scholarly journals Multimorbilidade em Portugal: Dados do Primeiro Inquérito Nacional de Saúde com Exame Físico

2019 ◽  
Vol 32 (1) ◽  
pp. 30 ◽  
Author(s):  
Guilherme Quinaz Romana ◽  
Irina Kislaya ◽  
Mário Rui Salvador ◽  
Susana Cunha Gonçalves ◽  
Baltazar Nunes ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Population Based ◽  
Portuguese Population ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Efficient Management ◽  
Healthcare Needs ◽  
Definition Of

Introduction: The simultaneous presence of multiple chronic diseases in the same individual is recognized as an important public health problem. Patients with multimorbidity have greater healthcare needs, which represents a higher burden on health services. Although there is no consensual definition of this concept, multimorbidity is usually defined as the presence of two or more chronic diseases in the same patient. The existence of evidence regarding multimorbidity will lead to more efficient management and treatment of these patients.Material and Methods: In order to estimate the prevalence of multimorbidity and to identify the associated factors, a cross-sectional epidemiological study was developed based on data from the INSEF, a population-based survey conducted on a representative probability sample of the Portuguese population (n = 4911). The prevalence of multimorbidity was estimated for the total population and separately for men and women, stratified by age group, region, education and income. The magnitudes of the associations were measured by the adjusted prevalence ratios calculated by the Poisson regression model.Results: Prevalence of multimorbidity was 38.3% (95% CI: 35.4% to 41.3%), with higher frequency in women, older people, Lisbon and Tagus Valley; Northern Portugal; Algarve and Alentejo regions and in those with lower academic qualifications. No association was found between multimorbidity and income.Discussion: Multimorbidity affects more than one third of the Portuguese population. Epidemiological data about multimorbidity in Portugal allows the identification of population groups with higher multimorbidity prevalence.Conclusion: Our results, which highlight the greater risk of multimorbidity among older and less instructed people, are in line with the literature. These results show the relevance of multimorbidity patients and are especially important in the way how healthcare is organized and provided.

scholarly journals Trends, Coverage and Influencing Determinants of Influenza Vaccination in the Elderly: A Population-Based National Survey in Spain (2006–2017)

Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 327
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Public Health Problem ◽  
Risk Groups ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Public Health

Influenza is a significant public health problem and the elderly are at a greater risk of contracting the disease. The vaccination coverage of the elderly is below the Spanish target of 65% for each influenza season. The aims of this study were to report the coverage of influenza vaccination in Spain among the population aged ≥65 years and high-risk groups for suffering chronic diseases, to analyze the time trends from 2006 to 2017 and to identify the factors which affect vaccination coverage. A nationwide cross-sectional study was conducted including 20,753 non-institutionalized individuals aged ≥65 years who had participated in the Spanish National Health Surveys in 2006, 2011/2012, and 2017. Sociodemographic, health-related variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with influenza vaccination. Influenza vaccination coverage was 60%. By chronic condition, older people with high cholesterol levels and cancer had the lowest vaccination coverage (62.41% and 60.73%, respectively). This coverage declined from 2006 to 2017 in both groups. Higher influenza vaccination was associated with males, Spanish nationality, normal social support perceived, polypharmacy, worse perceived health, participation in other preventive measures, and increasing age and the number of chronic diseases.

scholarly journals Clinical and epidemiological profile of hypertensive patients at the primary health care level in the state of Alagoas

2018 ◽  
Vol 50 (6) ◽  
pp. 349-357
Author(s):  
Raphaela Costa Ferreira ◽  
Bruna Merten Padilha ◽  
Yasmin Eugênia Santos e Silva Pedrosa ◽  
Rosielle Batista Ferreira ◽  
Poliana Coelho Cabral ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Population Based ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Study Objective ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Epidemiological Profile

Study design: This was a cross-sectional, population-based and descriptive study. Study objective: To describe the clinical and epidemiological profile of hypertensive patients at the primary health care of Alagoas state. Methods: This study was carried out in the Basic Health Units of 12 cities of Alagoas, between 2014 and 2015, with hypertensive individuals between 20 and 60 years, of both gender. Socioeconomic, demographic, clinical, lifestyle, anthropometric and biochemical data were collected. Data were analyzed using descriptive statistics by Epi-Info version 7. Results: We evaluated 645 individuals. Of these, 86.2% were women, 62.3% had uncontrolled blood pressure, 41.9% had low educational level, 11.1% were smokers, 26.3% were alcohol users, 64.7% were sedentary, 48.4% were obese, 73.6% had high cardiovascular risk, according to waist circumference; 54.4% and 47.2% had elevated total cholesterol and triglycerides, respectively. Conclusion: Since hypertension is an important public health problem that has serious consequences, the knowledge of the hypertensive population profile of Alagoas will facilitate the treatment for the health of patients with this condition.

