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[Side effects of publish-or-perish pressure on graduate studies.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19851610 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Coimbra CE Tags: Cad Saude Publica Source Type: journals

[Review of data quality dimensions and applied methods in the evaluation of health information systems.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In Brazil, quality monitoring of data from the various health information systems does not follow a regular evaluation plan. This paper reviews quality evaluation initiatives related to the Brazilian information systems, identifying the selected quality dimensions and the method employed. The SciELO and LILACS databases were searched, as were the bibliographical references from articles identified in the search. 375 articles were initially identified, leaving a final total of 78 after exclusions. The four most frequent dimensions in articles totaled approximately 90% of the analyses. The studies prioritized certain qua...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Lima CR, Schramm JM, Coeli CM, Silva ME Tags: Cad Saude Publica Source Type: journals

Does the way I see you affect the way I see myself? Associations between interviewers' and interviewees' 'color/race' in southern Brazil.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study assessed the associations between female interviewers' self-classified 'color/race' and participants' self- and interviewer-classified 'color/race'. A cross-sectional study was carried out among adult individuals living in Pelotas, southern Brazil. Associations were examined by means of contingency tables and multinomial regression models, adjusting for interviewees' socioeconomic and demographic factors. Individuals aged > 40 years were 2.1 times more likely to classify themselves as brown (versus white) when interviewed by black (as compared to white) interviewers. Participants in the same age group were 2....
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Bastos JL, Dumith SC, Santos RV, Barros AJ, Del Duca GF, Gonçalves H, Nunes AP Tags: Cad Saude Publica Source Type: journals

[Risk factors for pre-term birth in Londrina, Paraná State, Brazil.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to identify risk factors associated with pre-term birth among live births in a hospital in Londrina, Paraná State, Brazil. Cases consisted of 328 pre-term births, and controls were 369 births with gestational age greater than 37 weeks. A multiple hierarchical logistic regression analysis was carried out. There was a significant correlation (p < 0.05) between pre-term birth and the following variables: socioeconomic status (slum residence); low age of head-of-family; maternal BMI < 19 or > 30 kg/m2; history of prematurity; history of assisted reproduction; mothers in a relations...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Silva AM, Almeida MF, Matsuo T, Soares DA Tags: Cad Saude Publica Source Type: journals

[Association between stages of behavior change related to physical activity and nutritional status in university students.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to verify the association between stages of behavior change related to physical activity and nutritional status among 862 university students. Body mass index cut-off values were used to classify nutritional status. Stages of behavior change were analyzed individually and classified into active (action, maintenance) and inactive (pre-contemplation, contemplation, preparation). The most prevalent stages of behavior change were contemplation (32%) and preparation (29.5%). Among the entire sample of students, 68.4% were inactive. Prevalence rates for underweight, overweight, and obesity were 9.5%, 12.4%, and ...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Madureira AS, Corseuil HX, Pelegrini A, Petroski EL Tags: Cad Saude Publica Source Type: journals

[Availability of generic drugs in the public sector and prices in the private sector in different regions of Brazil.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A study to identify availability and prices of medicines, according to type of provider, was conducted in the five regions of Brazil. A list of medicines to treat prevalent diseases was investigated, using the medicines price methodology developed by the World Health Organization and Health Action International, adapted for Brazil. In the public sector, bioequivalent (vis-à-vis reference brand) generics are less available than multisource products. For most medicines (71.4%), the availability of bioequivalent generics was less than 10%. In the private sector, the average number of different bioequivalent generic v...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Miranda ES, Pinto Cdu B, Reis AL, Emmerick IC, Campos MR, Luiza VL, Osorio-de-Castro CG Tags: Cad Saude Publica Source Type: journals

Health related quality of life among the elderly: a population-based study using SF-36 survey.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As life expectancy continues to rise, one of the greatest challenges of public health is to improve the quality of later years of life. The aim of this present study was to analyze the quality of life profile of the elderly across different demographic and socioeconomic factors. A cross-sectional study was carried out in two stages, involving 1,958 individuals aged 60 years or more. Health related quality of life (HRQOL) was assessed using the SF-36 questionnaire. The lowest scores were found among measures for vitality, mental health and general health and the highest among factors including social functioning and rol...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Ciconelli RM Tags: Cad Saude Publica Source Type: journals

