Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil最新文献

HIV prevalence among persons deprived of liberty in Brazil, 2017-2023: a time series analysis. 2017-2023年巴西被剥夺自由者中艾滋病毒流行情况：时间序列分析

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240493.en

Maria Rayssa do Nascimento Nogueira, Hévila Ferreira Gomes Medeiros Braga, Vitória Talya Dos Santos Sousa, Nathanael de Souza Maciel, Emanuella Silva Joventino Melo, Patrícia Freire de Vasconcelos, Leilane Barbosa de Sousa

{"title":"HIV prevalence among persons deprived of liberty in Brazil, 2017-2023: a time series analysis.","authors":"Maria Rayssa do Nascimento Nogueira, Hévila Ferreira Gomes Medeiros Braga, Vitória Talya Dos Santos Sousa, Nathanael de Souza Maciel, Emanuella Silva Joventino Melo, Patrícia Freire de Vasconcelos, Leilane Barbosa de Sousa","doi":"10.1590/S2237-96222025v34e20240493.en","DOIUrl":"10.1590/S2237-96222025v34e20240493.en","url":null,"abstract":"Objective: To analyze the temporal trend of the Human Immunodeficiency Virus (HIV) prevalence in the population deprived of liberty, in Brazil, between the years 2017 and 2023.Methods: Time series analysis evaluation, from 2017 to 2023. The number of persons deprived of liberty and the number of HIV cases were collected from the. National Penitentiary Department Information System. In addition, sociodemographic variables were collected from each federative unit on the Atlas Brasil website concerning the National Household Sampling Survey (2021). Joinpoint software was used to calculate the annual percentage change (APC) through regressions. The relationship between HIV prevalence and indicators was analyzed in GeoDa 1.22.0.4.Results: The national prevalence of HIV in persons deprived of liberty was 10.84 cases per 1,000 inmates, with an increasing trend (APC 0.3; 95%CI 0.1;0.6). This rate was higher among women (23.64/1,000 inmates), however, it showed a decreasing trend (APC 0.7; 95%CI -1.2;-0.2). However, although being lower among men (10.15/1,000 inmates), the trend in this group was increasing (APC 0.5; 95%CI 0.2;0.8). As for region, the highest prevalence was in the South (15.12/1,000 inmates). Aging rate (p-value 0.014), per capita household income (p-value 0.021) and municipal human development Index (MHDI) adjusted for income (p-value 0.024) showed positive associations.Conclusion: Nationally, the prevalence was higher among women. However, while the prevalence among men showed an increasing trend, a reduction was observed among women over the period analyzed.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240493"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500264","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}

引用次数: 0

Financial impact of centralized purchasing of rituximab by the Brazilian Ministry of Health for lymphoma treatment, 2015-2022: an exploratory study. 2015-2022年巴西卫生部集中采购利妥昔单抗用于淋巴瘤治疗的财务影响：一项探索性研究

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240203.en

Renato Rocha Martins, Ana Laura de Sene Amâncio Zara, Daniela Oliveira de Melo, Adriane Lopes Medeiros Simone

{"title":"Financial impact of centralized purchasing of rituximab by the Brazilian Ministry of Health for lymphoma treatment, 2015-2022: an exploratory study.","authors":"Renato Rocha Martins, Ana Laura de Sene Amâncio Zara, Daniela Oliveira de Melo, Adriane Lopes Medeiros Simone","doi":"10.1590/S2237-96222025v34e20240203.en","DOIUrl":"10.1590/S2237-96222025v34e20240203.en","url":null,"abstract":"Objective: To understand the financial impact of centralized purchasing of rituximab by the Brazilian Ministry of Health for treatment of follicular and diffuse large B-cell lymphomas in the period 2015-2022.Methods: This is an exploratory study, with a quantitative approach, which performed documentary analysis of medication purchases by public authorities. Based on the average price weighted by the quantity purchased, the current strategy of centralized rituximab purchasing was compared to a hypothetical scenario, in which purchasing would have remained the responsibility of hospitals, by means of reimbursement by the federal government for billable chemotherapy procedures.Results: Centralized purchasing initially enabled better contract terms in price negotiations, with the federal government achieving discounts close to 70.0% of the reference price. In the timeframe analyzed, there was a reduction in the price of rituximab. After 2020, with the participation of new drug manufacturers on the market, the prices paid by other bodies approached those negotiated by the Ministry of Health. If rituximab purchasing had remained the responsibility of oncology hospitals, the amount reimbursed for chemotherapy procedures would have been insufficient to cover the cost of purchasing this medication.Conclusion: We estimated that by taking on the burden of centralized rituximab purchasing, the federal government achieved savings of BRL 81.6 million compared to the hypothetical scenario of rituximab purchasing by oncology hospitals. In addition to the economic benefit, the model ensured the population's access to rituximab and avoided health institution indebtedness.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240203"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500263","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}

