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Transtornos mentais comuns e uso de psicofármacos: impacto das condições socioeconômicas; Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions; Trastornos mentales comunes y uso de psicofármacos: impacto de las condiciones socioeconómicas

LIMA, Maria Cristina Pereira; MENEZES, Paulo Rossi; CARANDINA, Luana; CESAR, Chester Luiz Galvão; BARROS, Marilisa Berti de Azevedo; GOLDBAUM, Moisés
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56%
OBJETIVO: Avaliar a influência das condições socioeconômicas na associação entre transtornos mentais comuns, uso de serviços de saúde e de psicofármacos. MÉTODOS: Estudo transversal populacional conduzido na cidade de Botucatu, SP, com amostragem probabilística, estratificada e por conglomerados. Foram realizadas entrevistas domiciliares com 1.023 sujeitos de 15 anos ou mais de idade, entre 2001 e 2002. Transtorno mental comum foi avaliado utilizando o Self Reporting Questionnaire (SRQ-20). O uso de serviços foi investigado com relação à quinzena anterior à entrevista e uso de psicotrópicos, nos três dias anteriores. Utilizou-se regressão logística para análise multivariável, considerando o efeito do desenho. RESULTADOS: No total da amostra, 13,4% (IC 95%: 10,7;16,0) procuraram serviços de saúde na quinzena anterior à entrevista. A procura de serviços de saúde se associou ao sexo feminino (OR=2,0) e à presença de transtorno mental comum (OR=2,2). Na amostra 13,3% (IC 95%: 9,2;17,5) referiram ter usado ao menos um psicotrópico, destacando-se os antidepressivos (5,0%) e os benzodiazepínicos (3,1%). Na análise multivariável, sexo feminino e presença de transtorno mental comum mantiveram-se associados ao uso de benzodiazepínicos. Renda per capita mostrou-se direta e independentemente associada ao uso de psicofármacos...

Condições socioeconômicas e câncer de cabeça e pescoço: uma revisão sistemática de literatura; Socioeconomic conditions and head and neck cancer: a systematic literature review

BOING, Antonio Fernando; ANTUNES, José Leopoldo Ferreira
Fonte: Associação Brasileira de Pós-Graduação em Saúde Coletiva Publicador: Associação Brasileira de Pós-Graduação em Saúde Coletiva
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.1%
O presente estudo teve como objetivo descrever as principais características dos estudos epidemiológicos que investigaram a associação entre condições socioeconômicas e câncer de cabeça e pescoço. Foram pesquisadas as bases de dados Medline (Literatura Internacional em Ciências), Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde) e Scielo (Scientific Electronic Library Online), além de referências citadas nos artigos obtidos a partir da busca primária nessas bases. O período de publicação considerado englobou 38 anos (1970-2007) e a análise restringiu-se aos artigos em espanhol, inglês ou português. Foram selecionados 25 estudos, 15 com delineamento caso-controle, quatro ecológicos e seis que mesclaram informações de bases de dados oficiais, como censos e registros de câncer ou de óbitos. A maior parte das pesquisas reportou associação entre piores condições socioeconômicas e câncer de cabeça e pescoço. Os indicadores mais empregados foram a ocupação e a escolaridade. Poucos estudos investigaram mediação, procurando evidenciar quais os fatores proximais operam na associação investigada. Pesquisas adicionais, com critérios uniformes para proceder aos ajustes nos modelos de regressão e amostra suficiente...

Mortalidade por AIDS e condições socioeconômicas no Município de São Paulo, 1994 a 1999.; AIDS Mortality and socioeconomic conditions in the city of São Paulo, 1994-1999.

