Max Moura de Oliveira

Prevalência de fatores de risco e proteção para doenças crônicas não transmissíveis em adultos: estudo transversal, Brasil 2012

OBJETIVO:descrever as prevalencias de fatores de risco e protecao para doencas cronicas na populacao adulta brasileira e analisar as diferencas segundo variaveis sociodemograficas.METODOS:estudo transversal com dados de 2012 do Sistema de Vigilância de Fatores de Risco e Protecao para Doencas Cronicas por Inquerito Telefonico (Vigitel), incluindo residentes nas capitais brasileiras com idade ≥18 anos; foram calculadas as prevalencias e respectivos intervalos de confianca de 95% (IC95%) segundo sexo, faixa etaria e escolaridade.RESULTADOS:entre 45.448 entrevistados, a prevalencia de tabagismo foi de 12,1% (IC95%: 11,5%-12,8%), inatividade fisica, 14,9% (IC95%: 14,2%-15,5%), consumo abusivo de bebidas alcoolicas, 18,4% (IC95%: 17,7%-19,2%), excesso de peso, 51,0°% (IC95%: 50,1%-51,9%) e obesidade, 17,4°% (IC95%: 16,7%-18,1%); os fatores de risco estudados estiveram associados a maior idade, sexo masculino e menor escolaridade.CONCLUSAO:a prevalencia dos fatores de risco e protecao apresenta diferencas segundo caracteristicas sociodemograficas, a serem consideradas nas estrategias de promocao da saude.

Tendência temporal dos indicadores de excesso de peso em adultos nas capitais brasileiras, 2006-2013

The scope of this article is to analyze time trends in excess weight (overweight, obesity and class III obesity) among adults (≥ 18 years of age) in Brazilian capitals between 2006 and 2013. It is a study of temporal trends in excess weight indicators using data from the telephone-based Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases (Vigitel). The Prais regression model was performed. In 2013, the following statistics were observed in the adult population: overweight in 32.2%; obesity in 17.5%, and class III obesity in 1.5%. From 2006 to 2013, there was a significant increase in major indicators, for sex, age group, level of schooling (years) and regions. Overweight and obesity indicators demand attention since they result in a burden on the individual, society and health services.

Problema crônico de coluna e diagnóstico de distúrbios osteomusculares relacionados ao trabalho (DORT) autorreferidos no Brasil: Pesquisa Nacional de Saúde, 2013

OBJETIVO:descrever a prevalencia de problemas cronicos de coluna e de disturbios osteomusculares relacionados ao trabalho (DORT) autorreferidos em adultos brasileiros, segundo variaveis sociodemograficas.METODOS:estudo descritivo com 60.202 individuos ≥18 anos incluidos na Pesquisa Nacional de Saude 2013; foram estimadas prevalencias e intervalos de confianca (IC95%).RESULTADOS:a prevalencia de problema cronico de coluna foi de 18,5% (IC95%:17,8-19,1), maior em mulheres (21,1%; IC95%:20,2-21,9), individuos com baixa escolaridade (24,6%; IC95%:23,5-25,6) e residentes na regiao Sul (23,3%; IC95%:21,6-25,1); dos que referiram problema de coluna, 16,4% (IC95%:15,2-17,6) relataram possuir grau intenso/muito intenso de limitacoes nas atividades habituais, principalmente na area rural (20,3%; IC95%:17,5-23,0); a prevalencia de DORT foi de 2,4% (IC95%:2,2-2,7), superior entre mulheres (3,3%; IC95%:2,9-3,7) e individuos com Ensino Superior (3,8; IC95%:3,0-4,7), e mais baixa no Norte (0,7%; IC95%:0,5-1,0).CONCLUSAO:a prevalencia de problema cronico de coluna foi elevada mas a prevalencia de DORT, baixa, possivelmente indicando falta deste diagnostico.

Prevalência do autorrelato de depressão no Brasil: resultados da Pesquisa Nacional de Saúde, 2013

