Cadernos de saude publica最新文献_第9页

Association between trust in the incumbent president and COVID-19 preventive behaviors during the pandemic in four Latin American countries. 拉美四国疫情期间对现任总统的信任与预防行为的关系

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN023824

Juliana Mejía-Grueso, Gloria Isabel Niño-Cruz, Javiera Alarcón-Aguilar, Pablo Roa-Urrutia, Sergio Mauricio Moreno-López, Adriano Akira Ferreira Hino, Alexandre Augusto de Paula da Silva, Fernando López, Deborah Salvo, Rodrigo Siqueira Reis, Guillermo Rosas, Andrea Ramírez-Varela

{"title":"Association between trust in the incumbent president and COVID-19 preventive behaviors during the pandemic in four Latin American countries.","authors":"Juliana Mejía-Grueso, Gloria Isabel Niño-Cruz, Javiera Alarcón-Aguilar, Pablo Roa-Urrutia, Sergio Mauricio Moreno-López, Adriano Akira Ferreira Hino, Alexandre Augusto de Paula da Silva, Fernando López, Deborah Salvo, Rodrigo Siqueira Reis, Guillermo Rosas, Andrea Ramírez-Varela","doi":"10.1590/0102-311XEN023824","DOIUrl":"10.1590/0102-311XEN023824","url":null,"abstract":"The COVID-19 pandemic revealed disparities in policy responses in Latin America. We examined the association between trust in the president and COVID-19 preventive behaviors in Brazil, Chile, Colombia, and Mexico. We used data from the Collaborative COVID-19 Response Survey by the McDonnell Academy at Washington University in St. Louis (United States), from September 2020 to March 2021. Nonprobabilistic sampling included adult citizens from the four countries. Multivariate negative binomial regression models were applied. The study included 8,125 participants, with Brazil showing the lowest adherence to preventive behaviors (65.5%). Increased adoption of preventive behaviors was linked with ages 18-26 (aIRR = 1.05; 95%CI: 1.01-1.09), 60 or more (aIRR = 1.10; 95%CI: 1.05-1.15), and high socioeconomic status (aIRR = 1.09; 95%CI: 1.05-1.13). Decreased engagement was linked to participants from Brazil (aIRR = 0.74; 95%CI: 0.71-0.78), Mexico (aIRR = 0.95; 95%CI: 0.92-0.99), basic education (aIRR = 0.75; 95%CI: 0.68-0.84), intermediate education (aIRR = 0.88; 95%CI: 0.85-0.91), low socioeconomic status (aIRR = 0.91; 95%CI: 0.87-0.94), lack of concern about contracting COVID-19 (aIRR = 0.93; 95%CI: 0.88-0.98), and poor knowledge about COVID-19 (aIRR = 0.92; 95%CI: 0.88-0.96). No significant association was found between trust in the president and preventive behaviors. Targeted communication, public education, and improved access to reliable information are crucial for fostering preventive behaviors. Public health practitioners should not overly concern themselves with political rhetoric, as our study suggests that trust in political authorities may not systematically affect compliance with directives.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00023824"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398311","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 between food insecurity and infant development at age 18 months in the urban area of Pelotas, Rio Grande do Sul State, Brazil]. [粮食不安全与巴西南大德州佩洛塔斯市区18个月婴儿发育之间的关系]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT198023

Caroline Nickel Ávila, Jéssica Puchalski Trettim, Bárbara Borges Rubin, Carolina Coelho Scholl, Fernanda Teixeira Coelho, Mariana Bonati de Matos, Janaína Vieira Dos Santos Motta, Ricardo Tavares Pinheiro, Luciana de Avila Quevedo

