Factors associated with home births in Peru 2015–2017: A cross-sectional population-based study

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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Medicine package inserts from the users’ perspective: are they read and understood?

Revista Brasileira de Epidemiologia ◽

10.1590/1980-549720190009 ◽

2019 ◽

Vol 22 ◽

Cited By ~ 1

Author(s):

Tatiane da Silva Dal Pizzol ◽

Cassia Garcia Moraes ◽

Paulo Sérgio Dourado Arrais ◽

Andréa Dâmaso Bertoldi ◽

Luiz Roberto Ramos ◽

...

Keyword(s):

Population Based ◽

Education Level ◽

Descriptive Statistics ◽

Cross Sectional ◽

Population Based Study ◽

Package Inserts ◽

Factors Associated ◽

Written Information ◽

Lower Education Level ◽

Lower Education

ABSTRACT: Introduction: The written information on medicines has been acknowledged as an important tool for health education. Objective: To analyze the use and understanding of medicine package inserts by users and assess sociodemographic and medical factors associated with their comprehension. Method: Data in this analysis are part of the PNAUM National Survey - a cross-sectional population-based study conducted in Brazil. Descriptive statistics and the Pearson χ2 tests were performed to compare proportions between sociodemographic and medical characteristics, as well as use and understanding of medicine package inserts. Results: A total of 28.427 individuals responded to questions related to medicine package inserts. From these, 59.6% (95%CI 57.7 - 61.5) said they usually read the inserts, and 98.4% (95%CI 98.0 - 98.8) considered them necessary. Among people who read the medicine package inserts, more than half indicated difficulties with legibility (57.4%; 95%CI 55,2 - 59,6) and readability (54.1%; 95%CI 52.1 - 56.1). People from a lower education level reported greater difficulty in understanding them. Conclusion: The larger portion of the population usually read medicine package inserts. Nevertheless, people have difficulty in reading and understanding them.

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Factors associated with commencing smoking in 12-year-old students in Catalonia (Spain): a cross-sectional population-based study

BMC Public Health ◽

10.1186/1471-2458-10-665 ◽

2010 ◽

Vol 10 (1) ◽

Cited By ~ 4

Author(s):

Empar Valdivieso ◽

◽

Cristina Rey ◽

Marisa Barrera ◽

Victoria Arija ◽

...

Keyword(s):

Population Based ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated

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Factors associated to medical consultations by elderly adults in southern Brazil: a population based study

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400030010 ◽

2014 ◽

Vol 17 (3) ◽

pp. 692-704 ◽

Cited By ~ 2

Author(s):

Juliana Regina Destro ◽

Antonio Fernando Boing ◽

Eleonora d'Orsi

Keyword(s):

Population Based ◽

Urban Region ◽

Elderly Adults ◽

Self Perception ◽

Enabling Factors ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Medical Consultations ◽

Perception Of Health

Objective: To analyze the prevalence of medical consultations in the last three months among elderly adults and associated factors. Methods: A cross-sectional, population-based study was carried out with 1,705 elderly adults (60+ years of age) in the urban region of Florianópolis, Santa Catarina, Brazil, in 2009 and 2010. The sampling selection was performed in two stages. The sample was complex, with census tracts as primary and households as secondary sampling units. For association analysis, Poisson regression was performed using predisposing factors, enabling factors and need as independent variables, according to Andersen's theoretical model. Results: The response rate was 89.2%. The prevalence of medical appointments by elderly adults was 70.4% (95%CI 67.5 - 73.4). Factors associated with higher prevalence of medical consultations in the crude analysis were female gender, accumulation of chronic diseases, negative self-perception of health, and report of chronic pain. The multivariate analysis showed that having at least one chronic disease and negative self-perception of health was positively associated with the outcome. Conclusion: Only variables from the need dimension were associated with medical consultations, indicating an equal use of this service.

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Migration among individuals with leprosy: a population-based study in Central Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00005913 ◽

2014 ◽

Vol 30 (3) ◽

pp. 487-501 ◽

Cited By ~ 9

Author(s):

Christine Murto ◽

Liana Ariza ◽

Carlos Henrique Alencar ◽

Olga André Chichava ◽

Alexcian Rodrigues Oliveira ◽

...

Keyword(s):

Healthcare Access ◽

High Mobility ◽

Population Based ◽

Cross Sectional Study ◽

Newly Diagnosed ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Central Brazil ◽

Multibacillary Leprosy

This study investigates social and clinical factors associated with migration among individuals affected by leprosy. A cross-sectional study was conducted among those newly diagnosed with leprosy (2006-2008), in 79 endemic municipalities in the state of Tocantins, Brazil (N = 1,074). In total, 76.2% were born in a municipality different from their current residence. In the five years before diagnosis 16.7% migrated, and 3.6% migrated after leprosy diagnosis. Findings reflect aspects associated with historical rural-urban population movement in Brazil. Indicators of poverty were prominent among before-diagnosis migrants but not after-diagnosis migrants. Migration after diagnosis was associated with prior migration. The association of multibacillary leprosy with migration indicates healthcare access may be an obstacle to early diagnosis among before-diagnosis migrants, which may also be related to the high mobility of this group.

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Factors associated with medication regimen complexity in older people: a cross-sectional population-based study

European Journal of Clinical Pharmacology ◽

10.1007/s00228-015-1883-2 ◽

2015 ◽

Vol 71 (9) ◽

pp. 1099-1108 ◽

Cited By ~ 22

Author(s):

Barbara Caecilia Wimmer ◽

Kristina Johnell ◽

Johan Fastbom ◽

Michael David Wiese ◽

J. Simon Bell

Keyword(s):

Older People ◽

Population Based ◽

Medication Regimen ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Medication Regimen Complexity ◽

Regimen Complexity

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Sex differences in factors associated with heart failure and diastolic left ventricular dysfunction: a cross-sectional population-based study

BMC Public Health ◽

10.1186/s12889-021-10442-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Giulia Cesaroni ◽

◽

Gian Francesco Mureddu ◽

Nera Agabiti ◽

Flavia Mayer ◽

...

