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Search Results: 1 - 10 of 175517 matches for " Marilisa Berti de Azevedo;Goldbaum "
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Inquérito de saúde: compara??o dos entrevistados segundo posse de linha telef?nica residencial
Segri,Neuber José; Cesar,Chester Luiz Galv?o; Barros,Marilisa Berti de Azevedo; Carandina,Luana; Goldbaum,Moisés;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010005000012
Abstract: objective: to analyze differences in sociodemographic characteristics associated with health in individuals with and without a residential telephone line. methods: data from the isa-capital 2003 (2003 health survey), a study performed in the city of s?o paulo, southeastern brazil, were analyzed. residents who had a residential telephone line were compared to those who reported not having a telephone line, according to sociodemographic, lifestyle, health status and health service use variables. bias associated with non-coverage of the population without a telephone line was estimated, decreasing after the use of post-stratification adjustments. results: of all the 1,878 interviewees aged more than 18 years, 80.1% had a residential telephone line. by comparing groups, the main sociodemographic differences among individuals who did not have a residential telephone line were the following: younger age, greater proportion of black and mixed individuals, smaller proportion of married interviewees, and greater proportion of unemployed individuals with a lower level of education. residents without a residential telephone line had fewer health tests performed and smoked and drank more. in addition, this group took less medication, considered themselves to be in worse health conditions and used the sus (national health system) more frequently. when excluding the population without a telephone line from the analysis, estimates of dental consultations, alcoholism, drug use and sus use to have a papanicolaou test performed were those showing the highest bias. after post-stratification adjustment, there was a decrease in the bias of estimates for the variables associated with ownership of a residential telephone line. conclusions: the exclusion of residents without a telephone line was one of the main limitations to the studies performed in this way. however, the use of statistical techniques of post-stratification adjustment enables a reduction in non-coverage bias.
Envelhecimento e deficiência auditiva referida: um estudo de base populacional
Paiva, Karina Mary de;Cesar, Chester Luis Galv?o;Alves, Maria Cecília Goi Porto;Barros, Marilisa Berti de Azevedo;Carandina, Luana;Goldbaum, Moises;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000700005
Abstract: the aim of this study was to estimate the prevalence of self-reported hearing loss among elderly people in s?o paulo, brazil, according to socio-demographic characteristics and to identify associated factors. data were from the s?o paulo health survey (isa-capital 2003), and the subgroup of elderly (n = 872) was analyzed. the χ2 test was used to verify the association between self-reported hearing loss and socio-demographic characteristics. the statistical analyses used poisson regression. prevalence of self-reported hearing loss in the elderly was 11.2%, and was higher in men (pr = 1.86; 95%ci: 1.19-2.92). there was an important lack of knowledge among the elderly regarding the causes of their hearing loss (42.5%). among the sample, 25.5% reported difficulties in leisure-time activities and 11.4% needed help in routine activities, while 63.3% required no assistance due to their impairment. the high prevalence of self-reported hearing loss in the elderly, especially in men, highlights the importance of this public health problem. population aging is a new reality, placing increasing demands on healthcare professionals and government.
Doen?a pulmonar obstrutiva cr?nica e fatores associados em S?o Paulo, SP, 2008-2009
Sousa,Clóvis Arlindo de; César,Chester Luiz Galv?o; Barros,Marilisa Berti de Azevedo; Carandina,Luana; Goldbaum,Moisés; Pereira,Júlio Cesar Rodrigues;
Revista de Saúde Pública , 2011, DOI: 10.1590/S0034-89102011005000051
Abstract: objective: to assess the prevalence of chronic obstructive pulmonary disease and related risk factors. methods: a population-based cross-sectional study with 1,441 individuals of both sexes aged 40 years or more was conducted in the city of s?o paulo, brazil, between 2008 and 2009. a two-stage (census tract, household) cluster random sampling stratified by sex and age was used and data was collected through home interviews. multiple poisson regression was used in the adjusted analysis. results: of all respondents, 4.2% (95%ci: 3.1;5.4) reported chronic obstructive pulmonary disease. after adjustment the following factors were found independently associated with self-reported chronic obstructive pulmonary disease: number of cigarettes smoked in their lifetime (>1,500 vs. none) (pr=3.85; 95%ci: 1.87;7.94); easily fatigued (yes vs. no) (pr=2.61; 95%ci: 1.39;4.90); age (60;69 vs. 50;59) (pr 3.27; 95%ci: 1.01;11.24); age (70 and over vs. 50;59) (pr 4.29; 95%ci: 1.30;11.29); health conditions in the last 15 days (yes vs. no) (pr=1.31; 95%ci: 1.02;1.77); leisure-time physical activity (yes vs. no) (pr=0.57; 95%ci: 0.26;0.97). conclusions: the prevalence of chronic obstructive pulmonary disease is high in the population studied and is associated with smoking and age over 60. frequent health conditions and low leisure-time physical activity are a consequence of the disease.
