Cadernos de saude publica最新文献

{"title":"[Feminicide in Minas Gerais, Brazil: from characterization of events to spatiotemporal analysis].","authors":"Camila Alves Bahia, Isabella Vitral Pinto, Carla Machado da Trindade, Camila Mattarelli de Abreu E Silva, Patricia Habkouk, Taynãna César Simões, Daniel Cardoso Portela Câmara, Paula Dias Bevilacqua","doi":"10.1590/0102-311XPT015224","DOIUrl":"10.1590/0102-311XPT015224","url":null,"abstract":"<p><p>This study characterizes feminicides taking place in the state of Minas Gerais, Brazil, and compare the trends in feminicide and female homicide rates across the 89 health microregions of the state. A cross-sectional ecological study was conducted using data on feminicides from 2016 to 2020, consolidated by the Minas Gerais Prosecutor's Office. Feminicide and female homicide rates per 100,000 females were estimated according to the health microregions. Public data from the Brazilian Mortality Information System were used for the estimation of female homicide rates. An analysis was conducted on microregions with high feminicide rates correlated with neighboring microregions with high and low female homicide rates, using Bivariate Moran's Local Indice. A multivariate scan model was also applied to multiple data sets, in order to simultaneously identify clusters of feminicide and female homicide that coincided in time and space. A total of 698 feminicides were identified during the period, distributed across 19 health microregions. During the period, female homicide rates were higher than those of feminicide. Stability in the risk of feminicide and a decreasing trend in the risk of female homicides were observed across the health microregions of Minas Gerais. In 11 microregions, the number of feminicides exceeded the number of female homicides. The results highlighted weaknesses in the determination of the underlying cause of death for females, affecting the quality of homicide records.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00015224"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499231","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}

{"title":"[Intersectionality and food insecurity in favelas in Belo Horizonte, Minas Gerais State, Brazil].","authors":"Karynna Maria da Silva Ferreira, Aline Dayrell Ferreira Sales, Uriel Moreira, Magda do Carmo Parajára, Amélia Augusta de Lima Friche, Waleska Teixeira Caiaffa, Elis Borde","doi":"10.1590/0102-311XPT095724","DOIUrl":"10.1590/0102-311XPT095724","url":null,"abstract":"<p><p>Food insecurity has serious implications for populations' health and lives. Many social determinants have been identified, but understanding food insecurity remains limited due to a fragmented view that segregates vulnerability dimensions. This study aims to analyze food (in)security based on an intersectional perspective, having two favelas in Belo Horizonte (Minas Gerais State, Brazil) and their surroundings as its studied site. This cross-sectional analysis was carried out with data from the household survey of the BH-Viva Project. Food insecurity was chosen as the outcome variable and the intersectional construction of social vulnerability indicators (sex, race/skin color, and the Socioeconomic Vulnerability Index Sensitive to Food Insecurity - IVSIA, constructed from the domains of work and income, education and housing conditions) was used as the exposure variables. The associations between food insecurity and the exposure variables were estimated by logistic regression models and the effect of the intersectionality categories on food insecurity was obtained by the appropriate interaction terms. Among people in unfavorable socioeconomic conditions (IVSIA), black women were more likely to have food insecurity (OR = 7.50; 95%CI: 3.20-17.58) than black men or white women. Results shows that food insecurity includes intersectional processes of vulnerability that overlap the effects of socioeconomic deprivation, sexism, patriarchy, and racism, thus reinforcing the need for intersectional research to find the patterns and main victims of food insecurity and the urgency of public policies toward these groups' needs.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00095724"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499260","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}

{"title":"Contributions of the 5th Brazilian Congress on Health Policy, Planning, and Administration to the consolidation of the field of Public Health.","authors":"Carmem E Leitão Araújo, Deivisson Vianna Dantas Dos Santos, Isabela Soares Santos","doi":"10.1590/0102-311XEN002225","DOIUrl":"10.1590/0102-311XEN002225","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 2","pages":"e00002225"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499294","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}

