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Lopes AA, Friche AADL, Lemos SMA, Bicalho L, Silva AMM, dos Santos TS, Oliveira RCCD, Avan P, Carvalho SADS. Prevalence of hearing loss and health vulnerability in children aged 25 to 36 months: an analysis of spatial distribution. Codas 2023; 35:e20210189. [PMID: 38055408 PMCID: PMC10723582 DOI: 10.1590/2317-1782/20232021189pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 12/26/2022] [Indexed: 12/08/2023] Open
Abstract
PURPOSE To analyze the association between hearing loss and health vulnerability in children aged 25 to 36 months. METHODS Analytical observational cross-sectional study conducted through child hearing screening in nine day-care centers. The screening consisted of anamnesis, otoscopy, tympanometry, transient otoacoustic emissions, and pure tone audiometry. For each exam performed, the 'pass' and 'fail' criteria were established. The children's residential addresses were georeferenced and a choropleth map of the spatial distribution was built, considering the Health Vulnerability Index (HVI). The analysis of the association between the HVI and the variables sex, auditory assessment, and region area of the household was performed using Pearson's Chi-square and Fisher's Exact tests. RESULTS Ninety-five children of both sexes were evaluated, of which 44.7% presented alterations in at least one of the exams performed, being referred for otorhinolaryngological evaluation and subsequent auditory assessment. Of the observed changes, 36.9% occurred in the tympanometry and 7.8% in the transient otoacoustic emissions. Among children referred for reassessment, 9.7% were diagnosed with conductive hearing loss, 13.6% results within normal limits and 21.4% did not attend for assessment. Of the children who presented the final diagnosis of conductive hearing loss (9.7%), 1.9% were classified as low-risk HVI and 6.8% as medium-risk HVI. There was statistical significance between HVI and the child's place of residence. CONCLUSION The association between hearing loss and HIV was not statistically significant; however, it was possible to observe that 77.7% of the children with hearing loss resided in sectors with medium- risk HIV.
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Affiliation(s)
- Aline Aparecida Lopes
- Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | - Amélia Augusta de Lima Friche
- Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
- Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | - Stela Maris Aguiar Lemos
- Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
- Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | - Lorena Bicalho
- Programa de Pós-graduação em Ciências da Saúde da Criança e do Adolescente, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | - Artur Marins Moreto Silva
- Instituto de Geociências, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | - Thamara Suzi dos Santos
- Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
| | | | - Paul Avan
- Laboratoire de Biophysique Neurosensorielle, Université Clermont-Auvergne, France.
- Institut de l'Audition de l'Institut Pasteur - INSERM - Paris, France.
| | - Sirley Alves da Silva Carvalho
- Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
- Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
- Programa de Pós-graduação em Ciências da Saúde da Criança e do Adolescente, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
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Xavier A, Bonfim C, Barbosa Júnior W, Bezerra G, Oliveira C, Uchikawa R, da Silva F, Aguiar-Santos A, Medeiros Z. Influence of social and environmental factors for Culex quinquefasciatus distribution in Northeastern Brazil: a risk index. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:1580-1590. [PMID: 35951738 DOI: 10.1080/09603123.2022.2109603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 07/29/2022] [Indexed: 06/15/2023]
Abstract
Culex quinquefasciatus is a vector of lymphatic filariasis. One important component in planning filariasis control activities is the mapping of vector distribution. A tool that involves socio-environmental factors and Cx. quinquefasciatus density can contribute to the identification of areas that should be prioritized in surveillance actions. This is an ecological study based on the construction and validation of a risk score of urban areas according to social and environmental variables extracted from a national database. Based on this stratification, female Cx. quinquefasciatus were captured. In total, 30,635 Cx. quinquefasciatus were captured, of which 17,161 (56%) were females. The highest vector density index of mosquitoes were captured in households located in the high-risk stratum and the indicator proved to be a tool that identified an association between social and environmental conditions and areas with the highest vector density index of females Cx. quinquefasciatus.
