Cadernos de saude publica最新文献_第3页

Prevalence and factors associated with dyslipidemia in children aged 6 to 42 months in a Brazilian capital. 巴西首都 6 至 42 个月儿童血脂异常的患病率和相关因素。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN202123

Vanessa Roriz Ferreira de Abreu, Lina Monteiro de Castro Lobo, Raquel Machado Schincaglia, Paulo Sérgio Sucasas da Costa, Lana Angélica Braudes-Silva, Maria Claret Costa Monteiro Hadler

{"title":"Prevalence and factors associated with dyslipidemia in children aged 6 to 42 months in a Brazilian capital.","authors":"Vanessa Roriz Ferreira de Abreu, Lina Monteiro de Castro Lobo, Raquel Machado Schincaglia, Paulo Sérgio Sucasas da Costa, Lana Angélica Braudes-Silva, Maria Claret Costa Monteiro Hadler","doi":"10.1590/0102-311XEN202123","DOIUrl":"https://doi.org/10.1590/0102-311XEN202123","url":null,"abstract":"This study aimed to assess the prevalence and factors associated with lipid profile abnormalities of children aged 6 to 42 months in a Central-West Brazilian capital city. This cross-sectional study used data from the baseline of a cluster-randomized clinical trial conducted in parallel. It evaluated the lipid profile, usual nutrients intake (direct food-weighing method and 24-hour dietary recall), anthropometric parameters, and socioeconomic aspects of 169 children from early childhood education centers. Poisson regression with robust variance analysis was conducted. Of the total sample, 85% had dyslipidemia, 72% had high-density lipoproteins (HDL-c) levels below the desired range, 49% had increased triglycerides (TG), 17% exhibited elevated low-density lipoproteins (LDL-c), and 15% showed high total cholesterol (TC). An increase in the body mass index (BMI) for age z-score was associated with a higher prevalence of increased TG (PR = 1.22; 95%CI: 1.05-1.41; p = 0.009). Higher age in children was associated with an increased prevalence of high LDL-c (PR = 1.037; 95%CI: 1.01-1.07; p = 0.022) and TC (PR = 1.036; 95%CI: 1.00-1.07; p = 0.037), however it was a protective factor against low HDL-c (PR = 0.991; 95%CI: 0.98-1.00; p = 0.042). High energy intake was associated with low HDL-c (PR = 1.001; 95%CI: 1.00-1.00; p = 0.023). A higher prevalence of increased LDL-c (PR = 1.005; 95%CI: 1.00-1.01; p = 0.006) and decreased HDL-c (PR = 1.002; 95%CI: 1.00-1.00; p < 0.001) were associated with dietary cholesterol intake. Most of the children presented at least one alteration in serum lipids. Lipid profile abnormalities were associated with higher BMI, older age, and increased caloric and cholesterol intake.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00202123"},"PeriodicalIF":1.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342157","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

[Sociodemographic and dietary factors and health conditions: determinants of malnutrition in the elderly in Colombia]. [社会人口和饮食因素及健康状况：哥伦比亚老年人营养不良的决定因素]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XES189423

Alejandro Estrada-Restrepo, Gloria Cecilia Deossa-Restrepo, María Victoria Benjumea-Rincón, Nubia Amparo Giraldo-Giraldo

