scholarly journals Aging demographic profile in municipalities in the state of Pará, Brazil

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 591-598 ◽  
Author(s):  
Ana Cristina Viana Campos ◽  
Lucia Hisako Takase Gonçalves

ABSTRACT Objective: To investigate socioeconomic and demographic differences regarding population aging in municipalities of the state of Pará, Brazil. Method: Ecological study with secondary demographic, socioeconomic and health data from the 144 municipalities of the state of Pará, Brazil. Data were treated with segmentation analysis, the Mann-Whitney U test and logistic regression models, with a significance level of p ≤ 0.05. Results: Segmentation analysis provided a single variable to describe aging in the municipalities of Pará and originated two clusters, the high and low aging rate ones, with 104 (72.22%) and 40 (27.78%) municipalities in each, respectively. The fitted model revealed an association between aging and per capita income (p = 0.021), vulnerability to poverty (p = 0.003), rich to poor ratio (p = 0.012) and density of people (p = 0.019). Conclusion: There is heterogeneity in the population aging among the municipalities of Pará, mainly regarding socioeconomic conditions and number of people living in the municipalities.

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Nicolás Padilla-Raygoza ◽  
Efraín Navarro-Olivos ◽  
María De Jesús Gallardo-Luna ◽  
Francisco J Magos-Vázquez ◽  
Daniel Alberto Díaz-Martínez ◽  
...  

Introduction: In December 2019, cases of pneumonia of unknown cause arose in Wuhan, China. The causative agent was subsequently identified as 2019-nCoV and later called SARS-CoV-2. In Mexico, since January 2020 when the first cases were reported, the spread of the infection has occurred throughout the country. The state of Guanajuato, which is located in the center of the country, has taken isolation measures and closed public places in March 2020. The objective of this study was to analyze the evolution, symptoms, co-morbidities and deaths due to confirmed cases of COVID-19.Methods: An ecological study was designed from the database of confirmed cases of COVID-19 in the state of Guanajuato. Odds ratios and 95% confidence intervals were calculated for symptoms and co-morbidities in deaths of confirmed cases. Logistic regression models were generated adjusting for age group and gender.Results: Among the 838 confirmed cases in the state, cases with dyspnea and cyanosis showed more significant effect on death. Age group and gender had little involvement as confounders. For practically all comorbidities (including diabetes, hypertension, cardiovascular disease, chronic kidney disease, and immunosuppression), there was a significant effect (odds ratio greater than 2) on mortality from COVID-19. Age group showed a confounding effect on comorbidities and death, but not gender.Conclusion: The confirmed cases had more than twice the possibility of having comorbidities, compared with those who did not die.


2020 ◽  
Vol 7 (10) ◽  
pp. 150-160
Author(s):  
Fabrício Pelizer Almeida ◽  
Moisés Keniel Guilherme de Lima ◽  
Demóstenes Coutinho Gomes ◽  
Esther Ferreira de Souza

2015 ◽  
Vol 24 (2) ◽  
pp. 198-203 ◽  
Author(s):  
Leandro do Carmo Rezende ◽  
Lucas Maciel Cunha ◽  
Nelson Rodrigo da Silva Martins ◽  
Cristina Mara Teixeira ◽  
Paulo Roberto de Oliveira

Aspects related to the epidemiology of Megninia ginglymura were studied, in order to determine predisposing factors for the ocurrence in layer chicken houses of commercial farms in the State of Minas Gerais, Brazil. An observational, cross-sectional, analytical survey was conducted for identifying major risks or protection factors for infestations. Four hundred thirty-one houses located in forty-three farms were visited in 2012. Regarding the farms, 17 (39.53%) had chickens infested by M. ginglymura and 1 (2.32%) presented Megninia cubitalis. The epidemiological aspects of the occurrence of M. ginglymura were investigated using multiple logistic regression models. The chicken house organization was an important protection factor involved in the occurrence of M. ginglymura (odds ratio [OR] = 0.85). The presence of subsistence breedings of poultry within the premises or at the proximity of a farm was characterized as a risk factor for the occurrence of infestations (OR = 3.92). The use of mineral oil (OR = 0.16) was considered protective against new infestations. Some regions of the state were characterized by a higher risk for mite infestation than others.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Leandro do Carmo Rezende ◽  
Tiago Mendonça de Oliveira ◽  
Cristina Mara Teixeira ◽  
Nelson Rodrigo da Silva Martins ◽  
Marcos Xavier Silva ◽  
...  

