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

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"title":"Prevalence of overweight and obesity in community health agents in the southern region of Rio Grande do Sul, 2017.","authors":"Fernanda de Castro Silveira,&nbsp;Criciélen Garcia Fernandes,&nbsp;Mariana Dias de Almeida,&nbsp;Laíne Bertinetti Aldrighi,&nbsp;Vanda Maria da Rosa Jardim","doi":"10.5123/s1679-49742020000400013","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400013","url":null,"abstract":"<p><p>Objective To analyze overweight and obesity prevalence among community health agents in southern Rio Grande do Sul, Brazil, according to sociodemographic, behavioral and health variables. Methods A cross-sectional study was conducted using data collected in 21 municipalities between March 2016 and May 2017. Weight and height data were self-reported by participants. Multinomial logistic regression was used. Results Data from 564 community health agents were analyzed, 0.5% were classified as underweight, 29.8% as having normal weight, 39.2% were overweight and 30.5% were obese. Presence of obesity was negatively associated with working in rural area health centers (OR=0.58 - 95%CI 0.34;0.98) and doing physical activity (OR=0.57 - 95%CI 0.36;0.90); presence of obesity was positively associated with anxiety (OR=1.97 - 95%CI 1.12;3.45), hypertension (OR=2.91 - 95%CI 1.63;5.18), and diabetes (OR=6.25 - 95%CI 2.15;18.21). Conclusion Overweight and obesity prevalence was high and associated with chronic diseases, anxiety, physical inactivity and working in urban areas.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019447"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38308739","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":"Reorganization of primary health care for universal surveillance and containment of COVID-19.","authors":"Maria Glória Teixeira,&nbsp;Maria Guadalupe Medina,&nbsp;Maria da Conceição N Costa,&nbsp;Manoel Barral-Netto,&nbsp;Roberto Carreiro,&nbsp;Rosana Aquino","doi":"10.5123/s1679-49742020000400015","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400015","url":null,"abstract":"The COVID-19 pandemic has established an extremely serious epidemiological situation, owing to the high transmissibility of its etiological agent, SARS-CoV-2, and the severity of part of the cases, which require high complexity health care. In the face of this scenario, health authorities have turned to expanding the hospital network, including intensive therapy units (ITU), which has indeed been necessary; but without ensuring universal surveillance for new case detection and, above all, maximization of control actions aimed at reducing transmission of the virus. One of the crucial mechanisms for containing any epidemic is the setting up of special surveillance strategies with the objective of detecting the largest possible number of cases and contacts, followed by actions that reduce the risk of the disease spreading, particularly when the agent is transmitted through respiratory droplets, as in the case of SARS-CoV-2. COVID-19 is a community disease which spreads very rapidly, manifests itself similarly to other flu-like syndromes (FLS) and is difficult to contain. As highlighted by Sarti et al. (2020), Brazil’s vast Primary Health Care (PHC) network has been contributing to the achievement of important results in improving the population’s health conditions and can be one of the mainstays of the actions needed to contain the problem. Moving in this direction indicated by those authors, it is our understanding that it is fundamental to develop specific strategies for articulating PHC with Epidemiological Surveillance (ES) teams in the municipalities, because we consider that this is the route capable of promoting universal case and contact detection and control that the COVID-19 pandemic is demanding. Although it has some limitations, the Brazilian communicable diseases surveillance system is well structured, works in a capillary manner in all the country’s municipalities, alongside the National Health System (SUS) network of services, developing systematically and, generally, timely surveillance and control actions appropriate for each of the communicable diseases of Public Health concern. In addition, the surveillance system investigates and initiates actions when unprecedented events occur, such as the case of the microcephaly/ congenital Zika virus syndrome epidemic. As part of their work routine, PHC teams undertake certain ES actions. However, integration between PHC teams and ES teams is incipient with regard to in-field epidemiological investigations in the territories where they provide care, identify and control contacts, such as happens with tuberculosis and leprosy surveillance. In the vast majority of municipalities, these activities are strictly the responsibility of ES. One of the large and recognized","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020494"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38230509","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}