scholarly journals MORTALITY DUE TO TRANSPORT ACCIDENTS IN THE CITY OF SÃO PAULO: 2005-2015

2021 ◽  
Vol 29 (4) ◽  
pp. 193-196
Author(s):  
FÁBIO BOUCAULT TRANCHITELLA ◽  
RENATA SOUZA DOS SANTOS ◽  
JAMILI JAMEL SAKR HUSSEIN EL BACHA ◽  
JÚLIA VILLIBOR SOBRADO ◽  
MATHEUS BORTOLOCI SAMPAIO DOS SANTOS ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Level Of Evidence ◽  
Young Males ◽  
Using Data ◽  
The City ◽  
Transport Accidents

ABSTRACT Objective: To characterize cases of land transport accidents in the macro-regions of city of São Paulo in 2005, 2010, and 2015. Methods: This is a population-based, longitudinal and retrospective study of time series, based on a quantitative survey of land transport accidents that occurred in the city of São Paulo in 2005, 2010 and 2015 using data from the Mortality Information System of the City of São Paulo. Results: A total of 1,343, 1,567 and 1,088 deaths by accident recorded in the city’ population in the years 2005, 2010 and 2015 respectively. The highest occurrences were in the age groups 15 to 24 years and 24 to 34 years. The highest number of deaths due to accidents was among males. The mortality rates observed in the macro-regions were South (23.8%), East (22%), North (21.6%), West (7.1%), and Center (3%). In comparing the years examined, there was a decline in the mortality rate per 100,000 inhabitants in most macro-regions. Conclusion: Despite the decrease in overall accident mortality in most macro-regions, it still deserves attention on preventive traffic actions focused on young males living in peripheral neighborhoods, since they represent the most susceptible group. Level of evidence II; Retrospective Study.

scholarly journals Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

2007 ◽  
Vol 41 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Marcia Furquim de Almeida ◽  
Gizelton Pereira Alencar ◽  
Hillegonda Maria Dutilh Novaes ◽  
Ivan França Jr ◽  
Arnaldo Augusto Franco de Siqueira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Intrauterine Growth Restriction ◽  
Population Based ◽  
Sao Paulo ◽  
Growth Restriction ◽  
Fetal Mortality ◽  
São Paulo ◽  
Intrauterine Growth ◽  
The City

OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and death certificates, hospital records and home interviews. A hierarchical conceptual framework guided the logistic regression analysis. RESULTS: Statistically significant factors associated with antepartum fetal death were: mother without or recent marital union; mother's education under four years; mothers with previous low birth weight infant; mothers with hypertension, diabetes, bleeding during pregnancy; no or inadequate prenatal care; congenital malformation and intrauterine growth restriction. The highest population attributable fractions were for inadequacy of prenatal care (40%), hypertension (27%), intrauterine growth restriction (30%) and absence of a long-standing union (26%). CONCLUSIONS: Proximal biological risk factors are most important in antepartum fetal deaths. However, distal factors - mother's low education and marital status - are also significant. Improving access to and quality of prenatal care could have a large impact on fetal mortality.

scholarly journals Trends in Stroke-Related Mortality in the ABC Region, São Paulo, Brazil: An Ecological Study Between 1997 and 2012

2017 ◽  
Vol 11 (1) ◽  
pp. 111-119 ◽  
Author(s):  
Luiz Vinicius de Alcantara Sousa ◽  
Laércio da Silva Paiva ◽  
Francisco Winter dos Santos Figueiredo ◽  
Tabata Cristina do Carmo Almeida ◽  
Fernando Rocha Oliveira ◽  
...  
Keyword(s):  
Ecological Study ◽  
Temporal Trend ◽  
Linear Regression Analysis ◽  
Age Groups ◽  
National Health System ◽  
Sao Paulo ◽  
Capital City ◽  
São Paulo ◽  
Using Data ◽  
Related Mortality

