Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献

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Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023. 2010年至2023年巴西罗赖马州儿童因初级保健敏感病症住院的时间序列
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250016
Ellen Vanuza Martins Bertelli, Gislayne Cristina Torreias de Carvalho, Raphael Mendonça Guimarães, Viviane Gomes Parreira Dutra
{"title":"Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023.","authors":"Ellen Vanuza Martins Bertelli, Gislayne Cristina Torreias de Carvalho, Raphael Mendonça Guimarães, Viviane Gomes Parreira Dutra","doi":"10.1590/1980-549720250016","DOIUrl":"10.1590/1980-549720250016","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil.</p><p><strong>Methods: </strong>Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive conditions in children between 2010 and 2023.</p><p><strong>Results: </strong>The highest hospitalization rates were in 2021 (265.9/10,000 inhabitants/year) and the under 1 age group had the highest rates. There was a reduction in ambulatory care-sensitive conditions in group 1, in the first and second segments (MPC=-1.50; 95%CI -3.79-0.32 p=0.016 and MPC=-1.91; 95%CI -3.44--0.81 and p=0.007), group 2, with a constant drop throughout the series of 0.57% per month (95%CI -0.70--0.43 and p<0.001) and in group 16 (MPC=-0.38; 95%CI -0.55--0.21 and p<0.001). Bacterial pneumonia was the main cause of hospitalization in all age groups. Group 4 showed a uniform increase in rates of 1.56% per month (95%CI 0.27-2.80 and p=0.018). There was a drop in rates in the first segment at all ages: <1 year: -2.90% and p=0.019; 1 to 4 years: -1.75% (p=0.011) and 5 to 9 years: -0.79% (p=0.053), followed by an increase and then a drop again. In the last segment, all the age groups showed an increase in rates.</p><p><strong>Conclusions: </strong>The scenario in Roraima is worrisome and requires urgent interventions, as there is evidence of weaknesses in primary health care, probably aggravated by the migratory crisis. The strategies sought are still insufficient.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250016"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804947","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
Temporal and spatial trends of accidents with venomous animal in Brazil before and during the COVID-19 pandemic: a population-based ecological study. COVID-19 大流行之前和期间巴西毒物事故的时间和空间趋势:基于人口的生态研究。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250012
Thayane Santos Siqueira, Lívia Silveira Silva, Jamile Rodrigues Cosme de Holanda, Sálvia Cely Cerqueira Carvalho, Adriano José Dos Santos, Alexrangel Henrique Cruz Santos, José Rodrigo Santos Silva, Victor Santana Santos
{"title":"Temporal and spatial trends of accidents with venomous animal in Brazil before and during the COVID-19 pandemic: a population-based ecological study.","authors":"Thayane Santos Siqueira, Lívia Silveira Silva, Jamile Rodrigues Cosme de Holanda, Sálvia Cely Cerqueira Carvalho, Adriano José Dos Santos, Alexrangel Henrique Cruz Santos, José Rodrigo Santos Silva, Victor Santana Santos","doi":"10.1590/1980-549720250012","DOIUrl":"10.1590/1980-549720250012","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to analyze the temporal and spatial trends of accidents involving venomous animals in Brazil during the pre- and COVID-19 pandemic periods.</p><p><strong>Methods: </strong>We conducted a population-based ecological study using comprehensive data from the Notifiable Diseases Information System, covering all accidents involving venomous animals in Brazil from January 2013 to December 2022. We did a temporospatial analysis to compare the incidence rates of accidents involving venomous animals per Brazilian municipality in the pre-pandemic period (January 2013 to February 2020) and the pandemic period (March 2020 to December 2022). To analyze the trend, the seasonal-trend model was used based on the classic additive decomposition model. For spatial distribution analysis, the Global Moran's Index was used.</p><p><strong>Results: </strong>A total of 2,202,842 cases of accidents involving venomous animals were recorded. Brazil showed an increasing trend from 2017 to 2019 (annual percentage change [APC]: 0.98, p<0.001) and a stable trend from 2020 to 2022 (APC: 0.42, p<0.080). The North (APC: 0.19, p<0.330), South (APC: 0.04, p<0.953), and Southeast (APC: 0.26, p<0.312) regions presented a stable trend from 2020 to 2022. Spatial dependence of smoothed rates was observed in both the pre-pandemic (Moran's I: 0.47; p=0.000) and COVID-19 pandemic periods (Moran's I: 0.50; p=0.000).