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Search Results: 1 - 10 of 523391 matches for " Sandhi Maria;Uch?a "
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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.,Ucha 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.
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;Ucha, 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.
A morte de idosos na Clínica Santa Genoveva, Rio de Janeiro: um excesso de mortalidade que o sistema público de saúde poderia ter evitado
Guerra Henrique Leonardo,Barreto Sandhi Maria,Ucha Elizabeth,Firmo Josélia Oliveira Araújo
Cadernos de Saúde Pública , 2000,
Abstract: Entre janeiro e maio de 1996, 156 idosos morreram na Clínica Santa Genoveva, no Rio de Janeiro. A mortalidade mais alta foi observada em maio: 143/1.000 interna es. Isto resultou no fechamento da clínica pelo Ministério da Saúde. O objetivo deste trabalho é verificar, utilizando-se dados do Sistema de Informa es Hospitalares do Sistema único de Saúde (SIH-SUS), se os óbitos ocorridos na clínica em 1996 representavam uma exce o ou se refletiam condi es já existentes. O período do estudo foi de janeiro/1993 a maio/1996. A metodologia da investiga o incluiu 1) análise da série histórica do número e das taxas mensais brutas de mortalidade e 2) compara es destas com aquelas de 15 hospitais definidos como referência. O risco de morrer na clínica foi superior ao dos hospitais de referência em 28 dos 41 meses considerados. Os maiores riscos relativos foram observados em janeiro de 1993 (RRbruto = 2,23; IC-95% = 1,56-3,14) e maio de 1996 (RRajustado = 2,73; IC-95% = 1,88-3,95). Os resultados mostram que a alta mortalidade na clínica já vinha ocorrendo desde 1993. A utiliza o adequada do SIH-SUS poderia ter antecipado e evitado o excesso de mortalidade só identificado em meados de 1996.
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,Ucha Elizabeth
Cadernos de Saúde Pública , 2003,
Abstract: A influência da situa o sócio-econ mica sobre a saúde dos idosos é controversa. Nós utilizamos dados da PNAD 1998 para examinar esta influência em uma amostra de 19.068 idosos representativos da popula o brasileira com superscript three 65 anos de idade. Aqueles com renda domiciliar per capita situada no quintil mais baixo foram comparados àqueles com renda mais alta (< 0,67 e superscript three 0,67 salários mínimos). Os idosos com renda mais baixa apresentaram piores condi es de saúde (pior percep o da saúde, interrup o de atividades por problemas de saúde, ter estado acamado e relato de algumas doen as cr nicas), pior fun o física (avaliada através de seis indicadores) e menor uso de servi os de saúde (menor procura e menos visitas a médicos e dentistas). Esses resultados n o confirmam observa es realizadas em alguns países desenvolvidos quanto à ausência de associa o entre o nível sócio-econ mico e a saúde do idoso. Ao contrário, os resultados deste trabalho mostram que mesmo pequenas diferen as na renda domiciliar s o suficientemente sensíveis para identificar idosos com piores condi es de saúde e menor acesso aos servi os de saúde no Brasil.
A morte de idosos na Clínica Santa Genoveva, Rio de Janeiro: um excesso de mortalidade que o sistema público de saúde poderia ter evitado
Guerra, Henrique Leonardo;Barreto, Sandhi Maria;Ucha, Elizabeth;Firmo, Josélia Oliveira Araújo;Costa, Maria Fernanda Furtado de Lima e;
Cadernos de Saúde Pública , 2000, DOI: 10.1590/S0102-311X2000000200024
Abstract: from january to may 1996, 156 inpatients died in a clinic for elderly people in rio de janeiro, brazil. the highest mortality rate was observed in may: 143/1,000 inpatients. as a result, the clinic was closed by the ministry of health. this study investigated whether the excessive number of deaths observed in the clinic in early 1996 was unexpected or reflected prevailing conditions. the investigation used the public health system database (sih-sus). the study period was 01/1993 to 05/1996. the investigation was based on: 1) a time-series analysis of the number of deaths and crude mortality rates and 2) comparison of the mortality rates observed in that clinic with those calculated for 15 area hospitals, defined as the reference rates. risk of death in the clinic was higher than expected in 28 of the 41 months considered in the study. highest risks were observed in january 1993 (rrcrude = 2.23; 95% ci 1.56-3.14) and may 1996 (rradjusted = 2.73; 95% ci 1.88-3.95). the high mortality rates observed in the clinic in 1996 were already present in 1993. thus, adequate use of the sih-sus could have anticipated and avoided the excess mortality identified in early 1996.
