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

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Intersectional analysis of the social vulnerability of individuals with differences in the time between oral cancer diagnosis and treatment: a cross-sectional study, Brazil, 2011-2020. 口腔癌诊断和治疗时间差异个体社会脆弱性的交叉分析:一项横断面研究,巴西,2011-2020。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240849.en
João Victor Alves Alencar, Davi Peixoto Craveiro Carvalho, Hebert Garcia Umeno, Mary Anne de Souza Alves França, Monarko Nunes de Azevedo
{"title":"Intersectional analysis of the social vulnerability of individuals with differences in the time between oral cancer diagnosis and treatment: a cross-sectional study, Brazil, 2011-2020.","authors":"João Victor Alves Alencar, Davi Peixoto Craveiro Carvalho, Hebert Garcia Umeno, Mary Anne de Souza Alves França, Monarko Nunes de Azevedo","doi":"10.1590/S2237-96222025v34e20240849.en","DOIUrl":"10.1590/S2237-96222025v34e20240849.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate association between the sociodemographic profiles of individuals with oral cancer in Brazil and the time interval between diagnosis and initiation of treatment.</p><p><strong>Methods: </strong>This was a cross-sectional study of reported oral cancer cases in Brazil from 2011 to 2020, using data from the Cancer Hospital Registry Information System of the Brazilian National Cancer Institute (Sis-RHC/INCA). Sociodemographic profiles were identified using two-step cluster analysis, and associations were estimated using multinomial logistic regression, with odds ratios (OR) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>The sample included 25,169 cases diagnosed between 2011 and 2020, which defined four distinct profiles: A) married men aged 40-79, White, with less than 8 years of schooling, from the Southern region; B) married men aged 40-79, Black, with 8 years of schooling, from the Northeast region; C) married men aged 40-79, Black, with less than 8 years of schooling, from the Northeast region; D) widowed women aged 40-79, Black, with less than 8 years of schooling, from the Southeast region. Compared to profile D, profile A showed 61.5% lower odds of starting treatment ≥91 days after diagnosis (OR 0.38; 95%CI 0.26; 0.55), profile B showed 50.0% lower odds (OR 0.50; 95%CI 0.32; 0.77), and profile C showed 35.4% lower odds (OR 0.64; 95%CI 0.45; 0.92).</p><p><strong>Conclusion: </strong>Significant differences exist in the time to treatment initiation for oral cancer across distinct sociodemographic groups.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240849"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986203","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
Variability in public procurement prices for Group 1A drugs in the specialized pharmaceutical component: an observational study, 2013-2022. 专业医药成分中1A类药品公共采购价格的变异性:2013-2022年的观察性研究。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240733.en
Paula Rossignoli, Roberto Pontarolo, Fernando Fernandez-Llimos
{"title":"Variability in public procurement prices for Group 1A drugs in the specialized pharmaceutical component: an observational study, 2013-2022.","authors":"Paula Rossignoli, Roberto Pontarolo, Fernando Fernandez-Llimos","doi":"10.1590/S2237-96222025v34e20240733.en","DOIUrl":"10.1590/S2237-96222025v34e20240733.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the difference in acquisition prices of Group 1A drugs in the Specialized Pharmaceutical Component between purchases made by the Brazilian Ministry of Health and those made by the Paraná State Health Department.</p><p><strong>Methods: </strong>This was a retrospective observational study comparing prices of medications acquired centrally by the Brazilian Ministry of Health and those acquired by the State of Paraná to meet court orders or to supply supplementary lists, from 2013 to 2022. The weighted average acquisition price was calculated for each procurement source, per year, based on data from the Paraná Health Department management information system. The ratio between Paraná's and the Brazilian Ministry of Health's weighted average prices was calculated, as well as the hypothetical cost of Paraná's purchases had they been made at the Ministry's prices. Total overpricing in Paraná's acquisitions was also calculated.