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

MonitoraSB: an innovation for monitoring and strengthening oral health in primary health care in Brazil. MonitoraSB：巴西初级卫生保健中监测和加强口腔健康的一项创新。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240065

Raquel Conceição Ferreira, Loliza Chalub Luiz Figueiredo Houri, João Henrique Lara do Amaral, Maria Edileusa Santos, Elisa Lopes Pinheiro, Priscila Morais Gomes, Renata Maria Mendes de Oliveira, Rosana Leal do Prado, Najara Barbosa da Rocha, Hernane Braga Pereira, Jacqueline Silva Santos, Doralice Severo da Cruz, Maria Inês Barreiros Senna

{"title":"MonitoraSB: an innovation for monitoring and strengthening oral health in primary health care in Brazil.","authors":"Raquel Conceição Ferreira, Loliza Chalub Luiz Figueiredo Houri, João Henrique Lara do Amaral, Maria Edileusa Santos, Elisa Lopes Pinheiro, Priscila Morais Gomes, Renata Maria Mendes de Oliveira, Rosana Leal do Prado, Najara Barbosa da Rocha, Hernane Braga Pereira, Jacqueline Silva Santos, Doralice Severo da Cruz, Maria Inês Barreiros Senna","doi":"10.1590/1980-549720240065","DOIUrl":"10.1590/1980-549720240065","url":null,"abstract":"Objective: This study describes the methodology used in the development of MonitoraSB, an innovation in the field of evaluating and monitoring oral health services in primary health care (PHC) in Brazil, and it discusses its characteristics and possible uses.Methods: MonitoraSB includes a matrix of indicators and digital tools, developed in collaboration with oral health team dentists and oral health managers. The indicators evaluate the provision and management of oral health services and were developed on the basis of the model for evaluating the effectiveness of oral health care. The dashboard and calculator were developed to facilitate the operational use of the indicators.Results: The 54 indicators in the matrix, with demonstrated content validity and measurability, cover various aspects of oral health care in PHC, from the organization and capacity of services to the profile of care and resolution. The dashboard offers navigation and interactivity, allowing regional, state and municipal analysis and making geographical and temporal comparisons. The calculator allows indicators to be obtained at the local level.Conclusion: The implementation of MonitoraSB could promote the strengthening of PHC, supporting informed decision-making and the consolidation of the universal, comprehensive and equitable oral health care model.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240065"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856986","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 of participation of Brazilian aged people in Advanced Activities of Daily Living and associated factors. 巴西老年人参与高级日常生活活动的流行程度及其相关因素。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240070

Vanessa de Barros E Silva Mazer, Rafael da Silveira Moreira, Kenio Costa de Lima, Maria das Graças Wanderley de Sales Coriolano, Vanessa de Lima Silva

{"title":"Prevalence of participation of Brazilian aged people in Advanced Activities of Daily Living and associated factors.","authors":"Vanessa de Barros E Silva Mazer, Rafael da Silveira Moreira, Kenio Costa de Lima, Maria das Graças Wanderley de Sales Coriolano, Vanessa de Lima Silva","doi":"10.1590/1980-549720240070","DOIUrl":"10.1590/1980-549720240070","url":null,"abstract":"Objective: To estimate the prevalence of participation of aged Brazilians in Advanced Activities of Daily Living and associated factors.Methods: Cross-sectional study developed with secondary data from the National Health Survey. Aged people (60 years old or older) were included. The dependent variable consisted of questions from the National Health Survey regarding the performance of Advanced Activities of Daily Living, related to work, leisure, and social participation. Descriptive analysis, Rao-Scott test, and standardized residual analysis were performed. Effect measures were calculated using simple and multiple multinominal logistic regression models.Results: The majority of Brazilian aged people have low participation in Advanced Activities of Daily Living. Aged males, between 60 and 69 years old, white, from the Southeast, South and Central-West regions, with higher educational levels, absence of chronic diseases, monthly alcohol consumption, regular physical activity, frequent intake of vegetables, use of glasses and independence when moving, were more likely to perform Advanced Activities of Daily Living.Conclusion: These results reinforce the significant influence of demographic, socioeconomic, clinical factors, linked to lifestyle and intrinsic capacity in the execution of Advanced Activities of Daily Living. In a broader sense, such discoveries can strengthen public policies for active and healthy aging.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240070"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857012","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

