Factors associated with non-adoption of healthy behavior among individuals with diabetes: a population-based study in Brazil

Author(s):  
F A V Dionato ◽  
L B Nucci ◽  
C C Enes

Abstract Background The non-adoption of behavioral changes to control diabetes mellitus contributes to a low adherence to self-care. This study aimed to investigate the factors associated with non-adoption of healthy behaviors among diabetic individuals. Methods Cross-sectional study using data from the National Health Survey (Pesquisa Nacional de Saúde) carried out in 2013 in Brazil, with adults (≥18 years) (n = 3098). The outcome variable was the non-adoption—two or fewer—of healthy behaviors. Logistic regression model was used to identify the factors associated with non-adoption of healthy behaviors. Results Approximately, 50% of the participants adopted two or fewer healthy habits and the most frequently mentioned were not drinking excessively (94.1%) and not smoking (89.1%). Not using diabetic medication (odds ratio (OR) = 1.37, 95% confidence interval (CI) = 1.02–1.85), not making regular doctor visits (OR = 1.42, 95% CI = 1.08–1.87), no limitation of usual activities (OR = 1.39, 95% CI = 1.01–1.94) and good self-rated health (OR = 1.47, 95% CI = 1.09–1.98) increased the chance of individuals non-adoption of healthy behaviors independently of gender, age, schooling and economic status. Conclusions Health professionals need to be aware of issues, such as diabetic medication use, frequency of doctor visits, limitation of usual activities and good self-rated health, which are factors that can interfere with the adoption of healthy behaviors of diabetic patients.

2018 ◽  
Vol 21 (4) ◽  
pp. 439-446
Author(s):  
Danielle Bordin ◽  
Luciane Patrícia Andreani Cabral ◽  
Cristina Berger Fadel ◽  
Celso Bilynkievycz dos Santos ◽  
Clóris Regina Blanski Grden

Abstract Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.


2017 ◽  
Vol 62 (9) ◽  
pp. 971-979 ◽  
Author(s):  
Dario Novak ◽  
Lovro Štefan ◽  
Arunas Emeljanovas ◽  
Brigita Mieziene ◽  
Ivana Milanović ◽  
...  

2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Ada Ávila Assunção ◽  
Mery Natali Silva Abreu

ABSTRACT OBJECTIVE To describe the prevalence of work-related musculoskeletal disorder (WMSD) and analyze the factors associated with this outcome in the Brazilian population. METHODS In this cross-sectional, population-based study, we use data from the National Survey on Health (PNS) of 2013. The sample was composed of 60,202 Brazilians aged 18 years or older. The outcome variable was the occurrence of self-reported WMSD. Sociodemographic and occupational characteristics, personal resources, and health conditions were investigated as explanatory variables. Analyses were performed with the software Stata 12.0 and considered the weighting imposed by the sampling design of the study. Then, univariate and multivariate binary logistic models were carried out, considering a significance level of 5%. RESULTS The results obtained indicated that the prevalence of WMSD in the Brazilian population was of 2.5%, ranging from 0.2% (Acre) to 4.2% (Santa Catarina). The factors associated with a greater chance of occurrence of WMSD were: female sex (OR = 2.33; 95%CI 1.72–3.15); be temporarily away from work (OR = 2.44; 95%CI 1.41–4.23); be exposed to noise at the workplace (OR = 2.16; 95%CI 1.68–2.77); seniority equal to or greater than 4.5 years at the current job (OR = 1.37; 95%CI 1.09–1.72); participate in volunteer work (OR = 1.65; 95%CI 1.25–2.17); report medical diagnosis of arthritis or rheumatism (OR = 2.40; 95%CI 1.68–3.44); and depression (OR = 2.48; 95%CI 1.86–3.31). On the other hand, factors associated with less chance of WMSD were: not having a partner (OR = 0.73; 95%CI 0.37–0.71) and working in an open environment (OR = 0.51; 95%CI 0.37–0.71). CONCLUSIONS The associated factors and the prevalence found indicate regional and gender differences. Special attention to comorbidities and environmental noise monitoring would benefit the health of workers in the Country.


