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

{"title":"Profile and experiences during the incarceration of transgender women and travestis (TGW) in Brazil: a cross-sectional study.","authors":"Andréa Fachel Leal, Cristine Coelho Cazeiro, Ana Carolina Einsfeld Mattos, Bruna Hentges, Luciana Barcellos Teixeira, Daniela Riva Knauth, Laio Magno, Inês Dourado, Maria Amélia de Sousa Mascena Vera","doi":"10.1590/1980-549720240014.supl.1","DOIUrl":"10.1590/1980-549720240014.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the present study is to describe the sociodemographic and behavioral characteristics of a group of transgender women and travestis (TGW) with a history of incarceration and the institutional and social context of this experience in Brazil.</p><p><strong>Methods: </strong>The analyzed data were derived from the TransOdara Study, a cross-sectional study conducted in five Brazilian capitals from December 2019 to July 2021. Participants were recruited using the Respondent-Driven Sampling (RDS) technique, in which, after an initial formative and exploratory stage, the first participants were identified; in turn, these participants recruited up to six other transgender women and travestis for the research. The study's outcome was the experience of incarceration throughout life, captured through the question: \"Have you ever been arrested in your life?\"</p><p><strong>Results: </strong>A total of 1,245 TGW were interviewed, of which 20.3% (n=253) experienced incarceration. Incarceration was more frequent among those aged 33 to 42 years (35.6%), with lower level of education (45.5%, p<0.001), engaged in informal work (30.3%), without a partner (67.2%), and among those who reported illicit drug use (66.4%). The majority (60.9%) of TGW were incarcerated with cisgender men, and the most common reasons for imprisonment were drug trafficking (30.4%) followed by robbery (29.2%). Over a quarter of the interviewees (26.3%) experienced assault, and 13.8% reported experiencing sexual violence during incarceration.</p><p><strong>Conclusion: </strong>The results emphasize the high prevalence of incarceration among TGW. This incarceration takes place in male wards and in a context of high rates of physical and sexual violence.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240014.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019856","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":"Physical examination for the detection of sexually transmitted infections among transgender women and travestis in Brazil: acceptability and associated factors.","authors":"Daniel Jason McCartney, Layana Guedes Carvalhal, Camila de Albuquerque Moraes, Philippe Mayaud, Maria Amélia de Sousa Mascena Veras","doi":"10.1590/1980-549720240009.supl.1","DOIUrl":"10.1590/1980-549720240009.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the acceptability and factors associated with uptake of a physical examination for the detection of symptomatic sexually transmitted infections (STIs) by transgender women and travestis in Brazil.</p><p><strong>Methods: </strong>TransOdara was a multi-centric, cross-sectional STI prevalence study conducted among transgender women and travestis in five capital cities (Campo Grande, Manaus, Porto Alegre, Salvador and São Paulo) representing all Brazilian regions, between December 2019 and July 2021. A total of 1,317 self-identified transgender women and travestis aged ≥18 years were recruited using respondent-driven sampling and responded to a standard questionnaire. A medical consultation was offered including a physical examination and collection of samples from multiple sites to detect various STIs. Factors associated with uptake were investigated by reviewing demographic characteristics of participants who gave permission for physical examination (general, genital, and anorectal).</p><p><strong>Results: </strong>Most participants (65.4%, 95% confidence interval - 95%CI 62.7-68.0) gave permission for a general examination (including oropharyngeal), with fewer permitting genital (42.3%, 95%CI 39.6-46.0) or anorectal (42.1%, 95%CI 39.4-44.9) examinations. Overall, 34.4% (95%CI 31.8-37.0) of participants refused all examinations. Participants with STI symptoms were significantly more likely to give permission for full examination than asymptomatic participants (64.3 vs. 37.4%, adjusted odds ratio - AOR=3.6, 95%CI 2.4-5.5). Other factors significantly associated with uptake of a full examination in multivariate analysis included age (AOR=1.5 for ≥25 years), religion (AOR=1.7 for Afro-Brazilian, AOR=1.9 for other religions compared to no religion), and education (AOR=2.0 for higher-level).</p><p><strong>Conclusion: </strong>In the context of STI management, this study found limited acceptance of anogenital examinations among transgender women and travestis, with higher acceptance among those with STI symptoms.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240009.