The place where you live and self-rated health in a large urban area

Abstract The aim of this study was to determine and quantify the association between one’s perception of the place of residence and self-rated health. 4,048 adult residents of Belo Horizonte, Minas Gerais State, Brazil, participated in the study in 2008 and 2009. Ordinal logistic regression was used to estimate the magnitude of the association. Health was rated as good or very good, fair, or poor or very poor by 65.7%, 27.8%, and 6.5% of the subjects, respectively. Better self-rated health was associated with the following neighborhood characteristics: positive evaluation of aesthetics and mobility, better quality of public services, less physical and social disorder. The perception of violence had a borderline statistically significant association with worse self-rated health. These associations persisted after controlling for potential confounding demographic, socioeconomic, health, and health behavior variables. The results indicate that public and health policies should incorporate interventions that address the physical and social environment in addition to policies focused on individuals.

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Self-rated health in urban adults, perceptions of the physical and social environment, and reported comorbidities: The BH Health Study

Cadernos de Saúde Pública ◽

10.1590/0102-311x00076114 ◽

2015 ◽

Vol 31 (suppl 1) ◽

pp. 120-135 ◽

Cited By ~ 14

Author(s):

Adriana Lúcia Meireles ◽

César Coelho Xavier ◽

Amanda Cristina de Souza Andrade ◽

Amélia Augusta de Lima Friche ◽

Fernando Augusto Proietti ◽

...

Keyword(s):

Social Environment ◽

Psychological Health ◽

Household Survey ◽

Health Study ◽

Self Rated Health ◽

Robust Variance ◽

Minas Gerais State ◽

Urban Adults ◽

Belo Horizonte ◽

Socio Demographic Factors

Abstract This study assesses the prevalence of poor self-rated health and investigates its association with individual and environmental characteristics in adults with and without reported morbidity. A household survey assessed 4,048 adults in two districts of Belo Horizonte, Minas Gerais State, Brazil. We used Poisson regression with robust variance stratified by the presence of reported morbidity. Prevalence of poor self-rated health was 29.9% (42.6% in those with morbidity and 13.1% in the group without morbidity). All assessed domains were associated with self-rated health in subjects with reported morbidity. In the group without reported morbidity, the following were associated with self-rated health: social environment, socio-demographic factors, lifestyle, and psychological health. Perceived problems in the environment were associated with poor self-rated health in both groups, even after hierarchical adjustment. The results suggest the importance of investigating self-rated health stratified by reported morbidity and reinforce the need to include variables that characterize the physical and social environment.

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Food environment of fruits and vegetables in the territory of the Health Academy Program

Cadernos de Saúde Pública ◽

10.1590/0102-311x00027114 ◽

2015 ◽

Vol 31 (suppl 1) ◽

pp. 159-169 ◽

Cited By ~ 11

Author(s):

Bruna Vieira de Lima Costa ◽

Cláudia Di Lorenzo Oliveira ◽

Aline Cristine Souza Lopes

Keyword(s):

Fruits And Vegetables ◽

Nearest Neighbor ◽

Healthy Foods ◽

Fitness Program ◽

The Public ◽

Minas Gerais State ◽

Belo Horizonte ◽

Open Air Markets ◽

Clustering Pattern

Abstract This study provides a spatial analysis of distribution and access to commercial fruit and vegetable establishments within the territory of a representative sample of public fitness facilities known as the Health Academy Program (HAP) in Belo Horizonte, Minas Gerais State, Brazil. The study evaluated commercial food establishments within a buffer area based on a radius of 1,600 meters around each of 18 randomly selected fitness facilities. Quality of access to fruits and vegetables was assessed by the Healthy Food Store Index (HFSI), consisting of the variables availability, variety, and advertising of fruits, vegetables and ultra-processed foods. The analysis was based on calculation of the Kernel intensity estimator, nearest neighbor method, and Ripley K-function. Of the 336 food establishments, 61.3% were green grocers and open-air markets, with a median HFSI of 11 (5 to 16). In only 17% of the territories, the majority of the “hot area” establishments displayed better access to healthy foods, and only three areas showed a clustering pattern. The study showed limited access to commercial establishments supplying healthy fruits and vegetables within the territory of the public fitness program.

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Panorama das barragens de rejeito de minério no Quadrilátero Ferrífero (MG) e suas implicações para a segurança hídrica da Região Metropolitana de Belo Horizonte-MG

GeoTextos ◽

10.9771/geo.v17i1.44386 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Guilherme Eduardo Macedo Cota ◽

Antônio Pereira Magalhães Júnior

Keyword(s):

