Cadernos de saude publica最新文献_第10页

[Evaluation of the immunological profile of older adults according to Brazilian regions: results of ELSI-Brazil]. [根据巴西地区对老年人免疫状况的评估：ELSI-Brazil的结果]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-29 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT172124

Maria Luiza Lima-Silva, Juliana Vaz de Melo Mambrini, Karen Cecília de Lima Torres, Olindo Assis Martins-Filho, Andréa Teixeira-Carvalho, Maria Fernanda Lima-Costa, Sérgio Viana Peixoto

{"title":"[Evaluation of the immunological profile of older adults according to Brazilian regions: results of ELSI-Brazil].","authors":"Maria Luiza Lima-Silva, Juliana Vaz de Melo Mambrini, Karen Cecília de Lima Torres, Olindo Assis Martins-Filho, Andréa Teixeira-Carvalho, Maria Fernanda Lima-Costa, Sérgio Viana Peixoto","doi":"10.1590/0102-311XPT172124","DOIUrl":"10.1590/0102-311XPT172124","url":null,"abstract":"Immunosenescence refers to the changes in the immune system with aging, including the increase in inflammatory biomarkers, a phenomenon known as Inflammaging, which is related to the emergence of diseases associated with aging. This study aimed to describe the distribution of immunological biomarkers in the five Brazilian regions and to estimate the predicted probabilities of their concentrations in the tertiles of distribution, according to geographic regions. Serological samples from 2,111 participants (≥ 50 years) collected at the baseline (2015/2016) of ELSI-Brazil were analyzed. The geographic regions (North, Northeast, Central-West, Southeast, and South) were the exposure of interest for the study, and potential confounding factors included age, sex, educational level, area of residence, alcohol and tobacco consumption, physical activity, and self-reported medical diagnoses of hypertension, diabetes, asthma, arthritis, and cancer. The predicted probabilities of biomarker concentrations in each tertile were estimated using multinomial logistic regression models, adjusted for confounders. Notably, the North and Northeast regions had higher serum levels, while the Central-West Region had lower levels, suggesting differences in immunobiography, which may be the result of different environmental, socioeconomic, and infectious exposures throughout life. However, the reasons for these differences have not yet been elucidated and need to be investigated in further studies.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00172124"},"PeriodicalIF":2.1,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148740","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

[Diabetes mellitus with inadequate blood sugar control increases mortality in Brazilian older adults: evidence from ELSI-Brazil]. [血糖控制不足的糖尿病增加巴西老年人的死亡率：来自ELSI-Brazil的证据]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-29 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT163525

Luciana Lustosa Torres, Juliana Lustosa Torres, Amanda Cristina de Souza Andrade, Nair Tavares Milhem Ygnatios, Ariene Silva do Carmo, Maria Fernanda Lima-Costa, Larissa Loures Mendes

{"title":"[Diabetes mellitus with inadequate blood sugar control increases mortality in Brazilian older adults: evidence from ELSI-Brazil].","authors":"Luciana Lustosa Torres, Juliana Lustosa Torres, Amanda Cristina de Souza Andrade, Nair Tavares Milhem Ygnatios, Ariene Silva do Carmo, Maria Fernanda Lima-Costa, Larissa Loures Mendes","doi":"10.1590/0102-311XPT163525","DOIUrl":"10.1590/0102-311XPT163525","url":null,"abstract":"This study evaluated the association between blood sugar control of diabetes mellitus and all-cause mortality, considering the categories \"no diabetes mellitus\", \"diabetes mellitus with adequate blood sugar control\", and \"diabetes mellitus with inadequate blood sugar control\". Data from the ELSI-Brazil baseline survey (2015/2016) were used, with a representative national sample of the population aged 50 years or older, linked to the Brazilian Mortality Information System (SIM, acronym in Portuguese) in the 2015-2021 period. Diabetes mellitus was identified by self-report, and blood sugar control was assessed by glycated hemoglobin levels, and values ≥ 7% were considered inadequate. Mortality was verified by death certificates and probabilistic linkage with SIM. The statistical analysis considered the sample parameters and was based on Cox regression models. Among 2,338 participants, 16% had diabetes mellitus; of these, 49.1% had inadequate control. In five years of follow-up, 194 deaths were recorded. The adjusted mortality risk was higher only in the group with diabetes mellitus and inadequate control (HR = 2.68; 95%CI: 1.08-6.65) in relation to those without diabetes mellitus. The findings reinforce the importance of blood sugar control and its continuous monitoring in primary health care.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00163525"},"PeriodicalIF":2.1,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148719","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