scholarly journals Hepatitis B vaccination in adolescents living in Campinas, São Paulo, Brazil

2015 ◽  
Vol 18 (3) ◽  
pp. 552-567 ◽  
Author(s):  
Priscila Maria Stolses Bergamo Francisco ◽  
Maria Rita Donalisio ◽  
Filomena de Jesus Oliveira Gabriel ◽  
Marilisa Berti de Azevedo Barros
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Vaccination Coverage ◽  
Public Health Problem ◽  
Population Based ◽  
Sao Paulo ◽  
Hepatitis B Vaccination ◽  
São Paulo ◽  
Important Public Health Problem ◽  
Cross Sectional

INTRODUCTION: Viral hepatitis is an important public health problem in Brazil and around the world. OBJECTIVE: To evaluate vaccination coverage against hepatitis B in adolescents and to identify the associated factors and reasons for non-adherence. METHODS: A cross-sectional population-based study with sampling by clusters and in two stages, carried out from records of 702 adolescents aged 11 to 19 years old, non-institutionalized, living in an urban area of Campinas, São Paulo, Brazil, in 2008/2009. The data were obtained from the Health Survey in the city of Campinas (ISACamp). RESULTS: The prevalence of vaccination (3 doses) was 72.2%. An independent and negative association with the vaccine was observed for the adolescents who were not born in the municipality. The orientation of a health care provider was positively and significantly associated with vaccination. The main reasons for non-adherence were the lack of orientation and not considering the vaccine necessary. Socioeconomic factors, health behaviors and conditions did not restrict the access to vaccination, but the coverage was below the target established by the Ministry of Health in Brazil. CONCLUSION: Health education programs, addressing the importance of vaccination to prevent the disease; strategies to actively reach out adolescents that did not complete the schedule; as well as orientation from the health care professional about the benefits of the vaccine to the adolescents, parents and guardians can extend the vaccination coverage.

scholarly journals Visual impairment and blindness: an overview of prevalence and causes in Brazil

2009 ◽  
Vol 81 (3) ◽  
pp. 539-549 ◽  
Author(s):  
Solange R. Salomão ◽  
Márcia R. K. H. Mitsuhiro ◽  
Rubens Belfort Jr
Keyword(s):  
Older Adults ◽  
Visual Impairment ◽  
School Children ◽  
Refractive Error ◽  
Public Health Problem ◽  
Population Based ◽  
Epidemiologic Studies ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Refractive Correction

Our purpose is to provide a summary overview of blindness and visual impairment on the context of recent Brazilian ocular epidemiologic studies. Synthesis of data from two cross-sectional population-based studies - the São Paulo Eye Study and the Refractive Error in School Children Study is presented. 3678 older adults and 2441 school children were examined between July 2004 and December 2005. Prevalence of blindness in older adults using presenting visual acuity was 1.51% decreasing to 1. 07% with refractive correction. The most common causes of blindness in older adults were retinal disorders, followed by cataract and glaucoma. In school children, the prevalence of uncorrected visual impairment was 4.82% decreasing to 0.41% with refractive correction. The most common cause of visual impairment in school children was uncorrected refractive error. Visual impairment and blindness in Brazil is an important public health problem. It is a significant problem in older Brazilians, reinforcing the need to implement prevention of blindness programs for elderly people with emphasis on those without schooling. In school-children cost-effective strategies are needed to address a readily treatable cause of vision impairment - prescription and provision of glasses.

scholarly journals Síndrome Metabólica em Portugal: Prevalência e Fatores Associados

2021 ◽  
Vol 34 (13) ◽  
Author(s):  
Ricardo Alves ◽  
Ana João Santos ◽  
Irina Kislaya ◽  
Baltazar Nunes ◽  
Ana Cristina Freire
Keyword(s):  
Metabolic Syndrome ◽  
Urban Area ◽  
Public Health Problem ◽  
Health Determinants ◽  
Professional Status ◽  
Portuguese Population ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Health Region ◽  
The Metabolic Syndrome