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.; Ucha,Elizabeth; Firmo,Josélia O. A.; Vidigal,Pedro G.; Guerra,Henrique L.;
Revista Panamericana de Salud Pública , 2001, DOI: 10.1590/S1020-49892001000400003
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 3 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 3 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 3 160 mmhg (systolic) or 3 100 mmhg (diastolic) (19.1% vs. 4.1%); total cholesterol 3 240 mg/dl (40.6% vs. 9.8%); and blood glucose3 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 3 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
Debate sobre o artigo de Gil Sevalho
Ucha Maria Elizabeth
Cadernos de Saúde Pública , 1997,
Abstract:
Debate on the paper by Christopher Peterson
Ucha Maria Elizabeth
Cadernos de Saúde Pública , 1998,
Abstract:
O perfil de saúde cardiovascular dos idosos brasileiros precisa melhorar: estudo de base populacional
Pereira, Janaina Caldeira;Barreto, Sandhi Maria;Passos, Valéria Maria A.;
Arquivos Brasileiros de Cardiologia , 2008, DOI: 10.1590/S0066-782X2008001300001
Abstract: background: in brazil, population-based information on risk factors and their relationship with cardiovascular diseases in the elderly is scarce. objective: to estimate the prevalence and clustering of risk factors and investigate their association with ischemic heart disease (ihd) in elderly people. methods: all subjects >60 years of age participating in the "inquérito domiciliar sobre comportamentos de risco e morbidade referida de doen?as e agravos n?o transmissíveis" (household survey on risk behaviors and reported morbidity of non transmissible diseases and health conditions) carried out by the ministry of health, in 2002/2003 in 15 capitals and the federal district were included. the prevalence of risk factors (smoking, alcohol consumption, lack of physical activity, inappropriate diet, and obesity) and reported morbidity (hypertension, hypercholesterolemia, and diabetes) was assessed, as well as the association between ihd and clustering of these factors using the poisson regression model. results: elderly individuals represented 13.4% (3,142/23,457), 59.4% women and 40.6% men. the mean age of the participants was 69.5 years. approximately 50% of participants reported having hypertension, 33% hypercholesterolemia, and 18% diabetes. smoking and hypercholesterolemia dropped significantly with age. hypertension, physical inactivity, obesity, and hypercholesterolemia were more prevalent among women. clustering of two or more factors was observed in 71.3% of the elderly, and diminished with age. elderly subjects with ihd had a four-fold higher prevalence of clusters with four or more factors (pr=4.1; 95% ci: 2.6-6.4). conclusion: the relationship between ihd and a larger clustering of risk factors probably represents a greater accumulated risk throughout life, but it also indicates the need to improve the risk profile of these elderly people.
Auto-avalia??o de saúde bucal em idosos: análise com base em modelo multidimensional
Martins, Andréa Maria Eleutério de Barros Lima;Barreto, Sandhi Maria;Pordeus, Isabela Almeida;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009000200021
Abstract: the aim of this study was to investigate factors associated with negative self-rated oral health. elderly subjects from the brazilian ministry of health's oral health survey (2002-2003) who rated their own oral health as bad or very bad were compared to those who rated their oral health as excellent, good, or fair, using prevalence ratios based on poisson regression. the minority (870; 17%) gave their own oral health a negative rating. negative self-rated oral health was less prevalent among those with 1-9 teeth and the edentulous, and more prevalent among blacks, mixed-race, and indigenous, those who had never used dental service, with soft tissue alterations, who reported little pain or medium to intense pain, rated their own appearance and chewing as fair or bad or very bad, reported that their oral health limited their social interaction a little or considerably, and reported needing dental treatment (pr = 1,47; 95%ci: 1.20-1.79). despite their precarious oral conditions, the majority gave their oral health a positive rating. subjective conditions were more heavily associated with self-rated oral health than were objective conditions. the findings suggest unequal oral health conditions and allow orienting public policies aimed at oral health and quality of life.
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