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Search Results: 1 - 10 of 75915 matches for " Maria Fernanda;Firmo "
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The Bambui Health and Aging Study (BHAS): factors associated with the treatment of hypertension in older adults in the community
Firmo, Josélia Oliveira Araújo;Barreto, Sandhi Maria;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300014
Abstract: the objective of this study was to investigate the factors associated with the treatment of hypertension among older adults living in the community. all residents (n = 1,742) of bambuí, minas gerais state, brazil (15,000 inhabitants) aged 3 60 years were selected, and 1494 (85.8%) were interviewed and examined. of these, 919 (61.5%) were hypertensive, 704 were aware of their condition (study population), and 578 were under treatment. only 38.8% of the individuals under treatment presented controlled systolic and diastolic pressures (< 140 and < 90mmhg, respectively). independent associations with treatment of hypertension were found for, in decreasing order of magnitude: less time elapsed since the last blood pressure measurement, greater number of physician visits in the past 12 months, higher body mass index, female gender, history of coronary disease, changes in diet due to arterial hypertension, and higher family income. our results show that the factors most strongly associated with treatment of hypertension (use of health services) could be modified through adequate health policies for older adults.
The Bambui Health and Aging Study (BHAS): factors associated with the treatment of hypertension in older adults in the community
Firmo Josélia Oliveira Araújo,Barreto Sandhi Maria,Lima-Costa Maria Fernanda
Cadernos de Saúde Pública , 2003,
Abstract: The objective of this study was to investigate the factors associated with the treatment of hypertension among older adults living in the community. All residents (n = 1,742) of Bambuí, Minas Gerais State, Brazil (15,000 inhabitants) aged superscript three 60 years were selected, and 1494 (85.8%) were interviewed and examined. Of these, 919 (61.5%) were hypertensive, 704 were aware of their condition (study population), and 578 were under treatment. Only 38.8% of the individuals under treatment presented controlled systolic and diastolic pressures (< 140 and < 90mmHg, respectively). Independent associations with treatment of hypertension were found for, in decreasing order of magnitude: less time elapsed since the last blood pressure measurement, greater number of physician visits in the past 12 months, higher body mass index, female gender, history of coronary disease, changes in diet due to arterial hypertension, and higher family income. Our results show that the factors most strongly associated with treatment of hypertension (use of health services) could be modified through adequate health policies for older adults.
An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil
Uch?a, Elizabeth;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Corin, Ellen;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500007
Abstract: this paper explores the contribution of anthropological perspectives for clarifying the mechanisms through which socioeconomic circumstances influence the strategies developed by elderly for addressing their health problems in a small brazilian city. interviews with 20 key-informants explored the community's broad perception of the health situation of the elderly. life histories collected from 30 elderly women examined their own perception of their health status and their health strategies. narratives converge in emphasising the important role played by financial factors in accessing health services and medication. life histories also describe some damaging strategies resorted to by the elderly to deal with their lack of resources. elderly women emphasize the crucial support they receive from their family and/or neighbours to overcome health problems. thus, the issue of poverty is not only a matter of socioeconomic circumstances, but also the poverty of broader social networks.
Predictors of 10-year hospital use in a community-dwelling population of Brazilian elderly: the Bambuí cohort study of aging
Macinko, James;Camargos, Vitor;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500003
Abstract: we use data from a population-based cohort of elderly brazilians to assess predictors of hospitalizations during ten years of follow-up. participants were 1,448 persons aged 60 years and over at baseline (1997). the outcome was self-reported number of hospitalizations per year. slightly more than a fifth (23%) experienced no hospitalizations during the 10 year follow-up. about 30% had 1-2 events, 31% had between 3 and 7 events, and about 18% had 8 or more events during this time. results of multivariable hurdle and cox proportional hazards models showed that the risk of hospitalization was positively associated with male sex, increased age, chronic conditions, and visits to the doctors in the previous 12 months. underweight was a predictor of any hospitalization, while obesity was an inconsistent predictor of hospitalization.
Condi??es de saúde e tabagismo entre idosos residentes em duas comunidades brasileiras (Projetos Bambuí e Belo Horizonte)
Peixoto, Sérgio Viana;Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006000900024
Abstract: the aim of this study was to determine smoking prevalence and associated factors among older adults (> 60 years). the study was conducted in greater metropolitan belo horizonte and bambuí town, both located in minas gerais, brazil. in the former, 1,774 subjects were selected, and in the latter, 1742. in belo horizonte, prevalence of current and past smoking was 19.6% and 39.2% among men and 8.1% and 14.1% among women, respectively. in bambuí, the corresponding figures were 31.4% and 40.2% among men and 10.3% and 11.2% among women, respectively. in belo horizonte, poor health and poor physical functioning were associated significantly with past smoking, but these associations were not observed in bambuí. among current smokers, these associations were not consistent. our results agree with the data observed in developed countries, showing great heterogeneity of factors associated with smoking. strategies to reduce smoking by the elderly should take into consideration the absence of association between signs/symptoms and smoking.