{"title":"[Association between food insecurity and infant development at age 18 months in the urban area of Pelotas, Rio Grande do Sul State, Brazil].","authors":"Caroline Nickel Ávila, Jéssica Puchalski Trettim, Bárbara Borges Rubin, Carolina Coelho Scholl, Fernanda Teixeira Coelho, Mariana Bonati de Matos, Janaína Vieira Dos Santos Motta, Ricardo Tavares Pinheiro, Luciana de Avila Quevedo","doi":"10.1590/0102-311XPT198023","DOIUrl":"10.1590/0102-311XPT198023","url":null,"abstract":"This study aimed to evaluate the association between household food insecurity and child development at age 18 months in the municipality of Pelotas, Rio Grande do Sul State, Brazil. This longitudinal study was carried out with a population-based sample of 465 mothers and infants from Pelotas. Infants' cognitive, motor, socioemotional, and language developments were assessed by the Bayley Scales of Infant and Toddler Development, third edition. The Brazilian Food Insecurity Scale was used to define food safety/insecurity, which classifies households into four categories: food security or mild, moderate, or severe food insecurity. The results of the adjusted analysis showed that food insecurity only affected motor and socioemotional developments at age 18 months. Each increase in food insecurity score decreased that of motor development by 2.30 points on average (95%CI: -4.31; -0.48) at age 18 months. Similarly, each increase in food insecurity score decreased that of socioemotional development by 4.05 points on average (95%CI: -7.34; -0.76). Results show that food insecurity was associated with lower motor and socioemotional developments at age 18 months and stress the importance of the right to adequate food and to environments that provide stimulating experiences for child development.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00198023"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398106","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

["How to get your Doxy-PEP?": vulnerabilities and critical routes encountered by men in the therapeutic itinerary in Brazil]. “如何获得Doxy-PEP?”：巴西男性在治疗过程中遇到的脆弱性和关键路线]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT058524

Álvaro Francisco Lopes de Sousa, Anderson Reis de Sousa

{"title":"[\"How to get your Doxy-PEP?\": vulnerabilities and critical routes encountered by men in the therapeutic itinerary in Brazil].","authors":"Álvaro Francisco Lopes de Sousa, Anderson Reis de Sousa","doi":"10.1590/0102-311XPT058524","DOIUrl":"10.1590/0102-311XPT058524","url":null,"abstract":"This study aimed to investigate the context of doxycycline-based post-exposure prophylaxis (Doxy-PEP) use for the prevention of sexually transmitted infections (STIs) by men who have sex with men (MSM) in Brazil. A qualitative study was conducted with 32 MSM participants, selected on social media. Data was collected by online questionnaires, which included open-ended questions about experiences with Doxy-PEP, access to medications, and interactions with the health care system. Responses were analyzed using the IRaMuTeQ program for descending hierarchical classification and reflective thematic analysis. The results revealed three main categories: (1) access to and management of post-exposure prophylaxis, in which participants reported difficulties in obtaining Doxy-PEP due to prescribing restrictions and lack of information; (2) perceptions and knowledge on risks and prevention, which highlighted a mix of knowledge and misinformation about STIs and prevention strategies; (3) social and behavioral dynamics, demonstrating how social interactions and stigma influence prevention practices. The study also indicated self-medication and drug storage as common practices. The study identified multiple barriers to access and management of Doxy-PEP among MSM in Brazil, influenced by individual, social, and programmatic factors. It is imperative to develop public health strategies that improve access to and information about Doxy-PEP among MSM, as well as approaches that reduce STIs-associated stigma.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00058524"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398068","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

Fruit and vegetable consumption among Brazilian adults: trends from 2008 to 2023. 巴西成年人的水果和蔬菜消费量：2008 年至 2023 年的趋势。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN032424

Izabella Paula Araújo Veiga, Thais Cristina Marquezine Caldeira, Marcela Mello Soares, Taciana Maia de Sousa, Luiza Eunice Sá da Silva, Rafael Moreira Claro

