DEMSC - Artigos publicados em periódicos
URI permanente para esta coleçãohttp://www.hml.repositorio.ufop.br/handle/123456789/8508
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Item Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic.(2021) Szwarcwald, Célia Landmann; Damacena, Giseli Nogueira; Barros, Marilisa Berti de Azevedo; Malta, Deborah Carvalho; Souza Junior, Paulo Roberto Borges de; Azevedo, Luiz Otávio; Machado, Ísis Eloah; Lima, Margareth Guimaraes; Romero, Dália Elena; Gomes, Crizian Saar; Werneck, André Oliveira; Silva, Danilo Rodrigues Pereira da; Gracie Carrijo, Renata de Saldanha da Gama; Pina, Maria de Fátima deThis is a cross-sectional study investigating the factors affecting brazilians’ self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression mod- els were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social re- straint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for men- tal health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (ad- justed OR = 3.60, p < 0.001). People who experienced sleep problems, worsen- ing of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eat- ing behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biologi- cal, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil.Item Mental health of Brazilian adolescents during the COVID-19 pandemic.(2022) Barros, Marilisa Berti de Azevedo; Lima, Margareth Guimaraes; Malta, Deborah Carvalho; Azevedo, Renata Cruz Soares de; Fehlberg, Bruna Kelly; Souza Junior, Paulo Roberto Borges de; Azevedo, Luiz Otávio; Machado, Ísis Eloah; Gomes, Crizian Saar; Romero, Dália Elena; Damacena, Giseli Nogueira; Werneck, André Oliveira; Silva, Danilo Rodrigues Pereira da; Almeida, Wanessa da Silva de; Szwarcwald, Célia LandmannWe aimed to assess the factors associated with frequent sadness and nervousness in Brazilian adolescents, during the Covid-19 pandemic, in 9470 adolescents (aged 12–17 years), interviewed from June 27 to September 17, 2020. Prevalences and prevalence ratios were estimated according to socio-demographic variables and factors related to family, school, friends, and health. Brazilian adolescents often felt sad (32.4%) and nervous (48.7%). Higher prevalences of these feelings were related to: being female; aged 15–17 year; from families with financial difficulties; having learned little or nothing with remote education; missing friends; having few friends; family disagreements; having regular/bad health before the pandemic; and worsened health and sleep during the pandemic. Higher prevalence of nervousness was also found in adolescents who worked before the pandemic and those who reported lack of concentration and not knowing if they had COVID-19. Sadness and nervousness in Brazilian adolescents is high and the need for action by the government, schools, health services, and parents to mitigate the impact of the pandemic on the physical and mental health of adolescents. Special attention must be paid to adolescents with previous health problems and those belonging to the most socially vulnerable population.Item Valores de referência para exames laboratoriais de colesterol, hemoglobina glicosilada e creatinina da população adulta brasileira.(2019) Szwarcwald, Célia Landmann; Malta, Deborah Carvalho; Pereira, Cimar Azeredo; Figueiredo, André William; Almeida, Wanessa da Silva de; Machado, Ísis Eloah; Bacal, Nydia Strachman; Silva, Alanna Gomes da; Silva Júnior, Jarbas Barbosa da; Rosenfeld, Luiz Gastão MangeIntrodução: Este artigo teve o objetivo de estimar valores de referência de exames laboratoriais de colesterol, hemoglobina glicosilada e creatinina para a população adulta brasileira. Métodos: Estudo descritivo realizado com os dados laboratoriais da Pesquisa Nacional de Saúde (PNS). Foram coletadas amostras de sangue e urina em subamostra da PNS constituída de 8.952 indivíduos de 18 anos ou mais. Para determinar os valores de referência, aplicaram-se critérios de exclusão, como a presença de doenças prévias e dos outliers, definidos pelos valores fora do intervalo estimado pela média ± 1,96 × desvio padrão. Posteriormente, foram calculados os valores de referência segundo sexo, faixa etária e raça/cor. Resultados: Observaram-se diferenças nos valores de referência de acordo com o sexo. O colesterol total, a lipoproteína de baixa densidade colesterol (LDL-c) e a lipoproteína de alta densidade colesterol (HDL-c) apresentaram valores mais elevados entre as mulheres. A hemoglobina glicosilada alcançou valores semelhantes segundo sexo, e a creatinina foi mais elevada entre os homens. Os valores médios de referência foram mais altos na população idosa, de 60 anos ou mais. A média e os limites inferiores e superiores do colesterol total e frações dos indivíduos não brancos foram ligeiramente mais baixos. Não houve diferença segundo raça/cor para hemoglobina glicosilada nem para creatinina. Conclusão: O estabelecimento de parâmetros nacionais de referência de exames laboratoriais, adaptados às características sociodemográficas e geográficas, fornece subsídios relevantes para a avaliação do diagnóstico e tratamento de doenças crônicas no Brasil.Item Self-reported occupational accidents among Brazil’s adult population based on data from the 2013 National Health Survey.(2017) Malta, Deborah Carvalho; Stopa, Sheila Rizzato; Silva, Marta Maria Alves da; Szwarcwald, Célia Landmann; Franco, Marco da Silveira; Santos, Flavia Vinhaes; Machado, Elaine Leandro; Goméz, Carlos MinayoObjective: to provide an overview of occupational accidents among Brazil’s adult population. Methods: descriptive study using data from the 2013 National Health Survey. Results: A total of 4.9 million workers mentioned having suffered some kind of work-related accident, which is equivalent to 3.4% (CI95% 4.6-5.6) of Brazil’s adult population. Prevalence rates were higher among men, young adults aged between 18 and 39 years, and black people and in the North Region of the country. Prevalence was highest in the State of Para and lowest in the State of Rio de Janeiro State. Around one third of all accidents were commuting accidents, 50.4% (CI95% 45.3-55.5) of people who had suffered an occupational accident were prevented from carrying out some kind of routine activity due to the accident, 8.8% (CI95% 6.4-11.2) were hospitalized and 19% (CI95% 15.3-22.7) had sequelae resulting from occupational accidents. Conclusion: the data provided by the National Health Survey comprises an unprecedented and invaluable source of information on these issues in Brazil. The results of the survey confirm that occupational accidents are underreported, since official figures do not cover individuals working in the informal sector.