</p><p><strong>Conclusion: </strong>There was a stable trend in accidents involving venomous animals from 2020 to 2022 in Brazil. The spatial distribution of cases was heterogeneous for both periods studied.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250012"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804943","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
Prevalence and factors associated with the use of benzodiazepines among teachers in Espírito Santo: a cross-sectional study. Espírito Santo教师中苯二氮卓类药物的患病率及相关因素:一项横断面研究。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250014
Yohan Cancilheri Mazzini, Bruna Lopes Antonucci, Guilherme Rocha Pereira, Walleri Christini Torelli Reis, Kérilin Stancine Santos Rocha, André Faro, Dyego Carlos Souza Anacleto de Araújo
{"title":"Prevalence and factors associated with the use of benzodiazepines among teachers in Espírito Santo: a cross-sectional study.","authors":"Yohan Cancilheri Mazzini, Bruna Lopes Antonucci, Guilherme Rocha Pereira, Walleri Christini Torelli Reis, Kérilin Stancine Santos Rocha, André Faro, Dyego Carlos Souza Anacleto de Araújo","doi":"10.1590/1980-549720250014","DOIUrl":"10.1590/1980-549720250014","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzed the prevalence and associated factors of benzodiazepine use among teachers in municipalities of Espírito Santo, Brazil, in 2024.</p><p><strong>Methods: </strong>A cross-sectional, quantitative study conducted with teachers from the state of Espírito Santo using self-administered questionnaires.</p><p><strong>Results: </strong>Among the 453 teachers surveyed, the prevalence of benzodiazepine use was 6.8% (n=31), increasing to 21.1% (n=26) among teachers with a previous diagnosis of mental disorders (n=123). Most benzodiazepines were used daily (57.6%; n=19), 42.5% (n=14) had been used for 2-5 years, and 39.4% (n=13) reported use without antidepressant treatment.</p><p><strong>Conclusions: </strong>Severe anxiety symptoms and clinical insomnia were associated with an increased likelihood of benzodiazepine use, whereas having a partner was associated with reduced use. The prevalence of benzodiazepine use among teachers was higher than in the general population.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250014"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805010","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
Factors associated with the interruption of antiretroviral therapy among people living with HIV/AIDS in Brazilian municipalities between 2019 and 2022. 2019年至2022年期间巴西各城市艾滋病毒/艾滋病感染者中断抗逆转录病毒治疗的相关因素。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250015
Ana Paula da Cunha, Jurema Corrêa da Mota, Marly Marques da Cruz, Raquel Miranda, Liza Rosso, Mariele Kruppa, Juliane Santos, Andreia Souza Pinto da Silva, Giordana Faccin, Caroline Schweitzer, Ronaldo Zonta, Vanda Lúcia Cota
{"title":"Factors associated with the interruption of antiretroviral therapy among people living with HIV/AIDS in Brazilian municipalities between 2019 and 2022.","authors":"Ana Paula da Cunha, Jurema Corrêa da Mota, Marly Marques da Cruz, Raquel Miranda, Liza Rosso, Mariele Kruppa, Juliane Santos, Andreia Souza Pinto da Silva, Giordana Faccin, Caroline Schweitzer, Ronaldo Zonta, Vanda Lúcia Cota","doi":"10.1590/1980-549720250015","DOIUrl":"10.1590/1980-549720250015","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the factors associated with antiretroviral therapy interruption among people living with the human immunodeficiency virus participating in the A Hora é Agora [The Time is Now] project in the municipalities of Campo Grande, Curitiba, and Florianópolis.</p><p><strong>Methods: </strong>This is a cross-sectional analytical study using data from the Brazilian Medication Logistics Control System, collected between October 2019 and September 2022. Bivariate analyses were performed to assess associations between sex, age group, race/skin color, and level of education, with the outcomes of treatment interruption and the number of times the treatment was interrupted, using the χ2 test with a 5% significance level.