Navegando por Autor "Mingoti, Sueli Aparecida"
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Item Combination of conditional cash transfer program and environmental health interventions reduces child mortality : an ecological study of Brazilian municipalities.(2021) Souza, Anelise Andrade de; Mingoti, Sueli Aparecida; Sousa, Rômulo Paes de; Heller, LeoBackground: This study aims to assess the interactive effects of Brazilian public interventions, environmental health programs (access to water, sanitation and solid waste collection) and a Conditional Cash Transfer Program (PBF), on the mortality reduction due to diarrhea and malnutrition among children under 5 years old. Methods: The study design is ecological, with longitudinal analysis in a balanced panel. The period covered is 2006 to 2016, including 3467 municipalities from all regions of the country, which resulted in 38,137 observations. The generalized linear models were adjusted considering the Negative Binomial (NB) distribution for the number of deaths due to malnutrition and diarrhea, with fixed effects. NB models with and without zero-inflation were assessed. Subsequent interaction models were applied to assess the combined effects of the two public policies. Results: In relation to the decline of mortality rates due to diarrhea in the municipalities, positive effect modification were observed in the presence of: high coverage of the target population by the PBF and access to water, 0.54 (0.28–1.04) / 0.55 (0.29–1.04); high coverage by the total population by the PBF and access to water, 0.97 (0.95–1.00) and high coverage by the total population by the PBF and access to sanitation, 0.98 (0.97–1.00). Decline on diarrhea mortality was also observed in the joint presence of high coverage of solid waste collection and access to water, categories 1 (> 60% ≤85%): 0.98 (0.96–1.00), 0.98 (0.97–1, 00) and 2 (> 85% ≤ 100%): 0.97 (0.95–0.98), 0.97 (0.95–0.99). Negative effect modification were observed for mortality due to malnutrition in the presence of simultaneous high coverage of the total population by the PBF and access to sanitation categories 1 (≥ 20 < 50%): 1.0061 (0.9991–1.0132) and 2 (≥ 50 < 100%): 1.0073 (1.0002–1.0145) and high coverage of the total population by the PBF and solid waste collection, 1.0004 (1.0002–1.0005), resulting in malnutrition mortality rates increase. Conclusion: Implementation of environmental health services and the coverage expansion by the PBF may enhance the prevention of early deaths in children under 5 years old due to diarrhea, a poverty related disease.Item Combined effects of conditional cash transfer program and environmental health interventions on diarrhea and malnutrition morbidity in children less than five years of age in Brazil, 2006–2016.(2021) Souza, Anelise Andrade de; Mingoti, Sueli Aparecida; Sousa, Rômulo Paes de; Heller, LeoIntroduction Governmental measures aiming at social protection, with components of disease control, have potential positive impacts in the nutritional and health outcomes of the beneficiaries. The concomitant presence of these measures with environmental sanitation interventions may increase their positive effect. The context of simultaneous improvement of social protection and environmental sanitation is found in Brazil since 2007 and an assessment of the combined effects of both programs has not been performed so far. Objective To evaluate whether interaction effects between improvement of access to water, sanitation and solid waste collection with the Bolsa Família Program [PBF] were related to better responses in the reduction of morbidity due to diarrhea and malnutrition in children less than five years of age, acknowledging the positive results of these improved conditions and the PBF separately in coping with these diseases. Methods Descriptive and inferential analyses were performed through Generalized Linear Models of the Negative Binomial type of fixed effects, with and without addition of zeros. Interaction models were inserted in order to evaluate the outcomes when the two public policies of interest in the current study were present simultaneously in the municipalities. Results Interaction with negative effect when a concomitantly high municipal coverage of the Bolsa Família Program and adequate access to sanitation and solid waste collection were present. In contrast, regardless of municipal coverage by the PBF, the simultaneous presence of water and sanitation (0.028% / 0.019%); water and solid waste collection (0.033% / 0.014%); sanitation and solid waste collection (0.018% / 0.021%), all resulted in a positive effect, with a decrease in the average morbidity rates for both diseases. Conclusion Investments aimed at universalizing water, sanitation and solid waste collection services should be priorities, aiming at reducing the incidence of morbidity due to malnutrition and diarrhea and preventing deaths from these poverty-related diseases.Item Does access to healthy food vary according to socioeconomic status and to food store type? : an ecologic study.