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

{"title":"Prevalence of negative self-assessment of oral health and associated factors among adolescents from southeastern Brazil in the 2003 and 2023 Brazil Oral Health surveys.","authors":"Sheyla Omonte Neves, Giana Zarbato Longo, Karla Maria Damiano Teixeira","doi":"10.1590/1980-549720260001.supl.1","DOIUrl":"10.1590/1980-549720260001.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence and factors associated with negative self-assessment of oral health among adolescents living in the Southeast region of Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional study using data from the National Oral Health Survey of 2003 and 2023. Through examination and questionnaire, clinical, socioeconomic, and oral health perception data were obtained from 2981 individuals in 2003 and 919 in 2023. Descriptive, bivariate, and multivariate analyses were performed using Poisson regression with robust variance.</p><p><strong>Results: </strong>Negative self-assessment of oral health was observed in 43.9% (95% confidence interval - 95%CI 38.7-49.1) of participants in 2003 and 33.4% (95%CI 27.2-40.3) in 2023. In the multivariate analysis, the factors associated with worse self-assessment of oral health were: being 18 or 19 years old (prevalence ratio - PR 1.04; 95%CI 1.01-1.08 in 2003 and PR 1.27; 95%CI 1.00-1.63 in 2023), not owning a home (PR 1.16; 95%CI 1.01-1.32 in 2003), receiving government assistance (PR 1.40; 95%CI 1.11-1.77), feeling the need for treatment (PR 2.7; 95%CI 1.94-3.74 in 2003 and PR 3.0; 95%CI 1.58-5.70 in 2023), experiencing toothache (PR 1.67; 95%CI 1.38-2.04 in 2003 and PR 1.72; 95%CI 1.17-2.54 in 2023), having dental calculus (PR 1.22; 95%CI 1.04-1.43 in 2003 and PR 1.84; 95%CI 1.28-2.66 in 2023), having missing, decayed or filled teeth (PR 1.02; 95%CI 1.01-1.04 in 2003), loosing teeth due to cavities (PR 2.19; 95%CI 1.42-3.37 in 2023), and last visiting the dentist two to three years earlier (PR 1.89; 95%CI 1.39-2.56 in 2023).</p><p><strong>Conclusion: </strong>A high prevalence of negative self-assessment of oral health was observed among adolescents in the Southeast region, a finding associated with a multidimensional structure of variables.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260001supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791775","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":"Use of synthetic population to assess alcohol abuse in small areas.","authors":"Crizian Saar Gomes, Regina Tomie Ivata Bernal, Larissa Fortunato Araújo, Celso Renato França Júnior, Samuel Norberto Alves, Juliana Bottoni de Souza, Flora Vitória Serena Oliveira Baldi, Marcos André Gonçalves, Jussara Marques Almeida, Deborah Carvalho Malta","doi":"10.1590/1980-549720260013","DOIUrl":"10.1590/1980-549720260013","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the use of synthetic populations, generated by conditional generative adversarial networks (cGAN), to estimate abusive alcohol consumption in small areas of Belo Horizonte (MG).</p><p><strong>Methods: </strong>Data from the Vigitel survey from 2006 to 2018 were used. Sociodemographic and lifestyle variables were considered, and the synthetic records were assigned to nine vulnerability clusters.</p><p><strong>Results: </strong>The inclusion of synthetic data reduced standard errors and narrowed confidence intervals, especially in more vulnerable areas. Higher prevalence was observed in less vulnerable areas.</p><p><strong>Conclusions: </strong>The approach proved promising for overcoming representativeness limitations and enhancing risk factor monitoring, but it still depends on the quality of the original data, may introduce biases, and requires external validation and cautious use.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260013"},"PeriodicalIF":2.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694090","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 false-negative results from the rapid molecular test for pulmonary tuberculosis in the state of São Paulo, Brazil.","authors":"Alexandre Tadashi Inomata Bruce, Mariana Gaspar Botelho Funari de Faria, Rubia Laine de Paula Andrade, Ricardo Alexandre Arcêncio, Ione Carvalho Pinto, Dulce Gomes, Esron Soares Carvalho Rocha, Manoel Eduardo de Aquino Tavares, Aline Aparecida Monroe","doi":"10.1590/1980-549720260012","DOIUrl":"10.1590/1980-549720260012","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the factors associated with the frequency of false negative results for the RMT-TB test for the diagnosis of pulmonary tuberculosis in the state of São Paulo.