The epidemiology of psychotropic use in the City of São Paulo

1993 ◽  
Vol 23 (2) ◽  
pp. 467-474 ◽  
Author(s):  
Jair de Jesus Mari ◽  
Naomar Almeida-Filho ◽  
Evandro Coutinho ◽  
Sergio Baxter Andreoli ◽  
Claudio Torres de Miranda ◽  
...  
Keyword(s):  
Family Income ◽  
Psychiatric Morbidity ◽  
Health Indicators ◽  
Total Sample ◽  
Sociodemographic Factors ◽  
Sao Paulo ◽  
São Paulo ◽  
General Physician ◽  
Cross Sectional ◽  
The City

SynopsisThis is a cross-sectional community study conducted to assess the one-year prevalence of psychotropic use in the city of São Paulo. A representative stratified sample of the city was drawn from three sub-districts selected on the basis of their health indicators (Ramos & Goihman, 1989). The probability of a psychiatric disorder was estimated by means of the Adult Psychiatric Morbidity Questionnaire (QMPA) developed by Santana (1982). The total sample comprised 1742 subjects: 11·7% of males and 24·6% of females were probable cases in the QMPA, at the cut-off point 7/8. The overall psychotropic consumption was 101·6 persons/1000 inhabitants. The rate of psychotropic use was higher for females (142·3 persons/1000 inhabitants) than males (50·0 persons/1000), a difference statistically significant (χ2 = 18·0, 1 df, P < 0·001). The highest rate of consumption was for tranquillizers (80·4/1000 inhabitants) and the general physician was found to be the leading prescriber (46·9%), being followed by cardiologists (15·3%). A log-linear model was constructed to study the combined effect of sociodemographic factors on the probability of being a tranquillizer user. Women were found to take more tranquillizers than men, consumption increased with age, and the positives in the QMPA were more likely to be users than were the negatives. The higher the family income per capita the higher the risk of being a tranquillizer user. These findings applied regardless of the sub-district, marital status, and migration status of the subjects. These results are discussed in the light of the alternative possible interventions by general practitioners.

Healthful grain foods consumption by São Paulo residents: a 12-year analysis and future trends

2020 ◽  
pp. 1-11
Author(s):  
Mariane de M Fontanelli ◽  
Cristiane H Sales ◽  
Michelle A de Castro ◽  
Regina M Fisberg
Keyword(s):  
Family Income ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Older Individuals ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Grain Foods

Abstract Objective: Understanding trends in grain consumption is essential to tackle the low consumption of healthful grain foods. This study aimed to evaluate trends and determinants of grain foods meeting the ≤10:1 carbohydrate:fibre ratio (≤10:1 ratio) in Brazil and to estimate this intake for the next years. Design: Three editions of the cross-sectional, population-based study Health Survey of São Paulo (2003, 2008 and 2015). Setting: Urban area of São Paulo, Brazil. Participants: The sample included 5801 participants aged 12 years or more. Results: A growing trend in the intake of these foods (0·9 percentage of energy (%E) in 2003 to 1·5 %E in 2015) was observed. Also, the proportion of the population consuming at least one grain food meeting the ≤10:1 ratio increased from 8·7 % in 2003 to 15·8 % in 2015, and 20·3 % of the population would be consuming some kind of healthful grain food by 2030. Sociodemographic factors associated with the consumption of grain foods meeting the ≤10:1 ratio changed according to study edition, but overall, older individuals (+79 %), females (+28 %), those with higher education (+138 %) and higher family income (+135 %) were more likely to consume grain foods meeting the ratio, whereas participants who self-reported black, brown or indigenous ethnicity were less likely to consume these foods (–30 %). Conclusions: There was a growing trend to consume grain foods meeting the ≤10:1 ratio from 2003 to 2015, but this consumption continues to be far from recommended levels. Intersectoral changes are urgently needed in order to increase the intake of healthful grain foods.

Seasonal Variation of Suicide in the City of São Paulo, Brazil, 1996–2010

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Fernando Madalena Volpe
Keyword(s):  
Seasonal Pattern ◽  
Total Sample ◽  
Sao Paulo ◽  
Seasonal Patterns ◽  
São Paulo ◽  
Health Statistics ◽  
Males And Females ◽  
June July ◽  
The City ◽  
Over Time

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.

scholarly journals Morbidity due trauma in children of the community of Paraisopolis, São Paulo, Brazil