(2019) Costa, Bruna Vieira de Lima; Menezes, Mariana Carvalho de; Oliveira, Cláudia Di Lorenzo; Mingoti, Sueli Aparecida; Jaime, Patricia Constante; Caiaffa, Waleska Teixeira; Lopes, Aline Cristine SouzaBackground: The food environment can influence opportunities and barriers to food access. This study aimed to investigate whether access to healthy foods varies according to store types and the socioeconomic status of the users of the public health promotion program in Brazil, known as the Health Academy Program. Methods: A total of 18 Health Academy Program centers were selected via simple conglomerate sampling. Health Academy Program users living up to 1 km from the food stores were evaluated (n = 2831). Their socioeconomic status was investigated via face-to-face interviews. The food stores were audited through direct observation. Variables included the community nutrition environment (type and location) and consumer nutrition environment (healthy food store index, involving variables such as availability, variety, and advertising of healthy and unhealthy products). Multiple linear regression analysis was performed to examine the association between access to healthy foods, socioeconomic status, and food store type. Results: A total of 336 stores were investigated. The majority were specialty fruit and vegetable markets/stores or open-air food markets. Access to healthy food was only associated with the food store type. An increase of 1% in the availability of specialized fruits and vegetable markets or open-air food markets and supermarket raised healthy food store index values by 0.12 and 0.07, respectively. Conclusions: Public food supply policies aimed at improving the diet quality of the population and reducing inequality in access should prioritize the implementation of stores of better quality, such as specialty fruit and vegetable markets and open-air food markets.Item Índices de capacidade para processos multivariados independentes : extensões dos índices de Niverthi e Dey e Mingoti e Glória.(2011) Mingoti, Sueli Aparecida; Oliveira, Fernando Luiz Pereira de; Conceição, Míriam Márcia Carvalho daNeste artigo apresentamos dois novos índices de capacidade multivariados para processos independentes que são extensões do coeficiente de capacidade univariado Cpm. Esses novos índices foram formulados de acordo com as ideias de Niverthi e Dey (2000) e Mingoti e Glória (2008) e são sensíveis a diferenças entre as médias de especificação e de processo. Uma comparação entre os índices foi realizada considerando-se vários cenários diferentes e mostrou que o novo coeficiente construído com base na formulação de Mingoti e Glória teve um desempenho melhor que o fundamentado na formulação de Niverthi e Dey, embora ambos tenham se mostrado adequados para avaliar a capacidade de processos multivariados não centrados. Para construção de intervalos de confiança para o índice de capacidade real do processo foi empregada a metodologia Bootstrap. A qualidade dos estimadores dos coeficientes de capacidade foi avaliada por simulação de Monte Carlo.Item Intervention for promoting intake of fruits and vegetables in Brazilians : a randomised controlled trial.(2021) Mendonça, Raquel de Deus; Mingoti, Sueli Aparecida; Bethony, Maria Flávia Gazzinelli; Martínez González, Miguel Ángel; Bes Rastrollo, Maira; Lopes, Aline Cristine SouzaObjective: To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake. Design: A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions. The intervention was based on the transtheoretical model and Paulo Freire’s pedagogy. The interventions included group educational sessions, motivational cards and informational materials. The primary outcome was a change in FV intake (g/d), and secondary outcomes included stages of change, self-efficacy, decisional balance and knowledge on FV. All data were collected face-to-face; and FV intake was assessed using a validated brief questionnaire. Setting: Health promotion services of Brazilian Primary Health Care. Participants: 3414 users of Brazilian Primary Health Care (1931 in the control group and 1483 in the intervention group (IG)). Results: At baseline, the average daily FV intake was 370·4 g/d (95 % CI 364·2, 376·6). The increase in FV intake (23·4 g/d; 95 % CI 6·7, 40·0) and fruit intake (þ17·3 g/d; 95 % CI 5·1, 29·4; P = 0·01) was greater in the IG among participants in the lowest baseline intake. Participants in the IG also showed progression in the stages of change (P < 0·001), increased self-efficacy (P < 0·001) and improved knowledge of FV crops (P < 0·001). Conclusions: The nutritional intervention was effective in increasing FV intake and fruits intake among individuals with a lower intake at baseline and in maintaining FV intake among those who reported consuming FV as recommended (400 g/d).Item On capability indices for multivariate autocorrelated processes.(2011) Mingoti, Sueli Aparecida; Oliveira, Fernando Luiz Pereira deIn this paper the effects of the autocorrelation on some multivariate capability indices commonly used for independent processes are discussed and a correction is proposed. Some results are shown for VARMA(1,1) and VAR(1) time series processes under the multivariate normality assumption and the proportion of non-conforming units is calculated for some bivariate VAR(1) models. An extension of Veevers capability index for non-centered processes is also a subject addressed in this paper. An example of application in blast charcoal furnace pig iron process is presented and bootstrap is used to build confidence intervals for its true capability value as well as to evaluate the performance of the capability estimators. Similar as to what is already known for univariate processes the results showed that autocorrelation has a large impact in the multivariate capabilities indices. This paper also shows that some care should be taken when using Niverthi and Dey’s capabilities indices since they are very sensitive to any deviations from the process means to the specification means up to a point that a capable process might be considered non-capable.