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

{"title":"Inequities in COVID-19 morbidity in Brazil: the influence of demographic and socioeconomic characteristics and preexisting health conditions.","authors":"Célia Landmann Szwarcwald, Deborah Carvalho Malta, Wanessa da Silva Almeida, Paulo Roberto Borges de Souza Júnior, Giseli Nogueira Damacena, Crizian Saar Gomes, Euclides Ayres de Castilho","doi":"10.1590/1980-549720250056","DOIUrl":"10.1590/1980-549720250056","url":null,"abstract":"<p><strong>Objective: </strong>To analyze COVID-19 morbidity according to sociodemographic characteristics and preexisting health conditions, based on data from a survey conducted in 2023 online called \"ConVid-2 Behavior Survey\".</p><p><strong>Methods: </strong>This was a cross-sectional epidemiological study using the Respondent-Driven Sampling (RDS) method. Prevalence estimates and 95% confidence intervals were calculated for five COVID-19-related indicators. Logistic regression models were applied to test the hypothesis of associations between outcomes and sociodemographic characteristics.</p><p><strong>Results: </strong>The sample included 3,805 individuals aged 18 years or older. Approximately 50% of participants had received four or more doses of the COVID-19 vaccine. The estimated prevalence of COVID-19 was 49.5%, with significant and increasing gradients by age and decreasing gradients by education level. Long COVID was identified in 32% of individuals with confirmed COVID-19, with the highest proportions among women (38.3%; OR=0.52; p=0.002), those with financial difficulties (38.9%; OR=1.68; p=0.02), and those with a chronic noncommunicable disease (36.3%; OR=1.58; p=0.03). The highest rate of hospitalization occurred among those with Long COVID (12.7%). Death of a household member due to COVID-19 was reported by 5.1% of participants.</p><p><strong>Conclusion: </strong>The findings revealed major socioeconomic inequalities across all indicators related to COVID-19 morbidity. Older age, preexisting health conditions, and Long COVID contributed to greater disease severity and increased hospitalization. These findings are relevant to inform public policies aimed at supporting the diagnosis and management of COVID-19-related complications within the public health system.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250056"},"PeriodicalIF":2.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12685276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727458","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":"Changes in habits among mothers during the period of social isolation due to COVID-19 in the municipality of Rio Grande, Rio Grande do Sul, Brazil.","authors":"Jefferson Sales da Silva, Pâmela Moraes Volz, Rafaela Costa Martins, Francine Dos Santos Costa, Cauane Blumenberg, Thais Martins Silva, Romina Buffarini, Lorena Goulart Vieira, Patricia Cota Lima, Zulema Mamani Condori, Caroline Lisset Dominguez Herido, Cielo Amelia Estela-Fernandez, Joaquín Eduardo Chávez Cano, Juraci Almeida Cesar, Rodrigo Meucci, Christian Loret de Mola","doi":"10.1590/1980-549720250055","DOIUrl":"10.1590/1980-549720250055","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and determinants of lifestyle habit changes in women during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This study analyzed data from the 2019 Rio Grande Birth Cohort, a population-based longitudinal study in Rio Grande, Brazil. We used data from the Perinatal Baseline Study (2019), before the COVID-19 pandemic, and the cohort's first follow-up (May-July 2020). We used standardized questionnaires to gather data on maternal sociodemographic characteristics, prenatal care, childbirth, care at birth and changes in habits during the COVID-19 pandemic, including sleep, physical activity, smoking, alcohol consumption, and diet. We used multinomial logistic regression, to calculate relative risk ratios (RR).</p><p><strong>Results: </strong>In total (n=1,030), 52.5% maintained the same amount of sleep hours, 72.4% did not consume alcoholic beverages, 87.1% were non-smokers, 51.9% reported a decrease in physical activity, and 58.1% reported an increase in food intake. Older mothers, especially those older than 34, had lower risk of sleeping more hours (RR=0.53; 95% confidence interval - 95%CI 0.31-0.89), increasing their physical activity (RR 0.24; 95%CI 0.09-0.62), and were less likely to increase (RR=0.22; 95%CI 0.05-0.99) or decrease (RR=0.14; 95%CI 0.03-0.60) their alcohol consumption.</p><p><strong>Conclusion: </strong>Social isolation during the pandemic led to changes in maternal habits, especially in physical activity and food intake. Older maternal age emerged as a key predictor, underscoring the need for targeted public health support for mothers during crises.