scholarly journals Trends in risk factors chronic diseases, according of health insurance, Brazil, 2008-2013

2015 ◽  
Vol 20 (4) ◽  
pp. 1005-1016 ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Regina Tomie Ivata Bernal ◽  
Martha Oliveira

This article aims to compare the trends for risk and protective factors for NCD in the population with and without health insurance. Analysis of temporal trends of the Vigitel phone survey, collected annually in adult population. Were used analyzed the temporal series of variables referent to risk and protective factors for NCD, from 2008 to 2013. Variables were compared according to the possession or not of health insurance using simple linear regression model. There was a reduction in the prevalence of smoking in the population with and without health insurance, in 0.72% and 0,69% per year respectively. The consumption of fruits and vegetables grew 0,8% and 0.72% per year respectively among the population with and without health insurance. Physical activity in leisure time increased 1.17% and 1.01% per year among population with and without health insurance. Excess weight increased in 1.03% and obesity in 0.74% p.y in the population with health insurance and 1.53% and 0.95% p.y without health insurance. Mammography increased 2.4% in the population without health insurance. Vigitel monitoring showed improvement in the indicators in the population with and without health insurance.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Siqueira Borges ◽  
C H Seoane Leal ◽  
D Sipukow Sciama ◽  
N Gaspareto ◽  
R P D'Elia Nunes

Abstract Background Non-Communicable Diseases (NCD) were responsible for approximately 73% of mortality in São Paulo, Brazil in 2017, in addition to a high burden of disease, costs for the Health System and a lower quality of life. Monitoring the main risk and protection factors for NCD is essential to transform information into action and support public health promotion policies. Methods This is a time trend analysis (2006 - 2017) with data from VIGITEL - Brazilian Surveillance System of Risk and Protective Factors for NCD through Telephone Interviews with adults (≥ 18 years), carried out annually since 2006. Data from the adult population of the city of São Paulo were selected for the following risk and protection factors: obesity, regular consumption of fruits and vegetables, leisure-time physical activity, alcohol abuse and tobacco smoking. The annual percentual change (APC) were estimated by Prais Winstein regression, using Stata 14. Results In the period of 2006 to 2017, the prevalence of obesity increased from 11.3% to 18.5% (APC 4.84; CI 3.56-6.16). In relation to regular consumption of fruits and vegetables and leisure-time physical activity, the prevalence increased from 26.8% to 35.5 % (APC 2.03; IC 0,87-3,21) and 27.5% to 29.9% (APC 3,08; IC 1.12-5.08), respectively. Regarding smoking, the prevalence decreased from 18.8% to 14.2% (APC-3.83; IC-5,64- -1.98). However, alcohol abuse increased from 12.0% to 17.4% (APC 2.5; IC 1.42-3.58). Conclusions The analysis showed some advances, such as reducing smoking, increasing regular consumption of fruits and vegetables and leisure-time physical activity. On the other hand, there was a significant increase in obesity and alcohol abuse. It is worth remembering that these risk and protection factors can be modified and are related to the Social Determinants of Health that influence lifestyle, so intersectoral population strategies are necessary to face them, as well as public policies that promote healthier environments. Key messages Monitoring the main risk and protective factors for Non-Communicable Diseases is essential to implement and to support public health promotion policies and programs. This analysis showed some advances, such as reducing smoking, increasing regular consumption of fruits and vegetables. On the other hand, there was a significant increase in obesity and alcohol abuse.


2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Giovanna Vallim Jorgetto ◽  
João Fernando Marcolan

ABSTRACT Objective: To analyze the participants’ perception of risk and protective factors for depressive symptoms and their relationship with suicidal behavior in a general adult population. Method: Exploratory-descriptive, qualitative research, using Content Analysis. Interviews with 200 participants over 18 years old, domiciled in Poços de Caldas/MG, between January 2017 and October 2018. Results: Risk factors were sadness, loneliness, problematic family relationships, losses/difficulties in emotional relationships, unemployment/financial difficulties, depressive symptoms, worsening of the feeling of depression, inability to frustration, problems in experiencing spirituality. Protective factors were family, emotional relationships, and spirituality. Suicidal behavior was related to the severity of depression, feelings of hopelessness, psychiatric comorbidities, and unemployment. Final considerations: Perception of risk factors was linked to family problems, sadness, loss of emotional relationships, unemployment, loneliness, and inability to experience frustrations; and the protective ones perceived were family and spirituality. There was a relationship between depressive symptoms and suicidal behavior.