[Sick leave among employees of the São Paulo State Health Department, Brazil, 2004.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Sick leave among employees of the São Paulo State Health Department, Brazil, 2004.] Cad Saude Publica. 2009 Oct;25(10):2168-78 Authors: Sala A, Carro AR, Correa AN, Seixas PH Workers' illness and the resulting absenteeism is a relevant issue for the public sector, due to the high sick leave rates. The current study focused on the characteristics of sick leaves among employees of the São Paulo State Health Department in Brazil. Data from 2004 were collected for 58,196 public employees of the State Health Department, including the respective episodes of sick leave. The overall absenteeism rate due to i...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Sala A, Carro AR, Correa AN, Seixas PH Tags: Cad Saude Publica Source Type: journals

Cross-cultural adaptation, validation and reliability of the Body Area Scale for Brazilian adolescents.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to translate, validate and verify the reliability of the Body Area Scale (BAS). Participants were 386 teenagers, enrolled in a private school. Translation into Portuguese was conducted. The instrument was evaluated for internal consistency and construct validation analysis. Reproducibility was evaluated using the Wilcoxon test and the coefficient of interclass correlation. The BAS demonstrated good values for internal consistency (0.90 and 0.88) and was able to discriminate boys and girls according to nutritional state (p = 0.020 and p = 0.026, respectively). BAS scores correlated with adolesc...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Conti MA, Latorre Mdo R, Hearst N, Segurado A Tags: Cad Saude Publica Source Type: journals

[Factors associated with physical activity, sedentary behavior, and participation in physical education among high school students in Santa Catarina State, Brazil.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this study were to estimate the prevalence of insufficient physical activity, sedentary behavior, and absence from physical education and associated factors. The Santa Catarina State Adolescents' Questionnaire (COMPAC, in Portuguese) was applied to a sample of 5,028 adolescents (15-19 years of age) attending public high schools in the State of Santa Catarina, Brazil. Information included demographic and socioeconomic indicators. Poisson regression analyses were used to test associations. The proportion of students with insufficient physical activity was 28.5%, associated with low consumption of fruits and...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Silva KS, Nahas MV, Peres KG, Lopes Ada S Tags: Cad Saude Publica Source Type: journals

[A framework for health surveillance decentralization.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No consensus has been reached concerning the definition of criteria and standards for evaluating the decentralization of actions by municipal health surveillance systems. With the aim of developing and validating an objective image for municipal health surveillance that would correspond to an appropriate system for the population's health care needs, a logical framework was elaborated, from which a matrix containing dimensions and criteria for management and practices was obtained. The framework was submitted to an expert group for validation at a consensus conference. Of the 54 criteria, there was consensus for 59.3%,...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Ferraro AH, Costa EA, Vieira-da-Silva LM Tags: Cad Saude Publica Source Type: journals

[Accuracy of the Mortality Information System team in the specification of underlying cause of death in a State capital in southern Brazil.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This cross-sectional study aimed to investigate the quality of data on underlying cause of death as completed on the death certificate by the attending physician, as well as the accuracy of the Mortality Information System (MIS) team in Porto Alegre, Rio Grande do Sul State, Brazil, in specification of the cause. 950 hospital deaths were investigated, using systematic sampling. A new death certificate (DC) was completed with data collected from hospital files, and was compared to the original DC and the MIS DC for underlying cause of death. Disagreement between the original DC and new DC occurred in 16.1% of cases. Of ...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Fajardo S, Aerts DR, Bassanesi SL Tags: Cad Saude Publica Source Type: journals

