Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献_第2页

Prevalence and factors associated with sexual violence against adolescent girls in Brazil: results of the 2019 National Survey of School Health. 巴西少女遭受性暴力的发生率及其相关因素：2019年全国学校卫生调查结果

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260016

Maria Luiza Sady Prates Pinheiro, Alanna Gomes da Silva, Nádia Machado de Vasconcelos, Deborah Carvalho Malta

{"title":"Prevalence and factors associated with sexual violence against adolescent girls in Brazil: results of the 2019 National Survey of School Health.","authors":"Maria Luiza Sady Prates Pinheiro, Alanna Gomes da Silva, Nádia Machado de Vasconcelos, Deborah Carvalho Malta","doi":"10.1590/1980-549720260016","DOIUrl":"10.1590/1980-549720260016","url":null,"abstract":"Objective: To analyze the prevalence of sexual violence and associated factors among adolescent girls aged 13 to 17 years in Brazil, considering individual, relational, and community aspects.Methods: This is a cross-sectional study using data from the 2019 National Survey of School Health (PeNSE). Descriptive analyses were conducted and prevalence ratios with 95% confidence intervals were calculated.Results: The prevalence of sexual violence was 22.2% (95%CI 21.5-23.0), with the main perpetrator being a stranger (22.5%; 95%CI 21.2-23.8). Higher prevalence was observed among adolescents aged 16-17 years (PR 1.2; 95%CI 1.1-1.3), those who used drugs (PR 1.3; 95%CI 1.1-1.4), consumed alcohol (PR 1.2; 95%CI 1.1-1.3), had a history of sexual intercourse (PR 1.5; 95%CI 1.4-1.7), reported sadness (PR 1.9; 95%CI 1.4-2.5), had mothers with Higher Education degree (PR 1.2; 95%CI 1.1-1.3), were bullied (PR 1.2; 95%CI 1.2-1.3), were assaulted by friends (PR 1.2; 95%CI 1.1-1.4), and felt unsafe getting to and from school (PR 1.2; 95%CI 1.1-1.4) or at school (PR 1.3; 95%CI 1.1-1.4).Conclusion: We verified high prevalence of sexual violence among girls aged 16-17 years in Brazil. It was associated with individual, social, and community factors. Multifaceted interventions, strengthening of intersectoral public policies, and protective strategies are needed to ensure a safer environment.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260016"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640687","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

Clusters and their social determinants associated with vaccination against human papillomavirus in the state of Minas Gerais, Brazil. 巴西米纳斯吉拉斯州与人乳头瘤病毒疫苗接种相关的聚集性病例及其社会决定因素

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Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260009

Josianne Dias Gusmão, Thales Philipe Rodrigues da Silva, Ana Catarina de Araújo Melo, Monica Levi, Jéssica Emanuela de Sena Gonçalves, Bianca Maria Oliveira Lovisaro, Fernanda Penido Matozinhos

{"title":"Clusters and their social determinants associated with vaccination against human papillomavirus in the state of Minas Gerais, Brazil.","authors":"Josianne Dias Gusmão, Thales Philipe Rodrigues da Silva, Ana Catarina de Araújo Melo, Monica Levi, Jéssica Emanuela de Sena Gonçalves, Bianca Maria Oliveira Lovisaro, Fernanda Penido Matozinhos","doi":"10.1590/1980-549720260009","DOIUrl":"10.1590/1980-549720260009","url":null,"abstract":"Objective: To analyze the clusters and their social determinants associated with vaccination against human papillomavirus (HPV) in the State of Minas Gerais, Brazil.Methods: Ecological study, carried out in 853 municipalities of Minas Gerais, Brazil. The K-means algorithm was used for clustering analysis. The calculation of vaccination coverage (VC) of the HPV vaccine, for males and females, age group 9 to 14 years, between 2014 and 2022, and socioeconomic indicators were considered.Results: Males had the lowest proportion of municipalities in Minas Gerais achieving the VC target. Of the 5 Clusters generated, Cluster 1 (259 municipalities) showed high urbanization and high VC, but with challenges for male adherence. Cluster 2 (178 municipalities) identified low VC and high poverty, with limited access to health. Cluster 3 (166 municipalities) presented high VC and lower vulnerability, consisting of municipalities with high vaccination uptake and socioeconomic conditions, indicating effective health policies. In Cluster 4 (166 municipalities), public health weaknesses and the need for targeted interventions were identified. Cluster 5 (84 municipalities) presented high urbanization and inequality, but with a large disparity between urbanization and vaccination adherence.Conclusion: Thus, this study identified that high urbanization, lower vulnerability and greater access to health services are factors that can positively impact vaccine adherence by adolescents.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260009"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482761","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