Background: Stroke is the second leading cause of death and the third leading cause of physical disability in the world, with a high burden of morbidity and mortality, but it has been shown a reduction in mortality worldwide over the past two decades, especially in regions with higher income. Objective: The study analyzed the temporal trend and the factors associated with stroke-related mortality in the cities that make up the ABC region of São Paulo (Santo André, São Bernardo do Campo, São Caetano do Sul, Diadema, Mauá, Ribeirão Pires, and Rio Grande da Serra), in comparison to data from the capital city of São Paulo, in the state of São Paulo, Brazil. Method: This was an ecological study conducted in 2017 using data from 1997 to 2012. Data were collected in 2017 from the Department of Informatics of the Brazilian Unified National Health System (DATASUS), where the Mortality Information System (SIM/SUS) was accessed. Linear regression analysis was used to estimate the temporal trend of stroke-related mortality according to sex, stroke subtypes, and regions. The confidence level adopted was 95%. Results: There was a reduction in the mortality rates stratified according to sex, age groups above 15 years, and subtypes of stroke. Mortality from hemorrhagic and non-specified stroke decreased in all regions. However, a significant reduction in ischemic stroke-related mortality was observed only in the ABC region and in Brazil. Conclusion: The ABC region showed greater mortality due to stroke in males, the age group above 49 years, and non-specified stroke between 1997 and 2012.

scholarly journals Race disparities in mortality by breast cancer from 2000 to 2017 in São Paulo, Brazil: a population-based retrospective study

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ana Cláudia Marcelino ◽  
Bruno Gozzi ◽  
Cássio Cardoso-Filho ◽  
Helymar Machado ◽  
Luiz Carlos Zeferino ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Retrospective Study ◽  
Black Women ◽  
Causes Of Death ◽  
White Women ◽  
Mortality Rates ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Race Disparities

Abstract Background In Brazil, inequalities in access may interfere with cancer care. This study aimed to evaluate the influence of race on breast cancer mortality in the state of São Paulo, from 2000 to 2017, contextualizing with other causes of death. Methods A population-based retrospective study using mortality rates, age and race as variables. Information on deaths was collected from the Ministry of Health Information System. Only white and black categories were used. Mortality rates were age-adjusted by the standard method. For statistical analysis, linear regression was carried out. Results There were 60,940 deaths registered as breast cancer deaths, 46,365 in white and 10,588 in black women. The mortality rates for 100,000 women in 2017 were 16.46 in white and 9.57 in black women, a trend to reduction in white (p = 0.002), and to increase in black women (p = 0.010). This effect was more significant for white women (p < 0.001). The trend to reduction was consistent in all age groups in white women, and the trend to increase was observed only in the 40–49 years group in black women. For ‘all-cancer causes’, the trend was to a reduction in white (p = 0.031) and to increase in black women (p < 0.001). For ‘ill-defined causes’ and ‘external causes’, the trend was to reduce both races (p < 0.001). Conclusion The declared race influenced mortality rates due to breast cancer in São Paulo. The divergences observed between white and black women also were evident in all cancer causes of death, which may indicate inequities in access to highly complex health care in our setting.

scholarly journals Anthropometric status of individuals with COPD in the city of São Paulo, Brazil, over time - analysis of a population-based study

2019 ◽  
Vol 45 (6) ◽  
Author(s):  
Josiane Marchioro ◽  
Mariana Rodrigues Gazzotti ◽  
Graciane Laender Moreira ◽  
Beatriz Martins Manzano ◽  
Ana Maria Baptista Menezes ◽  
...  
Keyword(s):  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Anthropometric Data ◽  
Baseline Phase ◽  
Population Based Study ◽  
Two Phases ◽  
The City ◽  
Severe Copd

