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Search Results: 1 - 10 of 558444 matches for " Josélia Oliveira Araújo; Uch?a "
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Projeto Bambuí: fatores associados ao conhecimento da condi??o de hipertenso entre idosos
Firmo, Josélia Oliveira Araújo;Ucha, 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;Ucha, 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.
Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos
Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;Ucha, 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; Ucha,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.
Projeto Bambuí: fatores associados ao conhecimento da condi o de hipertenso entre idosos
Firmo Josélia Oliveira Araújo,Ucha Elizabeth,Lima-Costa Maria Fernanda
Cadernos de Saúde Pública , 2004,
Abstract: O objetivo deste estudo foi determinar os fatores associados ao conhecimento da condi o de hipertenso entre idosos residentes na comunidade. Foram selecionados todos os 919 idosos (> 60 anos) hipertensos participantes da linha de base da coorte de Bambuí, Minas Gerais, Brasil. Destes, somente 76,6% sabiam ser hipertensos. As seguintes variáveis apresentaram associa es positivas e independentes com saber ser hipertenso: sexo feminino (OR = 2,04; 145-2,87), percep o da saúde como ruim/muito ruim (OR = 1,93; 1,16-3,20), tentativa de perder peso nos últimos 12 meses (OR = 1,86; 1,14-3,04), número de consultas médicas neste período (1-3: OR = 2,14, 1,34-3,41; > 4: OR = 2,23, 1,76-5,03) e menor tempo decorrido após a última medida da press o arterial (OR = 2,97, 1,69-4,93). Associa o negativa foi encontrada para faixa etária > 80 anos (OR = 0,40, 0,24-0,68). Estes resultados chamam a aten o para a importancia: (1) do acesso dos idosos aos servi os de saúde para que a sua condi o de hipertenso possa ser diagnosticada e tratada e (2) da informa o prestada por este servi o ao idoso para que este, sabendo ser hipertenso, possa aderir satisfatoriamente ao tratamento.
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.
Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos
Firmo Josélia Oliveira Araújo,Lima-Costa Maria Fernanda,Ucha Elizabeth
Cadernos de Saúde Pública , 2004,
Abstract: As maneiras de pensar e de agir de idosos frente à hipertens o arterial foram investigadas, utilizando-se uma abordagem antropológica baseada no modelo de Signos, Significados e A es 1. Participaram do trabalho 26 idos os (> 60 anos), selecionados aleatoriamente entre hipertensos participantes da linha de base da coorte de Bambuí. O eixo organizador das narrativas mostrou uma clara distin o entre "problema de press o" e "press o alta". A "press o alta" é desencadeada especialmente por problemas familiares e pode ser facilmente reconhecida pela identifica o de algumas manifesta es específicas; o que é considerado problemático é o momento em que a press o sobe, único momento em que as interven es s o vistas como necessárias. Desta forma, a importancia de buscar o tratamento ou seguir corretamente a prescri o médica fica dependente da identifica o de um aumento da press o, seja pela presen a de sintomas específicos, seja pela presen a de condi es subjetivas favoráveis à eleva o da press o arterial. Dificuldades financeiras para a obten o da consulta médica e para a aquisi o dos medicamentos s o também identificadas pelos idosos como fatores que dificultam o início ou a continuidade do tratamento da hipertens o arterial.
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,Ucha Elizabeth
Cadernos de Saúde Pública , 2005,
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.
Papel da autonomia na auto-avalia??o da saúde do idoso
Fonseca,Maria das Gra?as Ucha Penido; Firmo,Josélia Oliveira Araújo; Loyola Filho,Ant?nio Ignácio; Ucha,Elizabeth;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000100017
Abstract: objective: to understand the meanings attributed to self-assessment of health by the elderly. methods: qualitative study performed with 17 elderly individuals (> 70 years of age) of both sexes, living in the city of bambuí, southeastern brazil, in 2008. an anthropological approach based on the model of signs, meanings and actions, which associates individual actions, cultural codes and the macro-social context, was used. semi-structured interviews were conducted, focusing on self-assessment of health, description of health as "good" and "poor" and the criteria used by the elderly to rate their own health. analysis of results: the idea organizing reports associates self-assessment of health by the elderly with the "participating in life" and "being anchored in life" logics. the first logic has autonomy as its basic line of thinking, including the following categories: remaining active within advanced instrumental and functional abilities, being in charge of one's life (as opposed to being dependent on others), being able to solve problems and acting at will. the second logic unites the following categories: being able to interact, being engaged in meaningful relationships and being able to rely on family members, friends and neighbors. conclusions: health is understood by the elderly as having autonomy in the exercise of functional abilities required by society, such as the ability to meet family obligations and the ability to perform social roles. by defining their health as good or fair, the elderly individual is not characterized as someone free from diseases, but rather able to act over the environment.
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.
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