OBJECTIVE To describe the prevalence of self-reported previous medical diagnosis of depression in the adult (18 years or older), Brazilian population according to sociodemographic factors. METHODS Data from the 2013 National Health Survey, a population-based survey, were used. The self-reported previous medical diagnosis of depression, received at some point during the patients life, was investigated. Prevalence and their respective confidence intervals of 95% (CI 95%) were calculated, stratified by gender, age group, education level, race/skin color, for Brazil, place of residence, major regions, federative units and capitals. RESULTS The prevalence of self-reported diagnosis of depression in adults in Brazili was of 7.6% (95%CI 7.2 - 8.1), being higher in women (10.9%; 95%CI 10.3 - 11.6) and among people between 60 and 64 years old (11.1%; 95%CI 9.1 - 13.1). Furthermore, the highest prevalence was among individuals with no formal education or those with incomplete primary education 8.6% (95%CI 7.9 - 9.3), for those with complete tertiary education 8.7% (95%CI 7.5 - 9,9); and for those who declared themselves as white (9.0%; 95%CI 8.3 - 9.6). For place of residence, the self-report was higher in individuals living in urban areas (8.0%; 95%CI 7.5 - 8.4) and in the South (12.6%; 95%CI 11.2 - 13.9). CONCLUSION The analysis shows the importance of understanding the access to the diagnosis of depression in Brazil. It is necessary to improve access to quality health services throughout the country to include the underprivileged population. Reducing disparities in access to health services is crucial to ensuring that social rights are universal and equal.

Prevalência de fatores de risco e proteção para doenças crônicas não transmissíveis em adultos residentes em capitais brasileiras, 2013

OBJETIVO: descrever as prevalencias dos fatores de risco e protecao para doencas cronicas na populacao adulta residente nas capitais brasileiras em 2013, e verificar os fatores sociodemograficos associados. METODOS: foi realizado estudo transversal com 52.929 entrevistas pelo inquerito telefonico Vigitel, e investigadas associacoes mediante regressao de Poisson. RESULTADOS: as prevalencia foram: tabagismo de 11,3% (IC95%:10,6%;11,9%); para consumo abusivo de bebidas alcoolicas, 16,4% (IC95%:15,7%;17,0%); consumo recomendado de frutas e hortalicas, 23,6% (IC95%:22,9%;24,3%); inatividade fisica, 16,2% (IC95%:15,6%;16,9%); excesso de peso, 50,8% (IC95%:49,9%;51,6%); elevado consumo de sal referido, 16,0% (IC95%:15,3;16,6); substituicao do almoco ou jantar por lanches, 15,5% (IC95%:15,8%;17,1%); e consumo regular de doces, 19,5% (IC95%:18,8%;20,2%); a presenca dos fatores de risco foi associada ao sexo masculino, maior idade e menor escolaridade. CONCLUSAO: o monitoramento apoia o planejamento de politicas publicas de promocao da saude visando a reducao da morbimortalidade por doencas cronicas.OBJETIVOS: describir la prevalencia de factores de riesgo y la proteccion para las enfermedades cronicas en la poblacion adulta en las capitales brasilenas en 2013, y comprobar los factores sociodemograficos asociados. METODOS: se realizo un estudio transversal con 52.929 entrevistas telefonicas; la prevalencia estimada de los factores de riesgo y la proteccion por sexo, edad y educacion; las diferencias fueron investigadas por el modelo de Regresion de Poisson. RESULTADOS: la prevalencia de tabaquismo fue del 11,3% (IC95%:10,6%-11,9%); abuso de alcohol, 16,4% (IC95%:15,7%-17,0%); ingesta recomendada de frutas y verduras 23,6% (IC95%:22,9%-24,3%); inactividad fisica 16,2% (IC95%:15,6%-16,9%); sobrepeso 50,8% (IC95%:49,9%-51,6%); alto consumo de sal 16,0% (IC95%:15,3%-16,6%); reemplazo de comida o cena por aperitivos 15,5% (IC95%:15,8%-17,1%); consumo regular de golosinas 19,5% (IC95%:18,8%-20,2%), estan asociadas al sexo masculino, a mayor edad y a menor nivel educativo. CONCLUSION: el monitoreo apoya la planificacion de politicas publicas para promover la salud mediante la reduccion de la morbilidad y la mortalidad por enfermedades cronicas.OBJETIVOS: describir la prevalencia de factores de riesgo y la proteccion para las enfermedades cronicas en la poblacion adulta en las capitales brasilenas en 2013, y comprobar los factores sociodemograficos asociados. METODOS: se realizo un estudio transversal con 52.929 entrevistas telefonicas; la prevalencia estimada de los factores de riesgo y la proteccion por sexo, edad y educacion; las diferencias fueron investigadas por el modelo de Regresion de Poisson. RESULTADOS: la prevalencia de tabaquismo fue del 11,3% (IC95%:10,6%-11,9%); abuso de alcohol, 16,4% (IC95%:15,7%-17,0%); ingesta recomendada de frutas y verduras 23,6% (IC95%:22,9%-24,3%); inactividad fisica 16,2% (IC95%:15,6%-16,9%); sobrepeso 50,8% (IC95%:49,9%-51,6%); alto consumo de sal 16,0% (IC95%:15,3%-16,6%); reemplazo de comida o cena por aperitivos 15,5% (IC95%:15,8%-17,1%); consumo regular de golosinas 19,5% (IC95%:18,8%-20,2%), estan asociadas al sexo masculino, a mayor edad y a menor nivel educativo. CONCLUSION: el monitoreo apoya la planificacion de politicas publicas para promover la salud mediante la reduccion de la morbilidad y la mortalidad por enfermedades cronicas.