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019821","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":"Bodies of desire: use of nonprescribed hormones among transgender women and travestis in five Brazilian capitals (2019-2021).","authors":"Katia Cristina Bassichetto, Thiago Félix Pinheiro, Claudia Barros, Paula Andrea Morelli Fonseca, Rita Suely Bacuri de Queiroz, Sandro Sperandei, Maria Amélia de Sousa Mascena Veras","doi":"10.1590/1980-549720240010.supl.1","DOIUrl":"10.1590/1980-549720240010.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the experiences of transgender women and travestis regarding the use of hormones for body changes without a medical prescription.</p><p><strong>Methods: </strong>This is a cross-sectional, quantitative and qualitative study, using data from \"TransOdara\", which estimated the prevalence of Sexually Transmitted Infections in transgender women and travestis recruited through Respondent-Driven Sampling, between December 2019 and July 2021, in São Paulo, Campo Grande, Manaus, Porto Alegre, and Salvador, Brazil. The main outcome was: use of hormones without medical prescription and associated risk factors. Descriptive analysis, mixed univariate logistic regression models, and semi-structured interviews were carried out.</p><p><strong>Results: </strong>Of the 1,317 recruited participants, 85.9% had already used hormones. The current use of hormones was reported by 40.7% (536) of them. Of those who were able to inform the place where they obtained them, 72.6% (381/525) used them without a medical prescription. The variables associated with the outcome were: current full-time sex work (OR 4.59; 95%CI 1.90-11.06) or in the past (OR 1.92; 95%CI 1.10-3.34), not having changed their name (OR 3.59; 95%CI 2.23-5.76), not currently studying (OR 1.83; 95%CI 1.07-3.13), being younger (OR 2.16; 95%CI 1.31-3.56), and having suffered discrimination at some point in life for being a transgender women and travestis (OR 0.40; 95%CI 0.20-0.81).</p><p><strong>Conclusion: </strong>The use of nonprescribed hormones is high among transgender women and travestis, especially among those who are younger, did not study, have not changed their name, and with a history of sex work. This use is related to the urgency for gender transition, with excessive use and damage to health.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240010.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019815","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":"Sexually transmitted infections and other health issues among transgender women and travestis in Brazil: epidemiological profile, vulnerabilities, access to services and care.","authors":"Maria Amélia de Sousa Mascena Veras, Inês Dourado, Francisco Inácio Bastos, Thiago Félix Pinheiro","doi":"10.1590/1980-549720240001.supl.1","DOIUrl":"10.1590/1980-549720240001.supl.1","url":null,"abstract":"","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240001.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019857","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":"Prevalence of syphilis in transgender women and travestis in Brazil: results from a national cross-sectional study.","authors":"Aline Borges Moreira da Rocha, Sandro Sperandei, Adele Benzaken, Rita Bacuri, Katia Cristina Bassichetto, Elaine Lopes de Oliveira, Edilene Peres Real da Silveira, Maria Inês Costa Dourado, Maria Amélia de Sousa Mascena Veras","doi":"10.1590/1980-549720240003.supl.1","DOIUrl":"10.1590/1980-549720240003.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to estimate the prevalence of acquired syphilis and associated factors in a national survey.</p><p><strong>Methods: </strong>TransOdara was a cross-sectional study comprising transgender women and travestis (TGW) in five major cities in Brazil during December of 2019 and July of 2021. The sample was recruited using the respondent-driven sampling (RDS) method. The outcome \"active syphilis\" was defined as a positive treponemal test and Venereal-Disease-Research-Laboratory (VDRL) title greater than∕ equal to ⅛. Sociodemographic variables were described. Bivariate and multiple logistic regression were performed, and odds ratios (OR) and 95% confidence intervals (95%CI) were estimated. All analyses were performed in R, 4.3.1.</p><p><strong>Results: </strong>A total of 1,317 TGW were recruited, with 1,291 being tested for syphilis, and 294 (22.8%) meeting the criteria for active syphilis. In bivariate analysis, black/mixed race (OR=1.41, 95%CI 1.01-1.97), basic level of education (OR=2.44, 95%CI 1.17-5.06), no name change in documents (OR=1.39, 95%CI 1.00-1.91) and sex work (past only OR= 2.22, 95%CI 1.47-3.32; partial OR=2.75, 95%CI 1.78-4.25; full time OR=3.62, 95%CI 2.36-5.53) were associated with active syphilis. In the multivariate analysis, sex work was the only associated factor, 2.07 (95%CI 1.37-3.13) past sex work, 2.59 (95%CI 1.66-4.05) part-time sex work and 3.16 (95%CI 2.04-4.92) sex work as the main source of income.</p><p><strong>Conclusion: </strong>The prevalence of active syphilis in this study was elevated compared with other countries in Latin America. Sex work was an important associated factor with active syphilis, highlighting the impact that this condition of vulnerability may have in the health of TGW, as members of a key, marginalized population.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240003.