{"title":"Breastfeeding and cardiometabolic risk factors in adulthood: results from the Pelotas (Brazil) birth cohort, 1982.","authors":"Natália Peixoto Lima, Janaína Vieira Dos Santos Motta, Bernardo Lessa Horta","doi":"10.1590/0102-311XEN044224","DOIUrl":"10.1590/0102-311XEN044224","url":null,"abstract":"<p><p>Using data from a birth cohort study, we evaluated the long-term association between breastfeeding and metabolic cardiovascular risk factors at 30 years old. In 1982, the 5,914 live births in maternity hospitals in Pelotas, Rio Grande do Sul State, Brazil, were examined and the mothers were interviewed. Since then, these participants have been prospectively followed. The cohort members were interviewed at 30 years old and information on blood pressure, carotid intima-media thickness, pulse wave velocity, random blood glucose, and blood lipids were obtained. Simple and multiple linear regressions were used. In the crude and adjusted analyses, duration of breastfeeding did not show any clear association with mean arterial pressure, carotid intima-media thickness, and pulse wave velocity. Likewise, total and non-HDL cholesterol and blood glucose were not related to infant feeding. Regarding HDL cholesterol, it was positively related to predominant breastfeeding duration in the crude analysis, but the association disappeared after controlling for confounding variables. Concisely, our findings suggest that there is no association between duration of breastfeeding and cardiometabolic risk factors in adulthood. Despite that, promotion and support of breastfeeding must be reinforced due to its well-known benefits, such as reduction of infant and child mortality and human capital development.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00044224"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499263","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}

{"title":"[Births in Brazilian Birthing Centers: a research protocol].","authors":"Nathalie Leister, Jamile Claro de Castro Bussadori, Ana Paula Esteves-Pereira, Silvana Granado Nogueira da Gama, Gisele Almeida Lopes, Maria Luiza Gonzalez Riesco, Nágela Cristine Pinheiro Santos, Bruna Dias Alonso, Nayara Ruiz Cintra, Maria do Carmo Leal, Christine McCourt","doi":"10.1590/0102-311XPT233023","DOIUrl":"10.1590/0102-311XPT233023","url":null,"abstract":"<p><p>In Brazil, Freestanding Birth Centers (FBC) are defined as health units linked to hospitals that may be located within these facilities (alongside birth center - ABC) or in their surroundings (FBC). The Brazilian Ministry of Health has defined the physical and care structure of FBC. Their care model includes appropriate practices, good maternal and infant outcomes, and the promotion of positive experiences for women during childbirth. Births in Brazilian Birthing Centers is a nationwide cross-sectional study aimed to evaluate the structure of FBC to care for usual births risks, assess labor and birth care in FBC, and compare the research outcomes with those of usual births risks in the hospitals within Birth in Brazil II. This article aims to inform the design and methodological steps proposed for Births in Brazilian Birthing Centers. In total, eight FBC were chosen. The sample included service managers and 1,560 female users. Data collection were collected from August 2022 to October 2024. Study variables and instruments, the stages of data collection from admission up to 120 days after childbirth, the research team's activities, the data analysis plan, and the ethical aspects are shown and the relevance of disseminating this research protocol and the specificities of research in Birthing Centers are discussed.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00233023"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499210","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}

{"title":"[Does race/skin color modify the effect of intergenerational educational mobility on life satisfaction and family income? ELSA-Brasil results].","authors":"Bianca Cristina Silva de Assis, Sandhi Maria Barreto, Rosane Harter Griep, Ana Luísa Patrão, Luana Giatti, Lidyane V Camelo","doi":"10.1590/0102-311XPT092924","DOIUrl":"10.1590/0102-311XPT092924","url":null,"abstract":"<p><p>Using data from 12,987 participants of the second visit of ELSA-Brasil (2012-2014), we investigated whether race/skin color (white, mixed-race, black) modifies the association of intergenerational educational mobility with life satisfaction and average per capita income. Intergenerational educational mobility was assessed by comparing maternal schooling with that of participants. The Satisfaction with Life Scale (satisfied versus dissatisfied) was used to assess satisfaction with life. The prevalence of dissatisfaction with life was higher in black (13.5%) and mixed-race people (12.4%) than in white ones (9.2%). After adjusting for age, sex, marital status, and research center, upward educational mobility was associated with 32% odds (OR = 0.68; 95%CI: 0.53-0.86) of lower levels of dissatisfaction with life when compared to the stable-low trajectory, but this association only occurred for white people. The stable-high trajectory was associated with 31% (OR = 0.69; 95%CI: 0.56-0.86) and 29% (OR = 0.71; 95%CI: 0.54-0.95) odds of lower rates of dissatisfaction with life in white and mixed-race people, respectively. Black individuals showed no association between social mobility and life satisfaction. Consistent with these findings, upward and stable-high educational trajectories were associated with higher per capita family income in white people and lower income in black individuals. Results reinforce that structural racism reduces the benefits of educational mobility regarding life satisfaction and income in black and mixed-race people when compared to the benefits for white people.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00092924"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499227","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}