Aspects related to the epidemiology of Diptera belonging to genus Chrysomya were studied in order to determine predisposing factors for their occurrence in commercial laying hens farms from the state of Minas Gerais, Brazil. An observational, analytical and sectional survey was conducted to verify the main epidemiological determinants of infestations by Chrysomya spp. Forty-three farms were visited in 2012 and these 13 (30,23%) were infested by Chrysomya putoria, 4 (9,30%) by Chrysomya megacephala and 2 (4,65%) by Chrysomya albiceps and in 2 farms (4,65%) was not possible to identify the species of Chrysomya. The epidemiological determinants for the occurrence of infestations by Chrysomya spp. were investigated using multiple logistic regression models. Housing clustering type and its conditions were important factors involved in epidemiology of these species (OR=5.05, 95% CI = 2.66 to 9.58, p = 0.000). It was also observed that the increase of the humidity of manure leads to increase chances of infestations (OR = 1.81, 95% CI = 1.36 to 2.40, p = 0.000). The presence of the beetle “lesser mealworm” (Alphitobius diaperinus) (OR = 0.15, 95% CI = 0.067 to 0.36, p = 0.000) was characterized as a protective factor against infestations, probably due to predation behavior of the beetle. Some regions of the state were characterized as lower risk areas for Chrysomya spp. infestation as compared to other regions. Management measures, such as constant monitoring of water leaks on manure, adequate composting of dead poultry and periodic removal of manure could assist in decreasing the presence of Chrysomya spp. inside the laying houses.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K T Jungo ◽  
B Cheval ◽  
S Sieber ◽  
B W A van der Linden ◽  
A Ihle ◽  
...  

Abstract Many older adults have multiple chronic conditions (multimorbidity). With multimorbidity often comes the concurrent intake of multiple medications (polypharmacy). Our aims were to assess if childhood socioeconomic conditions (CSC) are associated with multimorbidity and polypharmacy in older adults, and how these associations change when adjusting for adulthood socioeconomic conditions (ASC). We used data from the European longitudinal Survey of Health, Ageing, and Retirement (SHARE), which follows individuals aged 50 years and over in 27 countries since 2004. We analysed data from 35,229 individuals with multimorbidity (mean age: women=64.1, men=65.4) and 20,757 individuals with polypharmacy (mean age: women=69.2, men=70.2). Multimorbidity was defined as 2 or more self-reported chronic conditions and polypharmacy as the intake of 5 or more medications. Confounder-adjusted multilevel logistic regression models were used to analyse associations of CSC (5 categories: most disadvantaged-most advantaged) and ASC with multimorbidity and polypharmacy. All analyses were adjusted for country, age, weight, alcohol consumption, smoking status and physical exercise. In addition, we adjusted the polypharmacy model with the number of chronic conditions, mental health, activities of daily living and living situation. We stratified the analyses by sex. 34% of women had multimorbidity and 26% received polypharmacy. In men, these percentages were 34% and 28%. All categories of CSC (except for disadvantaged CSC in men) were associated with multimorbidity. In both sexes, a higher advantage was associated with lower odds of multimorbidity. In women, advantaged and most advantaged CSC were associated with lower odds of polypharmacy (OR = 0.53, 95% CI 0.31-0.89; OR = 0.48, 95% CI 0.24-0.94). In men, CSC were not associated with polypharmacy. ASC attenuated the association of CSC with multimorbidity among women, but CSC remained associated. In men, CSC were attenuated after adjusting for ASC. Key messages Lower childhood socioeconomic conditions increase the odds of having multiple chronic conditions in older adults. In women, the odds of polypharmacy are marginally linked with CSC. Less disadvantaged socioeconomic conditions in adulthood may allow for compensating a more disadvantaged start in life, particularly in men.


2019 ◽  
Vol 75 (6) ◽  
pp. 1348-1357 ◽  
Author(s):  
Bernadette Wilhelmina Antonia Van der Linden ◽  
Boris Cheval ◽  
Stefan Sieber ◽  
Dan Orsholits ◽  
Idris Guessous ◽  
...  

Abstract Objectives This article aimed to assess associations of childhood socioeconomic conditions (CSC) with the risk of frailty in old age and whether adulthood socioeconomic conditions (ASC) influence this association. Methods Data from 21,185 individuals aged 50 years and older included in the longitudinal Survey of Health, Ageing, and Retirement in Europe were used. Frailty was operationalized as a sum of presenting weakness, shrinking, exhaustion, slowness, or low activity. Confounder-adjusted multilevel logistic regression models were used to analyze associations of CSC and ASC with frailty. Results While disadvantaged CSC was associated with higher odds of (pre-)frailty in women and men (odds ratio [OR] = 1.73, 95% confidence interval [CI] 1.34, 2.24; OR = 1.84, 95% CI 1.27, 2.66, respectively), this association was mediated by ASC. Personal factors and demographics, such as birth cohort, chronic conditions, and difficulties with activities of daily living, increased the odds of being (pre-)frail. Discussion Findings suggest that CSC are associated with frailty at old age. However, when taking into account ASC, this association no longer persists. The results show the importance of improving socioeconomic conditions over the whole life course in order to reduce health inequalities in old age.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Fouad H. Al-Bayaty ◽  
NorAdinar Baharuddin ◽  
Mahmood A. Abdulla ◽  
Hapipah Mohd Ali ◽  
Magaji B. Arkilla ◽  
...  

