The Prevalence of Rheumatoid Arthritis in Chile: A Nationwide Study Performed as Part of the National Health Survey

2019 ◽  
Vol 47 (7) ◽  
pp. 951-958 ◽  
Author(s):  
Josefina Durán ◽  
Loreto Massardo ◽  
Carolina Llanos ◽  
Sergio Iacobelli ◽  
Paula I. Burgos ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Latin American ◽  
National Health ◽  
Health Survey ◽  
Developed Countries ◽  
Population Based ◽  
National Health Survey ◽  
Self Report ◽  
Cross Sectional ◽  
Population Based Study

Objective.Genetic and environmental backgrounds influence the development of rheumatoid arthritis (RA). In Latin America, epidemiologic data are scarce. We aimed to determine the prevalence of RA in Chile in a population-based study.Methods.The National Health Survey was a cross-sectional household survey with a stratified multistage probability sample of 6233 participants performed between August 2016 and March 2017. A screening instrument for RA was applied to a random sample of 3847 subjects > 30 years old. Positive screening was defined by at least 1 of the following: 2 swollen joints for at least 4 consecutive weeks (past/present), and/or a diagnosis of arthritis in the past. Individuals with positive screening had rheumatoid factor, anticitrullinated protein antibodies, and C-reactive protein measured, as well as clinical examination performed by a rheumatologist. Self-report of doctor-diagnosed RA was also performed.Results.The screening questionnaire was applied to 2998 subjects. A positive screening was found for 783 (22.1%). Among subjects with positive screening, 493 (66%) had a clinical evaluation performed by a rheumatologist. Using the American College of Rheumatology/European League Against Rheumatism 2010 classification criteria, prevalence was 0.6% (95% CI 0.3–1.2). Prevalence was higher in women, and 3.3% of subjects self-reported having RA.Conclusion.According to this national population-based study, RA prevalence in Chile is 0.6% (0.3–1.2), a value similar to what has been found in developed countries and slightly lower than some Latin American countries. Self-reporting leads to overestimating RA.

scholarly journals Epidemiology of Self-Reported Diabetes Mellitus in the State of Maranhão, Northeastern Brazil: Results of the National Health Survey, 2013

2018 ◽  
Vol 16 (1) ◽  
pp. 47
Author(s):  
Rafael Guimarães ◽  
Otaliba Morais Neto ◽  
Marta Souza ◽  
Juan Cortez-Escalante ◽  
Thays Santos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Regression Model ◽  
National Health ◽  
Health Survey ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
The State ◽  
Self Report ◽  
Northeastern Brazil ◽  
Cross Sectional

Objective: To estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in adults from the State of Maranhão, Northeastern Brazil. Methods: A cross-sectional study was carried out with 1774 individuals aged ≥18 years participating in the National Health Survey of 2013 in Maranhão. The adults were selected by probabilistic sampling and interviewed face-to-face by in-home visits. The Poisson regression model was used to verify the factors associated with DM. Results: The prevalence of DM was 5.39% (95% confidence interval [95% CI]: 3.73–7.73). After adjustment of the regression model for age, gender, smoking, education, hypertension, and hypercholesterolemia, DM was statistically associated with age ≥60 years, female sex, low educational level, and self-report hypertension. Conclusion: The present study found the prevalence of self-reported DM similar to that estimated in the general population of Brazil. Public policies for prevention and control should intensify control, especially in the subgroups most vulnerable to DM.

scholarly journals Prevalence and Risk Factors for Self-Report Diabetes Mellitus: A Population-Based Study

2020 ◽  
Vol 17 (18) ◽  
pp. 6497
Author(s):  
Isabela Silva Levindo de Siqueira ◽  
Rafael Alves Guimarães ◽  
Samira Nascimento Mamed ◽  
Thays Angélica de Pinho Santos ◽  
Suiany Dias Rocha ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Adult Population ◽  
Total Sample ◽  
Population Based ◽  
National Health Survey ◽  
Overweight And Obesity ◽  
Self Report ◽  
Cross Sectional ◽  
West Region