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Affiliation(s)
- Amanda Xavier
- Programa de Pós-graduação em Ciências da Saúde, Universidade de Pernambuco, Recife, Brazil
- Departamento de Parasitologia, Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
| | - Cristine Bonfim
- Diretoria de Pesquisas Sociais, Fundação Joaquim Nabuco, Ministério da Educação, Recife, Brazil
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Pernambuco, Recife, Brazil
| | - Walter Barbosa Júnior
- Departamento de Parasitologia, Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
| | - Gilberto Bezerra
- Materials Research Institute, Athlone Institute of Technology, Athlone, Westmeath, Ireland
| | - Claudia Oliveira
- Departamento de Entomologia, Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
| | - Rodrigo Uchikawa
- Assessoria Especial de Análise de Projetos, Prefeitura Municipal de Igarassu, Igarassu, Brazil
- Direção Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
| | - Filipe da Silva
- Departamento de Ciências Exatas e Sociais Aplicadas, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Ana Aguiar-Santos
- Departamento de Parasitologia, Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
| | - Zulma Medeiros
- Programa de Pós-graduação em Ciências da Saúde, Universidade de Pernambuco, Recife, Brazil
- Departamento de Parasitologia, Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, Brazil
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Miranda WDD, Silva GDMD, Fernandes LDMM, Silveira F, Sousa RPD. Health inequalities in Brazil: proposed prioritization to achieve the Sustainable Development Goals. CAD SAUDE PUBLICA 2023; 39:e00119022. [PMID: 37132719 DOI: 10.1590/0102-311xpt119022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 02/13/2023] [Indexed: 05/04/2023] Open
Abstract
This study aimed to develop a prioritization index to speed up the achievement of national health targets proposed in the 2030 Agenda. This is an ecological study that addressed the Health Regions in Brazil. The index incorporated 25 indicators with analytical proximity to the official indicators of the 2030 Agenda whose data are available from public municipal sources for the period of 2015-2019. According to our study, the index was a powerful method to support health management decisions. The results showed the most vulnerable territories are located in the North Region of the country, and therefore, these are priority areas for resource allocation. The analysis of subindices highlighted local health bottlenecks, reinforcing the need for municipalities in each region to set their own priorities while making decisions for health resource allocation. By indicating Health Regions and priority themes for more investments, this investigation shows paths to support the implementation of the 2030 Agenda, from the local to the national level, in addition to providing elements that can be used by policy makers to minimize the effects of social inequalities on health, prioritizing territories with worse indices.
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Affiliation(s)
| | | | | | - Fabrício Silveira
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
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4
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Fava LMG, Guedes ALDL, Ribeiro LC, Pinto CPG, Souza E Guimarães RJDP, Nogueira MC, Alves MJM, Silva MR. Double screening for syphilis and HIV in pregnant women in a priority municipality for the elimination of vertical transmission in Brazil: incidence, risk factors and spatial analysis. Trans R Soc Trop Med Hyg 2022; 117:336-348. [PMID: 36510849 DOI: 10.1093/trstmh/trac113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 05/25/2022] [Accepted: 11/17/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The Brazilian Ministry of Health (MoH) recommends double screening (DS) for syphilis and HIV during the first and third trimesters of antenatal care (ANC) to mitigate vertical transmission. We surveyed DS outcomes and their associated factors in a priority Brazilian municipality with >100 000 inhabitants who face challenges for both health problems. METHODS A total of 399 women were followed up throughout pregnancy using medical records. Spatial and multinomial logistic analyses were performed. RESULTS There was an incidence rate of 24.8%, 59.4% and 15.8% for 'full DS', 'partial DS' and 'without DS', respectively. Younger women and those with a history of both prematurity and multiparity were less likely to be in the 'full DS' category. There was an overlap of high-density clusters of 'full DS' and 'ANC in better quality basic health units', adherent to both the Family Health Strategy and the National Program for Access and Quality Improvement in Primary Care. CONCLUSIONS The poor DS outcomes presented in 75% of the cases were mostly linked to delays in starting ANC appointments or their discontinuity. Thus, the MoH recommendations, accompanied by ongoing training, technical assistance and the periodic evaluation of their implementation, need to effectively reach providers and promote counseling and awareness about the importance of DS for pregnant women.
