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

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Factors associated with dental caries in adolescents: a cross-sectional study, São Paulo State, Brazil, 2015. 青少年龋齿相关因素:一项横断面研究,巴西圣保罗州,2015。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-30 eCollection Date: 2020-01-01 DOI: 10.1590/S1679-49742020000500007
Lívia Litsue Gushi Corrêa, Maria da Luz Rosário de Sousa, Antônio Carlos Frias, José Leopoldo Ferreira Antunes
{"title":"Factors associated with dental caries in adolescents: a cross-sectional study, São Paulo State, Brazil, 2015.","authors":"Lívia Litsue Gushi Corrêa,&nbsp;Maria da Luz Rosário de Sousa,&nbsp;Antônio Carlos Frias,&nbsp;José Leopoldo Ferreira Antunes","doi":"10.1590/S1679-49742020000500007","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500007","url":null,"abstract":"<p><strong>Objective: </strong>To analyze association between prevalence and severity of dental caries and demographic, socioeconomic, behavioral and oral health status in adolescents.</p><p><strong>Methods: </strong>This was a cross-sectional study with secondary data on 5,558 adolescents examined in the São Paulo State Oral Health Survey in 2015. The zero-inflated negative binomial regression model was used, considering sample weights. Prevalence ratios (PR), ratios of mean (RM) and confidence intervals (CI) were estimated.</p><p><strong>Results: </strong>Caries prevalence was 71.7%, and was higher in females (PR=1.09 - 95%CI 1.04;1.15), associated with being behind at school (PR=1.11 - 95%CI 1.03;1.18), dental calculus (PR=1.10 - 95%CI 1.01;1.20) and no access to fluoridated water (PR=1.21 - 95%CI 1.01;1.45).</p><p><strong>Conclusion: </strong>Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019523"},"PeriodicalIF":2.5,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38464139","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}
引用次数: 1
Description of COVID-19 hospitalized health worker cases in the first nine weeks of the pandemic, Brazil, 2020. 2020年巴西大流行前九周COVID-19住院卫生工作者病例描述
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-28 eCollection Date: 2020-01-01 DOI: 10.1590/S1679-49742020000500011
Magda Machado Saraiva Duarte, Maria Isabella Claudino Haslett, Leonardo José Alves de Freitas, Nivreanes Tcherno Nulle Gomes, Danielle Cristine Castanha da Silva, Jadher Percio, Marcelo Yoshito Wada, Francieli Fontana Sutile Tardetti Fantinato, Walquiria Aparecida Ferreira de Almeida, Daiana Araujo da Silva, Caroline Gava, Giovanny Vinícius Araújo de França, Eduardo Marques Macário, Karla Freire Baêta, Juliane Maria Alves Siqueira Malta, Ana Julia Silva E Alves
{"title":"Description of COVID-19 hospitalized health worker cases in the first nine weeks of the pandemic, Brazil, 2020.","authors":"Magda Machado Saraiva Duarte,&nbsp;Maria Isabella Claudino Haslett,&nbsp;Leonardo José Alves de Freitas,&nbsp;Nivreanes Tcherno Nulle Gomes,&nbsp;Danielle Cristine Castanha da Silva,&nbsp;Jadher Percio,&nbsp;Marcelo Yoshito Wada,&nbsp;Francieli Fontana Sutile Tardetti Fantinato,&nbsp;Walquiria Aparecida Ferreira de Almeida,&nbsp;Daiana Araujo da Silva,&nbsp;Caroline Gava,&nbsp;Giovanny Vinícius Araújo de França,&nbsp;Eduardo Marques Macário,&nbsp;Karla Freire Baêta,&nbsp;Juliane Maria Alves Siqueira Malta,&nbsp;Ana Julia Silva E Alves","doi":"10.1590/S1679-49742020000500011","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500011","url":null,"abstract":"<p><strong>Objective: </strong>To describe COVID-19 hospitalized health worker cases in Brazil.</p><p><strong>Methods: </strong>This was a descriptive case series study; it included cases that became ill between February 21st and April 15th, 2020 registered on the Influenza Surveillance Information System (SIVEP-Gripe, acronym in Portuguese).</p><p><strong>Results: </strong>Of the 184 cases, 110 (59.8%) were female and median age was 44 years (min-max: 23-85); 89 (48.4%) were nursing professionals and 50 (27.2%) were doctors. Ninety-two (50.0%) presented comorbidity, with heart disease predominating (n=37; 40.2%). Of the 112 professionals with a record of case progression, 85 (75.9%) were cured and 27 (24.1%) died, 18 of whom were male.</p><p><strong>Conclusion: </strong>The profile of COVID-19 hospitalized health workers is similar to that of the general population with regard to age and comorbidities, but different in relation to sex. The most affected areas were nursing and medicine.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020277"},"PeriodicalIF":2.5,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38438487","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}
