Factors associated with cesarean delivery in public and private hospitals in a city of northeastern Brazil: a cross-sectional study

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

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Prevalence and factors associated with wound colonization by Staphylococcus spp. and Staphylococcus aureusin hospitalized patients in inland northeastern Brazil: a cross-sectional study

BMC Infectious Diseases ◽

10.1186/1471-2334-14-328 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 17

Author(s):

Gilmara Celli Maia Almeida ◽

Marquiony Marques dos Santos ◽

Nara Grazieli Martins Lima ◽

Thiago André Cidral ◽

Maria Celeste Nunes Melo ◽

...

Keyword(s):

Cross Sectional Study ◽

Hospitalized Patients ◽

Northeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Staphylococcus Spp

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HBV and HCV serological markers in patients with the hepatosplenic form of mansonic schistosomiasis

Arquivos de Gastroenterologia ◽

10.1590/s0004-28032011000200008 ◽

2011 ◽

Vol 48 (2) ◽

pp. 124-130 ◽

Cited By ~ 6

Author(s):

Jéfferson Luis de Almeida Silva ◽

Veridiana Sales Barbosa de Souza ◽

Tatiana Aguiar Santos Vilella ◽

Ana Lúcia C. Domingues ◽

Maria Rosângela Cunha Duarte Coêlho

Keyword(s):

Risk Factors ◽

Univariate Analysis ◽

Cross Sectional Study ◽

University Hospital ◽

Northeastern Brazil ◽

Serological Markers ◽

Sectional Study ◽

Serum Samples ◽

Cross Sectional ◽

Factors Associated

CONTEXT: Blood transfusion is one of the major risk factors for the transmission of the hepatitis B (HBV) and C (HCV) viruses. However, there are no reports describing the endoscopic transmission of these viruses in patients with the hepatosplenic form of schistosomiasis. OBJECTIVE: To estimate the prevalence of serological markers of HBV and HCV in patients with the hepatosplenic form of schistosomiasis and evaluate the possible risk factors associated with these infections. METHODS: A cross-sectional study was conducted on 230 patients with hepatosplenic form of schistosomiasis who attended a university hospital in Recife, Northeastern Brazil, from February to August 2008. The patients answered a standardized questionnaire about risk factors. Serum samples were analyzed for anti-HBc total, anti-HBs, HBsAg, and anti-HCV using enzyme-linked immunosorbent assays. Univariate analysis and multiple logistic regression were performed. RESULTS: The prevalence was 30% for anti-HBc total and/or HBsAg and 7.4% for anti-HCV. There was a higher frequency of the serological markers in females and in patients aged .50 years. A significant association was detected between the presence of anti-HCV and the receipt of six or more blood transfusions. There was no association of history and number of digestive endoscopies with the serological markers analyzed. CONCLUSIONS: We observed a higher prevalence of serological markers for HBV and a lower prevalence of anti-HCV. Our results indicate that females and patients of an advanced age are the most affected categories and that patients that received multiple transfusions are at a higher probability of HCV infection.

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Assessment of surgical capacity in Chiapas, Mexico: a cross-sectional study of the public and private sector

BMJ Open ◽

10.1136/bmjopen-2020-044160 ◽

2021 ◽

Vol 11 (7) ◽

pp. e044160

Author(s):

Lina Roa ◽

Ellie Moeller ◽

Zachary Fowler ◽

Fernando Carrillo ◽

Sebastian Mohar ◽

...

Keyword(s):

