scholarly journals Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Katiuscia Shirota Imada ◽  
Thiago Santos de Araújo ◽  
Pascoal Torres Muniz ◽  
Valter Lúcio de Pádua
Keyword(s):  
Family Health ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cow’S Milk ◽  
Cross Sectional ◽  
Public Network ◽  
Cow's Milk ◽  
The Public ◽  
Family Health Program ◽  
The City

ABSTRACT OBJECTIVE To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon. METHODS In this population-based cross-sectional study, we analyzed data from surveys conducted in the city of Jordão, Acre. In 2005 and 2012, these surveys evaluated, respectively, 466 and 826 children under five years old. Questionnaires were applied on the socioeconomic conditions, construction of houses, food and hygienic habits, and environmental sanitation. We applied Pearson’s Chi-squared test and Poisson regression to verify the relationship between origin of water, construction of homes, age of introduction of cow’s milk in the diet, place of birth and the prevalence of diarrhea. RESULTS The prevalence of diarrhea was reduced from 45.1% to 35.4%. We identified higher probability of diarrhea in children who did not use water from the public network, in those receiving cow’s milk in the first month after birth, and in those living in houses made of paxiúba. Children born at home presented lower risk of diarrhea when compared to those who were born in hospital, with this difference reversing for the 2012 survey. CONCLUSIONS Sanitation conditions improved with the increase of bathrooms with toilets, implementation of the Programa de Saúde da Família (PSF – Family Health Program), and water treatment in the city. The multivariate regression model identified a statistically significant association between use of water from the public network, construction of houses, late introduction of cow’s milk, and access to health service with occurrence of diarrhea.

scholarly journals Ethnodirigid study of Medicinal plants used by the population assisted by the “Programa de Saúde da Família” (Family Health Program) in Marechal Deodoro - AL, Brazil

2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Medicinal Plants ◽  
Herbal Medicines ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Lemon Balm ◽  
Family Health Program ◽  
Socioeconomic Data ◽  
The City

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.

scholarly journals Main reasons for medical consultations in family healthcare units in the city of Recife, Brazil: a cross-sectional study

2015 ◽  
Vol 133 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Rinailda de Cascia Santos Torres ◽  
Karine Sobral Marques ◽  
Kamila de Nazaré Ribas Leal ◽  
Pedro Augusto Sampaio Rocha-Filho
Keyword(s):  
Primary Healthcare ◽  
Family Health ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Health Program ◽  
Medical Attendance ◽  
The City

ABSTRACTCONTEXT AND OBJECTIVE: Only a few studies have focused on the main reasons for consultations at primary healthcare units within the Family Health Program. The aim here was to describe the reasons that led patients to seek assistance at four primary healthcare units in the city of Recife, Brazil.DESIGN AND SETTING: Cross-sectional study at primary healthcare units in the city of Recife.METHODS: Among adult patients who were consecutively attended at four primary healthcare units in the city of Recife, their two main reasons for going there were recorded by medical students. The students did not interfere in the consultation dynamics. The data were gathered between September 2010 and March 2011 and between November 2012 and August 2013. The reasons for the consultations were grouped into broader categories in accordance with the International Classification of Primary Care (ICPC-2).RESULTS: 478 patients were included. Their mean age was 45.9 years (± 16 years) and 71% were female. Pain was the main reason for seeking medical attention (34%), followed by evaluation of tests, prescription renewal and medical certificates (17.6%). The most frequent types of pain were musculoskeletal pain (15.7%), headache (10.4%) and abdominal pain (8%). The main reasons for consultation according to ICPC-2 were in the general and nonspecific, musculoskeletal, nervous system-related and digestive tract categories.CONCLUSION:Pain was the most frequent reason for seeking medical attendance at these primary healthcare units.

scholarly journals Cow’s milk exposure and atopic dermatitis after six months of age

2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede
Keyword(s):  
Atopic Dermatitis ◽  
Maternal Diet ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Cow’S Milk ◽  
Milk Formula ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cow's Milk ◽  
Study Population