The objectives of this study were to evaluate the influence of cigarette smoking on gingival bleeding and serum concentrations of cotinine, haptoglobin, and alpha 1-antitrypsin in Malaysian smokers. A total of 197 male smokers and nonsmokers were recruited for this study. Plaque index, bleeding on probing (BOP), and levels of serum cotinine, haptoglobin, and alpha 1-antitrypsin were evaluated. The data were analyzed using SPSS version 20.0, with the significance level set atα≤0.05. Linear regression analyses were performed. The mean cigarette consumption per day was13.39±5.75cigarettes; the mean duration was16.03±8.78years. Relatively low BOP values (26.05±1.48) and moderate plaque indexes (51.35±11.27) were found. The levels of serum cotinine (106.9±30.71 ng/dL), haptoglobin (76.04±52.48 mg/dL), and alpha 1-antitrypsin (141.90±18.40 mg/dL) were significantly higher in smokers compared to non-smokers. Multiple logistic regression models for all variables and smokers demonstrated observed differences between BOP, the number of cigarettes per day, and duration of smoking, while serum cotinine, haptoglobin and alpha-1 antitrypsin levels showed no significant differences. Duration of smoking (years) and the cotinine level in serum showed a significant correlation with plaque index. The present analysis demonstrated that the duration of smoking in years, but not the number of cigarettes smoked per day, was associated with reduced gingival bleeding in smokers.


2021 ◽  
Author(s):  
Lucas Gomes Santos ◽  
Thiago Cavalcanti Leal ◽  
Leonardo Feitosa da Silva ◽  
Anderson da Costa Armstrong ◽  
Rodrigo Feliciano do Carmo ◽  
...  

Introduction: In the last decades the number of leprosy cases has been decreasing in the world. This reduction has been questioned by researchers who believe there are more patients. Objectives: To analyze the temporal evolution of three epidemiological indicators (prevalence rate, grade II rate of physical disability and proportion of multibacillary cases) in order to find evidence of late diagnosis and hidden prevalence of leprosy in the state of Bahia, Brazil. Design and setting: This is an ecological study of time series. The unit of analysis was Bahia, Brazil. Methods: The data were obtained the DATASUS platform (http://datasus. saude.gov.br/). The inflection point regression model (joinpoint) was applied to assess the trend of the indicators from 2001 to 2015. The significance level of 5% and 95% confidence interval(95% CI). Results: There was a tendency to reduce the prevalence (AAPC -5.5%;p <0.001) accompanied by an increase in the rate of grade II (AAPC 2.7%; p <0.001). The presence of disabled individuals in the diagnosis, in addition to signaling for the late detection of the case, reflects the transcendence of the disease, that is, its social value. Finally, there was an increase in the proportion of multibacillary cases, increasing from 48.8% at the beginning of the time series to 66.5% at the end of it (AAPC 2.2%;p <0.001). Conclusions: This paradox suggests the existence of a late diagnosis and hidden prevalence in the state. Thus, the need to implement actions that make the diagnosis of new cases, reinforcing the hidden burden of leprosy and transmission, is reinforced.


2016 ◽  
Vol 11 (2) ◽  
pp. 24-30
Author(s):  
Emilio Prado da Fonseca ◽  
Suelen Garcia Oliveira da Fonseca

In Brazil, there is a regional variation in and mortality by cancer of the mouth. Differences in the distribution of the rate of this type of mortality are attributed to the consumption of cigarettes and alcohol, socioeconomic conditions, diet or genetic characteristics. Aim: To compare the spatial distribution of deaths by cancer of the mouth between the macro-regions of health of the state of Minas Gerais between 2006 and 2013 and identify the formation of agglomerates of deaths by cancer of the mouth. Methodology: This is an ecological study that used the data made available by the System of Information on Mortality (SIM) and based on Chapter 2 of ICD-10. The geographic pattern was built through thematic maps of the distributions of rates mortality, as the macro-regions of health and year. Results: In the period studied 2.263 deaths occurred for cancer of the mouth in Minas Gerais, being, 1751(77,38%) men and 512 (22.62%) women. There was a trend of growth in the rate of mortality from cancer of the mouth in Minas Gerais, mainly for the male gender. You can say that deaths occurred for cancer of the mouth in all macro-regions of the state and that the geographic distribution of these deaths occurred in a heterogeneous way. Conclusion: The highest rate of deaths in men suggest the need of developing programs directed to this population in Minas Gerais Brazilian state.


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