[Risk of violence against older adults: the role of social interactions, social support, and quality of life in the EpiFloripa Aging longitudinal study]. [针对老年人的暴力风险：在EpiFloripa Aging纵向研究中社会互动、社会支持和生活质量的作用]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT201825

Adriana Lopes Elias, Anna Quialheiro Abreu da Silva, Eliana Funk, Larissa Pruner Marques, Thamara Hubler Figueiró, Danúbia Hillesheim, Sheila Rubia Lindner, Eleonora d'Orsi

{"title":"[Risk of violence against older adults: the role of social interactions, social support, and quality of life in the EpiFloripa Aging longitudinal study].","authors":"Adriana Lopes Elias, Anna Quialheiro Abreu da Silva, Eliana Funk, Larissa Pruner Marques, Thamara Hubler Figueiró, Danúbia Hillesheim, Sheila Rubia Lindner, Eleonora d'Orsi","doi":"10.1590/0102-311XPT201825","DOIUrl":"10.1590/0102-311XPT201825","url":null,"abstract":"This study aimed to estimate the association between the risk of violence and dimensions related to social interactions, social support, and quality of life among participants in the EpiFloripa Aging longitudinal study. Interviews from the first (2009/2010; n = 1,702), second (2013/2014; n = 1,197), and third waves (2017/2019; n = 1,335) of the cohort of older adults (≥ 60 years) living in the urban area of Florianópolis, Santa Catarina State, Brazil, were analyzed. The risk of domestic violence, also characterized by the condition of vulnerability to violence, the outcome of this study, was assessed by the scale Hwalek-Sengstock Elder Abuse Screening Test, associated with the use of the internet, paid work, participation in social groups, social support (Social Support Scale of the Medical Outcomes Study) and quality of life (CASP-19 - Control, Autonomy, Self-realization and Pleasure). Associations were estimated using a longitudinal analysis model, Generalized Estimation Equations, adjusted for sex, age, education, and income. The prevalence of the outcome was 31.4% (95%CI: 27.8; 35.2) in the second wave and 22.3% (95%CI: 19.1; 25.9) in the third wave. There was a lower occurrence of violence among participants with paid work (OR = 0.67; 95%CI: 0.49; 0.91), participation in social groups (OR = 0.76; 95%CI: 0.63; 0.92) and high social support (OR = 0.44; 95%CI: 0.33; 0.59). Individuals with better quality of life showed lower vulnerability to violence, both in control/autonomy (OR = 0.30; 95%CI: 0.23; 0.38) and self-realization/pleasure (OR = 0.44; 95%CI: 0.34; 0.55). Greater social interactions, social support and better quality of life were associated with a lower occurrence of violence, contributing to the identification of relevant protective factors in aging.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00201825"},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970373","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

A portrait of electronic nicotine delivery systems use in Brazil: findings from the 2019-2023 Vigitel survey. 巴西电子尼古丁输送系统的使用概况：2019-2023年Vigitel调查的结果。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN120925