Water Security ◽

Legal Aspects ◽

Metropolitan Region ◽

Tailings Dams ◽

Quality Of Water ◽

Iron Quadrangle ◽

Quadrilátero Ferrífero ◽

Minas Gerais State ◽

Belo Horizonte

O presente trabalho objetiva investigar as lacunas legais no tocante à segurança de barragens de rejeito de minério nas bacias de contribuição dos mananciais que abastecem a Região Metropolitana de Belo Horizonte (RMBH), evidenciando suas implicações para a manutenção da quantidade e da qualidade das águas. Por conseguinte, é elaborado um panorama das barragens da bacia do Alto Rio das Velhas em termos espaciais e legais, principalmente quanto à conformidade em relação à Política Nacional de Segurança de Barragens (PNSB). Os resultados obtidos mostram uma série de lacunas nos aspectos legais das estruturas, sobretudo no tocante à estabilidade dos barramentos, cenário que, por sua vez, compromete a segurança hídrica dos mananciais e o abastecimento de água da RMBH.AbstractSCENERY OF ORE TAILINGS DAMS IN THE QUADRILÁTERO FERRÍFERO “IRON QUADRANGLE” (MG) AND IMPLICATIONS FOR WATER SECURITY IN THE METROPOLITAN REGION OF BELO HORIZONTE, MINAS GERAIS STATE, BRAZILThis paper aims to investigate the legal gaps regarding the safety of ore tailings dams in the contribution basins of the water sources that supply the Metropolitan Region of Belo Horizonte, highlighting their implications for maintaining the quantity and quality of water. In this context is featured an overview of the spatial distribution and legal aspects of the dams in the Upper Velhas River basin, involving their compliance with the National Dam Safety Politics (PNSB). The results show many legal gaps, especially regarding the structural stability, which, in turn, compromises the water resources security and the regional water supply processes.

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Quality of life of patients with cancer undergoing chemotherapy in hospitals in Belo Horizonte, Minas Gerais State, Brazil: does individual characteristics matter?

Cadernos de Saúde Pública ◽

10.1590/0102-311x00002220 ◽

2021 ◽

Vol 37 (8) ◽

Author(s):

Daniela Pena Moreira ◽

Giovana Paula Rezende Simino ◽

Ilka Afonso Reis ◽

Marcos Antonio da Cunha Santos ◽

Mariangela Leal Cherchiglia

Keyword(s):

Quality Of Life ◽

Health Status ◽

Global Health ◽

Minas Gerais ◽

Individual Characteristics ◽

Wilcoxon Test ◽

Global Health Status ◽

Minas Gerais State ◽

Belo Horizonte

This study aims to evaluate changes in quality of life of cancer patients at the beginning of the first and the second cycle of chemotherapy (CT) in hospitals in Belo Horizonte, Minas Gerais State, Brazil. Longitudinal, prospective, descriptive study with a quantitative approach. We enrolled 230 patients, from a broader cohort, diagnosed with the five most frequent types of cancer (breast, colorectal, cervical, lung, and head and neck), aged 18 years or older, who were initiating CT for the first time. quality of life was assessed with the EORTC QLQ-C30 version 3, applied at the beginning of the first and second chemotherapy cycle. The paired Wilcoxon test was used to identify differences in quality of life between the two time points. A multivariate linear regression analysis was performed using the bootstrap method to investigate potential predictors of global health Status/quality of life. There was a significant increase in patients’ emotional function scores (p < 0.001) as well as symptom scores for pain (p = 0.026), diarrhea (p = 0.018), and nausea/vomiting (p < 0.001) after initiation of CT. Widowhood was associated with improvements in the global health Status/quality of life (p = 0.028), whereas the presence of cervical cancer (p = 0.034) and being underweight (p = 0.033) were related to poorer global health status/quality of life scores. CT has detrimental effects on patients’ physical health but, on the other hand, it leads to improvements in the emotional domain. Patients’ individual characteristics at the beginning of CT are associated with changes in their quality of life. Our study could help identify these characteristics.

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Analysis of medical prescriptions dispensed at health centers in Belo Horizonte, Minas Gerais, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2004000100021 ◽

2004 ◽

Vol 20 (1) ◽

pp. 72-79 ◽

Cited By ~ 8

Author(s):

Francisco A. Acurcio ◽

Edson Perini ◽

Sérgia M. S. Magalhães ◽

Leonardo G. Vieira Terceiro ◽

José Maurício Vieira Filho ◽

...

Keyword(s):

Continuing Education ◽

Health Department ◽

Minas Gerais ◽

Health Centers ◽

Improve Quality ◽

Minas Gerais State ◽

Belo Horizonte ◽

Instructions For Use ◽

Municipal Health

This article focuses on medical prescriptions dispensed at health centers under the Municipal Health Department in Belo Horizonte, Minas Gerais State, Brazil. The study analyzed 4,607 prescriptions from March to April 1999, grouped according to origin (internal or external). The analysis focused on information written on medical prescriptions. The main findings were: (a) an average of 2.4 drugs per prescription in both groups; (b) prescriptions filled out with 4 or more drugs accounted for 18.0% of internal and 17.6% of external prescriptions; (c) 84.3% of internal and 85.5% of external prescriptions provided no instructions for use of medication; (d) information on dosage regimen varied from 51.2% to 97.6% for internal and 57.9% to 96.5% for external prescriptions; (e) generic names were specified for 51.9% and 28.4% of all drugs on internal and external prescriptions, respectively; (f) prescriptions containing standard drugs from the Municipal Health Department accounted for 88.7% of internal and 76.4% of external prescriptions. Data analysis shows the need for continuing education of physicians and adoption of other methods to improve quality of prescriptions and promote rational use of drugs.