ABSTRACT Objective: To evaluate the anthropometric data obtained for residents of the city of São Paulo, Brazil, in a study of Latin America conducted in two phases (baseline, in 2003, and follow-up, in 2012). Methods: This was an analysis of data obtained for São Paulo residents in a two-phase population-based study evaluating the prevalence of COPD and its relationship with certain risk factors among individuals ≥ 40 years of age. The anthropometric data included values for weight, height, body mass index (BMI), and waist circumference. In the follow-up phase of that study, the same variables were evaluated in the same population sample as that of the baseline phase. Results: Of the 1,000 São Paulo residents enrolled in the baseline phase of that study, 587 participated in the follow-up phase, and 80 (13.6%) of those 587 subjects had COPD. Comparing the baseline and follow-up phases, we found increases in all anthropometric measures in both groups (COPD and non-COPD), although the differences were significant only in the non-COPD group. The subjects with mild COPD showed increases in weight and BMI (Δweight = 1.6 ± 5.7 and ΔBMI = 0.7 ± 2.2), whereas those with moderate or severe COPD showed reductions (Δweight = −1.7 ± 8.1 and ΔBMI = −0.4 ± 3.0), as did those with severe or very severe COPD (Δweight = −0.5 ± 5.4 and ΔBMI = −0.8 ± 3.3). Conclusions: Between the two phases of the study, the subjects with mild COPD showed increases in weight and BMI, whereas those with a more severe form of the disease showed reductions.

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.

scholarly journals Validation and calibration of self-reported weight and height from individuals in the city of São Paulo

2014 ◽  
Vol 17 (3) ◽  
pp. 735-746 ◽  
Author(s):  
Aline Martins de Carvalho ◽  
Lívia Gonçalves Piovezan ◽  
Soraya Sant´Ana de Castro Selem ◽  
Regina Mara Fisberg ◽  
Dirce Maria Lobo Marchioni
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Body Mass Index Data ◽  
Calibration Coefficients

Objective: To evaluate the validity of self-reported weight and height measurements among residents of São Paulo, as well as the accuracy of these measurements for determining nutritional status, and to present calibration coefficients. Methods: A cross-sectional, population-based study was performed with a sample of 299 adolescents, adults and elderly of both genders, in São Paulo in 2008. Bland-Altman difference plot and intraclass correlation were used to determine agreement between measured and self-reported parameters. Sensitivity and specificity were assessed for overweight, and calibration coefficients were estimated for correction of weight, height and body mass index data. Results: The intraclass correlation was high between self-reported and measured parameters for weight (r > 0,94) and body mass index (BMI) (r > 0,85). The agreement between measured and self-reported weight, height and BMI was good. Sensibility was > 91% and specificity was > 83%. Conclusion: Self-reported weight measurements can substitute measured parameters in this population, in both genders and in the age groups studied. Self-reported height measurements should be used with caution. Calibration coefficients can be used to adjust self-reported measurements.

scholarly journals Incidence of rare cancers in the city of São Paulo, Brazil

2019 ◽  
Vol 105 (1) ◽  
pp. 22-30
Author(s):  
Maria Teresa Bustamante-Teixeira ◽  
Maria do Rosário D.O. Latorre ◽  
Maximiliano R. Guerra ◽  
Luana F. Tanaka ◽  
Laura Botta ◽  
...  
Keyword(s):  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Incidence Data ◽  
Rare Cancers ◽  
Rare Tumors ◽  
Epidemiologic Profile ◽  
Health Studies ◽  
The City ◽  
Epidemiology And Public Health

Introduction: Rare cancers are a challenge for clinical practice as well as for epidemiology and public health. Studies on this subject are few and limited to the study of cases with scarce epidemiologic information. This study aimed to evaluate the incidence of rare cancers and to compare the demographic, anatomic, and histologic characteristics of rare and nonrare (common) cancers. Methods: Incidence data were obtained from the Population-based Cancer Registry of São Paulo, Brazil. Rare neoplasms were those defined in the RARECARE list, which takes into account an incidence lower than 6/100,000/year. Results: In São Paulo, 20.4% of tumors had an incidence lower than 6/100,000/year from 1997 to 2012, being therefore considered as rare tumors. We identified 11 entities with an incidence greater than 6/100,000/year (common neoplasms) and 186 entities with an incidence lower than 6/100,000/year (rare neoplasms). The mean annual incidence of all cancers was 365 per 100,000 in São Paulo between 1997 and 2012, and the incidence of all rare tumors was 74.5 per 100,000. Conclusions: This study presents the burden of rare cancers in Brazil. It is expected to be an incentive for further studies of these entities in order to know the epidemiologic profile of rare tumors in Brazil and to provide a more effective diagnostic and therapeutic approach.

