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Search Results: 1 - 10 of 4475 matches for " Gisele Alsina Nader Bastos "
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Prevalence of insufficient physical activity in adolescents in South Brazil
Gabriela Tomedi Leites,Gisele Alsina Nader Bastos,Juliano Peixoto Bastos
Revista Brasileira de Cineantropometria e Desempenho Humano , 2013, DOI: http://dx.doi.org/10.5007/1980-0037.2013v15n3p286
Abstract: The purpose of the study was to estimate the prevalence of insufficient physical activityand associated factors in adolescents 10 to 19 years old living in the Health Districts of Restinga and Extremo Sul of Porto Alegre, RS. A population-based, cross-sectional study was conducted by a systematic sampling with 967 adolescents randomly selected. Data was collected by using a questionnaire withthe following variables: gender, age, skin color, if currently studying, occupation, socioeconomic status, weight and height, as well as insufficient physical activity, which was defined as less than 300 minutes per week of physical activity, not counting physical education classes. The prevalence of insuficiente physical activity found was 70.5%: 58.9% in boys and 81.9% in girls. The higher prevalence of insufficient levels of PA was found among adolescents who are not studying (p=0.01) and next by those who are between 16 and 19 years old (p=0.05). In boys it was observed that as they got older, physical activity decreased (p=0.05). The most types of activities found were field soccer and riding bikes for boys, and walking and field soccer for girls. In conclusion,the prevalence of insufficient physical activity found in the adolescentes evaluated was high. Being a girl, not studying, and between the ages of 16 and 19, were factors that increased the levels of insufficient physical activity. This reveals, therefore, the importance to developed interventions to promote the practice of physical activityin this population.
Fatores que influenciam a satisfa o do paciente ambulatorial em uma popula o de baixa renda: um estudo de base populacional Factors that influence outpatient service user satisfaction in a low-income population: a population-based study
Gisele Alsina Nader Bastos,Luísa Rabeno Fasolo
Revista Brasileira de Epidemiologia , 2013,
Abstract: OBJETIVO: Medir a prevalência de satisfa o geral com a última consulta médica e seus fatores associados entre adultos com 20 anos ou mais, em uma cidade do Sul do país. MéTODOS: Estudo transversal de base populacional realizado em Porto Alegre-RS, de julho a dezembro de 2009. Foi utilizada amostragem sistemática com probabilidade proporcional ao tamanho de cada um dos 121 setores censitários da regi o em estudo. A satisfa o geral da última consulta foi avaliada por questionário padronizado. As variáveis independentes foram: sexo, idade, cor da pele, classe social, escolaridade, motivo e local da consulta. Na análise bruta empregou-se o teste qui-quadrado e na ajustada regress o de Poisson com variancia robusta, com os resultados expressos em raz es de prevalências. RESULTADOS: Dos 3.700 indivíduos elegíveis, 3.391 responderam a pesquisa. Desses, 64,8% consultaram nos três meses antecedentes a entrevista. Em rela o à satisfa o geral da última consulta, 63,7% referiram estar satisfeitos e 23,2% estar muito satisfeitos. Na análise ajustada, indivíduos que consultaram em locais conveniados/privados apresentaram uma probabilidade 1,15 vezes maior de estar satisfeitos comparados a locais públicos. A facilidade para conseguir a consulta, o fato de ter sido bem tratado pela recepcionista e pelo médico esteve diretamente relacionado com uma maior satisfa o. O tempo de espera para ser atendido esteve inversamente associado à satisfa o tanto na análise bruta quanto na ajustada. CONCLUS O: O presente estudo revelou elevada prevalência de satisfa o com a consulta médica e uma associa o significativamente positiva entre satisfa o e consulta em locais conveniados ou privados. AIM: To measure the prevalence of overall satisfaction with the previous medical consultation and their associated factors, among adults aged 20 years or more, in a city located in southern Brazil. METHODS: A cross-sectional population-based study was performed in Porto Alegre, RS, Brazil, from July to December 2009. Systematic sampling was used with a probability proportional to the size of each of the 121 census tracts in the area studied. Overall satisfaction with the previous consultation was evaluated with a standardized questionnaire. Crude analysis was performed using the chi-square test, while the adjusted analysis used Poisson regression with robust variance. Results were expressed as prevalence ratios. RESULTS: Among the 3,700 eligible individuals, 3,391 answered the survey. Of those, 64.8% (1677) reported having had their previous medical consultation in the three months prior
