CARDIOVASCULAR HEALTH VULNERABILITY OF THE ELDERLY POPULATION OF SÃO PAULO, BRAZIL DUE TO AIR POLLUTION

Aim: The aim of this study was to assess the perceptions and barriers to providing oral health care for the dependent elderly in unconventional settings as reported by dentists in the State of São Paulo, Brazil. The Brazilian elderly population is rapidly growing, and a larger elderly population implies an increasing number of dependent elderly patients. Therefore, investigating the perceptions and barriers reported by dentists for caring for these patients becomes important. Materials and methods: An online survey was sent by e-mail to dentists of a metropolitan area in the State of São Paulo, Brazil. Results: The response rate was 3.65% (n = 125). Only 14.4% of respondents offered home care to the elderly. Lack of experience or training (60.7%) and the small number of home visits (42.9%), were the main reported barriers to providing care for the dependent elderly. Most of the respondents (82.4%) agreed that the age of the patient did not influence their decision to provide care, and 96.8% agreed that delivering care to the elderly could be a rewarding experience. Conclusion: Few respondents offered care to the elderly and some of the most relevant factors considered in the decision to offer care were, experience and training, personal satisfaction and having gerodontology as a stand-alone course during dental school.

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Self-injury and suicide attempt among the elderly population in the city of São Paulo

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000154 ◽

2017 ◽

Vol 66 (2) ◽

pp. 83-88 ◽

Cited By ~ 1

Author(s):

Jane de Eston Armond ◽

Rodrigo de Eston Armond ◽

Tatiana Cristina Pereira ◽

Cléo Chinaia ◽

Thiago Leão Vendramini ◽

...

Keyword(s):

Suicide Attempt ◽

Elderly Population ◽

Attempted Suicide ◽

Risk Groups ◽

The Elderly ◽

Sao Paulo ◽

São Paulo ◽

Effective Prevention ◽

Self Injury ◽

The City

ABSTRACT Objective In this perspective, the present research aims to describe the reports of self-injury and suicide attempt among the elderly population living in the city of São Paulo. Methods This is a descriptive, quantitative approach based on Violence and Accidents Surveillance Information System (SIVVA) of the city of São Paulo. In the selection of notifications, it was included the ones related to self-injury and attempted suicide against men and women, with age group between 60 and over, from January to December 2014 in the city of São Paulo, Southeastern Region of Brazil. Results During 2014, 93 cases of self-injury and attempted suicide were reported among elderly people living in the city of São Paulo. The main instruments used by the elderly population in the analyzed period were poisoning (41.9%), other means (34.4%), cold weapon (15.1%), high precipitation places (4.3%), hanging or suffocation (3.2%), and firearm (1.1%). Conclusion From the results of this study it was possible to characterize some specific aspects related to self-injury and suicide attempt among elderly in the evaluated population. Therefore, developing a strategy to promote effective prevention actions and offer specialized services to most risk groups (brown races, people with lower levels of education, and males).

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Expansion of morbidity: trends in healthy life expectancy of the elderly population

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.60.05.011 ◽

2014 ◽

Vol 60 (5) ◽

pp. 434-441 ◽

Cited By ~ 7

Author(s):

Alessandro Gonçalves Campolina ◽

Fernando Adami ◽

Jair Licio Ferreira Santos ◽

Maria Lucia Lebrão

Keyword(s):

Life Expectancy ◽

Elderly Population ◽

Functional Disability ◽

Well Being ◽

The Elderly ◽

Sao Paulo ◽

São Paulo ◽

Cross Sectional ◽

Basic Activity ◽

Expansion Of Morbidity

Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods: cross-sectional and population survey, based on official data for the city of São Paulo, Brazil, and data obtained from the Health, Well-Being and Aging Survey (SABE). Functional disability was defined as difficulty in performing at least one basic activity of daily living. The Sullivan method was used to calculate LE and DFLE for the years 2000 to 2010. Results: from 2000 to 2010, there was an increase in disabled life expectancy (DLE) in all age groups and both sexes. The proportion of years of life free of disability, at 60 years of age, decreased from 57.94% to 46.23% in women, and from 75.34% to 63.65% in men. At 75 years of age, this ratio decreased from 47.55% to 34.54% in women, and from 61.31% to 56.01% in men. Conclusion: the expansion of morbidity is an ongoing process in the elderly population of the municipality of São Paulo, in the period of 2000-2010. These results can contribute to the development of preventive strategies and planning of adequate health services to future generations of seniors.

