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

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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":"<p><strong>Objective: </strong>To describe and analyze notifications and the temporal trend of violence against women living in rural contexts in Brazil, from 2011 to 2020.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Objective: </strong>To explore the relationship between different patterns of multimorbidity and the use of sleeping medications in women.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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].</p><p><strong>Conclusions: </strong>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.</p>","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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The reduced version of PCATool-Adult has good psychometric properties and captures the attributes of Primary Health Care.</p>","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
Erratum. 勘误表。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 DOI: 10.1590/1980-549720240002.supl.1erratum
{"title":"Erratum.","authors":"","doi":"10.1590/1980-549720240002.supl.1erratum","DOIUrl":"10.1590/1980-549720240002.supl.1erratum","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1980-549720240002.supl.1] [This corrects the article doi: 10.1590/1980-549720240002.supl.1.2].</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e2023478erratum"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856933","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. 勘误表。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 DOI: 10.1590/1980-549720240003.supl.1erratum
{"title":"Erratum.","authors":"","doi":"10.1590/1980-549720240003.supl.1erratum","DOIUrl":"10.1590/1980-549720240003.supl.1erratum","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1980-549720240003.supl.1] [This corrects the article doi: 10.1590/1980-549720240003.supl.1.2].</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e2023470erratum"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856936","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
Low oral health literacy, dental caries, and school features are associated with reasons for seeking dental services among adolescents. 口腔健康知识水平低、龋齿和学校特征与青少年寻求牙科服务的原因有关。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240066
Roanny Torres Lopes, Érick Tássio Barbosa Neves, Laio da Costa Dutra, Ramon Targino Firmino, Larissa Chaves Morais de Lima, Fernanda de Morais Ferreira, Ana Flávia Granville-Garcia
{"title":"Low oral health literacy, dental caries, and school features are associated with reasons for seeking dental services among adolescents.","authors":"Roanny Torres Lopes, Érick Tássio Barbosa Neves, Laio da Costa Dutra, Ramon Targino Firmino, Larissa Chaves Morais de Lima, Fernanda de Morais Ferreira, Ana Flávia Granville-Garcia","doi":"10.1590/1980-549720240066","DOIUrl":"10.1590/1980-549720240066","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to investigate associations between reasons for seeking dental services, considering the last dental appointment of adolescents, and their educational features, socioeconomic and oral health status, and oral health literacy.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 746 adolescents aged 15-19 years in Campina Grande (Paraíba), Brazil. Parents/guardians answered a socioeconomic questionnaire. Adolescents answered a questionnaire on oral health and the Brazilian Rapid Estimate of Adult Literacy in Dentistry. Features of the school environment were investigated through cluster analysis, using type of school and school grade retention. Adolescents were clinically examined for dental caries diagnosis by two dentists (κ>0.80), using the Nyvad criteria, in school facilities. Data were submitted to robust multilevel logistic regression for complex samples (α=5%).</p><p><strong>Results: </strong>At the individual level, low maternal schooling (odds ratio [OR] 1.06; 95%CI 1.01-1.10), low oral health literacy (OR 0.99; 95%CI 0.98-0.99), and dental caries (OR 1.09; 95%CI 1.01-1.18) remained associated with the reasons for the last dental appointment. The school environment was also associated with the outcome (OR 1.07; 95%CI 1.00-1.15).</p><p><strong>Conclusion: </strong>Maternal schooling of less than eight years of study, low oral health literacy, cavitated caries, and unfavorable school environment were associated with seeking dental treatment.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e2400466"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856958","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
Trend and disparities for smoking during pregnancy in the extreme south of Brazil between 2007 and 2019. 2007年至2019年,巴西最南部怀孕期间吸烟的趋势和差异。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240055