{"title":"Fruit and vegetable consumption among Brazilian adults: trends from 2008 to 2023.","authors":"Izabella Paula Araújo Veiga, Thais Cristina Marquezine Caldeira, Marcela Mello Soares, Taciana Maia de Sousa, Luiza Eunice Sá da Silva, Rafael Moreira Claro","doi":"10.1590/0102-311XEN032424","DOIUrl":"10.1590/0102-311XEN032424","url":null,"abstract":"Adequate fruit and vegetable consumption is recognized for its health benefits, including preventing noncommunicable diseases, therefore it should be monitored over the years. This study aimed to investigate the temporal trend of fruit and vegetable consumption among Brazilian adults (≥ 18 years) residing in 26 Brazilian capitals and the Federal District from 2008-2023. A time-series analysis of the Surveillance of Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel) was conducted. Regular (≥ 5 days/week) and recommended (≥ 5 servings/day on ≥ 5 days/week) fruit and vegetable consumption were analyzed for total population and sociodemographic groups. Prais-Winsten regression models were used to identify trends in the entire (2008-2023), initial (2008-2014) and most recent (2015-2023) periods. Regular and recommended consumption remained stable from 2008 to 2023. From 2008 to 2014, regular consumption increased in total population (0.71pp/year) and all sociodemographic groups, except for adults aged 25-34 years. From 2015 to 2023, regular consumption decreased in the total population (-0.56pp/year), mainly among men (-0.70pp/year), adults aged 25-34 years (-0.84pp/year), and with higher schooling (-0.96pp/year). The recommended consumption increased from 2008 to 2014 (0.81pp/year), mainly among women (0.90pp/year), adults aged 55-64 years (0.96pp/year), and those with higher schooling (0.77pp/year). The recommended consumption decreased from 2015 to 2023 in total population (-0.52pp/year) and all sociodemographic groups, except for men and adults aged ≥ 65 years. The Brazilian fruit and vegetable consumption increased from 2008 to 2014 but reduced recently (2015-2023).","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00032424"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398362","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

[Access of children with congenital Zika virus syndrome to public policies]. [先天性寨卡病毒综合征儿童获得公共政策的途径]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT014624

Ana Cristina Pannain L Kaufman, Andre Reynaldo Santos Périssé, Cristina Barroso Hofer

{"title":"[Access of children with congenital Zika virus syndrome to public policies].","authors":"Ana Cristina Pannain L Kaufman, Andre Reynaldo Santos Périssé, Cristina Barroso Hofer","doi":"10.1590/0102-311XPT014624","DOIUrl":"10.1590/0102-311XPT014624","url":null,"abstract":"Congenital Zika syndrome (CZS) is responsible for several malformations, including microcephaly. This study aimed to describe children's access to social public policies: lifetime benefit (E60) created in the face of the Zika virus public health emergency (Espin-ZIKV) or Continuous Cash Benefit/Type 87 (BPC/E87). Thus, this study compares the children's access before and after Espin-ZIKV. This was a cross-sectional study, with data extraction and description from the Brazilian Information System on Live Births (SINASC), the Registry of Public Health Events-Microcephaly (Resp-Microcephaly), and the Unified System for Benefits Information (SUIBE), from 2013 to 2021. We describe the E60 that were still active at the time of SUIBE data extraction in May, 2023. We compared the granting of BPC/E87 for microcephaly in 2013 and 2021 (before and after Espin-ZIKV). Of the 20,000,859 live births from 2015-2021, 20,464 suspected cases of CZS were reported in Resp-Microcephaly; 20% of affected patients received some social benefit: 705 received E60 and 3,822 received BPC/E87. The national average of BPC/E87 granted in 2013 for microcephaly was eight for every 100,000 live births (before Espin-ZIKV), while in 2021 it was five BPC/E87 for every 100,000 live births (after Espin-ZIKV) (p < 0.01). We observed 689 children with active E60 (from 3 to 8 years of age), in May, 2023. The study showed low social protection for children with suspected CZS. However, of those who benefited from the E60, 98% had active benefits in 2023, demonstrating the important survival of the benefited children. A reduction in the mean number of BPC/E87 grants for microcephaly without specified cause was observed after Espin-ZIKV.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00014624"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397986","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

Dating violence perpetration and victimization among high schoolers from public and private schools in Rio de Janeiro, Brazil. 巴西里约热内卢公立和私立高中学生的约会暴力犯罪和受害情况。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN149923

Claudia Leite de Moraes, Daniela Porto Faus, Márcia C Castro, Michael Reichenheim, Washington Leite Junger, Stella Regina Taquette

