scholarly journals Social inequality in health among women in Campinas, São Paulo State, Brazil

2012 ◽  
Vol 28 (10) ◽  
pp. 1903-1914 ◽  
Author(s):  
Caroline Senicato ◽  
Marilisa Berti de Azevedo Barros
Keyword(s):  
Health Services ◽  
Pap Smear ◽  
Social Inequalities ◽  
Common Mental Disorders ◽  
Health Indicators ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Paulo State ◽  
São Paulo State

The aim of this was study was to assess social inequalities in health status and use of health services according to level of schooling in women. This was a cross-sectional population-based study with a sample of 508 women from 20 to 59 years of age living in Campinas, São Paulo State, Brazil (ISA-Camp 2008). Women with less schooling showed higher prevalence of hypertension, circulatory problems, headache, dizziness, obesity, common mental disorders, worse self-rated health, use of dental prosthesis, and visual impairment, but lower prevalence for use of eyeglasses. There were no differences between the two schooling strata in prevalence of medical visits in the previous two weeks, use of medicines in the three previous days, Pap smear, breast self-examination, clinical breast examination, hospitalizations and surgeries in the previous year, and rubella vaccination any time in life. The only significant differences were in use of dental services and mammograms. The results show social inequalities in various health indicators and equity in access to various components of the health services.

scholarly journals ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER IN BRAZIL: PROSPECTIVE COMPARISON OF TWO CONSECUTIVE SEASONS 2017/2016

2018 ◽  
Vol 26 (5) ◽  
pp. 338-341 ◽  
Author(s):  
Eduardo Ramalho de Moraes ◽  
Gustavo Gonçalves Arliani ◽  
Paulo Henrique Schmidt Lara ◽  
Eli Henrique Rodrigues da Silva ◽  
Jorge Roberto Pagura ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sao Paulo ◽  
Lower Limbs ◽  
São Paulo ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Paulo State ◽  
Professional Soccer ◽  
Prospective Comparison ◽  
São Paulo State

ABSTRACT Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship. Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round. Results: 17.63 injuries sustained per 1000 hours of matches in the A1 series and 14.91 injuries sustained per 1000 hours of matches in the A2 series. Incidence of injuries per 1000 hours of matches decreased from 24.16 to 17.63 in the A1 series (p<0.037) and from 19.10 to 14.01 in the A2 series (p<0.064). External defenders suffered most injuries, while muscular injuries were most common and lower limbs, the most affected areas. Most injuries occurred between 30 and 45 minutes of the match and only 11.9% of the injuries required surgery. Conclusions: Prevalence and frequency of injuries decreased between seasons. Most injuries were sustained in the lower limbs; strains were the most common injuries, followed by strains and contusions; MRIs were the most frequently requested exams and most injuries were classified as moderate (8-28 days). Level of evidence III, Cross-Sectional Study.

scholarly journals NUTRITIONAL CONDITION OF CHILDREN WHO BENEFIT FROM THE “BOLSA FAMÍLIA” PROGRAMME IN A CITY OF NORTHWESTERN SÃO PAULO STATE, BRAZIL

2015 ◽  
Vol 25 (3) ◽  
pp. 313 ◽  
Author(s):  
Fabiana Pelegrin Cogo Dos Santos ◽  
Fabiana Cristina Frigieri De Vitta ◽  
Marta Helena Souza De Conti ◽  
Sara Nader Marta ◽  
Márcia Aparecida Nuevo Gatti ◽  
...  
Keyword(s):  
Risk Groups ◽  
Sao Paulo ◽  
Child Growth ◽  
Nutritional Condition ◽  
São Paulo ◽  
Chi Square ◽  
Cross Sectional ◽  
Global Database ◽  
Paulo State ◽  
São Paulo State