Farias, Norma Suely de Oliveira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 28/06/2002 PT
Relevância na Pesquisa
66.27%
Introdução. A influência de fatores sócioeconômicos na epidemia pelo HIV/Aids tem sido discutida na literatura científica. Objetivo. Estudar a mortalidade por Aids segundo condições sócioeconômicas no município de São Paulo, no período de 1994 a 1999, entre homens e mulheres de 15 a 49 anos (15 a 24; 25 a 49). Método. Trata-se de um estudo ecológico tendo como unidades de análise os 96 distritos e 5 áreas homogêneas, classificadas segundo o índice social para cada distrito. Foram utilizados dados secundários do PROGRAMA DE APRIMORAMENTO DAS INFORMAÇÕES DE MORTALIDADE DO MUNICÍPIO (PRÓ – AIM), estimativas populacionais do censo de 1991 e os índices sociais do Mapa da exclusão/inclusão social para a cidade. Foram calculados os coeficientes de mortalidade por Aids por sexo e idade, em cada ano e área. Foi analisada a correlação entre o logarítmo dos coeficientes de mortalidade por Aids e os índices de exclusão/inclusão social nos 96 distritos. A tendência da mortalidade por Aids foi analisada na série histórica, nas 5 áreas homogêneas. Resultados. Foi encontrada correlação negativa estatisticamente significativa entre o log dos coeficientes de mortalidade por Aids e o índice de eqüidade entre homens e mulheres de 15 a 49 anos...

Health conditions and residential concentration of poverty: a study in Rio de Janeiro, Brazil

Szwarcwald, Celia Landmann; Bastos, Francisco In??cio Pinkusfeld Monteiro; Barcellos, Christovam de Castro; Pina, Maria de F??tima Rodrigues Pereira de; Esteves, Maria Angela Pires
Fonte: BMJ Publishing Group Ltd Publicador: BMJ Publishing Group Ltd
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.15%
STUDY OBJECTIVESTo establish the geographical relation of health conditions to socioeconomic status in the city of Rio de Janeiro, Brazil. DESIGNAll reported deaths in the municipality of Rio de Janeiro, from 1987 to 1995, obtained from the Mortality Information System, were considered in the study. The 24 "administrative regions" that compose the city were used as the geographical units. A geographical information system (GIS) was used to link mortality data and population census data, and allowed the authors to establish the geographical pattern of the health indicators considered in this study: "infant mortality rate"; "standardised mortality rate"; "life expectancy" and "homicide rate". Information on location of low income communities (slums) was also provided by the GIS. A varimax rotation principal component analysis combined information on socioeconomic conditions and provided a two dimension basis to assess contextual variation. MAIN RESULTSThe 24 administrative regions were aggregated into three different clusters, identified as relevant to reflect the socioeconomic variation. Almost all health indicator thematic maps showed the same socioeconomic stratification pattern. The worst health situation was found in the cluster composed of the harbour area and northern vicinity...

A mathematical model for malaria transmission relating global warming and local socioeconomic conditions

Yang,Hyun M
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2001 EN
Relevância na Pesquisa
56%
OBJECTIVE: Sensitivity analysis was applied to a mathematical model describing malaria transmission relating global warming and local socioeconomic conditions. METHODS: A previous compartment model was proposed to describe the overall transmission of malaria. This model was built up on several parameters and the prevalence of malaria in a community was characterized by the values assigned to them. To assess the control efforts, the model parameters can vary on broad intervals. RESULTS: By performing the sensitivity analysis on equilibrium points, which represent the level of malaria infection in a community, the different possible scenarios are obtained when the parameters are changed. CONCLUSIONS: Depending on malaria risk, the efforts to control its transmission can be guided by a subset of parameters used in the mathematical model.

Congenital cardiac disease in childhood x socioeconomic conditions: a relationship to be considered in public health?