{"title":"Dating violence perpetration and victimization among high schoolers from public and private schools in Rio de Janeiro, Brazil.","authors":"Claudia Leite de Moraes, Daniela Porto Faus, Márcia C Castro, Michael Reichenheim, Washington Leite Junger, Stella Regina Taquette","doi":"10.1590/0102-311XEN149923","DOIUrl":"10.1590/0102-311XEN149923","url":null,"abstract":"Dating violence during adolescence is a global public health issue due to its widespread occurrence and negative health consequences. Unfortunately, research addressing this topic in Latin American countries remains limited. Seeking to bridge this gap, the present study estimated the prevalence of both dating violence victimization and perpetration among high schoolers considering sociodemographic factors, exposure to other forms of violence, and school-related characteristics. A total of 539 students participated in the study selected by means of probabilistic sampling from private and public schools in Rio de Janeiro, Brazil. Dating violence was identified using the Conflict in Adolescent Dating Relationships Inventory. Victimization prevalence ranged from 16.7% (sexual) to 94.6% (emotional), whereas perpetration prevalence varied between 9.9% (sexual) and 94.6% (emotional). Boys were more physically victimized (37.2% vs. 24.5%) and perpetrated more sexual abuse (13.7% vs. 6.9%) than girls. Adolescents reporting child abuse, living in violent areas, and those who consumed alcoholic beverages more frequently had greater dating violence prevalence overall. However, some differences between male and female vulnerability characteristics merit debate. These heterogeneous profiles of victimization/perpetration between boys and girls indicate the need for specific dating violence prevention interventions.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00149923"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398232","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

[Social determination of health, complexity, coloniality, and the long term]. [健康的社会决定因素、复杂性、殖民性和长期性]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT035724

Gil Sevalho

{"title":"[Social determination of health, complexity, coloniality, and the long term].","authors":"Gil Sevalho","doi":"10.1590/0102-311XPT035724","DOIUrl":"10.1590/0102-311XPT035724","url":null,"abstract":"This essay connects critical knowledge on the social determination of health, coloniality, and time as an epistemic foundation. Time is a relevant element in the articulation of complex interdisciplinary work, though it has not been deeply reflected upon in Public Health. The essay revisits historical bases and updates the debate on the social determination of health, highlighting the contributions of Naomar de Almeida Filho and Jaime Breilh - authors whose thoughts primary focus are on the Global South, outside of the North American and Eurocentric hegemony. Complexity, commitment to social transformation, and a decolonizing perspective inspire the intersection between public health, the reflections of Fernand Braudel and Immanuel Wallerstein on the long term and historical capitalism in the modern world-system, and decolonial thought with its concept of coloniality. The Braudelian conception encompasses multiple temporalities and dialectically integrates change and permanence in the long term, while decolonial reflection inserts coloniality into this longue durée. Coloniality is part of the social determination of health, either as a mechanism that produces and reproduces economic, gender, and ethno-racial inequalities and social oppression, or in its epistemological dimension as the coloniality of knowledge behind epidemiological conceptualization. Braudel's longue durée, Wallerstein's world-system, and decolonial thought are contributions to be further explored within health thinking. The epistemological integration of time into epidemiological reflection can reveal erasures and (re)constitute historical contexts and durations whose complexity escapes the fragmented and static view of determinants produced by the Cartesian functionalism of risk factor epidemiology.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00035724"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398198","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

[Childhood vaccination: doubts, ambiguities and decision-making in middle-class mothers in Argentina]. [儿童疫苗接种：阿根廷中产阶级母亲的疑虑、模糊和决策]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XES010424

María Jimena Mantilla, Juan Pedro Alonso

{"title":"[Childhood vaccination: doubts, ambiguities and decision-making in middle-class mothers in Argentina].","authors":"María Jimena Mantilla, Juan Pedro Alonso","doi":"10.1590/0102-311XES010424","DOIUrl":"10.1590/0102-311XES010424","url":null,"abstract":"In recent years, behaviors of rejection or hesitancy towards vaccination and the growth of the so-called \"anti-vax movement\" have been defined as a challenge to Public Health. This articles aims to analyze the decision-making processes of middle-class mothers in the metropolitan area of Buenos Aires, Argentina, in relation to the vaccination of their children, considering factors that trigger behaviors of hesitancy or fear towards vaccination. A total of 35 in-depth interviews were conducted with middle-class mothers in the city of Buenos Aires, identified with \"natural\" or similar to the so-called \"respectful upbringing\" motherhood styles. Different trajectories or paths for vaccine hesitancy or rejection can be traced: (a) previously generated by comments or indications from health professionals during childbirth or pediatric consultations; (b) resulting from more general changes in lifestyles, marked by the option for alternative or \"natural\" healthcare; (c) inserted in processes of criticism and distrust in relation to biomedicine and the affirmation of autonomy in healthcare decisions; and (d) from an active search for information in sources mostly opposed to vaccination. The doubts or ambiguities regarding vaccination presented by these mothers do not unequivocally translate into the rejection of vaccination, but rather into a diversity of practices: vaccination with reservations, selection or postponement of some vaccines and non-vaccination.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00010424"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398303","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

