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

{"title":"Trend in cancer incidence and mortality among children and adolescents in Mato Grosso, 2001-2018.","authors":"Mariana Rosa Soares, Pablo Cardozo Roccon, Wanderlei Antonio Pignati, Noemi Dreyer Galvão, Paulo César Fernandes de Souza, Amanda Cristina de Souza Andrade","doi":"10.1590/S2237-96222025v34e20250146.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20250146.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend of cancer incidence and mortality among children and adolescents residing in Mato Grosso during the period 2001-2018.</p><p><strong>Methods: </strong>This was a time series study of cancer incidence and mortality rates among children and adolescents aged 0-19 years residing in Mato Grosso. Joinpoint regression was used to estimate the annual percentage changes (APC) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>A total of 1,915 new cases and 796 deaths were recorded, with leukemias being the most common (30.23% of cases and 34.92% of deaths) for the 15-19 age group (28.25% of cases and 30.78% of deaths), among individuals of Brown race/skin color (45.17% of cases and 50.75% of deaths), and males (53.89% of cases and 56.53% of deaths). Incidence rates showed a decreasing trend for leukemias between 2001 and 2010 (APC -5.5%; 95%CI -8.3; -2.6) and soft tissue sarcomas (APC -7.3%; 95%CI -10.6; -3.8) during the period 2001-2018, as well as for all causes between 2001 and 2016 (APC -1.1%; 95%CI -2.0; -0.2). Mortality rates remained stable throughout the period and for all types of cancer.</p><p><strong>Conclusion: </strong>Although stable, the rates in Mato Grosso are high, which calls for strategies to promote access to early diagnosis and timely, appropriate treatment, such as expanding the network of specialized services, improving the quality of these services, and updating the data.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20250146"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254338","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}

{"title":"Factors associated with inadequate blood pressure control among hypertensive individuals living in a Quilombola Community: a cross-setional study, Brazil, 2017-2018.","authors":"Randson Souza Rosa, Junior Santos Menezes, Edson Zangiacomi Martinez, Rita Narriman Silva de Oliveira Boery, Ícaro José Santos Ribeiro, Jean Carlos Zambrano Contreras, José de Bessa Junior, Ricardo Franklin de Freitas Mussi, Sávio Luiz Ferreira Moreira, Gisele Silveira Lemos, Isleide Santana Cardoso Santos","doi":"10.1590/S2237-96222025v34e20240556.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240556.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the factors associated with the prevalence of inadequate blood pressure control among hypertensive residents of a Quilombola community in Northeastern Brazil.</p><p><strong>Methods: </strong>A cross-sectional epidemiological study with the participation of residents of Quilombo do Barro Preto (Jequié, Bahia) aged 35 to 79 years. Blood pressure control was classified as inadequate for systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Medication adherence was assessed according to the Morisky Medication Adherence Scale. Using log-binomial regression, prevalence ratios (PR) adjusted for sex and age were estimated with 95% confidence intervals (95%CI) to compare differences between the prevalence of inadequate blood pressure control among interest groups. Comparisons between means were based on Student's t-Tests and analysis of variance.</p><p><strong>Results: </strong>Among the 300 participants, 71.7% were women, 49.3% self-identified as Black, 41.0% Brown, and 39.7% had incomplete elementary education. Systolic blood pressure was associated with age, with a higher average among people over 65 years of age, while the average diastolic blood pressure was higher among people up to 55 years of age. The prevalence of inadequate pressure control was 66.3% (95%CI 60.7; 71.7), being higher in people with type 2 diabetes (PR1.28; 95%CI 1.09; 1.51) and low adherence to medications (PR1.27; 95%CI 1.01; 1.59).</p><p><strong>Conclusions: </strong>The Quilombola population presents difficulties in controlling hypertension, with a high prevalence of uncontrolled blood pressure, especially among people with type 2 diabetes and low adherence to drug treatment.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240556"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254325","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}

{"title":"Reviewed article: Rosa RS, Menezes JS, Martinez EZ, Boery RNSO, Ribeiro IJS, Contreras JCZ, Junior JB, Mussi RFF, Moreira SLF, Lemos GS, Santos ISC. Factors associated with inadequate blood pressure control among hypertensive individuals living in a Quilombola Community: a cross-setional study, Brazil, 2017-2018. Epidemiol Serv Saude. 2025:34;e20240556.","authors":"Cristine Vieira do Bonfim","doi":"10.1590/S2237-96222025v34e20240556.b","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240556.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240556.b"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254376","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}

{"title":"Reviewed article: Rosa RS, Menezes JS, Martinez EZ, Boery RNSO, Ribeiro IJS, Contreras JCZ, Junior JB, Mussi RFF, Moreira SLF, Lemos GS, Santos ISC. Factors associated with inadequate blood pressure control among hypertensive individuals living in a Quilombola Community: a cross-setional study, Brazil, 2017-2018. Epidemiol Serv Saude. 2025:34;e20240556.","authors":"Kaciane Corrêa Mochizuke","doi":"10.1590/S2237-96222025v34e20240556.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240556.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240556.a"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254328","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}