The aim of this study was to estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in the adult population of the Central-West region of Brazil. In 2013, a cross-sectional study using the data from the National Health Survey and comprising 7519 individuals aged ≥18 years from the Central-West region was conducted. Participants were interviewed at their homes about sociodemographic data and risk factors for DM. To verify the risk factors with DM, the Poisson regression model was used. The analyses were performed for the total sample and stratified according to sex. The prevalence of DM was 6.5% (95% confidence interval [95% CI], 5.7–7.3). The diagnosis of self-reported DM was 4.3% in men and 7.5% in women. In the global sample, it was found that age between 40–59 years and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity were independently associated with self-reported DM. In men, risk factors were: Age ≥ 60 years, self-reported hypertension, self-reported dyslipidemia, and obesity. In women, risk factors were: Age 30–39 years, 40–59 years, and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity. Conclusion: The prevalence of DM was 6.5%. DM was associated with advanced age; previous smoking (former smoker), hypertension, dyslipidemia, overweight, and obesity. Some differences in risk factors between men and women were noted.

scholarly journals The prevalence of chronic pain and pain-related interference in the Canadian population from 1994 to 2008

2011 ◽  
Vol 31 (4) ◽  
pp. 157-164 ◽  
Author(s):  
ML Reitsma ◽  
JE Tranmer ◽  
DM Buchanan ◽  
EG Vandenkerkhof
Keyword(s):  
Chronic Pain ◽  
Health Survey ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Canadian Population ◽  
Community Health Survey ◽  
Prevalence Of Pain ◽  
Using Data

Introduction Estimates of the prevalence of chronic pain worldwide and in Canada are inconsistent. Our primary objectives were to determine the prevalence of chronic pain by sex and age and to determine the prevalence of pain-related interference for Canadian men and women between 1994 and 2008. Methods Using data from seven cross-sectional cycles in the National Population Health Survey and the Canadian Community Health Survey, we defined two categorical outcomes, chronic pain and pain-related interference with activities. Results Prevalence of chronic pain ranged from 15.1% in 1996/97 to 18.9% in 1994/95. Chronic pain was most prevalent among women (range: 16.5% to 21.5%), and in the oldest (65 years plus) age group (range: 23.9% to 31.3%). Women aged 65 years plus consistently reported the highest prevalence of chronic pain (range: 26.0% to 34.2%). The majority of adult Canadians who reported chronic pain also reported at least a few activities prevented due to this pain (range: 11.4% to 13.3% of the overall population). Conclusion Similar to international estimates, this Canadian population-based study confirms that chronic pain persists and impacts daily activities. Further study with more detailed definitions of pain and pain-related interference is warranted.

Beneficial association between active travel and metabolic syndrome in Latin-America: A cross-sectional analysis from the Chilean National Health Survey 2009–2010

2018 ◽  
Vol 107 ◽  
pp. 8-13 ◽  
Author(s):  
Kabir P. Sadarangani ◽  
Astrid Von Oetinger ◽  
Carlos Cristi-Montero ◽  
Andrea Cortínez-O'Ryan ◽  
Nicolás Aguilar-Farías ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Latin America ◽  
National Health ◽  
Health Survey ◽  
Active Travel ◽  
National Health Survey ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Cut-off points of anthropometric markers associated with hypertension in the Brazilian population: National Health Survey, 2013

2019 ◽  
Vol 22 (12) ◽  
pp. 2147-2154 ◽  
Author(s):  
Ana Paula Alves de Souza ◽  
Paulo Rogério Melo Rodrigues ◽  
Ana Paula Muraro ◽  
Naiara Ferraz Moreira ◽  
Rosely Sichieri ◽  
...  
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
Roc Curve ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Brazilian Population ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
Anthropometric Markers

AbstractObjectiveTo identify cut-off points for waist circumference (WC), waist-to-height ratio (WHtR) and BMI associated with hypertension in the Brazilian adult and elderly population.DesignCross-sectional study. The receiver-operating characteristic (ROC) curve was used to determine the cut-off points of WC, WHtR and BMI in the prediction of hypertension. Those who had systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and those who reported use of antihypertensive medication were considered hypertensive.SettingBrazil.ParticipantsParticipants from the National Health Survey, the Brazilian household-based survey conducted in 2013, of both sexes and age ≥20 years.ResultsCut-off points for WC and WHtR increased with age in both sexes. WC cut-off limits ranged between 88·0 and 95·9 cm in men and between 85·0 and 93·2 cm in women. For WHtR, cut-off scores ranged from 0·51 to 0·58 for men and from 0·53 to 0·61 for women. Additionally, the area under the ROC curve (AUC) for all age and sex groups was greater than 0·60 while the lower limit of the AUC 95 % CI for both WC and WHtR was not less than 0·50. The performance of BMI was similar to that of indicators of fat location.ConclusionsAll analysed anthropometric indicators had similar performance in identifying hypertension in the Brazilian population.