2014 ◽  
Vol 12 (1) ◽  
pp. 1-5
Author(s):  
Renata Dejtiar Waksman ◽  
Renato Melli Carrera ◽  
Erica Santos ◽  
Sulim Abramovici ◽  
Cláudio Schvartsman
Keyword(s):  
Family Income ◽  
Concrete Slab ◽  
Sao Paulo ◽  
Easy Access ◽  
Controlled Study ◽  
Free Access ◽  
São Paulo ◽  
Child Victim ◽  
Cross Sectional ◽  
Her Family

Objective : To identify the factors that determine unintentional injuries in children living in the community of Paraisopolis, in the city of São Paulo, Brazil. Methods : A cross-sectional and non-controlled study. Data collected during 4 consecutive months through questionnaires filled out for the Einstein Program in Paraisopolis Community included identification of the patient and his/her family, scholarity level, housing conditions, storage of hazardous products, access to the streets and concrete slab ceilings, supervision, and trauma mechanism involved. The observed data were treated as absolute and relative frequencies; χ2, Fisher’s exact test, Student’s t test, and Mann-Whitney’s tests were implemented, with a significance level of 5% (p<0.05). Results : A total of 1,490 questionnaires were analyzed. There was a predominance of trauma within boys (59.6%) and the medium age was 5.2 years. The predominant educational level of the parents was incomplete junior school education. The main caregiver identified was the mother (69.4%). Among the children that suffered trauma, 56.4% belonged to large families (≥6 people), lived in houses up to three rooms, and a family income up to R$ 1,000.00 (76.6%). Easy access to hazardous materials was considerable and free access to concrete slab ceilings was reported in 92.8% of the cases. The main trauma mechanisms were falls and burns. In this study, the child victim of a fall was aged under 5 years. Conclusion : Small children that live in a hazardous environment have a significant tendency to suffering trauma

scholarly journals Factors Associated with Reduction in Physical Activity during the COVID-19 Pandemic in São Paulo, Brazil: An Internet-Based Survey Conducted in June 2020

2021 ◽  
Vol 18 (21) ◽  
pp. 11397
Author(s):  
Gabriela Togni ◽  
Paulo José Puccinelli ◽  
Taline Costa ◽  
Aldo Seffrin ◽  
Claudio Andre Barbosa de Lira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Minimum Wage ◽  
Physical Activity Level ◽  
Family Income ◽  
Sao Paulo ◽  
Activity Level ◽  
Activity Levels ◽  
São Paulo ◽  
Factors Associated ◽  
The City

Background: The COVID-19 pandemic negatively affected physical activity levels. This study investigated the factors associated with the change in physical activity level in Brazilians residing in the city of São Paulo. Methods: A self-administered questionnaire, addressing personal data, restriction level, education level, family income, daily working hours, and physical activity level, was answered by 2140 volunteers, of which 1179 were excluded because the answers were either incomplete or the respondents were not from São Paulo. The total number of participants selected was 961 (581 female and 380 male). Results: The physical activity level adopted prior to the pandemic period (p < 0.001) and family income (p = 0.001) correlated significantly with physical activity level reduction during the pandemic. The proportion of people who reduced their physical activity was greater among those who were very active than those who were active (adjusted prevalence ratio [aPR]: 0.65 [confidence interval (CI): 0.52–0.80]) or insufficiently active [aPR: 0.39 (0.18–0.82)]. The proportion of people who reduced their physical activity was greater among those who received a salary less than minimum wage (MW) than those who received a salary between three to six times minimum wage [(aPR: 0.50 (CI 0.35–0.70)] or more than 6 MW [(aPR: 0.56 (CI 0.40–0.79)]. Conclusions: A higher prevalence of Brazilians residing in the city of São Paulo reduced their physical activity who had a vigorous level of physical activity prior to the pandemic and who received less than a MW.

scholarly journals Seasonality of suicide in the city of Sao Paulo, Brazil, 1979-2003

2009 ◽  
Vol 31 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Hommenig Scrivani ◽  
Pedro Alberto Morettin ◽  
Chei Tung Teng
Keyword(s):  
Time Series ◽  
Urban Area ◽  
Total Sample ◽  
Sao Paulo ◽  
P Value ◽  
São Paulo ◽  
Zone Method ◽  
Tropical Zone ◽  
Significance Level ◽  
The City

