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Search Results: 1 - 10 of 149157 matches for " Maria José Duarte;Costa-Paiva "
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Caracteriza??o das usuárias de terapia de reposi??o hormonal do Município de Campinas, S?o Paulo
Pinto Neto, Aar?o Mendes;Pedro, Adriana Orcesi;Hardy, Ellen;Osis, Maria José Duarte;Costa-Paiva, Lúcia Helena Sim?es da;Martinez, Edson Zangiacomi;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000100013
Abstract: this study employed a descriptive, cross-sectional, population-based design to characterize climacteric women from campinas, s?o paulo state, based on use of hormone replacement therapy (hrt). an area cluster sample was selected with 456 women 45 to 60 years of age, residing in campinas, based on data from the brazilian institute of statistics and geography (ibge). women were selected by area cluster, and the reference unit was the census tract as defined by the ibge. data were collected through home interviews using a structured and pre-tested questionnaire provided by the international health foundation/international menopause society and by the north american menopause society and adapted by the authors. in order to characterize women according to current, past, or no use of hrt, a polytonic logistic regression model was used, with a backward selection process of variables. the authors conclude that the main characteristics of hrt users in the city of campinas were perimenopausal status and higher literacy and socioeconomic class.
Síndrome do climatério: inquérito populacional domiciliar em Campinas, SP
Pedro,Adriana Orcesi; Pinto-Neto,Aar?o Mendes; Costa-Paiva,Lúcia Helena Sim?es; Osis,Maria José Duarte; Hardy,Ellen Elizabeth;
Revista de Saúde Pública , 2003, DOI: 10.1590/S0034-89102003000600008
Abstract: objectives: to study the prevalence of climacteric, urogenital and sexual symptoms in a population of brazilian women. methods: a cross-sectional descriptive population-based study was conducted. the selection of 456 women aged 45-60 years, living in campinas, sp, in 1997, was done through area cluster sampling, according to data from the brazilian institute of geography and statistics. data were collected via home interviews, using structured pretested questionnaires. data were analyzed using the chi-squared test and the nonparametric kruskal-wallis test; a probability of <0.05 was considered statistically significant. the degree of climacteric symptoms was analyzed through circulatory and psychological indices. analysis of the main components was used to determine symptom interrelationships. results: the most prevalent symptoms were nervousness (82%), hot flushes (70%), headache (68%), irritability (67%) and sweating (59%). hot flushes, sweating and insomnia were significantly more prevalent in the peri and postmenopausal phases. the frequency (severity) of vasomotor and psychological symptoms did not vary according to the menopause phase. the prevalence of urinary incontinence was 27.4%. complaints of dyspareunia and vaginal dryness were infrequent. decreased libido was the most frequent sexual complaint. it was observed that some climacteric complaints were interrelated. the first cluster included hot flushes and sweating (vasomotor cluster). the second cluster included nervousness, depression and irritability (psychological cluster). the third cluster included dizziness and palpitation (atypical cluster). conclusion: climacteric symptoms in this population were highly prevalent and similar to those described in developed western countries.