Estimativa de pessoas com diagnóstico de câncer no Brasil: dados da Pesquisa Nacional de Saúde, 2013

OBJECTIVE To describe the profile of patients who reported a medical diagnosis of cancer and describe the most prevalent types of cancer, according to selected variables. METHODS A descriptive study that used data from the National Survey of Health, 2013, to estimate prevalence and their values of confidence interval (95%CI). RESULTS Less than 2% of adults reported a medical diagnosis of cancer, with most reported by women, people over 60, among whites, residents in the village and residents of South Prostate cancer was the most reported among men and breast among women. The lowest average age of first diagnosis was identified for cervical cancer (35.4 years; 95%CI 30.3 - 40.6) and the highest for prostate (65.7 years; 95%CI 64.2 - 67.0). CONCLUSION The findings of this study are important for the planning of health services and access, as they show differences mainly regional.ABSTRACT: Objective: To describe the profile of patients who reported a medical diagnosis of cancer and describe the most prevalent types of cancer, according to selected variables. Methods: A descriptive study that used data from the National Survey of Health, 2013, to estimate prevalence and their values of confidence interval (95%CI). Results: Less than 2% of adults reported a medical diagnosis of cancer, with most reported by women, people over 60, among whites, residents in the village and residents of South Prostate cancer was the most reported among men and breast among women. The lowest average age of first diagnosis was identified for cervical cancer (35.4 years; 95%CI 30.3 – 40.6) and the highest for prostate (65.7 years; 95%CI 64.2 – 67.0). Conclusion: The findings of this study are important for the planning of health services and access, as they show differences mainly regional. Keywords: Neoplasms. Chronic disease. Health surveys. Epidemiological surveillance. Prevalence. Brazil.

Men's health in question: seeking assistance in primary health care

The scope of this study was to analyze the socio-demographic profile, morbidity and frequency of seeking of adult men enrolled in a Family Doctor Program for health care in Niterói in the State of Rio de Janeiro. It is a cross-sectional study using secondary data, files and records of the first care visit in November 2003 through August 2009. The frequencies of the variables studied and the prevalence rates among those who sought and those who did not seek attention were calculated. Among the 323 men registered, 56% sought attendance. The main reason given for the first visit was a routine appointment. It was observed that 43 men were overweight, 26 were obese and 44 had abnormal blood pressure. The profile of the men who sought and those who did not seek care presented statistically significant differences (p< 0.05) for: age, education level, social security and reference to morbidity at the time of registration. Older men with social security reporting some morbidity sought health services more often. It is necessary to broaden the studies to acquire more input for public health actions and policies that contemplate this population segment and its specificities.The scope of this study was to analyze the socio-demographic profile, morbidity and frequency of seeking of adult men enrolled in a Family Doctor Program for health care in Niteroi in the State of Rio de Janeiro. It is a cross-sectional study using secondary data, files and records of the first care visit in November 2003 through August 2009. The frequencies of the variables studied and the prevalence rates among those who sought and those who did not seek attention were calculated. Among the 323 men registered, 56% sought attendance. The main reason given for the first visit was a routine appointment. It was observed that 43 men were overweight, 26 were obese and 44 had abnormal blood pressure. The profile of the men who sought and those who did not seek care presented statistically significant differences (p< 0.05) for: age, education level, social security and reference to morbidity at the time of registration. Older men with social security reporting some morbidity sought health services more often. It is necessary to broaden the studies to acquire more input for public health actions and policies that contemplate this population segment and its specificities.

Consumo elevado de sal autorreferido em adultos: dados da Pesquisa Nacional de Saúde, 2013