scholarly journals Prevalence of high blood pressure measured in the Brazilian population, National Health Survey, 2013

2016 ◽  
Vol 134 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Nadir Baltazar dos Santos ◽  
Rosângela Durso Perillo ◽  
Célia Landmann Szwarcwald
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Brazilian Population ◽  
World Health ◽  
Cross Sectional ◽  
Federal States ◽  
Medical Diagnoses

ABSTRACT: CONTEXT AND OBJECTIVE: High blood pressure (hypertension) is the most frequent cause of morbidity and a major risk factor for cardiovascular complications. The aim here was to describe the prevalence of blood pressure greater than or equal to 140/90 mmHg in the adult Brazilian population and federal states, along with self-reported information about previous medical diagnoses of hypertension, use of medication and medical care for hypertension control. DESIGN AND SETTING: Cross-sectional study analyzing information from the National Health Survey of 2013, relating to Brazil and its federal states. METHODS: The sample size was estimated as 81,254 households and information was collected from 64,348 households. The survey consisted of interviews, physical and laboratory measurements. Systolic blood pressure was considered to be high when it was ≥ 140 mmHg and diastolic blood pressure, ≥ 90 mmHg. RESULTS: It was found that 22.8% of the population has blood pressure measurements ≥ 140/90 mmHg. The proportion was higher among men than among women: 25.8% versus 20.0%. The frequency increased with age, reaching 47.1% in individuals over 75 years and was highest in the southeast and south. 43.2% reported previous medical diagnoses of hypertension and, of these, 81.4% reported using medication for hypertension and 69.6%, going to the doctor within the past year for pressure monitoring, thus showing regular medical follow-up. CONCLUSION: These results are important for supporting measures for preventing and treating hypertension in Brazil, with the aim of achieving the World Health Organization's goal of reducing hypertension by 25% over the next decade.

scholarly journals Biopsychosocial inequality, active lifestyle and chronic health conditions: a cross-sectional National Health Survey 2013 in Brazil

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
Rodolpho Nunes Araújo ◽  
Lídia Reniê Fernandes da Silva ◽  
Diego Neves Araujo ◽  
Sanderson José Costa de Assis ◽  
...  
Keyword(s):  
National Health ◽  
Health Survey ◽  
Cox Regression ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Active Lifestyle ◽  
Cross Sectional ◽  
Physically Active ◽  
Active Behavior

AbstractThis study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (NCD). Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals in 2013. Participants were randomly selected by complex sampling. The outcome was physically active behavior measured by performing a minimum of 150 min of physical exercise per week. The independent variables were social and psychological characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR). There are 29,666 (48.3%; 95% CI 47.0–50.0) participants reported having NCD. Not being a smoker or alcoholic, living in an urban area (PR = 1.44; CI95% 1.23–1.68/PR = 1.38; CI95% 1.08–1.75), having informal social support (PR = 1.26; CI95% 1.10–1.44/PR = 1.19; CI95% 1.05–1.34), A social class (PR = 0.43; CI95% 0.25–0.73/PR = 0.46; CI95% 0.26–0.80), high schooling (PR = 0.34; CI95% 0.23–0.51/PR = 0.33; CI95% 0.24–0.46) as well as paid work (PR = 0.87; CI95% 0.78–0.96/PR = 0.89; CI95% 0.79–0.99) are more associated with active lifestyle in both groups. However, only in the group without NCD, the male sex (PR = 1.42; CI95% 1.28–1.57), no having some disability (PR = 1.31; CI95% 1.03–1.66) and having private health insurance (PR = 1.26; CI95% 1.13–1.41) were more associated with active behavior, while in the group with NCD, being elderly (PR = 1.22; CI95% 1.05–1.42), not be white (PR = 0.85; CI95% 0.77–0.95) and not having restful sleep (PR = 1.23; CI95% 1.08–1.40) are associated with active lifestyle. People with and without NCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.

