Cadernos de saude publica最新文献_第2页

[Food consumption of the urban population in a municipality in the Legal Amazon, during climate events of flood and drought: a comparative study]. [亚马逊法律管辖区城市人口在洪水和干旱气候下的食品消费：一项比较研究]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT110223

Patrícia Dos Santos Guimarães, Gleiciane da Silva Costa, Amanda Forster Lopes, Michel Nasser Corrêa Lima Chamy, Vera Lucia Conceição de Gouveia Santos

{"title":"[Food consumption of the urban population in a municipality in the Legal Amazon, during climate events of flood and drought: a comparative study].","authors":"Patrícia Dos Santos Guimarães, Gleiciane da Silva Costa, Amanda Forster Lopes, Michel Nasser Corrêa Lima Chamy, Vera Lucia Conceição de Gouveia Santos","doi":"10.1590/0102-311XPT110223","DOIUrl":"https://doi.org/10.1590/0102-311XPT110223","url":null,"abstract":"The aim of this study was to compare the food consumption of the population of Coari, Amazonas State, Brazil, according to the NOVA Classification, during the hydrological phases of drought and flooding of the Amazon rivers. An epidemiological, population-based, cross-sectional study was carried out. The sample consisted of 457 adult individuals. Data were collected in two stages using a sociodemographic instrument, a 24-hour food recall and a food frequency questionnaire adapted to local habits. The data were analyzed using the statistical program R version 4.2.4, using Pearson's chi-square, Fischer's exact and Bhapkar's tests. The sample was predominantly female (drought = 70%/flood = 71.2%) and brown (drought = 65.4%/flood = 66.2%). Most of the interviewees ate meals (breakfast, lunch and dinner). Afternoon snacks were the most common intermediate meal, especially during flooding (274/70.2%). In natura or minimally processed foods predominated at the three main meals (95%). Ultra-processed foods were consumed little or not at all and were mentioned especially during the drought (152/33.3%; p = 0.007). On the other hand, consumption of regional foods (tucumã, beiju, tapioca flour and açaí) increased during the flood (p < 0.001). Consumption of in natura or minimally processed foods continues to be the mainstay of the diet in the interior of Amazonas, with a predominance of regional foods during the flood and processed and ultra-processed foods during the drought, demonstrating the influence, albeit subtle, of the hydrological phases on the food consumption of this population.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00110223"},"PeriodicalIF":1.9,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458576","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

[Male vulnerabilities and stereotypes in the social representations of prostate cancer]. [前列腺癌社会表象中的男性脆弱性和陈规定型观念]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT175123

Widson Davi Vaz de Matos, Iaci Proença Palmeira, Márcia de Assunção Ferreira, Mayara Del Aguilal Pacheco

{"title":"[Male vulnerabilities and stereotypes in the social representations of prostate cancer].","authors":"Widson Davi Vaz de Matos, Iaci Proença Palmeira, Márcia de Assunção Ferreira, Mayara Del Aguilal Pacheco","doi":"10.1590/0102-311XPT175123","DOIUrl":"https://doi.org/10.1590/0102-311XPT175123","url":null,"abstract":"In society, cancer is commonly associated with an incurable and disabling disease that causes damage beyond the biological scope, impacting the psychological and sociocultural dimensions of cancer patients. From a cultural point of view, men construct narratives about prostate cancer based on their experiences and social contexts, expressing moral, ethical, and sociopolitical elements attributed to the cause of this type of cancer. We sought to understand the causes of prostate cancer as represented by men living with this type of cancer and its repercussions on self-care. A descriptive, qualitative study based on the Theory of Social Representations was conducted with 31 men diagnosed with prostate cancer treated at a High Complexity Oncology Unit. Data were collected from April to June 2022 by in-depth, individual, and semi-structured interviews. The corpus was inserted into the ALCESTE software. Alcohol intake, smoking, sexual promiscuity, and not taking care of oneself were the main behaviors understood as causes of cancer, which generates self-responsibility and guilt for the illness. Social representations of these causes, translated into behaviors not aligned with what social morality dictates as right, have repercussions on the moralizing notion of cancer as punishment, in which the disease expresses the patient's character, anchored in the Judeo-Christian religious discourse, which reduces the sociopolitical burden of male vulnerabilities and reinforces stereotypes from patriarchal society.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00175123"},"PeriodicalIF":1.9,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458577","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

