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

{"title":"Recalculation of the budgetary impact of risperidone use for Autism Spectrum Disorder: a case study using measured demand data, Brazil, 2017-2019.","authors":"Luis Phillipe Nagem Lopes, Augusto César Sousa Raimundo, Alexander Itria, Rosângela Caetano, Luciane Cruz Lopes","doi":"10.1590/S2237-96222025v34e20240732.en","DOIUrl":"10.1590/S2237-96222025v34e20240732.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the budgetary impact of use of risperidone for autism spectrum disorder (ASD) in the Brazilian National Health System (SUS).</p><p><strong>Methods: </strong>This is a case study with a document-based approach, which compared the estimates of the budgetary impact analyses presented in the recommendation reports of the National Commission for the Incorporation of Technologies (CONITEC) for the use of risperidone for ASD with amounts ​​recalculated from measured demand data. The recalculation for children (0-17 years) and adults (≥18 years) was made using data from the Open Health Intelligence Room platform on the dispensing of risperidone in the SUS, considering a three-year time period (2017-2019).</p><p><strong>Results: </strong>The total budgetary impact over three years of use of risperidone for ASD showed differences between measured demand (children: BRL 10,389,702.70; adults: BRL 15,075,767.80) and that estimated by CONITEC in its recommendation reports (children: R$ 6,579,809.00; adults: R$ 9,877,790.18).</p><p><strong>Conclusion: </strong>The budgetary impact of use of risperidone for ASD, based on measured demand, differed from the impact initially predicted in CONITEC's recommendation reports.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240732"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839833","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":"Intrastate inequality of COVID-19 vaccination coverage: spatial analysis and socioeconomic, Santa Catarina, 2021-2023.","authors":"Clorine Borba Zanlourensi, Antônio Fernando Boing","doi":"10.1590/S2237-96222025v34e20240329.en","DOIUrl":"10.1590/S2237-96222025v34e20240329.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the distribution of COVID-19 vaccination coverage in Santa Catarina, Brazil, and its association with socioeconomic aspects of the state's municipalities between 2021 and 2023.</p><p><strong>Methods: </strong>We analyzed data on individuals aged 12 and over, with a full three-dose vaccination schedule. The independent variables included educational data, municipal human development and racial composition of municipalities. We analyzed the evolution and spatial distribution of vaccination coverage, identifying clusters of municipalities and calculating absolute ratios and differences between the highest and lowest quintiles of vaccination coverage.</p><p><strong>Results: </strong>Vaccination coverage in the state as a whole was 26.9% for adolescents, 50.3% for adults and 78.8% for the elderly. Municipalities with higher vaccination coverage had 5.4 times more people vaccinated in the 12-17 age group, 2.1 times more in the 18-59 age group and 1.4 times more in the population aged 60 and over. Municipalities with a higher educational level, a lower Black population proportion and a lower municipal human development index had higher vaccination coverage. These disparities were persistent. Clusters of municipalities with high vaccination were found.</p><p><strong>Conclusion: </strong>There were disparities in the state's vaccination coverage, with association between socioeconomic aspects of the municipalities.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240329"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839832","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":"COVID-19 vaccination status and factors associated with deaths from the disease, Vitória, 2020-2023: cross-sectional study.","authors":"Tatiane Comerio, João Paulo Cola, Keila Cristina Mascarello, Carolina Maia Martins Sales, Brenda Silva Freire, Adjane da Silva Vasconcelos, Marcia Christina de Souza, Ethel Leonor Noia Maciel","doi":"10.1590/S2237-96222025v34e20240700.en","DOIUrl":"10.1590/S2237-96222025v34e20240700.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the vaccination status against COVID-19 and factors associated with deaths from the disease.</p><p><strong>Method: </strong>Cross-sectional study with secondary data on deaths from COVID-19 in the city of Vitória, Espírito Santo, between February 2020 and December 2023. Individuals under 18 years of age and those with unavailable vaccination status were excluded. Relative and absolute frequencies were calculated by vaccination status. Poisson regression was used to calculate crude and adjusted prevalence ratios (PR) and 95% confidence intervals (95% CI).</p><p><strong>Results: </strong>A total of 1,460 deaths were included, of which 244 (16.7%) had received ≥2 doses of the vaccines. Among the unvaccinated individuals, the highest frequency of deaths was recorded in individuals aged 60 to 79 years (47.9%), male (56.4%), and non-white race/skin color (53.0%). The PR of death in vaccinated individuals was higher in people ≥80 years old (PR 5.55; 95%CI 2.92; 10.55), 60-79 years old (PR 3.61; 95%CI 1.95; 6.69), with chronic lung disease (PR 1.35; 95%CI 1.03; 1.78) or chronic neurological disease (PR 1.37; 95%CI 1.08; 1.72), respiratory distress (PR 1.51; 95%CI 1.02; 2.23), desaturation (PR 1.97; 95%CI 1.35; 2.88) and adynamia (PR 2.80; 95%CI 2.02; 3.90). People with 1-4 years of schooling (PR 0.63; 95%CI 0.44; 0.90), 5-8 years of schooling (PR 0.57; 95%CI 0.39; 0.84), ≥8 years of schooling (PR 0.66; 95%CI 0.45; 0.97) had a lower prevalence.</p><p><strong>Conclusion: </strong>The highest prevalence of deaths among vaccinated individuals was associated with age ≥60 years, chronic lung or neurological disease, respiratory distress, desaturation, and adynamia. Loss of immunological memory in the elderly indicates the need for vaccine boosters to prevent deaths.