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Search Results: 1 - 10 of 84567 matches for " José Leopoldo Ferreira; "
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"Grow and multiply": social development, birth rates and demographic transition in the Municipality of S?o Paulo, Brazil, time-series for 1901-94
Antunes, José Leopoldo Ferreira;
Revista Brasileira de Epidemiologia , 1998, DOI: 10.1590/S1415-790X1998000100007
Abstract: this study reports the construction of time-series related to standardized mortality rate, proportional mortality ratio of swaroop and uemura, infant mortality rate, fetal death rate, expectation of life at birth and birth rate for the city of s?o paulo, sp, brazil, from 1901 to 1994. in order to determine the structural variation of these measures, the model, forecast and correlation of these series were submitted to statistical analysis. the results obtained were compared to the historical analysis of the major socioe-conomic phenomena during this period in an effort to explain populational movements in the city, with emphasis on the slow and late nature of the process of demographic transition in the city. it was concluded that time-series analysis for demographic measures is efficient in many ways: by allowing the application of statistical methodology to the human sciences, by passing the difficulties inherent in the characteristics of these values (serial correlation, heteroscedasticity, multicollinearity and non-normality of forecast error distribution), by integrating quantitative analysis with the historical interpretation of the phenomena approached, by projecting estimates of future trends on the basis of the behavior of the variables analyzed, and by systematizing the methodology for application in future studies of social research.
Condi??es socioecon?micas em saúde: discuss?o de dois paradigmas
Antunes,José Leopoldo Ferreira;
Revista de Saúde Pública , 2008, DOI: 10.1590/S0034-89102008005000017
Abstract: socioeconomic status and its impact on health are in the mainstream of public health thinking. this text discusses two paradigms utilized in assessing socioeconomic status in epidemiologic studies. one paradigm refers to prestige-based measurements and positive differentiation among social strata. this paradigm is characterized by classifications assessing social capital and the access to goods and services. the other paradigm refers to the classification of social deprivation and negative differentiation among social strata. the proposal of state-funded reposition to the mostly deprived social strata is acknowledged as characteristic of this paradigm. the contrast between these paradigms, and their potential interaction and debate are discussed. fostering reflection on methodological strategies to assess socioeconomic status in epidemiologic studies can contribute to the promotion of health and social justice.
Crime e loucura: o aparecimento do manic mio judiciário na passagem do século
Antunes José Leopoldo Ferreira
Revista Brasileira de Ciências Sociais , 1999,
Abstract:
Trends and spatial distribution of deaths of children aged 12-60 months in S?o Paulo, Brazil, 1980-98
Antunes,José Leopoldo Ferreira; Waldman,Eliseu Alves;
Bulletin of the World Health Organization , 2002, DOI: 10.1590/S0042-96862002000500010
Abstract: objective: to describe trends in the mortality of children aged 12-60 months and to perform spatial data analysis of its distribution at the inner city district level in s?o paulo from 1980 to 1998. methods: official mortality data were analysed in relation to the underlying causes of death. the population of children aged 12-60 months, disaggregated by sex and age, was estimated for each year. educational levels, income, employment status, and other socioeconomic indices were also assessed. statistical package for social sciences software was used for the statistical processing of time series. the cochrane-orcutt procedure of generalized least squares regression analysis was used to estimate the regression parameters with control of first-order autocorrelation. spatial data analysis employed the discrimination of death rates and socioeconomic indices at the inner city district level. for classifying area-level death rates the method of k-means cluster analysis was used. spatial correlation between variables was analysed by the simultaneous autoregressive regression method. findings: there was a steady decline in death rates during the 1980s at an average rate of 3.08% per year, followed by a levelling off. infectious diseases remained the major cause of mortality, accounting for 43.1% of deaths during the last three years of the study. injuries accounted for 16.5% of deaths. mortality rates at the area level clearly demonstrated inequity in the city's health profile: there was an increasing difference between the rich and the underprivileged social strata in this respect. conclusion: the overall mortality rate among children aged 12-60 months dropped by almost 30% during the study period. most of the decline happened during the 1980s. many people still live in a state of deprivation in underserved areas. time-series and spatial data analysis provided indications of potential value in the planning of social policies promoting well-being, through the identification o
Tuberculosis in the twentieth century: time-series mortality in S?o Paulo, Brazil, 1900-97
Antunes, José Leopoldo Ferreira;Waldman, Eliseu Alves;
Cadernos de Saúde Pública , 1999, DOI: 10.1590/S0102-311X1999000300003
Abstract: the objective of this study was to characterize tuberculosis mortality trends in the municipality of s?o paulo, brazil, from 1900 to 1997. standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. these measures were submitted to time-series analysis. we verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. in 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. the period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of mycobacterium and hiv co-infection, besides loss of quality in specific health programs.