Eduardo Peglow, Luana Patrícia Marmitt, Juraci Almeida Cesar
{"title":"Trend and disparities for smoking during pregnancy in the extreme south of Brazil between 2007 and 2019.","authors":"Eduardo Peglow, Luana Patrícia Marmitt, Juraci Almeida Cesar","doi":"10.1590/1980-549720240055","DOIUrl":"10.1590/1980-549720240055","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence and to evaluate trends and disparities in the occurrence of smoking among pregnant women living in the municipality of Rio Grande (RS), in the extreme south of Brazil, between 2007 and 2019.</p><p><strong>Methods: </strong>All pregnant women living in this municipality who had a child in one of the local hospitals between January 1st and December 31st in the years 2007, 2010, 2013, 2016, and 2019 were included in the study. The interviews took place within 48 hours after childbirth. A pregnant woman was considered a smoker if she smoked at least one cigarette per day for 30 consecutive days in any of the pregnancy trimesters. The respective Pearson's χ2 test was used to estimate the proportions and the trend.</p><p><strong>Results: </strong>The mean prevalence of smoking in the studied period was 17.7% (95%CI 17.0-18.3), dropping from 23.4 (95%CI 21.7-25.0) in 2007 to 12.4% (95%CI 11.1-13.9) in 2019. This decrease occurred in all categories of the studied variables (p>0.001). The greatest disparities in the decrease were observed between the extreme groups for income (75.0 versus 34.4%) and level of education (51.0 versus 32.1%) and living or not with a partner (50.7 versus 27.7%).</p><p><strong>Conclusion: </strong>There was a sharp and uneven drop in the prevalence of smoking over these 13 years. Pregnant women at higher risk of complications during pregnancy and childbirth were at a clear disadvantage compared to others. Reducing the prevalence of smoking depends on prioritizing interventions among pregnant women with greater social vulnerability.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240055"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857141","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
COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022). 巴西的 COVID-19 诊断和入院情况:一项全国性调查(Covitel,2022 年)。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240052
Renato Teixeira, Sofia Reinach, Fátima Marinho, Pedro Hallal, Fernando César Wehrmeister, Eduardo Ribes Kohn, Érika Carvalho de Aquino, Pedro de Paula, Luciana Monteiro Vasconcelos Sardinha
{"title":"COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022).","authors":"Renato Teixeira, Sofia Reinach, Fátima Marinho, Pedro Hallal, Fernando César Wehrmeister, Eduardo Ribes Kohn, Érika Carvalho de Aquino, Pedro de Paula, Luciana Monteiro Vasconcelos Sardinha","doi":"10.1590/1980-549720240052","DOIUrl":"10.1590/1980-549720240052","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of COVID-19 diagnosis and hospital admissions, and to evaluate their correlates in a nationwide Brazilian sample.</p><p><strong>Methods: </strong>A cross-sectional study was carried out with secondary data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases in Times of Pandemic - Covitel 2022. The Covitel study uses cluster sampling, carried out through random digit dialing on landlines and cell phones, among people aged 18 years or over. The outcome of the \"diagnosis of COVID-19\" was based on a self-report of a confirmed case through laboratory tests or medical diagnoses. Those who reported COVID-19 were asked about the need for hospital admission due to COVID-19. Independent variables included sex, age, level of education, region, comorbidity, private health insurance plan, self-rated health, and employment status. The odds ratio was estimated using logistic regression models considering the complex sample design.</p><p><strong>Results: </strong>From the sample of 9000 people, the prevalence of COVID-19 diagnosis was 25.4% (95%CI 23.8-27.1%), ranging from 23.0% (95%CI 20.0-26.3%) in the Northeast region to 28.5% (95%CI 25.3-31.7%) in the South region. Middle-aged adults (35-44 years old) had the highest prevalence of COVID-19 diagnosis. The higher the level of education, the higher the prevalence of COVID-19 diagnosis.</p><p><strong>Conclusion: </strong>The prevalence of COVID-19 diagnosis is markedly different from that of SARS-CoV-2 infection at the population level. Socioeconomic differences in access to testing are the likely explanation. Older adults and people with comorbidities were more likely to be admitted to hospital due to COVID-19 in Brazil.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240052"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741557","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
Predictive factors for recording the death of women of childbearing age in the Hospital Information System (SIH/SUS), Brazil, 2012-2020. 2012-2020 年巴西医院信息系统(SIH/SUS)中记录育龄妇女死亡的预测因素。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240051