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Affiliation(s)
| | | | - Luiz Cláudio Ribeiro
- Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais 36.036-900, Brazil
| | | | | | - Mário Círio Nogueira
- Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais 36.036-900, Brazil
| | | | - Márcio Roberto Silva
- Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais 36.036-900, Brazil.,Embrapa Dairy Cattle, Juiz de Fora, Minas Gerais 36.038-330, Brazil
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Ferreira LDC, Araújo MDC, Tavares DMDS, Bolina AF. Quality of life and social vulnerability of older adults in the urban community: A cross-sectional study. Geriatr Nurs 2022; 46:46-51. [DOI: 10.1016/j.gerinurse.2022.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 04/15/2022] [Accepted: 04/19/2022] [Indexed: 11/29/2022]
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do Socorro Candeira Costa M, Dos Santos Figueiredo FW. Relationship between income inequality, socioeconomic development, vulnerability index, and maternal mortality in Brazil, 2017. BMC Public Health 2021; 21:1842. [PMID: 34641846 PMCID: PMC8507184 DOI: 10.1186/s12889-021-11861-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 09/27/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Public health recognizes that health conditions depend on factors related to the development patterns income distribution, degree of poverty, working conditions, among other social determinants. The objective of this study was to analyze the association of maternal mortality with the Human Development Index (HDI), Gini Index, Income per capita, and the Social Vulnerability. METHOD The study analyzed the relationship between MMR and socioeconomic indicators in the 26 federative units and the Federal District of Brazil, in 2017. The socioeconomic indicators used in the study were: HDI, Gini Index, Income per capita, and SVI. Crude and adjusted linear regression were performed between maternal mortality and socioeconomic indicators. RESULTS When analyzing which socioeconomic determinants that are related to maternal mortality ratio rates, a higher per capita income positive effect was observed for lower MMR (β = - 150.8; CI 95% -289.9 to - 11.7; r2 = 0.17; p = 0.035), as well as a trend of higher MMR in relation to the SVI (β = 97.7; CI 95% -12.2 to 207.6; r2 = 0.12; p = 0.079). In model found by the stepwise forward selections, only the per capita income was um index related to less RMM (β = - 0.02; CI 95% -0.05 to - 0.002; r2 = 0.15; p = 0.028). CONCLUSION The findings showed that the per capita income has a negative association MMR in the different states of Brazil, but seems canceled because of the other socioeconomic determinants related to the poor live conditions.
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Martinez EZ, Passos ADC, Fabbro ALD, Silva ASD, Escarso AC, Pazin-Filho A, Fonseca BALD, Maciel BC, Araújo DCDAE, Clé DV, Gaspar GG, Santos JLFD, Ferreira JBB, Souza JP, Mello LMD, Santos LLD, Passos LMR, Siconelli MJL, Cavalli RDC, Santana RDC, Calado RDT, Scarpelini S, Bollela VR, Floriano VG, Bellissimo-Rodrigues F. Prevalence of virological and serological markers of SARS-CoV-2 infection in the population of Ribeirão Preto, Southeast Brazil: an epidemiological survey. Rev Soc Bras Med Trop 2021; 54:e02102021. [PMID: 34231775 PMCID: PMC8253575 DOI: 10.1590/0037-8682-0210-2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 06/15/2021] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION: This epidemiological household survey aimed to estimate the prevalence of the current and past SARS-CoV-2 infections in Ribeirão Preto, a municipality of southeast Brazil. METHODS: The survey was conducted in two phases using a clustered sampling scheme. The first phase spanned May 1-3 and involved 709 participants. The second phase spanned June 11-14, 2020, and involved 646 participants. RESULTS: During the first phase, RT-PCR performed on nasopharyngeal swabs was positive at 0.14%. The serological tests were positive in 1.27% of the patients during the first phase and 2.79% during the second phase. People living in households with more than five members had a prevalence of 10.83% (95%CI: 1.58-74.27) higher than those living alone or with someone other. Considering the proportion of the positive serological test results with sex and age adjustments, approximately 2.37% (95%CI: 1.32-3.42) of the population had been cumulatively infected by mid-June 2020, which is equivalent to 16,670 people (95%CI: 9,267-24,074). Considering that 68 deaths from the disease in the residents of the city had been confirmed as at the date of the second phase of the survey, the infection fatality rate was estimated to be 0.41% (95%CI: 0.28-0.73). Our results suggest that approximately 88% of the cases of SARS-CoV-2 infection at the time of the survey were not reported to the local epidemiological surveillance service. CONCLUSIONS: The findings of this study provide in-depth knowledge of the COVID-19 pandemic in Brazil and are helpful for the preventive and decision-making policies of public managers.