Care and primary health care access indicators among Brazilian adults with diabetes mellitus, National Health Survey 2019. 《2019年巴西全国健康调查》，巴西成年糖尿病患者的护理和初级卫生保健可及性指标。

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260005

Luís Antônio Batista Tonaco, Bárbara Aguiar Carrato, Filipe Malta Dos Santos, Regina Tomie Ivata Bernal, Deborah Carvalho Malta

{"title":"Care and primary health care access indicators among Brazilian adults with diabetes mellitus, National Health Survey 2019.","authors":"Luís Antônio Batista Tonaco, Bárbara Aguiar Carrato, Filipe Malta Dos Santos, Regina Tomie Ivata Bernal, Deborah Carvalho Malta","doi":"10.1590/1980-549720260005","DOIUrl":"10.1590/1980-549720260005","url":null,"abstract":"Objective: To analyze indicators of access to health services and care among adults with Diabetes mellitus in Brazil, according to Primary Health Care coverage.Methods: A cross-sectional study using data from the 2019 National Health Survey (PNS). Only individuals who self-reported a diagnosis of Diabetes mellitus were selected. Explanatory variables represented indicators of care and access among adults with a Diabetes mellitus diagnosis. Prevalence and 95% confidence intervals (95%CI) were calculated for the indicators. The association with registration in a Family Health Unit was verified by bivariate analysis. Indicators with p≤0.05 were included in a logistic regression model and, subsequently, in a model adjusted for sex and age.Results: Among the Brazilian adult population, 8.2% (95%CI 7.9-8.6) self-reported a diagnosis of Diabetes mellitus. After adjustment, individuals with diabetes living in households registered in a Family Health Unit were more likely to have had their last consultation in a Primary Health Care Unit (OR=2.13; 95%CI 1.71-2.64), to have been seen by a specialist physician after referral (OR=1.97; 95%CI 1.49-2.60), and to report severe limitations in usual activities due to the condition (OR=1.65; 95%CI 1.05-2.62). On the other hand, they were less likely to have been seen by the same doctor as in previous consultations (OR=0.65; 95%CI 0.53-0.81) and to have undergone an eye exam in the past year (OR=0.73; 95%CI 0.58-0.90).Conclusion: Disparities exist in care and access to Primary Health Care services among Brazilian adults with diabetes.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260005"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482713","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

Prevalence and factors associated with poor self-assessed health in Brazilian adolescents: National School Health Survey 2019. 巴西青少年自我评估健康状况不佳的患病率及相关因素：2019年全国学校健康调查

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260007

Luís Antônio Batista Tonaco, Bárbara Aguiar Carrato, Leonardo Lemos Pena, Deborah Carvalho Malta