2018 ◽  
Vol 11 (02) ◽  
pp. 34-40
Author(s):  
Bimala Sharma ◽  
S Wagle ◽  
N Shrestha ◽  
MP Bhatt ◽  
BR Tiwari

Introduction: Self-rated health reflects respondents’ overall perceptions of their general health status. It is a simple and reliable measure of general health status of the population. Objective: The objective of the study was to assess prevalence and associated factors of poor self-rated health among adult population in Machhapuchhre Rural Municipality of Kaski District, Nepal. Methods: A cross-sectional household survey was conducted among adult population at Machhapuchhre Rural Municipality. A structured questionnaire was used for the face to face interview. Household survey was conducted in July 2018. Self-rated health was measured by using a single question such as ‘In general, how would you rate your health?’ Responses were arranged along a five-point Likert-type scale: ‘excellent’, ‘good’, ‘fair’, ‘poor’ and very poor. The outcome variable was dichotomized as ‘good’ (excellent, good or fair) or ‘poor’ (poor or very poor). Chi-square test and multiple logistic regression analysis were performed; and odds ratios with corresponding 95% confidence intervals for poor self-rated health were presented. Results: Of total respondents, 13.2% respondents reported that they perceived their health as poor. Of the total, 14.3% respondents stated themselves as overweight and 8.8% mentioned they were unhappy. The study found that illiterate respondents, respondents with smoking habit and the individuals with poor psychological conditions were more likely to perceive their health as poor. Illiteracy, current smoking, perceived overweight, unhappiness, suicidal ideation and having depressed feeling were significant factors associated with poor self-rated health in the study. Conclusion: Education, health behavior and psychosocial health variables has important influences on self-rated health.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Khalid Abdelmutalab Elmardi ◽  
Ishag Adam ◽  
Elfatih Mohamed Malik ◽  
Abdalla Ahmed Ibrahim ◽  
Asma Hashim Elhassan ◽  
...  

Abstract Background Early childhood is an age at risk of anaemia and its deleterious consequences. In Sudan, there is limited evidence on the prevalence and determinant of anaemia in under-five children. This study was conducted in Sudan to assess the prevalence of anaemia in children and to identify its determinants. Methods We conducted a household survey involving children aged 6 months to 5 years in November 2016. A representative population was sampled across rural, urban and camps settlements across 18 states in Sudan. We used a pre-designed questionnaire data collection. Haemoglobin (Hb) level and malaria infection were checked. In this cross-sectional study, we dichotomized the outcome variable and performed logistic regression analyses. Results A total of 3094 children under 5 years enrolled in the study, 1566 (50.6%) of them were female and 690 (22.3%) of them were under 2 years old. Anaemia prevalence in the whole cohort (6 months - < 5 years) was 49.4% and the mean haemoglobin concentration was 108.1 (standard deviation (SD): 15.4) g/L. The prevalence in younger (6 months - < 2 years) children (61.9%) was higher than in older (2 - < 5 years) children (45.6%) (p < 0.001). Severe anaemia (Hb < 70 g/L) prevalence in the whole population was 1.6%. Age (Odds ratio (OR) 2.25, 95% confidence interval (95%CI) 1.75–2.90, p < 0.001), type of place of residence (OR 0.37, 95%CI 0.18–0.74, p = 0.005), maternal anaemia (OR 1.74, 95%CI 1.39–2.17, p < 0.001), and malaria infection (OR 2.82, 95%CI 1.56–5.11, p < 0.001) were the identified predictors of anaemia in the whole cohort. In younger children, only the economic class was an anaemia predictor, with a lower anaemia risk among the rich wealth class (OR 2.70, 95%CI 1.29–5.62, p = 0.008). However, in older children, three anaemia predictors were identified. These are maternal anaemia (OR 1.79, 95%CI 1.40–2.28, < 0.001), malaria infection (OR 2.77, 95%CI 1.48–5.21, p = 0.002), and type of residency (where camps’ residents were less likely affected with anaemia than rural children (OR 0.38, 95%CI 0.17–0.87, p = 0.022)). Conclusions About half of the under-5 children in Sudan are anaemic, with worse prevalence in younger children. Efforts targeted at improving socio-economic status, decreasing maternal anaemia and childhood malaria infection may mitigate this alarming trend.