引用次数: 0

Association between physical activity and the risk of prenatal depression in adolescents in Teresina, 2023-2024: cross-sectional study. 体育活动与Teresina青少年产前抑郁风险之间的关系，2023-2024：横断面研究。

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240789.en

Cláudio Fernando Gomes Gonçalves, Alberto Pereira Madeiro

{"title":"Association between physical activity and the risk of prenatal depression in adolescents in Teresina, 2023-2024: cross-sectional study.","authors":"Cláudio Fernando Gomes Gonçalves, Alberto Pereira Madeiro","doi":"10.1590/S2237-96222025v34e20240789.en","DOIUrl":"10.1590/S2237-96222025v34e20240789.en","url":null,"abstract":"Objective: To analyze the relationship between physical activity and the risk of prenatal depression in adolescents from Teresina, Piauí, 2023-2024.Methods: Cross-sectional study with pregnant females aged 10-19 years. The Edinburgh Postnatal Depression Scale and the Physical Activity Questionnaire for Pregnant Females were used. Multiple logistic regression was used, with calculation of adjusted odds ratio (OR) and 95% confidence intervals (95%CI).Results: 182 adolescents were interviewed. The prevalence of prenatal depression risk was 31.3% and sedentary lifestyle was 85.7%. Being sedentary while commuting increased the chance of depression (adjusted OR 2.40; 95%CI 1.01; 5.68; p-value 0.046), while practicing physical exercise (adjusted OR 0.22; 95%CI 0.05; 0.94; p-value 0.041) and having light energy expenditure in daily household chores (adjusted OR 0.26; 95%CI 0.07; 0.98; p-value 0.047) decreased the risk of depression.Conclusion: The prevalence of prenatal depression and sedentary lifestyle during pregnancy was high. Exercising and being active in household chores reduced the risk of prenatal depression among pregnant adolescents.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240789"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500261","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}

引用次数: 0

Erratum: "Occupational accident indicators among Social Security beneficiaries: temporal trend and magnitude in Brazil and its regions, 2009-2019". 勘误：“社会保障受益人的职业事故指标：2009-2019年巴西及其地区的时间趋势和规模”。

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 DOI: 10.1590/S2237-96222025v34e20250067.en

引用次数: 0

Agenda for COVID-19 and long COVID research priorities in Brazil: results of wide consultation and Delphi consensus, 2022-2023. 巴西COVID-19议程和COVID-19长期研究重点：2022-2023年广泛咨询和德尔菲共识的结果

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240623.en

Natália Silva Alves, Everton Nunes da Silva, Gabriela Bardelini Tavares Melo, Micaela Alexandra Silva Paulino, Antonia Angulo-Tuesta