{"title":"Prevalence and factors associated with poor self-assessed health in Brazilian adolescents: National School Health Survey 2019.","authors":"Luís Antônio Batista Tonaco, Bárbara Aguiar Carrato, Leonardo Lemos Pena, Deborah Carvalho Malta","doi":"10.1590/1980-549720260007","DOIUrl":"10.1590/1980-549720260007","url":null,"abstract":"Objective: To estimate the prevalence and factors associated with poor self-assessed health among Brazilian school-aged adolescents aged 13 to 17 years.Methods: Cross-sectional study using data from the 2019 National School Health Survey (PeNSE). Crude and adjusted prevalence ratios (APR) were estimated by logistic regression. Analyses were performed in Stata 16.Results: Factors associated with poor self-rated health were: being male (APR 0.75; 95%CI 0.72-0.79); aged 16-17 years (APR 1.13; 95%CI 1.08-1.18); Black (APR 1.08; 95%CI 1.01-1.14), Brown (APR 1.10; 95%CI 1.05-1.16), or other (APR 1.13; 95%CI 1.04-1.22); eating breakfast (APR 0.84; 95%CI 0.80-0.87); consumed alcoholic (APR 1.12; 95%CI 1.07-1.18); perceiving oneself as overweight (APR 1.34; 95%CI 1.27-1.42) or underweight (APR 1.12; 95%CI 1.06-1.18); engaging in >300 minutes of physical activity per week (APR 0.85; 95%CI 0.80-0.89); consuming fruits (APR 0.86; 95%CI 0.81-0.92); having one or more friends (APR 0.80; 95%CI 0.74-0.86); having ever sought health services (APR 0.92; 95%CI 0.88-0.96); missing school due to health problems for 1-3 days (APR 1.31; 95%CI 1.24-1.39) or ≥4 days (APR 1.64; 95%CI 1.54-1.74); feeling worried (APR 1.09; 95%CI 1.02-1.15), sad (APR 1.33; 95%CI 1.24-1.41), that no one cares about them (APR 1.22; 95%CI 1.16-1.29), irritated (APR 1.19; 95%CI 1.10-1.25), or that life is not worth living (APR 1.38; 95%CI 1.32-1.45).Conclusion: Sociodemographic, behavioral, and mental health factors were associated with poor self-rated health among Brazilian adolescents.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260007"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482756","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

Noncommunicable chronic diseases and health challenges in 2050. 2050年的非传染性慢性病和健康挑战。

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260011

Deborah Carvalho Malta, Guilherme Augusto Veloso, Crizian Saar Gomes, Maurício Lima Barreto

{"title":"Noncommunicable chronic diseases and health challenges in 2050.","authors":"Deborah Carvalho Malta, Guilherme Augusto Veloso, Crizian Saar Gomes, Maurício Lima Barreto","doi":"10.1590/1980-549720260011","DOIUrl":"10.1590/1980-549720260011","url":null,"abstract":"Objectives: The study aims to analyze the burden of diseases related to noncommunicable chronic diseases (NCDs) and their risk factors (RFs) from 1990 to 2021 and to project of NCDs and RFs for the years 2030 and 2050.Methods: Estimates of risk factors and mortality from NCDs in Brazil and its States were analyzed based on data from the Global Burden of Disease Study.Results: There was a 37.7% reduction in premature mortality rates from NCDs and a 34% reduction in Disability-Adjusted Life Years (DALYs) between 1990 and 2021. Projections for 2050 indicate that mortality from cardiovascular diseases will continue to decline and that these will be supplanted by neoplasms. Mortality rates from diabetes tend to increase, while chronic respiratory diseases show a downward trend. In 2021, the main risk factors associated with premature deaths from NCDs were: high blood pressure, smoking, poor diet, high Body Mass Index (BMI), and high fasting glucose. Projections through 2050 point to an increase in risk factors such as obesity, high blood pressure, high glucose, physical inactivity, and poor diet - which may compromise the achievement of the 2050 targets for reducing premature mortality from NCDs.Conclusion: The study points out that global targets may not be achieved, raising an alert to the urgent need to strengthen public policies aimed at the prevention and control of NCDs.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260011"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482754","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

Artificial intelligence in Brazilian public health: potential, challenges, and ethical implications for the Brazilian Unified Health System. 巴西公共卫生中的人工智能：巴西统一卫生系统的潜力、挑战和伦理影响。