Interactions between antidepressants and antihypertensive and glucose lowering drugs among patients in the HIPERDIA Program, Coronel Fabriciano, Minas Gerais State, Brazil.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aims of this study were to investigate the prevalence and to describe the most frequent potential interactions between antidepressants and antihypertensive and glucose lowering drugs in the HIPERDIA Program at two primary care units in Coronel Fabriciano, Minas Gerais State, Brazil. Data were collected through the patient registry in the HIPERDIA Program and the local psychoactive drug dispensing system. Interactions were classified as due to pharmacokinetic and/or pharmacodynamic mechanisms. Prevalence of antidepressant use in the HIPERDIA Program was 4.37% (29 of patient 663 records). Of the HIPERDIA patients in ...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Coelho PV, Brum Cde A Tags: Cad Saude Publica Source Type: journals

[Health financing conditions in large cities in Brazil.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We evaluated the funding of the Brazilian Unified National Health System (SUS) in municipalities with more than 100,000 inhabitants. The main goal was to evaluate the impact of policies for health resource allocation within the municipal budget. A database was organized with information from revenues reported by municipalities in the Information System on Government Health Budgets (SIOPS) for the year 2005. Reported budgets were compared and correlated to the municipalities' geographic location. We conducted a cluster analysis to create more homogeneous groups according to health-related budget. The study showed a majo...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Lima LD, Andrade CL Tags: Cad Saude Publica Source Type: journals

Frequency of fiber-rich food intake and associated factors in a Southern Brazilian population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to verify the frequency of fiber-rich food intake and evaluate its association with socioeconomic, demographic and behavioral characteristics. A city representative sample was selected and 3,993 subjects (> 10 years) were interviewed. The study used the Block Screening Questionnaire. A majority of subjects - 65.6% (95%CI: 64.2-67.1) - presented an inadequate intake frequency. Adjusted analysis for the overall sample showed an increased risk of inadequate frequency among men, adolescents, people of lower socioeconomic levels, current smokers, those insufficiently active and those having fe...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Madruga SW, Araújo CL, Bertoldi AD Tags: Cad Saude Publica Source Type: journals

[Shortage of ocular health care in the public system: a population-based study.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This cross-sectional population-based study investigated the prevalence of eye care services utilization and the association with socioeconomic and demographic factors, need for health care, and type of service payment. The study evaluated 2,960 adults aged 20 and older. In the previous 5 years, 46% of the sample and 30% of those aged 50 and older had not visited an eye care service. Among the persons who used a service, 18% went to an optical store and only 17% used the public health system. The main reason for using eye care services was poor vision (69.5%). Lack of money (29%) and time (24.6%) were the most frequent...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Castagno VD, Fassa AG, Silva MC, Carret ML Tags: Cad Saude Publica Source Type: journals

Antiretroviral manufacturers and the challenge of universal access to drugs through the Brazilian National STD/AIDS Program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the antiretroviral (ARV) manufacturing market in Brazil and contextualizes the challenges for the public policy of supplying ARVs through the National STD/AIDS Program. Increasing expenditure on these drugs is the main source of uncertainty for the policy's future. Brazil's domestic scenario is one of growing external dependence, both for the finished drugs and the active ingredients. Experience in the National Program has shown that it is the state's role to provide public goods, which presupposes ensuring mutual compatibility between company interests and social interests. This balance is currently...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Lago RF, Costa Ndo R Tags: Cad Saude Publica Source Type: journals

Correspondence between children's nutritional status and mothers' perceptions: a population-based study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to investigate the correspondence between the nutritional status of children aged 7-10 years and their mothers' perceptions of their children's weight. A cross-sectional survey was conducted among 1,282 children. Weight and height were measured and classified according to International Obesity Taskforce (IOTF) criteria. Mothers' perceptions were assessed based on four possible conditions. The Kappa test (k) was used to evaluate the correspondence between nutritional status and mothers' perceptions and followed by regression analyses. The prevalence of overweight and underweight was 23.2% and 5.7% respectiv...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Molina Mdel C, Faria CP, Montero P, Cade NV Tags: Cad Saude Publica Source Type: journals