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019855","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":"TransOdara study: the challenge of integrating methods, settings and procedures during the COVID-19 pandemic in Brazil.","authors":"Maria Amelia de Sousa Mascena Veras, Thiago Felix Pinheiro, Lenice Galan, Laio Magno, Andréa Fachel Leal, Daniela Riva Knauth, Ana Rita Coimbra Motta-Castro, Rita Suely Bacuri de Queiroz, Philippe Mayaud, Daniel Jason McCartney, Gwenda Hughes, Camila Mattos Dos Santos, Leonardo Bastos, Katia Cristina Bassichetto, Sandro Sperandei, Claudia Renata Dos Santos Barros, Rodrigo Calado da Silva, Francisco Inácio Bastos, Maria Inês Costa Dourado","doi":"10.1590/1980-549720240002.supl.1","DOIUrl":"10.1590/1980-549720240002.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>Sexually transmitted infections (STIs) disproportionately affect transgender women and travestis (TGW), who often lack access to healthcare due to stigma and discrimination. We describe the approach and methodology of a study investigating the prevalence of syphilis, HIV, hepatitis A, B, and C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), and human papillomavirus (HPV) among TGW, as well as their knowledge and perceptions regarding syphilis, to better inform policies to curb STIs among this vulnerable population.</p><p><strong>Methods: </strong>TransOdara was a multicentric, cross-sectional study conducted among TGW in five capital cities from major Brazilian regions between December 2019 and July 2021. Self-identified transgender women and travestis aged >18 years were recruited using respondent-driven sampling after a qualitative formative phase, completed an interviewer-led questionnaire, were offered a physical examination, and were also asked to provide samples from multiple sites to detect various STIs, starting vaccination and treatment when indicated.</p><p><strong>Results: </strong>A total of 1,317 participants were recruited from the five study locations: Campo Grande (n=181, 13.7%), Manaus (n=340, 25.8%), Porto Alegre (n=192, 14.6%), Salvador (n=201, 15.3%), and São Paulo (n=403, 30.6%). The recruitment period varied at each study location due to logistic constraints imposed by the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Despite the enormous challenges posed by the co-occurrence of the COVID-19 pandemic and field work targeting a vulnerable, elusive, and scattered population, the TransOdara project has been effectively implemented. Caveats did not preclude 1,300 TGW from being interviewed and tested, amid a significant epidemic that disrupted health services and research projects in Brazil and worldwide.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240002.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019858","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":"Factors associated with prior testing for HIV, Syphilis, and Hepatitis B and C among transgender women and travestis in Brazil.","authors":"Beo Oliveira Leite, Inês Dourado, Laio Magno, Sandro Sperandei, Carla Gianna Luppi, Maria Amelia de Sousa Mascena Veras","doi":"10.1590/1980-549720240008.supl.1","DOIUrl":"10.1590/1980-549720240008.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests.</p><p><strong>Methods: </strong>This is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated.</p><p><strong>Results: </strong>The proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months.</p><p><strong>Conclusion: </strong>There was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs).</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240008.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019818","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":"Prevalence of chlamydia and gonorreheae among transgender women and travestis in five Brazilian capitals, 2019-2021.","authors":"Katia Cristina Bassichetto, Sandro Sperandei, Daniel Jason McCartney, Carla Gianna Luppi, Roberto José Carvalho da Silva, Sandra Araújo, Laio Magno, Maria Luíza Bazzo, Gwenda Hughes, Philippe Mayaud, Inês Dourado, Maria Amélia de Sousa Mascena Veras","doi":"10.1590/1980-549720240006.supl.1","DOIUrl":"10.1590/1980-549720240006.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence and factors associated with the detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in transgender women and travestis in five Brazilian capitals.</p><p><strong>Methods: </strong>Data were obtained from a cross-sectional study conducted between 2019 and 2021, with participants recruited through Respondent Driven Sampling in São Paulo, Campo Grande, Manaus, Porto Alegre and Salvador. Detection of CT and NG was analyzed at three collection sites (anorectal, oropharyngeal and urethral). Mixed logistic regression models were employed to identify associated factors.