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

{"title":"Inequalities in the provision of rapid HIV testing in primary health care: ecological study, Paraná, 2013-2023.","authors":"Lucas Vinícius de Lima, Gabriel Pavinati, Márcia Moroskoski, Nelly Lopes de Moraes Gil, Iukary Oliveira Takenami, Gabriela Tavares Magnabosco","doi":"10.1590/S2237-96222026v35e20250981.en","DOIUrl":"10.1590/S2237-96222026v35e20250981.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze temporal trends, spatial distributions, and factors associated with the provision of rapid HIV testing in primary health care in Paraná, between 2013 and 2023.</p><p><strong>Methods: </strong>Ecological study using data from the Outpatient Information System (<i>Sistema de Informações Ambulatoriais</i>, SIA) on the provision of rapid HIV testing. Testing rates per 10,000 inhabitants were calculated, and temporal trends were analyzed using joinpoint regression. Spatial distribution was performed at the municipal level, and the rates were tested against 17 socioeconomic and programmatic indicators using negative binomial regression.</p><p><strong>Results: </strong>During the period, 385,960 tests were recorded, of which 89.1% were performed by nurses. The state mean was 30.79 tests per 10,000 inhabitants, with emphasis on the Western macroregion (86.66 per 10,000 inhabitants). Some regions, such as Cornélio Procópio, showed marked growth (annual percentage change [APC] 71.19; 95% confidence interval [95%CI] 55.54; 205.09). Spatial analysis indicated a concentration of municipalities with higher testing rates in the Pato Branco, Francisco Beltrão, and Foz do Iguaçu regions. The illiteracy rate (rate ratio [RR] 0.77; 95%CI 0.63; 0.93), prenatal care coverage (RR 1.20; 95%CI 1.04; 1.37), and detection of acquired syphilis (RR 1.33; 95%CI 1.11; 1.59) were associated with the provision of rapid testing.</p><p><strong>Conclusion: </strong>Testing showed growth over the study period, though uneven across regions and marked by municipal heterogeneity. Socioeconomic, epidemiological, and programmatic factors influenced performance, indicating the need for targeted policies to reduce inequalities and strengthen primary health care in HIV diagnosis.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250981"},"PeriodicalIF":2.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231374","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: Nascimento, ADF; Souza, MCL; Rossoni, SL; Santos, JH; Lopes, WA; Pujals, C; Pedroso, RB. Integrative and complementary practices, hypertension and social indicators: an ecological study, Brazil, 2023. Epidemol Serv Saude. 2026:35;e20250570.","authors":"Fabiana Maria de Aguiar Bello Marques","doi":"10.1590/S2237-96222026v35e20250570.a","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20250570.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231391","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":"[Factors associated with seroprevalence of <i>Toxoplasma gondii</i> infection in pregnant women: a cross-sectional study, Piraquara, Brazil, 2024].","authors":"Fernanda Paula da Silva Torres, Nicole Muniz Ferreira Gonçalves, Vivien Midori Morikawa, Yanna Dantas Rattmann, Denise Siqueira de Carvalho, Marlene da Cruz Magalhães Buffon","doi":"10.1590/S2237-96222026v35e20250708.pt","DOIUrl":"10.1590/S2237-96222026v35e20250708.pt","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250708"},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231366","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":"[Integrative and complementary practices, hypertension and social indicators: an ecological study, Brazil, 2023].","authors":"Alexsandra da Silva Ferreira do Nascimento, Maria Carolina Lins de Souza, Stéfane Lele Rossoni, Juliana Henriques Dos Santos, Wendell Arthur Lopes, Constanza Pujals, Raíssa Bocchi Pedroso","doi":"10.1590/S2237-96222026v35e20250570.pt","DOIUrl":"10.1590/S2237-96222026v35e20250570.pt","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250570"},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231368","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: Nascimento, ADF; Souza, MCL; Rossoni, SL; Santos, JH; Lopes, WA; Pujals, C; Pedroso, RB. Integrative and complementary practices, hypertension and social indicators: an ecological study, Brazil, 2023. Epidemol Serv Saude. 2026:35;e20250570.","authors":"Ana Elisa Madalena Rinaldi","doi":"10.1590/S2237-96222026v35e20250570.b","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20250570.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231386","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":"Evidence-informed policies: tools for decision-making in the Brazilian Unified Health System.","authors":"Carolina Müller Ferreira, Maria Auxiliadora Parreiras Martins, Everton Nunes da Silva, Jorge Otávio Maia Barreto, Taís Freire Galvão","doi":"10.1590/S2237-96222026v35e20263005.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20263005.en","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20263005"},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122735","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":"Temporal trends and regional disparities in mortality from acute myocardial infarction in Brazil: a time series study, 2015-2024.","authors":"Geovanna Aires Silva, Carlos Henrique Santos, Jacqueline Andréia Bernardes Leão-Cordeiro, Antonio Marcio Teodoro Cordeiro Silva","doi":"10.1590/S2237-96222026v35e20260533.en","DOIUrl":"10.1590/S2237-96222026v35e20260533.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze mortality from acute myocardial infarction in Brazil according to temporal trends, sociodemographic characteristics, and regional disparities from 2015 to 2024.</p><p><strong>Methods: </strong>A time series study using annual aggregated data from the Mortality Information System (<i>Sistema de Informações sobre Mortalidade</i>, SIM). Unadjusted mortality rates, age-standardized mortality rates, and sex-specific rate ratios were calculated. Temporal trends were assessed using log-linear regression to estimate the annual percent change (APC), and reestimated using the Prais-Winsten method as a complementary analysis.