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Perceptions on the Quality of Life of Caregivers Caring for Older Adults With Alzheimer's Disease in Brazil: An Urgent Need for Social and Health Policies

International Journal of Studies in Nursing ◽

10.20849/ijsn.v5i4.844 ◽

2020 ◽

Vol 5 (4) ◽

pp. 26

Author(s):

Marina Celly Martins Ribeiro de Souza ◽

Diana Da Silva ◽

Natália De Cássia Horta ◽

Júnia Andressa Rodrigues Melgaço ◽

Lorraine Baêta Viana Martins ◽

...

Keyword(s):

Quality Of Life ◽

Alzheimer’S Disease ◽

Older Adults ◽

Alzheimer's Disease ◽

Healthcare Professionals ◽

Health Policies ◽

Familial Support ◽

Social Support Services ◽

Belo Horizonte

The aim of this research was to analyze the perceptions on the quality of life of caregivers who care for older adults with Alzheimer's disease. This study was conducted in the municipality of Betim, located in the metropolitan area of Belo Horizonte, Brazil. Thirty-two interviews were conducted with formal and informal caregivers. Data were organized into two empirical categories which affect the quality of life of caregivers: 1) older adult’s familial support, and 2) the burden of caregiver’s extensive workload. Results indicate that the quality of life of a caregiver can be elevated and improved through social support services provided by healthcare professionals, as well as health and social policies which allow a stronger support of caregivers through governmental programs.

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Perceived neighborhood characteristics and the functional performance of elderly people in the Belo Horizonte Metropolitan Area, Minas Gerais State, Brazil: a quantile regression analysis

Cadernos de Saúde Pública ◽

10.1590/0102-311x00073515 ◽

2016 ◽

Vol 32 (11) ◽

Cited By ~ 1

Author(s):

Renzo Joel Flores Ortiz ◽

Fabiane Ribeiro Ferreira ◽

Maria Fernanda Lima-Costa ◽

Cibele Comini César

Keyword(s):

Quantile Regression ◽

Elderly People ◽

Metropolitan Area ◽

Functional Performance ◽

The Elderly ◽

Minas Gerais ◽

Neighborhood Characteristics ◽

Minas Gerais State ◽

Quantile Regression Analysis ◽

Belo Horizonte

Abstract: This study aims to examine the relationship between neighborhood characteristics and the functional performance of elderly people living in the Belo Horizonte metropolitan area, Minas Gerais State, Brazil. Data of a representative sample of 2,033 elderly were analyzed using quantile regression. Functional performance was measured by the number of activities of daily living (ADL) the elderly had difficulty to perform. The neighborhood characteristics evaluated were: maintenance, trust, insecurity and defective sidewalks. Functional performance was found positively associated with the characteristic defective sidewalks, whose effect increased as the number of ADL the elderly had difficulty to perform increased. The results suggest that inadequate sidewalk conditions can contribute to functional losses in elderly people, especially among those who are functionally more compromised.

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Which antiretroviral regimen is associated with higher adherence in Brazil? A comparison of single, multi, and dolutegravir-based regimens

Cadernos de Saúde Pública ◽

10.1590/0102-311x00115518 ◽

2019 ◽

Vol 35 (9) ◽

Author(s):

Tarsilla Spezialli Cardoso ◽

Juliana de Oliveira Costa ◽

Edna Afonso Reis ◽

Micheline Rosa Silveira ◽

Palmira de Fátima Bonolo ◽

...

Keyword(s):

Highly Active Antiretroviral Therapy ◽

Illicit Drugs ◽

Multivariate Logistic Regression Analysis ◽

Once Daily ◽

Highly Active ◽

Minas Gerais State ◽

Prior Use ◽

Adhesion Rate ◽

Belo Horizonte

Abstract: We evaluated adherence to highly active antiretroviral therapy (HAART) and its associated factors according to the type of regimen in patients initiating treatment in Belo Horizonte, Minas Gerais State, Brazil. We measured adherence using the eight items Morisky Therapeutic Adhesion Scale (MMAS-8) and compared the use of “backbone” tenofovir/lamivudine plus efavirenz one tablet once-daily (STR) or dolutegravir in multi-tablet once-daily (MTR-DTG), or other multi-tablet regimens (MTR-other). We conducted a multivariate logistic regression analysis to address factors associated with adherence. A total of 393 patients were included, 254 used STR, 106 MTR-DTG, and 33 MTR-other. The overall adhesion rate was 44.8% (95%CI: 39.4; 50.1), 50% for MTR-DTG, 43.3% for STR and 39.4% for MTR-other. Multivariate analysis showed a higher chance of adherence among patients using MTR-DTG, those who received and understood counseling about their treatment and with a higher quality of life. Prior use of illicit drugs in the lifetime was associated with poorer adherence. Overall adherence was low, highlighting the need for strategies focusing on counseling about medicines and substance use. Pill burden was not an issue for patients using MTR-DTG once-daily, who achieved better results.

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