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 

scholarly journals Persons with disabilities, cancer screening and related factors

2013 ◽  
Vol 18 (12) ◽  
pp. 3705-3714
Author(s):  
Shamyr Sulyvan de Castro ◽  
Alarcos Cieza ◽  
Chester Luiz Galvão Cesar
Keyword(s):  
Cancer Screening ◽  
Family Health ◽  
Cross Sectional Study ◽  
Social Variables ◽  
Related Factors ◽  
Cross Sectional ◽  
Visual Disabilities ◽  
Persons With Disabilities ◽  
Family Health Program ◽  
Gender And Age

The scope of this article is to describe persons with disabilities (PwD) being subjected to cancer screening and the relationship between some social variables and inequalities in performing these tests. A cross-sectional study of cancer screening among PwD was conducted in 2007 with 333 participants interviewed in residence in 4 cities of São Paulo. Variables in the practice of cancer screening, disabilities, gender, age, income of main family breadwinner, ethnicity, use of health services, assistance required, private health insurance, and coverage by the family health program were studied. Frequencies, χ²-test, trend χ² percentages and the Odds Ratios (OR) were used for data analysis. 44% of PwD attended at least one cancer screening at the appropriate time. Persons with visual disabilities and with hearing disabilities were subjected to more screening examinations than those with mobility disabilities and women were attended in screening exams more than men. Persons between the ages of 21 and 60 reported cancer screening more frequently than those between 80 and 97 years of age. The outcomes indicate that PwD have different attitudes toward cancer screening according to the type of disability, gender, and age, which were the variables that directly influenced cancer screening exams.

scholarly journals Seroprevalence, prevalence, and genomic surveillance: monitoring the initial phases of the SARS-CoV-2 pandemic in Betim, Brazil

2021 ◽  
Author(s):  
Ana Valesca Fernandes Gilson Silva ◽  
Diego Menezes ◽  
Filipe Romero Rebello Moreira ◽  
Octavio Alcantara Torres ◽  
Paula Luize Camargos Fonseca ◽  
...  
Keyword(s):  
Local Government ◽  
Geographical Area ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Third ◽  
Molecular Tests ◽  
Epidemiological Monitoring ◽  
The City

The Covid-19 pandemic has created an unprecedented need for epidemiological monitoring using diverse strategies. We conducted a project combining prevalence, seroprevalence, and genomic surveillance approaches to describe the initial pandemic stages in Betim City, Brazil. We collected 3239 subjects in a population-based age-, sex- and neighborhood-stratified, household, prospective; cross-sectional study divided into three surveys 21 days apart sampling the same geographical area. In the first survey, overall prevalence (participants positive in serological or molecular tests) reached 0.46% (90% CI 0.12% - 0.80%), followed by 2.69% (90% CI 1.88% - 3.49%) in the second survey and 6.67% (90% CI 5.42% - 7.92%) in the third. The underreporting reached 11, 19.6, and 20.4 times in each survey, respectively. We observed increased odds to test positive in females compared to males (OR 1.88 95% CI 1.25 - 2.82), while the single best predictor for positivity was ageusia/ anosmia (OR 8.12, 95% CI 4.72 - 13.98). Thirty-five SARS-CoV-2 genomes were sequenced, of which 18 were classified as lineage B.1.1.28, while 17 were B.1.1.33. Multiple independent viral introductions were observed. Integration of multiple epidemiological strategies was able to describe Covid-19 dispersion in the city adequately. Presented results have helped local government authorities to guide pandemic management.

scholarly journals Ocorrência de enteroparasitoses em crianças cadastradas em uma obra social

2020 ◽  
Vol 1 (52) ◽  
pp. 48
Author(s):  
Rubenício Izidro Da Silva Júnior ◽  
Lucas Pedrosa Souto Maior ◽  
Jessé Marques Da Silva Júnior Pavão ◽  
Kamila Marques Da Silva ◽  
Claudia Maria Lins Calheiros ◽  
...  
Keyword(s):  
Ascaris Lumbricoides ◽  
Tap Water ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Parasitic Infections ◽  
Cross Sectional ◽  
Public Network ◽  
The Public ◽  
Sanitary Conditions