Condi??es socioecon?micas e cancer de cabe?a e pesco?o: uma revis?o sistemática de literatura
Boing,Antonio Fernando; Antunes,José Leopoldo Ferreira;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011000200025
Abstract: this study sought to describe the main characteristics of epidemiological studies that investigated the association between socioeconomic conditions and head and neck cancer. research was carried out on the medline (international science literature), lilacs (latin american and caribbean health sciences literature) and scielo (scientific electronic library online) databases, as well as the references cited in the articles obtained through the primary search of the aforementioned databases. the publication period considered included 38 years (1970-2007) and the analysis was restricted to articles in spanish, english or portuguese. twenty-five studies were selected, 15 that outlined case-control, four ecological and six that combined information from official databases, such as censuses and cancer or death records. most cases reported an association between lower socioeconomic conditions and head and neck cancer. the most used indexes were occupation and education. few studies investigated medication, aiming to point out which proximal factors operate in the investigated association. additional studies, with uniform criteria to effect the adjustments in the regression models and sufficient samples, are required to inquire this dimension.
Políticas de saúde bucal no Brasil e seu impacto sobre as desigualdades em saúde
Antunes,José Leopoldo Ferreira; Narvai,Paulo Capel;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010005000002
Abstract: this text systematizes available knowledge about the main dental health policies in brazil in regards to their current degree of implementation and their impact on health inequalities. although the fluoridation of publicly distributed water is legally mandated in brazil, its implementation has been subject to marked regional inequalities. data are presented about the extent of implementation for the intervention, and studies are reviewed that evaluate the intervention's impact upon increasing inequality in the experience of dental caries. the provision of public dental services, which expanded considerably after the implementation of the national unified health care system, is also discussed in relation to service provision and its impact on reducing inequality in access to dental treatment. the discussion of the differential effect of these interventions allowed for the proposal of targeted strategies (directing fluoridation to areas of greater need), aiming to reduce inequalities in the experience of dental caries in brazil.
Tuberculosis in the twentieth century: time-series mortality in S o Paulo, Brazil, 1900-97
Antunes José Leopoldo Ferreira,Waldman Eliseu Alves
Cadernos de Saúde Pública , 1999,
Abstract: The objective of this study was to characterize tuberculosis mortality trends in the Municipality of S o Paulo, Brazil, from 1900 to 1997. Standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. These measures were submitted to time-series analysis. We verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. In 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. The period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. Recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of Mycobacterium and HIV co-infection, besides loss of quality in specific health programs.
Trends and spatial distribution of deaths of children aged 12-60 months in S o Paulo, Brazil, 1980-98
Antunes José Leopoldo Ferreira,Waldman Eliseu Alves
Bulletin of the World Health Organization , 2002,
Abstract: OBJECTIVE: To describe trends in the mortality of children aged 12-60 months and to perform spatial data analysis of its distribution at the inner city district level in S o Paulo from 1980 to 1998. METHODS: Official mortality data were analysed in relation to the underlying causes of death. The population of children aged 12-60 months, disaggregated by sex and age, was estimated for each year. Educational levels, income, employment status, and other socioeconomic indices were also assessed. Statistical Package for Social Sciences software was used for the statistical processing of time series. The Cochrane-Orcutt procedure of generalized least squares regression analysis was used to estimate the regression parameters with control of first-order autocorrelation. Spatial data analysis employed the discrimination of death rates and socioeconomic indices at the inner city district level. For classifying area-level death rates the method of K-means cluster analysis was used. Spatial correlation between variables was analysed by the simultaneous autoregressive regression method. FINDINGS: There was a steady decline in death rates during the 1980s at an average rate of 3.08% per year, followed by a levelling off. Infectious diseases remained the major cause of mortality, accounting for 43.1% of deaths during the last three years of the study. Injuries accounted for 16.5% of deaths. Mortality rates at the area level clearly demonstrated inequity in the city's health profile: there was an increasing difference between the rich and the underprivileged social strata in this respect. CONCLUSION: The overall mortality rate among children aged 12-60 months dropped by almost 30% during the study period. Most of the decline happened during the 1980s. Many people still live in a state of deprivation in underserved areas. Time-series and spatial data analysis provided indications of potential value in the planning of social policies promoting well-being, through the identification of factors affecting child survival and the regions with the worst health profiles, to which programmes and resources should be preferentially directed.
Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
Baldani, Márcia Helena;Antunes, José Leopoldo Ferreira;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001400014
Abstract: this cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the family health strategy (fhs) in ponta grossa, paraná state, brazil, and to assess individual determinants related to them. the sample consisted of 747 individuals who answered a pre-tested questionnaire. data analysis was performed by chi-square test and poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. results showed that 41% of the sample had recent dental visits. the lowest visit rates were observed among preschoolers and elderly people. the subjects who most identified the fhs as a regular source of dental care were children. besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. we identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.
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