Keyword(s):

Heart Failure ◽

Logistic Regression ◽

Sex Differences ◽

Ventricular Dysfunction ◽

Population Based ◽

Left Ventricular ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Diastolic Left Ventricular Dysfunction

Abstract Background Although sex differences in cardiovascular diseases are recognised, including differences in incidence, clinical presentation, response to treatments, and outcomes, most of the practice guidelines are not sex-specific. Heart failure (HF) is a major public health challenge, with high health care expenditures, high prevalence, and poor clinical outcomes. The objective was to analyse the sex-specific association of socio-demographics, life-style factors and health characteristics with the prevalence of HF and diastolic left ventricular dysfunction (DLVD) in a cross-sectional population-based study. Methods A random sample of 2001 65–84 year-olds underwent physical examination, laboratory measurements, including N-terminal pro-B-type natriuretic peptide (NT-proBNP), electrocardiography, and echocardiography. We selected the subjects with no missing values in covariates and echocardiographic parameters and performed a complete case analysis. Sex-specific multivariable logistic regression models were used to identify the factors associated with the prevalence of the diseases, multinomial logistic regression was used to investigate the factors associated to asymptomatic and symptomatic LVD, and spline curves to display the relationship between the conditions and both age and NT-proBNP. Results In 857 men included, there were 66 cases of HF and 408 cases of DLVD (77% not reporting symptoms). In 819 women, there were 51 cases of HF and 382 of DLVD (79% not reporting symptoms). In men, the factors associated with prevalence of HF were age, ischemic heart disease (IHD), and suffering from three or more comorbid conditions. In women, the factors associated with HF were age, lifestyles (smoking and alcohol), BMI, hypertension, and atrial fibrillation. Age and diabetes were associated to asymptomatic DLVD in both genders. NT-proBNP levels were more strongly associated with HF in men than in women. Conclusions There were sex differences in the factors associated with HF. The results suggest that prevention policies should consider the sex-specific impact on cardiac function of modifiable cardiovascular risk factors.

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Factors associated with death among postpartum women with COVID-19: a Brazilian population-based study

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.5446.3507 ◽

2021 ◽

Vol 29 ◽

Author(s):

Anelise de Toledo Bonatti ◽

Nathassia Miller ◽

Maria Antonieta de Barros Leite Carvalhaes ◽

Rodrigo Jensen ◽

Cristina Maria Garcia de Lima Parada

Keyword(s):

Intensive Care ◽

Ventilatory Support ◽

Signs And Symptoms ◽

Population Based ◽

Epidemiological Surveillance ◽

Postpartum Women ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Respiratory Signs And Symptoms

Objective: to identify the factors associated with death due to COVID-19 among Brazilian postpartum women in the first five months of the pandemic and five subsequent months, and describe the sociodemographic and clinical characteristics of postpartum women who developed the disease. Method: cross-sectional population-based study using a secondary database available in the Sistema de Informação de Vigilância Epidemiológica da Gripe -SIVEP-Gripe (Influenza Epidemiological Surveillance Information System), Brazilian Ministry of Health. A total of 869 postpartum women were included, and the analysis considered the first five months of the pandemic and subsequent five months. Association between the variables of interest and outcome (death due to COVID-19/cure) was investigated using logistic regression. Results: most participants were aged between 20 and 34, of mixed race or Caucasian, and lived in the urban/peri-urban area. The proportion of deaths was 20.2% in the first period and 11.2% in the second. The likelihood of death increased in both periods due to the presence of respiratory signs and symptoms: dyspnea, respiratory distress, and oxygen saturation below 95%, in addition to the need for ventilatory support and intensive care. Conclusion: the proportion of deaths among postpartum women was high and decreased in the second period under study. Respiratory signs and symptoms, mechanical ventilation, and intensive care were associated with death in both periods.

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Aging male’s strength reduction: population based study

Revista Brasileira de Educação Física e Esporte ◽

10.11606/1807-5509201800010059 ◽

2018 ◽

Vol 32 (1) ◽

pp. 59-66

Author(s):

Leandro Quadro Corrêa ◽

Marcelo Cozzensa da Silva ◽

Marlos Domingues ◽

Airton José Rombaldi

Keyword(s):

Physical Activity ◽

Life Quality ◽

Population Based ◽

Cross Sectional Study ◽

Strength Reduction ◽

Perceived Health Status ◽

Cross Sectional ◽

Population Based Study ◽

Healthy Behaviors ◽

Factors Associated

We conducted a population-based cross-sectional study to identify the prevalence of aging male’s strength reduction (AMSR) and factors associated to this condition. The study included 421 men aged 40 years or older, living in the urban area of Pelotas, Southern Brazil. The questionnaire covered sociodemographic, behavioral and health variables and, to assess the aging male’s strength reduction, one question of the Aging Male’s Symptoms Scale was used. The prevalence of AMSR was 19.0% (CI95% 15.2 - 22.8). After controlling for confounders, the AMSR was significantly associated with aging, smoking, physical activity score and self-perceived health status. Our findings reinforce the need to keep healthy behaviors such as not smoking and regular physical activity as a healthier lifestyle could reduce the AMSR acceleration and increase life quality and expectancy.

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