Barros,Thayanny Lopes do Vale; Dias,Marly de Jesus Sá; Nina,Rachel Vilela de Abreu Haickel
Fonte: Sociedade Brasileira de Cirurgia Cardiovascular Publicador: Sociedade Brasileira de Cirurgia Cardiovascular
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2014 EN
Relevância na Pesquisa
56.19%
Introduction: Congenital heart defects, cardiac malformations that occur in the embryonic period, constitute a serious health problem. They cover a proportion of 8-10 per 1000 live births and contribute to infant mortality. Objective: To identify the socioeconomic status of children undergoing cardiac surgery at the Hospital Universitário da Universidade Federal do Maranhão, in São Luis, the existence of material elements that contribute to worsening conditions. Methods: We conducted a retrospective study with a quantitative approach, descriptive and reflective, from the interviews conducted by the Social Service Social with families of children with heart disease from January 2011 to July 2012. Results: A total of 95 interviews, the results reveal that (75.79%) of children have elements that suggest poor socioeconomic conditions. It also shows that only 66.33% lived in brick house, while (31.73%) in mud, adobe and straw houses. With regard to income, it showed that only 4.08% received 1-2 minimum wages, while the remaining (95.9%) with benchmarks oscillating half the minimum wage (27.55%), 1/4 of the minimum wage and (24.48%) and income below 70 dollars per person, featuring extreme poverty. On the social security situation prevailing at children with no ties to 61.22%. With respect to benefits...

Socioeconomic conditions in childhood and ischaemic heart disease during middle age.

Kaplan, G A; Salonen, J T
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 17/11/1990 EN
Relevância na Pesquisa
46.25%
OBJECTIVE--To examine the association between socioeconomic conditions in childhood and ischaemic heart disease in middle aged men, including the role of physiological and behavioural risk factors. DESIGN--Prevalence study with extensive examination and testing and with recall of childhood conditions. SETTING--Population based study in Kuopio, Finland. SUBJECTS--Representative sample of 2679 men aged 42, 48, 54, and 60. MAIN OUTCOME MEASURES--Ischaemic findings on progressive maximal exercise test. RESULTS--Low socioeconomic style in childhood was associated with significantly higher prevalence of findings indicating ischaemias. Compared with those in the highest tertile of childhood socioeconomic conditions, the age adjusted odds ratio for subjects in the lowest tertile was 1.44 and for those in the middle tertile 1.35. Adjustment for years of cigarette smoking times the average number of cigarettes smoked, ratio of high density lipoprotein to low density lipoprotein cholesterol, fibrinogen and serum selenium concentrations, and adult height did not appreciably weaken the association. Adjustment for adult socioeconomic state resulted in a 16% decline in the association. The association was reduced to non-significance by adjustment for measures of prevalent cardiovascular illness. CONCLUSIONS--Socioeconomic state in childhood was significantly associated with ischaemic heart disease in middle aged men. Levels of risk factors measured at middle age did not account for this association...

Assessing the Relationship between Socioeconomic Conditions and Urban Environmental Quality in Accra, Ghana

Fobil, Julius; May, Juergen; Kraemer, Alexander
Fonte: Molecular Diversity Preservation International (MDPI) Publicador: Molecular Diversity Preservation International (MDPI)
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.23%
The influence of socioeconomic status (SES) on health inequalities is widely known, but there is still poor understanding of the precise relationship between area-based socioeconomic conditions and neighborhood environmental quality. This study aimed to investigate the socioeconomic conditions which predict urban neighbourhood environmental quality. The results showed wide variation in levels of association between the socioeconomic variables and environmental conditions, with strong evidence of a real difference in environmental quality across the five socioeconomic classes with respect to total waste generation (p < 0.001), waste collection rate (p < 0.001), sewer disposal rate (p < 0.001), non-sewer disposal (p < 0.003), the proportion of households using public toilets (p = 0.005). Socioeconomic conditions are therefore important drivers of change in environmental quality and urban environmental interventions aimed at infectious disease prevention and control if they should be effective could benefit from simultaneous implementation with other social interventions.

The Effects of Childhood, Adult, and Community Socioeconomic Conditions on Health and Mortality among Older Adults in China

Wen, Ming; Gu, Danan
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
46.25%
Using a large, nationally representative longitudinal sample of Chinese aged 65 and older, this study examines the effects of childhood, adult, and community socioeconomic conditions on mortality and several major health outcomes. The role of social mobility is also tested. We find that childhood socioeconomic conditions exert long-term effects on functional limitations, cognitive impairment, self-rated health, and mortality independent of adult and community socioeconomic conditions. Achieved conditions matter for most outcomes as well, considering that adult and community socioeconomic conditions have additional impacts on health among Chinese elders. The majority of the effects of childhood conditions are not mediated by adult and community conditions. The results also show that social mobility and health in later life are linked in complex ways and that psychosocial factors have marginal explanatory power for the effects of socioeconomic conditions. Overall, this study provides new longitudinal evidence from China to support the notion that health and mortality at older ages are influenced by long-term and dynamic processes structured by the social stratification system. We discuss our findings in the context of the life course and ecological perspective...