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260006

Marcela Quaresma Soares, Alexandre Dias Porto Chiavegatto Filho

{"title":"Artificial intelligence in Brazilian public health: potential, challenges, and ethical implications for the Brazilian Unified Health System.","authors":"Marcela Quaresma Soares, Alexandre Dias Porto Chiavegatto Filho","doi":"10.1590/1980-549720260006","DOIUrl":"10.1590/1980-549720260006","url":null,"abstract":"Objectives: To critically analyze the potential, challenges, and ethical implications of incorporating artificial intelligence (AI) into Brazilian public health, in light of the principles of the Unified Health System (SUS), also considering its interfaces with epidemiological practice.Methods: This is a theoretical-analytical paper based on national and international literature, which articulates core AI concepts with political-epistemological reflections from Public Health. The approach includes discussions on machine learning, deep learning, natural language processing, and large language models, focusing on applications within the SUS context.Results: Multiple opportunities for using AI to strengthen the SUS are identified, including prediction of health events, diagnostic support, service regulation, and public policy development. However, structural barriers such as fragmented information systems, regional inequalities, and gaps in professional training are highlighted. Issues such as algorithmic fairness, explainability, technological sovereignty, and digital literacy emerge as key dimensions for the responsible adoption of AI.Conclusion: AI is not neutral, and its integration into the SUS must be guided by democratic principles and sensitivity to social vulnerabilities, or it risks reinforcing technocratic and exclusionary models. The struggle over the meaning of innovation is, therefore, also a struggle over the future of public health in Brazil.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260006"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482740","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 trends and factors associated with live preterm births in Espírito Santo, 2012-2021. 2012-2021年Espírito Santo活产早产的时间趋势和相关因素。

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-16 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260008

Marcone Marques da Rocha, Laércio da Silva Paiva, Lara Bourguignon Lopes, Raiza Brito Cipriano, Lucca Tamara Alves Carretta, Fernando Rocha Oliveira

{"title":"Temporal trends and factors associated with live preterm births in Espírito Santo, 2012-2021.","authors":"Marcone Marques da Rocha, Laércio da Silva Paiva, Lara Bourguignon Lopes, Raiza Brito Cipriano, Lucca Tamara Alves Carretta, Fernando Rocha Oliveira","doi":"10.1590/1980-549720260008","DOIUrl":"10.1590/1980-549720260008","url":null,"abstract":"Objective: To analyze the temporal trend of live premature births in the State of Espírito Santo (Brazil) between 2012 and 2022 and to identify associated factors.Methods: Ecological study using secondary data from the Live Birth Information System (SINASC), covering premature births in Espírito Santo between 2012 and 2022. Prais-Winsten regression was used to assess the temporal trend of the prematurity rate, and the Prevalence Ratio (PR) was used to identify factors associated with premature birth.Results: A higher prevalence of premature birth was observed among boys (PR=1.06) with weight <2,500 g, Apgar score at one and five minutes <7 (PR=3.10 and PR=4.05), and with the presence of congenital anomalies (PR=2.74). Among maternal factors, higher prevalences were found among mothers with no schooling (PR=1.51), without a partner (PR=1.11), aged <19 years or >35 years (PR 1.14; PR 1.32), who did not have prenatal care (PR=2.32), twin pregnancy (PR=6.21) and cesarean delivery (PR=1.05). In all analyses, statistical significance was p<0.001. Regarding the temporal trend analysis, Barra de São Francisco, Santa Teresa, and Vitória showed an increasing prematurity rate (2012-2022). Alegre, Cachoeiro de Itapemirim, and Itapemirim showed decreasing rates. Espírito Santo showed a stationary rate.Conclusion: Espírito Santo has a stationary prematurity rate, with some microregions showing increasing or decreasing rates, indicating territorial heterogeneity and regional inequalities in access to health. Maternal and gestational socioeconomic risk factors stand out as indicators of a higher prevalence of prematurity.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260008"},"PeriodicalIF":2.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482738","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

ERRATUM: Research in Epidemiology in Brazil: challenges, pathways, and commitments for the future. 勘误：巴西流行病学研究：挑战、途径和未来的承诺。

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Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-03-09 DOI: 10.1590/1980-549720250003.supl.1erratum

引用次数: 0

Mortality burden of malignant neoplasms of the corpus uteri in Mexico: an analysis of trends from 2000 to 2022. 墨西哥子宫体恶性肿瘤的死亡率负担：2000年至2022年趋势分析

IF 2

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-01-30 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260001