Qualidade do processo da assistência pré-natal: unidades básicas de saúde e unidades de Estratégia Saúde da Família em município no Sul do Brasil
Anversa, Elenir Terezinha Rizzetti;Bastos, Gisele Alsina Nader;Nunes, Luciana Neves;Dal Pizzol, Tatiane da Silva;
Cadernos de Saúde Pública , 2012, DOI: 10.1590/S0102-311X2012000400018
Abstract: prenatal care in traditional primary care units (ubs) and family health strategy units (esf) was evaluated by a cross-sectional study from july 2009 to february 2010 in santa maria, rio grande do sul state, brazil. seven hundred and ninety-five postpartum women who had received prenatal care in either of the two types of units were interviewed. four quality levels were used: level 1 (kessner index modified by takeda); level 2, which adds clinical obstetric procedures to level 1; level 3, which adds laboratory tests to level 1; and level 4, which includes all the above parameters. prenatal care in the family health strategy was superior to that of traditional primary care at all levels, with statistically significant differences in levels 1 and 2. pregnant women received more guidance and prenatal care was superior in the family health strategy. the study favored the family health strategy, but improvement is still needed in the performance of procedures and laboratory tests in order to enhance prenatal care and strengthen primary care.
Perfil do idoso dependente de cuidado domiciliar em comunidades de baixo nível socioecon?mico de Porto Alegre, Rio Grande do Sul
Del Duca,Giovani Firpo; Martinez,Aline de Deus; Bastos,Gisele Alsina Nader;
Ciência & Saúde Coletiva , 2012, DOI: 10.1590/S1413-81232012000500010
Abstract: the scope of this study was to estimate the prevalence of home care and to identify the demographic, socioeconomic, behavioral and health profile of dependent elderly individuals. the cross-sectional and representative delineation of the communities of restinga and extremo sul in porto alegre in the state of rio grande do sul included 638 elderly individuals. home care was defined as a positive answer to the following question: "do you have someone here in your home to take care of you?" the prevalence of home care was 49.5% (95% ci: 44.5; 54.5). children and spouses were responsible for the majority of home care (40.7% and 37%, respectively). men, unaccompanied and physically inactive individuals, of advanced age, lower educational level, higher economic level, functionally disabled and who had been hospitalized in the last year characterized the profile of the dependent elderly individual. the high prevalence of home care can serve as input for health services for the elderly. among all the characteristics, functional disability was the one most closely associated with home care.
Uso de servi?os ambulatoriais nos últimos 15 anos: compara??o de dois estudos de base populacional
Bastos, Gisele Alsina Nader;Santos, Iná S.;Costa, Juvenal Soares Dias da;Capilheira, Marcelo Fernandes;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000400009
Abstract: profound changes in the brazilian health system have occurred in the past few decades. data from two cross-sectional population-based studies carried out in 1992 (n = 1,657) and 2007 (n = 2,706), among individuals from 20-69 years, were compared aiming to describe changes in pelotas, brazil. prevalence of consultations in the past twelve and three months were calculated and stratified by gender. the most recent consultation was analyzed according to place and reason. utilization in the past year increased from 69.8% to 76.2% (p < 0.001) and in the past three months from 39.5% to 60.6% (p < 0.001). there was an increase in use of authorized services, except for black/brown people who mainly continued using public services (69% in 1992 and 61.8% in 2007). among men, preventive consultations increased more than ten-fold. in the past fifteen years, most of public demand was absorbed by authorized services. this absorption was not even, black/brown users remained in public services. the greatest increase in preventive consultations by males occurred in the low risk age group (20-39 years).