OBJECTIVE: To evaluate suicide seasonality in the city of São Paulo within an urban area and tropical zone. METHOD: Suicides were evaluated using the chi-square test and analysis of variance (ANOVA) by comparing monthly, quarterly and half-yearly variations, differentiating by gender. Analyses of time series were carried out using the autocorrelation function and periodogram, while the significance level for seasonality was confirmed with the Fisher's test. RESULTS: The suicides of the period between 1979 and 2003 numbered 11,434 cases. Differences were observed in suicides occurring in Spring and Autumn for the total sample (ANOVA: p-value = 0.01), and in the male sample (ANOVA: p-value = 0.02). For the analysis of time series, seasonality was significant only for the period of 7 months in the male sample (p-value = 0.04). DISCUSSION: In this study, no significant seasonal differences were observed in the occurrences of suicides, with the exception of the male sample. The differences observed did not correspond with the pattern described in studies carried out in temperate zones. Some of the climatic particularities of the tropical zone might explain the atypical pattern of seasonality of suicides found in large populations within an urban area and tropical zone.

scholarly journals A cross-sectional study assessing the pharyngeal carriage of Neisseria meningitidis in subjects aged 1–24 years in the city of Embu das Artes, São Paulo, Brazil

2017 ◽  
Vol 21 (6) ◽  
pp. 587-595 ◽  
Author(s):  
Lily Yin Weckx ◽  
Rosana Fiorini Puccini ◽  
Antónia Machado ◽  
Maria Gisele Gonçalves ◽  
Suely Tuboi ◽  
...  
Keyword(s):  
Neisseria Meningitidis ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
The City

Brazilian multicentric study of psychiatric morbidity

1997 ◽  
Vol 171 (6) ◽  
pp. 524-529 ◽  
Author(s):  
Naomar Almeida-Filho ◽  
Jair De Jesus Mari ◽  
Evandro Coutinho ◽  
Josimar Farias França ◽  
Jefferson Fernandes ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Health Planning ◽  
Psychiatric Morbidity ◽  
Diagnostic Procedures ◽  
Sao Paulo ◽  
São Paulo ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Psychiatric Interview ◽  
Multicentric Study

BackgroundPsychiatric morbidity studies in developing countries have used diagnostic procedures of low reliability, without a clinical definition of caseness, producing descriptive data with limited application for mental health planning.MethodA two-stage cross-sectional design (with a sample size of 6476) was conducted to estimate the prevalence of DSM–III psychiatric diagnoses in three metropolitan areas of Brazil (Brasília, São Paulo and Porto Alegre). All subjects were screened for the presence of psychopathology with a 44-item instrument (the QMPA) and a subsample was selected for a psychiatric interview.ResultsAge-adjusted prevalence of cases potentially in need of care ranged from 19% (São Paulo) to 34% (Brasília and Porto Alegre). Anxiety disorders comprised the highest prevalences (up to 18%). Alcoholism yielded the most consistent prevalence levels, around 8% in all sites. Depression showed great variation between areas: from less than 3% (São Paulo and Brasília) to 10% (Porto Alegre)ConclusionsOverall prevalences were high in comparison with previous studies conducted in Brazil. A female excess of non-psychotic disorders (anxiety, phobias, somatisation and depression) and a male excess for alcoholism were consistently found.

scholarly journals Prevalence and factors associated to back pain in adults from the northeast of São Paulo, Brazil: a population-based study

2017 ◽  
Vol 30 (2) ◽  
pp. 255-265
Author(s):  
Alberto De Vitta ◽  
Marta Helena Souza De Conti ◽  
Nicoly Machado Maciel ◽  
Débora de Melo Trize ◽  
José Eduardo Corrente ◽  
...  
Keyword(s):  
Back Pain ◽  
Public Health Problem ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
High Association ◽  
Cross Sectional ◽  
Significant Difference ◽  
Occupational Activities ◽  
The City

Abstract Introduction: Back pain has become a serious public health problem. Objective: To determine the prevalence of back pain in a population-based sample of subjects over 20 years old living in the city of Bauru (São Paulo, Brazil) and to analyze the associations to variables- sociodemographic, ergonomic and lifestyle-related - and to morbidity. Methods: a cross-sectional study which evaluated 600 adults over 20 years old, both gender and living in the city. We used a structured protocol and the Nordic questionnaire. Also, we developed a descriptive analysis, bivariate and multivariate by binary logistic regression. Results: The prevalence of back pain was of 50.3% (CI 46.3 to 54.3), since 42.3% (CI 36.9 to 48.0) in men and 57.6% (CI 51.9 to 63.0) in women, with statistical significant difference (p = 0.001). Different variables remained in final models when assessed by gender. For male to be widowed and divorced and smoking habits and, for women to be widowed and divorced, to work in seated position and to perform occupational activities that demand carrying and lifting weight. Conclusion: We verified high prevalence in back pain in the population of Bauru and high association to widowed/divorced in both gender, with women performing occupational activities usually or always in seated position, those who carry or lift weight in work and men who smoke.

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