引用次数: 0
Specialized dental care for people with disabilities in Brazil: profile of the Dental Specialty Centers, 2014. 巴西残疾人的专业牙科护理:2014年牙科专业中心概况。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-25 eCollection Date: 2020-01-01 DOI: 10.1590/S1679-49742020000500001
Aline Macarevich Condessa, Edson Hilan Gomes de Lucena, Nilcema Figueiredo, Paulo Sávio Angeiras de Goes, Juliana Balbinot Hilgert
{"title":"Specialized dental care for people with disabilities in Brazil: profile of the Dental Specialty Centers, 2014.","authors":"Aline Macarevich Condessa,&nbsp;Edson Hilan Gomes de Lucena,&nbsp;Nilcema Figueiredo,&nbsp;Paulo Sávio Angeiras de Goes,&nbsp;Juliana Balbinot Hilgert","doi":"10.1590/S1679-49742020000500001","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500001","url":null,"abstract":"<p><strong>Objective: </strong>To describe the oral health care services for people with disabilities treated within the Dentistry for Patients with Special Needs (PSN) specialty.</p><p><strong>Methods: </strong>This was a cross-sectional study with data from the Program for Improving Access and Quality of Dental Specialty Centers (PMAQ-CEO) in 2014.</p><p><strong>Results: </strong>Of the total of 932 services evaluated, 89.8% did provide care for PSNs, 30.4% had physical accessibility, 59.7% provided referral to hospital care and most guaranteed complete treatment. Only a third of the Dental Specialty Centers planned 40 or more hours a week for providing clinical care to PSNs.</p><p><strong>Conclusion: </strong>The care network for people with disabilities is being formed but, even with specific financial incentives, it has limitations. Services need to eliminate physical and attitudinal barriers to ensure universal accessibility. Protocols based on risk classification are necessary, prioritizing care at DSCs for complex cases not attended to in Primary Care and organizing the dental health care network for people with disabilities.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2018154"},"PeriodicalIF":2.5,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38438484","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}
引用次数: 4
Health conditions and weight change among the older adults over ten years of the SABE Survey. 在SABE调查的十年中,老年人的健康状况和体重变化。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-25 eCollection Date: 2020-01-01 DOI: 10.1590/S1679-49742020000400012
Tânia Aparecida de Araujo, Isabela Martins Oliveira, Tarsila Guimarães Vieira da Silva, Manuela de Almeida Roediger, Yeda Aparecida de Oliveira Duarte
{"title":"Health conditions and weight change among the older adults over ten years of the SABE Survey.","authors":"Tânia Aparecida de Araujo,&nbsp;Isabela Martins Oliveira,&nbsp;Tarsila Guimarães Vieira da Silva,&nbsp;Manuela de Almeida Roediger,&nbsp;Yeda Aparecida de Oliveira Duarte","doi":"10.1590/S1679-49742020000400012","DOIUrl":"https://doi.org/10.1590/S1679-49742020000400012","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship between health conditions and weight changes among elderly people monitored by the SABE Survey over a ten-year period in São Paulo/SP.</p><p><strong>Methods: </strong>This was a longitudinal study that followed (2000-baseline, 2006 and 2010) change in body weight (outcome variable) and associated health conditions (exposure variables) in the elderly (n=571); multinomial logistic regression analyses were employed.</p><p><strong>Results: </strong>Average weight increase in the evaluated period was 29.0%. 34.0% (2006) and 12.5% (2010) lost weight and 18.2% (2006) and 39.9% (2010) gained weight. Prevalence of chronic diseases increased from 34.1% (2000) to 51.9% (2006) and 60.1% (2010). Older people with weight gain also rated their overall health as poorer in 2006 (RR:3.15; 95%CI 1.21;8.17) and 2010 (RR:2.46; 95%CI 1.02;5.94). The higher numbers of diseases (RR:2.12; 95%CI 1.00;4.46) and hospitalizations (RR:3.50; 95%CI 1.40;8.72) were associated with a decrease in weight in 2010.</p><p><strong>Conclusion: </strong>Weight changes are related to poorer health status among the elderly.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020102"},"PeriodicalIF":2.5,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38438014","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}
引用次数: 2
Erratum. 勘误表。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-14 DOI: 10.1590/S1679-49742020000400029