{"title":"Agenda for COVID-19 and long COVID research priorities in Brazil: results of wide consultation and Delphi consensus, 2022-2023.","authors":"Natália Silva Alves, Everton Nunes da Silva, Gabriela Bardelini Tavares Melo, Micaela Alexandra Silva Paulino, Antonia Angulo-Tuesta","doi":"10.1590/S2237-96222025v34e20240623.en","DOIUrl":"10.1590/S2237-96222025v34e20240623.en","url":null,"abstract":"Objective: To propose an agenda of COVID-19 and long COVID research priorities, in order to guide government and research funding agencies to optimize health science, technology and innovation resources in Brazil.Methods: This is a qualitative study, carried out in two stages, between April 2022 and March 2023. In the first stage, a broad consultation was carried out to identify research priorities according to the axes of the COVID-19 Evidence Network to support Decision-making initiative, with 71 participants including researchers, health service managers, health science and technology managers, health professionals and health service users. In the second stage, a consensus was reached on the priorities proposed in the previous stage, using the Delphi method, with a panel of 20 experts on COVID-19 in the first round and 18 in the second round.Results: In the broad consultation, 186 priority lines of research on COVID-19 were received and consolidated into 161 research lines. Of these, 139 achieved consensus in the first round of the Delphi method, and a further 40 lines were received and included in the second round for consensus. The proposed agenda has 179 research lines on COVID-19. The predominant themes were evaluation, COVID-19 impact and sequelae, long COVID-19, mental illnesses and immunosuppression. The child population was of greatest interest.Conclusions: This study demonstrated high levels of agreement among participants on COVID-19 and long COVID research priorities in Brazil.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240623"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500260","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}

引用次数: 0

Miltefosine implementation for treatment of cutaneous leishmaniasis: access indicators in the state of Minas Gerais, 2021-2024. 米替福辛用于治疗皮肤利什曼病：2021-2024年米纳斯吉拉斯州可及性指标

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240690.en

Sarah Nascimento Silva, Mell Ferreira Saliba, Laís Raquel Ribeiro, Gláucia Cota

{"title":"Miltefosine implementation for treatment of cutaneous leishmaniasis: access indicators in the state of Minas Gerais, 2021-2024.","authors":"Sarah Nascimento Silva, Mell Ferreira Saliba, Laís Raquel Ribeiro, Gláucia Cota","doi":"10.1590/S2237-96222025v34e20240690.en","DOIUrl":"10.1590/S2237-96222025v34e20240690.en","url":null,"abstract":"Objective: To describe and evaluate the initial indicators of the pilot implementation of miltefosine in Minas Gerais for the treatment of cutaneous leishmaniasis.Methods: This is a descriptive, cross-sectional study based on regulatory documents and secondary administrative data generated during the dispensing of miltefosine in Minas Gerais between May 2021 and April 2024. Indicators related to access and operability of the strategy implemented were calculated for the steps involved in approving the request for use and dispensing of the drug.Results: The authorization rate was 97.5% for 281 valid requests. The outpatient clinic of the René Rachou Institute, a reference center for leishmaniasis in Minas Gerais, was responsible for the largest number of requests during the period. The health macro-regions Centre and North concentrated the largest number of requests (48.9% and 33.6%), which coincided with the regions with the highest number of reported cases. Median time for analyzing requests and for the person to access the medicine was 1.0 (0-76) and 10.0 (0-340) days, with significant variation between the health macro-regions. One hundred and nineteen people were treated in a municipality other than their place of residence. Of these, 49 needed to travel to another health macro-region. The miltefosine diffusion rate was 11.3% for the three-year period monitored, with significant variation between the macro-regions.Conclusion: The indicators confirmed that miltefosine has been implemented, but revealed low diffusion and regional disparities. Barriers need to be identified and strategies developed to expand equitable access to new technologies.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240690"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500265","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}

引用次数: 0

Vaccine hesitancy among primary care health workers in Campo Grande, after the COVID-19 pandemic. COVID-19大流行后坎波格兰德初级保健卫生工作者对疫苗的犹豫。

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240481.en

Danilo Dos Santos Conrado, Simony Portela do Carmo Drumond, Ana Isabel do Nascimento, Maria Elizabeth Araújo Ajalla, Cláudia Du Bocage Santos-Pinto, Everton Falcão de Oliveira