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A brief report on the road safety of urban roads of São Paulo City involving the elderly population

Latin American J of Management for Sustainable Development ◽

10.1504/lajmsd.2015.071987 ◽

2015 ◽

Vol 2 (2) ◽

pp. 124

Author(s):

Adriana Da Conceisao ◽

Adriane Monteiro Fontana ◽

Alessandra De Freitas Lima

Keyword(s):

Road Safety ◽

Elderly Population ◽

The Elderly ◽

Sao Paulo ◽

São Paulo ◽

The Road ◽

On The Road

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KLOTHO polymorphisms in the elderly population from the Sao Paulo Ageing & Health Study

Revista de Medicina ◽

10.11606/issn.1679-9836.v97i3p374-375 ◽

2018 ◽

Vol 97 (3) ◽

pp. 374-375

Author(s):

Thiago Quadrante Freitas ◽

André Silva Franco ◽

Isac De Castro ◽

Rosa Maria Rodrigues Pereira

Keyword(s):

Elderly Population ◽

The Elderly ◽

Sao Paulo ◽

Health Study ◽

São Paulo

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Beers-Fick criteria and drugs available through the Farmácia Dose Certa program

Sao Paulo Medical Journal ◽

10.1590/s1516-31802011000100004 ◽

2011 ◽

Vol 129 (1) ◽

pp. 17-22 ◽

Cited By ~ 13

Author(s):

Giancarlo Lucchetti ◽

Alessandra Lamas Granero Lucchetti ◽

Sueli Luciano Pires ◽

Milton Luiz Gorzoni

Keyword(s):

Elderly People ◽

Elderly Population ◽

Drug Distribution ◽

The Elderly ◽

Sao Paulo ◽

The State ◽

Age Group ◽

São Paulo ◽

Drug Classes ◽

Excessive Sedation

CONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objective was to assess the drugs in the program considered to be inappropriate for the elderly. DESIGN AND SETTING: Descriptive study evaluating free drug distribution in the State of São Paulo, Brazil. METHODS: Following the criteria proposed by Beers and Fick (drugs or drug classes that should be avoided among elderly people, independent of the diagnosis or clinical condition, because of the high risk of side effects and because other, safer drugs are available), the drugs in the Farmácia Dose Certa program that might be inappropriate for elderly people and the levels of evidence for each drug included were assessed. RESULTS: Among the available drugs, 10 (25.6%) were included within the Beers-Fick criteria. The drugs selected were: amitriptyline, cimetidine, diazepam, digoxin, fluoxetine, methyldopa, nifedipine, promethazine, thioridazine and ferrous sulfate. CONCLUSION: The list of drugs available within the Farmácia Dose Certa program may be considered appropriate for the general population, but not completely for the elderly population. Adjusting this list to the pharmacological aspects of aging will reduce the risks of drug interactions, falls, mental confusion and excessive sedation that result from drugs that are considered inappropriate for consumption by elderly people

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Sexualidade na maturidade: ações educativas e preventivas de enfermagem

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2177-157x.2011.1.1.7-14 ◽

2011 ◽

Vol 1 (1) ◽

pp. 7 ◽

Cited By ~ 1

Author(s):

Luiz Faustino dos Santos Maia ◽

Paulo Roberto Azevedo ◽

Raquel Pereira de Almeida ◽

Luzia Aparecida Ribeiro Alves ◽

Angela Dias das Chagas Silva ◽

...