[Effect of previous exposure to COVID-19, occurrence of spikes, and type of vaccine on the humoral immune response of institutionalized older adults]. [以前接触过 COVID-19、出现尖峰和疫苗类型对养老院老年人体液免疫反应的影响]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XES155023

Fernanda Aguirre, María Jimena Marro, Pamela E Rodriguez, Pablo Rall, Esteban A Miglietta, Lucía A López Miranda, Verónica Poncet, Carla A Pascuale, Christian A Ballejo, Tamara Ricardo, Yanina Miragaya, Andrea Gamarnik, Andrés H Rossi, Andrea P Silva

{"title":"[Effect of previous exposure to COVID-19, occurrence of spikes, and type of vaccine on the humoral immune response of institutionalized older adults].","authors":"Fernanda Aguirre, María Jimena Marro, Pamela E Rodriguez, Pablo Rall, Esteban A Miglietta, Lucía A López Miranda, Verónica Poncet, Carla A Pascuale, Christian A Ballejo, Tamara Ricardo, Yanina Miragaya, Andrea Gamarnik, Andrés H Rossi, Andrea P Silva","doi":"10.1590/0102-311XES155023","DOIUrl":"10.1590/0102-311XES155023","url":null,"abstract":"This study evaluated the explanatory factors of humoral immune response in older adults admitted to long-term care institutions in Buenos Aires, Argentina, up to 180 days after vaccination. An open-label, prospective, multicenter cohort study was conducted with volunteers who received two doses of the Sputnik V, Sinopharm, or AZD1222 vaccines. Plasma samples were analyzed at 0 and 21 days after the first dose, 21 days after the second dose, and 120 and 180 days after the first dose. Marginal linear models and generalized additives mixed models were adjusted to determine the behavior of anti-spike IgG antibody concentration over time according to exposure group (naïve/no-naïve) and vaccine. Occurrence of an outbreak of COVID-19 in long-term care institutions and comorbidities were the covariates analyzed. A total of 773 participants were included, with a mean age of 83 years (IQR: 76-89). Results showed that antibody levels in the naïve: Sinopharm group were significantly lower to the other groups (p < 0.05). Antibody levels in the no-naïve: Sinopharm group were similar to those in the naïve group who received AZD1222 (p = 0.945) or Sputnik V (p = 1). Participants exposed to outbreaks in long-term care institutions had significantly higher antibody levels, regardless of exposure group and vaccine (p < 0.001). In conclusion, previous exposure to COVID-19, type of vaccine, and admittance into a long-term care institution with a history of outbreaks are factors to be considered in future epidemic events with transmission dynamics and immunological mechanisms similar to COVID-19, in populations similar to the one analyzed.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00155023"},"PeriodicalIF":1.9,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458575","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

[Catastrophic expenditure in children with visual impairment: a cross-sectional study with caregivers in Rio de Janeiro, Brazil]. [视力障碍儿童的灾难性开支：对巴西里约热内卢照顾者的横断面研究]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT167723

Letícia Baptista de Paula Barros, Andrea Zin, Martha Cristina Nunes Moreira, Marisa da Silva Santos, Ana Carolina Carioca da Costa, Daniel de Souza Campos, Luiza M Neves, Lorena Haefeli, Aline Piovezan Entringer, Maria Elisabeth Lopes Moreira, Fernanda Rebelo, Zilton Farias Meira de Vasconcelos, Márcia Pinto