2018 ◽  
Vol 32 (1) ◽  
pp. 59-66
Author(s):  
Leandro Quadro Corrêa ◽  
Marcelo Cozzensa da Silva ◽  
Marlos Domingues ◽  
Airton José Rombaldi

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.


2014 ◽  
Vol 19 (5) ◽  
pp. 103-109 ◽  
Author(s):  
Daniella Borges Machado ◽  
Valéria Silva Cândido Brizon ◽  
Gláucia Maria Bovi Ambrosano ◽  
Davidson Fróis Madureira ◽  
Viviane Elisângela Gomes ◽  
...  

INTRODUCTION: The aim of this study was to identify factors associated with the prevalence of anterior open bite among five-year-old Brazilian children. METHODS: A cross-sectional study was undertaken using data from the National Survey of Oral Health (SB Brazil 2010). The outcome variable was anterior open bite classified as present or absent. The independent variables were classified by individual, sociodemographic and clinical factors. Data were analyzed through bivariate and multivariate analysis using SPSS statistical software (version 18.0) with a 95% level of significance. RESULTS: The prevalence of anterior open bite was 12.1%. Multivariate analysis showed that preschool children living in Southern Brazil had an increased chance of 1.8 more times of having anterior open bite (CI 95%: 1.16 - 3.02). Children identified with alterations in overjet had 14.6 times greater chances of having anterior open bite (CI 95%: 8.98 - 24.03). CONCLUSION: There was a significant association between anterior open bite and the region of Brazil where the children lived, the presence of altered overjet and the prevalence of posterior crossbite.


Biomédica ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 296-308
Author(s):  
Beatriz Caicedo-Velásquez ◽  
María Clara Restrepo-Méndez

Introduction: Self-rated health is strongly associated with morbidity and mortality. It is largely influenced by individual factors but also by individuals’ social surroundings and environment.Objective: To investigate individual, household, and locality factors associated with self-rated ealth in Colombian adults.Materials and methods: We conducted a cross-sectional multilevel study using data from national databases on 19 urban localities and 37,352 individuals nested within 15,788 households using a population-based survey. Given the natural hierarchical structure of the data, the estimates of self-rated health related to individual, household, and locality characteristics were obtained by fitting a three-level logistic regression.Results: The adjusted multilevel logistic models showed that at individual level, higher odds of poor self-rated health were found among older adults, persons from low socio-economic status, those living without a partner, with no regular physical activity, and reporting morbidities. At the household level, poor self-rated health was associated with households of low socioeconomic status located near noise sources and factories and in polluted and insecure areas. At the locality level, only poverty was associated with poor self-rated health after adjusting for individual and household variables.Conclusions: These results highlight the need for a more integrated framework when designing and implementing strategies and programs that aim to improve health conditions in urban populations in Latin America.


2021 ◽  
Vol 10 (12) ◽  
pp. e499101220796
Author(s):  
Nataska de Oliveira ◽  
Laércio Almeida de Melo ◽  
Ronaldo Luís Almeida de Carvalho ◽  
Júlio César Brigolini de Faria ◽  
Beatriz de Pedro Netto Mendonça ◽  
...  

Objective: This study aimed to identify the prevalence and factors associated with the need for removable prostheses in the elderly Brazilian population. In addition, its impact on eating difficulties and self-perceived oral health was determined. Methodology: This cross-sectional, population-based study used data from the last National Health Survey (NHS) carried out in Brazil. Chi-square test was used to initially analyze the data, followed by multiple Poisson regression to obtain adjusted prevalence ratios. Results: A total of 11,697 elderly people were included, of whom 90.8% needed removable prostheses. Complete dentures were needed in 40.9% of participants, while partial dentures were needed by 49.9%. The elderly who were older (p=0.001), had grayish-brown complexion (p=0.004), a low level of education (p<0.001), and multiple chronic diseases (p<0.001) had a greater need for removable prostheses. Successively, this need had an impact on poor self-perceived oral health (p<0.001) and greater difficulties in eating (p<0.001). Conclusion: The need for a removable prosthesis is associated with worse socioeconomic and health conditions. In addition, it has a negative impact on self-perceived oral health and feeding.


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