Doen?as respiratórias e fatores associados: estudo de base populacional em S?o Paulo, 2008-2009
Sousa,Clóvis Arlindo de; César,Chester Luiz Galv?o; Barros,Marilisa Berti de Azevedo; Carandina,Luana; Goldbaum,Moisés; Pereira,Júlio Cesar Rodrigues;
Revista de Saúde Pública , 2012, DOI: 10.1590/S0034-89102011005000082
Abstract: objective: to assess the prevalence of acute bronchitis, rhinitis, and sinusitis among children and adolescents and identify associated factors. methods: this is a population-based, cross-sectional study. a household survey was conducted with 1,185 children and adolescents from the city of s?o paulo (southeastern brazil), from 2008 to 2009. the participants were selected by means of probability sampling, stratified by sex and age, and by two-stage cluster sampling. for the adjusted analysis, multiple poisson regression was used. results: of the respondents, 7.3% reported acute bronchitis, 22.6% rhinitis and15.3% sinusitis. after the adjusted analysis, the following characteristics were associated with self;reported acute bronchitis: age 0 to 4 years (pr=17.86; 95%ci: 3.65;90.91), 5 to 9 years (pr=37.04; 95%ci: 8.13;166.67), 10 to 14 years (pr=20,83; 95%ci: 4.93;90.91), allergy (pr=3.12; 95%ci: 1.70;5.73), black and mixed-ethnicity (black and white) skin color (pr=2.29; 95%ci: 1.21;4.35), and living in a household with 1 to 3 rooms (pr=1.85; 95%ci: 1.17;2.94). as to self-reported rhinitis, the following characteristics were associated: age 10 to 14 years (pr=2.77; 95%ci: 1.60;4.78), 15 to 19 years (pr=2.58; 95%ci: 1.52;4.39), allergy (pr=4.32; 95%ci: 2.79;6.70), asthma (pr=2.30; 95%ci: 1.30;4.10) and living in flats (pr=1.70; 95%ci: 1.06;2.73). concerning self-reported sinusitis, the following characteristics were associated: age 5 to 9 years (pr=2.44; 95%ci: 1.09;5.43), 10 to 14 years (pr=2.99; 95%ci: 1.36;6.58), 15 to 19 years (pr=3.62; 95%ci: 1.68;7.81), allergy (pr=2.23 (95%ci: 1.41;3.52) and obesity (pr=4.42; 95%ci: 1.56;12.50). conclusions: respiratory diseases were more prevalent in population groups with defined characteristics, such as age group, self-reported diseases, type of household and obesity.
Inquéritos de saúde e uso de servi?os materno-infantis em três municípios da grande S?o Paulo
Carvalho,Wladithe Organ de; Cesar,Chester Luiz Galv?o; Carandina,Luana; Barros,Marilisa Berti de Azevedo; Alves,Maria Cecília Goi Porto; Goldbaum,Moisés;
Revista Panamericana de Salud Pública , 2008, DOI: 10.1590/S1020-49892008001100003
Abstract: objectives: to describe the changes in the use of maternal and child health care services by residents of three municipalities-embu, itapecerica da serra, and tabo?o da serra-in the s?o paulo metropolitan area, 12 years after the implementation of the unified health system (sus) in brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes. methods: two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the s?o paulo metropolitan area. for children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. in both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions. results: the most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. there was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of s?o paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). the use of primary care units and 24-hour walk-in clinics also increased. all these changes reflect care provided by public resources. in the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance. conclusions: the major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the sus. population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times.
índice de Qualidade da Dieta: avalia??o da adapta??o e aplicabilidade
Fisberg, Regina Mara;Slater, Betzabeth;Barros, Rodrigo Ribeiro;Lima, Fern?o Dias de;Cesar, Chester Luiz Galv?o;Carandina, Luana;Barros, Marilisa Berti de Azevedo;Goldbaum, Moisés;
Revista de Nutri??o , 2004, DOI: 10.1590/S1415-52732004000300003
Abstract: objective: this study was to adapt and to applied the u.s.a.'s healthy eating index to evaluate the diet quality of individuals (n=50) residing in botucatu, s?o paulo, brazil. methods: the food intake was measured by the 24-hour dietary recall method, and evaluated by an adapted healthy eating index. the index was obtained by a score of the distribution of the ten components of the considered healthy diet. results: the mean healthy eating index was 51,5; it was found that 12 percent of individuals had "good" diets; 74 percent, had diets that "needed improvement"; and 14 percent, had "poor" diets. there were a negative and significant correlation (p<0,05) between the healthy eating index and the total dietary fat, fatty acids, cholesterol and sodium. the mean retinol and fiber intakes, presented a positive and significant correlation with the healthy eating index. conclusion: the results showed that the use of healthy eating index in a target population is feasible.