Author(s):  
Jose Miguel Giménez Lozano ◽  
Juan Pedro Martínez Ramón ◽  
Francisco Manuel Morales Rodríguez

The present study aims analyze the risk factors that lead to high levels of burnout among nurses and physicians and the protective factors that prevent them. Thus, it is also intended to explore the possible correlation between physical and verbal violence produced at work and the symptoms derived from burnout. Methods: The search was carried out on the Scopus, PubMed and Web of Science databases between 2000 and 2019 (on which date the bibliographic search ends). Descriptive studies estimating the prevalence of workplace violence and risk and protective factors and burnout were included. An adapted version of the Downs and Black quality checklist was used for article selection. 89.6 percent of the studies analysed were in the health sector. There is a significant correlation between burnout symptoms and physical violence at work. On the one hand, the risk factors that moderate this correlation were of structural/organisational type (social support, quality of the working environment, authoritarian leadership, little autonomy or long working days, etc.) and personal type (age, gender, nationality or academic degree, etc.). On the other hand, protective factors were the quality of the working environment, mutual support networks or coping strategies. The results were analysed in-depth and intervention strategies were proposed.


2013 ◽  
Vol 16 (3) ◽  
pp. 572-581 ◽  
Author(s):  
Bruna Mara Duarte ◽  
Regina Tomie Ivata Bernal ◽  
Deborah Carvalho Malta

Introduction: The Non Communicable Diseases (NCD) are the main causes of death in, having known, avoidable the Risk Factor (RF) and susceptible to intervention. Objective: Identify the prevalence of RF and protection for NCD in the Belo Horizonte, 2008. Methodology: Data were analyzed from Vigitel, in Belo Horizonte, 2008. They are presented to the frequencies of RF according to gender, schooling, and calculated the p-value and the PR. Results: Men showed more frequencie in the following RF: higher consumption of meat and milk with fats, soft drinks, abusive consumption of alcohol, drive after drinking, ex-smokers. Men presented in relation to protective factors statistically significant differences in consumption of beans and leisure-time physical activity. Women had the highest frequencies in the consumption of fruits and vegetables, protection against ultraviolet radiation, self-assessment of health as poor, and declared more morbidities such as: arterial hypertension, dyslipidemia, asthma and osteoporosis. Adults with low levels of education compared with high education (reference) presented the following PR: smoke PR 2.09 (95%CI 1.43 - 3.05); consumption of 20 cigarettes and more PR 2.54 (95%CI 1.19 - 5.43); overweight PR 1.27 (95%CI 1.02 - 1.56); obesity PR 1.6 (95%CI 1.04 - 2.47); consumption of soft drinks PR 2,07 (95%CI 1.51 - 2.83); consumption of fruit and vegetable intake PR 0.53 (95%CI 0.40 - 0.72); consumption of beans PR 1.15 (95%CI 1.05 - 1.27); watch TV PR 1.33 (95%CI 1.00 - 1.77); driving after alcohol consumption PR 0.14 (95%CI 0.04 - 0.53); hypertension PR 1.75 (95%CI 1.37 - 2.24); diabetes PR 2.24 (95%CI 1.23 - 4.09). Conclusion: The telephone surveys are an important method to monitor the distribution of risk and protective factors in the population and to permit to orient health promotion programs and prevention.


