Lifestyles and chronic non-transmissible diseases of the Brazilian population according to the National Health Survey: balance of the main results

Malta, Déborah Carvalho; Szwarcwald, Célia Landmann

doi:10.1590/1516-3180.2015.13340308

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…Some of these policies have included campaigns and approval of stricter anti-smoking laws that have shown significant results, such as the reduction in the number of smokers in the country: in 1989, 34.8% of the population over 18 years were smokers. In the last decade, according to data from the Protection and Risk Factors for Chronic Diseases by Telephone Inquiry (Vigitel)/2015, the prevalence found in Brazilian capitals was 10.5% 29 . These expressive results highlight the importance of the continuity and improvement of these policies in parallel with the adoption of other measures also necessary for the economic and social development of the country, such as urbanization planning involving the improvement of sanitary conditions in the surroundings of the big cities.…”

Section: Discussionmentioning

confidence: 99%

Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Corrêa

José

Malta

et al. 2017

Rev. bras. epidemiol.

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Section: Discussionmentioning

confidence: 99%

Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Corrêa

José

Malta

et al. 2017

Rev. bras. epidemiol.

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“…The sample size took into consideration the level of precision desired for the estimation of some indicators at different levels of group subdivision and population groups. 41,42 The final sample size was adjusted considering the design effect. The number of households estimated in the sampling was 81,167, with data being collected from 64,348 of them, thus accounting for a 20.8% of sample loss (8.1% of non-response).…”

Section: Methodsmentioning

confidence: 99%

Correlates of influenza vaccine uptake among community-dwelling older adults in Brazil

Andrade

Sato

Moura

et al. 2017

Human Vaccines & Immunotherapeutics

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This study aimed at assessing the factors associated with vaccine uptake in a representative sample of community-dwelling Brazilian older adults, specifically focusing on differences in socioeconomic factors among the country regions. We conducted a cross-sectional, population-based study, using a probabilistic household sample in 2013. Individuals aged 60 years or more answered a structured questionnaire informing on vaccination status and sociodemographic and behavioral covariates. Associations between variables were evaluated using prevalence ratios estimated by Poisson regression models. The overall vaccination coverage (72.6%) in older adults ranked lower than the goal of 80% stipulated by the Brazilian health authority; vaccine uptake differed significantly among the country regions. The prevalence of vaccination was lower in black individuals in Brazil than that in their white counterparts. The prevalence of vaccine uptake was significantly associated with covariates on current life style, use of health care, and socioeconomic determinants. Compared with individuals with 0-3 years of education, more schooled individuals had higher prevalence of vaccine uptake in the North, Northeast, and South regions of the country. This study showed that there is room for increasing vaccination coverage among the elderly in Brazil. The knowledge previously obtained on factors significantly associated with vaccine uptake has not prevented them to continue influencing this outcome. The socioeconomic inequality in vaccination in some Brazilian regions reinforces the need of targeting the intervention toward the most vulnerable groups.

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“…Brazil is an important country to study long‐term outcomes of PLHIV given its early availability of ART. Like many other middle‐income countries, the prevalence of a number of NCDs is increasing in the general population of Brazil . Whether NCD trends among PLHIV mirror temporal trends has not been well described.…”

Section: Introductionmentioning

confidence: 99%

Trends and predictors of non‐communicable disease multimorbidity among adults living with HIV and receiving antiretroviral therapy in Brazil

Castilho

Escuder²,

Veloso

et al. 2019

J Intern AIDS Soc

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IntroductionPeople living with HIV (PLHIV) on antiretroviral therapy (ART) experience high rates of non‐communicable diseases (NCDs). These co‐morbidities often accumulate and older adults may suffer from multimorbidity. Multimorbidity has been associated with loss of quality of life, polypharmacy, and increased risk of frailty and mortality. Little is known of the trends or predictors NCD multimorbidity in PLHIV in low‐ and middle‐income countries.MethodsWe examined NCD multimorbidity in adult PLHIV initiating ART between 2003 and 2014 using a multi‐site, observational cohort in Brazil. NCDs included cardiovascular artery disease, hyperlipidemia (HLD), diabetes, chronic kidney disease, cirrhosis, osteoporosis, osteonecrosis, venous thromboembolism and non‐AIDS‐defining cancers. Multimorbidity was defined as the incident accumulation of two or more unique NCDs. We used Poisson regression to examine trends and Cox proportional hazard models to examine predictors of multimorbidity.ResultsOf the 6206 adults, 332 (5%) developed multimorbidity during the study period. Parallel to the ageing of the cohort, the prevalence of multimorbidity rose from 3% to 11% during the study period. Older age, female sex (adjusted hazard ratio (aHR) = 1.30 (95% confidence interval (CI) 1.03 to 1.65)) and low CD4 nadir (<100 vs. ≥200 cells/mm3 aHR = 1.52 (95% CI: 1.15 to 2.01)) at cohort entry were significantly associated with increased risk of multimorbidity. Among patients with incident multimorbidity, the most common NCDs were HLD and diabetes; however, osteoporosis was also frequent in women (16 vs. 35% of men and women with multimorbidity respectively).ConclusionsAmong adult PLHIV in Brazil, NCD multimorbidity increased from 2003 to 2014. Females and adults with low CD4 nadir were at increased risk in adjusted analyses. Further studies examining prevention, screening and management of NCDs in PLHIV in low‐ and middle‐income countries are needed.

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Lifestyles and chronic non-transmissible diseases of the Brazilian population according to the National Health Survey: balance of the main results

Cited by 11 publications

References 14 publications

Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Correlates of influenza vaccine uptake among community-dwelling older adults in Brazil

Trends and predictors of non‐communicable disease multimorbidity among adults living with HIV and receiving antiretroviral therapy in Brazil

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