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- Celeste, Roger Keller, et al.
(författare)
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The relationship between levels of income inequality and dental caries and periodontal diseases
- 2011
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Ingår i: Cadernos de Saúde Pública. - 0102-311X .- 1678-4464. ; 27:6, s. 1111-1120
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to evaluate the association between income inequality at a lagged time of 2 and 11 years with two short latency outcomes (untreated dental caries and gingivitis) and two long latency outcomes (edentulism and periodontal attachment loss > 8mm). We used data from the Brazilian oral health survey in 2002-2003. Our analysis included 13,405 subjects aged 35-44 years. Different lagged Gini at municipal level were fitted using logistic and negative binomial multilevel analyses. Covariates included municipal per capita income, equivalized income, age, sex, time since last dental visit and place of residence (rural versus urban). Crude estimates showed that only untreated dental caries was associated with current and lagged Gini, but in adjusted models only current Gini remained significant with a ratio of 1.19 (95%CI: 1.09-1.30) for every ten-point increase in the Gini coefficient We conclude that lagged Gini showed no association with oral health; and current income Gini was associated with current dental caries hut not with periodontal disease.
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- Griep, Rosane Harter, et al.
(författare)
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Gender, work-family conflict, and weight gain: four-year follow-up of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
- 2022
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Ingår i: Cadernos de Saúde Pública. - : FapUNIFESP (SciELO). - 0102-311X .- 1678-4464. ; 38:4
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Tidskriftsartikel (refereegranskat)abstract
- This study sought to analyze the effect of work-to-family conflict (demands from work that affect one’s family/personal life), family-to-work conflict (demands from family/personal life that affect work), and lack of time for self-care and leisure due to professional and domestic demands on the incidence of weight gain and increase in waist circumference by gender in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Our study included 9,159 ELSA-Brasil participants (4,413 men and 4,746 women) who attended baseline (2008-2010) and the first follow-up visit (2012-2014). Weight gain and increase in waist circumference were defined as an annual increase ≥ 75th percentile, i.e., ≥ 1.21kg/year and ≥ 1.75cm/year, respectively for women; and ≥ 0.96kg/year and ≥ 1.41cm/year respectively for men. Associations were estimated by Poisson regression applying robust variance with the R software. Analyses were stratified by gender and adjusted for socioeconomic variables. Adjusted models showed a higher risk of weight gain among women who reported family-to-work conflict frequently and sometimes (relative risk - RR = 1.37 and RR = 1.15, respectively) and among those who reported frequent lack of time for self-care and leisure (RR = 1.13). Among men, time-based work-to-family conflict (RR = 1.17) and strain-based work-to-family conflict (RR = 1.24) were associated with weight gain. No associations were observed between work-family conflict domains and increase in waist circumference. These findings suggest that occupational and social health promotion programs are essential to help workers balance work and family life to reduce weight gain.
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- Ovretveit, J
(författare)
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Contemporary quality improvement
- 2013
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Ingår i: Cadernos de saude publica. - : FapUNIFESP (SciELO). - 1678-4464 .- 0102-311X. ; 29:3, s. 424-426
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Tidskriftsartikel (refereegranskat)
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- Tejada-Tayabas, LM, et al.
(författare)
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Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico
- 2015
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Ingår i: Cadernos de saude publica. - : FapUNIFESP (SciELO). - 1678-4464 .- 0102-311X. ; 31:1, s. 60-70
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first meeting. Two face-to-face sessions per participant lasting 60 minutes each were conducted followed by a telephone interview. Content and diachronic analyses were used. Three main itineraries were identified: (1) diagnostic process, (2) final diagnosis to treatment, and (3) cancer control and relapse. Findings suggested that infrastructure and human resources to adequately screen and timely diagnose breast cancer were scant and insufficiently trained, respectively. Deferral of medical assessment was related with lack of information about breast cancer consequences, with women being afraid of a positive result, and with economic constraints. The current screening program needs to be redesigned to prevent diagnostic delays, as these seem to explain the high frequency of advanced stages reported at the time of diagnosis.
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