</p><p><strong>Results: </strong>A total of 938,997 deaths were recorded during the study period. The absolute number of deaths remained stable, with a 3.8% increase between 2015 and 2024. Age-standardized mortality rates declined throughout the study period (annual percent change: -2.6%; p-value<0.001). Mortality was higher among males, with a mean rate ratio of 1.53 over the study period, reaching 1.58 in 2024, and was concentrated among older adults. The Southeast and Northeast regions had the highest unadjusted mortality rates.</p><p><strong>Conclusion: </strong>Age-standardized mortality rates declined over the study period, although the high burden of deaths associated with population aging and regional disparities persisted. These findings reinforce the need to strengthen cardiovascular disease prevention strategies, timely diagnosis, and the organization of the healthcare network for cardiovascular diseases within the Brazilian Unified Health System (<i>Sistema Único de Saúde</i>, SUS).</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20260533"},"PeriodicalIF":2.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122718","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":"Erratum: \"Association between commensality practices and healthy food consumption in Primary Care: a cross-sectional study, Goiânia, 2022-2023\".","authors":"","doi":"10.1590/S2237-96222025v34e20240367e.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240367e.en","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1590/S2237-96222025v34e20240367.en.].</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20240367e"},"PeriodicalIF":2.0,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032944","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":"Self-reported hypertension in adults: a cross-sectional study using VIGITEL data, southern region of Brazil, 2023.","authors":"Eduardo Augusto Bruzamarello, Patrícia Alessandra Carneiro, Claudicéia Risso Pascotto, Franciele Ani Caovilla Follador, Lirane Elize Defante Ferreto","doi":"10.1590/S2237-96222026v35e20250626.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20250626.en","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate prevalence of self-reported hypertension and to analyze associated factors in adults living in the state capital cities of the Southern region of Brazil in 2023.</p><p><strong>Methods: </strong>This was a cross-sectional study with adults (≥18 years) from the cities of Curitiba, Florianópolis and Porto Alegre, using data from the 2023 Chronic Disease Risk and Protective Factors Surveillance Telephone Survey (VIGITEL). The variables were hypertension, sociodemographic factors, health indicators and lifestyle. Statistical analysis used a complex sampling design with weighting. Bivariate analyses and multivariate Poisson regression were performed to estimate prevalence ratios (PR) and confidence intervals (95%CI).</p><p><strong>Results: </strong>The sample totaled 2,255 individuals. Hypertension prevalence was 28.0% (95%CI 25.4; 30.8) and ranged from 22.7% (95%CI 19.4; 26.5) in Florianópolis to 32.8% (95%CI 28.2; 37.8) in Porto Alegre. In the final multivariate analysis, the factors that remained independently associated with hypertension were increasing age (PR 13.15; 95%CI 5.93; 29.15 for ≥70 years), obesity (PR 2.01; 95%CI 1.70; 2.38), and diabetes (PR 1.53; 95%CI 1.31; 1.79).</p><p><strong>Conclusion: </strong>Hypertension prevalence in the state capital cities of the Southern region of Brazil was 28% and differed between the cities. The main associated factors were increasing age, obesity and diabetes. The findings emphasized the importance of prevention strategies focused on modifiable risk factors and monitoring of the most vulnerable groups.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250626"},"PeriodicalIF":2.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280697","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":"Profile and context of the work of physicians in the More Doctors for Brazil Project: a cross-sectional study, Brazil, 2024.","authors":"Rhaine Borges Santos Pedreira, Elzo Pereira Pinto, Marina Luna Pamponet, Ana Luiza Queiroz Vilasbôas, Silvana Lima Vieira, Elvira Caires de Lima, Nília Maria de Brito Lima Prado, Rosana Aquino","doi":"10.1590/S2237-96222026v35e20251297.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20251297.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the profile of physicians working in the More Doctors for Brazil (<i>Mais Médicos para o Brasil</i>) Project in 2024 and to analyze association between being an exchange physician and individual and contextual characteristics.</p><p><strong>Methods: </strong>This was a cross-sectional study with administrative data obtained from the program. The outcome was being an exchange physician, identified by type of professional registration (exchange physician or being registered with a Regional Medical Council in Brazil). Independent variables included individual characteristics of assigned health facilities and municipalities. Descriptive, bivariate and multivariate analyses were performed, with estimation of prevalence rates, prevalence ratios (PR), and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>Data on 19,418 physicians were analyzed. We found a predominance of female physicians, of White or Asian race/color, aged 30-49 years, and who were born in Brazil. Exchange physician prevalence was higher among male physicians (PR 1.10; 95%CI 1.07; 1.14), those aged 30-49 years (PR 1.22; 95%CI 1.17; 1.28) or ≥50 years (PR 1.18; 95%CI 1.12; 1.25), foreigners (PR 1.33; 95%CI 1.28; 1.39), and those working in establishments serving <i>quilombola</i> populations (PR 1.11; 95%CI 1.04; 1.18) and riverside populations (PR 1.35; 95%CI 1.24; 1.46). Higher exchange physician prevalence rates occurred in the Southeast, North, South and Midwest regions of Brazil, and in remote and adjacent municipalities.</p><p><strong>Conclusion: </strong>The study showed that the program's workforce is predominantly Brazilian, with a high percentage of exchange physicians. The participation of physicians with temporary and exclusive registration in the program highlights the importance of training, continuing education and supervision initiatives in primary health care.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20251297"},"PeriodicalIF":2.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280669","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}