Cadernos de saude publica最新文献_第5页

ERRATUM: Factors influencing hepatitis C treatment initiation in a high-prevalence Brazilian state. 在高流行率的巴西州，影响丙型肝炎开始治疗的因素。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XER233025

引用次数: 0

[Food insecurity in quilombola communities in Marajó, Brazilian Amazon: prevalence and associated factors]. [巴西亚马逊Marajó地区quilombola社区的粮食不安全：患病率和相关因素]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT171825

Regiane Padilha Dos Santos, Victória Brioso Tavares, Maria Fernanda Brito de Matos, Socorro Castelo-Branco

{"title":"[Food insecurity in quilombola communities in Marajó, Brazilian Amazon: prevalence and associated factors].","authors":"Regiane Padilha Dos Santos, Victória Brioso Tavares, Maria Fernanda Brito de Matos, Socorro Castelo-Branco","doi":"10.1590/0102-311XPT171825","DOIUrl":"10.1590/0102-311XPT171825","url":null,"abstract":"This study aimed to determine the prevalence of food insecurity in Marajoara quilombola communities and its associated factors. A cross-sectional, community-based, family-approach study was carried out with 434 families in Salvaterra, Marajó Island, Pará, Brazil, from June to July 2021. A household survey was carried out with a standardized questionnaire on sociodemographic data and the Brazilian Food Insecurity Scale. A multivariate logistic regression was used to analyze associated factors. Most quilombola families (88.9%) lied in food insecurity, 33.1% (n = 144) of whom in severe insecurity; 21.4% (n = 93), in moderate insecurity; and 34.3% (n = 149), in mild insecurity. The regression model showed that receiving no pension doubles the chance of mild food insecurity and multiplies moderate+severe insecurity by 5 times. Per capita family income below 1/5 or even 1/3 of the minimum wage increase the chance of moderate+severe insecurity by 9 and 9 times, respectively. Households in the B/C economic classification were 21% less likely to have moderate+severe insecurity than those with the D/E classification. Food insecurity had a high prevalence in quilombola families, with a preponderance of moderate+severe insecurity. Family income and its components configured the main factors associated with food insecurity.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00171825"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618437","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

[Is it possible to make municipal basic income programs universal in Brazil? An estimate with municipal finance data]. [有可能在巴西普及市政基本收入计划吗？根据市政财政数据估算]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT157325

Vitória Alves Pereira Santos, Matías Mrejen

{"title":"[Is it possible to make municipal basic income programs universal in Brazil? An estimate with municipal finance data].","authors":"Vitória Alves Pereira Santos, Matías Mrejen","doi":"10.1590/0102-311XPT157325","DOIUrl":"10.1590/0102-311XPT157325","url":null,"abstract":"This study investigates the fiscal feasibility of universalizing municipal basic income programs in Brazil by taking the Basic Citizenship Income program in Maricá and Araribóia Social Currency program in Niterói as models. Using data from the Unified Registry and the finances of 5,570 Brazilian municipalities, we estimated the cost of these programs as a proportion of total and social expenditures. The results show that, for most municipalities, the implementation of programs along the lines of the studied models would be significantly more costly than for the reference municipalities. This study observed a marked regional inequality in implementation capacity, with the Brazilian North and Northeast facing an excessive fiscal burden, whereas its South and Southeast showed greater viability, especially for the Niterói model. Simulating scenarios with fiscal efforts resembling those in Maricá and Niterói found a trade-off between coverage and benefit and very large regional inequalities in transfer value. The universalization of basic income programs in Brazil based exclusively on municipal resources is unlikely due to deep regional disparities and high fiscal cost. This study suggests the need for a financing model that goes beyond the municipal sphere, enjoying substantial federal support and a link to a broader debate on fiscal justice and income redistribution to ensure equal benefit distribution and the population's well-being.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00157325"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618429","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

[Financial sacrifice and purchasing capacity for medicines in primary care: evidence from a municipality in the Metropolitan Region of Rio de Janeiro, Brazil]. [初级保健中药品的财政牺牲和采购能力：来自巴西里约热内卢大都市区一个城市的证据]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT231825