{"title":"[Sociodemographic and dietary factors and health conditions: determinants of malnutrition in the elderly in Colombia].","authors":"Alejandro Estrada-Restrepo, Gloria Cecilia Deossa-Restrepo, María Victoria Benjumea-Rincón, Nubia Amparo Giraldo-Giraldo","doi":"10.1590/0102-311XES189423","DOIUrl":"https://doi.org/10.1590/0102-311XES189423","url":null,"abstract":"This study aimed to estimate the prevalence of malnutrition using clustered anthropometric indicators and to describe the sociodemographic and dietary factors and health conditions that determine malnutrition in elderly Colombians. This was a secondary analysis of the study Health, Well-being and Ageing (SABE) Colombia, 2015. The survey included 23,694 people aged ≥ 60 years. Malnutrition excess was defined by clustering two indicators: body mass index (BMI) and waist circumference; weight deficit was defined by clustering BMI and arm and calf circumferences. The chi-square test was used to associate malnutrition with sociodemographic variables, dietary and health conditions, and to determine the heterogeneity of malnutrition, a latent class analysis was performed. Overweight was 31.9%, whereas underweight, according to BMI and calf circumference, was 7.9%, and increased to 18.8% when arm circumference was also taken into account. Five latent classes of malnutrition were generated - class 1: no overweight and deteriorated health conditions; class 2: no weight deficit and deteriorated health conditions; class 3: no malnutrition and deteriorated health conditions; class 4: overweight and multimorbidity; and class 5: low protein food intake without being underweight or overweight. It is concluded that a high prevalence of malnutrition in older adults exists, with excess rather than deficit. Sociodemographic and dietary factors and health conditions are associated differently with overweight and underweight.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00189423"},"PeriodicalIF":1.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342142","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

[Sex workers in the Brazilian pandemic: effects on and relations with health]. [巴西大流行病中的性工作者：对健康的影响及与健康的关系]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT181123

Amanda de Mello Calabria, Nicolas Lorente, Michel de Oliveira Furquim Dos Santos, Ana Carolina Braga Azevedo, Paula Galdino Cardin de Carvalho, Daniel Dutra de Barros, Gizelle Aparecida Oliveira, Océane Apffel Font, Silvana de Souza Nascimento, Maria Amelia de Sousa Mascena Veras, Daniela Rojas Castro, José Miguel Nieto Olivar

{"title":"[Sex workers in the Brazilian pandemic: effects on and relations with health].","authors":"Amanda de Mello Calabria, Nicolas Lorente, Michel de Oliveira Furquim Dos Santos, Ana Carolina Braga Azevedo, Paula Galdino Cardin de Carvalho, Daniel Dutra de Barros, Gizelle Aparecida Oliveira, Océane Apffel Font, Silvana de Souza Nascimento, Maria Amelia de Sousa Mascena Veras, Daniela Rojas Castro, José Miguel Nieto Olivar","doi":"10.1590/0102-311XPT181123","DOIUrl":"https://doi.org/10.1590/0102-311XPT181123","url":null,"abstract":"This paper describes the results of the study I Want More! The Lives of Sex Workers During the COVID-19 Pandemic, which is part of the EPIC community research program. The study analyzed the effects of the pandemic on the lives of cis, trans and travesti sex workers in nine Brazilian states and 11 cities throughout 2020 and 2021. This article focuses on the qualitative component of the study, which was based on semi-structured, remote and face-to-face interviews carried out with 43 sex workers, and its comparison with the quantitative component. The effects are analyzed in relation to the Brazilian pandemic framework, considering the social, economic and political dimensions of the COVID-19 virus. Some of the key themes of the analysis are cases of illness, specific social isolation practices, prevention and care management practices, individual vaccination and collective vaccination strategies. We also share the daily and activist responses drawn up by sex workers in a political agenda that opposes the individualistic, familialist, domestic, and neoliberal logic of isolation by adopting community care perspectives, which was the only line of health action for this work category during the pandemic. Collective actions reposition sex work at the interface between public health and human rights and take as their principle the \"street knowledge\", from activism, and the workers' power of decision over their own bodies.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00181123"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342141","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

Biotechnological sovereignty is not a mere nationalist concept, it is a necessity for Colombia and Latin America. 生物技术主权不仅仅是一个民族主义概念，而是哥伦比亚和拉丁美洲的必然选择。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN202323

Camilo Guzman, Salim Mattar, Nelson Alvis-Guzman, Fernando De la Hoz, Edgar Arias