<p>Intestinal parasitoses are a serious public health problem, especially in underdeveloped countries, and this problem is associated and aggravated by poor sanitary conditions. This study aimed to evaluate the parasitological characteristics of children and family members registered in a social work. A cross-sectional study was conducted from September 2017 to December 2018. The feces were collected in sterile vials, the exams were performed using the spontaneous sedimentation and Baermann-Moraes methods. The species detected were Giardia lamblia, Endolimax nana, Ascaris lumbricoides, Trichuris trichiuria and Schistosoma mansoni. The most frequent parasite was Endolimax nana (25.64%), while among the helminths, with 15.44% Ascaris lumbricoides was the most frequent. Regarding epidemiological data, the source of supply water corresponded to 97.91% of households connected (consumers) to the public supply network, ie source of treated source. As for drinking water, 44.44% of households used tap water (from the public network) and another part of families (33.33%) consumed mineral water at home, only 5.56% of households drank well water artesian. Consequently, the importance of health education programs to prevent parasitic infections is highlighted.</p>

scholarly journals Significant differences in cesarean section rates between a private and a public hospital in Brazil

2008 ◽  
Vol 24 (12) ◽  
pp. 2909-2918 ◽  
Author(s):  
Sueli de Almeida ◽  
Heloisa Bettiol ◽  
Marco Antonio Barbieri ◽  
Antônio Augusto Moura da Silva ◽  
Valdinar Sousa Ribeiro
Keyword(s):  
Public Hospital ◽  
Protective Factor ◽  
Private Hospital ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
The City ◽  
Maternity Clinic

This paper evaluates the association of maternal variables and of variables related to prenatal and delivery care with cesarean sections at a public and at a private maternity. A retrospective cross-sectional study was performed at a public maternity clinic (2,889 deliveries) and at a private maternity clinic (2,911 deliveries) in the city of Ribeirão Preto, São Paulo State, Brazil. The prevalence of cesarean sections was 18.9% at the public maternity clinic and 84.3% at the private one. The factors associated with cesarean sections at both hospitals were: mothers from other cities, aged > 25 years and with hypertension. Having more than one child was a protective factor. At the public hospital, cesarean sections were more frequent on Wednesdays and from 12:00 to 23:59 hours of any day of the week, whereas at the private hospital they occurred on any day, though were less common on Sundays, and at any time except in the early morning. At the private hospital, cesarean sections were more frequent when performed by the doctor who had provided the prenatal care. Non-medical factors were more associated with cesarean sections in the private maternity clinic than biological or clinical factors related to pregnancy.

scholarly journals Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

2018 ◽  
Vol 18 (4) ◽  
pp. 815-824
Author(s):  
Renata Cordeiro Fernandes ◽  
Fernanda Manera ◽  
Larissa Boing ◽  
Doroteia Aparecida Höfelmann
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Family Health ◽  
Cross Sectional Study ◽  
Measurement Scale ◽  
Short Version ◽  
Cross Sectional ◽  
Black Skin ◽  
High Prevalence ◽  
The City

Abstract Objectives: to estimate the prevalence of Food Insecurity (FI) in pregnant women and to identify its association with demographic, socioeconomic, obstetric, and anthropometric variables in female users of Family Health Units (FHUs) in the city of Colombo, state of Paraná, South Region of Brazil. Methods: a cross-sectional study of a representative sample of pregnant women from 17 FHUs in Colombo. We used the short version of the Brazilian Household Food Insecurity Measurement Scale (EBIA). In addition, we used Poisson Regression Models with robust, crude, and adjusted variance to investigate the association between FI and exposure variables. Results: 316 pregnant women participated in the study. The prevalence of FI was 45.1% (CI95% = 39.6-50.6). Adjusted analysis showed higher prevalence of FI in pregnant women with 30 years of age or older (PR = 1.66; IC95% = 1.02-2.69), with black skin or indigenous background (PR= 1.39; CI95%= 1.08-1.79), with 7 years of education or less (PR = 1.58; CI95% = 1.14-2.19), and with lower income (PR = 2.07; CI95% = 1.36-3.14). Conclusions: There was a high prevalence of FI among pregnant women, particularly among those of older age and with worse socioeconomic conditions, a group that should be considered a priority for actions aimed at promoting food security.