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250055"},"PeriodicalIF":2.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12667504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673156","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":"Record linkage in public health datasets: a practical experience in a fast in-process analytical database.","authors":"Wagner Tassinari, Caroline Dias Ferreira, Eugênio Araújo Júnior, Débora Medeiros de Oliveira E Cruz, Gislani Mateus Oliveira Aguilar, Oswaldo Gonçalves Cruz, Valéria Saraceni, Antônio Pacheco","doi":"10.1590/1980-549720250053","DOIUrl":"10.1590/1980-549720250053","url":null,"abstract":"<p><strong>Objective: </strong>This study presents the accuracy of an algorithm with a mixed approach for linking the Mortality Information System (SIM) and the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) records, implemented in DuckDB.</p><p><strong>Methods: </strong>The proposed algorithm was compared with a previously validated algorithm, in different prevalence scenarios. We employed a hybrid deterministic-probabilistic approach, using similarity metrics such as Jaro and Jaro-Winkler. The study highlights important advantages, including superior processing speed and scalability, maintaining high values in terms of sensitivity, specificity and predictive values.</p><p><strong>Results: </strong>The DuckDB-based solution processed datasets significantly faster, with execution times up to one hundred times shorter, making it particularly suitable for large-scale, real-time applications.</p><p><strong>Conclusions: </strong>This study underscores the potential of DuckDB as a high-performance analytical database for efficiently managing complex data integration tasks and highlights its suitability for resource-limited environments in public health, where timely and accurate record linkage is often essential.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250053"},"PeriodicalIF":2.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12667511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673158","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":"Epidemiology in dialogues: belonging to the Collective Health field, practices and theoretical tensions.","authors":"Rita Barradas Barata","doi":"10.1590/1980-549720250002.supl.1","DOIUrl":"10.1590/1980-549720250002.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>In this essay, we discuss the belonging of Epidemiology to the Collective Health field, theories and contributions of Epidemiology to the health work process and to the impact assessment of Collective Health programs and actions, and the practical and theoretical tensions in the discipline and in the field.</p><p><strong>Methods: </strong>The essay was conducted based on the theoretical contributions of various authors who reflected on Epidemiology throughout the 20th and early 21st centuries as well as the author's own experiences. It is organized into four thematic sections: the discipline's role within the field of Collective Health; the relations between Epidemiology and health practices; practical and theoretical tensions within the discipline itself and other disciplines within the field; and reflections on possible dialogues.</p><p><strong>Results: </strong>We suggest resorting to transdisciplinarity, understanding the dynamics of scientific fields, overcoming false hierarchies between types of knowledge, defeating disciplinary limits, and decentralizing network connections as ways of coping with and overcoming difficulties.</p><p><strong>Conclusions: </strong>The reward for this effort lies in the possibility of achieving effective responses to complex issues that, in addition to improving the health situation of populations, can be guided by the moral imperative of reducing inequalities and social injustices, respecting human rights, and building a more supportive and healthy society.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250002supl1"},"PeriodicalIF":2.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12667505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673084","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":"Patterns of perceived neighborhood environment and physical activity in adolescents: a latent class analysis.","authors":"Eduarda Cristina da Costa Silva, Juliana Maria da Penha Freire Silva, Gerfeson Mendonça, Alex Antonio Florindo, José Cazuza de Farias Júnior","doi":"10.1590/1980-549720250052","DOIUrl":"10.1590/1980-549720250052","url":null,"abstract":"<p><strong>Objective: </strong>To identify patterns of characteristics of the perceived neighborhood environment and relate them to the types of physical activity practiced by adolescents.