Prevalência de depress?o e fatores associados em comunidade de baixa renda de Porto Alegre, Rio Grande do Sul
Cunha, Ricardo Vivian da;Bastos, Gisele Alsina Nader;Duca, Giovani Firpo Del;
Revista Brasileira de Epidemiologia , 2012, DOI: 10.1590/S1415-790X2012000200012
Abstract: objective: to estimate the prevalence and demographic and socioeconomic factors associated with depression in adults and in the elderly in a low income community of porto alegre, rio grande do sul. methods: cross-sectional study of adults with > 20 years of age living in the health districts of restinga/extremo sul, porto alegre, rio grande do sul, between july and december 2009. the dependent variable was depression measured by the edinburgh postnatal depression scale. independent variables were sex, age, current marital status, educational level and economic level. the chi-square test was used for the crude analysis and poisson regression with robust variance for the adjusted analysis. results: among respondents, the prevalence of depression was 16.1% (95% ci: 14.9%, 17.4%). after adjusted analysis, we found that depression was associated with the female gender (pr = 2.38). in addition, there was a trend of higher occurrence of depression with increasing age and decreasing levels of schooling and income. conclusions: the values of the results for depression were similar to other population studies. specific attention should be given to women and individuals with low schooling.
Utiliza??o de servi?os médicos no sistema público de saúde no Sul do Brasil
Bastos,Gisele Alsina Nader; Duca,Giovani Firpo Del; Hallal,Pedro Curi; Santos,Iná S;
Revista de Saúde Pública , 2011, DOI: 10.1590/S0034-89102011005000024
Abstract: objective: to estimate the prevalence and analyze factors associated with the utilization of medical services in the public health system. methods: cross-sectional population-based study with 2,706 individuals aged 20-69 years carried out in pelotas, southern brazil, in 2008. a systematic sampling with probability proportional to the number of households in each sector was adopted. the outcome was defined by the combination of the questions related to medical consultation in the previous three months and place. the exposure variables were: sex, age, marital status, level of schooling, family income, self-reported hospital admission in the previous year, having a regular physician, self-perception of health, and the main reason for the last consultation. descriptive analysis was stratified by sex and the analytical statistics included the use of the wald test for tendency and heterogeneity in the crude analysis and poisson regression with robust variance in the adjusted analysis, taking into consideration cluster sampling. results: the prevalence of utilization of medical services in the three previous months was 60.6%, almost half of these (42.0%, 95%ci: 36.6;47.5) in public services. the most utilized public services were the primary care units (49.5%). in the adjusted analysis stratified by sex, men with advanced age and young women had higher probability of using the medical services in the public system. in both sexes, low level of schooling, low per capita family income, not having a regular physician and hospital admission in the previous year were associated with the outcome. conclusions: despite the expressive reduction in the utilization of medical health services in the public system in the last 15 years, the public services are now reaching a previously unassisted portion of the population (individuals with low income and schooling).
Uso regular de servi?os odontológicos entre adultos e idosos em regi?o vulnerável no sul do Brasil
Machado,Luciene Petcov; Camargo,Maria Beatriz Junqueira; Jeronymo,José Carlos Milanez; Bastos,Gisele Alsina Nader;
Revista de Saúde Pública , 2012, DOI: 10.1590/S0034-89102012000300015
Abstract: objective: to estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. methods: a population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in porto alegre, southern brazil, from july to december of 2009. a systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. the outcome for regular use of dental care services was defined as regular use of dental services, regardless of the presence of dental problems. a standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, self-perception of dental health and self-perceived needs variables. a chi-square test for heterogeneity was used for bivariate analyses, and a poisson regression with a robust variance and wald tests were performed for the adjusted analysis. results: the prevalence of regular use of dental services was 25.7%. the prevalence was higher among people with >12 years schooling (pr 2.48 [95%ci:1.96;3.15]), higher income (pr 1.95[95%ci: 1.03;1.53]), use of private health services (pr 1.43 [95%ci: 1.20;1.71]),excellent self-perceived oral health (pr 4.44 [95%ci: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (rp 2.13 [95%ci: 1.54;2.96]). conclusions: inequalities were found in the regular use of dental services. integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis.
