scholarly journals Equity of access to Pap smears: population-based study in Campinas, São Paulo, Brazil

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 136-149 ◽  
Author(s):  
Vivian Mae Schmidt Lima Amorim ◽  
Marilisa Berti de Azevedo Barros
Keyword(s):  
Population Based ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Pap Smears ◽  
São Paulo ◽  
Papanicolaou Test ◽  
Cross Sectional ◽  
Health Related ◽  
Equity Of Access ◽  
The City

OBJECTIVE: To determine the prevalence of the Papanicolaou exam among women aged 20 to 59 years in the city of Campinas (state of São Paulo, Brazil) and to analyze associations between this test and affiliation to private health insurance plans as well as socioeconomic/demographic variables and health-related behavior. METHOD: To do so, a population-based, cross-sectional study was carried out. Statistical analyses took the study design into account. RESULTS: Despite the significant socioeconomic differences between women with and without private health plans, no differences between these groups were found regarding having been submitted to the Papanicolaou test. In fact no differences were found as to socioeconomic and health variables analyzed. Among all variables analyzed, only marital status was significantly associated with having undergone the test. The Brazilian public health system accounted for 55.7% of the exams. CONCLUSION: The present findings indicate social equity in the city of Campinas regarding the preventive exam for cervical cancer in the age group studied.

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.

scholarly journals Population-based Cross-sectional Analysis of the Epidemiology of the Surgical Correction of Hyperhidrosis in 1216 Patients over 11 years

2021 ◽  
Author(s):  
Marcelo Fiorelli Alexandrino da Silva ◽  
Andressa Cristina Sposato Louzada ◽  
Marcelo Passos Teivelis ◽  
Nickolas Stabellini ◽  
Dafne Braga Diamante Leiderman ◽  
...  
Keyword(s):  
Intensive Care ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Public Hospitals ◽  
Hospital Death ◽  
São Paulo ◽  
Cross Sectional ◽  
Thoracic Sympathectomy ◽  
The City

AbstractBackgroundEndoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis, and a nationwide study suggested that it has been performed in a higher rate than which could have been expected due to climate characteristics, comparing to the national statistics.ObjectivesTo study the epidemiology of sympathectomy to treat hyperhidrosis in São Paulo, the largest city in the Southeast.Design and settingpopulation-based cross-sectional study.Methodsdata on sympathectomies to treat hyperhidrosis between 2008 and 2018 were assessed from the database of the Municipal Health Secretary of São Paulo, Brazil.Results65.29% of the patients were female, 66.2% aged between 20 and 39 years and 37.59% had addresses registered outside São Paulo. 1216 procedures were performed in the city of São Paulo from 2008 to 2018, 78.45% of which in only two public hospitals. The number of procedures significantly declined over the years (p = 0.001). 71.63% of the procedures were associated with 2 to 3 days of hospital stay, only 78 intensive care unit days were billed and we did not observe any intra-hospital death.Conclusionssympathectomies for the treatment of HH were widely performed in the city of São Paulo (1216 procedures), mainly in young (20 -39 years) and female patients, with more than one third of the patients having addresses registered outside the city. This is a very safe surgery, with low need for intensive care units and no mortality in our series. There was a decreasing trend in the number of surgeries over the years.

scholarly journals A cross-sectional study assessing the pharyngeal carriage of Neisseria meningitidis in subjects aged 1–24 years in the city of Embu das Artes, São Paulo, Brazil

2017 ◽  
Vol 21 (6) ◽  
pp. 587-595 ◽  
Author(s):  
Lily Yin Weckx ◽  
Rosana Fiorini Puccini ◽  
Antónia Machado ◽  
Maria Gisele Gonçalves ◽  
Suely Tuboi ◽  
...  
Keyword(s):  
Neisseria Meningitidis ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
The City

scholarly journals Are normal-weight adolescents satisfied with their weight?