{"title":"[Catastrophic expenditure in children with visual impairment: a cross-sectional study with caregivers in Rio de Janeiro, Brazil].","authors":"Letícia Baptista de Paula Barros, Andrea Zin, Martha Cristina Nunes Moreira, Marisa da Silva Santos, Ana Carolina Carioca da Costa, Daniel de Souza Campos, Luiza M Neves, Lorena Haefeli, Aline Piovezan Entringer, Maria Elisabeth Lopes Moreira, Fernanda Rebelo, Zilton Farias Meira de Vasconcelos, Márcia Pinto","doi":"10.1590/0102-311XPT167723","DOIUrl":"10.1590/0102-311XPT167723","url":null,"abstract":"Caring for a visually impaired child can affect the caregiver's income and, in turn, the family's. Catastrophic spending resulting from increased expenses and reduced income must be taken into account, whether due to unemployment, a reduction in the number of hours worked or the difficulty of entering or reentering the job market. Given this scenario, the main objective of this study was to estimate the catastrophic spending attributed to the caregiver of blind or low-vision children in reference centers for education for the blind, ophthalmology and child health located in the city of Rio de Janeiro, Brazil, identifying which factors are associated with a higher or lower prevalence of this expenditure. It was found that 53.3% of care for blind children involved 40% or more of their income. Among the caregivers of children with low vision, catastrophic spending is milder, compromising at least 40% of income for 36.8% of the caregivers. The factors associated with a higher prevalence of catastrophic spending were the caregiver's age, the number of residents in the household, higher schooling, lower household income, renovations to the home, health insurance, taking out loans, selling assets, the number of health units where the child receives treatment and the relationship of the main caregiver. The burden placed on caregivers of visually impaired children indicates a situation of vulnerability that shows the need for access to financial and social protection mechanisms, through policies that are capable of serving this group.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00167723"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615333","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

[Analysis of the performance of public and private hospitals serving the Brazilian Unified National Health System]. [为巴西统一国家卫生系统服务的公立和私立医院绩效分析]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT156023

Leandro Manassi Panitz, David Nadler Prata, Waldecy Rodrigues

{"title":"[Analysis of the performance of public and private hospitals serving the Brazilian Unified National Health System].","authors":"Leandro Manassi Panitz, David Nadler Prata, Waldecy Rodrigues","doi":"10.1590/0102-311XPT156023","DOIUrl":"10.1590/0102-311XPT156023","url":null,"abstract":"This article aims to analyze the performance of the Brazilian Unified National Health System (SUS, acronym in Portuguese) hospital network based on the national databases of the Brazilian Hospital Information System (SIH, acronym in Portuguese) and the Brazilian National Registry of Health Establishments (CNES, acronym in Portuguese). The research used a set of indicators covering the production of admissions, the profile, quality and performance of care, associated with hospital size and legal nature. For data analysis, the Analysis of Variance with Tukey-Kramer test was used to highlight the differences between public and private hospitals, the moderation analysis to verify the effect of hospital size and the Pabon Lasso model to integrate the results. The results show that the increase in the number of beds influences the performance of the indicators differently for public and private hospitals. Public hospitals showed higher gains in scale efficiency with the increase in beds, whereas private non-profit hospitals showed a higher performance in the set of indicators and a more balanced performance in the different sizes. The application of the Pabon Lasso model showed that small hospitals, both public and private, perform poorly. It also showed that from medium-sized onwards, public and private hospitals perform well. However, each category displays particularities in its performance profile, reflecting a diversity of practices and operational results. This study thus confirms previous findings that hospital performance tends to improve as the number of beds increases, but also reveals that it varies significantly depending on the legal nature of these institutions.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00156023"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615332","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

[Effectiveness of the Adequate Childbirth Program in reducing cesarean section rates in private maternity hospitals in São Paulo , Brazil]. [巴西圣保罗私立妇产医院的 "足月分娩计划 "在降低剖腹产率方面的效果]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT216623

Andrea Silveira De Queiroz Campos, Daphne Rattner, Carmen Simone Grilo Diniz

{"title":"[Effectiveness of the Adequate Childbirth Program in reducing cesarean section rates in private maternity hospitals in São Paulo , Brazil].","authors":"Andrea Silveira De Queiroz Campos, Daphne Rattner, Carmen Simone Grilo Diniz","doi":"10.1590/0102-311XPT216623","DOIUrl":"10.1590/0102-311XPT216623","url":null,"abstract":"Cesarean section is a life-saving intervention, but its use without obstetric indication leads to short- and long-term complications. Brazil is internationally known for its high cesarean rates, especially in the private sector. To reverse this problem, the Brazilian National Regulatory for Private Health Insurance and Plans launched the Adequate Childbirth Program, and this retrospective study aims to analyze its effectiveness. We included the total of births performed in private maternity hospitals between 2014 and 2019 registered on the Brazilian Information System on Live Births (SINASC) database to compare the evolution of cesarean section rates in hospitals participating and not participating in the project. A total of 277,747 births were analyzed, showing a reduction in the cesarean section rate in both groups but more pronounced among the participant institutions. No reduction in cesarean performance was observed before the program launch (2014), but there was a constant downward trend after 2014, until it became significant in 2018. This result occurred independently of demographic, maternal, and Robson group variables. The cesarean section rate of hospitals participating in the program went from 83.8% to 72.3% (95% confidence interval - 95%CI: 71.7-72.9). Despite the reduction, it remains well above the expected rates according to the c-model tool, which would be 45.2% (95%CI: 33.9-56.5) for this population. Results showed that a well-conducted public policy together with private institutions can change the scenario of labor and birth care, reducing high cesarean section rates.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00216623"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615334","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