Cross Sectional Study ◽

Public Hospitals ◽

Surgical Volume ◽

Sectional Study ◽

Surgical Capacity ◽

Catastrophic Expenditure ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

The Public

IntroductionSurgical, anaesthesia and obstetric (SAO) care are essential, life-saving components of universal healthcare. In Chiapas, Mexico’s southernmost state, the capacity of SAO care is unknown. This study aims to assess the surgical capacity in Chiapas, Mexico, as it relates to access, infrastructure, service delivery, surgical volume, quality, workforce and financial risk protection.MethodsA cross-sectional study of Ministry of Health public hospitals and private hospitals in Chiapas was performed. The translated Surgical Assessment Tool (SAT) was implemented in sampled hospitals. Surgical volume was collected retrospectively from hospital logbooks. Fisher’s exact test and Mann-Whitney U test were used to compare public and private hospitals. Catastrophic expenditure from surgical care was calculated.ResultsData were collected from 17 public hospitals and 20 private hospitals in Chiapas. Private hospitals were smaller than public hospitals and public hospitals performed more surgeries per operating room. Not all hospitals reported consistent electricity, running water or oxygen, but private hospitals were more likely to have these basic infrastructure components compared with public hospitals (84% vs 95%; 60% vs 100%; 94.1% vs 100%, respectively). Bellwether surgical procedures performed in private hospitals cost significantly more, and posed a higher risk of catastrophic expenditure, than those performed in public hospitals.ConclusionCapacity limitations are greater in public hospitals compared with private hospitals. However, the cost of care in the private sector is significantly higher than the public sector and may result in catastrophic expenditures. Targeted interventions to improve the infrastructure, workforce availability and data collection are needed.

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Vaccine uptake and associated factors in an irregular urban settlement in northeastern Brazil: a cross-sectional study

10.21203/rs.2.17240/v3 ◽

2020 ◽

Author(s):

Ana Amélia Corrêa de Araújo Veras ◽

Eduardo Jorge da Fonseca Lima ◽

Maria de Fátima Costa Caminha ◽

Suzana Lins da Silva ◽

Amanda Alves Moreira de Castro ◽

...

Keyword(s):

Cross Sectional Study ◽

Vaccination Schedule ◽

Vaccine Uptake ◽

Northeastern Brazil ◽

Sectional Study ◽

Childhood Immunization ◽

Cross Sectional ◽

P Values ◽

Factors Associated ◽

The Family

Abstract Background: Globally, childhood immunization saves the lives of 2-3 million children annually by protecting them against vaccine-preventable diseases. In 2017, 116.2 million children were vaccinated worldwide according to the World Health Organization. Nevertheless, figures suggest that 19.5 million children around the world fail to receive the benefits of complete immunization.Methods: This cross-sectional study analyzed vaccine uptake and the factors associated with incomplete vaccination schedule in children of up to 36 months of age assisted by the family health strategy in an irregular settlement located in a state capital city in northeastern Brazil. This study was nested within a larger study entitled “Health, nutrition and healthcare services in an urban slum population in Recife, Pernambuco”, conducted in 2015. A census included 309 children, with vaccination data obtained, exclusively, from their vaccination cards records. An ad hoc database was constructed with variables of interest. Absolute and relative values were calculated for the socioeconomic, demographic, obstetric and biological data. To identify possible factors associated with incomplete vaccination schedule, crude and multivariable Poisson regression analyses were performed, and conducted in accordance with the forward selection method with robust variance and the adjusted prevalence ratio was calculated with the 95% CI. Variables with p-values <0.20 in the unadjusted stage were included in the multivariable analysis. The statistical significance of each variable was evaluated using the Wald test, with p-values <0.05. Results: Just half of the children (52,1%) was classified as complete vaccination schedule. In the final model, the factors associated with incomplete vaccination schedule were age 12-36 months and the mother who did not complete high school.Conclusion: The percentage of vaccine uptake found was far below the recommendation of the National Childhood Immunization Schedule and was associated with child’s age and mother’s education level. Based on these findings, the family healthcare teams may elaborate vaccination strategies aimed at reaching the coverage rates established by the national immunization program. Optimizing coverage will ultimately prevent the resurgence, at epidemic level, of infectious diseases that are already under control in this country.

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Factors associated with activity limitation in new leprosy cases in a hyperendemic municipality in the Northeast, Brazil: a cross-sectional study

10.5327/1516-3180.292 ◽

2021 ◽

Author(s):

Gibson Barros de Almeida Santana ◽

Thiago Cavalcanti Leal ◽

Leonardo Feitosa da Silva ◽

Lucas Gomes Santos ◽

Anderson da Costa Armstrong ◽

...