scholarly journals Number of remaining teeth and its association with educational level in Chilean adults: data from the National Health Survey 2016-2017

2020 ◽  
Author(s):  
Paula Margozzini ◽  
Rodrigo Berrios ◽  
Rosario García-Huidobro ◽  
Claudia Véliz ◽  
Carolina del Valle ◽  
...  
Keyword(s):  
National Health ◽  
Health Survey ◽  
Educational Level ◽  
Tooth Loss ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Cross Sectional ◽  
Main Independent Variable ◽  
Functional Dentition ◽  
Chilean Population

Abstract Background: Several population studies have addressed oral health inequity-related issues. Edentulism, functional dentition and number of remaining teeth have been linked to different socioeconomic level measurements. The aim of this study was to evaluate the association between educational level (EL) and tooth loss in the Chilean population aged 15 years old and above, based on the recent data collected from the 2016-2017 National Health Survey (ENS 2016-2017). Methods: The sample for this cross-sectional study comprised 5473 subjects. The main independent variable in the study was educational level (LEL: low, MEL: medium, HEL: high). In order to measure tooth loss number of remaining teeth, edentulism and functional dentition were considered. Based on a multivariate logistic regression, it was possible to obtain odds ratios (OR) and, therefore, to assessing the condition of dentition according to the subject’s EL. As to the number of teeth variable, multiple linear regressions were conducted. The analyses were carried out in the SPSS 24.0 program considering the complex sampling design of ENS 2016-2017. Results: When comparing LEL subjects with HEL subjects, the adjusted difference in the number of remaining teeth was 3.11 for maxilla and 1.72 for mandible. An individual with a LEL had a 7.51 [3.50-16.10] and 6.06 [2.68-13.68] times higher risk of upper edentulism and lower edentulism than a HEL individual respectively. Regarding functional dentition, the adjusted OR in HEL subjects was 13.33 [8.02-22.15] and in MEL subjects was 2.81 [2.03-3.87], compared to LEL results. Conclusions: LEL was associated with a significant tooth loss in the Chilean population. Regardless of age, subjects with a LEL obtained a lower mean of number of remaining teeth, higher prevalence of edentulism and lower prevalence of functional dentition.

scholarly journals Age of first pregnancy in Brazil: data from the national health survey

2019 ◽  
Vol 29 (3) ◽  
pp. 304-312
Author(s):  
Fábia Cheyenne Gomes de Morais Fernandes ◽  
Emelynne Gabrielly De Oliveira Santos ◽  
Isabelle Ribeiro Barbosa
Keyword(s):  
National Health ◽  
Health Survey ◽  
Rural Areas ◽  
National Health Survey ◽  
Northern Region ◽  
Fundamental Aspect ◽  
Related Factors ◽  
Cross Sectional ◽  
The North ◽  
Significant Difference

Introduction: The fertility pattern of Brazilian population has changed considerably in the last decades. Socioeconomic and cultural inequalities can influence the age of the first gestation, and the identification of these inequalities is a fundamental aspect of the monitoring and evaluation of women's health care policies. Objective: To analyze the age of women in their first gestation and the related factors in Brazil. Methods: A cross-sectional study using data from the National Health Survey 2013, analyzing women aged 18 to 49 years and their age in the first gestation, categorized by sociodemographic variables. Results: The North Region presented the highest percentage of pregnancy for the stratum of 10 to 14 years. The first pregnancy at the age of 15 to 19 years had the highest percentages for all regions, with a significant difference between the North and Southeast. The Southeast region obtained the highest percentage of the first pregnancy at the age of 30 to 39 years. The first pregnancy at the age of 15 to 19 years was significantly higher among the separated women; without instruction; and who live in rural areas. The first pregnancy of 10 to 14 was associated with the highest number of births that women will have throughout their lives, with a higher prevalence of 5 to 9 births. Conclusions: In Brazil, a large proportion of first pregnancies still occur in adolescence. The states of the northern region stand out with lower average ages in the first pregnancy, and this event is related to the worst socioeconomic conditions.

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