</p><p><strong>Results: </strong>In Campo Grande, treatment interruption was more frequent among individuals with eight to 11 years of formal education (34.0%). In Curitiba, women (20.4%) showed a higher frequency of treatment interruption, and the age group of 50 years or older had a higher likelihood of treatment interruption (OR: 1.73; 95%CI: 1.12-2.66). In Florianópolis, 31.1% of women experienced treatment interruption, and individuals with up to seven years of formal education had a higher likelihood of treatment interruption (OR: 1.62; 95%CI: 1.15-2.29).</p><p><strong>Conclusions: </strong>The interruption of antiretroviral therapy was significantly associated with sex, level of education, and age group, with distinct patterns across the analyzed territorial contexts. These findings highlight the need for targeted interventions aimed at vulnerable groups, considering regional differences and local challenges to improve treatment adherence.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250015"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805006","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
Purchase of food for away-from-home consumption according to urban and rural areas of Brazil between 2002 and 2018. 根据2002年至2018年期间巴西城市和农村地区的情况,购买用于外出消费的食品。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250013
Thais Meirelles de Vasconcelos, Anna Karolyne Pontes de França, Marina Campos Araújo, Ilana Nogueira Bezerra
{"title":"Purchase of food for away-from-home consumption according to urban and rural areas of Brazil between 2002 and 2018.","authors":"Thais Meirelles de Vasconcelos, Anna Karolyne Pontes de França, Marina Campos Araújo, Ilana Nogueira Bezerra","doi":"10.1590/1980-549720250013","DOIUrl":"10.1590/1980-549720250013","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the differences in the evolution of purchasing food for consumption away from home between urban and rural areas of Brazil, from 2002 to 2018.</p><p><strong>Methods: </strong>Population data from 245,711 adults (25-59 years old) from the Consumer Expenditure Survey, of the Brazilian Institute of Geography and Statistics, of 2002-2003, 2008-2009, and 2017-2018 were used. The foods were grouped into ten nutritional and marketing categories and the frequency of purchasing food for consumption outside the home was compared according to urban and rural areas of Brazil and geographic regions of the country. Differences between areas were considered when the 95% confidence intervals of the estimates did not overlap.</p><p><strong>Results: </strong>We found an increase in the purchase of food for consumption outside the home in urban areas between 2002-2003 and 2008-2009, followed by a reduction in 2017-2018. In rural areas, the frequency remained stable over the years. Regarding the food groups, there was a reduction in the purchase of soft drinks and alcoholic beverages and an increase in the frequency of meals away from home. The differences between urban and rural areas varied according to the regions of Brazil.</p><p><strong>Conclusion: </strong>The purchase of food for consumption outside the home between 2002 and 2018 was different in urban and rural areas of the country; nevertheless, the rural area is approaching the urban area. These results highlight the new context of rural life and the need to evaluate eating behaviors in this area.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250013"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805013","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
Severe obesity increases more rapidly in Brazil than moderate obesity: analysis of Vigitel 2006-2021. 巴西严重肥胖的增长速度高于中度肥胖:2006-2021年Vigitel分析
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250011
Marcos Brum, Roland Sturm