Juliana Alves Marques, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Claudia Medina Coeli, Rejane Sobrinho Pinheiro, Valeria Saraceni
{"title":"Predictive factors for recording the death of women of childbearing age in the Hospital Information System (SIH/SUS), Brazil, 2012-2020.","authors":"Juliana Alves Marques, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Claudia Medina Coeli, Rejane Sobrinho Pinheiro, Valeria Saraceni","doi":"10.1590/1980-549720240051","DOIUrl":"10.1590/1980-549720240051","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the death registration coverage of women of childbearing age (WCA) in the Hospital Information System (SIH), according to the hospital of occurrence and to verify the predictors associated with coverage.</p><p><strong>Methods: </strong>Descriptive ecological study with public data from SIH, Mortality Information System (SIM) and National Registry of Health Establishments (CNES), 2012-2020. Deaths in WCA hospitalizations in SIH were compared to those in SIM. Coverage was calculated by the proportion of deaths in SIH in relation to SIM. Supervised classification models - decision tree and random forest - were used to identify hospital characteristics related to coverage.</p><p><strong>Results: </strong>WCA death registration coverage was estimated at 78.0 and 71.8% after excluding hospitals with >100% coverage. Lower coverage was observed in the North region (67.7%) and higher in the South (76.9%). There was an increase in coverage from 69.0% to 74.4% in the period examined. The main factors predicting coverage were urgency/emergency facility, administrative management level, hospital complexity, proportion of adult beds covered by SUS and teaching activity, with lower coverage in those with an urgency/emergency facility and greater coverage in those of higher complexity, in federal hospitals, those with teaching activity and higher proportion of adult beds covered by SUS. Flaws in the CNES registration were identified in SIM.</p><p><strong>Conclusion: </strong>The coverage of WCA death registration in SIH in the country is high and growing. Regional differences reinforce the need for strategies to improve the quality of information systems.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240051"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741590","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
Family characteristics and loneliness among older adults: evidence from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). 老年人的家庭特征与孤独感:巴西老龄化纵向研究(ELSI-Brazil)提供的证据。
Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.1590/1980-549720240054
Karla Geovani Silva Marcelino, Luciana de Souza Braga, Maria Fernanda Lima-Costa, Juliana Lustosa Torres
{"title":"Family characteristics and loneliness among older adults: evidence from the Brazilian Longitudinal Study of Aging (ELSI-Brazil).","authors":"Karla Geovani Silva Marcelino, Luciana de Souza Braga, Maria Fernanda Lima-Costa, Juliana Lustosa Torres","doi":"10.1590/1980-549720240054","DOIUrl":"10.1590/1980-549720240054","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between family characteristics concerning partners and children and loneliness among Brazilians aged 50 and over, taking into account both the occurrence of loneliness and its severity levels.</p><p><strong>Methods: </strong>This cross-sectional study used data from 7,163 participants in the second wave of the Brazilian Longitudinal Study of Aging, a nationally representative study conducted in 2019-2021. Loneliness was assessed using the 3-item University of California Loneliness Scale. Family characteristics included: marital status and living with the partner and presence of children and living with them. Statistical analysis employed Zero-Inflated Negative Binomial regression models, allowing the assessment of the outcome in both dichotomous and counting-based forms.</p><p><strong>Results: </strong>Only family characteristics related to the partner were associated with loneliness prevalence, whether in a living-apart-together arrangement (PR=0.35; 95%CI 0.23-0.53) or cohabiting (PR=0.37; 95%CI 0.30-0.45). Family characteristics concerning the partner [cohabiting (PR=0.80; 95% CI 0.73-0.88)] and children [non-cohabiting (PR=0.86; 95%CI 0.77-0.95) or cohabiting (PR=0.81; 95%CI 0.72-0,92)] were negatively associated with loneliness levels.</p><p><strong>Conclusion: </strong>Family characteristics play a crucial role in both preventing loneliness and reducing its levels. Public services for improving social support should target older adults with reduced nuclear families.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240054"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741561","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
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