Pathways of physical activity behavior after an intervention with students from vulnerable areas: a cluster randomized controlled trial based on a socioecological approach. 对来自脆弱地区的学生进行干预后体育锻炼行为的路径：基于社会生态学方法的分组随机对照试验。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN138023

Jaqueline Aragoni da Silva, Valter Cordeiro Barbosa Filho, Alexsandra da Silva Bandeira, Kelly Samara da Silva, Jorge Mota

{"title":"Pathways of physical activity behavior after an intervention with students from vulnerable areas: a cluster randomized controlled trial based on a socioecological approach.","authors":"Jaqueline Aragoni da Silva, Valter Cordeiro Barbosa Filho, Alexsandra da Silva Bandeira, Kelly Samara da Silva, Jorge Mota","doi":"10.1590/0102-311XEN138023","DOIUrl":"10.1590/0102-311XEN138023","url":null,"abstract":"Efforts are needed to better understand what are the effective pathways that can optimize success in school-based physical activity interventions. This study aimed to investigate the mediators of a school-based intervention in the practice of physical activity in Brazilian students. The Fortaleça sua Saúde [Strengthen Your Health] program followed 1,085 students (11-18 years) over a semester. This multi-component intervention included training teachers, offering physical activity opportunities, and health education. Self-reported moderate-to-vigorous physical activity and potential mediators (attitude, self-efficacy, social support, perceived neighborhood environment, and physical activity facilities at school) were assessed. The product of coefficient analysis was performed. The sample was composed of 1,085 students (51.5% boys). The total effect of the intervention was 0.706 (95%CI: 0.276; 1.136). A total of 40% of the intervention effect on moderate-to-vigorous physical activity was explained by attitude towards physical activity and social support from friends and teachers. Social support from friends was a significant mediator only among boys (ab: 0.113, 95%CI: 0.027; 0.256), and social support from teachers only among girls (ab: 0.135, 95%CI: 0.019; 0.328); indicating a statistically significant indirect effect of the program on moderate-to-vigorous physical activity via these mediators. A relevant part of the effect of a multicomponent intervention on physical activity among students from vulnerable areas is explained by changes via variables at different levels of the socioecological model, including social support from friends and teachers, and attitude towards physical activity. These results should be considered in public policies.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00138023"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615336","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

[Intersectorality in the São Paulo Policy for the Prevention of Violent Deaths of Children and Adolescents: an analysis of Law n. 17,652/2023]. [圣保罗预防儿童和青少年暴力死亡政策的跨部门性：对第 17652/2023 号法律的分析]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT220523

Fernanda Lopes Regina, Maria Fernanda Tourinho Peres

{"title":"[Intersectorality in the São Paulo Policy for the Prevention of Violent Deaths of Children and Adolescents: an analysis of Law n. 17,652/2023].","authors":"Fernanda Lopes Regina, Maria Fernanda Tourinho Peres","doi":"10.1590/0102-311XPT220523","DOIUrl":"10.1590/0102-311XPT220523","url":null,"abstract":"This study aims to identify and analyze the obstacles to intersectorality in the São Paulo Policy for the Prevention of Violent Deaths of Children and Adolescents in the State of São Paulo, Brazil, established by Law n. 17,652/2023, within the scope of the actions of the São Paulo Committee for the Prevention of Homicide in Adolescence. This is a qualitative study using the case study technique based on: interviews, participant observation, field diary and document analysis. The results showed that obstacles to the implementation of intersectorality in this Law exist, given the sectorization present both in Bill n. 382/2022, which originated it, and the vetoes in its final version, enacted by the government in March 2023. Intersectoral policies must have instruments to guarantee the articulation of sectors, clearly defining the responsibilities of those involved. In addition, it is of fundamental importance to recognize the limits of the powers attributed to the legislature when proposing laws that aim to establish them.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00220523"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615335","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

