Inquéritos populacionais estão no centro das atividades relevantes para a saúde pública. Atualmente tem-se interesse em compreender aspectos comportamentais influentes na mudança do quadro de saúde individual e coletiva, entre eles a atividade física. O objetivo do presente estudo é apresentar os resultados de prática de atividade física (AF) da Pesquisa Nacional por Amostra de Domicílios (PNAD) em 2008, conforme distribuição regional e características sociodemográficas. O convênio firmado entre o IBGE e o Ministério da Saúde foi responsável pelo levantamento suplementar de saúde. O tamanho de amostra foi de 292.553 pessoas. A prevalência de AF nos níveis recomendados no lazer foi de 10,5%, o mesmo percentual de indivíduos relatando deslocamento ativo para o trabalho. Homens e indivíduos mais jovens foram mais ativos e houve relação direta entre escolaridade e AF no lazer e inversa entre escolaridade e atividade física no deslocamento. Um em cada cinco brasileiros não pratica qualquer AF, e um em cada três assistem, em média, 3h ou mais de televisão por dia. Estes dados visam apoiar as políticas públicas no desenho de estratégias que promovam ações sustentadas de promoção da saúde, especialmente de AF, visando o alcance de resultados que influenciem positivamente na qualidade de vida da população.
This study uses data from a nationally representative household survey (the 2013 National Health Survey, n = 62,986) to describe patterns of alcohol consumption and related behaviors among Brazilian adults. Analyses include descriptive and multivariable Poisson regression for self-reports in the past 30 days of: drinking any alcohol, binge drinking, binge drinking 4 or more times, and driving after drinking (DD); as well as age of alcohol consumption initiation. Results show that current drinking prevalence was 26%, with an average age of initiation of 18.7 years. Binge drinking was reported by 51% of drinkers, 43% of whom reported binge drinking 4 or more times. Drinking and driving was reported by nearly one quarter of those who drive a car/motorcycle. Current drinking was more likely among males, ages 25–34, single, urban, and those with more education. Binge drinking was more likely among males, older age groups, and people who started drinking before 18. Drinking and driving was higher among males, those with more education, and rural residents. Those who binge-drink were nearly 70% more likely to report DD. All behaviors varied significantly among Brazilian states. Given their potential health consequences, the levels of injurious alcohol behaviors observed here warrant increased attention from Brazilian policymakers and civil society.
The results point to different health behavior according to gender, age and schooling of the population and reinforce the decreasing smoking trend and increasing overweight trend in Brazil.
OBJECTIVE: To analyze the temporal trend of leprosy indicators in a hyperendemic state of Brazil, from 2001–2015. METHODS:This is a time-series study of leprosy indicators in the state of Maranhão, Northeastern region of Brazil. The study used data from the Brazilian National System of Reportable Diseases, for the period between 2001 and 2015. The following indicators were evaluated: (i) detection coefficient in the general population; (ii) detection coefficient in people under 15 years old; (iii) rate of cases with grade 2 physical disability in the diagnosis; (iv) rate of examined contacts, and (v) proportion of healing . The Prais-Winsten regression model was used for trend analysis. Analyses were performed for the state and by each health region. RESULTS: 77,697 leprosy cases were analyzed in the general population and 7,599 in individuals under 15 years old. The detection coefficient in the general population ranged from 80.7/100 thousand inhabitants in 2001 to 51.2/100 thousand inhabitants in 2015. The coefficient in the general population presented a downward trend (annual percentage variation [APV] = -2.98; 95%CI -4.15– -1.79). For the population under 15 years old, the rate was 24.9/100 thousand inhabitants in 2001, and 19.9/100 thousand inhabitants in 2015, with downward trend (APV = -3.07; 95%CI -4.95– -1.15). It was observed upward trend in rate of contacts examined (APV = 2.35; 95%CI 0.58–4.15) and rate of cases with grade 2 disability (APV = 2.19; 95%CI 0.23–4.19). Stationary trend was observed in the proportion of healing (APV = -0.10; 95%CI -0.50–0.30). Regional differences were found in the performance of the indicators. CONCLUSIONS: A downward trend for the detection coefficients in the general population and in individuals under 15 years old was found in Maranhão. Despite this result, the rates are still very high, demanding efforts from all spheres of public administration and health professionals to reduce the burden of the disease in the state.
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