Projeto Bambuí: fatores associados ao conhecimento da condi??o de hipertenso entre idosos
Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200019
Abstract: this study aimed to assess factors associated with awareness of hypertension among older adults living in the community. all the 919 hypertensive participants (aged: > 60 years) from the baseline cohort in bambui, minas gerais state, brazil, were selected. 76.6% of these individuals did not know that they were hypertensive. the following variables showed both a positive and independent association with awareness of being hypertensive: female gender (or = 2.04; 1.45-2.87); health perception as bad/very bad (or = 1.93; 1.16-3.20); attempt to lose weight in the last 12 months (or = 1.86; 1.14-3.04); number of visits to a doctor during this period (1-3: or = 2.14; 1.34-3.41; > 4: or = 2.23; 1.76-5.03), and less time elapsed since the last blood pressure measurement (or = 2.97; 1.69-4.93). a negative association was found for age > 80 years (or = 0.40; 0.24-0.68). these results call our attention to the importance of: 1) access to health services by senior citizens, so that their hypertension is diagnosed and treated and 2) information provided by the health care service, so that individuals are aware of being hypertensive and can receive satisfactory treatment.
Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study
Lima-Costa, Maria Fernanda;Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000300017
Abstract: self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. the objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. the study included 1,505 individuals (86.4%) residing in bambui and aged 60 years or older. correlates of self-rated health among lower-income older adults (monthly household income < us$ 240.00) and higher-income seniors were assessed. social network stood out as a major factor in the structure of self-rated health among the poorest. psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, trypanosoma cruzi infection, use of medications, and access to health services. physician visits and hospitalizations were associated with self-rated health in both groups. our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.
The Bambuí Cohort Study of Aging: methodology and health profile of participants at baseline
Lima-Costa, Maria Fernanda;Firmo, Josélia O. A.;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500002
Abstract: the cohort study was initiated in 1997 to investigate the incidence and predictors of health outcomes in an elderly population with low socio-economic level. the eligible population consisted of all 1,742 residents in bambuí, minas gerais state, brazil, aged 60 years and over (1,606 participated). during 10 years of follow-up, 641 participants died and 96 were lost, leading to 13,739 person-years of observation. the baseline health profile of participants revealed a double burden of diseases with high prevalence of chronic non-transmissible diseases and widespread trypanosoma cruzi infection. the most common health condition was hypertension (61.5%), followed by chronic knee or hand symptoms (43.6%), common mental disorders (38.5%), t. cruzi infection (38.1%), and insomnia (36.7%). in general, the baseline prevalence of mental symptoms and cardiovascular diseases or risk factors was comparable to those found in populations in high income countries.
Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry
Nations, Marilyn;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500008
Abstract: this ethno-epidemiological inquiry aims to comprehend hypertension-related experiences in the elderly population of bambuí, in the state of minas gerais, brazil. it combines ethnographic descriptions with statistical data. the subjective significance of factors associated with adequate arterial pressure control is explored. a baseline cohort of 26 people with hypertension, randomly selected from a total number of 1,494 residents over the age of 60, was interviewed utilizing signs, meanings and actions methodology. multivariate analysis shows an association (p < 0.001) between female gender and monthly household income and treatment of hypertension and adequate blood pressure control. the number of doctor visits is associated with treatment but not with adequate blood pressure control. conflicting cultural construction of "blood pressure problems" contributes to "non-adherence" to treatment. there is a fine line between blood pressure "control" and what is perceived as health professionals "controlling" patients' lives. doctor-prescribed regimes are perceived as "prohibiting life's pleasures" and "controlling" personal liberty and free choice. giving elderly people a voice regarding their social context can promote autonomy, well-being and happiness in later life.
Fatores associados ao índice de cessa??o do hábito de fumar em duas diferentes popula??es adultas (Projetos Bambuí e Belo Horizonte)
Peixoto, Sérgio Viana;Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007000600007
Abstract: the aim of this study was to verify smoking cessation rates and associated factors. the study was performed in greater metropolitan belo horizonte and the town of bambuí, both in the state of minas gerais, brazil. study participants included 13,261 and 1,018 adults (> 20 years), respectively, randomly selected among residents of each area. the smoking cessation rate was 40.6% (95%ci: 39.1-42.3) in greater metropolitan belo horizonte and 38.8% (95%ci: 34.4-43.1) in bambuí. in greater metropolitan belo horizonte, smoking cessation showed an independent and positive association with age (> 40 years), schooling (4-7 and > 8 years), number of chronic conditions (> 2), and number of medical visits in the previous year (1-3 and > 4), and a negative association with marital status (unmarried). bambuí showed an independent and positive association with age (> 40 years) and a negative association with number of hospitalizations in the previous year (> 2). the heterogeneity of factors associated with smoking cessation made it difficult to identify vulnerable groups in order to target prevention strategies. further research is important to elucidate this heterogeneity.
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