Socioeconomic and Psychosocial Exposures across the Life Course and Binge Drinking in Adulthood: Population-based Study

Yang, S.; Lynch, J.; Raghunathan, T.; Kauhanen, J.; Salonen, J.; Kaplan, G.
Fonte: Oxford Univ Press Inc Publicador: Oxford Univ Press Inc
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
46.17%
Despite recognition of the health risks of binge drinking, its life-course precursors have not been widely examined. Data from the Kuopio Ischemic Heart Disease Risk Factor Study (1984–1989) were used to investigate the association between socioeconomic and psychosocial exposures across the life course and binge drinking in a population-based sample of 2,316 middle-aged men. Binge drinking was defined as drinking at least four bottles of beer, one bottle of wine, one bottle of strong wine, or six servings of spirits on a single occasion. A composite indicator of childhood socioeconomic position was based on parental education, occupation, and number of rooms and divided into tertiles. Low childhood socioeconomic position increased the odds of binge drinking (odds ratio = 1.70, 95% confidence interval: 1.26, 2.31) when other early life exposures were adjusted. Additional adjustment of adult socioeconomic and psychosocial factors attenuated the odds of bingeing associated with low childhood socioeconomic position (odds ratio = 1.29, 95% confidence interval: 0.93, 1.79). Adult socioeconomic conditions, marital status, hostility, and organizational membership were independently associated with bingeing. This study shows that both early and later life characteristics including socioeconomic conditions and adult psychosocial factors contribute to adult binge drinking in this population...

Epidemiology of oral cancer in India: a life course study.

Krishna Rao, Sree Vidya
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014
Relevância na Pesquisa
46.19%
Background: Oral cancer is a malignant disease contributing to one third of the total cancer burden in India. There is a worldwide social disparity in oral cancer incidence and survival. Life course epidemiology has shown that early-life socioeconomic conditions (SEC) could influence adult health through various pathways. Thus, the socioeconomic disparities in the occurrence of oral cancer underscore the importance of understanding the ‘life course processes’ operating between SEC at different stages in life and oral cancer. In addition to understanding socioeconomic disparities, practical solutions are required to reduce the burden of the disease. Early diagnosis and prompt treatment could reduce morbidity and mortality. Though visual screening helps in early diagnosis, it requires training and calibration of the screeners. Developing a simple screening model that can be utilized by untrained health care workers will be helpful in triaging asymptomatic adults with oral cancer. Therefore a study was designed with the following hypotheses. Research hypotheses 1. Accumulation of socioeconomic disadvantage over the life course is associated with oral cancer in the Indian population. 2. Early-life socioeconomic disadvantage has a lasting effect on the oral cancer outcome in adulthood in the Indian population. 3. An oral cancer screening model developed for the Indian population...

Diseño de un Plan Escritor orientado a un CEIP en un contexto de condiciones socioeconómicas desfavorables; Design of a Writer Plan focused on a school with an unfavorable socioeconomic conditions context