Alfonso Jesús Gil-López, Letícia Figueira de Castro, Elaine Silva Miranda, Gabriela Silva de Carvalho, Gabriela Bittencourt Gonzalez Mosegui

{"title":"[Financial sacrifice and purchasing capacity for medicines in primary care: evidence from a municipality in the Metropolitan Region of Rio de Janeiro, Brazil].","authors":"Alfonso Jesús Gil-López, Letícia Figueira de Castro, Elaine Silva Miranda, Gabriela Silva de Carvalho, Gabriela Bittencourt Gonzalez Mosegui","doi":"10.1590/0102-311XPT231825","DOIUrl":"10.1590/0102-311XPT231825","url":null,"abstract":"This study analyzed the prevalence and factors associated with financial sacrifice related to access to medicines in primary care users in a municipality in the Metropolitan Region of Rio de Janeiro, Brazil. This cross-sectional study was carried out in 2023 with 290 users of primary care units in Niterói (distributed among Polyclinics, the Family Medical Program, and Psychosocial Care Centers). Financial sacrifice was defined as the need to postpone essential purchases, take out loans, or sell goods to pay for health expenses. Structured questionnaires were applied based on validated methods to evaluate the pharmaceutical sector. Descriptive analyses and binary logistic regression were performed with a 5% significance level. The prevalence of financial sacrifice totaled 35.5% (95%CI: 30.2-41.0), with no significant difference between types of service (p = 0.416). Hospital admission was the only factor independently associated with the outcome (OR = 2.89; 95%CI: 1.05-7.94; p = 0.04). This study found that 6.2% of interviewees reported expenses with medication, with no significant association with financial sacrifice. The most frequent coping strategies referred to bill postponement (14.8%) and formal or informal indebtedness (12.7%), followed by reduction in food purchases (5.2%). Financial sacrifice affects more than a third of primary care users, with hospital admissions being the main associated factor. These findings highlight financial protection gaps in the Brazilian Unified National Health System and reinforce the need to strengthen policies for the public provision of medication and protection against catastrophic expenditures.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00231825"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618428","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

[Impact of the national strategy against obesity and diabetes on the incidence of diabetes in Mexico, 2005-2023]. [2005-2023年墨西哥反肥胖和糖尿病国家战略对糖尿病发病率的影响]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XES180725

Laura Fernandez-Contreras, Carlos Saucedo-Sadi, Víctor Manuel Molina-Morejón

{"title":"[Impact of the national strategy against obesity and diabetes on the incidence of diabetes in Mexico, 2005-2023].","authors":"Laura Fernandez-Contreras, Carlos Saucedo-Sadi, Víctor Manuel Molina-Morejón","doi":"10.1590/0102-311XES180725","DOIUrl":"10.1590/0102-311XES180725","url":null,"abstract":"The aim was to evaluate the changes in the temporal trends of the incidence of type 2 diabetes mellitus in the adult population of Mexico before and after the introduction of the National Strategy Against Obesity and Diabetes (ENPCSOD), using interrupted time series analyses. Longitudinal ecological study of interrupted time series with generalized least squares model incorporating ARMA(0.1) structure. The annual cases reported in the Morbidity Yearbooks of the Ministry of Health (2005-2023) and age-adjusted rates (population ≥ 20 years) were used. Analyses were performed stratified by sex and age groups (20-44, 45-59, ≥ 60 years). After the ENPCSOD, an immediate decrease of 55.20 cases per 100,000 adults was observed (95%CI: -86.24; -24.15; p = 0.004), with no evidence of a sustained downward trend in the post-strategy period (post-ENPCSOD slope, β = 5.52; p = 0.180). The COVID-19 pandemic was associated with a sharp drop in the level (β = -109.04; p < 0,001). The effects were heterogeneous: in women there was a major change in level (β = -94.77; p = 0.007) and in the ≥ 60-year-old group the post-ENPCSOD slope showed a significant increase (β = 42.54; p = 0.047). The findings indicate a temporal association between the introduction of ENPCSOD and changes in incidence trend, both of which should be interpreted with caution given the ecological nature of the design.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00180725"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618390","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

More of the Same?: a decade later, a broader debate. 还是老样子？十年后，一场更广泛的辩论。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN145526