Etiology of cutaneous leishmaniasis and anthropophilic vectors in Juruti, Pará State, Brazil.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Etiology of cutaneous leishmaniasis and anthropophilic vectors in Juruti, Pará State, Brazil. Cad Saude Publica. 2009 Oct;25(10):2291-5 Authors: Garcez LM, Soares DC, Chagas AP, Souza GC, Miranda JF, Fraiha H, Flöeter-Winter LM, Nunes HM, Zampiere RA, Shaw JJ In a preliminary study in Juruti, a mining municipality in western Pará State, Brazil, 12 out of 21 patients suspected of presenting cutaneous leishmaniasis showed positive PCR (SSUrDNA and G6PD): Leishmania (Viannia) braziliensis (9/12; 75%) and L. (V.) sp. (3/12; 25%). Entomological studies in the same location revealed the presence of 12 ...
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Garcez LM, Soares DC, Chagas AP, Souza GC, Miranda JF, Fraiha H, Flöeter-Winter LM, Nunes HM, Zampiere RA, Shaw JJ Tags: Cad Saude Publica Source Type: journals

[Epidemic of risk behaviors? A note on unequal socio-cultural contexts and subjective dimensions of the health-disease process.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19851629 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - September 30, 2009 Category: Global & Universal Authors: Bagrichevsky M, Estevão A Tags: Cad Saude Publica Source Type: journals

Dietary transition and cultural diversity: challenges for indigenous health politics in Brazil.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19750374 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Garnelo L, Welch JR Tags: Cad Saude Publica Source Type: journals

[Bioethics and nutrition in adult patients with cancer in palliative care]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cancer constitutes a major group of chronic diseases and is the second leading cause of death in the developed countries. Palliative care proposes to offer comprehensive support to control symptoms and improve quality of life for patients and their families. Nutrition is an important tool in palliative care, helping patients with their physical, psychological, and social issues and promoting comfort and quality of life. However, in the context of palliative care, nutritional support rarely achieves its role of fully recovering and assuring nutritional status. At this point, the nutritionist must consider the individual...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Benarroz Mde O, Faillace GB, Barbosa LA Tags: Cad Saude Publica Source Type: journals

[Cognitive function in menopausal women evaluated with the Mini-Mental State Examination and Word-List Memory Test]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is little research in Brazil on cognition and menopause, despite the high frequency of neuropsychiatric complaints in this phase of women's life. The authors present a cross-sectional study aimed at describing the scores by 156 menopausal women on the Mini-Mental State Examination (MMSE) and the Word-List Memory Test (WLMT). The mean score on the MMSE was 25.86 points (SD = 2.67), similar to other studies, except for better performance by illiterate women; scores on the sub-items 'attention and calculation' and 'immediate recall' showed lower values. In the WLMT, the mean was also consistent with the literature (...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Fernandes Rde C, da Silva KS, Bonan C, Zahar SE, Marinheiro LP Tags: Cad Saude Publica Source Type: journals

[Regular use of dental care services by adults: patterns of utilization and types of services]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to estimate the prevalence of regular use of dental services by adults and identify groups where this behavior is more frequent. A cross-sectional population-based study was carried out in Pelotas, southern Brazil, including 2,961 individuals who answered a standardized questionnaire. Overall prevalence of regular use of dental services was 32.8%. The following variables were positively associated with regular use: female gender, age >or= 60 years, no partner, high educational level, high economic status, private service user, good/excellent self-rated oral health, and no perceived need for...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Camargo MB, Dumith SC, Barros AJ Tags: Cad Saude Publica Source Type: journals

[Prevalence of respiratory symptoms and associated factors: a population-based study in adults from Lages, Santa Catarina State, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A cross-sectional population-based study was conducted in Lages, Santa Catarina State, Brazil, in order to estimate the prevalence of symptoms of chronic bronchitis, breathlessness, and wheezing and associated factors in a sample of adults 20 to 59 years of age (n = 2,051). The study employed a cluster sample design and Poisson regression analyses. Prevalence rates for chronic bronchitis, breathlessness, and wheezing were 5%, 35.7%, and 20.2%, respectively. The adjusted analysis showed chronic bronchitis associated with low schooling, smoking, and hospital admissions due to respiratory illness during childhood. Breathl...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Bernat AC, de Oliveira MC, da Rocha GC, Boing AF, Peres KG Tags: Cad Saude Publica Source Type: journals