Introdution: The direct income transfer programmes such as “BolsaFamília” have the important function of making it possible for aspects of life to receive the necessary care and importance in order to improve the quality of life. One of the aspects concerns food and healthy nutrition. Objective: The objective was to assess the nutritional condition of children under five years old whose families are benefited by the programme”BolsaFamília” in a city of northwestern São Paulo state, Brazil. Methods: A cross-sectional and retrospective study was carried out using the medical records of 284 children under the age of five, from which socio-demographic, weight and height data were collected. In order to diagnose children’s nutritional condition,the indicators weight/age, height/age and weight/height were used, from the cutoffpoint z-score, recommended by the WHO Global Database on Child Growth and Malnutrition. Descriptive statistics and the Chi-square test were used to analyse data, assessing the association of indicators, gender and age. Results: 8.8% of the children have deficits concerning height/age and 4.2% have deficits concerning weight/age; 8.1% and 7.4% are overweight concerning weight/age and weight/height; 4.6 % of the children under 2 years oldhave higher weight than the expected for their age and also for their height, and 7.8% of the children have low height for their age. The prevalence of weight deficit and excess in children observed in this study were similar to those found in other regions of Brazil. Conclusion: The maintenance of the nutritional surveillance system is extremely important in order to detect risk groups and help plan effective measures to prevent and correct nutritional problems.

scholarly journals Social and racial inequalities in COVID-19 risk of hospitalisation and death across Sao Paulo state, Brazil

2020 ◽  
Author(s):  
Sabrina L. Li ◽  
Rafael H. M. Pereira ◽  
Carlos A. Prete ◽  
Alexander E. Zarebski ◽  
Lucas Emanuel ◽  
...  
Keyword(s):  
Low Income ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Mobile Phone Data ◽  
São Paulo ◽  
Cross Sectional ◽  
Paulo State ◽  
Disadvantaged Population ◽  
São Paulo State

Background: Little evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in Sao Paulo state, Brazil and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities. Methods: We conducted a cross-sectional study using hospitalised severe acute respiratory infections (SARI) notified from March to August 2020, in the Sistema de Monitoramento Inteligente de Sao Paulo (SIMI-SP) database. We examined the risk of hospitalisation and death by race and socioeconomic status using multiple datasets for individual-level and spatio-temporal analyses. We explained these inequalities according to differences in daily mobility from mobile phone data, teleworking behaviour, and comorbidities. Findings: Throughout the study period, patients living in the 40% poorest areas were more likely to die when compared to patients living in the 5% wealthiest areas (OR: 1.60, 95% CI: 1.48 - 1.74) and were more likely to be hospitalised between April and July, 2020 (OR: 1.08, 95% CI: 1.04 - 1.12). Black and Pardo individuals were more likely to be hospitalised when compared to White individuals (OR: 1.37, 95% CI: 1.32 - 1.41; OR: 1.23, 95% CI: 1.21 - 1.25, respectively), and were more likely to die (OR: 1.14, 95% CI: 1.07 - 1.21; 1.09, 95% CI: 1.05 - 1.13, respectively). Interpretation: Low-income and Black and Pardo communities are more likely to die with COVID-19. This is associated with differential access to healthcare, adherence to social distancing, and the higher prevalence of comorbidities.

Inequalities in overall survival of oropharynx, oral cavity, and larynx cancers in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F S Menezes ◽  
A M B de Oliveira ◽  
T N Toporcov
Keyword(s):  
Overall Survival ◽  
Oral Cavity ◽  
Social Inequalities ◽  
Sao Paulo ◽  
Clinical Staging ◽  
Social Disparities ◽  
São Paulo ◽  
Risk Of Death ◽  
Paulo State ◽  
São Paulo State

