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Hirata RP, Oliveira JMD, Schneider LP, Bertoche MP, Rodrigues LAL, Rodrigues A, Mantoani LC, Hernandes NA, Pitta F, Furlanetto KC. The Gini Coefficient: A New Approach to Assess Physical Activity Inequality in COPD. COPD 2020; 17:623-626. [PMID: 33238759 DOI: 10.1080/15412555.2020.1813270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Increasing physical activity (PA) is a complex and challenging task in patients with chronic obstructive pulmonary disease (COPD). However, some questions are raised regarding the evaluation of PA in these patients: Have all aspects of PA evaluation in patients with COPD already been explored in the scientific literature and clinical practice? What is the clinical importance of assessing PA inequality? PA inequality is defined as the Gini coefficient (Ginicoef) of the PA distribution of a population and is already shown to have implications for public health in the general population. It is a simple tool that might allow a better understanding of PA disparities among different COPD populations, although to our knowledge there is no previous investigation of PA inequality in patients with COPD using the Ginicoef. In this perspective study we have provided examples of the Ginicoef use in different scenarios. Future studies might try to apply it in order to identify subpopulations with higher PA inequality, and perhaps are therefore more prone to benefit most from interventions specifically tailored to promote PA. In summary, we propose the quantification of PA inequality with the Ginicoef as a tool that might allow us to see PA even more comprehensively than we already do, expanding our perspective on PA in patients with COPD.
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Affiliation(s)
- Raquel Pastrello Hirata
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Joice Mara de Oliveira
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil.,Biological and Health Sciences Research Center, Unopar Pitágoras University (UNOPAR), Londrina, Brazil
| | - Lorena Paltanin Schneider
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Mariana Pereira Bertoche
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | | | - Antenor Rodrigues
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Leandro Cruz Mantoani
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Nidia Aparecida Hernandes
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Fabio Pitta
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Karina Couto Furlanetto
- Laboratory of Research in Respiratory Physiotherapy, Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil.,Biological and Health Sciences Research Center, Unopar Pitágoras University (UNOPAR), Londrina, Brazil
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Barbosa Ardila SD, Hernandéz LJ. Inequidad en mortalidad infantil y servicios pediátricos en Bogotá: nuevo modelo de análisis para América Latina. Rev Salud Publica (Bogota) 2018; 20:599-605. [DOI: 10.15446/rsap.v20n5.70492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 09/12/2018] [Indexed: 11/09/2022] Open
Abstract
Objetivos Describir la relación entre la disponibilidad de servicios de salud y la mortalidad infantil en Bogotá.Métodos Se tomaron los datos de tasa mortalidad infantil (TMI) y razón de camas de hospitalización pediatricas (RCAM) y centros de servicios urgencias por localidad (RSUP) para los años 2010-2016, se estimo un GINI de distribución y un coeficiente de correlación de Pearson (r) entre las variables.Resultados Durante el periodo de años 2010 a 2016 hubo 726 946 nacidos vivos (NV) y fallecieron 7 681 niños menores de 1 año, con un aseguramiento del 94,7% de los cuales el 75% pertenecen al regimen contributivo. La tasa de mortalidad infantil disminuyó siendo 9,11 en el año 2016, pero aumentó en las localidades Tunjuelito, Antonio Nariño y Ciudad Bolivar siendo >12 por mil NV.Conclusiones Los servicios de salud tienen una distribución inetquitativa con un GINI de 0,44 para PSUP y de 0,701 para RCAM. Existe una correlación con mortalidad infantil en las localidades con menor RSUP tiene un r(-0,340) y para PCAM un r(-0,648) en el año 2016.
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Jenabi E, Khazaei S. Maternal mortality ratio in Iran compared to other regions (1990-2015): progress and challenges. J Matern Fetal Neonatal Med 2017; 32:1398-1400. [PMID: 29141469 DOI: 10.1080/14767058.2017.1406471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Ensiyeh Jenabi
- a Department of Midwifery, Tuyserkan Branch , Islamic Azad University , Tuyserkan , Iran
| | - Salman Khazaei
- b Department of Epidemiology, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran
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