Keyword(s):

Physical Disability ◽

Functional Limitations ◽

Functional Limitation ◽

Cross Sectional Study ◽

Activity Limitation ◽

Northeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Reference Center ◽

Factors Associated

Background: Leprosy is a neglected, chronic and infectious tropical disease, caused by Mycobacterium leprae. It presents with skin and peripheral nerves alterations, responsible for irreversible physical disabilities. Brazil is one of the main countries endemic for the disease, persisting as a public health problem; its position is the first in the world in terms of prevalence coefficient. Objectives: To analyze the magnitude and factors associated with activity limitation in new leprosy cases diagnosed in the reference center in northeastern Brazil. Methods: This is a cross-sectional study, carried out in a reference center located in the municipality of Juazeiro - Bahia, between January and June 2018, involving 50 people diagnosed with leprosy. Clinical and sociodemographic variables were collected in addition to the application of the SALSA scale (Screening of Activity Limitation and Safety Awareness) for the analysis of functional limitation. The data were structured using Microsoft Excel software and, for analysis, IBM SPSS Statistics for Windows was used. Logistic regression was used with the calculation of the Odds Ratio to identify the factors associated with functional limitation. A 95% confidence interval and a 5% significance level were adopted. Results: The presence of functional limitations was registered in 32% (n = 16) of the cases analyzed, especially female (56.3%), elderly (37.5%), low education (87.6%), dimorphic form (62.5%), multibacillary classification (75.0%) and degree 2 of physical disability (50.0%). Functional limitation was associated with: age group ≥ 45 years (OR 3.80; p = 0.047), multibacillary age (OR 4.28; p = 0.021) and OMP score ≥ 6 (OR 4.69; p = 0.041). 75% of individuals with limitations were aged ≥ 45 years and were multibacillary. Conclusions: The factors associated with functional limitation were age equal to or greater than 45 years, multibacillary classification and OMP score greater than or equal to six. Early diagnosis and timely treatment in the routine of health services can contribute to the prevention of physical disability and functional limitations.

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Vaccine uptake and associated factors in an irregular urban settlement in northeastern Brazil: a cross-sectional study

10.21203/rs.2.17240/v4 ◽

2020 ◽

Author(s):

Ana Amélia Corrêa de Araújo Veras ◽

Eduardo Jorge da Fonseca Lima ◽

Maria de Fátima Costa Caminha ◽

Suzana Lins da Silva ◽

Amanda Alves Moreira de Castro ◽

...

Keyword(s):

Cross Sectional Study ◽

Vaccination Schedule ◽

Vaccine Uptake ◽

Northeastern Brazil ◽

Sectional Study ◽

Childhood Immunization ◽

Cross Sectional ◽

P Values ◽

Factors Associated ◽

The Family

Abstract Background: Globally, childhood immunization saves the lives of 2-3 million children annually by protecting them against vaccine-preventable diseases. In 2017, 116.2 million children were vaccinated worldwide according to the World Health Organization. Nevertheless, figures suggest that 19.5 million children around the world fail to receive the benefits of complete immunization.Methods: This cross-sectional study analyzed vaccine uptake and the factors associated with incomplete vaccination schedule in children of up to 36 months of age assisted by the family health strategy in an irregular settlement located in a state capital city in northeastern Brazil. This study was nested within a larger study entitled “Health, nutrition and healthcare services in an urban slum population in Recife, Pernambuco”, conducted in 2015. A census included 309 children, with vaccination data obtained, exclusively, from their vaccination cards records. An ad hoc database was constructed with variables of interest. Absolute and relative values were calculated for the socioeconomic, demographic, obstetric and biological data. To identify possible factors associated with incomplete vaccination schedule, crude and multivariable Poisson regression analyses were performed, and conducted in accordance with the forward selection method with robust variance and the adjusted prevalence ratio was calculated with the 95% CI. Variables with p-values <0.20 in the unadjusted stage were included in the multivariable analysis. The statistical significance of each variable was evaluated using the Wald test, with p-values <0.05. Results: Just half of the children (52,1%) was classified as complete vaccination schedule. In the final model, the factors associated with incomplete vaccination schedule were age 12-36 months and the mother who did not complete high school.Conclusion: The percentage of vaccine uptake found was far below the recommendation of the National Childhood Immunization Schedule and was associated with child’s age and mother’s education level. Based on these findings, the family healthcare teams may elaborate vaccination strategies aimed at reaching the coverage rates established by the national immunization program. Optimizing coverage will ultimately prevent the resurgence, at epidemic level, of infectious diseases that are already under control in this country.

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