Performance of fine particulate matter data on air quality in an epidemiological study in Salvador, Brazil. 巴西萨尔瓦多流行病学研究中细颗粒物数据对空气质量的影响。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240068

Ludmilla Viana Jacobson, Sandra Hacon, Vanúcia Schumacher, Clarcson Plácido Conceição Dos Santos, Nelzair Vianna

{"title":"Performance of fine particulate matter data on air quality in an epidemiological study in Salvador, Brazil.","authors":"Ludmilla Viana Jacobson, Sandra Hacon, Vanúcia Schumacher, Clarcson Plácido Conceição Dos Santos, Nelzair Vianna","doi":"10.1590/1980-549720240068","DOIUrl":"10.1590/1980-549720240068","url":null,"abstract":"Objective: To evaluate the performance of satellite-derived PM2.5 concentrations against ground-based measurements in the municipality of Salvador (state of Bahia, Brazil) and the implications of these estimations for the associations of PM2.5 with daily non-accidental mortality.Methods: This is a daily time series study covering the period from 2011 to 2016. A correction factor to improve the alignment between the two data sources was proposed. Effects of PM2.5 were estimated in Poisson generalized additive models, combined with a distributed lag approach.Results: According to the results, satellite data underestimated the PM2.5 levels compared to ground measurements. However, the application of a correction factor improved the alignment between satellite and ground-based data. We found no significant differences between the estimated relative risks based on the corrected satellite data and those based on ground measurements.Conclusion: In this study we highlight the importance of validating satellite-modeled PM2.5 data to assess and understand health impacts. The development of models using remote sensing to estimate PM2.5 allows the quantification of health risks arising from the exposure.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240068"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857005","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

Chronic noncommunicable diseases and absenteeism from work: National Survey of Health, 2019. 慢性非传染性疾病和旷工：2019年全国卫生调查。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240061

Bernardo Soares do Amaral Fernandes, Milena Maria Tavares Spezani, Leonardo Côrtes Bosco, Beatriz Quintanilha Paladino Tavares de Souza, Giovanni Hora Viviani, Lara Santana Lima da Cunha, Ana Sara Semeão de Souza

{"title":"Chronic noncommunicable diseases and absenteeism from work: National Survey of Health, 2019.","authors":"Bernardo Soares do Amaral Fernandes, Milena Maria Tavares Spezani, Leonardo Côrtes Bosco, Beatriz Quintanilha Paladino Tavares de Souza, Giovanni Hora Viviani, Lara Santana Lima da Cunha, Ana Sara Semeão de Souza","doi":"10.1590/1980-549720240061","DOIUrl":"10.1590/1980-549720240061","url":null,"abstract":"Objective: To evaluate the association between burden of disease and multimorbidity and absenteeism in Brazil.Methods: This is a cross-sectional study using data from the National Survey of Health 2019. The assessed outcome was absenteeism from work. The burden of disease was assessed by simply counting a list of 14 morbidities and multimorbidity was defined as: ≥two chronic diseases. Poisson regression models stratified by sex were used to estimate crude and adjusted prevalence ratios and their respective 95% confidence intervals.Results: Of the 96,131,029 employed individuals, 38.5% reported absenteeism (95%CI 32.9-44.3). The most prevalent morbidities among women who reported absenteeism were back problems (50.8%), depression (42.9%), and hypertension (41.6%); and among men, hypertension (39.7%), chronic back pain (34.1%), and dyslipidemia (19.9%), among those who reported absenteeism. Having multimorbidity increased the report of absenteeism among women by 73% (95%CI 1.01-2.96); among men, there was no association after progressive adjustment for sociodemographic and health factors [PR 1.27 (95%CI 0.96-1.71)].Conclusion: The burden of disease and multimorbidity are highly prevalent among employed individuals and are strongly related to absenteeism from work, especially among women. In this sense, workers must be the target of interventions to reduce the impact of chronic noncommunicable diseases.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240061"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856948","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