Gutiérrez Martínez, Virginia
Fonte: Universidade de Cantabria Publicador: Universidade de Cantabria
Tipo: Trabalho de Conclusão de Curso
SPA
Relevância na Pesquisa
56%
Resumen: Las nuevas demandas de la sociedad presentan nuevos retos para la enseñanza: la formación de ciudadanos alfabetizados y competentes en materia comunicativa. Una destreza necesaria para conseguir esto, y muchas veces relegada a un segundo plano, es el desarrollo de una habilidad escritora. Para ello, se hace necesario el diseño y la implantación de planes y proyectos escolares que potencien su vertiente más funcional y creativa, atendiendo a esas nuevas demandas. No obstante, el conocimiento de dicha situación sugiere nuevos interrogantes: ¿son conscientes los centros de la necesidad de fomento específico de la escritura, del mismo modo como se hace con la lectura? ¿Se favorece la potenciación de la escritura en los centros con un entorno socioeconómico desfavorable atendiendo a dichas peculiaridades? Este trabajo tiene como fin realizar un balance de la enseñanza de la escritura en los últimos años, así como ilustrar las prácticas escritoras de un centro que presenta dichas características y, a raíz de las conclusiones obtenidas, sentar las bases de un Plan Escritor orientado a un posible centro con esas peculiaridades.; Abstract: Nowadays, society demands literate and competent citizens formed in communicative tasks. The development of writing skills is a necessary condition for this ability...

Systematic Review of the Influence of Childhood Socioeconomic Circumstances on Risk for Cardiovascular Disease in Adulthood

Galobardes, B.; Davey-Smith, G.; Lynch, J.
Fonte: Elsevier Science Inc Publicador: Elsevier Science Inc
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
46.17%
PURPOSE: Adverse socioeconomic circumstances in childhood may confer a greater risk for adult cardiovascular disease (CVD). The purpose of this review is to systematically evaluate evidence for an association between socioeconomic circumstances during childhood and specific CVD subtypes, independent of adult socioeconomic conditions. METHODS: We systematically retrieved individual-level studies of morbidity and mortality from CVD and specific CVD subtypes linked to early life influences, including coronary heart disease (CHD), ischemic and hemorrhagic stroke, peripheral vascular disease, markers of atherosclerosis (carotid intima-media thickness and stenosis), and rheumatic heart disease. Indicators of socioeconomic position in childhood varied, although most studies relied on father's occupation. RESULTS: We located 40 studies (24 prospective, 11 case-control, and 5 cross-sectional) reported in 50 publications. Thirty-one studies (19 prospective, 7 case-control, and all 5 cross-sectional) found a robust inverse association between childhood circumstances and CVD risk, although findings sometimes varied among specific outcomes, socioeconomic measures, and sex. Case-control studies reported mixed results. The association was stronger for stroke and...

Socioeconomic position across the lifecourse and cognitive function in late middle age

Turrell, G.; Lynch, J.W.; Kaplan, G.A.; Everson, S.A.; Helkala, E.L.; Kauhanen, J.; Salonen, J.T.
Fonte: Gerontological Society of America Publicador: Gerontological Society of America
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
46.11%
OBJECTIVES: To examine the influence of childhood and adult socioeconomic position, socioeconomic mobility, and cumulative disadvantage across the lifecourse on cognitive function in late middle age. METHODS: Cross-sectional population-based study of 486 men age 58 and 64 from eastern Finland. Respondent's socioeconomic position in childhood was measured using parent's education and occupation, and respondent's position in adulthood was indicated by attained education and personal income. Cognitive function was assessed using five neuropsychological tests: Trail Making, Selective Reminding, Verbal Fluency, Visual Reproduction, and the Mini-Mental State Exam. RESULTS: Each indicator of socioeconomic position made statistically independent contributions to levels of cognitive function: Respondents from poor childhood backgrounds, and those who attained a limited education and earned a low income, performed worst on each test. Men who occupied a disadvantaged socioeconomic position in childhood and then experienced upward mobility over the lifecourse exhibited better cognitive performance than those with similar socioeconomic origins but limited or no upward mobility. Conversely, men from advantaged childhood backgrounds who later in life experienced downward mobility scored poorer on each cognitive test than their counterparts who remained in the most advantaged groups throughout the lifecourse. There was a strong...