Psychometric evaluation of the Intersectional Discrimination Index for use in Brazil. 对在巴西使用的交叉歧视指数进行心理计量学评估。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN009724

Natália Peixoto Pereira, Carolina Saraiva de Macedo Lisboa, João Luiz Bastos

{"title":"Psychometric evaluation of the Intersectional Discrimination Index for use in Brazil.","authors":"Natália Peixoto Pereira, Carolina Saraiva de Macedo Lisboa, João Luiz Bastos","doi":"10.1590/0102-311XEN009724","DOIUrl":"https://doi.org/10.1590/0102-311XEN009724","url":null,"abstract":"This cross-sectional study evaluated the configural and metric structures of the Intersectional Discrimination Index (InDI), an instrument that measures anticipated (InDI-A), dat-to-day (InDI-D), and major (InDI-M) discrimination. Data from a broader study, focused on the impacts of discrimination on the mental health of women living in Brazil, were used. Approximately 1,000 women, selected according to a convenience sampling scheme, answered the InDI and questions about sociodemographic characteristics in an electronic form that was administered in 2021. Exploratory factor analyses and exploratory structural equation modeling were applied to the first half of the sample; for the second, confirmatory factor analysis was conducted. Taken together, the findings suggest that each of the three measures is one-dimensional. However, unlike the study that originally proposed the InDI for use in Canada and the United States, we observed the presence of residual correlations in the three subscales evaluated, all of which were suggestive of content redundancy between specific pairs of items. The three measures showed moderate to strong factor loadings and acceptable fit to the data. InDI exhibited reasonable internal validity, potentially becoming a valuable instrument for investigating the health effects of intersectional discrimination in Brazil. Future studies should evaluate the consistency of these findings, examine the scalar structure of the instrument, and analyze its invariance among different marginalized groups.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00009724"},"PeriodicalIF":1.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342158","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 and behavioral disorders related to work in Brazil: temporal trends and the impact of the Social Security Technical Nexus. 巴西与工作有关的精神和行为障碍：时间趋势和社会保障技术联系的影响。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN031524

Claudio José Dos Santos Júnior, Frida Marina Fischer

{"title":"Mental and behavioral disorders related to work in Brazil: temporal trends and the impact of the Social Security Technical Nexus.","authors":"Claudio José Dos Santos Júnior, Frida Marina Fischer","doi":"10.1590/0102-311XEN031524","DOIUrl":"https://doi.org/10.1590/0102-311XEN031524","url":null,"abstract":"This article aimed to assess the temporal trend of work-related mental and behavioral disorders in Brazil, as well as to measure the effect of changes in the implementation of the Social Security Technical Nexus (NTP, acronym in Portuguese) on the incidence of these disorders among beneficiaries of the General Social Security System (RGPS, acronym in Portuguese). It is an analysis of time series and interrupted time series with data from the Brazilian Ministry of Social Security information system on cases of work-related mental and behavioral disorders from 2003 to 2019. The Prais-Winsten method was employed to calculate the annual percent change (APC) of the incidence rates for the conditions under study. The average incidence of work-related mental and behavioral disorders was 35.48 per 100,000 RGPS links during the period 2003-2019, with an increasing trend (APC = 9.67%; p = 0.033) for Brazil. Before the implementation of changes in the NTP (2003-2007), this value was 15.59, with an increasing trend (APC = 29.28%; p < 0.001), and it more than doubled (43.77) after the RGPS modified the way of establishing the nexus between illness and work (2008-2019). The post-NTP trend for work-related mental and behavioral disorders was a decrease in the country (APC = -23.73%; p < 0.001), a pattern that was repeated for all regions of the country. The findings suggest that the changes in the way of establishing the NTP between illness and work represented an advancement in the system of recording and notifying work-related mental and behavioral disorders in Brazil.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00031524"},"PeriodicalIF":1.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336265","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