Cadernos de saude publica最新文献

[Cluster predictors of trajectories of leisure-time physical activity intensity in men and women from ELSA-Brasil]. [来自elsa -巴西的男性和女性休闲时间身体活动强度轨迹的聚类预测因子]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT132924

André Luis Messias Dos Santos Duque, Daniela Polessa Paula, Francisco José Gondim Pitanga, Ciro Oliveira Queiroz, Maria Del Carmen Bisi Molina, Alexandra Dias Moreira, Maria da Conceição Chagas de Almeida, Sheila Maria Alvim de Matos, Ana Luísa Patrão, Maria de Jesus Mendes da Fonseca, Rosane Harter Griep

{"title":"[Cluster predictors of trajectories of leisure-time physical activity intensity in men and women from ELSA-Brasil].","authors":"André Luis Messias Dos Santos Duque, Daniela Polessa Paula, Francisco José Gondim Pitanga, Ciro Oliveira Queiroz, Maria Del Carmen Bisi Molina, Alexandra Dias Moreira, Maria da Conceição Chagas de Almeida, Sheila Maria Alvim de Matos, Ana Luísa Patrão, Maria de Jesus Mendes da Fonseca, Rosane Harter Griep","doi":"10.1590/0102-311XPT132924","DOIUrl":"10.1590/0102-311XPT132924","url":null,"abstract":"The maintenance of physical activity over time is a challenge for public health. Predictors of different physical activity intensities have not been sufficiently analyzed. This study aimed to identify clusters of trajectories of physical activity intensity in leisure time, their predictors and the profile of the participants in the clusters. Baseline data and two follow-up visits of 11,262 participants from the Brazilian Longitudinal Study of Adult Health (ELSA-Brazil) were included. physical activity was assessed at three moments using the International Physical Activity Questionnaire (IPAQ). Clusters of physical activity trajectories according to intensity (weak, moderate and strong) were identified via longitudinal K-means. The number of clusters was based on the within-clusters sum-of-squares (WCSS) measure and the classification was based on scientific recommendations. Machine learning was used to verify predictors importance. Five clusters were identified for men and four for women. Men in the adequate cluster with a strong increase in physical activity had higher income, schooling level, and daily consumption of fruits and vegetables; they were younger; had never smoked and had a normal nutritional status. On the other hand, women in the adequate cluster with moderate physical activity increase had higher income and schooling level; had never smoked and had a normal nutritional status. In both sexes, age and schooling level were the most important predictors for classification in clusters. Actions to promote physical activity should be implemented over time, and be adapted to sociodemographic and behavioral factors.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00132924"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Vaccination coverage and delay in 2019 and 2020 birth cohorts: household survey in Cubatão, São Paulo State, Brazil]. [2019年和2020年出生队列的疫苗接种覆盖率和延迟：巴西圣保罗州<s:1> cubato的住户调查]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT089524

Luciana Martins Rozman, Ana Marli Christovam Sartori, Daniela Banks, Rossana Veronica Mendoza Lopez, José Cássio de Moraes, Patrícia Coelho De Soárez

{"title":"[Vaccination coverage and delay in 2019 and 2020 birth cohorts: household survey in Cubatão, São Paulo State, Brazil].","authors":"Luciana Martins Rozman, Ana Marli Christovam Sartori, Daniela Banks, Rossana Veronica Mendoza Lopez, José Cássio de Moraes, Patrícia Coelho De Soárez","doi":"10.1590/0102-311XPT089524","DOIUrl":"10.1590/0102-311XPT089524","url":null,"abstract":"The Brazilian Immunization Program has recently struggled to meet the recommended vaccination coverage rates for childhood vaccines included in the national schedule. In Cubatão, a municipality in the state of São Paulo, official data from the Information System of the Brazilian Immunization Program indicate a sharp decline in children's vaccination coverage. The study aimed to estimate the actual vaccination coverage in children under 2 years old, assess whether doses are administered on time, and identify factors associated with vaccination delays using a household survey with Cubatão residents born in 2019 and 2020. The municipality was divided into five socioeconomic strata, and the sample included 450 children. Vaccination coverage at 12 months was 86.9%, and 82.6% at 24 months. Only 25.7% of children received the full vaccination schedule without delays. Factors associated with the delay in vaccination at 24 months included the mother's educational level and receiving Bolsa Família benefits. Although vaccination coverage is higher than that in national surveys, delayed vaccination is a public health issue in Cubatão, requiring better education of healthcare professionals and the population on the importance of timely vaccination.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00089524"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parliamentary amendments aimed at the Brazilian Unified National Health System and the reelection of municipal mayors in Brazil in 2024. 针对巴西统一国家卫生系统和2024年巴西市长改选的议会修正案。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN220924