{"title":"Vaccine hesitancy among primary care health workers in Campo Grande, after the COVID-19 pandemic.","authors":"Danilo Dos Santos Conrado, Simony Portela do Carmo Drumond, Ana Isabel do Nascimento, Maria Elizabeth Araújo Ajalla, Cláudia Du Bocage Santos-Pinto, Everton Falcão de Oliveira","doi":"10.1590/S2237-96222025v34e20240481.en","DOIUrl":"10.1590/S2237-96222025v34e20240481.en","url":null,"abstract":"Objective: To analyze vaccine hesitancy among primary care health workers, including the factors associated with it.Methods: Cross-sectional descriptive study carried out between November 2022 and August 2023 in the city of Campo Grande, Mato Grosso do Sul, through the application of a questionnaire on vaccine hesitancy proposed by the World Health Organization. The association of vaccine hesitancy with sociodemographic variables and workers' perceptions was verified by bivariate analysis and multiple variables.Results: Vaccine hesitancy was observed in 32.7% of respondents, with a higher frequency after the start of the COVID-19 pandemic (64.9%). The coronavirus-19 vaccine had the highest frequency of hesitation (68.4%). Doctors and nurses were the least hesitant, while community workers were the most hesitant. Believing that there are reasons for people not to get vaccinated was associated with vaccine hesitancy (adjusted odds ratio (OR) 3.01; 95% confidence interval (95%CI) 1.60; 5.71). On the other hand, receiving institutional guidance to get vaccinated (OR 0.30; 95%CI 0.11; 0.78) and believing that hesitation affects the population's vaccination coverage (OR 0.46; 95%CI 0.25; 0.83) were factors associated with low hesitation frequency.Conclusion: Vaccine hesitancy was common among primary care professionals. The COVID-19 pandemic and the infodemic that followed it appear to have contributed to this scenery. The need for interventions aimed at these workers is highlighted, in order to impact vaccination coverage of the general population.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240481"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500266","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}

引用次数: 0

Management performance in public oral health actions and services: a cross-sectional study in the Serra Catarinense region, Brazil, 2022. 公共口腔卫生行动和服务的管理绩效：2022年巴西Serra Catarinense地区的一项横断面研究

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-16 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240184.en

Priscila Nunes, Rafael Gomes Ditterich, Claudia Flemming Colussi, Heloisa Godoi, Ana Lúcia Schaefer Ferreira de Mello

{"title":"Management performance in public oral health actions and services: a cross-sectional study in the Serra Catarinense region, Brazil, 2022.","authors":"Priscila Nunes, Rafael Gomes Ditterich, Claudia Flemming Colussi, Heloisa Godoi, Ana Lúcia Schaefer Ferreira de Mello","doi":"10.1590/S2237-96222025v34e20240184.en","DOIUrl":"10.1590/S2237-96222025v34e20240184.en","url":null,"abstract":"Objective: To evaluate municipal health service management performance regarding public oral health actions and services.Methods: Cross-sectional study conducted in the 18 municipalities of Serra Catarinense region, Brazil, in 2022, with health secretaries, primary care and oral health coordinators; performance was self-assessed considering three dimensions (planning, monitoring and evaluation, and specific actions) and classified as poor (<2), medium (2-3) and good (>3); analyses were carried out according to management functions, using Kruskal-Wallis and Scheffé means comparison tests and analysis of variance, taking a 5% significance level.Results: Overall performance was evaluated as medium, with higher averages for planning (2.51; 95% confidence interval [CI] 2.32; 2.69); the specific actions dimension had the poorest performance (2.28 95%CI 2.08; 2.48). Health secretaries had higher performance averages when compared to coordinators of other functions (3.22; p-valor 0.007).Conclusion: Health service manager performance was considered to be medium, with differences depending on the managers' role. Specific oral health actions had the poorest performance.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240184"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328382","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}

引用次数: 0

Temporal trend of food intake markers among adults recorded on the Food and Nutrition Surveillance System, Brazil: time series analysis. 巴西食品和营养监测系统记录的成年人食物摄入指标的时间趋势：时间序列分析。

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240041.en

Anael Queirós Silva Barros, Ítalo Wesley Oliveira de Aguiar, Antonio Augusto Ferreira Carioca, Lia Silveira Adriano, Helena Alves de Carvalho Sampaio