</p><p><strong>Methods: </strong>Observational epidemiological study with 1,066 adolescents (55.2% female, 10 to 13 years old) from João Pessoa, Paraíba, Brazil. Environmental characteristics were measured using a 16-item scale in three domains (places for practice, urban and traffic safety) and types of physical activity practice (recreation, sports, physical exercise and active commuting - minutes/week) by questionnaire. Latent Class Analysis (LCA) was applied to identify patterns of environmental characteristics and linear regression to relate them to the types of practice.</p><p><strong>Results: </strong>LCA identified four patterns of environmental characteristics: \"not diverse and unsafe\" (26.6%), \"not diverse and safe\" (13.6%), \"diverse and unsafe\" (30.8%), and \"diverse and safe\" (29.6%). Perceiving the environment as \"diverse and safe\" was positively and significantly associated with the time spent practicing recreational activities (β=42.16; 95%CI 4.35-79.97). The patterns of environmental characteristics were not associated with the time spent practicing sports, physical exercise, and active transportation.</p><p><strong>Conclusion: </strong>adolescents who perceived the neighborhood environment as \"diverse and safe\" had a longer time practicing recreational activities.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250052"},"PeriodicalIF":2.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607475","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, intensive care unit admission, and ventilatory support in pregnant and nonpregnant women with COVID-19 in Brazil: a paired observational study.","authors":"Ana Elisa Madalena Rinaldi, Camila Abadia Rodrigues Meira, Marília Neves Santos, Luciana Bertoldi Nucci, Carla Cristina Enes, Wolney Lisboa Conde","doi":"10.1590/1980-549720250054","DOIUrl":"10.1590/1980-549720250054","url":null,"abstract":"<p><strong>Objective: </strong>To compare mortality, intensive care unit (ICU) admission, and use of invasive ventilatory support in hospitalized pregnant and nonpregnant women with severe acute respiratory syndrome due to Coronavirus-2 in Brazil.</p><p><strong>Methods: </strong>It is a cross-sectional study developed with data from the Brazilian Surveillance of Severe Acute Respiratory Syndrome (SARS), Ministry of Health. Three outcomes were investigated: mortality, ICU admission, and use of invasive ventilatory support among COVID-19 cases. Hospitalized pregnant and nonpregnant women were paired according to age group, geographic region, and epidemiological week (33,113 nonpregnant women; 15,567 pregnant women) from March 2020 to March 2022. Associations between pregnancy status and outcomes were analyzed using conditional logistic regression. For 2021 data, an interaction term with vaccination status (no/yes) was included.</p><p><strong>Results: </strong>Mortality (17.6 vs 7.9%), ICU admission (30.3 vs 26.1%), and invasive ventilatory support use (46.6 vs 38.5%) were higher among nonpregnant women, respectively. ICU admission was highest in the second trimester of pregnancy (32.6%). Being in the second trimester increased the likelihood of ICU admission (OR=1.26; 95%CI 1.15-1.39) compared to nonpregnant women. The odds of ICU admission was lower among vaccinated pregnant women in the first (OR=0.71; 95%CI 0.51-0.96), second (OR=0.74; 95%CI 0.62-0.88), and third trimesters (OR=0.65; 95%CI 0.57-0.74).</p><p><strong>Conclusion: </strong>All three outcomes were more frequent among hospitalized nonpregnant women, except for ICU admission in the second trimester. COVID-19 vaccination has proven to be an important protective measure, particularly for pregnant women in the second and third trimesters.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250054"},"PeriodicalIF":2.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607512","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":"Critical mapping of epidemiology training in graduate programs in collective health in Brazil: challenges and perspectives.","authors":"Ana Paula Muraro, Amanda de Moura Souza, Cassia Maria Buchalla, Enirtes Caetano Prates Melo, Gerusa Gibson, João André Tavares Álvares da Silva, Lívia Teixeira de Souza Maia, Maria Aparecida Araújo Figueiredo, Sérgio Viana Peixoto, Taynãna César Simões, Wallisen Tadashi Hattori, Tânia Maria de Araújo","doi":"10.1590/1980-549720250004.supl.1","DOIUrl":"10.1590/1980-549720250004.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To present a critical analysis of the teaching of epidemiology in graduate programs in public health in Brazil.</p><p><strong>Methods: </strong>Descriptive study in two stages, based on a documentary survey (thematic axes of the courses in graduate programs evaluated by CAPES) and a survey with a convenience sample of faculty and students from programs in the field. The evaluation focused on graduate education in public health, aiming to critically examine the curricular proposals, pedagogical practices, and institutional conditions that shape epidemiology training at this level.