Prevalência de pirose em Pelotas, RS, Brasil: estudo de base populacional
Nader, Farid;Costa, Juvenal Soares Dias da;Nader, Gisele Alsina;Motta, Gledis Lisiane Correa Luz;
Arquivos de Gastroenterologia , 2003, DOI: 10.1590/S0004-28032003000100007
Abstract: objective: estimation of the prevalence of heartburn in an adult population of pelotas, rs, brazil, once there is no national study done with adequate and specific statistic analysis. design: cross-sectional study in populational base. method: were included citizen over 20 years in samples obtained in 40 populational areas according to brazilian institute of geography and statistics. an uniform and precodified questionnaire was applied to all participants. a quality control was done using a simplified questionnaire in 10% of the people that were included in the sample. codification and the input of the data was done two times through the epi-info programme in order to minimize the consistency errors. the analysis of the figures was done in the spss programme and obtained comparations between the prevalence of heartburn in relation to demographic variables through the prevalence rate, confidence interval of 95% and the 'x - square test. also were analysed the figures of heartburn associated to meals and decubit position. results: among 1,263 persons included in the study were found rates of the heartburn prevalence of 48.2%, 32.2% and 18.2% in the last year, month and week, respectively. all forms of heartburn were associated to females with statistic significance. there was no association with age. the prevalence of heartburn associated with meals and decubit position in the last year was 33% and 16.6%, respectively. these association in the last month was 23% and 11.4% and in the last week was 14.3% and 7.2%, respectively. conclusions: the high prevalence found in this study should call attention to those persons which could be exposed to the risk of complications, as well as to those that have alterations in the life quality.
Prevalência de pirose em Pelotas, RS, Brasil: estudo de base populacional
Nader Farid,Costa Juvenal Soares Dias da,Nader Gisele Alsina,Motta Gledis Lisiane Correa Luz
Arquivos de Gastroenterologia , 2003,
Abstract: RACIONAL: Desconhece-se a prevalência da doen a do refluxo gastroesofágico no Brasil e em países latino-americanos, bem como de seu marcador mais específico: a pirose. O conhecimento desse parametro epidemiológico é importante pela influência eventual da enfermidade na qualidade de vida, bem como o risco de complica es. OBJETIVO: Estudar a prevalência de pirose na popula o adulta na cidade de Pelotas, RS. DELINEAMENTO: Estudo transversal de base populacional. PACIENTES E MéTODOS: Foram incluídos indivíduos a partir de 20 anos, residentes na zona urbana da cidade. Utilizou-se amostragem por conglomerados em 40 setores censitários do Instituto Brasileiro de Geografia e Estatística. Questionários padronizados e pré-codificados foram aplicados aos participantes. Realizou-se controle de qualidade aplicando-se questionários simplificados em 10% das pessoas incluídas na amostra. A codifica o e a entrada de dados através do programa Epi-Info foram realizadas duas vezes, com o intuito de diminuir os erros de consistência. A análise dos dados foi realizada através do programa SPSS, onde foram feitas compara es entre a prevalência de pirose em rela o às variáveis demográficas através das raz es de prevalências, intervalos de confian a a 95% e do teste do qui-quadrado. RESULTADOS: Entre as 1.263 pessoas incluídas no estudo, encontraram-se taxas de prevalências de pirose de 48,2%, 32,2% e 18,2% para o último ano, mês e semana, respectivamente. Todas as formas do desfecho pirose estavam associadas com o sexo feminino, de maneira estatisticamente significativa. Contudo, n o foi encontrada associa o com rela o à idade. CONCLUS ES: As elevadas prevalências encontradas neste estudo devem chamar a aten o para assistência médica a estes indivíduos, particularmente ao fato de que est o expostos a eventuais complica es da doen a do refluxo gastroesofágico.
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