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Affiliation(s)
- Edson Zangiacomi Martinez
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Afonso Dinis Costa Passos
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Amaury Lelis Dal Fabbro
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Anderson Soares da Silva
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Andreia Cássia Escarso
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Antônio Pazin-Filho
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Divisões de Imunologia Clínica, Emergência e Doenças Infecciosas, e Unidade de Emergência, Ribeirão Preto, SP, Brasil
| | | | - Benedito Carlos Maciel
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Divisão de Cardiologia do Departamento de Clínica Médica, Ribeirão Preto, SP, Brasil
| | | | - Diego Villa Clé
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Imagens Médicas, Hematologia e Oncologia Clínica, Ribeirão Preto, SP, Brasil
| | - Gilberto Gambero Gaspar
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Ribeirão Preto, SP, Brasil
| | - Jair Lício Ferreira Dos Santos
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Janise Braga Barros Ferreira
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - João Paulo Souza
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Luane Marques de Mello
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | - Luciane Loures Dos Santos
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
| | | | - Márcio Junio Lima Siconelli
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Ribeirão Preto, SP, Brasil
| | - Ricardo de Carvalho Cavalli
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Ginecologia e Obstetrícia, Ribeirão Preto, SP, Brasil
| | - Rodrigo de Carvalho Santana
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Divisões de Imunologia Clínica, Emergência e Doenças Infecciosas, e Unidade de Emergência, Ribeirão Preto, SP, Brasil
| | - Rodrigo do Tocantins Calado
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Imagens Médicas, Hematologia e Oncologia Clínica, Ribeirão Preto, SP, Brasil
| | - Sandro Scarpelini
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia, Ribeirão Preto, SP, Brasil.,Secretaria Municipal da Saúde, Ribeirão Preto, SP, Brasil
| | - Valdes Roberto Bollela
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Divisões de Imunologia Clínica, Emergência e Doenças Infecciosas, e Unidade de Emergência, Ribeirão Preto, SP, Brasil
| | - Vitor Gonçalves Floriano
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Ribeirão Preto, SP, Brasil
| | - Fernando Bellissimo-Rodrigues
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Medicina Social, Ribeirão Preto, SP, Brasil
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Campos IS, Aratani VF, Cabral KB, Limongi JE, de Oliveira SV. A Vulnerability Analysis for the Management of and Response to the COVID-19 Epidemic in the Second Most Populous State in Brazil. Front Public Health 2021; 9:586670. [PMID: 33928060 PMCID: PMC8076526 DOI: 10.3389/fpubh.2021.586670] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 03/15/2021] [Indexed: 12/16/2022] Open
Abstract
The COVID-19 pandemic has the potential to affect all individuals, however in a heterogeneous way. In this sense, identifying specificities of each location is essential to minimize the damage caused by the disease. Therefore, the aim of this research was to assess the vulnerability of 853 municipalities in the second most populous state in Brazil, Minas Gerais (MG), in order to direct public policies. An epidemiological study was carried out based on Multi-Criteria Decision Analysis (MCDA) using indicators with some relation to the process of illness and death caused by COVID-19. The indicators were selected by a literature search and categorized into: demographic, social, economic, health infrastructure, population at risk and epidemiological. The variables were collected in Brazilian government databases at the municipal level and evaluated according to MCDA, through the Program to Support Decision Making based on Indicators (PRADIN). Based on this approach, the study performed simulations by category of indicators and a general simulation that allowed to divide the municipalities into groups of 1-5, with 1 being the least vulnerable and 5 being the most vulnerable. The groupings of municipalities were exposed in their respective mesoregions of MG in a thematic map, using the software Tabwin 32. The results revealed that the mesoregion of Norte de Minas stands out with more than 40% of its municipalities belonging to group 5, according to economic, social and health infrastructure indicators. Similarly, the Jequitinhonha mesoregion exhibited almost 60% of the municipalities in this group for economic and health infrastructure indicators. For demographic and epidemiological criteria, the Metropolitana de Belo Horizonte was the most vulnerable mesoregion, with 42.9 and 26.7% of the municipalities in group 5, respectively. Considering the presence of a population at risk, Zona da Mata reported 42.3% of the municipalities in the most vulnerable group. In the joint analysis of data, the Jequitinhonha, Vale do Mucuri and Vale do Rio Doce mesoregions were the most vulnerable in the state of MG. Thus, through the outlined profile, the present study proved how socioeconomic diversity affects the vulnerability of the municipalities to face COVID-19 outbreak, highlighting the need for interventions directed to each reality.