Basic sanitation, socioeconomic conditions, and degree of risk for the presence and maintenance of malaria in a low-transmission area in the Brazilian Amazon

Monteiro,Thais Hetierre Abreu; Chaves,Tânia do Socorro Souza; Matos,Haroldo José de; Sofffiatti,Nelson Fernando de Lisboa; Guimarães,Ricardo José de Paula Souza e; Guimarães,Luis Henrique Rocha; Ventura,Ana Maria Revoredo; Machado,Ricardo Luiz Dantas
Fonte: Sociedade Brasileira de Medicina Tropical - SBMT Publicador: Sociedade Brasileira de Medicina Tropical - SBMT
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2015 EN
Relevância na Pesquisa
56.09%
ABSTRACTINTRODUCTION:This study aimed to evaluate basic sanitation and socioeconomic indicators, reported cases of malaria, and risk of contracting malaria in the Ananindeua municipality, State of Pará.METHODS:Data on basic sanitation and socioeconomic dimensions were taken from the Brazilian Institute of Geography and Statistics [ Instituto Brasileiro de Geografia e Estatística (IBGE)] 2010 census. Epidemiological malaria information was taken from the Epidemiological Malaria Surveillance Information System [ Sistema de Informação de Vigilância Epidemiológica de Malária (SIVEP/Malaria)], between 2003 and 2013 of the Ministry of Health and from the SIVEP/Malaria forms of the municipality's Endemic Diseases Unit for 2,013 cases.RESULTS:Our data do not confirm the correlation among indicators of basic sanitation, socioeconomic conditions, and water supply with malaria cases. Of the 1,557 cases evaluated, most were caused by Plasmodium vivax , with rare cases of Plasmodium falciparum and mixed infections. There were 756 notifications in 2003. The number of reported cases was sharply reduced between 2006 and 2012, but a 142-case outbreak occurred in 2013. Ananindeua municipality's Annual Parasite Index indicated low risk in 2003 and no risk in other years...

Similarity between neonatal profile and socioeconomic index: a spatial approach

d'Orsi,Eleonora; Carvalho,Marilia Sá; Cruz,Oswaldo Gonçalves
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 EN
Relevância na Pesquisa
46.12%
This study aims to compare neonatal characteristics and socioeconomic conditions in Rio de Janeiro city neighborhoods in order to identify priority areas for intervention. The study design was ecological. Two databases were used: the Brazilian Population Census and the Live Birth Information System, aggregated by neighborhoods. Spatial analysis, multivariate cluster classification, and Moran's I statistics for detection of spatial clustering were used. A similarity index was created to compare socioeconomic clusters with the neonatal profile in each neighborhood. The proportions of Apgar score above 8 and cesarean sections showed positive spatial correlation and high similarity with the socioeconomic index. The proportion of low birth weight infants showed a random spatial distribution, indicating that at this scale of analysis, birth weight is not sufficiently sensitive to discriminate subtler differences among population groups. The observed relationship between the neighborhoods' neonatal profile (particularly Apgar score and mode of delivery) and socioeconomic conditions shows evidence of a change in infant health profile, where the possibility for intervention shifts to medical services and the Apgar score assumes growing significance as a risk indicator.

Transtornos mentais comuns e uso de psicofármacos: impacto das condições socioeconômicas; Trastornos mentales comunes y uso de psicofármacos: impacto de las condiciones socioeconómicas; Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions

Lima, Maria Cristina Pereira; Menezes, Paulo Rossi; Carandina, Luana; Cesar, Chester Luiz Galvão; Barros, Marilisa Berti de Azevedo; Goldbaum, Moisés
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/08/2008 POR; ENG
Relevância na Pesquisa
56%
OBJETIVO: Avaliar a influência das condições socioeconômicas na associação entre transtornos mentais comuns, uso de serviços de saúde e de psicofármacos. MÉTODOS: Estudo transversal populacional conduzido na cidade de Botucatu, SP, com amostragem probabilística, estratificada e por conglomerados. Foram realizadas entrevistas domiciliares com 1.023 sujeitos de 15 anos ou mais de idade, entre 2001 e 2002. Transtorno mental comum foi avaliado utilizando o Self Reporting Questionnaire (SRQ-20). O uso de serviços foi investigado com relação à quinzena anterior à entrevista e uso de psicotrópicos, nos três dias anteriores. Utilizou-se regressão logística para análise multivariável, considerando o efeito do desenho. RESULTADOS: No total da amostra, 13,4% (IC 95%: 10,7;16,0) procuraram serviços de saúde na quinzena anterior à entrevista. A procura de serviços de saúde se associou ao sexo feminino (OR=2,0) e à presença de transtorno mental comum (OR=2,2). Na amostra 13,3% (IC 95%: 9,2;17,5) referiram ter usado ao menos um psicotrópico, destacando-se os antidepressivos (5,0%) e os benzodiazepínicos (3,1%). Na análise multivariável, sexo feminino e presença de transtorno mental comum mantiveram-se associados ao uso de benzodiazepínicos. Renda per capita mostrou-se direta e independentemente associada ao uso de psicofármacos...