[Physical activity among health professionals from south and northeast Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This cross-sectional study analyzed 240 primary healthcare units, linked either to the traditional primary care model or the Family Health Program (FHP), involving a total of 3,347 health professionals who answered the International Physical Activity Questionnaire. Prevalence of sedentary lifestyle (< 150 minutes of physical activity per week) was 27.5% (95%CI: 25.9-29.0). Sedentary lifestyle was more frequent among health professionals in the traditional model, with the difference explained by the presence of community health agents, whose work only involves extensive physical activity in the FHP model. Sedentary h...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Siqueira FC, Nahas MV, Facchini LA, Piccini RX, Tomasi E, Thumé E, da Silveira DS, Hallal PC Tags: Cad Saude Publica Source Type: journals

[Stroke prevalence among the elderly in Vassouras, Rio de Janeiro State, Brazil, according to data from the Family Health Program]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study estimated the prevalence of stroke among the elderly in Vassouras, Rio de Janeiro State, Brazil, based on data from the Family Health Program (FHP). The elderly population was chosen since it is growing as a proportion of the general population, and since stroke risk increases with age. Data were screened for all the elderly registered in the FHP in Vassouras, identifying those with a history of stroke and analyzing their socio-demographic profile. The study used data from the Information System on Primary Care, the population census conducted by the Brazilian Institute of Geography and Statistics (IBGE), and th...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Pereira AB, Alvarenga H, Pereira RS, Barbosa MT Tags: Cad Saude Publica Source Type: journals

[Specific dengue transmission conditions at the local level: a study in Itaipu, Niterói, Rio de Janeiro State, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study analyzes the specific conditions involved in dengue transmission in various areas in Itaipu, a coastal neighborhood in the city of Niterói, Rio de Janeiro State, Brazil, with a focus on socio-environmental determinants and conditioning factors. Four areas were selected with similar dengue incidence rates but different urban planning and socioeconomic patterns. The socio-spatial characteristics of each area were obtained through interviews with key informants and systematic observation. Two distinct factors were identified that may potentially condition the risk of dengue transmission. The first related to t...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: San Pedro A, Souza-Santos R, Sabroza PC, Oliveira RM Tags: Cad Saude Publica Source Type: journals

[How health activities view man and how man rethinks them: an anthropological analysis of Chagas disease control]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This anthropological study addresses the cultural perceptions of a group of residents in the city of Bambuí, Minas Gerais State, Brazil, in relation to experience with Chagas disease and the impact of health measures on social life. The ethnographic study was based on open interviews, seeking to identify individual perceptions among 35 inhabitants of Bambuí (with and without Chagas disease) living in the region since the 1940s, when Chagas disease control activities were launched. Within a broad analysis of social perceptions concerning the effect of these health measures, the study sought to observe the cult...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Magnani C, Dias JC, Gontijo ED Tags: Cad Saude Publica Source Type: journals

[Predictors of subjective burden for families of psychiatric patients treated in the public health care system in Belo Horizonte, Minas Gerais State, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated the predictors of subjective burden for families of psychiatric patients. We interviewed 150 relatives of patients randomly selected in four mental health care services in Belo Horizonte, Minas Gerais State, Brazil. Subjects were interviewed with the Family Burden Interview Schedule (FBIS-BR) and a standardized socio-demographic questionnaire. Variables were grouped into thematic categories and separately analyzed to determine the relative importance of predictive factors. The results showed that subjective burden is influenced by objective burden and by factors related to the patient's clinical con...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Barroso SM, Bandeira M, do Nascimento E Tags: Cad Saude Publica Source Type: journals

