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

{"title":"Depressive symptoms of school-aged adolescents: cumulative effect of adverse events and mediation of social support.","authors":"Célia Regina de Andrade, Raquel de Vasconcellos Carvalhaes de Oliveira, Joviana Quintes Avanci","doi":"10.1590/1980-549720250019","DOIUrl":"https://doi.org/10.1590/1980-549720250019","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the effect of cumulative adverse childhood experiences and depressive symptoms on adolescence and to identify direct and indirect relationships between the variables and the mediating role of social support.</p><p><strong>Methods: </strong>This is a cross-sectional study with a sample of 1,117 school-aged adolescents aged 13 to 19 years. The Children's Depression Inventory and Adverse Childhood Experiences scales were used, organized into socioeconomic, family, community, and total dimensions. Descriptive analysis was carried out and the structural equation model was used, with probit estimation, applying social support as mediator.</p><p><strong>Results: </strong>The prevalence of depressive symptoms among school-aged adolescents was 8.2%. We observed that the accumulation of socioeconomic, family, and community factors increases the occurrence of depressive symptoms, adjusted for sex, skin color, and social support. Mediation by social support explains 16.7% of the total effect of exposure to the analyzed factors. In the socioeconomic dimension, the depression probit increases by 0.033 for each category, with 21.2% mediated by social support. In the family dimension, the increase is 0.020 (25% mediated); in the community, 0.018 (16.7% mediated); and in the total dimension, 0.012 (17% mediated).</p><p><strong>Conclusion: </strong>The observation of the effect of the accumulation of Adverse Childhood Experiences on depressive symptoms in adolescence requires actions in vulnerable groups, with social support helping to mitigate the risk of depression.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250019"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082725","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":"Spatial analysis of neonatal near miss and socioeconomic and healthcare indicators in the state of Paraná.","authors":"Maria Luiza Melo da Silva, Natan Nascimento de Oliveira, Andreia Ferdin, Maria José Quina Galdino, Emiliana Cristina Melo, Rosana Rosseto de Oliveira","doi":"10.1590/1980-549720250023","DOIUrl":"https://doi.org/10.1590/1980-549720250023","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the spatial distribution of neonatal near miss and socioeconomic and healthcare indicators in the state of Paraná.</p><p><strong>Methods: </strong>Ecological, cross-sectional study of neonatal near miss rates in municipalities in the state of Paraná, from 2020 to 2022, obtained through data from the Live Birth Information System (SINASC) and the Mortality Information System (SIM), connected through deterministic linkage. The spatial distribution of neonatal near miss rates, socioeconomic indicators (maternal age and race/ethnicity), and healthcare indicators (type of delivery and number of prenatal consultations) were performed. Global and Local Moran's Index were used for spatial analysis.</p><p><strong>Results: </strong>The neonatal near miss rate in Paraná was 28.46 per thousand live births. Health regions (HR) 4th HR - Irati, 3rd HR - Ponta Grossa, 6th HR - União da Vitória, and 17th HR - Londrina stood out with high rates of neonatal near miss. Concerning the indicators, significant rates were evident among women of black, yellow, and indigenous race/color, as well as inadequacies in prenatal.</p><p><strong>Conclusions: </strong>The results highlight priorities in the Eastern and Northern macro-regions, where high-high clusters indicate an urgent need to assess access and quality of care. Additionally, there is a need to investigate neonatal near miss in Black, Yellow, and Indigenous women, as well as low prenatal adherence or coverage.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250023"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082729","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":"Therapeutic modalities in the first cancer treatment: percentage variation before and during the pandemic, in Ceará, a state in the Northeast region of Brazil.","authors":"Stefane Vieira Nobre, Miren Maite Uribe Arregi, Thereza Maria Magalhães Moreira, Antonio Germane Alves Pinto, Marcelo Gurgel Carlos da Silva","doi":"10.1590/1980-549720250024","DOIUrl":"https://doi.org/10.1590/1980-549720250024","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the percentage variation of the different therapeutic modalities used in new cases of cancer, before and during the pandemic, in Ceará.</p><p><strong>Methods: </strong>Descriptive study with information from records of the Hospital Information System and Authorization of Highly Complex Procedures, and Cancer Information Systems in the state of Ceará, Brazil.