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240700"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839774","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: Alberti AM, Silva PBE, Azambuja FS, Godoy L, Concolatto FP, Lech GE, Stein AT. Epidemiological profile of surgical treatment of lung cancer in Brazil: retrospective analysis (2014-2023). Epidemiol Serv Saude. 2025:34;e20240427.","authors":"Maryana Carmello da Costa","doi":"10.1590/S2237-96222025v34e20240427.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240427.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240427.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Gonçalves SG, Mesas AE, Bravo DS, Birolim MM, Guidoni CM, Nunes EFPA, Nierotka P, Rodrigues R. Effect of work organization and demands, violence, health problems and job satisfaction in relation to work stress and social support in prison officers: a cross-sectional study in penitentiaries in the state of São Paulo, 2019. Epidemiol Serv Saude. 2025:34;e20240714.","authors":"Virgínia Carvalho","doi":"10.1590/S2237-96222025v34e20240714.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240714.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240714.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Rozman LM, Sartori AMC, Souza AA, Soarez PC. Discrepancy between official records of the Brazilian National Immunization Program Information System and the household survey about vaccination coverage in Cubatão, São Paulo: cross-sectional study, 2023. Epidemiol Serv Saude. 2025:34;e20240523.","authors":"Adelino Lima","doi":"10.1590/S2237-96222025v34e20240523.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240523.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240523.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791751","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":"Sociodemographic, general health and oral health factors associated with difficulty in eating among elderly people: a cross-sectional study, Brazil, 2019.","authors":"Laís Naara de Sousa Soares, Ana Estefanny Alves Cabral, Sabrina Barth de Andrade Luz, Mariella Agostinho Gonçalves Lourenço, Rafael Barroso Pazinatto, Bianca Souto de Medeiros Santos, Laércio Almeida de Melo","doi":"10.1590/S2237-96222025v34e20240678.en","DOIUrl":"10.1590/S2237-96222025v34e20240678.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify sociodemographic, general health, and oral health factors associated with difficulty in eating among elderly people in Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional, population-based study that used data from the 2019 National Health Survey with elderly people (60+ years). Crude analysis was performed using the chi-square test to verify associations between variables and difficulty in eating. After investigating multicollinearity, adjusted prevalence ratios (PR) were calculated using Poisson multiple regression. Cramer's V was used to measure effect size.</p><p><strong>Results: </strong>The sample consisted of 21,048 elderly individuals. Prevalence of severe or very severe difficulty in eating was 4.1% (95% confidence interval [95%CI] 3.7; 4.5). Multivariate analysis revealed that this condition was higher for females (PR 1.00; 95%CI 1.00; 1.01), older age (PR 1.01; 95%CI 1.00; 1.03), being illiterate (PR 1.01; 95%CI 1.00; 1.01), smoking (PR 1.01; 95%CI 1.00; 1.02), not having health insurance (PR 1.01; 95%CI 1.00; 1.01), multimorbidity (PR 1.01; 95%CI 1.01; 1.02), not brushing teeth daily (PR 1.07; 95%CI 1.03; 1.12) and not using dentures (PR 1.02; 95%CI 1.01; 1.02). Cramer's V indicated that associations that were significant had a weak effect.</p><p><strong>Conclusion: </strong>Eating difficulties among the elderly were greater in those with unfavorable socioeconomic conditions, smokers, those with multimorbidity, those with inadequate oral hygiene and those who did not use dentures. The associations found suggest a weak relationship, indicating that other factors may also influence eating difficulties.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240678"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791762","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: Araujo MC, Passinho RS, Pereira RSF, Mora DJ. Temporal trends in incidence and mortality from pulmonary tuberculosis: time series study, Southern Bahia, Brazil, 2010-2023. Epidemiol Serv Saude. 2025:34;e20240778.","authors":"Cássia Cp Mendicino","doi":"10.1590/S2237-96222025v34e20240778.b","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240778.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240778.b"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Carvalho JB, Salviano AF, Lourenço BH, Tomita LY. Temporal trend of food consumption indicators of adolescents monitored by Primary Health Care services of the Brazilian National Health System, 2015-2019. Epidemiol Serv Saude. 2025:34;e20240893.","authors":"Iolanda Karla Santana Dos Santos","doi":"10.1590/S2237-96222025v34e20240893.c","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240893.c","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240893.c"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewed article: Farias BO, Araújo LF, Tavares NHC, Oliveira BBR, Vasconcelos MSL, Machado SP. Intersectionality of gender, race/skin color and dental loss in adults: cross-sectional study with data from the 2019 Brazilian National Health Survey. Epidemiol Serv Saude. 2025:34;e20240524.","authors":"Arthur Cruz","doi":"10.1590/S2237-96222025v34e20240524.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240524.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240524.a"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791666","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}