scholarly journals Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Bruno Luiz Guidolin ◽  
Irênio Gomes da Silva Filho ◽  
Eduardo Lopes Nogueira ◽  
Francisco Pascoal Ribeiro Junior ◽  
Alfredo Cataldo Neto
Keyword(s):  
Alcohol Use ◽  
Family Health ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
History Of ◽  
The City

Abstract This article aims to determine the pattern of alcohol use in the elderly and its associations with sociodemographic characteristics in an elderly sample of patients from the city of Porto Alegre, Rio Grande do Sul, Brazil. A cross-sectional study was conducted involving 557 seniors, aged 60 years or more, through application of the Mini International Neuropsychiatric Interview and a global assessment questionnaire for the elderly. The majority of the 557 senior citizens did not complete elementary school (58.3%), were white (65.1%), married (37.6%), had no caregiver (62.2%), were catholic (65.5%) and practicing their religion (68.6%), were retired (67.7%), and had a personal income of up to one minimum salary (56.1%). The study revealed 67 (12%) elderly people with a history of alcoholism, of which 17 (3.1%) had a diagnosis of current alcoholism, 50 (9%) had a history of alcohol dependence in the past and 16 (2.9%) had a current alcohol abuse problem. Men had a prevalence ratio of 11.6 times for a history of alcoholism in comparison to women. The results confirm that alcoholism is frequent in the population of Brazilian elderly, drawing attention to some socio-demographic characteristics that can make a difference in the early diagnosis of alcoholism.

scholarly journals Meat intake among adults: a population-based study in the city of Campinas, Brazil. A cross-sectional study

2016 ◽  
Vol 134 (2) ◽  
pp. 138-145 ◽  
Author(s):  
Jaqueline Contrera Avila ◽  
Verônica Gronau Luz ◽  
Daniela de Assumpção ◽  
Regina Mara Fisberg ◽  
Marilisa Berti de Azevedo Barros
Keyword(s):  
Family Income ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Population Based Study ◽  
Meat Intake ◽  
Dietary Recall ◽  
Health Situation ◽  
The City

ABSTRACT CONTEXT AND OBJECTIVE: Meat is a food with high nutritional density that has significant participation in the Brazilian diet. However, in excess it can cause harm to health. The aim of this study was to analyze the meat intake (g/day) among adults according to sociodemographic, behavioral and health situation characteristics, and to assess the types of meat most consumed. DESIGN AND SETTING: Cross-sectional population-based study conducted in the city of Campinas, São Paulo, Brazil, in 2008 and 2009. METHODS: Two-stage cluster sampling was used. The analysis included 948 adults between 20 and 59 years, who were participants in the Campinas Health Survey. Meat intake was assessed using 24-hour dietary recall. RESULTS: The mean meat intake adjusted for sex and age was 182.3 g (95% CI: 170.6-193.9 g), with significantly lower intake among women, individuals aged 50 years or over, those with the presence of two or more self-reported chronic diseases and those with three or more health complaints. Higher meat intake was found in segments with intermediate monthly family income (between 1 and 3 minimum wages), those with 16 or more appliances per household and those who consumed soft drinks seven days a week. Beef was consumed most frequently (44%) among the meats in the diet, followed by poultry, fish and pork. CONCLUSION: The data from this study reveal high meat intake in the population of Campinas and identify the segments that need to be prioritized for strategies directed towards appropriate meat intake.

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