</p><p><strong>Results: </strong>A total of 500 price comparisons were conducted, covering 116 different drug presentations. In 84.6% of the comparisons, Paraná's prices exceeded those of the Ministry of Health. For seven pharmaceutical presentations, the state price was more than 10 times higher than the federal price, reaching as high as 47.32 times in the most extreme case. Overall, Paraná's expenditures exceeded by more than BRL 200 million the amount that would have been paid at the Ministry's prices, resulting in 55.7% overpricing.</p><p><strong>Conclusion: </strong>There was considerable variation between prices of drugs acquired centrally by the Brazilian Ministry of Health and those acquired by the state of Paraná. To enhance cost-effectiveness within the Brazilian National Health System, mechanisms for centralized price negotiation or procurement should be further explored.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240733"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986214","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
Food and nutrition actions and continuing education in Primary Healthcare: a cross-sectional study Paraíba, 2021. 初级卫生保健中的粮食和营养行动和继续教育:一项横断面研究Paraíba, 2021。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240349.en
Micaela de Sousa Menezes, Carla Campos Muniz Medeiros, Danielle Franklin de Carvalho, Ricardo Alves de Olinda, Mônica Oliveira da Silva Simões
{"title":"Food and nutrition actions and continuing education in Primary Healthcare: a cross-sectional study Paraíba, 2021.","authors":"Micaela de Sousa Menezes, Carla Campos Muniz Medeiros, Danielle Franklin de Carvalho, Ricardo Alves de Olinda, Mônica Oliveira da Silva Simões","doi":"10.1590/S2237-96222025v34e20240349.en","DOIUrl":"10.1590/S2237-96222025v34e20240349.en","url":null,"abstract":"<p><strong>Objectives: </strong>Describe the actions to promote adequate and healthy eating conducted in Primary Care, in addition to presenting the training provided to healthcare professionals when obesity care is offered and its association with the implementation of lines of care and food and nutritional surveillance in municipalities in the state of Paraíba, Brazil.</p><p><strong>Methods: </strong>This was a cross-sectional study carried out with health professionals from January to June 2021, in municipalities in Paraíba. Descriptive analysis was performed and, to test the associations, Pearson's chi-square test and Fisher's exact test were used, as necessary.</p><p><strong>Results: </strong>The Community actions were the most frequent, adopted by teams in 56.1% of cases, followed by group actions that occurred with a frequency of 55.0%. The implementation of the line of care was greater in municipalities with less than 30 thousand inhabitants that carried out permanent education (p-value<0.001). The implementation of food and nutritional surveillance was higher in the total sample in municipalities with 30,000 to 150,000 inhabitants and with less than 30,000 inhabitants (p-value<0.001) who carried out permanent education actions.</p><p><strong>Conclusion: </strong>Community and group actions were adopted in Primary Care in Paraíba. Continuing education showed a positive association with the implementation of lines of care and nutritional surveillance, especially in smaller municipalities. These results highlighted the importance of evaluating, monitoring and expanding continuing education initiatives in Paraíba to strengthen food and nutrition actions..</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240349"},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986004","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
Reviewed article: Pinto ABD, Thomás BVS, Lima LMR, Maia JCS, Sousa AFM, Nepomuceno DB. Epidemiologic aspects and spatial distribution of human visceral leishmaniasis: a cross-sectional study, Crateús, 2007-2023. Epidemiol Serv Saude. 2025:34;e20250155. 10.1590/S2237-96222025v34e20250155.en. 综述文章:Pinto ABD, Thomás BVS, Lima LMR, Maia JCS, Sousa AFM, Nepomuceno DB。人类内脏利什曼病的流行病学方面和空间分布:一项横断面研究,Crateús, 2007-2023。沙特流行病学杂志。2025:34;e20250155。10.1590 / s2237 v34e20250155.en——96222025。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20250155.a
Patricia Matias Pinheiro