{"title":"Severe obesity increases more rapidly in Brazil than moderate obesity: analysis of Vigitel 2006-2021.","authors":"Marcos Brum, Roland Sturm","doi":"10.1590/1980-549720250011","DOIUrl":"10.1590/1980-549720250011","url":null,"abstract":"<p><p>This study analyzes how the rates of increase in Brazil differ by obesity class. The paper estimates time trends for extreme weight categories from 2006 to 2021 and extrapolates through 2025 using Vigitel. Comparing 2021 to 2006 rates, the prevalence of BMI≥45 increased by 152%, BMI≥40 by 120%, and BMI≥35 by 104%. In contrast, BMI≥30 increased by 66%. Results are adjusted for demographic changes. Severe obesity is increasing far more rapidly than what commonly reported obesity statistics indicate. These groups have higher health burdens and healthcare needs, and the health system needs to be prepared to see such individuals regularly.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250011"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712513","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
Eating and lifestyle habits associated with regular soft drinks consumption among Brazilian adolescents: National Survey of School Health, 2019. 巴西青少年与定期饮用软饮料相关的饮食和生活习惯:2019年全国学校健康调查。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250007
Carina Castelo Castelucci, Sanda Cristina Oancea, Luciana Bertoldi Nucci
{"title":"Eating and lifestyle habits associated with regular soft drinks consumption among Brazilian adolescents: National Survey of School Health, 2019.","authors":"Carina Castelo Castelucci, Sanda Cristina Oancea, Luciana Bertoldi Nucci","doi":"10.1590/1980-549720250007","DOIUrl":"10.1590/1980-549720250007","url":null,"abstract":"<p><strong>Objective: </strong>To assess the regular consumption of soft drinks among Brazilian adolescents according to sociodemographic characteristics, eating habits, and lifestyle.</p><p><strong>Methods: </strong>This is a cross-sectional study using data from 118,497 adolescents from the 2019 National Survey of School Health (PeNSE), a population survey periodically carried out in Brazil. The prevalence of regular soft drinks consumption was estimated and, using Poisson regression analysis, the association of this consumption with variables related to eating habits and lifestyle (physical and sedentary activities, use of cigarette and alcohol) was verified.</p><p><strong>Results: </strong>The frequency of regular soft drinks consumption was 17.2% (95%CI 16.6-17.8%). Multiple logistic regression analysis showed an association between regular soft drinks consumption and: living in the Southeast and Midwest regions (PR=1.49 and PR=1.50), boys (PR=1.22), eating meals while using a screen on five or more days a week (PR=1.20), eating breakfast less than five days a week (PR=1.14), consuming sweets five or more days a week (PR=2.16), and consuming fast food three or more times a week (PR=2.28). Spending more than three hours a day in sedentary activities (PR=1.18) and cigarette use (PR=1.22) and binge drinking (PR=1.21) were also statistically and significantly associated with regular soft drinks consumption.</p><p><strong>Conclusion: </strong>Adolescents' regular consumption of soft drinks is associated with the region of residence, sex, and unhealthy eating and lifestyle habits. Interventions to promote the reduction of regular soft drinks consumption among Brazilian adolescents should consider innovative strategies that include comprehensive public policies appropriate to the profile of adolescents.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250007"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574761","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
Five-year overall and specific survival of breast cancer in great Cuiaba (MT), Brazil. 巴西大库亚巴(MT)乳腺癌的5年总生存率和特异性生存率
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250010
Jânia Cristiane de Souza Oliveira, Noemi Dreyer Galvão, Amanda Cristina de Souza Andrade, Ageo Mário Cândido da Silva
{"title":"Five-year overall and specific survival of breast cancer in great Cuiaba (MT), Brazil.","authors":"Jânia Cristiane de Souza Oliveira, Noemi Dreyer Galvão, Amanda Cristina de Souza Andrade, Ageo Mário Cândido da Silva","doi":"10.1590/1980-549720250010","DOIUrl":"10.1590/1980-549720250010","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the overall and cancer-specific five-year survival rates for female breast cancer in Greater Cuiabá, Mato Grosso, Brazil.