The impact of the Covid-19 pandemic on work accidents with exposure to biological material in Brazil: an interrupted time series analysis. 2019冠状病毒病大流行对巴西接触生物材料的工作事故的影响：中断时间序列分析

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240067

Luiza Maria Parise Morales, Samara Carolina Rodrigues, Klauss Kleydmann Sabino Garcia

{"title":"The impact of the Covid-19 pandemic on work accidents with exposure to biological material in Brazil: an interrupted time series analysis.","authors":"Luiza Maria Parise Morales, Samara Carolina Rodrigues, Klauss Kleydmann Sabino Garcia","doi":"10.1590/1980-549720240067","DOIUrl":"10.1590/1980-549720240067","url":null,"abstract":"Objective: To analyze the impact of the Covid-19 pandemic on the occurrence of work accidents involving biological materials (ATBio) and to assess changes in the epidemiological profile of these cases.Methods: An ecological time-series study with a cross-sectional component was conducted using ATBio notifications in Brazil from 2015 to 2022 in the Information System for Notifiable Diseases (Sinan). Interrupted time-series analyses were performed using Prais-Winsten regression models, temporal predictions, and multiple logistic regression to identify changes in the profile between the pandemic and pre-pandemic periods.Results: A total of 499,916 ATBio cases were recorded between 2015 and 2022, with an increasing trend from 2015 to 2019. During the first year of the pandemic, 57,731 (11.5%) accidents were reported, with an estimated reduction of 791.8 ATBio notifications per month during this period. There was a change in the accident profile, with a higher occurrence of ATBio during the first year of the pandemic among workers with 1 to 8 and 9 to 11 years of education, and a lower occurrence among pregnant women. There was also a higher occurrence of exposure to non-categorized biological materials, increased use of masks and face shields, and higher post-accident seroconversion rates.Conclusion: The occurrence of ATBio was impacted by the Covid-19 pandemic, leading to a reduction in notifications and a change in the event profile on a national scale.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240067"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857133","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

Spatial, temporal, and space-time analysis of leptospirosis cases in Acre, 2001-2022. 2001-2022年阿克里市钩端螺旋体病病例时空、时空分析

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240063

Leonardo Augusto Kohara Melchior, Kívia Roberta Costa da Silva, Ana Elisa Pereira Silva, Francisco Chiaravalloti-Neto

{"title":"Spatial, temporal, and space-time analysis of leptospirosis cases in Acre, 2001-2022.","authors":"Leonardo Augusto Kohara Melchior, Kívia Roberta Costa da Silva, Ana Elisa Pereira Silva, Francisco Chiaravalloti-Neto","doi":"10.1590/1980-549720240063","DOIUrl":"https://doi.org/10.1590/1980-549720240063","url":null,"abstract":"Objective: To identify clusters of high and low risk for the occurrence of leptospirosis in space and space-time in Acre, between 2001 and 2022, as well as to characterize temporal trends and epidemiological profiles of the disease in the state.Methods: An ecological study of cases mandatorily reported by health services in Brazil. For the analysis of clusters in space and space-time, the SaTScan software was used, which calculated the relative risks (RR). Additionally, temporal trends were obtained using Prais-Winsten linear regression and epidemiological profiles estimated by incidences by sex and age group.Results: A high-risk spatial cluster was identified in Rio Branco, Bujari, and Porto Acre (RR=2.94), occurring mainly between 2013 and 2015, according to the space-time cluster (RR=9.51). The municipality of Cruzeiro do Sul also showed a high-risk spatial cluster (RR=1.31). This municipality and contiguous municipalities showed an increasing temporal trend in cases, while the other municipalities in the state showed a stationary temporal trend. The disease mainly affected men between 20 and 59 years old, followed by young people aged 10 to 19 years. However, the RR of leptospirosis in older women was 2.1 times higher than in older men (95%CI 1.6-2.9).Conclusion: The findings indicated that leptospirosis, although endemic in the state, had a more significant incidence in certain municipalities and years. Therefore, it is necessary to act with greater or lesser intensity in specific locations and periods, both for the prevention and control of the disease.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240063"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017846","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