</p><p><strong>Results: </strong>Important advances were identified in the teaching of epidemiology in graduate public health programs in Brazil, such as a significant number of courses offered, the consolidation of conceptual courses in academic programs, and the diversity and depth of thematic courses-particularly the topic of health services and systems, present in more than half of both academic and professional programs. Persistent challenges highlight the need to consolidate critical, consistent training that aligns with the contemporary demands of public health in the country and the Unified Health System (SUS).</p><p><strong>Conclusion: </strong>The reflections and actions outlined may help guide the next steps toward overcoming structures that perpetuate social inequalities and toward strengthening high-quality epidemiological training committed to transforming population health.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250004supl1"},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558679","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":"Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029).","authors":"Tânia Maria de Araújo, Enirtes Caetano Prates Melo, Claudia Leite de Moraes, Laio Magno, Ana Paula Muraro, Maria de Jesus Mendes da Fonseca, Alberto Novaes Ramos Júnior, Luana Giatti Gonçalves, Margareth Guimarães Lima, Ligia Regina de Oliveira, Moisés Goldbaum, Joilda Silva Nery, Maria Rita Donalisio, Maria da Glória Lima Cruz Teixeira, Katia Vergetti Bloch, Antonio Fernando Boing, Guilherme Loureiro Werneck, Amanda de Moura Souza, Edna Massae Yokoo, Elisabeth Carmen Duarte, Emanuele Souza Marques, Janaína Dos Santos Motta, João Roberto Cavalcante Sampaio, Juan José Cortez Escalante, Katia Crestine Poças, Lívia Teixeira Souza Maia, Michael Eduardo Reichenheim, Naomar Monteiro de Almeida-Filho, Paola Barbosa Marchesini, Rodrigo Citton Padilha Dos Reis, Sérgio Viana Peixoto, Ana Paula Nogueira Nunes, Andréia Moreira de Andrade, Antônio Augusto Moura da Silva, Carolina Geralda Alves, Felipe Guimarães Tavares, Fernando José Herkrath, Isis Polianna Silva Ferreira de Carvalho, Jesem Douglas Yamall Orellana, Ligia Regina Franco Sansigolo Kerr, Maria Amélia de Sousa Mascena Veras, Maria Cynthia Braga, Maria do Carmo Leal, Marilisa Berti de Azevedo Barros, Mauricio Lima Barreto, Paloma de Sousa Pinho, Paulo Rossi Menezes, Sandhi Maria Barreto, Vinícius Silva Belo, Wildo Navegantes de Araújo, Alícia Krüger, Amarílis Bahia Bezerra, Bárbara Campos Silva Valente, Carmen Silvia Bruniera Domingues, Claudio Maierovitch Pessanha Henriques, Ethel Leonor Noia Maciel, Fatima Sonally Sousa Gondim, Gerusa Belo Gibson Dos Santos, Gulnar Azevedo E Silva, Gustavo Laine Araújo de Oliveira, Heleno Rodrigues Corrêa Filho, Luciana de Carvalho Penna, Maria Juliana Moura Corrêa, Marli Souza Rocha, Maryane Oliveira Campos, Olavo de Moura Fontoura, Sheila Maria Alvim de Matos, Walter Massa Ramalho","doi":"10.1590/1980-549720250001.supl.1","DOIUrl":"10.1590/1980-549720250001.supl.1","url":null,"abstract":"<p><p>The Brazilian Association of Collective Health (Abrasco) has played a leading role in consolidating collective health in Brazil since its foundation. After 19 years, Abrasco's Epidemiology Committee resumed its planning with the development of the Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029). This plan emerged in a challenging context marked by social inequalities, scientific denialism, the COVID-19 pandemic, the climate crisis, and disinvestment in public policies, reinforcing the need to update Brazilian epidemiology. The plan's development occurred in multiple stages, including online surveys, debates, and in-person workshops. Workshop I (Brasília, 2023) identified priority challenges, and Workshop II (Rio de Janeiro, 2024) defined strategies to address them. The construction process was guided by the qualified participation of epidemiologists from all regions of the country and was based on principles of plurality, diversity, gender equity, and race/ethnicity. The plan highlights epidemiology across three thematic areas: education, research, and health policies, programs, and services. The Strategic Plan Working Group of the Epidemiology Committee, supported by the Secretariat of Health and Environment Surveillance of the Ministry of Health, led the process. This supplement of the Brazilian Journal of Epidemiology presents the Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029), contributions to the discussion of some central topics, and a deepening of strategic and operational dimensions. The Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029) presents a collective vision for the future, aiming to strengthen epidemiology as a central discipline within the field of collective health. It reaffirms its commitment to equity, social justice, and the consolidation of the Sistema Único de Saúde in Brazil.