{"title":"Erratum.","authors":"","doi":"10.1590/S1679-49742020000400029","DOIUrl":"https://doi.org/10.1590/S1679-49742020000400029","url":null,"abstract":"<p><p>[This corrects the article doi: 10.5123/S1679-49742020000100018].</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020193"},"PeriodicalIF":2.5,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38482409","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}
引用次数: 0
Suicide trend among Brazilian adolescents between 1997 and 2016. 1997年至2016年巴西青少年自杀趋势
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-07 DOI: 10.1590/S1679-49742020000400025
Fabiana Yanes Fernandes, Bruna Hinnah Borges Martins de Freitas, Samira Reschetti Marcon, Vilmeyze Larissa de Arruda, Nathalie Vilma Pollo de Lima, Juliano Bortolini, Maria Aparecida Munhoz Gaíva
{"title":"Suicide trend among Brazilian adolescents between 1997 and 2016.","authors":"Fabiana Yanes Fernandes,&nbsp;Bruna Hinnah Borges Martins de Freitas,&nbsp;Samira Reschetti Marcon,&nbsp;Vilmeyze Larissa de Arruda,&nbsp;Nathalie Vilma Pollo de Lima,&nbsp;Juliano Bortolini,&nbsp;Maria Aparecida Munhoz Gaíva","doi":"10.1590/S1679-49742020000400025","DOIUrl":"https://doi.org/10.1590/S1679-49742020000400025","url":null,"abstract":"OBJECTIVE\u0000To analyze the suicide mortality trend among Brazilian adolescents from 1997 to 2016.\u0000\u0000\u0000METHODS\u0000This is an ecological time series study; Prais-Winsten regression was used.\u0000\u0000\u0000RESULTS\u000014,852 suicide deaths were recorded, with mortality rates per 100,000 inhabitants of 1.95 in 1997, 2.65 in 2016 and average of 2.14 for the period 1997-2016; deaths predominated in males (67.59%), as well as deaths due to intentional self-harm (84.19%) and suicides at home (52.69%); the Midwest region had the highest rate in the period (3.71/100,000 inhabitants), in particular the state of Mato Grosso do Sul (8.3/100,000 inhabitants); the suicide trend rose 1.35% per annum in the general adolescent population (95%CI 0.56;2.15), 1.63% in males (95%CI 0.56;2.29), 3.11% in the North (95%CI 2.25;3.98) and 4.19% in the Northeast (95%CI 2.58;5.84).\u0000\u0000\u0000CONCLUSION\u0000Suicide mortality in Brazilian adolescents showed an upward trend in the period studied.","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020117"},"PeriodicalIF":2.5,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38356553","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}
引用次数: 7
Heavy episodic drinking trends in the Brazilian state capitals and Federal District, 2006-2018: an ecological time series analysis. 2006-2018年巴西各州首府和联邦区重度间歇性饮酒趋势:生态时间序列分析
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-07 DOI: 10.5123/S1679-49742020000400017
Zila van der Meer Sanchez, Thais Cláudia Roma de Oliveira Konstantyner, Gabriela Arantes Wagner, Maristela Goldnadel Monteiro, Camila Bertini Martins
{"title":"Heavy episodic drinking trends in the Brazilian state capitals and Federal District, 2006-2018: an ecological time series analysis.","authors":"Zila van der Meer Sanchez,&nbsp;Thais Cláudia Roma de Oliveira Konstantyner,&nbsp;Gabriela Arantes Wagner,&nbsp;Maristela Goldnadel Monteiro,&nbsp;Camila Bertini Martins","doi":"10.5123/S1679-49742020000400017","DOIUrl":"https://doi.org/10.5123/S1679-49742020000400017","url":null,"abstract":"<p><strong>Objective: </strong>To assess heavy episodic drinking trends in the 26 Brazilian state capitals and Federal District, overall and according to sex.</p><p><strong>Methods: </strong>This was an ecological time series study of heavy episodic drinking patterns among adults, from 2006 to 2018. The data were obtained from VIGITEL Survey time series. Prais-Winsten regression was used.</p><p><strong>Results: </strong>In the period studied a stationary heavy episodic drinking trend was found in 23 out of the 27 state capitals, with the exception of Macapá, where there was a decrease in this practice, and in São Paulo, Florianópolis and the Federal District, where an increase was found. There were important differences by sex in relation to heavy episodic drinking, with a tendency to increased consumption among women in seven state capitals.</p><p><strong>Conclusion: </strong>There was no reduction in heavy episodic drinking in most capitals, showing the urgency of implementing interventions to reduce alcohol consumption among the Brazilian population.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020078"},"PeriodicalIF":2.5,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38453353","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}