João Ferreira Silva Júnior, Antônio Gonçalves Filho, Verônica Silva Carneiro

{"title":"A portrait of electronic nicotine delivery systems use in Brazil: findings from the 2019-2023 Vigitel survey.","authors":"João Ferreira Silva Júnior, Antônio Gonçalves Filho, Verônica Silva Carneiro","doi":"10.1590/0102-311XEN120925","DOIUrl":"10.1590/0102-311XEN120925","url":null,"abstract":"The use of electronic nicotine delivery systems (ENDS) has been increasing globally, raising concerns about their impact on public health, particularly among young adults. In Brazil, despite strong tobacco control policies, data on the prevalence of ENDS use and its associated factors remain limited. This study aimed to analyze sociodemographic and behavioral factors associated with lifetime ENDS use among Brazilian adults from 2019 to 2023. Data from four national surveys conducted in 2019, 2020, 2021, and 2023, including 126,681 participants, were analyzed. Crude and adjusted logistic regression models were applied to estimate odds ratios and 95% confidence intervals to assess associations between sociodemographic characteristics, health behaviors, and lifetime ENDS use. All analyses were weighted to account for the complex sampling design and stratified by survey year. Lifetime ENDS use was significantly higher among young adults (18-24 years), males, individuals living in the Central-West and South regions, and those reporting binge drinking and smoking. Higher educational attainment and prolonged screen time (≥ 3 hours/day) were also positively associated with ENDS use. Lifetime ENDS use in Brazil is influenced by sociodemographic and lifestyle factors, with higher prevalence among young adult males with higher education levels and residents of specific regions. These findings highlight the need for targeted public health strategies aimed at populations at higher risk to curb the growing use of ENDS and prevent potential health consequences.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00120925"},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970425","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

Intersectional violence and the health of migrant women in Brazil and Brazilian emigrant women abroad: a scoping review. 巴西境内移徙妇女和国外巴西移徙妇女的交叉暴力与健康：范围审查。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN197625

Cristiane Batista Andrade, Fernanda Mendes Lages Ribeiro, Corina Helena Figueira Mendes, Rosana Evangelista-Poderoso, Bárbara Santos Leitão, Maria Isabel Ramos da Silva Abelson

{"title":"Intersectional violence and the health of migrant women in Brazil and Brazilian emigrant women abroad: a scoping review.","authors":"Cristiane Batista Andrade, Fernanda Mendes Lages Ribeiro, Corina Helena Figueira Mendes, Rosana Evangelista-Poderoso, Bárbara Santos Leitão, Maria Isabel Ramos da Silva Abelson","doi":"10.1590/0102-311XEN197625","DOIUrl":"10.1590/0102-311XEN197625","url":null,"abstract":"Migratory flows have expanded with the increased movement of women from Latin America and other continents to Brazil, in addition to the emigration of Brazilian women to the Global North. Considering the context of the feminization of migration and the importance of understanding women's oppression in the face of displacement, this scoping review analyzes, from an intersectional perspective, scientific evidence on health and expressions of violence against migrant women in Brazil and Brazilian women abroad. The adopted databases are VHL, Cochrane, Embase, PubMed, SciELO, Scopus, and Web of Science, using descriptors related to the topic. Twenty-six documents were included for analysis. Regarding the health of migrant women, the results indicate that migration has implications for access to and care for health, sexual and reproductive health, mental disorder, and the manifestation of suffering, in addition to barriers to access to health services due to intercultural and linguistic aspects. Both migrant women in Brazil and Brazilian women abroad suffer from intersectional violence, including expressions of racism, xenophobia, racial and gender inequality in the workplace, obstetric, sexual, and patrimonial violence, and conditions analogous to slavery, in addition to the hypersexualization of Brazilian women in the Global North. However, despite the challenges, oppression, and violence, the review shows the resistance and protagonism of migrant women throughout their life trajectories, as individual and collective strategies are developed to guarantee their rights as migrants and women.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00197625"},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13207380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970498","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

[Autism spectrum disorder today: critical reflections on hyperdiagnosis]. [今天的自闭症谱系障碍：对过度诊断的批判性反思]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT140725

Raphael Alves da Silva, Shelismania do Prado Oliveira Queiroz, Felicialle Pereira da Silva