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Affiliation(s)
- Igor Silva Campos
- Undergraduate Medical, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil
| | | | - Karina Baltor Cabral
- Undergraduate Medical, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil
| | - Jean Ezequiel Limongi
- Undergraduate Course in Collective Health, Institute of Geography, Federal University of Uberlândia, Uberlândia, Brazil
| | - Stefan Vilges de Oliveira
- Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil
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Hino P, Takahashi RF, Nichiata LYI, Apostólico MR, Taminato M, Fernandes H. Interfaces of vulnerability dimensions in violence against children. Rev Bras Enferm 2020; 72:343-347. [PMID: 31851272 DOI: 10.1590/0034-7167-2018-0463] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 09/13/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE present and discuss the potential use of the concept of vulnerability for the development of practices to address violence against children. METHOD this is a theoretical study that presents the characteristics of the phenomenon of violence against children, to which the concept of vulnerability is applied. RESULTS proposal of a framework for the analysis of violence against children in the perspective of vulnerability, creating individual and collective dimensions. Violence against children, when analyzed in the perspective of this concept, broadens the understanding of this phenomenon, as it exposes aspects and conditions from outside the family that are co-responsible for the occurrence of this phenomenon. CONCLUSION developing studies to identify the vulnerability of children to violence is essential for the development of practices to address this issue.
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Affiliation(s)
- Paula Hino
- Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
| | | | | | | | - Monica Taminato
- Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
| | - Hugo Fernandes
- Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
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10
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Martinez EZ, Silva ASD, Giglio FM, Terada NAY, Zucoloto ML. Religiosity and patterns of alcohol consumption among users of primary healthcare facilities in Brazil. ACTA ACUST UNITED AC 2019. [DOI: 10.1590/1414-462x201900020234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Abstract Background A number of studies have been reported on the role of religiosity in health beliefs and behaviors. Objective The objective of this cross-sectional study is to examine the association between religious involvement and patterns of alcohol consumption in a large representative sample of users of primary healthcare facilities in Ribeirão Preto, Southeast Brazil. Method Data were collected through personal interviews. Religiosity was measured using the Duke University Religion Index (DUREL) and the alcohol consumption was measured using the Alcohol Use Disorders Identification Test (AUDIT) questionnaire. Multinomial logistic regression models were used to evaluate the associations between the participant characteristics, the AUDIT risk levels, and the drinking groups. Results The sample was composed of 841 women with a mean age of 39.5 years old and 214 men with a mean age of 45.1 years old. A significant relationship between patterns of alcohol consumption and the multiple dimensions of religiosity was detected, such as religious affiliation, religious practices, self-perception of the level of religiosity and the ORA, NORA and IR components of DUREL. Lower levels of drinking risk were detected among religious individuals and among those who practice their religions compared to individuals who have no religion and/or non-practicing individuals, respectively. Conclusion A lifestyle motivated by religious concerns is associated with alcohol use habits among the Brazilian users of the public healthcare facilities.