OBJETIVOS:descrever a prevalencia de consumo elevado de sodio autorreferido em adultos e comparar resultados das capitais brasileiras e Distrito Federal, coletados pela Pesquisa Nacional de Saude (PNS) e pelo Sistema de Vigilância de Fatores de Risco e Protecao para Doencas Cronicas por Inquerito Telefonico (Vigitel), ambos de 2013.METODOS:estudo descritivo utilizando dados da PNS e Vigitel, estimando prevalencias e intervalos de confianca (IC95%).RESULTADOS:segundo a PNS, 14,2% (IC95%:13,6%-14,7%) dos adultos referiram consumo elevado de sal, com prevalencia maior em homens (16,1%; IC95%:15,3-16,9), individuos de 18-29 anos de idade (17,7%; IC95%:16,2-19,2), com Ensino Superior completo (17,3%; IC95%:15,6-19,0), residentes na area urbana (14,8%; IC95%:13,6-14,7) e na macrorregiao Sul (18,2%; IC95%:16,8-19,7); no total das capitais, nao houve diferencas entre PNS (15,0%; IC95%:14,2-15,8) e Vigitel (16,0%; IC95%:15,3-16,6), porem observaram-se diferencas significativas para Rio Branco e Aracaju.CONCLUSAO:encontrou-se prevalencias elevadas, semelhantes em ambos estudos, reforcando a importância do Vigitel para monitoramento.OBJECTIVE: to describe self-reported high sodium consumption prevalence in adults and compare results in Brazilian capitals and the Federal District based on data from the 2013 National Health Survey (PNS) and from the 2013 Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel). METHODS: this was a descriptive study using PNS and Vigitel data, estimating prevalence and confidence intervals (95%CI). RESULTS: PNS data indicates that 14.2% (95%CI:13.6%-14.7%) of adults reported high sodium consumption. It was higher in men (16.1%;95%CI:15.3-16.9), people aged 18-29 (17.7%;95%CI:16.2-19.2), those with higher education (17.3%;95%CI:15.6-19.0), living in urban areas (14.8%;95%CI:13.6-14.7), and in Southern Brazil (18.2%;95%CI:16.8-19.7). When comparing capitals, there was no statistical difference between PNS and Vigitel, although statistical difference was found in Rio Branco and Aracaju. CONCLUSION: similar rates of high prevalence were found in both studies, reinforcing Vigitels important monitoring role.

Avaliação do Sistema de Informações sobre Nascidos Vivos. Brasil, 2006 a 2010

OBJETIVO: avaliar atributos e utilidade do Sistema de Informacoes sobre Nascidos Vivos (Sinasc), Brasil, 2006-2010. METODOS: avaliacao baseada nas diretrizes do Guia de Avaliacao dos Sistemas de Vigilância de Saude Publica do Centers for Disease Control and Prevention/USA. RESULTADOS: das 23 variaveis avaliadas, 21 apresentaram completude superior a 90,0%; o percentual de completude de variaveis preenchidas em partos hospitalares foi 97,9%; nao houve diferenca entre as proporcoes de nascimentos segundo macrorregioes e sexo, na comparacao com os dados do Censo Demografico 2010. Foram recebidos em tempo oportuno 82,6% do volume de dados, em 2010; a razao entre nascidos vivos informados e estimados foi de 89,4% em 2006 e de 97,4% em 2010; dados do Sinasc eram utilizados em 22 indicadores de monitoramento. CONCLUSAO: os atributos avaliados e a utilidade do Sinasc ratificam a qualidade e a importância das informacoes geradas pelo sistema para subsidiar politicas publicas de saude materno-infantil.

Epidemiology of multiple myeloma in 17 Latin American countries: an update

The objective of this study was to describe incidence, mortality rates, and trends for multiple myeloma (MM) in Latin America (LA), contributing to better knowledge on the epidemiology of MM in this continent. Incidence data were extracted from the International Agency for Research on Cancer (IARC), for the period 1990–2007. Mortality data were obtained for 17 countries from the World Health Organization, for the period 1995–2013. Annual average percentage change (AAPC) and 95% confidence interval (95% CI) were calculated for incidence and mortality. The average incidence rate of MM was higher in Cali (Colombia). For the age‐group over 60 years old, rates were 14.2 and 12.8 per 100,000 inhabitants for men and women, respectively. Increasing incidence trends were verified for Cali (Colombia). Mortality rates were higher among men; most countries presented increasing trends, and the highest increments were observed in Guatemala (12.5% [95% CI: 10.6; 14.5] in men; 8.8% [95% CI: 7.8; 9.8] in women), Ecuador (5.5% [95% CI: 5.0; 6.0] in men; 3.7 [95% CI: 3.1; 4.3] in women), Paraguay (2.9% [95% CI: 2.3; 3.5] in men; 3.2% [95% CI: 2.1; 4.3] in women), and Brazil (1.4% [95% CI: 1.3; 1.5] in men; 0.9% [95% CI: 0.8; 1.0] in women). Multiple myeloma presented heterogeneous incidence patterns in Cali (Colombia), Quito (Ecuador), and Costa Rica. Increasing mortality trends were verified for most Latin American countries and could be related to limited access to diagnosis and new therapies.