{"title":"Research on neglected tropical diseases in Haiti: a scientometrics analysis, 1923-2022.","authors":"Melicile Glesil, Adjoane Maurício Silva Maciel, Taynara Lais Silva, Anderson Fuentes Ferreira, Aymee Medeiros da Rocha, Gabriela Soledad Márdero García, Evens Emmanuel, Max François Millien, Jorg Heukelbach, Eliana Amorim de Souza, Ana Raquel da Silva Paz, Alberto Novaes Ramos","doi":"10.1590/0102-311XEN020824","DOIUrl":"10.1590/0102-311XEN020824","url":null,"abstract":"<p><p>This study aimed to analyze scientometric profile of publications on neglected tropical diseases (NTDs) in Haiti, 1923-2022. We conducted a scientometric study based on indexed scientific productions related to NTDs in Haiti. The search syntax in the Scopus database was based on key terms for NTDs recognized by the World Health Organization in 2022, focusing on keywords, titles, and abstracts. VOSviewer 1.6.18 was used to create bibliographic networks according to authorship, country of origin, institution, and descriptors. A total of 281 publications were identified, 87.9% (247/281) original articles, with an increase of 45.1% (127/281, annual average of 12.7 publications) in the last decade (2013-2022) compared to the first half of the analyzed period (1923-1975, annual average of 0.21 publications). The authors with the highest number of publications were: Lammie PJ (n = 51), Eberhard ML (n = 29), and Wallace RM (n = 25). A total of 83 institutions participated in the research and the Centers for Disease Control and Prevention (United States) had the highest proportion of affiliations in the coauthorship versus organizations analysis (n = 86), with authors from 35 countries. Coauthorship by country shows publications between institutions in the Americas (n = 13), Europe (n = 9), and Asia (n = 5). The analysis of cooccurrence versus author keywords shows higher occurrence of the terms \"dengue\" and \"rabies\". There is a very limited number of publications on NTDs in Haiti throughout a century of publications, despite the relative increase in recent decades. Such publications are concentrated among foreign authors, with limited national coauthorship.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00020824"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499268","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}

{"title":"[Decisions of state governments and the impacts on health care for older adults during the COVID-19 pandemic in the Brazilian Northeast].","authors":"Vyna Maria Cruz Leite, Alberto Novaes Ramos, Anderson Fuentes Ferreira, Nicolas Gustavo Souza Costa, Carmem Emmanuely Leitão Araújo","doi":"10.1590/0102-311XPT183023","DOIUrl":"10.1590/0102-311XPT183023","url":null,"abstract":"<p><p>During the COVID-19 pandemic, health care policies for older adults gained relevance worldwide. The number of deaths that markedly affected this population needs analyses of its impacts on health care. This study aimed to analyze the relation between COVID-19-related morbidity and mortality patterns in people aged 60 years and older and the implemented prevention and control measures, namely, social distancing and the beginning of specific vaccination against COVID-19 according to states in the Brazilian Northeast from February 2020 to September 2022. This descriptive time series study was based on data from the states in the Brazilian Northeast. Results point to a high pattern of morbidity and mortality in older adults before the COVID-19 pandemic, growing sharply after the onset of the pandemic in all evaluated states. The measures the states in the Brazilian Northeast adopted to combat the pandemic showed a certain homogeneity. The number of hospitalizations increase with the outcome death due to COVID-19, even after strict contingency and distancing measures and the beginning of vaccination. This study found a relevant relationship between sanitary measures of social distancing and vaccination and the reduction of morbidity and mortality in older adults living in the states in the Brazilian Northeast. However, the decisions of Northeastern states failed to mitigate the impact of morbidity and mortality in older adults to the COVID-19 pandemic.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 2","pages":"e00183023"},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499280","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}