{"title":"Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022.","authors":"Daniel Hideki Bando, Francisco Chiaravalloti Neto, Alfredo Pereira de Queiroz","doi":"10.1590/S2237-96222025v34e20240820.en","DOIUrl":"10.1590/S2237-96222025v34e20240820.en","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the spatial-temporal pattern of stroke mortality in the Brazilian state of Minas Gerais between 2014 and 2022 and to identify its association with socioeconomic indicators. The identification of clusters of high and low mortality rates, along with their associated indicators, may assist public managers in formulating intersectoral public policies aimed at reducing social inequalities.</p><p><strong>Methods: </strong>: This study employed an ecological approach using municipal-level data. Mortality data were obtained from the Department of Information Technology of the Brazilian National Health System. The covariates were the five dimensions that compose the Minas Gerais Social Responsibility Index developed by the João Pinheiro Foundation. Scan statistics were used to detect spatial and spatio-temporal clusters of high and low stroke mortality rates. The association between stroke mortality and the indicators was estimated using a spatial autoregressive model.</p><p><strong>Results: </strong>A total of 88,429 deaths due to stroke occurred during the study period, corresponding to a rate of 47.0 per 100,000 inhabitants per year. Purely spatial analysis identified 13 dispersed clusters: eight with high mortality rates (relative risk [RR] 1.08 to 1.31) and five with low rates (RR 0.80 to 0.89). Spatial-temporal analysis identified four high-rate clusters (2014-2017; RR 1.18 to 1.48) and three low-rate clusters (2018-2022; RR 0.66 to 0.87) distributed across the state. A negative association was found between stroke mortality and the indicators for health (β = -7.64), education (β = -7.21), and safety (β = -3.43), with R² = 0.41.</p><p><strong>Conclusion: </strong>This study can support public managers in monitoring, evaluating, and formulating public health policies by promoting articulation between health and other sectors, aiming to improve the population's social well-being.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240820"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208932","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 neonatal mortality and preventable neonatal deaths: a time series analysis, Bahia, 2010-2020.","authors":"Daiane Porto Nery, Amanda Cristina de Souza Andrade, Daniela Silva Rocha, Míriam Carmo Rodrigues Barbosa, Renata da Silva Gomes, Vanessa Moraes Bezerra","doi":"10.1590/S2237-96222025v34e20240651.en","DOIUrl":"10.1590/S2237-96222025v34e20240651.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend of neonatal mortality rates and preventable neonatal deaths in Bahia.</p><p><strong>Methods: </strong>This was a time series study of neonatal deaths in Bahia from 2010 to 2020. Neonatal mortality rates and their components were calculated and analyzed according to sociodemographic, obstetric, and newborn characteristics, as well as causes of death. Joinpoint regression analyses were used to estimate trends, annual percentage change (APC), and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>A total of 26,661 neonatal deaths were identified. A decreasing trend was observed for neonatal mortality (APC -1.9; 95%CI -2.4; -1.5) and early neonatal mortality (APC -2.2; 95%CI -2.6; -1.8), while late neonatal mortality showed a stationary trend (APC -0.7; 95%CI -2.1; 0.7). Higher frequencies of neonatal deaths were observed among children born to mothers aged 20 to 34 years, with 8 to 11 years of schooling, single pregnancies, preterm births, vaginal deliveries, male newborns, low birth weight, and those with certain conditions originating in the perinatal period and congenital malformations. A decreasing trend was found in neonatal mortality due to preventable causes through adequate care during pregnancy and childbirth. However, an upward trend was identified for some preventable causes of neonatal death, such as congenital syphilis.</p><p><strong>Conclusion: </strong>The decline in neonatal mortality rates indicated progress in prenatal and childbirth care. Differences in trends of preventable deaths emphasized the need to expand and improve health services through public policies that address regional inequalities and strengthen comprehensive maternal and child health care.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240651"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208929","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: Bando DH, Neto FC, Queiroz AP. Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022. Epidemiol Serv Saude. 2025:34;e20240820.","authors":"Rodrigo Pinheiro de Toledo Vianna","doi":"10.1590/S2237-96222025v34e20240820.a","DOIUrl":"10.1590/S2237-96222025v34e20240820.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240820.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208871","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: Bando DH, Neto FC, Queiroz AP. Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022. Epidemiol Serv Saude. 2025:34;e20240820.","authors":"Vinicius Viana Abreu Montanaro","doi":"10.1590/S2237-96222025v34e20240820.b","DOIUrl":"10.1590/S2237-96222025v34e20240820.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240820.b"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208960","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: Nery DP, Andrade ACS, Rocha DS, Barbosa MCR, Gomes RS, Bezerra VM. Trend in neonatal mortality and preventable neonatal deaths: a time series analysis, Bahia, 2010-2020. Epidemiol Serv Saude.2025:34;e20240651.","authors":"Betine Pinto Moehlecke Iser","doi":"10.1590/S2237-96222025v34e20240651.b","DOIUrl":"10.1590/S2237-96222025v34e20240651.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240651.b"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208900","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: Nery DP, Andrade ACS, Rocha DS, Barbosa MCR, Gomes RS, Bezerra VM. Trend in neonatal mortality and preventable neonatal deaths: a time series analysis, Bahia, 2010-2020. Epidemiol Serv Saude.2025:34;e20240651.","authors":"Eunice Francisca Martins","doi":"10.1590/S2237-96222025v34e20240651.a","DOIUrl":"10.1590/S2237-96222025v34e20240651.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240651.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208908","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}