2016 ◽  
Vol 134 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Mariana Contiero San Martini ◽  
Daniela de Assumpção ◽  
Marilisa Berti de Azevedo Barros ◽  
Ana Maria Canesqui ◽  
Antonio de Azevedo Barros Filho
Keyword(s):  
Population Based ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Cross Sectional ◽  
High Prevalence ◽  
Health Related ◽  
Prevalence Of Obesity ◽  
The City ◽  
Prevalence Ratios ◽  
Domestic Appliances

ABSTRACT: CONTEXT AND OBJECTIVE: The high prevalence of obesity has led to public policies for combating it. People with normal weight may gain greater awareness of this issue and change their perceptions of their weight. The aim of this study was to evaluate the prevalence of body weight dissatisfaction among normal-weight adolescents, according to demographic and socioeconomic variables, health-related behavior and morbidities. DESIGN AND SETTING: Population-based cross-sectional study that used data from a health survey conducted in the city of Campinas, São Paulo, in 2008-2009. METHODS: The prevalence and prevalence ratios of weight dissatisfaction were estimated according to independent variables, by means of simple and multiple Poisson regression. RESULTS: 573 normal-weight adolescents aged 10 to 19 years (mean age 14.7 years) were analyzed. The prevalence of weight dissatisfaction was 43.7% (95% confidence interval, CI: 37.8-49.8). Higher prevalences of weight dissatisfaction were observed among females, individuals aged 15 to 19 years, those whose households had eight or more domestic appliances, former smokers, individuals who reported alcohol intake and those who had one or more chronic diseases. Lower prevalence of dissatisfaction was observed among adolescents living in substandard housing. Among the normal-weight adolescents, 26.1% wished to lose weight and 17.6% wished to gain weight. CONCLUSION: The results from this study indicate that even when weight is seen to be within the normal range, a high proportion of adolescents express dissatisfaction with their weight, especially females, older adolescents and those of higher socioeconomic level.

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.

24 bp duplication of CHIT1 gene and determinants of human chitotriosidase activity among participants of EPISONO, a population-based cross-sectional study, São Paulo, Brazil

2013 ◽  
Vol 46 (12) ◽  
pp. 1084-1088 ◽  
Author(s):  
Priscila Tamanaha ◽  
Vânia D'Almeida ◽  
Bruno F.A. Calegare ◽  
Luciana Yuki Tomita ◽  
Lia Rita A. Bittencourt ◽  
...  
Keyword(s):  
Population Based ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chitotriosidase Activity

scholarly journals Prevalence of depressive and anxiety symptoms in medical students in the city of Santos

2015 ◽  
Vol 64 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Rosana Denobile Serra ◽  
Sandra Lopes Mattos e Dinato ◽  
Marcos Montani Caseiro
Keyword(s):  
Depressive Symptoms ◽  
Medical Students ◽  
Emotional Disorders ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Anxiety Symptoms ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

ABSTRACT Objective Ascertain the prevalence of depressive and anxiety symptoms in medical students, considering data in the literature that indicate higher vulnerability to emotional disorders in this population. Methods A descriptive cross-sectional study with a sample of 657 (98%) students. The instruments used were: questionnaire of socioeconomic-demographic characteristics, Beck Depression Inventory and Beck Anxiety Inventory. Results Predominance of the female gender (61%), aged between 17 and 30 years (98%), Catholic religion (64.2%) from the city of São Paulo (40.7%) and other cities in the state (35.7%); 30% presented depressive symptoms and 21% anxiety symptoms. Female students had higher scores both for depression (34.8%) and for anxiety (26.8%). As regards the course year, the highest rates were found in the 5th year (40.7%) for depression and in the 2nd year for anxiety (28.8%). Conclusion The data obtained in this study (30%) agreed with the literature regarding the prevalence of depressive symptoms in medical students, but this index was higher compared to the population in general (15.1% to 16.8%), and related to people in São Paulo city (18.5%). Concerning anxiety the rates found were slightly lower than those in specific literature but higher than those in literature for the population in general (8% to 18%) and in city São Paulo (16.8%). These indices indicate that the school of medicine may play a role as a predisposing and/or triggering factor in some students. The results suggest that more attention should be directed to 5th year students, who are beginning the internship period.