</p><p><strong>Results: </strong>A total of 1,297 recruited participants provided biological material to detect these infections. The prevalences of CT, NG and coinfection were 11.5%, 13.3% and 3.6%, respectively. Independent associations with CT infections included past (OR=1.73; 95%CI 1.02-2.95), current (OR=2.13; 95%CI 1.23-3.69), and part-time sex work (OR=2.75; 95%CI 1.60-4.75), as well as lifetime injectable drug use (OR=3.54; 95%CI 1.49-8.40). For NG, associations were observed with lifetime injectable drug use (OR=1.91; 95%CI 1.28-2.84) and sexual orientation, including heterosexual (OR=3.44; 95%CI 1.35-8.82), homosexual (OR=5.49; 95%CI 1.89-15.97), and bisexual (OR=3.21; 95%CI 1.06-9.68). Coinfection was associated with use of illicit drugs in the last 12 months (OR=2.34, 95%CI 1.10-5.00), and younger age was associated with all investigated outcomes.</p><p><strong>Conclusion: </strong>Estimated prevalences of CT, NG and co-infection were higher among transgender women and travestis compared to the general population, particularly among younger, individuals engaged in sex work and illicit drug use.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240006.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019822","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":"Difficulties and advances in access to and use of health services by transgender women and travestis in Brazil.","authors":"Thiago Félix Pinheiro, Paula Galdino Cardin de Carvalho, Gabriel Nolasco, Lorruan Alves Dos Santos, Maria Amélia de Sousa Mascena Veras","doi":"10.1590/1980-549720240007.supl.1","DOIUrl":"10.1590/1980-549720240007.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To understand the narratives of transgender women and travestis (TGW) from four Brazilian cities regarding access to and use of health services.</p><p><strong>Methods: </strong>Qualitative study carried out within the scope of the TransOdara project, cross-sectional multicenter mixed methods research conducted between 2019-2021. Fifty-two in-depth interviews with TGW in Manaus, Campo Grande, Porto Alegre and São Paulo were analyzed. The analysis was guided by philosophical hermeneutics.</p><p><strong>Results: </strong>Reports of discrimination, stigmatization and pathologization reiterate the difficulties faced by TGW in seeking healthcare. The recurrence of disrespect for the social/corrected name reveals obstacles to the recognition of transgender identities and, in some cases, the intention of inhibiting transsexuality-travestilidade. Other difficulties arise from actions that disregard the health specificities of TGW or the precarious social conditions that affect some of them. On the other hand, based on experiences of respect and adequate care, participants identify an ongoing change, which is expressed in greater availability of services and improved assistance. There is an expectation of continued expansion of services, technologies and training of health professionals.</p><p><strong>Conclusions: </strong>The identified change has been undertaken at the interface of public health policies with LGBT+ activism and the production of knowledge about TGW health needs. Although the identified advances are insufficient to change the scenario of the historical exclusion experienced by TGW in health services, they point to promising ways to improve their health conditions.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27Suppl 1 Suppl 1","pages":"e240007.supl.1"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019816","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":"Association between food insecurity and chronic noncommunicable diseases in Brazil: a systematic review.","authors":"Jackson Silva Lima Laurentino, Renatha Celiana da Silva Brito, Rônisson Thomas de Oliveira-Silva, Amanda Soares, Thaís da Conceição Pereira, Elisiandre Martins de Lima, Ana Beatriz Macêdo Venâncio Dos Santos, Poliana de Araújo Palmeira","doi":"10.1590/1980-549720240041","DOIUrl":"10.1590/1980-549720240041","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association of food insecurity (FI) with chronic noncommunicable diseases (NCDs) in the Brazilian context.</p><p><strong>Methods: </strong>The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The searches were conducted in LILACS and PubMed databases (September/2022). Observational studies carried out in the Brazilian population published since 2003 were included, in which: (1) the association of FI with NCDs was analyzed; and (2) the Brazilian Food Insecurity Scale was used. Studies on pregnant women and those that associated FI with cancer, sexually transmitted infections, and musculoskeletal and respiratory diseases were excluded. The studies were subjected to methodological quality assessment.</p><p><strong>Results: </strong>A total of 27 cross-sectional studies were included; nine used secondary data from national surveys, and the others used primary data. An association between FI and overweight and obesity in different age groups was verified in the studies.</p><p><strong>Conclusion: </strong>The included articles did not produce evidence on other NCDs of interest to health in Brazil such as diabetes and high blood pressure. However, they corroborate the already-known relationship between obesity and FI. Studies on the topic, with a longitudinal design, should be encouraged.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240041"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977417","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}