{"title":"Reviewed article: Pinto ABD, Thomás BVS, Lima LMR, Maia JCS, Sousa AFM, Nepomuceno DB. Epidemiologic aspects and spatial distribution of human visceral leishmaniasis: a cross-sectional study, Crateús, 2007-2023. Epidemiol Serv Saude. 2025:34;e20250155. 10.1590/S2237-96222025v34e20250155.en.","authors":"Patricia Matias Pinheiro","doi":"10.1590/S2237-96222025v34e20250155.a","DOIUrl":"10.1590/S2237-96222025v34e20250155.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20250155.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986127","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
Epidemiologic aspects and spatial distribution of human visceral leishmaniasis: a cross-sectional study, Crateús, 2007-2023. 人类内脏利什曼病的流行病学方面和空间分布:一项横断面研究,Crateús, 2007-2023。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20250155.en
Ana Beatriz Dantas Pinto, Bárbara Vitória de Sousa Thomás, Lorena Maria Ribeiro Lima, José Cleves da Silva Maia, Antonio Ferreira Mendes de Sousa, Denise Barguil Nepomuceno
{"title":"Epidemiologic aspects and spatial distribution of human visceral leishmaniasis: a cross-sectional study, Crateús, 2007-2023.","authors":"Ana Beatriz Dantas Pinto, Bárbara Vitória de Sousa Thomás, Lorena Maria Ribeiro Lima, José Cleves da Silva Maia, Antonio Ferreira Mendes de Sousa, Denise Barguil Nepomuceno","doi":"10.1590/S2237-96222025v34e20250155.en","DOIUrl":"10.1590/S2237-96222025v34e20250155.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the epidemiological profile and spatial distribution of human visceral leishmaniasis cases in Crateús, Ceará, Brazil, from 2007 to 2023.</p><p><strong>Methods: </strong>This was a retrospective, descriptive cross-sectional study based on epidemiologic data from the Notifiable Health Conditions Information System regarding human visceral leishmaniasis in Crateús between 2007 and 2023. The variables assessed were sex, age group at the time of diagnosis, race/skin color, education level, HIV coinfection, case outcome, neighborhood of residence, area of residence, and number of deaths per year of notification. Relative frequency, incidence, and lethality rates were calculated; maps were created to reflect the spatial distribution of cases within the municipality.</p><p><strong>Results: </strong>Between 2007 and 2023, 112 cases of visceral leishmaniasis were reported in Crateús, predominantly among males (n=77), brown-skinned individuals (n=81), aged 20-39 years (n=27), with incomplete elementary education (n=31), and residing in urban areas of the municipality (n=88). The incidence rate decreased from 22.81 in 2007 to 16.02 in 2008, with a peak of 14.67 in 2018; by 2023, the incidence rate had dropped to 10.47. There were four cases of HIV coinfection and two deaths directly attributable to the disease.</p><p><strong>Conclusion: </strong>Cases of visceral leishmaniasis in Crateús were concentrated in the urban area of the municipality. The epidemiologic profile was consistent with national trends, with the most affected individuals being of mixed race/skin color, male, aged 20-39 years, and with incomplete elementary education.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20250155"},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985858","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
Reviewed article: Menezes MS, Medeiros CCM, Carvalho DF, Olinda RA, Simões MOS. Food and nutrition actions and continuing education in Primary Healthcare in municipalities of Paraíba, 2021: a cross-sectional study. Epidemiol Serv Saude. 2025:34;e20240349. 综述文章:Menezes MS, Medeiros CCM, Carvalho DF, Olinda RA, Simões MOS。2021年Paraíba各城市在初级保健方面的粮食和营养行动和继续教育:一项横断面研究。沙特流行病学杂志。2025:34;e20240349。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240349.a
Nathan Aratani
{"title":"Reviewed article: Menezes MS, Medeiros CCM, Carvalho DF, Olinda RA, Simões MOS. Food and nutrition actions and continuing education in Primary Healthcare in municipalities of Paraíba, 2021: a cross-sectional study. Epidemiol Serv Saude. 2025:34;e20240349.","authors":"Nathan Aratani","doi":"10.1590/S2237-96222025v34e20240349.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240349.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240349.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986132","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
Editorial processing of Epidemiologia e Serviços de Saúde: advances and perspectives in 2025. 《流行病学与卫生服务Saúde: 2025年的进展与展望》的编辑过程。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-11 DOI: 10.1590/S2237-96222025v34e20252002.en