Abstract Socioeconomic inequalities in the survival of head and neck cancer is a widespread concern in developing countries. In Brazil, there are severe social disparities that include access to healthcare. In this context, we investigated whether social inequalities impact the overall survival of patients diagnosed with larynx, oral cavity, and oropharynx cancers in São Paulo State (2000-2018). This hospital-based cohort study used data provided by the São Paulo Oncocentro Foundation (FOSP) in São Paulo State, Brazil. The 5-year overall survival (OS) was assessed by the Kaplan-Meier curves, log-rank tests, and Cox proportional hazard models to calculate the hazard ratio (HR). We considered a confidence level of 95% (95%CI) to indicate statistical significance. Out of the 816,393 cases recorded in the São Paulo State, a total of 37,191 cases occurred in larynx (n = 12,095), oral cavity (n = 12,858), and oropharynx (n = 12,238). The OS was 40.3%, 31.7%, and 23.6% for larynx, oral cavity, and oropharynx cancers, respectively. In multivariable Cox regression, formal education lower than 9 years increased the risk of death in oropharynx cancers (HR = 1.11; 95%CI= 1.05; 1.17), oral cavity cancers (HR = 1.06; 95%CI= 1.01; 1.12), and larynx cancers (HR = 1.09; 95%CI= 1.03; 1.16). The public healthcare assistance has shown to be a factor for a higher risk of death by 79% for oropharynx in comparison to private healthcare assistance, adjusted by age group, gender, clinical staging, and therapy modalities (chemotherapy, radiotherapy, and surgery). In conclusion, there is a remarkable social inequality at individual level in São Paulo State that poses a challenge to public the health in order to improve the overall survival in Brazilian patients. Key messages Social inequalities reduce the overall survival in oropharynx, oral cavity, and larynx cancers in São Paulo State, Brazil. Tackling social disparities is crucial since they play an essential role in the prognosis of Brazilian patients with oropharynx, oral cavity, and larynx cancers.

Trends in the use of psychoactive substances by truck drivers in São Paulo State, Brazil: A time-series cross sectional roadside survey (2009–2016)

2019 ◽  
Vol 20 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Vilma Leyton ◽  
Henrique Silva Bombana ◽  
Juliana Gallottini Magalhães ◽  
Helena Nascimento Panizza ◽  
Daniele Mayumi Sinagawa ◽  
...  
Keyword(s):  
Time Series ◽  
Sao Paulo ◽  
Truck Drivers ◽  
São Paulo ◽  
Psychoactive Substances ◽  
Cross Sectional ◽  
Paulo State ◽  
Roadside Survey ◽  
São Paulo State

scholarly journals Effectiveness of Family Health Strategy on child's health indicators in São Paulo State

2016 ◽  
Vol 16 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Sonia Isoyama Venancio ◽  
Tereza Etsuko da Costa Rosa ◽  
Maria Teresa Cera Sanches ◽  
Elza Yoshie Shigeno ◽  
José Maria Pacheco Souza
Keyword(s):  
Fixed Effects ◽  
Negative Binomial ◽  
Family Health ◽  
Health Indicators ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
Health Strategy ◽  
Family Health Strategy ◽  
São Paulo State

Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.

Crossing Birth and Mortality Data as a Clue for Prevalence of Congenital Diaphragmatic Hernia in Sao Paulo State: A Cross Sectional Study

2021 ◽  
Author(s):  
Victoria Oliveira Maia ◽  
Eduardo Pavarino ◽  
Leandro Tonderys Guidio ◽  
João Paulo Dias de Souza ◽  
Augusto Frederico Schmidt ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Mortality Data ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
Paulo State ◽  
São Paulo State

scholarly journals Violence against teachers of public elementary II schools

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Cléa Adas Saliba Garbin ◽  
Tânia Adas Saliba Rovida ◽  
Adriana Alves Costa ◽  
Artênio José Isper Garbin
Keyword(s):  
Public Schools ◽  
Qualitative Study ◽  
School Setting ◽  
Exposure To Violence ◽  
Sao Paulo ◽  
Verbal Abuse ◽  
São Paulo ◽  
Cross Sectional ◽  
Paulo State ◽  
São Paulo State

