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Search Results: 1 - 10 of 97968 matches for " Sandhi Maria;Lima-Costa "
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Condi??es de saúde, capacidade funcional, uso de servi?os de saúde e gastos com medicamentos da popula??o idosa brasileira: um estudo descritivo baseado na Pesquisa Nacional por Amostra de Domicílios
Lima-Costa, Maria Fernanda;Barreto, Sandhi Maria;Giatti, Luana;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300006
Abstract: the objective of this research was to describe health conditions and health services utilization among brazilian seniors. the study was based on 28,943 adults > 60 years (99.9%) from an overall national household survey (pnad 1998). the results show that prevalence rates for at least one chronic disease (69.0%), hypertension (43.9%), arthritis (37.5%), and inability to feed oneself/bathe/use the toilet (2.0%) are very similar to those observed in other populations. physician visits and hospitalization patterns are within the variation reported by different countries. the low prevalence rates of older adults who had interrupted activities because of a health problem (13.9%) or had been bedridden (9.5%) in the previous 2 weeks or hospitalized in the previous year (13.6%) show that the vast majority are not subject to these events. considering that 50% of this population live on less than or equal to one brazilian monthly minimum wage, expenditures on medications consume approximately one-fourth (23%) of total income for half of the elderly population.
Condi es de saúde, capacidade funcional, uso de servi os de saúde e gastos com medicamentos da popula o idosa brasileira: um estudo descritivo baseado na Pesquisa Nacional por Amostra de Domicílios
Lima-Costa Maria Fernanda,Barreto Sandhi Maria,Giatti Luana
Cadernos de Saúde Pública , 2003,
Abstract: O objetivo deste trabalho é descrever as condi es de saúde e o uso de servi os de saúde da popula o idosa brasileira. Participaram do estudo 28.943 (99,9%) idosos (superscript three 60 anos) incluídos na amostra da PNAD 1998. Os resultados mostraram que as prevalências de pelo menos uma doen a cr nica (69,0%), de hipertens o (43,9%), de artrite (37,5%) e de incapacidade para alimentar-se/tomar banho/ir ao banheiro (2,0%) s o muito semelhantes ao observado em outras popula es. Os padr es de consultas médicas e de hospitaliza es est o dentro das varia es observadas em diferentes países. As baixas propor es de idosos que interromperam atividades por problemas de saúde (13,9%) e estiveram acamados nas duas últimas semanas (9,5%) ou foram hospitalizados no último ano (13,6%) mostram que a imensa maioria n o está sujeita a estes eventos. Considerando-se que 50% desta popula o têm renda pessoal fraction three-quarters 1 salário mínimo, o gasto médio mensal com medicamentos compromete aproximadamente um quarto da renda (23%) de metade da popula o idosa brasileira.
A situa??o socioecon?mica afeta igualmente a saúde de idosos e adultos mais jovens no Brasil? Um estudo utilizando dados da Pesquisa Nacional por Amostras de Domicílios ­ PNAD/98
Lima-Costa,Maria Fernanda; Barreto,Sandhi; Giatti,Luana;
Ciência & Saúde Coletiva , 2002, DOI: 10.1590/S1413-81232002000400015
Abstract: in this article we used data from a national household survey in brazil (pnad/98) to examine the association between household income per capita and several indicators of health condition (report of selected chronic diseases, self rated health, inability to perform routine activities because of a health problem, and staying in bed recently), impairment (level of difficulty to perform selected physical activities) and use of medical and dental services. a representative sample of the brazilian population aged 3 20 years (n=197297) participated in the study. the characteristics of people in the lower quintile of the distribution of household income per capita of older adults were compared with those with higher income (< 0,67 vs 3 0,67 brazilian minimum wage). the data analysis was stratified by age (20-64 and 3 65 years). the results showed that the health conditions of both, older and younger adults, were similarly affected by socioeconomic circumstances. those with lower household income per capita, independently of age, presented worse health conditions and worse physical functioning, and less use of medical and dental services. the results of this study indicate that policies aiming at reducing income inequalities are equally important to improve the health of older and younger adults in this country.