引用次数: 3
Infodemic: excess quantity to the detriment of quality of information about COVID-19. 信息泛滥:信息数量过多,损害了有关COVID-19的信息质量。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-07 DOI: 10.1590/S1679-49742020000400019
Leila Posenato Garcia, Elisete Duarte
{"title":"Infodemic: excess quantity to the detriment of quality of information about COVID-19.","authors":"Leila Posenato Garcia,&nbsp;Elisete Duarte","doi":"10.1590/S1679-49742020000400019","DOIUrl":"https://doi.org/10.1590/S1679-49742020000400019","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020186"},"PeriodicalIF":2.5,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38356554","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}
引用次数: 29
Partnership between the academy and public and private health systems to fight COVID-19: an experience report in Tubarão, Santa Catarina, Brazil. 学院与公共和私营卫生系统合作抗击COVID-19:在巴西圣卡塔琳娜州图巴<e:1>奥举行的经验报告。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-09-04 DOI: 10.1590/S1679-49742020000400024
Fabiana Schuelter-Trevisol, Betine Pinto Moehlecke Iser, Chaiana Esmeraldino Mendes Marcon, Rogério Sobroza de Mello, Kellen Meneghel de Souza, Maria Zélia Baldessar, Daisson José Trevisol
{"title":"Partnership between the academy and public and private health systems to fight COVID-19: an experience report in Tubarão, Santa Catarina, Brazil.","authors":"Fabiana Schuelter-Trevisol,&nbsp;Betine Pinto Moehlecke Iser,&nbsp;Chaiana Esmeraldino Mendes Marcon,&nbsp;Rogério Sobroza de Mello,&nbsp;Kellen Meneghel de Souza,&nbsp;Maria Zélia Baldessar,&nbsp;Daisson José Trevisol","doi":"10.1590/S1679-49742020000400024","DOIUrl":"https://doi.org/10.1590/S1679-49742020000400024","url":null,"abstract":"<p><p>This article presents an experience report about integration between public and private health services, health service managers and the academy, for surveillance and control of the COVID-19 epidemic, in the municipality of Tubarão, Santa Catarina, Brazil. The city is home to a university and has a large flow of people from different parts of the country, as well as being one of the first municipalities in the state of Santa Catarina to report cases of community transmission of SARS-CoV-2. The measures adopted included the implementation of the COVID-19 Monitoring Committee, the Municipal Health Emergency Operations Center, and the COVID-19 Contingency Plan. After 100 days of pandemic, 5,979 cases had been reported, 431 (7.2%) had been confirmed, of which five (1.2%) died. Early decisions, such as the immediate suspension of business activities and crowded events, may have reduced the spread of the virus. The partnerships put into place have provided innovation and supported public service management in decision-making based upon scientific evidence.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020499"},"PeriodicalIF":2.5,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38356551","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}
引用次数: 4
Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil. 巴西流行地区家庭社会网络麻风病控制操作失败,病例重叠。
IF 2.5
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-01-01 Epub Date: 2020-07-29 DOI: 10.5123/s1679-49742020000400004
Reagan Nzundu Boigny, Eliana Amorim de Souza, Anderson Fuentes Ferreira, Jessica Reco Cruz, Gabriela Soledad Márdero García, Nília Maria Brito de Lima Prado, Gilberto Valentim Silva, Jaqueline Caracas Barbosa, Rayane Lima da Silva, Maria Leide Wand Del Rey de Oliveira, Mauricio Lisboa Nobre, Alberto Novaes Ramos Júnior
{"title":"Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil.","authors":"Reagan Nzundu Boigny,&nbsp;Eliana Amorim de Souza,&nbsp;Anderson Fuentes Ferreira,&nbsp;Jessica Reco Cruz,&nbsp;Gabriela Soledad Márdero García,&nbsp;Nília Maria Brito de Lima Prado,&nbsp;Gilberto Valentim Silva,&nbsp;Jaqueline Caracas Barbosa,&nbsp;Rayane Lima da Silva,&nbsp;Maria Leide Wand Del Rey de Oliveira,&nbsp;Mauricio Lisboa Nobre,&nbsp;Alberto Novaes Ramos Júnior","doi":"10.5123/s1679-49742020000400004","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400004","url":null,"abstract":"<p><strong>Objective: </strong>To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.</p><p><strong>Results: </strong>A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).</p><p><strong>Conclusion: </strong>Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019465"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38230505","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}
引用次数: 3
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