{"title":"Biotechnological sovereignty is not a mere nationalist concept, it is a necessity for Colombia and Latin America.","authors":"Camilo Guzman, Salim Mattar, Nelson Alvis-Guzman, Fernando De la Hoz, Edgar Arias","doi":"10.1590/0102-311XEN202323","DOIUrl":"https://doi.org/10.1590/0102-311XEN202323","url":null,"abstract":"During the pandemic, Latin American countries suffered the collapse of their health systems. This was caused by the high demand for care of patients infected with SARS-CoV-2, which was added to the care of patients with other diseases. The significant increase in demand for health services caused medical and laboratory supplies to decline rapidly. The COVID-19 pandemic exacerbated a health crisis in several developing countries, mainly caused by insufficient systematic policies for integrating scientific knowledge. The current Colombian government must formulate a Biotechnological or Biosecurity Sovereignty Law that guarantees scientific autonomy, ensuring that Colombia is self-sufficient in Science, Technology, and Innovation. Colombian government should also focus on establishing and developing pharmaceutical chemical production by acquiring active chemical ingredients from other countries. This strategy could reduce the production costs and final prices of medicines, as well as generate high-level employment and wealth for the country. In this way, the Colombian government could prevent shortage of essential medicines and excessive price increases by commercial intermediation. In conclusion, the manuscript focuses on the lack of biotechnological sovereignty in Colombia. We propose a model of a Latin American Science and Technology ecosystem to achieve biotechnological sovereignty via state funding of research, strengthening universities, and fostering participation among private companies and Ministries of Science, Education, Trade, and Health. Scientific autonomy based on innovative processes that strengthen biotechnological independence can contribute to the economy by generating gross added value, creating high-quality employment, and facilitating the appropriation and social dissemination of knowledge, and cost reduction.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00202323"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342154","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

Estimating the prevalence, factors, and conditions associated with Parkinson disease: a population-based study in Peru. 估算帕金森病的患病率、相关因素和病症：秘鲁的一项人口研究。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN011324

Antonio Bernabe-Ortiz, Rodrigo M Carrillo-Larco

{"title":"Estimating the prevalence, factors, and conditions associated with Parkinson disease: a population-based study in Peru.","authors":"Antonio Bernabe-Ortiz, Rodrigo M Carrillo-Larco","doi":"10.1590/0102-311XEN011324","DOIUrl":"https://doi.org/10.1590/0102-311XEN011324","url":null,"abstract":"This study aimed to estimate the population-based Parkinson disease prevalence, and to explore potentially associated factors and conditions. A population-based survey was conducted in Northern Peru. Symptoms compatible with Parkinson's were defined using a validated Spanish questionnaire (≥ 42 points suggest Parkinson's). Potential factors (e.g., age, sex, etc.) and clinical conditions (e.g., depressive symptoms, perceived stress, etc.) associated with Parkinson's were assessed. In total, 1,609 subjects were included, mean age of participants was 48.2 (SD: 10.6), and 810 (50.3%) were women. Parkinson's prevalence was 1.6% (95%CI: 1.0; 2.4). Those aged ≥ 55 years, and those who reported using wood as fuel for household cooking had a Parkinson's prevalence from 3.5 to 4 times greater than those who did not. The presence of depressive symptoms, anxiety symptoms, perceived stress, poor sleep quality, and cognitive impairment was more common among those with Parkinson's, and quality of life in these participants was lower than those without Parkinson's. In conclusion, 1.6% of the population shows symptoms compatible with Parkinson's. Age and use of wood for household cooking were factors associated with Parkinson's. Several mental health conditions and lower quality of life were more frequent among those with Parkinson's. Appropriate strategies are required to detect, prevent, and manage Parkinson's cases.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00011324"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342156","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

Spatial analysis of ischemic stroke in Spain: the roles of accessibility to healthcare and economic development. 西班牙缺血性中风的空间分析：医疗服务可及性和经济发展的作用。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN212923