Eugenia Flores-Alfaro, Felipe Adrián Encarnación-López, Gabriela Elizabeth Campos-Viguri, Maria Elena Moreno-Godínez, Ana Karen Herrera-Vargas, Marco Antonio Ramírez-Vargas

{"title":"Mortality burden of malignant neoplasms of the corpus uteri in Mexico: an analysis of trends from 2000 to 2022.","authors":"Eugenia Flores-Alfaro, Felipe Adrián Encarnación-López, Gabriela Elizabeth Campos-Viguri, Maria Elena Moreno-Godínez, Ana Karen Herrera-Vargas, Marco Antonio Ramírez-Vargas","doi":"10.1590/1980-549720260001","DOIUrl":"10.1590/1980-549720260001","url":null,"abstract":"Objective: The aim of this study was to analyze temporal trends in malignant neoplasms of corpus uteri mortality in México from 2000 through 2022.Methods: Certificates of death were analyzed. The age-standardized mortality rate (ASMR), the number of years of life lost, according to the federal state, was estimated. The changes in temporal trends were analyzed using joint point regression.Results: The ASMR from malignant neoplasms of the corpus uteri was estimated at 2.5 (95% confidence interval [CI] 2.2-2.8), and the annual percentage change from 2000 to 2018 was 4.32. The age group of 60-65 years was most affected.Conclusion: This report indicates an increase in the ASMR from malignant neoplasms of the corpus uteri. It also suggests the need for the development of public health laws focusing on the early diagnosis and prevention of uterine cancer.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260001"},"PeriodicalIF":2.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121359","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

Alcohol consumption, mental health, and the moderating role of social isolation during the COVID-19 pandemic in southern Brazil. 巴西南部COVID-19大流行期间饮酒、心理健康和社会隔离的缓和作用

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Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2026-01-30 eCollection Date: 2026-01-01 DOI: 10.1590/1980-549720260002

Francine Costa, Thais Martins-Silva, André Luiz Girotto, Laura Cunha Goulart, Victor Alves Modesto E Silva, Rafaela Costa Martins, Cauane Blumenberg, Marina Xavier Carpena, Juraci Almeida Cesar, Christian Loret de Mola

{"title":"Alcohol consumption, mental health, and the moderating role of social isolation during the COVID-19 pandemic in southern Brazil.","authors":"Francine Costa, Thais Martins-Silva, André Luiz Girotto, Laura Cunha Goulart, Victor Alves Modesto E Silva, Rafaela Costa Martins, Cauane Blumenberg, Marina Xavier Carpena, Juraci Almeida Cesar, Christian Loret de Mola","doi":"10.1590/1980-549720260002","DOIUrl":"10.1590/1980-549720260002","url":null,"abstract":"Objective: Investigate changes in alcohol consumption and the association between maternal depression and anxiety, considering the moderating effect of social isolation during the COVID-19 pandemic, using a population-based cohort from Brazil.Methods: Data were obtained from the WebCovid-19 study, a web-based follow-up of the 2019 Rio Grande (RS), Brazil, birth cohort, with 1,077 and 1,033 postpartum women participating in waves I and II, respectively. Changes in maternal alcohol consumption were self-reported, while depression and anxiety were assessed using the Edinburgh Postnatal Depression Scale and the Generalised Anxiety Scale. Crude and adjusted negative binomial regression was conducted, including tests for moderation by social isolation.Results: Of the 781 mothers included, 57.3% reported staying home ≥5 days in the last week, and 5.0% increased alcohol consumption during the pandemic. Median depression and anxiety scores were 8.0 (interquartile range - IQR 3-13) and 6.0 (IQR 3-10), respectively. Mothers who increased alcohol consumption had a 5-point (95% confidence interval - 95%CI 3.0-7.0) and 4.2-point (95%CI 2.6-5.9) increase in depression and anxiety scores, respectively. Social isolation duration did not significantly modify the effect of alcohol consumption on mental health.Conclusion: Increased alcohol consumption during the pandemic was associated with higher depression and anxiety scores. The hypothesised moderating effect of longer isolation on this association remains a possibility.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260002"},"PeriodicalIF":2.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121348","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