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Martins LP, Bittencourt JM, Bendo CB, Vale MP, Paiva SM. Malocclusion and social vulnerability: a representative study with adolescents from Belo Horizonte, Brazil. CIENCIA & SAUDE COLETIVA 2019; 24:393-400. [PMID: 30726372 DOI: 10.1590/1413-81232018242.33082016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 03/18/2017] [Indexed: 11/21/2022] Open
Abstract
Malocclusion is public health problem because of its high prevalence, treatment possibility, and impact on the individual's quality of life. This article aims to determining the prevalence of malocclusion in adolescents and to test its association with social vulnerability. A representative transversal study was performed with 1612 adolescents aged between 11 and 14 years old who came from public and private schools in Belo Horizonte, Brazil. The adolescents were examined by three calibrated examiners for diagnosis of malocclusion, using the Dental Aesthetic Index. The Social Vulnerability Index from Belo Horizonte was used to determine the degree of social vulnerability from adolescents. The data were analyzed using Poisson regression with robust variance (p<0,05). Most adolescents presented absence/minor malocclusion (68.7%). Dental crowding was diagnosed in 51.9% from the sample, diastema in 23.7%, anterior open bite in 7.6 %. Malocclusion was associated with social vulnerability (PR=1.25;95% CI=1.01-1.55). Dental crowding was the most prevalent type of malocclusion. The more socially vulnerable adolescents had worse indicators of malocclusion.
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Affiliation(s)
- Letícia Pereira Martins
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Jéssica Madeira Bittencourt
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Cristiane Baccin Bendo
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Miriam Pimenta Vale
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Saul Martins Paiva
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
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Boska GDA, Oliveira MAFD, Claro HG, Araujo TSGD, Pinho PH. Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization. Rev Bras Enferm 2018; 71:2251-2257. [PMID: 30365791 DOI: 10.1590/0034-7167-2018-0149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 05/09/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas - CAPS ad). METHOD It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed. RESULTS When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking. CONCLUSION Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.
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Affiliation(s)
| | | | | | | | - Paula Hayasi Pinho
- Universidade Federal do Recôncavo da Bahia. Santo Antônio de Jesus, Bahia, Brazil
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Farias ODO, Alexandre HDO, Lima ICVD, Galvão MTG, Hanley-Dafoe R, Santos VDF. Attachment styles of People Living with HIV/AIDS. CIENCIA & SAUDE COLETIVA 2018; 25:495-504. [PMID: 32022190 DOI: 10.1590/1413-81232020252.11852018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 06/14/2018] [Indexed: 11/22/2022] Open
Abstract
Factors that involve the dynamics in interpersonal relationships and may have consequences in health are still little explored in people living with HIV/AIDS. The aim was to identify the evidences of literature regarding adult attachment style and HIV. It is an Integrative literature review. Seven databases were explored, using the combination of key words and Boolean connectors: "Attachment Style OR Object Attachment AND HIV". A reasonable number of articles addressed attachment among people with HIV as a mediator to post-traumatic stress disorder, depression and stress. The prevalence of insecure attachment in this group was high. Evidence was also found in relation to the attachment as an important factor to adaptation to the diagnosis of HIV, attachment and behavior in interpersonal relationships, and emphasize the possibility of changing the attachment style.
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Affiliation(s)
- Odaleia de Oliveira Farias
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | - Herta de Oliveira Alexandre
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | | | - Marli Teresinha Gimeniz Galvão
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | | | - Vanessa da Frota Santos
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
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Reis LMD, Oliveira MLFD. Vulnerabilidade social em famílias que convivem com comportamento aditivo por tempo prolongado. ACTA PAUL ENFERM 2017. [DOI: 10.1590/1982-0194201700061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo Analisar a vulnerabilidade social de famílias que convivem por tempo prolongado com o comportamento aditivo de um de seus membros. Métodos Estudo transversal, com familiares de 29 usuários de drogas, internados com trauma físico associado à intoxicação por drogas de abuso entre abril a setembro de 2014. Utilizou-se o Índice de Vulnerabilidade das Famílias Paranaenses, composto pelas dimensões: adequação do domicílio; perfil e composição familiar; acesso ao trabalho e renda e escolaridade. Os dados foram analisados por medidas de tendência. Resultados Os usuários tinham média de idade de 40,1 anos e comportamento aditivo médio de 20,8 anos. Apenas três famílias não estavam em vulnerabilidade social, e a maior vulnerabilidade foi em relação ao acesso ao trabalho e renda (79,3%) e escolaridade (82,6%), com relação proporcional entre essas dimensões. Conclusão Encontrou-se agravamento da vulnerabilidade em indicadores de longo prazo, proporcional aos anos de enfrentamento às drogas.
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