Is household composition associated with the presence of risk behaviors in Brazilian adolescents? 巴西青少年的家庭构成是否与危险行为有关？

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240058

Marielly Rodrigues de Souza, Ana Paula Muraro, Amanda Cristina de Souza Andrade, Márcia Gonçalves Ferreira, Paulo Rogério Melo Rodrigues

{"title":"Is household composition associated with the presence of risk behaviors in Brazilian adolescents?","authors":"Marielly Rodrigues de Souza, Ana Paula Muraro, Amanda Cristina de Souza Andrade, Márcia Gonçalves Ferreira, Paulo Rogério Melo Rodrigues","doi":"10.1590/1980-549720240058","DOIUrl":"10.1590/1980-549720240058","url":null,"abstract":"Objective: To analyze the association of household composition with risk behaviors in Brazilian adolescents.Methods: Cross-sectional study, with a nationally representative sample of Brazilian adolescents (n=159,245) aged 13 to 17, enrolled and regularly attending the 7th to 9th year of elementary school and the 1st to 3rd year of high school, participants in the National Survey of School Health in 2019. The risk behaviors were: insufficient physical activity, sedentary behavior, alcohol consumption, smoking, poorer diet quality, skipping breakfast and not having meals with parents/guardians. In the analyses, the sampling weights and study design were considered, stratified by the type of school (public or private) and estimated using Poisson regression models.Results: Adolescents, from public and private schools, who lived in single-parent households or where parents were absent, had a higher prevalence of alcohol consumption, smoking, poorer diet quality, skipping breakfast and not eating meals with parents/guardians, compared to those who lived with both parents. Additionally, adolescents from public schools showed a higher prevalence of sedentary behavior than those from single-parent households. Adolescents from private schools had a higher prevalence of sedentary behavior among those who lived only with their mother and a higher prevalence of insufficient physical activity among those who lived without either parent.Conclusion: Brazilian adolescents, from public and private schools, who lived in single-parent households or without parents, showed higher prevalence of risk behaviors.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240058"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856954","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

Characterization of notifications of violence against women living in rural contexts in Brazil from 2011 to 2020. 2011年至2020年巴西农村妇女遭受暴力行为通报的特征分析。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240059

Luciane Stochero, Liana Wernersbach Pinto

{"title":"Characterization of notifications of violence against women living in rural contexts in Brazil from 2011 to 2020.","authors":"Luciane Stochero, Liana Wernersbach Pinto","doi":"10.1590/1980-549720240059","DOIUrl":"10.1590/1980-549720240059","url":null,"abstract":"Objective: To describe and analyze notifications and the temporal trend of violence against women living in rural contexts in Brazil, from 2011 to 2020.Methods: Ecological time-series study of a descriptive and analytical nature, with data from the Notifiable Diseases Information System on violence against women aged 18 to 59 years, in rural areas, from 2011 to 2020, in Brazil. The analyses were descriptive and trend-related, with the regression model using inflection points (joinpoint) and calculation of the annual percent change (APC) and the average annual percent change (AAPC).Results: A total of 79,229 notifications of violence against rural women were recorded. The most reported violence was physical (77.6%), psychological/moral (36.5%), and sexual (6.2%). They occurred, above all, among young, Black, married women with low levels of education. They were committed, in most cases, at home and, mainly, by a male partner. APC was statistically increasing throughout the studied period in Brazil, in the North, Midwest, South, and Northeast regions, including 18 states and the Federal District (DF). As for AAPC, all country, region, state, and DF rates showed a statistically increasing trend.Conclusion: In view of the increasing reported cases of violence against rural women throughout the country, which are mainly committed by people they are related to and in their own home, it is encouraged to reinforce the training of health professionals to improve and expand the process of notification as an instrument of care for women in situations of violence.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240059"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856919","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

Multimorbidity patterns as predictors of sleeping medication use: a population-based study in women in Southern Brazil. 多病模式作为睡眠药物使用的预测因素：巴西南部妇女的一项基于人群的研究

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240056

Marina Luiza Grudginski de Oliveira, Michele Gabriela Schmidt, Jaqueline Stürmer, Débora Luiza Franken, Juvenal Soares Dias da Costa, Maria Teresa Anselmo Olinto, Vera Maria Vieira Paniz