Introduction: The metabolic syndrome consists of a set of factors that, when associated, are associated with a higher risk of developing cardiovascular diseases and type 2 diabetes, and is thus an important public health problem. The objective of this study was to estimate the prevalence of this syndrome in the Portuguese population, and to evaluate possible associations with demographic and socioeconomic determinants.Material and Methods: Based on the 1st National Health Survey with Physical Examination of 2015, a cross-sectional epidemiological study was conducted on a representative sample of the Portuguese population (n = 4797) aged between 25 and 74 years old. The prevalence was estimated for the total population and each gender, stratified by age group, health region, type of urban area, marital status, education, professional status, and risk of poverty. The magnitude of the associations was measured with adjusted prevalence ratios.Results: In the Portuguese population the estimated prevalence was 33.4% [95% CI, 31.7 – 35.1] [35.6% in men (95% CI, 31.9 – 39.2) and 31.3% in women (95% CI, 28.5 – 34.2)]. In both genders, the highest prevalence was significantly associated with increasing age, widowed/married/de facto partners and those with lower levels of education. There was no association with gender, health region, type of urban area, professional status or risk of poverty.Discussion: This syndrome was present in a third of the Portuguese population. The knowledge of its epidemiology enables the identification of population groups with higher cardiovascular and metabolic risk.Conclusion: Metabolic syndrome was independently associated with specific groups. This knowledge reinforces the importance of a holistic assessment of the health determinants associated with the metabolic syndrome.

scholarly journals Depressive symptomatology among residents of the rural area of a city in Southern Brazil

2018 ◽  
Vol 52 ◽  
pp. 11s
Author(s):  
Roberta Hirschmann ◽  
Ana Paula Gomes ◽  
Helen Gonçalves
Keyword(s):  
Rural Area ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Public Health Problem ◽  
Population Based ◽  
Cross Sectional Study ◽  
Rural Residents ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
High Prevalence

OBJECTIVE: To evaluate the prevalence and demographic, socioeconomic, behavioral and health factors associated with depressive symptomatology in rural residents. METHODS: This is a population-based, cross-sectional study with a representative sample of 1,453 residents aged 18 years or over of the rural area of the city of Pelotas, State of Rio Grande do Sul, Brazil. We used the Edinburgh Postnatal Depression Scale to evaluate depressive symptomatology, considering the cutoff point ≥ 8 points. We evaluated the association between the outcome and the independent variables using Poisson regression. RESULTS: The prevalence of depressive symptomatology was 35.4% (95%CI 31.5–39.3). After adjustment, the depressive symptomatology was higher among women (PR = 1.77, 95%CI 1.46–2.15), individuals with low education level (0–4 years of study) (PR = 1.62, 95%CI 1.22–2.16), worse socioeconomic conditions (classes D or E) (PR = 1.49, 95%CI 1.22–1.83), and with chronic diseases (PR = 1.74, 95%CI 1.24–2.45). CONCLUSIONS: The high prevalence of depressive symptomatology in rural residents indicates the relevance of depression as an important public health problem in this population. Specific attention should be aimed at the subgroups that presented the highest prevalence of symptomatology

scholarly journals Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 404
Author(s):  
Alejandro José Casanova-Rosado ◽  
Juan Fernando Casanova-Rosado ◽  
Mirna Minaya-Sánchez ◽  
José Luís Robles-Minaya ◽  
Juan Alejandro Casanova-Sarmiento ◽  
...  
Keyword(s):  
Angina Pectoris ◽  
Mental Disorders ◽  
Chronic Diseases ◽  
Population Based ◽  
Self Report ◽  
World Health ◽  
Complex Nature ◽  
Cluster Sampling ◽  
World Health Survey ◽  
Cross Sectional

Objective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.

scholarly journals PREVALENCE OF PARACOCCIDIOIDOMYCOSIS INFECTION BY INTRADERMAL REACTION IN RURAL AREAS IN ALFENAS, MINAS GERAIS, BRAZIL

2014 ◽  
Vol 56 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Evandro Monteiro de Sá Magalhães ◽  
Carla de Fátima Ribeiro ◽  
Carla Silva Dâmaso ◽  
Luiz Felipe Leomil Coelho ◽  
Roberta Ribeiro Silva ◽  
...  
Keyword(s):  
Rural Areas ◽  
Alcohol Intake ◽  
Paracoccidioides Brasiliensis ◽  
Statistical Significance ◽  
Epidemiological Data ◽  
Population Based ◽  
Minas Gerais ◽  
Delayed Type Hypersensitivity ◽  
Local Health ◽  
Cross Sectional