João Gabriel Ribeiro Pessanha Leal, Luciana Dias de Lima, Frederico Bertholini Santos Rodrigues, André Schimidt da Silva

{"title":"Parliamentary amendments aimed at the Brazilian Unified National Health System and the reelection of municipal mayors in Brazil in 2024.","authors":"João Gabriel Ribeiro Pessanha Leal, Luciana Dias de Lima, Frederico Bertholini Santos Rodrigues, André Schimidt da Silva","doi":"10.1590/0102-311XEN220924","DOIUrl":"10.1590/0102-311XEN220924","url":null,"abstract":"In Brazil, as of 2016, there has been an increase in the share of parliamentary amendments (PAs) in the federal budget, transferred from the Brazilian Ministry of Health to municipalities to fund the Brazilian Unified National Health System (SUS). This article analyzes the association between PAs focused on SUS and the reelection of municipal mayors in 2024. The research used public secondary data, involving 2,818 municipalities. The reelection of mayors was related to the per capita average of amendments transferred from the Brazilian National Health Fund, from January 2021 to October 2024. Hierarchical logistic regression was used, controlling individual and political factors of candidates, and socioeconomic and demographic municipal factors. The results indicate a positive and statistically significant association between the increase in resources for health amendments and the probability of reelection of mayors in 2024 in all models and cutoffs. Note that the values of amendments were considerably higher in municipalities with up to 20,000 inhabitants compared to the other municipalities. Possibly, the amendments consolidate the image of city mayors as capable of attracting resources, strengthening their electoral support in a context of quota of federal expenses. The political use of the amendments contrasts with the criteria adopted for the transfer of resources from SUS programs and may weaken the coordination of the Brazilian Ministry of Health.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00220924"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual and reproductive health of adolescents and young people: identification of demands and experiences based on a qualitative study in communities in five Brazilian cities. 青少年和年轻人的性健康和生殖健康：根据巴西五个城市社区的定性研究确定需求和经验。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN047824

Simone Souza Monteiro, Andréa Fachel Leal, Regina Maria Barbosa, Laio Magno, André Luiz Machado das Neves, Isabelle Brambilla Honorato, Daniela Riva Knauth

{"title":"Sexual and reproductive health of adolescents and young people: identification of demands and experiences based on a qualitative study in communities in five Brazilian cities.","authors":"Simone Souza Monteiro, Andréa Fachel Leal, Regina Maria Barbosa, Laio Magno, André Luiz Machado das Neves, Isabelle Brambilla Honorato, Daniela Riva Knauth","doi":"10.1590/0102-311XEN047824","DOIUrl":"10.1590/0102-311XEN047824","url":null,"abstract":"This article analyzes the experiences and demands of young people regarding sexual and reproductive health. This is a qualitative study that used ethnographic observation, semi-structured interviews, and focus groups. It assessed 139 male and female participants aged 15 to 24 years living in five low-income Brazilian communities located in Porto Alegre, São Paulo, Rio de Janeiro, Manaus, and Salvador. When analyzing the experiences and demands of young people regarding sexual and reproductive health, including HIV testing, despite regional specificities, the interviewees share similar perspectives regarding the use of local public health services. Complaints about long waiting times for care and insufficient professionals were emphasized by the interviewees. At an individual level, young people have trouble accessing health information and services due to barriers such as poor knowledge about their rights, shame, and stigma associated with sexual and reproductive health issues, as well as fear of testing positive for HIV. The lack of dialogue and guidance on sexuality and health in the family also contributes to this vulnerability. At a programmatic level, discrepancies between the working conditions and dynamics of health units and the demands of adolescents and young people, associated with poor preparation of health professionals to address specific issues of this population, are highlighted as obstacles. This study concluded that there is a lack of regular spaces for learning and dialogue about sexuality, prevention, and care for the youth due to absent investment in public health care and professional training.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00047824"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexuality and reproduction: contributions of multisituated socioanthropological research with "digital natives". 性与生殖：多元社会人类学研究对“数字原生代”的贡献。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN229323