2020 ◽  
pp. 073194872093900
Author(s):  
Donald L. Compton

Multifactorial models of dyslexia have expanded how we consider heterogeneity within the population of children with dyslexia. These models are predicated on the idea that cognitive/linguistic risk factors are not deterministic but instead probabilistic, with the likelihood of difficulties involving an interaction between risk and protective factors that include both exogenous and endogenous influences. In this commentary a multifactorial model perspective is applied to examine, based on the six papers that make up the special series, the potential utility of such models to clarify issues of etiology, identification, and instruction of children with dyslexia. This approach seems to suggest that multifactorial models of dyslexia have potential to significantly expand our understanding of etiology with less immediate promise for identification and instruction.


2011 ◽  
Vol 26 (S2) ◽  
pp. 530-530
Author(s):  
C. Ferguson

ObjectiveUnderstanding youth violence remains a pressing issue of social concern. Identifying key risk factors for youth violence may help guide prevention and intervention efforts.AimsTo examine the relative impact of varying social influences related to family, community, mental health, television and video games on youth violence in a multivariate format.Study designThe current study involved a one-year prospective study of multiple risk and protective factors for youth violence in a Hispanic-majority sample of early adolescents. Multiple regression was used to examine risk factors from a multivariate format.ResultsResults find that current depression level was the most significant risk factor for youth violence. The influence of depression was most pronounced in individuals with preexisting antisocial personality traits. Risk and protective factors related to schools, neighborhoods, family environment or video game or television violence use were not predictive of youth violence.ConclusionsPotentially, prevention efforts which focus on mental health issues may demonstrate the most positive effects. The degree of resources and rhetoric spent on other factors, particularly television and video game violence may conversely proove unhelpful in reducing youth violence.


Author(s):  
Femke De Krom ◽  
Sangavi Sivananthan ◽  
Farah Alkhotany ◽  
Martijn Celen ◽  
Indy Ezra Hol ◽  
...  

Background: The total number of people affected by dementia worldwide is increasing rapidly. Recent studies provided evidence for the contribution of modifiable risk and protective factors to dementia risk. Although healthcare professionals could play an essential role in informing the general public about the relationship between lifestyle and dementia, it is unclear what they know about this relationship. Therefore, this study assesses the awareness of dementia risk reduction among current and future healthcare professionals. Methods: An online survey was carried out among 182 healthcare students from Maastricht University and 20 general practitioners (GPs) and practice nurses in Limburg, The Netherlands. The survey assessed the knowledge about risk and protective factors of dementia and identified needs, wishes and barriers concerning dementia risk reduction strategies. Results: The majority of current (75.0%) and future (81.9%) healthcare professionals indicated that dementia risk reduction is possible. Among students, awareness of cardiovascular risk factors of dementia (e.g. coronary heart disease (44.5%), hypertension (53.8%)) was low. Most participants (>70.0%) would like to receive more information about dementia risk reduction. Conclusions: The majority of current and future healthcare professionals were aware of the relationship between lifestyle and dementia risk. However, there are still substantial gaps in knowledge regarding individual dementia risk factors. Given the essential role of healthcare professionals in providing lifestyle advice, there is a need to increase awareness by providing educational programs focused on dementia risk reduction.


2021 ◽  
Vol 12 ◽  
Author(s):  
Lindsey M. Nichols ◽  
Jonathan A. Pedroza ◽  
Christopher M. Fleming ◽  
Kaitlin M. O’Brien ◽  
Emily E. Tanner-Smith

Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (Mage = 16 years; 45% female) who were recently discharged from substance use treatment, and their parents (n = 323). Results indicated that lifetime opioid use was significantly more likely among adolescents endorsing antisocial traits and those whose parents reported histories of substance abuse. Additionally, adolescents reporting more perceived availability of substances were significantly more likely to report lifetime opioid use compared to those reporting lower perceived availability of substances. Results did not indicate any significant moderation effects of parental monitoring on any associations between risk factors and lifetime opioid use. Findings generally did not support social-ecological indicators of opioid use in this high-risk population of adolescents, signaling that the social-ecological variables tested may not be salient risk factors among adolescents with SUD histories. We discuss these findings in terms of continuing care options for adolescents with SUD histories that target adolescents’ antisocial traits, perceived availability of substances, and parent histories of substance abuse, including practical implications for working with families of adolescents with SUD histories.


