scholarly journals Gestational syphilis: associated factors, risk behavior and neonatal repercussions

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Juliana das Dores Ferreira ◽  
Amanda Santos Fernandes Coelho ◽  
Janaína Valadares Guimarães ◽  
Maíra Ribeiro Gomes de Lima ◽  
Marilia Cordeiro de Sousa ◽  
...  

Objetivo: analisar o comportamento de risco, os fatores associados e as repercussões neonatais em gestantes com sífilis.Método: estudo transversal, descritivo e retrospectivo, composto por 107 casos de sífilis gestacional em um hospital referência em gestação de alto risco, no período entre janeiro de 2016 e abril de 2017. Para análise estatística, foram aplicadosos testes de qui-quadrado de Yates e Exato de Fisher. Resultados: maior ocorrência em mulheres jovens (56,1%), de cornão branca (81%), sem companheiro (53%), procedentes de outros municípios (65%), com menor escolaridade (62%) esem exercer atividade remunerada (82%). Apesar de realizarem o pré-natal (95%), obtiveram um tratamento inadequadopara a infecção (60%) e sem adesão dos parceiros sexuais (48%). Houve um predomínio de recém-nascidos pré-termos(51%), classificados com baixo peso ao nascer (35%) e vivos (90%). Houve uma associação estatisticamente significante entre o comportamento de risco com a escolaridade de até 8 anos de estudos (p<0.010), número de consultas de pré-natal<6 (p<0.001) e ocorrência de parto vaginal (p<0.032). Conclusão: as desigualdades sociais, aliadas às falhas na assistênciapré-natal, corroboram para a persistência do quadro epidemiológico de sífilis no Brasil.Descritores: Doenças Sexualmente Transmissíveis; Sífilis; Saúde da Mulher; Infecções por Treponema; Comportamentos de Risco à Saúde. Objective: to analyze the risk behavior, associated factors and neonatal repercussions in pregnant women with syphilis.Method: a cross-sectional, descriptive and retrospective study of 107 cases of gestational syphilis in a high-risk gestational hospital, in the period between January 2016 and April 2017. For statistical analysis, the chi-square Yates and Fisher’sExact test were applied. Results: greater occurrence in young women (56.1%), non-white skin color (81%), withoutcompanion (53%), coming from other municipalities (65%), lower schooling (62%) and without exercising paid activity(82%). Although they performed prenatal care (95%), they were inadequately treated for infection (60%) and withoutadherence of sexual partners (48%). There was a predominance of preterm newborns (51%), classified as having lowbirth weight (35%) and alive (90%). There was a statistically significant association between risk behavior with up to 8years of schooling (p <0.010), number of prenatal consultations <6 (p <0.001), and vaginal delivery (p <0.032). Conclusion: social inequalities, together with failures in prenatal care, corroborate the persistence of the epidemiologicalpresentation of syphilis in Brazil.Descriptores: Sexually Transmitted Diseases; Syphilis; Women’s Health; Treponemal Infections; Health Risk Behaviors. ,corroboram para a persistência do quadro epidemiológico de sífilis no Brasil. presentment

2015 ◽  
Vol 31 (6) ◽  
pp. 1247-1256 ◽  
Author(s):  
Raul Andres Mendoza-Sassi ◽  
Juraci Almeida Cesar ◽  
Jussara Maria Cagol ◽  
Ivanise Almeida Duarte ◽  
Luana Mostardeiro Friedrich ◽  
...  

We studied vaccination coverage and its associated factors in the 2010 pandemic influenza vaccination of Brazilian pregnant women. A cross-sectional study of pregnant women who had given birth was performed in a municipality in southern Brazil, in 2010. Data about vaccination against A(H1N1) and sociodemographic characteristics, morbidities and prenatal care were collected. Statistical analysis was performed using a Poisson regression. Coverage was 77.4%. Most were vaccinated in the public sector (97.6%) and in the second trimester (47%). Associated factors that increased vaccination were marriage, older age, first income quartile, prenatal care and influenza before pregnancy. Education and skin color were not significantly associated with vaccination. The vaccination campaign was extensive and exhibited no inequality. Prenatal care was the factor that most affected vaccination coverage, reflecting its importance for vaccination campaign success.


2021 ◽  
Vol 10 (7) ◽  
pp. e25210716532
Author(s):  
Bruna Duarte Nunes de Oliveira ◽  
Mirelle de Oliveira Saes ◽  
Karla Pereira Machado ◽  
Elaine Thumé ◽  
Alitéia Santiago Dilélio

Musculoskeletal pain in the elderly affects functional capacity and influences increased frailty, comorbidities and mortality. The aim of the study was to evaluate the prevalence of musculoskeletal pain and associated factors in the elderly population. This is a cross-sectional study, using data from the Elderly Cohort Project in Bagé-RS: health situation and relationship with the Family Health Strategy (FHS), carried out during the 2016/2017 follow-up. The sample consisted of 735 elderly people, aged 68 or over, residing in the area covered by primary health care services in the urban area of the municipality of Bagé / RS. The Nordic Musculoskeletal Questionnaire (NMQ) was used to analyze prevalence of pain in the upper limbs, spine and lower limbs and to verify associated factors. Information on the symptoms in these regions of the body was used. The majority elderly of whom were female (65.4%) aged between 68 and 79 years (68.7%) and white skin color (82.2%). Prevalence of musculoskeletal pain in the spine was 42.5%, 33.7% in the upper limbs and 31.0% in the lower limbs. In the crude and adjusted analysis association of pain was maintained with the presence of multimorbidity, greater satisfaction with health and use of emergency services in the last year. The results of this study reinforcing the pattern of pain and musculoskeletal symptoms in the elderly and justifying the need for training professionals and health services to serve this growing portion of the population.


