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Search Results: 1 - 10 of 121450 matches for " Firmo Josélia Oliveira Araújo "
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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 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.
Concep??es sobre transtornos mentais e seu tratamento entre idosos atendidos em um servi?o público de saúde mental
Clemente, Adauto Silva;Loyola Filho, Ant?nio Ignácio;Firmo, Josélia Oliveira Araújo;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000300015
Abstract: in order to understand the thoughts and actions of elderly patients with mental disorders, we interviewed 13 elders (> 60 years of age) treated at a public hospital in belo horizonte, minas gerais state, brazil. data analysis was based on the signs, meanings, and actions model. the majority of the elderly patients denied the presence of any mental disorder, but identified signs of mental distress, grouped into three main categories: "nerves", "head problems", and "craziness". all patients identified the symptom that justified their treatment and highlighted the following causes of mental disorders: family, living, physical, eating, and sleep problems, moral weakness, and aging-related frailty. although they contended that someone else had taken the initiative to seek treatment for them, they accepted their treatment and rated it positively, despite some complaints related to their conceptions of the causes and consequences of their conditions. they mentioned medication as the main therapeutic measure, despite its adverse effects and low efficacy and the way it was prescribed by physicians.
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.
Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos
Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000400018
Abstract: the ways older adults think about and react to high blood pressure were studied through an anthropological approach based on the signs, meanings, and actions model 1. twenty-six older adults (> 60 years) participated in the study, randomly selected among hypertensive participants in the baseline of the bambuí cohort study. the central thrust of narratives showed a clear distinction between a "blood pressure problem" and high blood pressure. high blood pressure is perceived as caused mainly by family problems and is easily recognized by the identification of certain specific manifestations; blood pressure is only considered problematic when it increases, and this is the only moment in which interventions are considered necessary. consequently, the importance of seeking treatment or following a medical prescription depends on the identification of rising blood pressure, either by the presence of specific symptoms or subjective conditions favoring the rise. economic difficulties are also identified by seniors as factors hindering their ability to initiate or continue treatment of hypertension.
Percep??o de risco: maneiras de pensar e agir no manejo de agrotóxicos
Fonseca,Maria das Gra?as Uchoa; Peres,Frederico; Firmo,Josélia Oliveira Araújo; Uch?a,Elizabeth;
Ciência & Saúde Coletiva , 2007, DOI: 10.1590/S1413-81232007000100009
Abstract: the object of this study was to identify context elements that have an influence on pesticide use, related perceptions, and actions in flower production. the study was carried out in barbacena, minas gerais state. the method used was based on an anthropological fast diagnosis approach inspired on the signs, meanings and actions model and on the analysis of semi-structured interviews with 20 workers from four different flower-growing fields. the field data analysis indicates that these workers face two realities: the need for pesticides and suffering generated by pesticide management. furthermore, there is clearly no direct relation between risk awareness and the effective hazards associated with pesticides. this gap is filled by beliefs which are at the basis of their actions. these beliefs reinterpret information and risk, influence behavior, and make it possible for these workers to move between these two paradoxical realities and pesticide. attributing new meanings to pesticide management risks, however, may imply in positively valuing potentially harmful behaviors.
Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)
Peixoto,Sérgio Viana; Firmo,Josélia Oliveira Araújo; Lima-Costa,Maria Fernanda;
Revista de Saúde Pública , 2005, DOI: 10.1590/S0034-89102005000500008
Abstract: objective: to describe the characteristics and associated factors of the smoking habit among older adults. methods: a population-based study was carried out comprising 1,606 (92.2%) older adults (>60 years old) living in the bambuí town, southeastern brazil in 1997. data was obtained by means of interview and socio-demographic factors, health status, physical functioning, use of healthcare services and medication were considered. the multiple multinomial logistic regression was used to assess independent associations between smoking habits (current and former smokers) and the exploratory variables. results: the prevalence of current and past smoking was 31.4% and 40.2% among men, and 10.3% and 11.2% among women, respectively (p<0.001). among current smokers, men consumed a larger number of cigarettes per day and started the habit earlier than women. among men, current smoking presented independent and negative association with age (>80 years) and schooling (>8 years) and positive association with poor health perception and not being married. among women, independent and negative associations with current smoking were observed for age (75-79 and >80 years) and schooling (4-7 and >8 years). conclusions: smoking was a public health concern among older adults in the studied community, particularly for men. yet, in a low schooling population, a slightly higher level was a protective factor against smoking for both men and women. programs for reducing smoking in the elderly population should take these findings into consideration.
Validade da hipertens?o arterial auto-referida e seus determinantes (projeto Bambuí)
Lima-Costa,Maria Fernanda; Peixoto,Sérgio Viana; Firmo,Josélia Oliveira Araújo;
Revista de Saúde Pública , 2004, DOI: 10.1590/S0034-89102004000500004
Abstract: objective: assessing the validity of self-reported hypertension and its determinants among adults living in the community was the objective of this study. methods: a simple random sample of residents in the city of bambuí, state of minas gerais, brazil aged >18 years was selected. three blood pressure measurements were performed in 970 inhabitants. sensitivity, specificity as well as positive and negative predictive values of self-reported hypertension were assessed in relation to hypertension (mean blood pressure >90 or >140 mm hg and/or present use of anti-hypertensive drugs). results: sensibility and specificity of self-reported hypertension were 72.1% (95% ci: 69.3-75.0) and 86.4% (95% ci: 84.3-88.6), respectively. its prevalence was 27.2% (95% ci: 24.4-30.1), being reasonably similar to the prevalence of hypertension (23.3%; 95% ci: 20.7-26.1%). the validity of self-reported hypertension was higher among women, among individuals aged 40-59 and >60 years, among those who visited a doctor more recently (< two years) and among those with higher body mass index (>25 kg/m2). conclusions: the results of this study show that self-reported hypertension is an appropriate indicator of hypertension prevalence, even in a population not living in a large urban center.
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