Contextual influence on poor self-rated health in patients with Chagas disease: multilevel study

Ferreira, Ariela Mota; Sabino, Éster Cerdeira; Silva, Léa Campos de Oliveira-da; Oliveira, Cláudia Di Lorenzo; Cardoso, Clareci Silva; Ribeiro, Antônio Luiz Pinho; Damasceno, Renata Fiúza; Leite, Sâmara Fernandes; Vieira, Thallyta Maria; Nunes, Maria Carmo P.; Haikal, Desirée Sant’Ana

doi:10.1590/1413-81232022277.01682022

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…The disease has high morbidity and mortality rates 2 and can lead to a high financial cost to health services 3 . It mainly affects socially vulnerable populations, with difficulties in accessing health services and low perception of health quality [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil

Rafael,

Ferreira,

Mota

et al. 2023

Rev. Inst. Med. trop. S. Paulo

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Chagas disease (CD) is a neglected disease caused by the protozoan Trypanosoma cruzi . It has high morbidity and mortality rates and mainly affects socially vulnerable populations. This is a cross-sectional study, with retrospective and prospective data collection. Using questionnaires applied to environmental surveillance coordinators, we characterized the status of CD surveillance activities in municipalities endemic for the disease in Northern Minas Gerais State (MG) and Jequitinhonha Valley (Vale do Jequitinhonha). Moreover, we spatialized the vulnerability index for chronic CD in the study area. The population consisted of 22 environmental surveillance coordinators, active in 2020, from Northern MG and Jequitinhonha Valley, 21 municipalities included in the SaMi-Trop research project, and Montes Claros municipality. After applying the questionnaires to the coordinators, a descriptive analysis of the variables was performed. To characterize the active municipalities, the explanatory variables collected in the questionnaire were compared with the dichotomous variable. Bivariate descriptive analysis was performed. Finally, geoprocessing techniques were used to spatialize the data and prepare maps. Regarding the team of endemic combat agents (ECA), 90.9% reported the lack of a specific team for CD vector control actions. Of the 22 municipalities participating in this study, nine were active (41.1%). Only 25% (n=2) of active municipalities (9% of the municipalities studied) met the target of visiting 50% of households per year. Finally, 81.1% of the coordinators stated that in their municipality, they developed actions linked to primary health care (PHC). The implementation of CD surveillance activities weakened in the endemic region. Few municipalities have a surveillance team, with low regularity of active surveillance and noncompliance with the program’s goal. The results suggest insufficient recording of activities in the information system, considering that there are municipalities that report performing the activities, but no production record was observed in the system.

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Section: Introductionmentioning

confidence: 99%

Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil

Rafael,

Ferreira,

Mota

et al. 2023

Rev. Inst. Med. trop. S. Paulo

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Current state, equality level and trends of self-rated health among old adults with intact physical condition

2023

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Background Self-rated health among old adults (SHOA) indicates individuals' subjective assessments and evaluations of their overall health based on objective physical circumstances. The purpose of this study was to analyze the current state and influencing factors of the subjective perception-based self-rated health (SH) by qualifying selected older adults with similar objective physical conditions, as well as to explore the equality and changing trends of SHOA based on influencing factors. Methods This study designed a cross-sectional study, conducted in three provinces in east, central and west China, and included 1,153 older adults (> = 60 years) with intact physical condition (IPC). The current state of SHOA and its influencing factors were analyzed using mean comparisons and Logistic regression (LR) models. The equality level and trend of SHOA's effect on health literacy, health habits, and access to health care were determined using the Lorenz curve, Gini coefficient, and Vector Autoregression (VAR) model. Results The mean SHOA with IPC was 74.37 ± 13.22. Findings from LR modeling indicated that SHOA with IPC was mainly influenced by age and communication methods (P < 0.05). It was also observed that the total Gini coefficient of the allocation of SHOA with IPC based on communication methods was equal to 0.0188, and the VAR results showed that the total effect of change in SHOA on health literacy among older adults was negative and its duration of the effect exceeded 50. Conclusions The SHOA with IPC was shown to be better and was primarily influenced by age and communication methods. The observed effect of SHOA on health literacy was negative and lasting. To improve SHOA with IPC even further, policymakers could consider promoting the use of modern and convenient communication methods (such as smartphones) through training and purchasing subsidies, as well as focusing on increasing sustained attention and promoting health literacy and behavior among older adults with improved SH.

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Contextual influence on poor self-rated health in patients with Chagas disease: multilevel study

Cited by 2 publications

References 46 publications

Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil

Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil

Current state, equality level and trends of self-rated health among old adults with intact physical condition

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