scholarly journals Alcohol use and risk of vehicle accidents: cross-sectional study in the city of São Paulo, Brazil

2020 ◽  
Vol 138 (3) ◽  
pp. 208-215
Author(s):  
Janaina Barbosa de Oliveira ◽  
Florence Kerr-Corrêa ◽  
Ícaro Caresia Lopes ◽  
Walter Vitti Junior ◽  
Hélio Rubens de Carvalho Nunes ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vehicle Accidents ◽  
The City

scholarly journals Physicians' attitude towards tobacco dependence in a private hospital in the city of São Paulo, Brazil

2013 ◽  
Vol 11 (2) ◽  
pp. 158-162 ◽  
Author(s):  
Alessandra Maria Julião ◽  
Ana Luiza Lourenço Simões Camargo ◽  
Vanessa de Albuquerque Cítero ◽  
Mara Fernandes Maranhão ◽  
Alfredo Maluf Neto ◽  
...  
Keyword(s):  
Private Hospital ◽  
Smoking Status ◽  
Medical Specialty ◽  
Tobacco Dependence ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Smoking Habits ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

OBJECTIVE: To investigate how often physicians identify and treat tobacco dependence and whether characteristics as gender, age, marital status, medical specialty and smoking status can influence their attitude towards this question. METHODS: A cross-sectional study was performed on 515 physicians working in a private hospital in São Paulo, Brazil, using a confidential voluntary questionnaire sent and answered electronically. RESULTS: We found that 89% of physicians who answered the research questionnaire often or always asked their patients about smoking habits, but only 39% often or always treated patients' tobacco dependence. In our sample, 5.8% of individuals were current smokers. Tobacco dependent physicians provided less treatment for smoking dependence compared with those who had never smoked, or were former smokers. Being a clinician was associated with higher probability to treat tobacco dependence. CONCLUSION: Physicians should not only address patients' smoking habits but also provide treatment whenever tobacco dependence is diagnosed. To understand physicians' attitude towards smoking may help to develop strategies to stimulate patients' treatment. The development of smoking cessation programs meant specifically for physicians may also be a strategy to enhance patients' treatment.

scholarly journals Effects of the social isolation generated by Covid-19 on the quality of life of the population in two Brazilian cities

2021 ◽  
Vol 31 (3) ◽  
pp. 405-413
Author(s):  
Francisco Naildo Cardoso Leitão ◽  
Carlos Roberto Teixeira Ferreira ◽  
Katiuscia Larsen de Abreu ◽  
Maura Bianca Barbary de Deus ◽  
Hugo Macedo Junior ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Isolation ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Three Dimensions ◽  
São Paulo ◽  
Cross Sectional ◽  
The Social ◽  
The City

Introduction: COVID-19 is a highly transmissible virus that is causing very serious problems in the health of the world, generating major political and financial problems. There are numerous risk factors related to this disease, ranging from morbidities to social and family issues. Objective: to evaluate the effects of the social isolation generated by Covid-19 on the quality of life in the population of two Brazilian cities. Methods: cross-sectional study. The research was carried out in two different cities of the Brazilian confederation. One in Santo André, São Paulo and the other in Rio Branco, Acre, both in Brazil. This is a survey with an online platform, using the drive’s Google Forms tool to assess the population’s quality of life through the SF-36 protocol. The selection was carried out randomly in both groups (Acre and São Paulo), having respectively 109 and 62 participants in this first moment. Results: regarding gender, women are in greater numbers participating in the city of Santo André, São Paulo than in Rio Branco, Acre, both in Brazil, with (80.6% and 48.6%), respectively. Likewise, in relation to the age group Santo André has an average age younger than in Rio Branco. When we compared the dimensions between the two states, performing a Mann-Whitney statistical analysis, statistical differences appeared in three dimensions, which were functional capacity, pain, and vitality, with better quality of life in these three domains for the city of Rio Branco. Conclusion: the city of Rio Branco, Acre, Brazil, has a positive score when compared to the city of Santo André, São Paulo, Brazil, in most of the domains analyzed.

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