and 40-49 in the South (APC = -2.1; 95%CI -3.8;-0.4), North (APC = -3.1; 95%CI -5.7;-0.5) and Midwest (APC = -2.9; 95%CI -5.5;-0.3) regions.</p><p><strong>Conclusion: </strong>Mortality from mental and behavioral disorders due to alcohol use showed a stationary trend nationally and a falling trend in some age groups regionally.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231483"},"PeriodicalIF":2.5,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629261","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":"Prescription of HIV Post-Exposure Prophylaxis in emergency care units and return for follow-up appointments in specialized services in Salvador, Brazil, 2018: a cross-sectional study.","authors":"Flávia Carneiro da Silva, Laio Magno, Carlos Antônio de Souza Teles Santos","doi":"10.1590/S2237-96222024V33E2023642.en","DOIUrl":"10.1590/S2237-96222024V33E2023642.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze HIV Post-Exposure Prophylaxis (PEP) prescription and return for follow-up appointments.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional study using data on people who sought PEP in emergency care units (UPAs) and specialized medical services in Salvador, BA, Brazil, between January-December/2018.</p><p><strong>Results: </strong>Of the 1,525 people who sought PEP at UPAs, 1,273 (83.5%) met PEP eligibility criteria, while 252 (16.5%) did not; of the eligible group, 1,166 (91.6%) had antiretrovirals prescribed, while 107 (8.4%) eligible people did not; of the total number of people with PEP prescriptions, only 226 (19.4%) returned for the first follow-up appointment, 115 (9.9%) for the second, and 33 (2.8%) for the third in order to complete the protocol.</p><p><strong>Conclusion: </strong>We found a significant proportion of eligible users who did not have PEP prescribed at UPAs and a significant loss of return for specialized service follow-up appointments.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e2023642"},"PeriodicalIF":2.5,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629260","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}