scholarly journals Anthropometry of elderly residents in the city of São Paulo, Brazil

2005 ◽  
Vol 21 (6) ◽  
pp. 1929-1938 ◽  
Author(s):  
Aline R. Barbosa ◽  
José M. P. Souza ◽  
Maria L. Lebrão ◽  
Ruy Laurenti ◽  
Maria de Fátima N. Marucci
Keyword(s):  
Body Mass ◽  
Age Groups ◽  
Household Survey ◽  
The Elderly ◽  
Skinfold Thickness ◽  
Epidemiological Studies ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

The article presents gender and age-specific selected anthropometric data for a representative sample of elderly Brazilians in the city of São Paulo. This was a cross-sectional, population-based household survey. A total of 1,894 older adults (men and women, > 60 years) were examined from January to March 2001. Data were presented as means and percentiles for body mass (BM); height or stature (ST); body mass index (BMI); waist (WC), hip (HC), arm (AC), and calf (CC) circumferences; triceps skinfold thickness (TST); and arm muscle circumference (AMC), and differences were described according to age (all variables) and gender (BMI). Except for HC (men), all anthropometric variables were lower in the oldest than in the youngest individuals (p < 0.01) in both genders. BMI was significantly higher (p < 0.01) in women than men (all age groups). The observations suggest that there is loss of muscle mass and redistribution and reduction of fat mass with age (both genders). The data can be used in clinical practice and epidemiological studies based on interpretation of anthropometric measurements in the elderly in São Paulo.

scholarly journals 1022 Association Between Homocysteine and Sleep in Postmenopausal Women

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A388-A389
Author(s):  
C V Banzoli ◽  
A G Bezerra ◽  
V D’Almeida ◽  
M L Andersen ◽  
S V Tufik ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Hot Flushes ◽  
São Paulo ◽  
Cross Sectional ◽  
Sleep Parameters ◽  
Low Hdl ◽  
The City

Abstract Introduction Homocysteine (Hcy) is a sulfur amino acid, considered an independent risk factor for cardiovascular disease. Excessive Hcy directly harms the endothelium and can lead to premature atherosclerosis, with progression to stroke and acute myocardial infarction. One of the causes of hyperhomocysteinemia (Hhcy) is known to be hypoestrogenism. Hypoestrogenism increases the cardiovascular risk as well as the occurrence of sleep disorders. Hhcy prevalence varies by population and its value in postmenopausal women in Brazil is unknown. Objective: To evaluate the prevalence of hyperhomocysteinemia in postmenopausal women in the city of São Paulo. Check if there is an association between the variables: Hcy and lipid profile; Hcy and hot flushes; Hcy and subjective sleep parameters Methods A population-based cross-sectional study was conducted that included a total of 1,042 volunteers living in the city of São Paulo in 2007. This research is part of the São Paulo Sleep Epidemiological Study (EPISONO). Study approved by the Ethics Committee (CEP # 0593/06) and registered with ClinicalTrials.gov (NCT00596713). Hcy, total cholesterol, HDL, LDL, triglycerides were measured. Sleep questionnaires PSQI, IGI, Epworth Sleepiness Scale were used. The GLzM (Generalized Linear Model) was used to verify the association between the different variables. Dependent variables were used in binominal and gama distribution when needed Results The sample consisted of 193 postmenopausal women, with a mean age of 58 years (SD ± 9). The prevalence of Hhcy in this sample was 4.7%, while 14.7% had dyslipidemia 22.8% with hypertriglyceridemia and 29% with low HDL levels. There was an association between Hcy and HDL. There was no association between Hcy and hot flushes, Hcy and LDL, nor with Hcy and sleep parameters. Conclusion The studied population presented low prevalence of Hhcy and there was no association between Hcy and sleep parameters. Support This research was support by fellowships from Associação Fundo de Incentivo à Pesquisa (AFIP) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) - Finance Code 001.

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