</p><p><strong>Methods: </strong>Cross-sectional study using pulmonary tuberculosis cases from the state of São Paulo reported in the TB-WEB system between 2014 and 2023. RMT-TB results were compared with sputum smear microscopy, sputum culture, and sensitivity testing. Subsequently, variables with p<0.05 in the statistical tests were included in the logistic regression.</p><p><strong>Results: </strong>There was a significant increase in the use of RMT-TB over the years, reaching 76% of cases in 2023. Analysis of the test accuracy revealed high agreement with sputum culture (82.6%) and the sensitivity test (98.4%), although it showed lower agreement with sputum smear microscopy (78.5%). The study identified factors associated with false-negative results on the RMT-TB, such as advanced age, female sex, HIV status, imprisoned, and a normal chest X-ray. Logistic regression confirmed that these factors increase the likelihood of false-negative results.</p><p><strong>Conclusion: </strong>The RMT-TB is an effective tool for diagnosing pulmonary tuberculosis, but the interpretation of results must consider each patient's specific risk factors, especially in high-risk populations. The study highlights the importance of combining the RMT-TB with other diagnostic methods and clinical evaluation to ensure accurate diagnosis and appropriate treatment.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260012"},"PeriodicalIF":2.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694066","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":"Time series analysis (2015-2022): dengue risk scenario in Goiás, Brazil.","authors":"Ronaldo Rodrigues de Oliveira Junior, Ana Carolina Figueiredo Modesto, Leandro do Prado Assunção, Lindomar José Pena, Valéria Christina de Rezende Feres","doi":"10.1590/1980-549720260010","DOIUrl":"10.1590/1980-549720260010","url":null,"abstract":"<p><strong>Objective: </strong>To analyze confirmed cases of dengue in Goiás, Brazil between 2015 and 2022 and to estimate the risk of new outbreaks until 2026.</p><p><strong>Methods: </strong>A time series study using data from the Notifiable Diseases Information System (SINAN) was conducted. Monthly records of cases confirmed by laboratory or clinical-epidemiological criteria were included. The Seasonal Autoregressive Integrated Moving Average (SARIMA) model was applied using the R software (v.4.2.1). Stationarity, trend, seasonality, residual autocorrelation, and model fit were evaluated, with estimates obtained by maximum likelihood and 95% confidence intervals.</p><p><strong>Results: </strong>During the study period, 709,270 confirmed cases were recorded. Epidemics occurred cyclically every two years, with peaks in 2015 (101,261), 2016 (82,077), 2018 (70,794), 2019 (107,589), and 2022 (189,998), interspersed with years of lower incidence such as 2017 and the COVID-19 pandemic years (2020-2021). Serotype replacement was observed preceding major outbreaks. The SARIMA model showed good fit (Akaike Information Criterion - 1768.9; Bayesian Information Criterion - 1786.8) and predicted new peaks in 2025 (177,775 cases) and 2026 (224,100 cases).</p><p><strong>Conclusion: </strong>Dengue in Goiás displayed recurrent epidemic cycles, pointing to an increase in cases and reinforcing the need for integrated strategies based on prevention and control. The SARIMA model proved useful for surveillance and public health planning, although its accuracy may be influenced by external factors.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260010"},"PeriodicalIF":2.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694105","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":"Development, content validity, and reliability of an instrument to assess the commercialization of food and beverages in school canteens in Brazil.","authors":"Luiza Delazari Borges, Letícia Ferreira Tavares, Ariene Silva do Carmo, Letícia de Oliveira Cardoso, Raquel Canuto, Paulo César Pereira de Castro Junior, Sabrina Gomes Ferreira Clark, Luísa Arantes Vilela, Larissa Loures Mendes","doi":"10.1590/1980-549720260015","DOIUrl":"10.1590/1980-549720260015","url":null,"abstract":"<p><strong>Objectives: </strong>To develop, verify content validity, and evaluate the reliability of an instrument for assessing the commercialization of food and beverages in school canteens.