A situa o socioecon mica afeta igualmente a saúde de idosos e adultos mais jovens no Brasil? Um estudo utilizando dados da Pesquisa Nacional por Amostras de Domicílios - PNAD/98
Lima-Costa Maria Fernanda,Barreto Sandhi,Giatti Luana
Ciência & Saúde Coletiva , 2002,
Abstract: Neste artigo utilizamos dados da PNAD/98 para examinar as associa es existentes entre a renda domiciliar per capita e indicadores da condi o de saúde (relato de doen as cr nicas selecionadas, percep o da própria saúde, incapacidade para realizar atividades por problemas de saúde e ter estado acamado recentemente), fun o física (dificuldade para realizar seis conjuntos de atividades) e uso de servi os médicos e odontológicos. O estudo foi realizado em uma amostra de 197.297 pessoas representativas da popula o brasileira com idade superscript three 20 anos, estratificada em dois grupos etários (20-64 e superscript three 65 anos). As características daqueles com renda familiar per capita situada no quintil mais baixo da distribui o de renda dos idosos foram comparadas às daqueles com renda mais alta (<0,67 vs. superscript three 0,67 salários mínimos). Os resultados mostraram que a situa o socioecon mica afeta igualmente a saúde de idosos e de adultos mais jovens neste país. Indivíduos no estrato mais baixo de renda, independentemente da idade, apresentaram piores condi es de saúde, pior fun o física e menor uso de servi os de saúde. Os resultados deste trabalho indicam que políticas para reduzir as desigualdades sociais podem contribuir tanto para a melhoria das condi es de saúde dos indivíduos mais jovens quanto dos idosos neste país.
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.
Obesity and underweight among Brazilian elderly: the Bambuí Health and Aging Study
Barreto, Sandhi M.;Passos, Valéria M. A.;Lima-Costa, Maria Fernanda F.;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000200027
Abstract: the coexistence of obesity (body mass index, bmi 3 30kg/m2) and underweight (bmi £ 20kg/m2) and related factors were investigated among all residents aged 60+ years in bambuí, minas gerais state, using multinomial logistic regression. 1,451 (85.5%) of the town's elderly participated. mean bmi was 25.0 (sd = 4.9kg/m2) and was higher for women and decreased with age. prevalence of obesity was 12.5% and was positively associated with female gender, family income, hypertension, and diabetes and inversely related to physical activity. underweight affected 14.8% of participants, increased with age, and was higher among men and low-income families. it was negatively associated with hypertension and diabetes and directly associated with trypanosoma cruzi infection and 3 2 hospitalizations in the previous 12 months. both obesity and underweight were associated with increased morbidity. the association of underweight with t. cruzi infection, increased hospitalization, and low family income may reflect illness-related weight loss and social deprivation of elderly in this community. aging in poverty may lead to an increase in nutritional deficiencies and health-related problems among the elderly.
Desigualdade social e saúde entre idosos brasileiros: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios
Lima-Costa, Maria Fernanda;Barreto, Sandhi;Giatti, Luana;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300007
Abstract: the influence of socioeconomic circumstances on senior citizens' health is still controversial. we used data from the 1998 brazilian national household survey (pnad 1998) to examine this influence. a representative sample of the brazilian population aged 3 65 years (n = 19,068) were included in the study. the characteristics of those in the lower quintile of per capita household income were compared with those with higher income (< 0.67 vs3 0.67 the brazilian minimum wage). the lower income group presented worse health conditions (self-rated health, inability to perform routine activities due to a health problem, bedridden conditions, and a report of any disease), and worse physical functioning (level of difficulty in performing selected physical activities), and less frequent use of medical and dental services. these results do not confirm observations, in some developed countries, of a lack of association between socioeconomic status and health among the elderly. on the contrary, according to our results, in brazil even small differences in income are sufficiently sensitive to identify older adults with worse health conditions and limited access to health services.