Distribui??o espacial dos idosos de um município de médio porte do interior paulista segundo algumas características sócio-demográficas e de morbidade
Campos, Frederico Grizzi de;Barrozo, Ligia Vizeu;Ruiz, Tania;César, Chester Luiz Galv?o;Barros, Marilisa Berti Azevedo;Carandina, Luana;Goldbaum, Moisés;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009000100008
Abstract: geographic information systems serve as important public health tools for analyzing population disease distribution and thus for identifying individuals with chronic non-communicable diseases. the current study performed a spatial analysis of the distribution of the population 60 years and older in the city of botucatu, s?o paulo state, brazil, studying the socio-demographic profile and the presence of diabetes mellitus and arterial hypertension. data were analyzed from 468 elderly individuals from a population survey conducted in 2001-2002. elders with the highest socioeconomic status live in the census tracts with the highest social strata, as proven statistically by spatial analysis techniques for income and schooling. no spatial distribution pattern was found for elderly individuals with hypertension and diabetes, who were located heterogeneously on the map. the study suggests the use of geoprocessing techniques for digital mapping of areas covered by primary health care units, aimed at better monitoring of the distribution of elderly individuals with chronic diseases and their care by health professionals.
Health related quality of life among the elderly: a population-based study using SF-36 survey
Lima, Margareth Guimar?es;Barros, Marilisa Berti de Azevedo;César, Chester Luiz Galv?o;Goldbaum, Moisés;Carandina, Luana;Ciconelli, Rozana Mesquita;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009001000007
Abstract: 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 role limitations due to emotional and physical factors. hrqol was found to be worse among women, in individuals at advanced ages, those who practiced evangelical religions and those with lower levels of income and schooling. the greatest differences in sf-36 scores between the categories were observed in functional capacity and physical factors. the results suggest that healthcare programs for the elderly should take into account the multi-dimensionality of health and social inequalities so that interventions can target the most affected elements of hrqol as well as the most vulnerable subgroups of the population.
Fatores associados à realiza??o dos exames de rastreamento para o cancer de próstata: um estudo de base populacional
Amorim, Vivian Mae Schmidt Lima;Barros, Marilisa Berti de Azevedo;César, Chester Luiz Galv?o;Goldbaum, Moisés;Carandina, Luana;Alves, Maria Cecília Goi Porto;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000200016
Abstract: the aim of this study was to analyze the prevalence of prostrate cancer screening among men aged 50 years or older based on socioeconomic, demographic, and health-related behavioral variables and the presence of morbidity. a population-based cross-sectional study was performed. the following factors were associated with failure to undergo screening: age under 70 years; less than eight years of schooling; per capita household income less than one-half the minimum wage; not having diabetes; lack of visual impairment; and lack of visit to the dentist in the previous year. the brazilian public healthcare system accounted for 41% of the reported prostate cancer screening tests. according to the present study, despite controversy over the effectiveness of digital rectal examination and prostrate-specific antigen for detecting prostate cancer, a significant portion of the male population has been undergoing these tests, the access to which displays significant socioeconomic inequalities.
Fatores associados à prática de atividade física global e de lazer em idosos: Inquérito de Saúde no Estado de S?o Paulo (ISA-SP), Brasil
Zaitune, Maria Paula do Amaral;Barros, Marilisa Berti de Azevedo;César, Chester Luiz Galv?o;Carandina, Luana;Goldbaum, Moisés;Alves, Maria Cecilia Goi Porto;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010000800014
Abstract: the purpose of this study was to measure the prevalence of global and leisure-time physical activity and associated factors in the elderly. this was a population-based cross-sectional study covering a multiple-stage sample of 1,950 subjects 60 years or older living in areas of s?o paulo state, brazil. prevalence of global physical activity (assessed through the short version of the international physical activity questionnaire - ipaq) was 73.9%, and prevalence of leisure-time physical activity was 28.4%. the results highlight the differences between factors associated with global and leisure-time physical activities. the social groups most prone to overall sedentary lifestyle and especially to lack of leisure-time physical activity should be the main targets of health policies aimed at promoting healthier lifestyles.
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