Síndrome do climatério: inquérito populacional domiciliar em Campinas, SP
Pedro Adriana Orcesi,Pinto-Neto Aar?o Mendes,Costa-Paiva Lúcia Helena Sim?es,Osis Maria José Duarte
Revista de Saúde Pública , 2003,
Abstract: OBJETIVO: Estudar a prevalência de sintomas climatéricos, urogeniatais e sexuais em popula o de mulheres do Brasil. MéTODOS: Estudo descritivo de corte transversal, de base populacional. Selecionaram-se, por meio de processo de amostragem, 456 mulheres, residentes no município de Campinas, SP, na faixa etária de 45-60 anos de idade, em 1997, segundo informa es da agência local do Instituto Brasileiro de Geografia e Estatística. Os dados foram coletados por meio de entrevistas domiciliares, com questionários estruturados e pré-testados. A análise dos dados foi realizada pelo teste do qui-quadrado, teste n o paramétrico de Kruskal-Wallis, com nível de significancia estatística menor que 0,05. A intensidade dos sintomas climatéricos foi analisada pelos índices circulatório e psicológico. A análise de componentes principais foi utilizada para determinar a inter-rela o dos sintomas climatéricos. RESULTADOS: Os sintomas climatéricos mais prevalentes foram: nervosismo (82%), fogachos (70%), cefaléia (68%), irritabilidade (67%) e sudorese (59%). Os fogachos, a sudorese e a ins nia foram significativamente mais prevalentes na peri e pós-menopausa. A freqüência (intensidade) dos sintomas vasomotores e psicológicos n o variou segundo o estado menopausal. A prevalência de incontinência urinária foi de 27,4%. A queixa de dispareunia e secura vaginal foi pouco freqüente. Em rela o às queixas sexuais, a diminui o do interesse sexual foi a mais freqüente. Constatou-se que algumas queixas climatéricas s o inter-relacionadas. O primeiro aglomerado incluiu as ondas de calor e a sudorese (aglomerado vasomotor). O segundo, depress o, nervosismo e irritabilidade (aglomerado psicológico) e o terceiro, tontura e palpita o (aglomerado atípico). CONCLUS ES: A prevalência de sintomas climatéricos na popula o estudada foi elevada e semelhante à descrita em países ocidentais desenvolvidos.
Conhecimento sobre métodos anticoncepcionais por estudantes adolescentes
Martins Laura B Motta,Costa-Paiva Lúcia,Osis Maria José D,Sousa Maria Helena de
Revista de Saúde Pública , 2006,
Abstract: OBJETIVO: Comparar o conhecimento sobre métodos anticoncepcionais e identificar os fatores associados ao conhecimento adequado dos adolescentes de escolas públicas e privadas. MéTODOS: Realizou-se estudo transversal, do qual participaram 1.594 adolescentes entre 12 e 19 anos, de 13 escolas públicas e cinco privadas do Município de S o Paulo entre junho e dezembro de 2003. As escolas foram selecionadas aleatoriamente e os alunos responderam um questionário sobre características sociodemográficas, reprodutivas e métodos anticoncepcionais. As raz es de prevalência foram calculadas com intervalo de confian a de 95% para cada quest o sobre conhecimento de métodos e o tipo de escola. Atribuiu-se meio ponto para cada quest o correta sobre conhecimento de anticoncepcionais, o ponto de corte foi 50% de acerto. Os testes estatísticos utilizados foram o qui-quadrado, o Wilcoxon-Gehan e a regress o múltipla de Poisson. RESULTADOS: Dentre os adolescentes, 61% eram do sexo feminino nos dois grupos de escolas. Predominou nível socioecon mico baixo nas escolas públicas e alto nas privadas (p<0,001). Cerca de 18,6% dos adolescentes nas escolas privadas e 28,6% nas públicas tinham atividade sexual (p<0,002). Quanto ao conhecimento, 25,7% dos adolescentes das escolas públicas e 40,8% das privadas apresentaram escore superior ou igual a cinco. Os fatores associados ao maior conhecimento foram ser do sexo feminino, estudar em escola privada, estar no ensino médio, ter nível socioecon mico alto, ter rela o sexual e ter maior idade. CONCLUS ES: O nível de conhecimento adequado sobre métodos anticoncepcionais foi baixo para os adolescentes de ambos os tipos de escolas. Os resultados revelam que, assim como os mais desfavorecidos, os adolescentes de maior nível socioecon mico necessitam de informa es adequadas sobre planejamento familiar, visando a melhorar esse conhecimento para mudan a seu comportamento.