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250001supl1"},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558664","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":"Research in Epidemiology in Brazil: challenges, pathways, and commitments for the future.","authors":"Antonio Fernando Boing, Maria de Jesus Mendes da Fonseca, Margareth Guimarães Lima, Claudia Leite de Moraes, Katia Vergetti Bloch","doi":"10.1590/1980-549720250003.supl.1","DOIUrl":"10.1590/1980-549720250003.supl.1","url":null,"abstract":"<p><p>In this article, we discuss the challenges and perspectives of Brazilian Epidemiology based on the reflections presented in the Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029). The importance of a scientific agenda committed to quality, innovation, equity, and social transformation is highlighted. We also ponder that Epidemiology must reaffirm its identity as a critical, collaborative, and socially-referenced field. Brazilian Epidemiology must carry on its mission of contributing to the response to health crises, to the reduction of health inequities, and supporting the construction of a national project of sustainable development. Together with the analysis of the significant advances achieved throughout its history, the challenges of research in Epidemiology are debated, such as the chronic underfunding of research in the country, the regional and thematic inequalities in the distribution of resources, academic productivism, the need to bring science closer to the population, and to expand the theoretical and methodological density of studies. Simultaneously, we highlight that opportunities are emerging related to the expansion of open science, the democratization of access to data, and the expansion of the social relevance of research.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250003supl1"},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558596","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":"Epidemiology in health policies, programs, and services in Brazil: The trajectories and perspectives from ABRASCO's Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029).","authors":"Laio Magno, Ligia Regina de Oliveira, Maria Rita Donalísio, Gerusa Gibson, Bárbara Campos Silva Valente, Alícia Krüger, Sheila Maria Alvim de Matos, Maria da Glória Teixeira, Alberto Novaes Ramos Junior","doi":"10.1590/1980-549720250005.supl.1","DOIUrl":"10.1590/1980-549720250005.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To critically summarize the key topics addressed by the working group \"Epidemiology in Health Policies, Programs, and Services\" during the development of the Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029), led by the Brazilian Association of Collective Health.</p><p><strong>Methods: </strong>A historical-contextual analysis was conducted, based on an analytical and comparative review of institutional documents, including previous versions of the Master Plans, scientific literature, and experiences accumulated within the Brazilian Unified Health System (SUS).</p><p><strong>Results: </strong>The main themes identified were the limitations and potentialities of national health information systems, the challenges related to the production of reliable and high-quality data; the dilemmas involved in training epidemiologists with strong social and political commitments; the need to expand the scope of public health surveillance; the importance of equity-oriented evaluation processes; and the role of intersectoral and territorial articulation in strengthening the field. These discussions were framed within the context of Brazil's demographic, socioeconomic, and political-institutional transformations, highlighting the relevance of critical and ethical epidemiology committed to human rights.</p><p><strong>Conclusion: </strong>The Master Plans have played a strategic role in articulating science, policy, and practice, thereby consolidating epidemiology as a field of practice, a critical science, and a tool for social transformation. The Fifth Strategic Plan for the Development of Epidemiology in Brazil (2025-2029) emphasizes the necessity of innovative and intersectional approaches to overcoming structural inequalities, inequities, and forms of oppression. This contributes to strengthening the SUS and consolidating an ethical, critical, and socially committed epidemiology.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250005supl1"},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558677","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}