Marilia Sá Carvalho, Luciana Dias de Lima, Luciana Correia Alves, Suely Deslandes

引用次数: 0

[Association between compassion fatigue and the profile of firefighters who work in disasters]. [同情疲劳与在灾难中工作的消防员形象之间的关系]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT230525

Chancarlyne Vivian, Elisabete Maria das Neves Borges, Cristina Maria Leite Queirós, Vanessa da Silva Corralo, Samuel Spiegelberg Zuge, Maiara Dais Schoeninger, Letícia de Lima Trindade

{"title":"[Association between compassion fatigue and the profile of firefighters who work in disasters].","authors":"Chancarlyne Vivian, Elisabete Maria das Neves Borges, Cristina Maria Leite Queirós, Vanessa da Silva Corralo, Samuel Spiegelberg Zuge, Maiara Dais Schoeninger, Letícia de Lima Trindade","doi":"10.1590/0102-311XPT230525","DOIUrl":"10.1590/0102-311XPT230525","url":null,"abstract":"This study analyzed compassion fatigue, compassion satisfaction, and burnout levels in firefighters who work in disasters and examined their association with socio-occupational characteristics. This mixed and convergent parallel study was carried out with 555 Brazilian firefighters. In its quantitative stage, participants answered a socio-occupational questionnaire and the Professional Quality of Life Scale. The findings were subjected to descriptive and inferential statistics. In its qualitative stage, 66 firefighters were interviewed. The results underwent Thematic Analysis, the inferences of which were sequentially analyzed. Participants had higher compassion satisfaction scores, followed by burnout and secondary traumatic stress scores. Integrating these findings shows how socio-occupational characteristics and work in disaster contexts are related to these phenomena, highlighting the importance of recognizing the profile and the multiple factors that can negatively impact the mental health of professionals and/or strengthen preventive strategies for compassion fatigue.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00230525"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618451","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

Normative evolution and institutional challenges of reproductive health of trans men and transmasculine people in Brazil: a scoping review. 巴西跨性别男性和跨性别男性生殖健康的规范演变和体制挑战：范围审查。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN200525

Nicole Delgado Austregésilo, Danielle Boachá Sampaio, Marina Sales Afonso de Melo, Vitória Camila Lima Mello de Moraes Marques, Eduarda Correia Moretti, Caroline Wanderley Souto Ferreira, Leila Maria Alvares Barbosa

{"title":"Normative evolution and institutional challenges of reproductive health of trans men and transmasculine people in Brazil: a scoping review.","authors":"Nicole Delgado Austregésilo, Danielle Boachá Sampaio, Marina Sales Afonso de Melo, Vitória Camila Lima Mello de Moraes Marques, Eduarda Correia Moretti, Caroline Wanderley Souto Ferreira, Leila Maria Alvares Barbosa","doi":"10.1590/0102-311XEN200525","DOIUrl":"10.1590/0102-311XEN200525","url":null,"abstract":"This study aimed to map and analyze the normative evolution and institutional challenges related to the reproductive health of trans men and transmasculine people in Brazil. A scoping review was carried out according to the methodological guidelines of the JBI, registered on the Open Science Framework. The retrieved scientific studies included articles, theses, dissertations, academic papers, and various official regulations. The findings show that, despite important legal frameworks, these regulations emerged in historical contexts in which the identity categories and specific demands of trans men and transmasculine people were not yet consolidated in the public and legal debate. Notably, by remaining without substantive updates, these provisions produce effects of exclusion and invisibility, showing the persistence of a cisheteronormative logic in the structuring of access to reproductive health. Recent advances include the recognition of trans parenting in official documents and the creation of specific materials, such as the Transgesta prenatal booklet. However, critical gaps persist in access to fertilization, gamete preservation, and family planning, as do symbolic and institutional barriers to health care. This study shows that the fulfilment of sexual and reproductive rights of this group depends on more inclusive normative frameworks and on the transformation of institutional practices and the training of healthcare providers. The historical and critical analysis of policies in this study evince advances, setbacks, and omissions, contributing to expand knowledge about the reproductive health of trans men and transmasculine people in Brazil.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00200525"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618400","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

Projections for lung cancer mortality in Brazil by 2045: a regional analysis. 到2045年巴西肺癌死亡率预测：区域分析。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN199725