Jorge Otávio Maia Barreto, Everton Nunes da Silva, Maria Auxiliadora Parreiras Martins, Wildo Navegantes de Araújo, Taís Freire Galvão
{"title":"Editorial processing of Epidemiologia e Serviços de Saúde: advances and perspectives in 2025.","authors":"Jorge Otávio Maia Barreto, Everton Nunes da Silva, Maria Auxiliadora Parreiras Martins, Wildo Navegantes de Araújo, Taís Freire Galvão","doi":"10.1590/S2237-96222025v34e20252002.en","DOIUrl":"10.1590/S2237-96222025v34e20252002.en","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20252002"},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839830","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
Increased maternal and neonatal morbidity and mortality due to severe acute respiratory syndrome in the early years of COVID-19: a descriptive-analytical study, Rio de Janeiro state, Brazil, 2018-2021. COVID-19早期严重急性呼吸系统综合征导致的孕产妇和新生儿发病率和死亡率增加:一项描述性分析研究,巴西里约热内卢州里约热内卢,2018-2021。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240665.en
Allan Scharf, Danielle Pereira Paulo, Giselle Ferreira de Paes, Welington Lugão, Danielle Coelho de Azevedo, Beatriz Barde, Nádia Rodrigues
{"title":"Increased maternal and neonatal morbidity and mortality due to severe acute respiratory syndrome in the early years of COVID-19: a descriptive-analytical study, Rio de Janeiro state, Brazil, 2018-2021.","authors":"Allan Scharf, Danielle Pereira Paulo, Giselle Ferreira de Paes, Welington Lugão, Danielle Coelho de Azevedo, Beatriz Barde, Nádia Rodrigues","doi":"10.1590/S2237-96222025v34e20240665.en","DOIUrl":"10.1590/S2237-96222025v34e20240665.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate morbidity and mortality rates from severe acute respiratory syndrome in pregnant women and newborns in the first two years of the COVID-19 pandemic.</p><p><strong>Methods: </strong>This was a descriptive-analytical study in which data on cases and deaths in pregnant women and newborns with a positive diagnosis of severe acute respiratory syndrome, regardless of the etiological agent, were collected from the Influenza Epidemiological Surveillance Information System and data on the number of live births from the Live Birth Information System. The frequencies of cases and deaths and the morbidity and mortality rates among pregnant women and newborns in the state of Rio de Janeiro were calculated using the Kruskal-Wallis test to compare the periods 2018-2019 and 2020-2021.</p><p><strong>Results: </strong>During the pandemic, there was a statistically significant increase in morbidity rates in pregnant women (24.49/100,000 to 537.39/100,000; p-value<0.001) and newborns (69.97/100,000 to 200.82/100,000; p-value 0.022) and mortality rates in pregnant women (1.87/100,000 to 48.08/100,000; p-value<0.001) and newborns (1.87/100,000 to 9.26/100,000; p-value 0.008).</p><p><strong>Conclusion: </strong>This study identified a statistically significant increase in morbidity and mortality rates due to severe acute respiratory syndrome in pregnant women and newborns in the state of Rio de Janeiro during the pandemic. There is a clear need for greater investment to reduce harm to these groups, such as vaccination and access to the healthcare system, as well as highly complex infrastructure throughout the state.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240665"},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839831","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
Adaptation of a pediatric hospital to the recommendations of the Brazilian Dietary Guidelines, Niterói, 2023. 儿科医院适应巴西膳食指南的建议,Niterói, 2023。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240532.en
Amine Farias Costa, Letícia Ferreira Tavares, Paulo Cesar Pereira de Castro Junior, Raphael Barreto da Conceição Barbosa, Olivia Souza Honório, Ana Carolina Rocha Oliveira, Letícia de Oliveira Cardoso