2020 ◽  
Author(s):  
Leonardo Pozza Santos ◽  
Fernanda de Oliveira Meller ◽  
Valeria Romina Amann ◽  
Antônio Augusto Schäfer

Abstract Background: Despite available information on trends in behavioral factors for Brazil and Argentina, little is known about the association of these trends with mortality. Understanding this association is important to avoid early deaths. Therefore, we aimed to evaluate temporal trends in behavioral risk and protective factors in Brazil and Argentina, and to assess their association with overall and cause-specific mortality rates.Methods: Ecological study with data from two population surveys from Brazil and Argentina. Weighted prevalence of tobacco smoking, excessive alcohol consumption, fruit and vegetable consumption and physical activity for the 27 Brazilian state capitals and for the 23 Argentinean provinces were used as behavioral factors. Information on overall mortality as well as cardiovascular diseases and cancer mortality for the year 2015 was collected from national mortality banks of both countries. Estimated prevalence rates were used to describe trends in behavioral factors from 2006 to 2014 in Brazil, and from 2005 to 2013 in Argentina, while Pearson’s correlation and linear regression models were used to assess their association with overall and cause-specific mortality rates.Results: Brazil presented improvements in behavioral risk and protective factors: sharp decrease in tobacco smoking prevalence (from 15% to 9%), increase in regular fruit and vegetable consumption (from 28% to 36%), and increase in physical activity (45% to 51%). In Argentina, results were more disappointing: small reduction in tobacco smoking (from 55% to 50%) and decrease in physical activity (from 55% to 45%). In both countries, excessive alcohol consumption remained stable, with increase only among women. The association between behavioral factors and mortality showed that in those Brazilian capitals with higher prevalence of regular consumption of fruits and vegetables, there were lower overall mortality rates. Stratification by gender revealed that significant results were only found among women. Conclusion: Prevalence of regular consumption of fruits and vegetables increased in Brazilian capitals and was associated with lower overall mortality rate, suggesting a positive impact of Brazilian policies to improve dietary intake patterns on its population’s mortality. Approaches focusing on behavioral factors are especially needed in Argentina to reach similar results of those seen in Brazil.


2018 ◽  
Vol 4 (2) ◽  
pp. 50 ◽  
Author(s):  
Rebecca J. Baer ◽  
Lauren Lessard ◽  
Marta Jankowska ◽  
James G. Anderson ◽  
Jessica Block ◽  
...  

Preterm birth (PTB, < 37 weeks’ gestation) may impose lifelong sequelae or death. Fresno County reports the highest rate of PTB in California. A place-based approach investigating local risk factors for PTB may provide important opportunities for intervention and prevention. In this study, we examine risk and protective factors for PTB in rural, suburban, and urban Fresno County, California. The sample was drawn from Fresno County, California singleton births 2007-2012 (n = 81,021). Multivariate models of maternal risk and protective factors for PTB were stratified by rural, suburban, and urban residence. Women with diabetes, hypertension, infection, fewer than three prenatal care visits, previous PTB, interpregnancy interval less than six months, or were of Black race/ethnicity were at increased risk of PTB. The risk of PTB was highest for women residing in rural locations with preeclampsia superimposed on preexisting hypertension (adjusted relative risk (aRR) 5.7, 95% confidence interval (CI) 4.4-7.4). For women living in urban residences, maternal birth in Mexico and overweight body mass index (BMI) offered protection from PTB (aRRs 0.9), whereas participation in the Women, Infants and Children program was protective for women in either urban or rural residences (aRRs 0.8). Public insurance, <12 year of education,  underweight BMI, and interpregnancy interval of five years or more were risk factors only for women in urban residences. These findings may provide important opportunities for local intervention. 


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