Fatores associados ao uso de preservativo masculino e ao conhecimento sobre DST/AIDS em adolescentes de escolas públicas e privadas do Município de S o Paulo, Brasil
Martins Laura B. Motta,Costa-Paiva Lúcia Helena S. da,Osis Maria José D.,Sousa Maria Helena de
Cadernos de Saúde Pública , 2006,
Abstract: Comparar o conhecimento sobre DST/AIDS e avaliar fatores associados ao conhecimento adequado e ao uso consistente do preservativo masculino, em adolescentes de escolas públicas e privadas do Município de S o Paulo. Participaram 1.594 adolescentes entre 12 e 19 anos, de 13 escolas públicas e 5 privadas, que responderam um questionário sobre DST/AIDS e uso de preservativo. Calcularam-se as raz es de prevalência com intervalo de confian a de 95%. O escore de conhecimento sobre DST teve o ponto de corte equivalendo a 50% de acerto. Os testes estatísticos foram qui-quadrado e Wilcoxon-Gehan. Realizou-se regress o múltipla de Poisson. O uso consistente de preservativo foi 60% nas escolas privadas e 57,1% nas públicas (p > 0,05) e esteve associado ao sexo masculino e menor nível sócio-econ mico. O sexo feminino, maior escolaridade, escola privada, cor branca e estado marital solteiro associaram-se ao maior conhecimento sobre DST. Os adolescentes de escola pública e privada apresentam conhecimento adequado sobre preven o de DST, entretanto esse conhecimento n o determina ado o de atitudes efetivas de preven o. Programas de conscientiza o sobre DST/AIDS devem ser ampliados visando minimizar as vulnerabilidades.
Procura de servi?o médico por mulheres climatéricas brasileiras
Pedro,Adriana Orcesi; Pinto-Neto,Aar?o Mendes; Costa-Paiva,Lúcia; Osis,Maria José; Hardy,Ellen;
Revista de Saúde Pública , 2002, DOI: 10.1590/S0034-89102002000400015
Abstract: objective: to study the causes and factors associated with climacteric women seeking medical care. methods: a descriptive exploratory cross-sectional population-based study was carried out. subjects were 456 women aged 45 to 60 years resident in a metropolitan area of southeastern, brazil, selected through area cluster sampling. data were collected through home interviews using a structured, pre-tested questionnaire. statistical analysis were performed using chi-square test, cramer's coefficient and logistic multiple regression. results: about 80% sought medical care due to menstrual irregularities and climacteric symptoms. the main factors associated with women seeking medical care were hormone replacement therapy, marital status, and stronger psychological symptoms. the main reason for not seeking medical care was women's thought that their complaint did not justify medical attention. conclusions: there was a high demand for medical care by climacteric women, but a significant percentage did not seek medical attention because they believed their symptoms were ordinary.
Procura de servi o médico por mulheres climatéricas brasileiras
Pedro Adriana Orcesi,Pinto-Neto Aar?o Mendes,Costa-Paiva Lúcia,Osis Maria José
Revista de Saúde Pública , 2002,
Abstract: OBJETIVO: Identificar as causas e os fatores relacionados à procura de servi o médico por mulheres climatéricas. MéTODOS: Realizou-se estudo descritivo e exploratório de corte transversal, de base populacional. Selecionaram-se, por meio de amostragem por conglomerado, 456 mulheres residentes no município de Campinas, SP, na faixa etária entre 45 e 60 anos de idade. Os dados sobre os motivos de procura dos servi os médicos foram coletados por meio de entrevistas domiciliares, com questionário estruturado e pré-testado. A análise dos dados foi realizada pelo teste qui-quadrado, pelo coeficiente de Cramer e pela análise de regress o linear múltipla. RESULTADOS: Aproximadamente 80% das mulheres climatéricas procuraram aten o médica por causa da irregularidade menstrual e dos sintomas climatéricos. Mulheres com companheiro, em terapia de reposi o hormonal e com maior intensidade dos sintomas psicológicos foram as que mais procuraram aten o médica. A principal raz o para a n o-procura foi a mulher considerar que a queixa n o merecia aten o médica. CONCLUS ES: A procura de servi o médico por queixas relacionadas ao climatério foi alta, porém um porcentual significativo de mulheres n o procurou aten o médica por considerar a sintomatologia natural.
