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Search Results: 1 - 10 of 102326 matches for " Lima-Costa Maria Fernanda "
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Estilos de vida e uso de servi?os preventivos de saúde entre adultos filiados ou n?o a plano privado de saúde (inquérito de saúde de Belo Horizonte)
Lima-Costa,Maria Fernanda;
Ciência & Saúde Coletiva , 2004, DOI: 10.1590/S1413-81232004000400008
Abstract: this study aimed at examining the associations among private health plan affiliation and health lifestyles, medical counseling about alcohol consumption and tobacco, as well as preventive health care use. the study was carried out in a representative sample of 13,851 residents in the metropolitan area of belo horizonte (rmbh), aged > 20 years. from these, 34% were covered by a private health plan and 66% were under exclusive public coverage. the former, in comparison with the latter, had healthy lifestyles, regarding current smoking, binge drinking, physical activities during leisure time and consumption of fruits, green and vegetables on daily basis. they had also received more frequent medical advice about smoking and drinking habits. the prevalences of those who received blood pressure and cholesterol assessments, mammography, papanicolau test, as well as fecal occult blood test, were significantly higher among those who were affiliated to a private health plan. all the above mentioned associations were independent of sex, age, and schooling. our results point to the urgent need of overcoming these inequities.
Fatores associados à vacina??o contra gripe em idosos na regi?o metropolitana de Belo Horizonte
Lima-Costa,Maria Fernanda;
Revista de Saúde Pública , 2008, DOI: 10.1590/S0034-89102008000100013
Abstract: objective: to assess the prevalence and factors associated to influenza vaccine in community-dwelling older adults. methods: the study was conducted in belo horizonte metropolitan area (4.4 million inhabitants), brazil, in a probabilistic sample of 1,786 community-dwelling subjects aged>60 years. the dependent variable was self-reported influenza vaccination in the previous 12 months. independent variables included sociodemographic characteristics, lifestyle, self-reported health status and utilization of health services. results: vaccination coverage was 66.3%. the following variables were independently associated with vaccination: age group (70-79 e>80 years; adjusted prevalence ratios [pr] = 1.20 and 1.18, respectively), physical activity 6-7 days a week in the past 90 days (pr= 1.16); blood pressure measurements in the last 2 years (pr=2.37) and medical visits in the previous 12 months (1 and>2 visits; pr=1.28 e 1.32, respectively). a negative association was found for being single (pr=0.82). conclusions: the study results showed that vaccination coverage was close to that recommended (70%) by the brazilian ministry of health. they also showed a multidimensional structure of factors associated with vaccination including demographic characteristics, healthy lifestyle and utilization of health services.
Horizontal equity in health care utilization in Brazil, 1998–2008
James Macinko, Maria Fernanda Lima-Costa
International Journal for Equity in Health , 2012, DOI: 10.1186/1475-9276-11-33
Abstract: Data are from nationally representative surveys repeated in 1998, 2003, and 2008. We apply established methods for assessing horizontal inequity in healthcare access (the principle that people with the same healthcare needs should have similar access to healthcare services). Horizontal inequity is calculated as the difference between observed healthcare utilization and utilization predicted by healthcare needs. Outcomes examined include the probability of a medical, dental, or hospital visit during the past 12?months; any health service use in the past two weeks; and having a usual source of healthcare. We use monthly family income to measure differences in socioeconomic position. Healthcare needs include age, sex, self-rated health, and chronic conditions. Non-need factors include income, education, geography, health insurance, and Family Health Strategy coverage.The probability of having at least one doctor visit in the past 12?months became substantially more equitable over time, ending with a slightly pro-rich orientation in 2008. Any hospitalization in the past 12?months was found to be pro-poor in all periods but became slightly less so in 2008. Dental visits showed the largest absolute decrease in horizontal inequity, although they were still the most inequitably (pro-rich) distributed outcome in 2008. Service use in the past two weeks showed decreased inequity in 2003 but exhibited no significant change between 2003 and 2008. Having a usual source of care became less pro-rich over time and was nearly income-neutral by 2008. Factors associated with greater inequities include income, having a private health plan, and geographic location. Factors associated with greater equity included health needs, schooling, and enrolment in the Family Health Strategy.Healthcare utilization in Brazil appears to have become increasingly equitable over the past 10?years. Although this does not imply that equity in health outcomes has improved correspondingly, it does suggest th
Saúde pública e envelhecimento
Lima-Costa Maria Fernanda,Veras Renato
Cadernos de Saúde Pública , 2003,
Abstract:
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.