</p><p><strong>Results: </strong>There was a reduction of 2,575 (-30.85%) new cases in 2020 and 2,368 (-28.37%) in 2021. Regarding the therapeutic modalities, it was possible to observe that there were decreases in the numbers of all institutions in the first cancer treatment, except for isolated radiotherapy and for combined surgery+iodine therapy+radiotherapy. Surgery was the modality most often performed in a timely manner (<30 days) and chemotherapy in an untimely manner (>60 days). The impact on the initiation of timely treatment (<30 days after diagnosis) was greater in 2021 than in 2020. In general, late treatments (>60 days) were lower than in 2019. The period of 31-60 days was shown to be above 2019 almost the entire year, in 2020 and 2021.</p><p><strong>Conclusion: </strong>The number of new cancer cases in Ceará may occur during the pandemic. This situation impacted the reduction of all therapeutic modalities, except for radiotherapy alone and associated with surgery+iodine therapy. However, it did not harm the number of new cases treated in a timely manner.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250024"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082691","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":"HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023.","authors":"Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Ana Paula Esteves-Pereira, Paula Mendes Luz, Emilia Jalil, Vania Rocha, Angela Cristina Vasconcelos de Andrade Rabello, Ruth Khalili Friedman, Maria do Carmo Leal","doi":"10.1590/1980-549720250020","DOIUrl":"https://doi.org/10.1590/1980-549720250020","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the prevalence of HIV infection in pregnant women; analyze the gestational and maternal outcomes of women with HIV; and evaluate process indicators for the prevention of vertical transmission of HIV according to type of financing for hospital admission in the state of Rio de Janeiro (RJ).</p><p><strong>Methods: </strong>cross-sectional study with 1,923 women, conducted between 2021-2023. Interviews were carried out with women, and data was extracted from the pregnancy booklet and hospital records. The prevalence of HIV infection, gestational and maternal outcomes, and the adequacy of process indicators for the management of HIV infection were estimated with respective 95% confidence intervals (95%CI) according to the type of financing - public or private - for hospital admission for childbirth or abortion.</p><p><strong>Results: </strong>Coverage of prenatal care (PNC), HIV testing during PNC (one and two tests), and testing during hospital admission was 93.7, 79.7, 45.8, and 79.2%, respectively. The prevalence of HIV infection was estimated at 0.79% (95%CI 0.31-1.99). Only 40% of women with HIV had registered antiretroviral treatment and 26% had registered viral load tests in their pregnancy booklet. Women with public funding were more socially vulnerable and had less coverage of PNC and testing with two tests.</p><p><strong>Conclusion: </strong>Missed opportunities were identified in the management of pregnant women with HIV in public and private services in RJ. The detection rate was higher than that of the Notifiable Diseases Information System and suggests underreporting of cases.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250020"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082727","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":"Impact of dental caries on the quality of life of adolescents: A systematic review and meta-analysis.","authors":"Carlos Roberto Botelho-Filho, Giuliana Martina Bordin, Isabela Cristina Santos Freire de Paula, Jeferson Luis de Oliveira Stroparo, Samantha Schaffer Pugsley Baratto, Pablo Guilherme Caldarelli, Flares Baratto-Filho, Juliana Schaia Rocha, Marilisa Carneiro Leão Gabardo","doi":"10.1590/1980-549720250018","DOIUrl":"https://doi.org/10.1590/1980-549720250018","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of dental caries on daily activities, assessed by the Oral Impacts on Daily Performances (OIDP) and Child-OIDP in adolescents.</p><p><strong>Methods: </strong>Studies published in any language mentioning the relationship between dental caries and OIDP or Child-OIDP were included. PubMed, Scopus, Web of Science, LILACS/BBO, and grey literature were assessed to identify relevant studies published up until March 2024. The quality of the studies was assessed using the Joanna Briggs Institute tool for cross-sectional studies. For the meta-analysis and the leave-one-out sensitivity analysis, the R software was used. The subgroup analysis was conducted considering the version of the tool (OIDP or Child-OIDP) and the outcome (presence or experience of dental caries).</p><p><strong>Results: </strong>Of the 1,663 studies, 20 were included, all cross-sectional, with 17 of them conducted in schools. A total of 16 studies were considered to have high methodological quality. Individuals in the Child-OIDP and experience of dental caries subgroups showed a worse impact (PR=1.66; 95%CI 1.19-2.31; and PR=1.72; 95%CI 1.23-2.43, respectively). The heterogeneity of the studies was high (I2=97%; T2=0.17; p<0.01), and we did not identify any single study as the main source for this fact in the sensitivity analysis.</p><p><strong>Conclusion: </strong>Dental caries negatively affect adolescents' daily activities. Despite nonsignificant differences between instruments and dental caries classifications, variations in effect estimates highlight the need for further research. New studies are suggested to confirm these findings, given the high heterogeneity found (PROSPERO CRD42021247951).