The aim of was to determine the prevalence of cases of violence against teachers, in public schools in a city in São Paulo State. This is a cross-sectional, analytical, quantitative and qualitative study. Being a total of 148 teachers and consenting answered a questionnaire. Of these, 109 agreed to participate, 43% reported having experienced some form of violence at school and of the affirmative cases, 85% said that verbal abuse is more common. It is concluded that violence is present in the school setting, due to various factors that leads to an inversion of values, which generates disrespect against teachers.Descriptors: Exposure to Violence; Education, Primary and Secondary; Adolescent.

scholarly journals Factors Associated to the Decision to Terminate or not an Unwanted Pregnancy among a Sample of Civil Servant in São Paulo State, Brazil.

2019 ◽  
Vol 1 (3) ◽  
pp. 1-9
Author(s):  
Silvana Ferreira Bento ◽  
Silvana Ferreira Bento ◽  
Karla Simônia de Pádua ◽  
Karla Simônia de Pádua ◽  
Graciana Alves Duarte ◽  
...  
Keyword(s):  
Higher Education ◽  
Unwanted Pregnancy ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Barrier Method ◽  
Cross Sectional ◽  
Paulo State ◽  
Unwanted Pregnancies ◽  
São Paulo State

This is a cross sectional study of a sample of civil servants from the interior of São Paulo state, carried out with the purpose of evaluating the occurrence of unwanted pregnancies, the proportion which were terminated, the reason given for having or not having an abortion and which factors were associated to the decision whether or not to terminate an unwanted pregnancy. Just over one fifth declared to have experienced an unwanted pregnancy and over half of them were aborted. The reasons to abort concentrate on interferance with their life expectancy: “to continue studying or working” “being single”, “too young to get married” and “to become a father or mother”. Also important were fear of parents and rejection by the respondents'partner. Among those who did not terminate the unwanted pregnancy religion acted as a barrier among almost one third and the legal barrier for almost one fourth. Not having a permanent partner, being in use of behavioral or barrier method of contraception and higher education were associated with higher incidence of abortion of the unwanted pregnancy, but in multiple regression, only higher education remain significantly associated. Our results showed that once the unwanted pregnancy occur, more than half of them will be aborted, confirming the need to concentrate the efforts in reducing unwanted pregnancies if we want to prevent abortion.

scholarly journals Prenatal and puerperal care and indicators of severity: a study about the information available on pregnant women’s card

2019 ◽  
Vol 19 (4) ◽  
pp. 983-989
Author(s):  
Ivelise Araújo de Souza ◽  
Mário Ivo Serinolli ◽  
Márcia Cristina Zago Novaretti
Keyword(s):  
Prenatal Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Paulo State ◽  
Eastern Zone ◽  
São Paulo State ◽  
Adequate Prenatal Care ◽  
The City ◽  
Discharge Summaries

Abstract Objectives: to identify and to discuss the frequency of the prenatal and puerperal care of pregnant women from the eastern zone of São Paulo city, São Paulo State, Brazil, categorizing it according to the Kessner Index modified in 1993 by Takeda. We used the data avai-lable on the card of pregnant woman and the discharge summaries, correlating the results with the indicators of severity in childbirth. Methods: this is a descriptive, cross-sectional quantitative study based on the analysis of the variables of the pregnant woman's card and the diagnoses identified in the discharge summaries. Data were collected through a field survey conducted in the Eastern zone of the city of São Paulo city, São Paulo State, Brazil. A statistical analysis was used to identify asso-ciations between the categorization and the severity indicators listed in the discharge summaries. Results: it was observed that prenatal care in the Eastern zone of São Paulo city, São Paulo State, Brazil was classified as intermediate (56.9%) in the majority of women. Regarding this categorization with the severity indicators, there is a higher incidence of risks for inappropriate categorization (8.89%) when compared to the appropriate (1.67%) and the intermediate (4.44%) ones. Conclusions: it was possible to conclude that the more adequate prenatal care, the lower the chances of unfavorable outcomes and incidence of risks.

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