Auto-avalia??o da saúde bucal entre adultos e idosos residentes na Regi?o Sudeste: resultados do Projeto SB-Brasil, 2003
Matos, Divane Leite;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006000800018
Abstract: the aim of this study was to determine which characteristics (predisposing and enabling, oral health, perceived need for dental treatment, and behavior) are independently associated with self-rated oral health among adults and older adults in southeast brazil. the study was based on 3,240 participants in the sb-brasil project/ southeast. the characteristics of those who rated their oral health as good/very good were compared to those who rated it as fair, poor, or very poor. the following characteristics were significantly and independently associated with better self-rated oral health among adults: monthly household income > us$ 60.00, no current perceived need for dental treatment, place of residence in cities with > 50,000 inhabitants, and visit to the dentist > 3 years previously. among older adults the factors were: monthly household income > us$ 60.00, no current perceived need for dental treatment, and 1-19 permanent teeth. our results confirm those observed in other countries, showing associations between self-rated oral health and predisposing and enabling factors, oral health, perceived need for dental treatment, and behavior.
Birth cohort differences in physical functioning levels among elderly Brazilians: findings from the Bambuí cohort study of aging (1997-2008)
Oliveira, Cesar Messias de;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500015
Abstract: the aim of this study was to investigate the cohort differences in physical functioning levels among the older (cohort members born in 1916-1926 and in 1927-1937) participants of the bambuí cohort study of aging. the data came from participants aged 71-81 who took part at baseline in 1997 (n = 491) and in the 11th wave in 2008 (n = 620). the physical functioning variables included the following self-reported measures: activities of daily living, the instrumental activities of daily living and mobility. poisson regression analyses were used to investigate the cohort year differences in physical functioning levels. overall, the young cohort (2008) showed better levels of physical functioning compared to the older cohort (1997) across all three measures of physical functioning used.
Prevalência e fatores associados à realiza??o da mamografia na faixa etária de 50-69 anos: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (2003)
Lima-Costa, Maria Fernanda;Matos, Divane Leite;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007000700018
Abstract: this study was developed to estimate the prevalence and factors associated with mammograms among brazilian women, based on data from the national household sample survey (pnad) in 2003. 16,570 and 10,722 women aged 50-59 and 60-69 years participated in the study. 43% of participants aged 50-69 years had received a mammogram in the previous two years. the rate was lower among older women (37%) as compared to the younger group (46%). in both age groups, having received a mammogram in the previous two years was positively and independently associated with urban residence, region of residence, years of schooling, family income, papanicolaou exam, number of physician visits, and health plan coverage. the results showed that the prevalence of mammograms in the previous two years is low among older brazilian women, mainly in the 60-69-year group. the study identified striking inequalities in mammogram coverage. further research is needed to better understand the reasons for such inequalities and thus help overcome them.
Tendência na utiliza??o de servi?os odontológicos entre idosos brasileiros e fatores associados: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (1998 e 2003)
Matos, Divane Leite;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007001100021
Abstract: the objective of this study was to determine the prevalence and associated factors in the use of dental services by elderly brazilians in 1998 and 2003. the andersen & newman model was used as the conceptual basis for the research. 28,943 and 35,040 elderly participants from the 1998 and 2003 national household surveys were included in the study. elders who had visited the dentist during the previous year were compared to those who had never been to the dentist, using multinomial logistic regression. prevalence of dental visits in the previous year increased from 13.2 to 17.4%. predisposing factors (gender, age, and schooling), need factors (general health perception), and enabling factors (per capita household income, health insurance coverage, rural/urban residence, and geographic macro-region) were independently and significantly associated with use of dental services. important social disparities were also observed, highlighting the need for policies to reduce such inequalities.
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