2021 ◽  
Vol 42 ◽  
Author(s):  
Débora Cristina Martins ◽  
Giordana Maronezzi da Silva ◽  
Beatriz Maria dos Santos Santiago Ribeiro ◽  
Giovanna Brichi Pesce ◽  
Carlos Alexandre Molena Fernandes

ABSTRACT Objective: To analyze factors and behaviors associated with the prevalence of abortion in female partners of prisoners. Methods: Descriptive, cross-sectional study with a quantitative approach carried out with 349 women of inmates in three penitentiaries in the State of Paraná. For data collection, it was used validated instrument BSSB - Brazilian Study on Sexual Behavior. Descriptive analyzes were processed, and through the Chi-square test, the occurrence of abortion and the researched variables were associated. Results: (38.3%) of the women reported abortion throughout their lives, there was an association between women under the age of 30 (p=<0.001), who reported smoking (p=<0.044), not using condoms (p=<0.001), who suffered sexual violence (p = <0.050) and who reported a diagnosis of Sexually Transmitted Infections (p=<0.001). Conclusion: The present study showed associated factors for high prevalence of abortion in women partners of inmates. Abortion is considered an important public health problem and needs to be treated with priority by public health policies in different population groups.


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


2015 ◽  
Vol 49 (4) ◽  
pp. 0540-0549 ◽  
Author(s):  
Emiliana Cristina Melo ◽  
Rosana Rosseto de Oliveira ◽  
Thais Aidar de Freitas Mathias

OBJECTIVETo assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care.METHODCross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02).RESULTSThe indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), non-white skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03).CONCLUSIONPrenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality.


Author(s):  
Marcelo Cozzensa da Silva ◽  
Alice Meyer Iepsen ◽  
Eduardo Lucia Caputo ◽  
Patrícia Becker Engers ◽  
Carla Francieli Spohr ◽  
...  

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n2p185 Fitness zones (FZ) are a great alternative to physical activity practice. The aim of this study was verify physical activity practice and associated factors among FZ users of Pelotas. Participants answered a questionnaire containing demographic, socioeconomic, behavioral, health and on the use of FZs. A long version of the International Physical Activity Questionnaire was used to determine the level of physical activity and those who reported at least 150 minutes / week of PA in the leisure time were considered sufficiently active. The study included 323 subjects (65.3% women), mean age 52.5 years, 83.6% white skin color and 61.9% married. Almost half of respondents were overweight (48.0%), 45.8% had high blood pressure, 10.5% had diabetes and 64.4% used medications. About 77.7% of respondents were classified as sufficiently active. Health perception was associated to leisure physical activity, and the better the health perception, the higher the prevalence of sufficient physical activity. Collective programs with participation of Physical Education teacher can contribute to interaction of practitione with the use of fitness zones and increase the level of physical activity of individuals.


2021 ◽  
Vol 21 (3) ◽  
pp. 151-163
Author(s):  
Mohd Shaiful Ehsan Shalihin ◽  
Nuria Syafira Abd Muttalib ◽  
Nur Syahirah Azmi ◽  
Zahra Najwa Mohd Zin

Comprehensive care towards geriatric health can be sustained by having good knowledge and attitude among the providers. Hence, this research aims to measure the knowledge and attitude of the final year medical students towards geriatric health and determine the associated factors. A cross-sectional study was conducted among the students using structured questionnaires of Geriatric-Attitude-Scale and Palmore-Facts-on-Aging-Quiz was used. Data was analysed using Mann Whitney U test, Chi square test and Spearman correlation coefficient analysis for the association between the score and studied variables. Median score of students’ knowledges is at 14.00 (IQR 13.00) and mean score for attitude is 48.52 (+5.53) respectively. Place of residence (P= 0.01) and presence of grandparents (P= 0.04) were the significant factors that affected knowledge of students towards geriatrics while number of siblings (P= 0.05) influenced attitudes of students towards geriatrics. Improvement of current geriatric curriculum should be done with more refined implementation of gerontology course in the basic medical learning.


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 358
Author(s):  
Bruna Leal Lima Maciel ◽  
Clélia de Oliveira Lyra ◽  
Jéssica Raissa Carlos Gomes ◽  
Priscilla Moura Rolim ◽  
Bartira Mendes Gorgulho ◽  
...  

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.


Sign in / Sign up

Export Citation Format

Share Document