Factors associated with sexual initiation and condom use among adolescents on Santiago Island, Cape Verde, West Africa.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study provides insights on the development of policies to reduce the vulnerability of the young population to STD/AIDS and the limits and challenges related to the promotion of condom use and sex education, focusing on unequal gender relations. PMID: 19750384 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Tavares CM, Schor N, França I, Diniz SG Tags: Cad Saude Publica Source Type: journals

[Maternal and neonatal characteristics and early neonatal mortality in greater metropolitan São Paulo, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective was to describe maternal and neonatal characteristics and early neonatal mortality rate according to place of delivery in Greater Metropolitan São Paulo, Brazil. The study linked the databases on live births and early neonatal deaths with the national hospital registry. Place of delivery was identified through certificates of live birth. There were a total of 154,676 live births: 98.7% in-hospital; 0.3% home deliveries, and 1% in other health services. Deliveries in birthing centers and small hospital units were associated with low obstetric risk and a low proportion of preterm and low birth weight infan...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: da Silva ZP, de Almeida MF, Ortiz LP, Alencar GP, Alencar AP, Schoeps D, Minuci EG, Novaes HM Tags: Cad Saude Publica Source Type: journals

[Self-rated health and social inequalities, Buenos Aires, Argentina, 2005]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates the impact of individual-level and neighborhood-level socioeconomic characteristics, considered simultaneously, on the state of self-rated health at the individual level in Buenos Aires, Argentina. The study employs a two-level (individual and neighborhood) multilevel analysis, and the data sources were the 2005 Argentina National Risk Factor Survey (multistage probabilistic sample) and the 2001 Population Census. Linear regression shows that higher schooling and income, as well as occupational category, are related to better self-rated health, and increasing age with worse health. In the multilevel...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Alazraqui M, Diez Roux AV, Fleischer N, Spinelli H Tags: Cad Saude Publica Source Type: journals

[Use of clinical guidelines and the results in primary healthcare for hypertension]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to identify strategies to implement clinical guidelines for hypertension in a primary healthcare unit, focusing on the effects of the Family Health Program (FHP) and government Pharmaceutical Home Delivery Program (PHDP) on adherence to guidelines by health professionals and the results of care. The data were obtained from a registry of 5,499 hypertensive patients, stratified according to registration in the FHP and PHDP. The random selection procedure resulted in samples of 150 patient charts in three strata and one stratum (without the FHP or PHDP) with only 22 patient charts. Descriptive statistics and ...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Lima SM, Portela MC, Koster I, Escosteguy CC, Ferreira VM, Brito C, de Vasconcellos MT Tags: Cad Saude Publica Source Type: journals

[Quaternary prevention in primary care: a necessity for the Brazilian Unified National Health System]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents the concept of quaternary prevention and discusses and frames its relevance in light of three common situations in medical care with potentially iatrogenic results: excessive screening, complementary tests, and medicalization of risk factors. We propose the inclusion and discussion of this concept in the SUS, especially in primary care. PMID: 19750388 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Norman AH, Tesser CD Tags: Cad Saude Publica Source Type: journals

Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon. Cad Saude Publica. 2009 Sep;25(9):2021-32 Authors: D'Antona Ade O, Chelekis JA, D'Antona MF, Siqueira AD In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the on...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: D'Antona Ade O, Chelekis JA, D'Antona MF, Siqueira AD Tags: Cad Saude Publica Source Type: journals

[Mental health and the Family Health Program: pathways and obstacles in a necessary approach]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives were to analyze the actual conditions of mental health care in FHP services in Cuiabá, Mato Grosso State, describing the dynamics of such care and identifying situations and instruments used by different health professionals in dealing with problems of mental distress in the community. By means of a descriptive exploratory methodology, the discourses of eight health teams were studied, using content analysis. The study concluded that the demand for care for individuals with mental distress was not recorded on the patient charts, nor was it part of a proposal for individual or family interventions; some ...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Lucchese R, de Oliveira AG, Conciani ME, Marcon SR Tags: Cad Saude Publica Source Type: journals