Similarity between neonatal profile and socioeconomic index: a spatial approach

d'Orsi,Eleonora; Carvalho,Marilia Sá; Cruz,Oswaldo Gonçalves
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 EN
Relevância na Pesquisa
46.12%
This study aims to compare neonatal characteristics and socioeconomic conditions in Rio de Janeiro city neighborhoods in order to identify priority areas for intervention. The study design was ecological. Two databases were used: the Brazilian Population Census and the Live Birth Information System, aggregated by neighborhoods. Spatial analysis, multivariate cluster classification, and Moran's I statistics for detection of spatial clustering were used. A similarity index was created to compare socioeconomic clusters with the neonatal profile in each neighborhood. The proportions of Apgar score above 8 and cesarean sections showed positive spatial correlation and high similarity with the socioeconomic index. The proportion of low birth weight infants showed a random spatial distribution, indicating that at this scale of analysis, birth weight is not sufficiently sensitive to discriminate subtler differences among population groups. The observed relationship between the neighborhoods' neonatal profile (particularly Apgar score and mode of delivery) and socioeconomic conditions shows evidence of a change in infant health profile, where the possibility for intervention shifts to medical services and the Apgar score assumes growing significance as a risk indicator.

Socioeconomic determinants of schistosomiasis in an urban area in the Northeast of Brazil

Ximenes,Ricardo; Southgate,Brian; Smith,Peter G.; Guimarães Neto,Leonardo
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2003 EN
Relevância na Pesquisa
46.19%
OBJECTIVE: To identify and quantify the socioeconomic determinants of schistosomiasis in the urban section of São Lourenço da Mata, a town in the Northeast of Brazil. METHODS: A cross-sectional study was carried out in 1988 to measure the prevalence of schistosomiasis in São Lourenço da Mata among individuals aged 10-25 years and to estimate the socioeconomic characteristics of the households of those individuals. Household aggregation was tested. The data were analyzed on two levels, the family level and the individual level. On the family level we estimated the odds ratios for the association of schistosomiasis and socioeconomic variables related either to the head of the family or to the household. On the individual level we investigated if for the infected individuals there were differences in the intensity of infection (mean egg count) for the different levels of the socioeconomic variables. RESULTS: We found a significant degree of household aggregation of schistosomiasis (allowing for sex and area of residence (neighborhoods with similar socioeconomic conditions, according to census data)). In the analysis on the family level, better socioeconomic indicators for the place in the productive process (occupation, economic sector...

A mathematical model for malaria transmission relating global warming and local socioeconomic conditions

Yang,Hyun M
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2001 EN
Relevância na Pesquisa
56%
OBJECTIVE: Sensitivity analysis was applied to a mathematical model describing malaria transmission relating global warming and local socioeconomic conditions. METHODS: A previous compartment model was proposed to describe the overall transmission of malaria. This model was built up on several parameters and the prevalence of malaria in a community was characterized by the values assigned to them. To assess the control efforts, the model parameters can vary on broad intervals. RESULTS: By performing the sensitivity analysis on equilibrium points, which represent the level of malaria infection in a community, the different possible scenarios are obtained when the parameters are changed. CONCLUSIONS: Depending on malaria risk, the efforts to control its transmission can be guided by a subset of parameters used in the mathematical model.