Cristiane da Silva Cabral, Elaine Reis Brandão, Flávia Bulegon Pilecco, Ana Paula Dos Reis, José Miguel Nieto Olivar, Daniela Riva Knauth

{"title":"Sexuality and reproduction: contributions of multisituated socioanthropological research with \"digital natives\".","authors":"Cristiane da Silva Cabral, Elaine Reis Brandão, Flávia Bulegon Pilecco, Ana Paula Dos Reis, José Miguel Nieto Olivar, Daniela Riva Knauth","doi":"10.1590/0102-311XEN229323","DOIUrl":"10.1590/0102-311XEN229323","url":null,"abstract":"This study focuses on the processes of socialization for sexuality among youth, addressing dimensions of continuity and change in relation to the Brazilian literature on youth produced during the early 21st century. We interviewed 194 young individuals aged 16 to 24 years, from October 2021 to July 2022, living in different cities and territorial contexts (metropolitan and non-metropolitan areas) in Brazil, composing a socially and culturally diverse set, in terms of ethnicity, social class, gender identity, sexual orientation, with different characteristics and differential access to digital technologies, health care services, and education services. Preliminary results are discussed with first approaches to issues concerning sexuality, sexual initiation in partnership, pregnancy prevention-related difficulties, and reproductive episodes. On the one hand, the results show strong elements of continuity in terms of youth sexual behaviors and moralities in the process of transition to adulthood of young Brazilians today. On the other hand, the empirical research material shows an intense and widespread use of emergency contraception in most researched sites (except Amazonas) and an expressive fluidity of sexual experiences between partners that are not strictly heterosexual - issues to be further analyzed in the next years in order to shed light on the generational peculiarities of this process.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00229323"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mental health in Argentina and Brazil: advances and challenges based on subnational experiences in Río Negro and Ceará]. [阿根廷和巴西的心理健康：基于Río内格罗和塞埃尔<e:1>次国家经验的进展和挑战]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT072224

Lucía Belén Perez, Nicolas Gustavo Souza Costa, Francesca Elizabeth Cristina Araújo Bezerra, Amanda Pinheiro, Ricardo José Soares Pontes, Carmem Emmanuely Leitão Araújo

{"title":"[Mental health in Argentina and Brazil: advances and challenges based on subnational experiences in Río Negro and Ceará].","authors":"Lucía Belén Perez, Nicolas Gustavo Souza Costa, Francesca Elizabeth Cristina Araújo Bezerra, Amanda Pinheiro, Ricardo José Soares Pontes, Carmem Emmanuely Leitão Araújo","doi":"10.1590/0102-311XPT072224","DOIUrl":"10.1590/0102-311XPT072224","url":null,"abstract":"Mental health policies in Latin America are diverse, with different strategies, processes, and outcomes in their psychiatric reforms. This article aimed to analyze the progress and challenges of mental health policies in Argentina and Brazil, considering subnational reform experiences. A qualitative research design was used, including a descriptive, critical, and comparative approach. In addition to documental analysis, 35 interviews were conducted with national policymakers and members of the mental health network in Río Negro Province (Argentina) and Ceará State (Brazil). The results pointed out that legal frameworks, political contexts, and structural characteristics shape the studied cases. Local leadership is evident in the formulation and implementation of community-oriented mental health care services. City size is a relevant factor in policy implementation. Both experiences face challenges related to professional training, working conditions, policy funding, as well as the coordination and integration of health care network services. The studied policies endure resistance and, at times, setbacks that may impact the progress achieved in recent decades. The study concludes that there are similarities between the cases analyzed, influenced by specific contextual and structural factors.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00072224"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From "combined prevention" to "comprehensive prevention": building the response to the syndemic with adolescents and youth in São Paulo, Brazil (2020-2023). 从“联合预防”到“全面预防”：在巴西圣保罗<s:1>青少年和青年中建立应对措施（2020-2023年）。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN084323