{"title":"[Autism spectrum disorder today: critical reflections on hyperdiagnosis].","authors":"Raphael Alves da Silva, Shelismania do Prado Oliveira Queiroz, Felicialle Pereira da Silva","doi":"10.1590/0102-311XPT140725","DOIUrl":"10.1590/0102-311XPT140725","url":null,"abstract":"This study discusses the hyperdiagnosis of autism spectrum disorder (ASD), which occurs when the identification of this disorder exceeds actual clinical relevance, including cases without significant functional impacts. Although the greater recognition of the disorder has included and supported many people, the accelerated increase in diagnoses raises questions about technical criteria, the possible use of diagnoses to obtain benefits, and the influence of social and institutional factors. Recent epidemiological studies have indicated a gradual increase in the global prevalence of ASD. Brazilian data show that about 1.2% of its population has received such a diagnosis, which evinces greater recognition and access to diagnosis. The evolution of the concept of this disorder has broadened diagnostic criteria, including milder and more heterogeneous manifestations of the condition, which has contributed to the significant increase in diagnosis rates worldwide. Factors such as greater social awareness, search for school reports, and institutional pressure for behavioral adequacy also influence increases in diagnosis. Hyperdiagnosis has negative consequences, such as early stigmatization, inadequate treatments, emotional impact on families, and distortion of epidemiological data, harming public policies. The difference between early, desirable, and judicious diagnoses and hasty ones (based on superficial evaluations) is highlighted. To promote more responsible diagnoses, this study proposes the continuous training of professionals, interdisciplinary assessments, longitudinal follow-up, and the appreciation of singularities. It also defends the expansion of public policies with no exclusive dependence on medical reports to guarantee support, prioritizing individuals' real needs.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00140725"},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970309","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

Dipyrone use in Brazil: clinical conditions, sociodemographic characteristics, population attitudes and perceptions. 巴西地吡龙的使用：临床情况、社会人口特征、人口态度和观念。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN093125

Eloá Fátima Ferreira de Medeiros, Noêmia Urruth Leão Tavares, Débora Santos Lula Barros, Tatiane da Silva Dal Pizzol, Andréia Turmina Fontanella, Dayde Lane Mendonça-Silva, Sotero Serrate Mengue, Francisco Assis Rocha Neves

{"title":"Dipyrone use in Brazil: clinical conditions, sociodemographic characteristics, population attitudes and perceptions.","authors":"Eloá Fátima Ferreira de Medeiros, Noêmia Urruth Leão Tavares, Débora Santos Lula Barros, Tatiane da Silva Dal Pizzol, Andréia Turmina Fontanella, Dayde Lane Mendonça-Silva, Sotero Serrate Mengue, Francisco Assis Rocha Neves","doi":"10.1590/0102-311XEN093125","DOIUrl":"10.1590/0102-311XEN093125","url":null,"abstract":"This study aims to analyze self-reported dipyrone use among the Brazilian population. We used data from the Brazilian National Survey on Access, Use, and Promotion of Rational Use of Medicines (PNAUM), conducted from September 2013 to February 2014 in urban areas of five regions of Brazil. The study population included individuals of all ages, with a minimum sample size of 960 interviews per sample domain, totaling 41,433 respondents and representing approximately 17 million Brazilians. We assessed socioeconomic and demographic characteristics, profiles of chronic and acute diseases, medication use, health perceptions, and perceived effectiveness and safety of dipyrone - either alone or in combination with other medications. The Poisson regression model was used to estimate adjusted prevalence ratios (aPR). The results showed that 10.4% of respondents reported using dipyrone, with 98.3% of these users taking it for acute conditions, such as pain (77.9%) and fever (14.5%). After adjusting for variables, dipyrone use for pain was more common among women (aPR = 1.66; 95%CI: 1.47-1.88) and among individuals living in the Central-West (aPR = 1.32; 95%CI: 1.04-1.67), particularly those with chronic conditions or acute events. Use for fever was similar between genders but more common among children aged under 10 years (PR = 0.62; 95%CI: 0.46-0.82). Half of the users combined dipyrone with other medications, and this practice was ten times more frequent for pain than for fever. Lastly, the effectiveness of dipyrone was widely perceived as positive, with few reports of adverse effects.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00093125"},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970436","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

Anvisa authorization for electronic prescriptions of controlled substances: implications for equity in access to pain management in Brazil. 管制物质电子处方的签证授权：对巴西获得疼痛管理公平的影响。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-01 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN266325

Guilherme Antonio Moreira de Barros, Claudia Marquez Simões

引用次数: 0

Association of heart rate recovery with mortality risk in a 72-month survival analysis. 72个月生存率分析中心率恢复与死亡风险的关系