Fatores associados ao uso de preservativo masculino e ao conhecimento sobre DST/AIDS em adolescentes de escolas públicas e privadas do Município de S?o Paulo, Brasil
Martins, Laura B. Motta;Costa-Paiva, Lúcia Helena S. da;Osis, Maria José D.;Sousa, Maria Helena de;Pinto-Neto, Aar?o M.;Tadini, Valdir;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006000200009
Abstract: this study aimed to compare knowledge about std/aids and identify the factors associated with adequate knowledge and consistent use of male condoms in teenagers from public and private schools in the city of s?o paulo, brazil. we selected 1,594 adolescents ranging 12 to 19 years of age in 13 public schools and 5 private schools to complete a questionnaire on knowledge of std/aids and use of male condoms. prevalence ratios were computed with a 95% confidence interval. the score on std knowledge used a cutoff point corresponding to 50% of correct answers. statistical tests were chi-square and poisson multiple regression. consistent use of male condoms was 60% in private and 57.1% in public schools (p > 0.05) and was associated with male gender and lower socioeconomic status. female gender, higher schooling, enrolment in private school, caucasian race, and being single were associated with higher knowledge of stds. teenagers from public and private schools have adequate knowledge of std prevention, however this does not include the adoption of effective prevention. educational programs and std/aids awareness-raising should be expanded in order to minimize vulnerability.
Depoimentos de mulheres sobre a menopausa e o tratamento de seus sintomas
Valadares, Ana Lúcia;Pinto-Neto, Aar?o Mendes;Conde, Délio Marques;Osis, Maria José;Sousa, Maria Helena de;Costa-Paiva, Lúcia;
Revista da Associa??o Médica Brasileira , 2008, DOI: 10.1590/S0104-42302008000400013
Abstract: objective: to evaluate the perception of a group of women from belo horizonte, minas gerais, brasil, with respect to menopause and its treatment. methods: a secondary analysis was performed on data from a population-based, cross sectional study carried out with 378 brazilian born women between 40 and 65 years of age, with 11 years or more of formal education. some women added spontaneous comments to the end of the questionnaire on sexuality handed out by research assistants and self-responded anonymously. there were those who provided comments at the end of the questionnaire and those who did not. the groups were compared with respect to sociodemographic and reproductive characteristics using pearson's chi-square test. comments were transcribed in their entirety to a computerized file for thematic content analysis, and units of meaning were identified and classified. results: approximately one-third of the women (114/378) provided comments. significantly more women with lower income levels provided comments as compared to those with higher income levels. the principal identified categories of analysis were: a) uncertainty and/or confusion, mainly with regard to anguish, stress and doubts about menopause; b) symptoms that lead to negative feelings, such as hot flushes, vaginal dryness and mood changes; and c) hormone replacement therapy, fears and perception of a lack of conviction in the physicians who prescribe it. conclusion: the comments indicate that more attention must be given to the problems perceived in climacteric women with a special emphasis on those of the lower incomes levels.
Conhecimento sobre métodos anticoncepcionais por estudantes adolescentes
Martins,Laura B Motta; Costa-Paiva,Lúcia; Osis,Maria José D; Sousa,Maria Helena de; Pinto Neto,Aar?o M; Tadini,Valdir;
Revista de Saúde Pública , 2006, DOI: 10.1590/S0034-89102006000100010
Abstract: objective:to compare the knowledge of contraceptive methods as well as to identify factors associated with adequate knowledge among public and private school adolescents. methods: a cross-sectional study comprising 1,594 adolescents aged between 12 and 19 years old from 13 public and five private schools in the city of s?o paulo city, brazil, was carried out from june to december 2003. schools were randomly selected and students filled out a questionnaire about sociodemographic, reproductive and contraceptive methods. the prevalence ratios were estimated with a 95% confidence interval for each question on their knowledge of contraceptive methods and by school group. each question correctly answered received a half score, and the cut-off value was 50% of correct answers. statistical tests utilized were chi-square and wilcoxon-gehan tests and poisson multiple regression model. results: of all respondents, 61% were of females in both school groups. most students had low socioeconomic condition in public schools while they had mostly high socioeconomic condition in private schools (p<0.001). nearly 18.6% private and 28.6% public school students were sexually active (p<0.002). in regard to their knowledge, 25.7% of public and 40.8% of private school students had a score equal to or above five. factors associated with higher knowledge were: being female, at high school of a private school, having high socioeconomic condition, having had sexual intercourse and being older. conclusions: knowledge of contraceptive methods was low in both public and private school students. the study results show that both underprivileged as well as high socioeconomic adolescents need to have adequate information about family planning to improve their knowledge and change their behavior.
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