Rejane de Souza Reis, Fernanda Cristina da Silva de Lima, Darlan Henrique Nascimento da Silva, Alfredo José Monteiro Scaff, André Salem Szklo

{"title":"Projections for lung cancer mortality in Brazil by 2045: a regional analysis.","authors":"Rejane de Souza Reis, Fernanda Cristina da Silva de Lima, Darlan Henrique Nascimento da Silva, Alfredo José Monteiro Scaff, André Salem Szklo","doi":"10.1590/0102-311XEN199725","DOIUrl":"10.1590/0102-311XEN199725","url":null,"abstract":"The objective was to estimate temporal trends for lung cancer mortality in Brazil and its regions, stratified by sex and age group, from 2021 to 2045. This mortality projection study was based on lung cancer deaths (ICD-10: C33-C34) registered in the Brazilian Mortality Information System between 2001 and 2020, with redistribution of ill-defined causes. Crude and age-adjusted rates were calculated according to the 1960 world standard population. The projections adopted the Nordpred model in the R program, in 5-year periods from 2021 to 2045. There was a projected increase in the absolute number of deaths in both sexes, especially in the South and Southeast regions. The age-adjusted rates indicate a downward trend among men in all regions, despite remaining higher in the South. Among women, there was growth by 2025, followed by stability or a slight reduction by 2045, with the highest rates in the South Region. Population aging contributes to the increase in crude rates, even with the decline in adjusted rates. The projections suggest persistent regional inequalities, which may be associated with historical smoking patterns and unequal access to lung cancer diagnosis and treatment. The findings reinforce the need for regional prevention and control policies, including addressing smoking and considering the new forms of nicotine consumption, such as electronic cigarettes.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00199725"},"PeriodicalIF":2.1,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618487","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

Association of physical activity domains and television time with mental health profiles in Brazilian adolescents: a latent class analysis. 体育活动领域和电视时间与巴西青少年心理健康状况的关系：潜在类别分析。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN181324

Gillianne Crystina Dos Anjos Cardoso, Rafael Martins da Costa, Bruno Gonçalves Galdino da Costa, Paulo Henrique de Araújo Guerra, Jorge Mota, Roseanne Gomes Autran

{"title":"Association of physical activity domains and television time with mental health profiles in Brazilian adolescents: a latent class analysis.","authors":"Gillianne Crystina Dos Anjos Cardoso, Rafael Martins da Costa, Bruno Gonçalves Galdino da Costa, Paulo Henrique de Araújo Guerra, Jorge Mota, Roseanne Gomes Autran","doi":"10.1590/0102-311XEN181324","DOIUrl":"10.1590/0102-311XEN181324","url":null,"abstract":"This cross-sectional study identified mental health profiles among Brazilian adolescents and examined their associations with domain-specific physical activity (leisure time, school, and active commuting) and television (TV) viewing time. Data were obtained from 144,046 adolescents in the 2019 Brazilian National Survey of School Health (PeNSE, acronym in Portuguese). Self-reported indicators included the frequency of five emotional states, weekly minutes of physical activity in leisure time, physical education, and commuting, and daily TV hours. Latent class analysis classified adolescents based on their mental health profiles, and multinomial logistic regression estimated associations between physical activity domains and TV viewing time with mental health classes, adjusting for covariates. Six mental health profiles were identified: (1) school-related concern; (2) anxious and stressed; (3) subthreshold internalizing; (4) anxious, sad, and angry; (5) low symptom; (6) severe internalizing. Adolescents who engaged in physical activity in their leisure time and at school were more likely to belong to the low symptom class, while those who engaged in physical activity during commuting were more likely to be in class 6 (severe internalizing). Adolescents who watched two to four hours of TV per day were more likely to belong to class 1 (school-related concern), class 4 (anxious, sad, and angry), and class 5 (low symptom), whereas those who watched TV more than four hours/day were less likely to belong to class 3 (subthreshold internalizing) and class 6 (severe internalizing). These findings underscore that both the context and quantity of physical activity and TV time are differentially related to adolescent mental health profiles, implying the need for targeted surveillance and interventions.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00181324"},"PeriodicalIF":2.1,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618371","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