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-01 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN113025

Bruno Margueritte Costa, Cleverson Motin, João Vicente Marinho de Sousa, Nilo Massaru Okuno, Adalberto Ferreira-Junior

{"title":"Association of heart rate recovery with mortality risk in a 72-month survival analysis.","authors":"Bruno Margueritte Costa, Cleverson Motin, João Vicente Marinho de Sousa, Nilo Massaru Okuno, Adalberto Ferreira-Junior","doi":"10.1590/0102-311XEN113025","DOIUrl":"10.1590/0102-311XEN113025","url":null,"abstract":"This study aimed to investigate whether heart rate recovery (HRR) is a predictor of all-cause mortality in a 72-month survival analysis. In this cohort study, 578 individuals who underwent a maximal exercise test at a university hospital between August 2012 and August 2018 were followed for up to 72 months. Participants performed a maximal incremental treadmill test, followed by an active recovery period phase to evaluate their HRR. When the decay of heart rate totaled ≥ 13bpm in the first minute post-exercise a normal HRR was considered, whereas an abnormal HRR was defined as ≤ 12bpm. Of the 578 individuals, 371 (64.2%) had normal HRR, whereas 207 (35.8%) had an abnormal HRR. The survival analysis showed significantly higher 72-month survival in the normal HRR group (93.8%) than in the abnormal HRR group (81.6%), with a 3.16 hazard ratio (95%CI: 1.86-5.35). Individuals with abnormal HRR were generally older, had a greater burden of comorbidities, shorter time to exhaustion, lower peak heart rate, and higher heart rate 60 seconds after the exercise. Thus, HRR predicted 72-month all-cause mortality. These findings suggest the use of HRR as a simple, non-invasive prognostic tool in clinical practice, particularly for stratifying mortality risk.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00113025"},"PeriodicalIF":2.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834075","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

Family member's perceived impact of anorexia nervosa and bulimia nervosa on family dynamics: a qualitative systematic review and meta-synthesis. 神经性厌食症和神经性贪食症对家庭动态的影响：一个定性的系统回顾和综合。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-05-01 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN181525

Thaís Shirane, Diogo Sussumu Okasawara, Érika Arantes Oliveira-Cardoso, Manoel Antônio Dos Santos

{"title":"Family member's perceived impact of anorexia nervosa and bulimia nervosa on family dynamics: a qualitative systematic review and meta-synthesis.","authors":"Thaís Shirane, Diogo Sussumu Okasawara, Érika Arantes Oliveira-Cardoso, Manoel Antônio Dos Santos","doi":"10.1590/0102-311XEN181525","DOIUrl":"10.1590/0102-311XEN181525","url":null,"abstract":"Eating disorders configure a growing and complex public health issue which hinders implementing targeted policies. Global health policies emphasize tailored interventions for reducing eating disorders harms among vulnerable people. This systematic literature review and meta-synthesis interprets the synthesized findings from primary qualitative studies on the experience of family living with the diagnosis of anorexia nervosa and bulimia nervosa. The study was conducted based on the SPIDER search strategy and PRISMA guidelines on nine databases: Academic Search Premier, CINAHL, LILACS, MEDLINE, PubMed, PsycINFO, SocINDEX, Scopus, and Web of Science. Two independent reviewers performed the article screening and selection processes. Of the 2,269 studies initially identified, 28 met the inclusion criteria and were selected. Four descriptive themes emerged: (1) Anorexia nervosa/bulimia nervosa within the family environment: meanings attributed to the symptoms; (2) Anorexia nervosa/bulimia nervosa dominance within the family system: care that also harms; (3) Challenges in accessing care: individual and social barriers; and (4) Pathways to coping: supporting the whole family - a public health issue. The study shows that family dynamics and the health-illness process are closely linked, forming a cyclical, mutually reinforcing relationship that highlights the need for a more comprehensive approach to supporting the whole family. These findings corroborate the need for global policies that emphasize tailored interventions to reduce eating disorders harms and suffering within families.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00181525"},"PeriodicalIF":2.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834090","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