{"title":"Association of inflammatory markers and multimorbidity in young adults: cross-sectional findings from the Pelotas (Brazil) birth cohort, 1993.","authors":"Isabel Oliveira de Oliveira, Tulio L Correa, Gustavo Dias Ferreira, Bruno Pereira Nunes, Helen Gonçalves, Fernando César Wehrmeister, Ana Maria Baptista Menezes","doi":"10.1590/0102-311XEN191623","DOIUrl":"10.1590/0102-311XEN191623","url":null,"abstract":"<p><p>Early diagnosis can be a beneficial factor for minimizing health risks related to multimorbidity. This study aims to assess the association of multimorbidity with interleukin 6 (IL-6), C-reactive protein (CRP), and adiponectin in 22-year-old participants of the Pelotas (Brazil) birth cohort. A total of 3,578 subjects had serum measurements of IL-6, CRP, and adiponectin at the 22-year-old visit. For multimorbidity evaluation, a list of 15 morbidities was used and divided into subgroups (cardiometabolic, pulmonary, allergic diseases, and mental disorders). The occurrence of ≥ 2 morbidities was higher in females (55.1%) than in males (45.2%). A negative association between multimorbidity and adiponectin was found in females, whereas positive associations between the number of diseases and IL-6 and CRP were observed in males. For both sexes, cardiometabolic problem was the morbidity most associated with the markers. The analysis for isolated diseases identified dyslipidemia was the only cardiometabolic condition associated with physiological markers. Our findings suggest an inverse association between multimorbidity and adiponectin in females, as well as a direct cumulative association between the number of diseases and IL-6 and CRP in males at a young age.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00191623"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398344","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}

{"title":"[Assessment of birth registration coverage in the Hospital Information System of the Brazilian Unified National Health System, by hospital of admission, Brazil, 2012-2020].","authors":"Juliana Alves Marques, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Claudia Medina Coeli, Valéria Saraceni, Rejane Sobrino Pinheiro","doi":"10.1590/0102-311XPT225623","DOIUrl":"10.1590/0102-311XPT225623","url":null,"abstract":"<p><p>This study aimed to evaluate the national coverage of birth registration within the Brazilian Hospital Information System of the Brazilian Unified National Health System (SIH/SUS), according to the hospital of birth, and identify associated institutional characteristics. A descriptive ecological study was conducted using available data from the SIH/SUS, the Brazilian Information System on Live Births (SINASC), and the Brazilian National Registry of Health Establishments (CNES) from 2012 to 2020. Hospital admissions of women aged 10 to 49 for vaginal childbirth or cesarean section in the SIH/SUS were compared to live birth records from hospital deliveries in SUS-contracted establishments with more than 100 live births per year in SINASC. Coverage was measured by the proportion of admissions for childbirth (SIH/SUS) in relation to the total number of live births in SINASC. Supervised classification models, decision trees, and random forests were used to identify hospital characteristics predictive of coverage. Coverage in the SIH/SUS was estimated at 86.9%, and 80.6% after excluding hospitals with > 100% coverage. Higher coverage rates were observed in the North and Northeast regions, whereas lower rates were seen in the South and Central-West regions. National coverage increased from 77.9% to 82.3% during the period. The main predictive factors were the proportion of cesarean sections, the number of obstetric beds of SUS, the administrative sphere, and facility size, with lower coverage in services with a higher proportion of cesarean sections. Inconsistencies in CNES registration were identified in SINASC. Birth registration coverage in the SIH/SUS is high across the country, though lower in hospitals with a high proportion of cesarean sections. Strategies for continuous improvement of quality for information system records are necessary.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00225623"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398019","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}