{"title":"Adaptation of a pediatric hospital to the recommendations of the Brazilian Dietary Guidelines, Niterói, 2023.","authors":"Amine Farias Costa, Letícia Ferreira Tavares, Paulo Cesar Pereira de Castro Junior, Raphael Barreto da Conceição Barbosa, Olivia Souza Honório, Ana Carolina Rocha Oliveira, Letícia de Oliveira Cardoso","doi":"10.1590/S2237-96222025v34e20240532.en","DOIUrl":"10.1590/S2237-96222025v34e20240532.en","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the adequacy of a pediatric hospital in a large city in the metropolitan region of Rio de Janeiro to the recommendations of the Brazilian Dietary Guidelines regarding the service provision contract, dietary prescription and aspects of the food environment.</p><p><strong>Methods: </strong>Observational study evaluating four dimensions of the hospital food environment and its surroundings: current legislation and food service provision contract; prescribed diets, the menu and technical sheets of preparations; infrastructure of the Food and Nutrition Unit; and the sale and advertising of food in the internal and external food environment. Technical visits were conducted to evaluate documents, assess menus and conduct direct observation, using previously validated instruments.</p><p><strong>Results: </strong>The service provision contract was fully compliant for the infant formulas and enteral diets, and the menu was partially compliant (81%). Most of the preparations analyzed were classified as high quality or intermediate quality (77%). Considering the infrastructure of the Food and Nutrition Unit, 90%, 89% and 71% of the responses were positive for essential, recommended and necessary items, respectively. The hospital's food environment stood out for offering in nature and minimally processed foods. However, there was a wide variety of ultra-processed foods available in self-service machines and from street vendors.</p><p><strong>Conclusion: </strong>Despite a satisfactory food environment, the presence and sale of ultra-processed foods was identified in the hospital and its surroundings.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240532"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839773","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
Distance professional qualification to promote adequate and healthy eating: factors associated with dropout. 远程专业资格以促进充足和健康的饮食:与辍学相关的因素。
IF 2
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1590/S2237-96222025v34e20240338.en
Mariana Souza Lopes, Izabela Santana Sathler, Cheila de Sousa Jardim Soares, Nathália Luíza Ferreira, Aline Cristine Souza Lopes
{"title":"Distance professional qualification to promote adequate and healthy eating: factors associated with dropout.","authors":"Mariana Souza Lopes, Izabela Santana Sathler, Cheila de Sousa Jardim Soares, Nathália Luíza Ferreira, Aline Cristine Souza Lopes","doi":"10.1590/S2237-96222025v34e20240338.en","DOIUrl":"10.1590/S2237-96222025v34e20240338.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze factors associated with dropout from a distance professional qualification course on promoting adequate and healthy eating in Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional study with professionals from the Brazilian National Health System (Sistema Único de Saúde - SUS) enrolled in a distance learning course, provided between 2019 and 2020, based on Ministry of Health educational materials. Sociodemographic and professional data associated with dropout from the course were assessed, using multiple logistic regression (p-value<0.05).</p><p><strong>Results: </strong>Dropout prevalence was 30.6%. It was was associated with living in the Northern macroregion (p-value 0.009) and the Northeast macroregion (p-value<0.001), being a nurse (p-value<0.001), having lower levels of higher education (degree: p-value 0.004; specialization/residency: p-value 0.025), having worked in the SUS for longer (p-value 0.004), having taken the course using a cell phone or tablet (p-value 0.024), having previous training on adequate and healthy eating (p-value 0.007) and not having previously used the course materials (p-value 0.021).</p><p><strong>Conclusion: </strong>Dropout was greater among nurses, professionals from the North and Northeast macroregions, those with a lower level of higher education, longer experience in the SUS, and among those who accessed the course mainly via cell phone or tablet, those who had previously participated in professional training on the theme and those who had not previously used the materials presented during the course. Changing these factors requires institutional support, with integration of the country's federative units, aiming to overcome local challenges faced by professionals in completing continuing education activities.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240338"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839829","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}
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