Keyword(s):

Aging Process ◽

Elderly Population ◽

The Elderly ◽

Sao Paulo ◽

Qualitative Approach ◽

Sexual Life ◽

São Paulo ◽

Individual Health ◽

Las Mujeres ◽

Sobre Todo

A sexualidade é um tema muito difícil de ser abordado, principalmente na terceira idade, isso dificulta as adaptações, superações de tabus, preconceitos e as dificuldades relacionadas ao processo do envelhecimento. Tratou-se de uma pesquisa descritiva e exploratória de abordagem quantitativa e qualitativa, realizada no Centro Educacional Unificado Meninos de São Paulo. Foram selecionados 14 idosos aleatoriamente e convidados a participarem da pesquisa, objetivando conhecer seus hábitos e as necessidades com relação à vida sexual. Os resultados mostraram a predominância do sexo feminino com faixa etária entre 60 a 72 anos; a hipertensão foi o motivo que mais levou ao desinteresse pelo sexo. Conclui-se que frente aos dados, que é necessário um trabalho eficiente junto à política de saúde individualizada para esta população, visto que, pesquisas apontam para um futuro, onde a população de idosos será a maior do nosso país.Descritores: Idoso, Sexualidade na Maturidade, Assistência de Enfermagem.Sexuality in maturity: educational actions and preventive nursingAbstractSexuality is a very difficult topic to be addressed, especially in old age, this makes the adjustments, overruns of taboos, prejudices and difficulties related to the aging process. This was a descriptive and exploratory quantitative and qualitative approach, held at the Educational Center Unified Boys of Sao Paulo. 14 seniors were selected randomly and invited to participate in research aimed at understanding their habits and needs regarding sexual life. Results showed the prevalence of females aged 60 to 72 years, hypertension was the reason that led to more disinterest in sex. We conclude that the data front, it is necessary to work effectively with individual health policy for this population, since studies show a future where the elderly population will be the largest in our country.Descriptors:Aging, Sexuality in Maturity, Nursing Care.Sexualidad en la madurez: las acciones educativas y preventivas de enfermeríaResumenLa sexualidad es un tema muy difícil de abordar, sobre todo en la vejez, esto hace que los ajustes, el rebasamiento de los tabúes, los prejuicios y las dificultades relacionadas con el proceso de envejecimiento. Este fue un enfoque descriptivo y exploratorio cuantitativo y cualitativo, que se celebró en el Centro Educativo Unificado Niños de São Paulo. 14 ancianos fueron seleccionados al azar e invitados a participar en la investigación destinada a comprender sus hábitos y necesidades respecto a la vida sexual. Los resultados muestran la prevalencia de las mujeres de 60 a 72 años, la hipertensión fue la razón que llevó a más desinterés en el sexo. Llegamos a la conclusión de que el frente de datos, es necesario trabajar de manera efectiva con la política de salud particular para esta población, ya que los estudios muestran un futuro en el que la población anciana será la más grande en nuestro país.Descriptores: Envejecimento, Sexualidad la Madurez, Cuidados de Enfermería.

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THE IMPACT OF DIFFERENT URBAN LAND USE TYPES ON AIR POLLUTION IN THE MEGACITY OF SÃO PAULO

Revista Presença Geográfica ◽

10.36026/rpgeo.v7i1.5366 ◽

2020 ◽

Vol 7 (1) ◽

pp. 91

Author(s):

Júlio Barboza Chiquetto ◽

Maria Elisa Siqueira Silva ◽

Rita Yuri Ynoue ◽

Flávia Noronha Dutra Ribieiro ◽

Débora Souza Alvim ◽

...