Establishing the risk of neonatal mortality using a fuzzy predictive model.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to develop a fuzzy model to estimate the possibility of neonatal mortality. A computing model was built, based on the fuzziness of the following variables: newborn birth weight, gestational age at delivery, Apgar score, and previous report of stillbirth. The inference used was Mamdani's method and the output was the risk of neonatal death given as a percentage. 24 rules were created according to the inputs. The validation model used a real data file with records from a Brazilian city. The receiver operating characteristic (ROC) curve was used to estimate the accuracy of the model, while aver...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Nascimento LF, Rocha Rizol PM, Abiuzi LB Tags: Cad Saude Publica Source Type: journals

Voluntary counseling and testing (VCT) services and their contribution to access to HIV diagnosis in Brazil.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Voluntary Counseling and Testing (VCT) Network was implemented in Brazil in the 1980s to promote anonymous and confidential access to HIV diagnosis. As a function of the population and dimensions of the local epidemic, the study assessed the network's coverage, using data from a self-applied questionnaire and data from the Information Technology Department of the Unified National Health System (SUS), UNDP, and National STD/AIDS Program. The Student t test was used for comparison of means and the chi-square test for proportions. Brazil has 383 VCT centers, covering 48.9% of the population and 69.2% of the AIDS cases...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Grangeiro A, Escuder MM, Veras MA, Barreira D, Ferraz D, Kayano J Tags: Cad Saude Publica Source Type: journals

[Prevalence of mental disorders associated with suicide attempts treated at an emergency hospital in Rio de Janeiro, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are few Brazilian studies on prevalence of mental disorders in suicide attempters. The available studies have mainly used secondary data and screening instruments. The principal objective of this study was to estimate the prevalence of mental disorders in 96 suicide attempters seen in an emergency ward in Rio de Janeiro, Brasil (2006-2007) using the Composite International Development Interview. Most were female, young, and illiterate, and the main method was ingestion of psychoactive drugs. Other factors included history of prior attempts and use of alcohol at the time of attempt. The most frequent mental disord...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Santos SA, Lovisi G, Legay L, Abelha L Tags: Cad Saude Publica Source Type: journals

A proposal for an evaluation model of pharmaceutical services for malaria.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Malaria is a serious public health problem in over 90 countries worldwide. In Brazil the disease is prevalent in the Amazon and the control rationale is based on early diagnosis and treatment. Quality pharmaceutical services are considered a key element for control. A proposal for evaluating pharmaceutical services for malaria is presented here. A theoretical outline composed of a logical model and an indicator framework is discussed and strives to establish a basis for assessment and judgment of the way in which these services are actually delivered. The aim is to contribute to the understanding of pharmaceutical serv...
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Osorio-de-Castro CG, Chaves GC, Ruiz AM, Miranda ES, Campos MR, Suárez-Mútis MC, Freitas LF Tags: Cad Saude Publica Source Type: journals

[In process citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19750395 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 31, 2009 Category: Global & Universal Authors: Buss PM, Matida A Tags: Cad Saude Publica Source Type: journals

Evaluation in sexual and reproductive health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19684926 [PubMed - in process] (Source: Cadernos de Saude Publica)
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Barbosa RM, Aquino EM, Heilborn ML, Berquó ES Tags: Cad Saude Publica Source Type: journals

[Research on abortion in Brazil: gaps and challenges for the public health field]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper provides a review of abortion studies produced in the field of public health in Brazil, highlighting current research gaps and challenges. Most studies focus on women admitted to public hospitals for treatment of incomplete abortion, so their scope is limited to abortions presenting complications. Women's profiles, abortion methods, motives, and immediate consequences for women's physical health are also included. However, there remains a need for studies on the following aspects: measuring abortion incidence; investigating cases of post-abortion complications and death; analyzing the relationship between ab...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Menezes G, Aquino EM Tags: Cad Saude Publica Source Type: journals