{"title":"Temporal trend of food intake markers among adults recorded on the Food and Nutrition Surveillance System, Brazil: time series analysis.","authors":"Anael Queirós Silva Barros, Ítalo Wesley Oliveira de Aguiar, Antonio Augusto Ferreira Carioca, Lia Silveira Adriano, Helena Alves de Carvalho Sampaio","doi":"10.1590/S2237-96222025v34e20240041.en","DOIUrl":"10.1590/S2237-96222025v34e20240041.en","url":null,"abstract":"Objectives: To analyze the temporal trend of food intake markers of adults recorded on the Food and Nutrition Surveillance System in Brazil and its macro-regions in the period 2015-2019 and to compare food intake from 2015-2019 with that from 2020-2023.Methods: This is a time series analysis study, based on secondary data of adults (20-59 years old) held on the Food and Nutrition Surveillance System online platform, referring to the period 2015-2019, and a comparative study of the periods 2015-2019 and 2020-2023, analyzing Brazil and its five macro-regions. Prevalence of food intake (healthy or unhealthy) on the previous day was verified. Intake of beans, fresh fruit, vegetables and legumes was considered healthy behavior; while intake of hamburgers and sausages, sweetened beverages, instant noodles, packaged snacks or savory biscuits, and intake of stuffed cookies, sweets or treats was considered unhealthy behavior. Temporal trends were estimated by percentage change in the period and a Prais-Winsten regression model.Results: The records of 7,549,781 adults were analyzed. In Brazil as a whole, a temporal trend of growth in intake of hamburgers and sausages (4.5%) and fresh fruit (1.4%) and a reduction in sweetened beverages (-1.2%) was found. The comparison, made between the periods 2015-2019 and 2020-2023, pointed to possible changes in food intake due to the COVID-19 pandemic, with an increase in intake of hamburgers and sausages (18.8%) and instant noodles (5.8%).Conclusion: There was an increase in intake of unhealthy foods by the Brazilian adult population, with regional disparities and impacted by the pandemic.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240041"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328386","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}

引用次数: 0

Dental visits among adolescents in Brazil: descriptive analysis of the National School Health Survey, 2019. 巴西青少年牙科就诊：2019年全国学校健康调查的描述性分析

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240344.en

Hellen Monique da Motta, Nathalia Ribeiro Jorge da Silva-Garcia, Letícia Regina Morello Sartori, Maria Beatriz Junqueira de Camargo, Sarah Arangurem Karam

{"title":"Dental visits among adolescents in Brazil: descriptive analysis of the National School Health Survey, 2019.","authors":"Hellen Monique da Motta, Nathalia Ribeiro Jorge da Silva-Garcia, Letícia Regina Morello Sartori, Maria Beatriz Junqueira de Camargo, Sarah Arangurem Karam","doi":"10.1590/S2237-96222025v34e20240344.en","DOIUrl":"10.1590/S2237-96222025v34e20240344.en","url":null,"abstract":"Objective: To describe the prevalence of dental visits among adolescents participating in the 2019 National School Health Survey (PeNSE).Methods: A descriptive cross-sectional study analyzing dental visits in the last year considering sex, race/skin color, maternal education and dental pain. Only PeNSE 2019 participants between ages 13 and 15 years were included. Absolute and relative frequencies were verified using Pearson's Chi-square test, with a 5% confidence level (p-value<0.05) and the respective 95% confidence intervals (95%CI). As a secondary analysis, data on dental coverage in primary health care were collected and reported according to Brazilian regions.Results: The prevalence of visits to the dentist in the last year was 66.7%; a higher prevalence was noted for adolescents who declared themselves white compared to black adolescents (71.8% versus 61.9%), for females (68.4%; 95%CI 67.27; 69.49), among students with toothache (69.4%; 95%CI 67.61; 71.10) and with mothers with higher education (77.9%; 95%CI 76.56; 79.18). Federative units with high dental coverage reported lower use of services, while those with lower coverage reported a higher proportion of visits to the dentist.Conclusion: Among adolescents aged 13 to 15 years, a 66.7% prevalence of visits to the dentist in the last year was observed; higher prevalences of visits to the dentist were found among female adolescents, self-declared white, with mothers with higher education and with self-reported toothache. Furthermore, there was a lower prevalence of visits to the dentist in places with greater dental coverage.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240344"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328380","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}

引用次数: 0