Keyword(s):

Land Use ◽

Air Pollution ◽

Urban Land ◽

Sao Paulo ◽

Urban Land Use ◽

São Paulo ◽

Land Use Types ◽

The Impact

A poluição do ar é influenciada por fatores naturais e antropogênicos. Quatro pontos de monitoramento (veicular, comercial, residencial e background urbano (BGU))da poluição do ar em São Paulo foram avaliados durante 16 anos, revelando diferenças significativas devidoao uso do solo em todas as escalas temporais. Na escala diurna, as concentrações de poluentes primários são duas vezes mais altas nos pontos veicular e residencial do que no ponto BGU, onde a concentração de ozonio (O3) é 50% mais alta. Na escala sazonal, as concentrações de monóxido de carbono(CO) variaram em 80% devido ao uso do solo, e 55% pela sazonalidade.As variações sazonais ede uso do solo exercem impactos similares nas concentrações de O3 e monóxido de nitrogênio (NO). Para o material particulado grosso (MP10) e o dióxido de nitrogênio(NO2), as variações sazonais são mais intensas do que as por uso do solo. Na série temporal de 16 anos, o ponto BGU apresentou correlações mais fortes e significativas entre a média mensal de ondas longas (ROL) e o O3 (0,48) e o MP10 (0,37), comparadas ao ponto veicular (0,33 e 0,22, respectivamente). Estes resultados confirmam que o uso do solo urbano tem um papel significativo na concentração de poluentes em todas as escalas de análise, embora a sua influência se torne menos pronunciada em escalas maiores, conforme a qualidade do ar transita de um sistema antropogênico para um sistema natural. Isto poderá auxiliar decisões sobre políticas públicas em megacidades envolvendo a modificação do uso do solo.

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Relationship between preterm birth and air pollution in Santos, Sao Paulo, Brazil

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.111 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M E L Brandao ◽

B A L F Braga ◽

M L C Martins ◽

P L A A Pereira

Keyword(s):

Air Pollution ◽

Preterm Birth ◽

Air Pollutants ◽

First Trimester ◽

Sao Paulo ◽

São Paulo ◽

Air Humidity ◽

Relative Air Humidity ◽

The Impact ◽

Fourth Quartile

Abstract Santos is a seaboard Brazilian city recognized by its port activity where the road and rail infrastructure along with the large transportation operation, displays an important factor to contribute with all kinds of toxic and air pollutants. Recent studies have suggested associations between air pollution and various birth outcomes. Pollutant gases such as NOx, O3 and particulate matter PM2,5, PM10 have been cited as factors involved in such outcomes. The present study aims to assess the relationship between atmospheric pollutants and perinatal outcomes in the city of Santos from Jan. 2012 to Dec. 2015. Cross-sectional study that analyzed 10.319 singleton births in an area set with 2 km radius of the monitoring stations. Birth weight and information on mother and pregnancy were obtained at the Brazilian “Born Alive National Information System”. Daily records of air pollutants (PM10, PM2.5, NO2 and O3), temperature and relative air humidity, for the study period, were obtained from São Paulo State Environmental Agency (CETESB). Associations between preterm birth and air pollutants mean levels at each gestational trimester were investigated using multiple logistic regression model controlled by the variables: infant sex, type of delivery, maternal education. prenatal care, and number of previous live births, temperature and relative air humidity. NO2 e PM2,5 was not associated with preterm birth. O3 was significantly associated in the first trimester in the fourth quartile (OR = 1,47 CI 95% 1,05; 2,07). PM10 was significantly associated in the first trimester for the fourth quartile (OR = 1,28 CI 95% 1,00; 1,64), second trimester for the second quartile (OR = 1,37 CI 95% 1,07; 1,77). Conclusions the results shows evidence that maternal exposure to air pollution especially during the first trimester of pregnancy may contribute to preterm birth. Further actions are needed towards controlling air pollution are strongly recommended for promoting early-life health. Key messages This is the first research of this kind that was made in Santos. It brings important evidence of the impact in the life of the population, especially those whose is not even born yet. It can be used as a resource to guide public policies in health, especially the guidelines that dictate the concentration of air pollutants and air quality.

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