Vera Paiva, José Ricardo de C M Ayres, Ivan França Junior, Marcos Roberto Vieira Garcia, Cristiane Gonçalves da Silva, Júlio Assis Simões, Luis Guilherme Galeao-Silva, Jan Billand

{"title":"From \"combined prevention\" to \"comprehensive prevention\": building the response to the syndemic with adolescents and youth in São Paulo, Brazil (2020-2023).","authors":"Vera Paiva, José Ricardo de C M Ayres, Ivan França Junior, Marcos Roberto Vieira Garcia, Cristiane Gonçalves da Silva, Júlio Assis Simões, Luis Guilherme Galeao-Silva, Jan Billand","doi":"10.1590/0102-311XEN084323","DOIUrl":"10.1590/0102-311XEN084323","url":null,"abstract":"This essay discusses the need for and the possibilities of transitioning from the conceptual framework of combined prevention to the conception of \"comprehensive prevention,\" based on intervention research aimed at supporting and protecting the sexual and reproductive health of adolescents and youth in three cities in the state of São Paulo, Brazil (São Paulo, Santos and Sorocaba). Particularly effective in preparing for syndemic cycles within the context of environmental crises, the concept of comprehensive prevention contributed to understanding processes of vulnerability to COVID-19, mpox, sexually transmitted infections/AIDS, violence, unwanted pregnancy and psychosocial distress. It provided guidance for addressing the syndemic nature of pandemics intensified by social crises, and encouraged young people to develop creative responses to political polarization fueled by the far right, which aggressively inhibits approaches based on human rights, especially in the field of sexuality, enhancing the infodemic that downplays the severity of ongoing pandemics. We underline the productivity of the concept of comprehensive care in developing initiatives related to human rights and prevention which dynamically anticipate and address events that synergistically overlap in marginalized territories. By adopting \"scenes\" as units of interpretation and focal points for responding to contexts of vulnerability, we favor the co-construction of transversal skills in the personal, collective and territorial responses necessary for the prevention of adversities that threaten adolescents and youth both physically and mentally.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00084323"},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 actors in therapeutic itineraries for older adults who survived the COVID-19 in Chile]. [智利COVID-19存活老年人治疗行程中的护理人员]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XES161324

Catalina Arteaga-Aguirre, Paulina Osorio-Parraguez, Constanza Biscarra-Mc-Naughton, Alejandra Fuentes-García, Ignacia Navarrete, María Gracia Salamanca-Garcia

{"title":"[Care actors in therapeutic itineraries for older adults who survived the COVID-19 in Chile].","authors":"Catalina Arteaga-Aguirre, Paulina Osorio-Parraguez, Constanza Biscarra-Mc-Naughton, Alejandra Fuentes-García, Ignacia Navarrete, María Gracia Salamanca-Garcia","doi":"10.1590/0102-311XES161324","DOIUrl":"https://doi.org/10.1590/0102-311XES161324","url":null,"abstract":"This article describes and analyzes different care actors in therapeutic itineraries of older adults diagnosed with COVID-19 and survived it in different territories of Chile. A qualitative methodological strategy with an ethnographic approach was employed, focusing on the therapeutic itineraries of adults aged 75 years or older, survivors of COVID-19, from 2020 to 2021. Fieldwork was carried out in two regions, analyzing differential experiences in care processes in urban and rural areas. Narrative content analysis and ethnographic story construction about the therapeutic itinerary of older adults and their caregivers were applied. The results show the diversity and complexity of the actors involved in the trajectory of care in the context of COVID-19 infection: family, neighbors, friends, public and private healthcare systems, among others, as well as different modalities articulated for the care of the older adults. In this process, the articulation of formal and informal public, private and community actors stands out.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 3","pages":"e00161324"},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring frailty in Brazil: an analysis of the ELSI-Brazil survey. 探索巴西的脆弱性：elsi -巴西调查分析。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN041624