[Food insecurity, environment, and habitability in households in urban and rural areas of Brazil]. [巴西城乡家庭的粮食不安全、环境和可居住性]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT089424

Eloah Costa de Sant Anna Ribeiro, Aléxia Vieira de Abreu Rodrigues, Luana Teixeira Ghiggino, João Henrique Rabelo Câmara, Rosana Salles da Costa, Aline Alves Ferreira

{"title":"[Food insecurity, environment, and habitability in households in urban and rural areas of Brazil].","authors":"Eloah Costa de Sant Anna Ribeiro, Aléxia Vieira de Abreu Rodrigues, Luana Teixeira Ghiggino, João Henrique Rabelo Câmara, Rosana Salles da Costa, Aline Alves Ferreira","doi":"10.1590/0102-311XPT089424","DOIUrl":"10.1590/0102-311XPT089424","url":null,"abstract":"This study aimed to investigate the relation between food insecurity and basic sanitation and habitability conditions in households according to urban and rural areas in Brazil. This cross-sectional study was based on microdata from the 2017-2018 Brazilian Household Budget Survey. Habitability conditions were analyzed based on water access; sanitary drainage; garbage collection service; presence of river, lake, polluted bays near the home; presence of a slope near the home; and presence of synanthropes. Food insecurity was measured by the Brazilian Food Insecurity Scale. The occurrence of the most severe levels in households (moderate/severe food insecurity) was considered as the outcome. Prevalence estimates and odds ratios were generated with 95% confidence intervals on the Stata software. Urban households with higher odds of moderate/severe food insecurity were associated with wells, inadequate garbage disposal, and lack of treated sewage, whereas the greatest vulnerabilities in rural households were related to sewage connected to ditches and the risk of landslides/hills/flooding. Urban and rural Brazilians areas showed heterogeneous basic sanitation and habitability conditions, representing challenges to the guarantee of food and nutritional security.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00089424"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398107","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

[Facilitators, barriers, and strategies for expanding the use of food intake markers in primary health care]. [在初级卫生保健中推广使用食物摄入量标记的促进因素、障碍和策略]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT119224

Joanna Manzano Strabeli Ricci, Agatha Cosmo de Moura Balbino, Pedro Henrique Benicio Oliveira, Priscila de Morais Sato, Bárbara Hatzlhoffer Lourenço

{"title":"[Facilitators, barriers, and strategies for expanding the use of food intake markers in primary health care].","authors":"Joanna Manzano Strabeli Ricci, Agatha Cosmo de Moura Balbino, Pedro Henrique Benicio Oliveira, Priscila de Morais Sato, Bárbara Hatzlhoffer Lourenço","doi":"10.1590/0102-311XPT119224","DOIUrl":"10.1590/0102-311XPT119224","url":null,"abstract":"This study aimed to understand the facilitators, barriers, and strategies for the use of food intake markers by primary health care (PHC) professionals. The responses of 235 healthcare health care professionals to an electronic questionnaire were used to develop a script for virtually conducted focus groups. In 10 focus groups, 34 professionals from healthcare and management positions from all Brazilian macroregions were included, and the transcripts were thematically analyzed. Healthcare professionals and managers emphasized the need for infrastructure to properly use the markers, pointing to the lack of equipment and connection instabilities as the main barriers. Managers highlighted the possibility of its use by any professional as a facilitator, whereas healthcare professionals positively indicated the structure of the markers. However, participants mentioned the lack of awareness about their importance as a barrier. Despite its slowness, the accessibility of the platforms to register the markers emerged as a facilitator, as did its conditionality with public policies, especially when linked to financial incentives. The focus groups allowed the exchange of strategies, such as continuing education, training for typists, ways to use markers in health care spaces, and expansion of data dissemination. Investment in infrastructure, professional training, and collaboration between PHC teams, with the sharing of strategies, configured crucial factors to strengthen the use of food intake markers.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00119224"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398306","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}

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