This study aimed to estimate the prevalence of paracoccidioidal infection by intradermal reaction (Delayed-Type Hypersensitivity, DTH) to Paracoccidioides brasiliensis in rural areas in Alfenas, Southern Minas Gerais (MG) State, Brazil, and to assess risk factors (gender, occupation, age, alcohol intake and smoking) associated with infection. We conducted a population-based cross-sectional study using intradermal tests with gp 43 paracoccidioidin in 542 participants, who were previously contacted by local health agents and so spontaneously attended the test. Participants underwent an interview by filling out a registration form with epidemiological data and were tested with an intradermal administration of 0.1 mL of paracoccidioidin in the left forearm. The test was read 48 hours after injection and was considered positive if induration was greater than or equal to 5 mm. Out of 542 participants, 46.67% were positive to the skin test. Prevalence increased in accordance with an increase of age. There was statistical significance only for males. Occupation, alcohol intake and smoking habits were not significantly associated with the risk of paracoccidioidomycosis infection. There is relevance of paracoccidioidomycosis infection in such rural areas, which suggests that further epidemiological and clinical studies on this mycosis should be done in the southern part of Minas Gerais State.

scholarly journals Stunting in children under five years old is still a health problem in the Western Brazilian Amazon: a population-based study in Assis Brasil, Acre, Brazil

2016 ◽  
Vol 21 (7) ◽  
pp. 2257-2266 ◽  
Author(s):  
Saulo Augusto Silva Mantovani ◽  
Alanderson Alves Ramalho ◽  
Thasciany Moraes Pereira ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Humberto Oliart-Guzmán ◽  
...  
Keyword(s):  
Health Problem ◽  
Public Health Problem ◽  
Wealth Index ◽  
Brazilian Amazon ◽  
Population Based ◽  
World Health ◽  
Important Public Health Problem ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated

Abstract Despite the process of nutritional transition in Brazil, in some places, such as the Amazon region, stunting is still an important public health problem. We identified the prevalence and factors associated with stunting in children under five years old residing in the urban area of Assis Brasil. A survey was conducted in which a questionnaire on socioeconomic, maternal and children’s conditions was applied, and height or length was measured. The children with height for age index below -2 Z-scores were considered stunted, according to the criteria by the World Health Organization. Four hundred and twenty-eight children were evaluated. Of these, 62 were stunted. Factors associated with stunting, according to adjusted models, were: the presence of open sewer, the wealth index for households, the receipt of governmental financial aid and the mother’s height, age and education. Therefore, it was observed that family and the mother’s characteristics as well as environmental and socioeconomic factors were closely related to the occurrence of stunting in the population studied, and such nutritional disturbance is still a health problem in the Brazilian Amazon.

scholarly journals Prevalence of Multimorbidity of Chronic Noncommunicable Diseases in Brazil: Population-Based Study (Preprint)

2021 ◽  
Author(s):  
Xin Shi ◽  
Simone Maria da Silva Lima ◽  
Caroline Maria de Miranda Mota ◽  
Ying Lu ◽  
Randall S Stafford ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Household Survey ◽  
Well Being ◽  
National Sample ◽  
Population Based ◽  
Community Services ◽  
Noncommunicable Diseases ◽  
Subjective Well Being ◽  
Cross Sectional ◽  
Multiple Chronic Diseases

BACKGROUND Multimorbidity is the co-occurrence of two or more chronic diseases. OBJECTIVE This study, based on self-reported medical diagnosis, aims to investigate the dynamic distribution of multimorbidity across sociodemographic levels and its impacts on health-related issues over 15 years in Brazil using national data. METHODS Data were analyzed using descriptive statistics, hypothesis tests, and logistic regression. The study sample comprised 679,572 adults (18-59 years of age) and 115,699 elderly people (≥60 years of age) from the two latest cross-sectional, multiple-cohort, national-based studies: the National Sample Household Survey (PNAD) of 1998, 2003, and 2008, and the Brazilian National Health Survey (PNS) of 2013. RESULTS Overall, the risk of multimorbidity in adults was 1.7 times higher in women (odds ratio [OR] 1.73, 95% CI 1.67-1.79) and 1.3 times higher among people without education (OR 1.34, 95% CI 1.28-1.41). Multiple chronic diseases considerably increased with age in Brazil, and people between 50 and 59 years old were about 12 times more likely to have multimorbidity than adults between 18 and 29 years of age (OR 11.89, 95% CI 11.27-12.55). Seniors with multimorbidity had more than twice the likelihood of receiving health assistance in community services or clinics (OR 2.16, 95% CI 2.02-2.31) and of being hospitalized (OR 2.37, 95% CI 2.21-2.56). The subjective well-being of adults with multimorbidity was often worse than people without multiple chronic diseases (OR=12.85, 95% CI: 12.07-13.68). These patterns were similar across all 4 cohorts analyzed and were relatively stable over 15 years. CONCLUSIONS Our study shows little variation in the prevalence of the multimorbidity of chronic diseases in Brazil over time, but there are differences in the prevalence of multimorbidity across different social groups. It is hoped that the analysis of multimorbidity from the two latest Brazil national surveys will support policy making on epidemic prevention and management.

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