Henrique Pott Junior, Mario Ulises Pérez-Zepeda, Melissa K Andrew, Kenneth Rockwood

{"title":"Exploring frailty in Brazil: an analysis of the ELSI-Brazil survey.","authors":"Henrique Pott Junior, Mario Ulises Pérez-Zepeda, Melissa K Andrew, Kenneth Rockwood","doi":"10.1590/0102-311XEN041624","DOIUrl":"https://doi.org/10.1590/0102-311XEN041624","url":null,"abstract":"The Brazilian aging population will challenge publicly funded health services, on which most Brazilians rely. The country must prepare for aging-associated health challenges such as frailty. We used data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) to generate a standardized Frailty Index (FI), assess frailty levels among this population, and supply reliable and nationwide information. In total, 9,901 adults aged 50 years or older were studied in the second wave of ELSI-Brazil. A 53-item FI was created according to a standardized protocol. Logistic regression was used to determine the association between frailty levels and disability/health status, whereas the relationship between frailty level, disabilities, and healthcare use was analyzed by a negative binomial regression. Frailty was high, with a 0.19 weighted mean FI score and 0.19 median. Frailty distribution was right-skewed, with higher levels in women and increased exponentially with age. Widow(er)s, black and mixed-race individuals, and those living in rural areas had higher levels of frailty. Regression models showed that higher frailty was associated with poorer self-assessment of health, higher disability, and greater use of healthcare services. This study shows a high prevalence of frailty in Brazilian middle-aged and older adults and its association with disability, health status, and healthcare service use. These relevant findings can inform healthcare policies and design services prioritizing this population's health, particularly for those using public healthcare.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 3","pages":"e00041624"},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urban physical disorder and alcohol consumption among adolescents in Brazilian capitals: a cross-sectional study. 巴西首都青少年的城市身体障碍和酒精消费：一项横断面研究。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN032724

Rayara Mozer Dias, Cláudia de Souza Lopes, Taísa Rodrigues Cortes, Kátia Vergetti Bloch, Washington Leite Junger

{"title":"Urban physical disorder and alcohol consumption among adolescents in Brazilian capitals: a cross-sectional study.","authors":"Rayara Mozer Dias, Cláudia de Souza Lopes, Taísa Rodrigues Cortes, Kátia Vergetti Bloch, Washington Leite Junger","doi":"10.1590/0102-311XEN032724","DOIUrl":"https://doi.org/10.1590/0102-311XEN032724","url":null,"abstract":"This study aimed to estimate the association between urban physical disorder and alcohol consumption in Brazilian adolescents. The sample was composed of 2,384 adolescents, aged 12 to 17, resident in Brazilian capitals and participants in the Study of Cardiovascular Risk in Adolescents (ERICA), a school-based cross-sectional study undertaken in 2013 and 2014. The outcome variable was alcoholic beverage consumption characterized as having drunk an alcoholic beverage at least once in the previous 30 days. The exposure variable was urban physical disorder measured according to the urban features in the 2010 Demographic Census. The total effect of the indicators of exposure to urban physical disorder on the consumption of alcohol among adolescents was estimated using Poisson regression models with robust variance. Crude and adjusted prevalence ratios (PR) were calculated with 95% confidence intervals (95%CI) for each exposure, controlling for possible confounding variables. Adolescents living in areas with paved roads and manholes presented higher prevalence of alcohol consumption (adjusted PR = 1.24, 95%CI: 1.02; 1.50 and adjusted PR = 1.36, 95%CI: 1.01; 1.84, respectively). Conversely, the presence of wheelchair ramps and open sewers was associated with a lower prevalence of alcohol consumption (adjusted PR = 0.79, 95%CI: 0.62; 0.99 and adjusted PR = 0.80, 95%CI: 0.66; 0.97, respectively). These findings suggest that urban contextual factors can influence alcohol consumption among adolescents. Understanding these factors may aid in the development of public health policies that promote healthier urban environments.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 3","pages":"e00032724"},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0