</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250018"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031498","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":"Roraima on Alert: hospitalizations for conditions sensitive to primary care in children.","authors":"Airton Tetelbom Stein, Juvenal Soares Dias da Costa, Rafaela Soares Rech","doi":"10.1590/1980-549720250017","DOIUrl":"https://doi.org/10.1590/1980-549720250017","url":null,"abstract":"","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250017"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044287","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":"Occupational, socioeconomic factors and cancer mortality in participants of the Longitudinal Study of Adult Health (ELSA-Brazil): a multiple correspondence analysis.","authors":"Débora Cristina de Almeida Mariano Bernardino, Ubirani Barros Otero, Isiyara Taverna Pimenta, Luana Giatti, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca","doi":"10.1590/1980-549720250022","DOIUrl":"https://doi.org/10.1590/1980-549720250022","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the joint relationships between cancer mortality, occupational factors, and socioeconomic characteristics among Brazilian civil servants.</p><p><strong>Methods: </strong>This is a cross-sectional study with data from 116 active workers at the baseline of the Longitudinal Study of Adult Health (ELSA-Brazil) (2008-2010), who died of malignant neoplasms over a 10-year follow-up period. Multiple Correspondence Analysis was used to graphically interpret the association between occupation, work stress, working hours, work regime, and socioeconomic factors with cancer mortality.</p><p><strong>Results: </strong>The association between variable categories resulted in four groups and allowed us to identify two broad, distinct profiles of workers. The first was characterized as women, aged between 50 and 72 years, working hours of up to 40 hours a week, no exposure to night work, standard work schedule, low job strain, higher education or graduate degree level of education, active work, noncarcinogenic occupations, and death from non-work-related cancer. The second profile was characterized by men, elementary school and high school levels of education, aged between 35 and 49 years, passive work, high job strain, on-call work regime, exposure to night work, carcinogenic occupations, and death from work-related cancer.</p><p><strong>Conclusion: </strong>Work-related cancer death was associated with worse socioeconomic conditions and occupational circumstances unfavorable to workers' health.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250022"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064594","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":"Mortality from malignant neoplasms at home and in hospitals in Brazil, 2002-2022: sociodemographic characteristics and temporal trends.","authors":"Patrícia Chatalov Ferreira, Beatriz Jorge Oliveira Gomes, Glaúcia Maria Canato, Eloah Boska Mantovani, Lucas Vinícius de Lima, Gabriel Pavinati, Iven Giovanna Trindade Lino, Sonia Silva Marcon","doi":"10.1590/1980-549720250021","DOIUrl":"https://doi.org/10.1590/1980-549720250021","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the sociodemographic characteristics and temporal trends of deaths due to malignant neoplasms in Brazil, according to whether they occurred at home or in a hospital, from 2002 to 2022.</p><p><strong>Methods: </strong>This is a descriptive and ecological study analyzing data on cancer deaths from the Brazilian Mortality Information System. The analysis included descriptive measures, mortality rates, and trends based on joinpoint regression of sociodemographic variables, according to the place of death, as well as associations with the occurrence at home or in hospitals.</p><p><strong>Results: </strong>We analyzed a total of 3,696,553 cancer deaths in Brazil, of which 82.5% occurred in hospitals. The variables positively associated with deaths at home were: men, age between 70 and 79 years and 80 years or older, mixed-race and Indigenous ethnicity, no formal education and one to three years of formal education, and widowed or other marital status. The Northeast and South regions had the highest rates of home mortality, while the Southeast and South regions led in hospital mortality. There was an increasing trend for both deaths occurring at home and those in hospitals nationwide. In the evaluation of home deaths, an increasing trend was observed in nine states and in the Federal District. Regarding hospital deaths, all Brazilian states showed an increasing trend.</p><p><strong>Conclusion: </strong>The factors that influence the place of death for cancer patients are complex and include support network, access, culture, and the use of healthcare services. Targeted actions for more vulnerable populations and locations are necessary to reverse the growing trend of this condition.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250021"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994119","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804947","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804943","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}