Carlos Marcelo Leveau, Javier Riancho, Jeffrey Shaman, Ana Santurtún

{"title":"Spatial analysis of ischemic stroke in Spain: the roles of accessibility to healthcare and economic development.","authors":"Carlos Marcelo Leveau, Javier Riancho, Jeffrey Shaman, Ana Santurtún","doi":"10.1590/0102-311XEN212923","DOIUrl":"https://doi.org/10.1590/0102-311XEN212923","url":null,"abstract":"Ischemic stroke is a major cause of mortality worldwide; however, few studies have been conducted to measure the impact of the distribution of healthcare services on ischemic stroke fatality. This study aimed to explore the relationship between three ischemic stroke outcomes (incidence, mortality, and fatality) and accessibility to hospitals in Spain, considering its economic development. A cross-sectional ecological study was performed using data on hospital admissions and mortality due to ischemic stroke during 2016-2018. Gross geographic product (GGP) per capita was estimated and a healthcare accessibility index was created. A Besag-York-Mollié autoregressive spatial model was used to estimate the magnitude of association between ischemic stroke outcomes and economic development and healthcare accessibility. GGP per capita showed a geographical gradient from southwest to northeast in Spain. Mortality and case-fatality rates due to ischemic stroke were higher in the south of the country in both women and men aged 60+ years. In women and men aged 20-59 years a EUR 1,000 increase in GGP per capita was associated with decreases in mortality of 5% and 4%, respectively. Fatality decreased 3-4% with each EUR 1,000 increase of GGP per capita in both sexes and in the 20-59 and 60+ age groups. Decreased healthcare accessibility was associated with higher fatality in the population aged 60+. Economic development in southwest Spain would not only improve employment opportunities but also reduce ischemic stroke mortality. New health related strategies to improve hospital accessibility should be considered in more sparsely populated regions or those with worse transport and/or healthcare infrastructure.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00212923"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342161","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

Public health risks of approving drugs for the treatment of childhood obesity in Brazil. 巴西批准治疗儿童肥胖症药物的公共卫生风险。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN031624

Márcia Regina Vítolo, Paola Seffrin Baratto, Sophie Deram

引用次数: 0

CSP and Epidemiology: a history of synergies and a future of challenges. CSP 与流行病学：协同作用的历史与挑战的未来。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN150924

Guilherme Loureiro Werneck

引用次数: 0

Sense of coherence and substance use in adults: a systematic review and meta-analysis. 成人的连贯感与药物使用：系统回顾与荟萃分析。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN141323

Júlia Freire Danigno, Mariane da Silva Dias, Bernardo Lessa Horta

{"title":"Sense of coherence and substance use in adults: a systematic review and meta-analysis.","authors":"Júlia Freire Danigno, Mariane da Silva Dias, Bernardo Lessa Horta","doi":"10.1590/0102-311XEN141323","DOIUrl":"10.1590/0102-311XEN141323","url":null,"abstract":"This study systematically reviews the evidence on the association between sense of coherence (SOC) and substance use during adulthood. Two researchers conducted independent literature searches on the PubMed, LILACS, PsycINFO and Web of Science databases. Original articles assessing SOC and substance use in adults (age > 19 years) were included. Two reviewers independently assessed studies in two phases - initially by reading the title/abstract, then the full text. Discrepancies were resolved by a third reviewer. Estimates were pooled using random-effects models. Bibliographic search identified 21 studies on the association between SOC and substance use in adults. Studies (n = 11) that assessed the association with tobacco smoking found a 0.92 (95%CI: 0.82; 1.01, very low degree of certainty) odds of smoking among those with a high SOC; the association was not modified by age. Individuals with a strong SOC had lower odds of using alcohol (pooled effect: OR = 0.70, 95%CI: 0.50; 0.90, very low degree of certainty); adjustment for confounding variables decreased the magnitude of the association (pooled OR = 0.89, 95%CI: 0.80; 0.98). This systematic review and meta-analysis suggests that a strong SOC protects against substance use among adults regardless of age, with practical implications for preventive interventions and tailored strategies aimed at high-risk individuals. Longitudinal studies are needed to understand the impact of SOC on substance use. Examining interactions with socioeconomic factors and including diverse populations would enhance generalizability.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 9","pages":"e00141323"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342160","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 conceptual framework for good preventive practices (or for quaternary prevention)]. [良好预防做法（或四级预防）的概念框架]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT068123

Charles Dalcanale Tesser

引用次数: 0