{"title":"Multimorbidity patterns as predictors of sleeping medication use: a population-based study in women in Southern Brazil.","authors":"Marina Luiza Grudginski de Oliveira, Michele Gabriela Schmidt, Jaqueline Stürmer, Débora Luiza Franken, Juvenal Soares Dias da Costa, Maria Teresa Anselmo Olinto, Vera Maria Vieira Paniz","doi":"10.1590/1980-549720240056","DOIUrl":"10.1590/1980-549720240056","url":null,"abstract":"Objective: To explore the relationship between different patterns of multimorbidity and the use of sleeping medications in women.Methods: Population-based cross-sectional study with 1,128 women (aged 20-69 years) in Southern Brazil. Data on sleeping medications were obtained from the question \"Do you take/use any medication to be able to sleep?\" and identified by the Anatomical Therapeutic and Chemical classification. Multimorbidity patterns were derived by the Principal Component Analysis of 26 chronic conditions and two obesity parameters (≥30 kg/m2; ≥40 kg/m2). The association was analyzed by Poisson regression with robust variance using different adjustment models, stratified by age.Results: Three multimorbidity patterns were derived: cardiometabolic, endocrine-articular, and psychosomatic. Age stratification showed a change in effect in the relationship investigated. Women under 45 years and high score of cardiometabolic and endocrine-articular patterns were about twice as likely to use sleeping medications [prevalence ratio (PR) 1.85, 95% confidence interval (CI) 1.09-3.12; PR 2.04, 95%CI 1.18-3.51, respectively]. Those with psychosomatic pattern were around five times more likely [PR 4.91, 95%CI 3.00-8.04].Conclusions: The study provided the first evidence on the association researched and demonstrated that young women (<45 years) with a high score of the identified patterns are up to five times more likely to use sleeping medications, configuring early use. This unprecedented finding suggests the need for greater health promotion for young adults and actions to raise awareness about risks and the clear indication of the use of sleeping medications.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240056"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856999","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

Psychometric properties of the reduced version of the Primary Care Assessment Tool (PCATool). 初级保健评估工具（PCATool）精简版的心理测量特性。

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240057

Gabriele Rissotto Menegazzo, Maria Laura Braccini Fagundes, Orlando Luiz do Amaral Júnior, Lucelen Fontoura Bastos, Amanda Ramos da Cunha, Matheus Neves, Eduardo Dickie de Castilhos, Otávio Pereira D'Avila, Jessye Melgarejo do Amaral Giordani, Fernando Neves Hugo

{"title":"Psychometric properties of the reduced version of the Primary Care Assessment Tool (PCATool).","authors":"Gabriele Rissotto Menegazzo, Maria Laura Braccini Fagundes, Orlando Luiz do Amaral Júnior, Lucelen Fontoura Bastos, Amanda Ramos da Cunha, Matheus Neves, Eduardo Dickie de Castilhos, Otávio Pereira D'Avila, Jessye Melgarejo do Amaral Giordani, Fernando Neves Hugo","doi":"10.1590/1980-549720240057","DOIUrl":"10.1590/1980-549720240057","url":null,"abstract":"Objective: This cross-sectional study aimed to evaluate the psychometric properties of the reduced version of the Primary Care Assessment Tool (PCATool) for adult patients in the Brazilian National Health Survey 2019, a nationally representative population-based study.Methods: The reduced version of PCATool-adults measures the presence and extent of the following attributes: degree of affiliation; first-contact access; longitudinality; care coordination; comprehensiveness; family orientation; and community orientation. Exploratory and Confirmatory Factor Analysis were performed.Results: The final sample consisted of 9,396 individuals. The PCATool latent variable for adults was related to two questionnaire items, one referring to the Degree of Affiliation attribute and the other to the Community Orientation attribute. Additionally, five latent variables, formed by 21 items, identified the other five attributes through standardized factor loadings.Conclusion: The reduced version of PCATool-Adult has good psychometric properties and captures the attributes of Primary Health Care.","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240057"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857109","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