Socioeconomic position and health in a population of Brazilian elderly: the Bambuí Health and Aging Study (BHAS)
Lima-Costa,Maria Fernanda; Barreto,Sandhi M.; Firmo,Josélia O.A.; Uchoa,Elizabeth;
Revista Panamericana de Salud Pública , 2003, DOI: 10.1590/S1020-49892003000500007
Abstract: objective: despite the vast scientific literature on the social determinants of health, there is still a debate on the extent to which this relationship remains in old age. the objective of this study was to examine the association between socioeconomic circumstances and health among older adults in a small town in brazil. methods: the study was carried out in bambuí, a town of around 15 000 inhabitants that is located in the state of minas gerais, which is in southeastern brazil. from 1 177 residents aged 65 years or older, 1 074 of them (91.2%) were interviewed and 997 (84.7%) were examined (physical measurements and blood tests). those in the lowest third of the distribution of total household monthly income, with an income of less than us$ 240 per month, were compared with those who had an income above that level. results: lower family income was independently associated with: (1) some lifestyle risk factors (less consumption of fresh fruits or vegetables and less frequent exercise during leisure time in the preceding 30 days), (2) several indicators of worse health status (general health questionnaire score, self-rated health, self-rated visual acuity, level of difficulty in walking 300 meters, inability to perform routine activities because of a health problem in the preceding 2 weeks, and seropositivity for trypanosoma cruzi), (3) a higher number of nonprescribed medications used in the preceding 3 months, and (4) a higher number of hospitalizations in the preceding 12 months. obesity was more frequent in the higher-income group. conclusions: the results of this study do not confirm observations in some developed countries of a lack of association between socioeconomic status and health among the aged. our results showed that a small difference in monthly family income was sufficiently sensitive to identify elderly persons in worse health, even within a community that appears to be uniformly poor.
The Bambuí Health and Aging study (BHAS): prevalence of risk factors and use of preventive health care services
Lima-Costa Maria Fernanda,Barreto Sandhi M.,Uch?a Elizabeth,Firmo Josélia O. A.
Revista Panamericana de Salud Pública , 2001,
Abstract: Objective. To describe, for the first time in Brazil, the prevalence of risk factors and the use of preventive health care services among adults 60 years and older. Methods. This population-based study was conducted during 1996-1997 in the state of Minas Gerais, in the town of Bambuí, which is located in the municipality of the same name. In 1996 the town had 14 950 inhabitants. For the study, all the town's residents aged > or = 60 years were selected, along with a comparison sample of persons aged 18-59 years. Data were gathered using interviews and physical examinations. Results. Of the 1 742 inhabitants of the town of Bambuí aged > or = 60 years, 1 606 (92.2%) participated in the interview and 1 495 (85.8%) were examined (blood pressure, anthropometric measurements, and blood tests). Among the 1 020 younger adults selected for the survey, 909 of them (89.1%) participated in the interview, and 820 of them (80.4%) underwent the physical examination. The prevalence of the following risk factors was higher among older adults than among younger adults: physical inactivity (47.7% vs. 28.0%); blood pressure 140-159 mmHg (systolic) or 90-99 mmHg (diastolic) (25.8% vs. 8.7%); blood pressure > or = 160 mmHg (systolic) or > or = 100 mmHg (diastolic) (19.1% vs. 4.1%); total cholesterol > or = 240 mg/dL (40.6% vs. 9.8%); and blood glucose > or = 126 mg/dL (12.4% vs. 2.2%). The daily consumption of fruits and vegetables was similar among the older adults and the younger ones (51.9% and 51.7%), as was also body mass index > or = 25 kg/m2 (51.6% and 56.2%). Smoking was lower among the older adults (18.7%) than among the younger ones (31.1%). The proportion of participants whose blood pressure had been checked in the preceding year was high (86.8% among the older adults and 61.2% among the younger ones), suggesting that the high prevalence of uncontrolled hypertension was not due to limited access to health care. Conclusions. For a long time it was believed that the kinds of risk factors that we found in the urban section of the municipality of Bambuí were public health problems only in large Brazilian cities. Around 72% of the municipalities in Brazil have<= 20 000 inhabitants, and these smaller municipalities contain some 19% of the country's entire population. The high prevalence of various risk factors among the older and younger adults in Bambuí indicates a great need for health promotion and disease prevention actions. More research is needed to find out whether our results in Bambuí reflect the reality of other small towns in Brazil.
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