</p><p><strong>Methods: </strong>A non-concurrent, population-based cohort study using the Population-Based Cancer Registry of Greater Cuiabá (Cuiabá and Varzea Grande), including women diagnosed with breast cancer from 2008 to 2013, followed through 2018 in the regional mortality database. The sample consisted of a total of 1,220 women. Five-year survival analysis was performed using Kaplan-Meier curves and the Cox proportional hazards regression model, computing hazard ratios for variable estimation. Survival curves were compared using the log-rank test (p<0.05). Probabilistic linkage technique by the RecLink III software and survival analysis were conducted using STATA software version 12.0.</p><p><strong>Results: </strong>There was no statistical difference between the overall (OS) and cancer-specific survival (SS) rates (OS 78.0%, 95%CI 75.6-80.2; SS 81.0%, 95%CI 78.7-83.2). Women with lower educational levels (OS=58.33%; SS=64.89%) and those without a partner (OS 64.81%; SS 70.41%) exhibited poorer survival.</p><p><strong>Conclusion: </strong>This study demonstrates that educational level and marital status significantly impact both overall and cancer-specific survival rates for female breast cancer. There is a need to propose policies that address the profile of women with lower survival rates.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250010"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574714","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
Temporal trend of breast cancer burden among younger and older Brazilian women, 1990-2019. 1990-2019年巴西年轻和老年女性乳腺癌负担的时间趋势
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250006
Thayane Duarte Silva Santos, Camila de Araújo Gonçalves, Camila Petronilia da Cunha, Jéssica Patrocínio Milhomem, Kriscylla Magalhães da Silva, Bruno Teixeira da Costa, Rafaela Galdeano Piantolo, Raphael Joaquim Couto Fernandes, Yuri Marques da Silva, Raphael Mendonça Guimarães
{"title":"Temporal trend of breast cancer burden among younger and older Brazilian women, 1990-2019.","authors":"Thayane Duarte Silva Santos, Camila de Araújo Gonçalves, Camila Petronilia da Cunha, Jéssica Patrocínio Milhomem, Kriscylla Magalhães da Silva, Bruno Teixeira da Costa, Rafaela Galdeano Piantolo, Raphael Joaquim Couto Fernandes, Yuri Marques da Silva, Raphael Mendonça Guimarães","doi":"10.1590/1980-549720250006","DOIUrl":"10.1590/1980-549720250006","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend of the burden of breast cancer in Brazilian women under 40 years of age compared to the age group over 40 years of age, between 1996 and 2019.</p><p><strong>Methods: </strong>An ecological time trend study was conducted in Brazil between 1996 and 2019 using data from the Global Burden of Disease (GBD) study. The segmented regression method (Joinpoint Regression) was applied to analyze rates among women under and over 40 years of age. To capture differences in the level and trend of mortality and DALYs, the rate ratio was calculated for the two groups on a year-by-year basis.</p><p><strong>Results: </strong>Regarding DALY, an average annual decline of 0.7% (95%CI -0.8 to -0.5, p<0.01) was observed among women over 40 years old, while an annual increase of 1.0% (95%CI 0.9 to 1.1, p<0.001) was noted for women up to 40 years old. For mortality, the decline among older women was 0.3% per year (95%CI -0.4 to -0.2, p<0.001), and the increase among young women was 0.8% per year (95%CI 0.7 to 1.0, p<0.001). The average rate ratio for DAILY was 5.2, while for mortality, the average rate ratio was 8.1.</p><p><strong>Conclusion: </strong>the analysis reinforces the idea that the magnitude and trend of breast cancer mortality among young women is a health issue requiring attention from health decision-makers. This diagnosis underscores the importance of initiating discussions on the need to review population screening criteria, incorporating clinical prediction rules.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250006"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574815","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
Open Drug Scenes Survey in Brazilian cities: main findings from São Paulo, Fortaleza, and Brasília. 巴西城市公开毒品现场调查:来自<s:1>圣保罗、福塔莱萨和Brasília的主要发现。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI: 10.1590/1980-549720250008
Clarice Sandi Madruga, Kátia Isicawa de Sousa Barreto, Danilo Seabra, André Constantino Miguel, Cláudio Jerônimo da Silva, Gleuda Simone Apolinário, Guilherme Godoy, Lidiane Nogueira Rebouças, Natália Alexandre Ferreira, Quirino Cordeiro, Rogério Adriano Bosso, Ronaldo Ramos Laranjeira
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