</p><p><strong>Methods: </strong>The preliminary version of the instrument was developed following a literature review, identification of food environment dimensions, item development, and structuring of the instrument, which was divided into three sections: identification and characterization of canteens, commercialized foods, and food advertising. The instrument was evaluated by experts, and the content validity index was calculated for each item (deemed satisfactory if >0.80). Reliability was assessed in a sample of canteens using inter-rater and intra-rater tests. Values of kappa, prevalence-adjusted bias-adjusted kappa, and intraclass correlation coefficient were calculated.</p><p><strong>Results: </strong>The instrument included 945 items. The average content validity index score of the instrument, considering the evaluated aspects (relevance, clarity of item wording, and clarity of response options), was 0.95. Experts' suggestions were reviewed, and items were added, removed, or modified when appropriate. Regarding reliability, 95.2% of the total analyzed items showed excellent, very good, or good agreement (≥0.6).</p><p><strong>Conclusion: </strong>The instrument proved to be reliable for measuring the food environment in school canteens in the Brazilian context, showing satisfactory values for both content validity and reliability. Thus, the instrument contributes to advancing the assessment of food commercialization in canteens, an important aspect of the school food environment.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260015"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640741","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":"Evolution of mortality attributable to passive smoking in the 27 Brazilian capitals, 2009-2021.","authors":"Bibiana Wanderlei Flores, Julia Rey-Brandariz, Paulo César Rodrigues Pinto Corrêa, Sofia Ravara, Agustín Montes Martinez, Mónica Pérez-Ríos","doi":"10.1590/1980-549720260017","DOIUrl":"10.1590/1980-549720260017","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the mortality attributable to passive smoking in the population aged 35 years old and older, by gender, in the 27 Brazilian state capitals, from 2009 to 2021.</p><p><strong>Methods: </strong>A prevalence-dependent method was used, based on the calculation of population attributable fractions (PAF). Deaths from diseases causally related to passive smoking were obtained from the Mortality Information System of the Brazilian Unified Health System (SIM/SUS); prevalence data were taken on SHS exposure were obtained from Vigitel surveys (2009-2021); and relative risks were obtained from a meta-analysis. Mortality attributable to passive smoking and mortality rates were estimated by capital city, year, gender, and cause of death. Trends in crude mortality rates attributable to passive smoking were analyzed using joinpoint regression models.</p><p><strong>Results: </strong>Passive smoking accounted for 64,913 deaths in all Brazilian state capitals between 2009 and 2021. Cardiovascular diseases were the main cause of death in both genders. The mortality rate attributed to passive smoking decreased from 33.1/100,000 deaths in 2009 to 15.4/100,000 deaths in 2021. This reduction was observed in all 27 Brazilian state capitals, both overall and by gender.</p><p><strong>Conclusion: </strong>Passive smoking was responsible for 1.4% of all deaths in Brazil during the period 2009-2021 and showed a favorable trend, with rates decreasing by half during the period.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260017"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640743","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 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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Objective: </strong>To analyze indicators of access to health services and care among adults with Diabetes mellitus in Brazil, according to Primary Health Care coverage.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Disparities exist in care and access to Primary Health Care services among Brazilian adults with diabetes.</p>","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}

{"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":"<p><strong>Objective: </strong>To analyze the clusters and their social determinants associated with vaccination against human papillomavirus (HPV) in the State of Minas Gerais, Brazil.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Objective: </strong>To estimate the prevalence and factors associated with poor self-assessed health among Brazilian school-aged adolescents aged 13 to 17 years.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Sociodemographic, behavioral, and mental health factors were associated with poor self-rated health among Brazilian adolescents.</p>","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}