[Violence and health: theoretical, methodological, and ethical contributions from studies on violence against women]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses theoretical, methodological, and ethical aspects pertaining to violence against women as both a form of gender violence and a public health issue. The text provides epistemological reflections based on daily research experience with qualitative and quantitative, population-based, and service-user studies that address both women and men. Violence is defined as a complex and sensitive theme of a medical and social nature in terms of its theoretical-methodological approach, pointing to interdisciplinarity as the reference for its construction as an object of health. The article discusses the difficultie...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Schraiber LB, d'Oliveira AF, Couto MT Tags: Cad Saude Publica Source Type: journals

[Health equity: a critical analysis of concepts]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Health inequalities have been studied mainly from an epidemiological perspective, with limited attention to conceptual issues. The terms 'equity' and 'equality' have often been used as synonyms, as have their opposites, 'inequity' and 'inequality'. The few attempts to establish their meanings have been either purely descriptive or have failed to add to an understanding of the underlying dynamics in health-disease-related phenomena. The present essay explores the semantic series that includes difference, diversity, distinction, inequality, and inequity and its relationship to health phenomena in light of Perelman's conc...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Vieira-da-Silva LM, de Almeida Filho N Tags: Cad Saude Publica Source Type: journals

[Contraceptive practices and sexual initiation among young people in three Brazilian State capitals]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated contraceptive use during first sexual intercourse among 2.790 young men and women. The GRAVAD household survey in three Brazilian capital cities involved interviews in a probabilistic sample. A hierarchical logistic regression analysis was used. Variables grouped as: macro-social, socialization and sexual initiation, context of sexual initiation, and characteristics of the interviewee and his or her partner. The prevalence of contraceptive use was 68.3% for women and 65.3% for men. Among women, contraception use was associated to: per capita monthly family income, color/race, and the use of women's ...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Marinho LF, Aquino EM, de Almeida Mda C Tags: Cad Saude Publica Source Type: journals

[Evaluating the implementation of STD/AIDS prevention activities in primary health care facilities: a case study in Greater Metropolitan São Paulo, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Evaluating the implementation of STD/AIDS prevention activities in primary health care facilities: a case study in Greater Metropolitan São Paulo, Brazil] Cad Saude Publica. 2009;25 Suppl 2:S240-50 Authors: Ferraz DA, Nemes MI Since the 1990 s, international guidelines have recommended the incorporation of STD/AIDS prevention in primary care. In Brazil, the Ministry of Health has made investments to include such preventive activities. This in-depth case study is an evaluation of the implementation of these activities in a family health unit in Greater Metropolitan São Paulo. The study analyzed the un...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Ferraz DA, Nemes MI Tags: Cad Saude Publica Source Type: journals

Unintended consequences: evaluating the impact of HIV and AIDS on sexuality research and policy debates.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The HIV epidemic has had a profound impact on how we think about, talk about, and carry out research on sexuality. The epidemic opened up a wide range of approaches and methodologies within sexuality research, helping to encourage more open public discussion and debate concerning sexuality, sexual values, and sexual norms. Sexuality became one of the key contested spaces of public discourse in a previously unimaginable way, and both conservative and progressive forces have entered the debate in ways that have had a lasting impact on sexual policies in the last two decades. The current article seeks to briefly evaluate ...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Parker R Tags: Cad Saude Publica Source Type: journals

[Universal access? Obstacles to access, continuity of treatment, and gender issues at a specialized HIV/AIDS clinic in Salvador, Bahia State, Brazil]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since 1996, Brazil has implemented internationally acknowledged policies such as universal access to specialized treatment for HIV/AIDS. However, the initiative's impact has been unequal if one compares different population segments and regions of the country. Taking a gender perspective, the current study seeks to evaluate access to a specialized HIV/AIDS service in Salvador, Bahia, identifying facilitating factors and obstacles to access and continuity of care, as experienced by women living with HIV/AIDS. Participant observation and semi-structured and open-ended interviews with 13 women were used. The findings indi...
Source: Cadernos de Saude Publica - August 26, 2009 Category: Global & Universal Authors: Oliveira IB Tags: Cad Saude Publica Source Type: journals