Juraci Cesar - Academia.edu (original) (raw)
Papers by Juraci Cesar
ABSTRACT: Objective: To measure the prevalence and to identify factors associated with overweight... more ABSTRACT: Objective: To measure the prevalence and to identify factors associated with overweight among children under five years old living in two municipalities in the semiarid region of Piaui, Brazil. Methods: Previously trained interviewers visited all of the households in these municipalities and applied standard questionnaires to the mothers of the children. The questionnaires sought information on: the demographic characteristics of the mother and children, the family’s socioeconomic status, care received during pregnancy and at childbirth, breastfeeding and dietary patterns. Overweight (>+ 1 standard deviation from the median to the reference population) was calculated transforming body mass index into Z scores, according to the standard by the World Health Organization (WHO). The statistical analysis was performed using Poisson regression with robust adjustment of variance. Results: The prevalence of overweight among the 1,640 children evaluated was of 30.2% (95%CI 27.9 ...
Revista de Saúde Pública
OBJETIVO Descrever a evolução da assistência à gestação e ao parto entre puérperas residentes no ... more OBJETIVO Descrever a evolução da assistência à gestação e ao parto entre puérperas residentes no município de Rio Grande (RS) utilizando dados de inquéritos realizados a cada três anos, entre 2007 e 2019. MÉTODOS Em até 48 horas após o parto foi aplicado questionário único, padronizado, a todas as mães que tiveram filhos nos hospitais locais e cumpriram os critérios de inclusão. Foram investigadas características demográficas e reprodutivas, hábitos de vida, nível socioeconômico da família e cuidados recebidos durante a gestação e o parto. Na análise, utilizou-se o teste qui-quadrado de tendência linear para avaliar a distribuição dos indicadores por inquérito. RESULTADOS Ao todo, 12.645 parturientes foram entrevistadas (98% do total de mulheres aptas a participar da pesquisa). No período avaliado, a proporção de partos caiu 35% entre adolescentes e aumentou 25% entre mulheres com 35 anos ou mais. As mães ganharam, em média, dois anos de escolaridade, e suas famílias tiveram importa...
Background: Urinary incontinence (UI) is a frequent pathology that causes significant harm to the... more Background: Urinary incontinence (UI) is a frequent pathology that causes significant harm to the well-being and quality of life of pregnant women. This study aimed to measure the prevalence and to identify factors associated with the occurrence of UI during pregnancy in women living in the municipality of Rio Grande (RS), Southern Brazil, in 2016. Methods: This is a cross-sectional population-based study that included all puerperae living in this municipality who had a child in one of the two local maternity hospitals between January 1 and December 31, 2016. The interviews were held at the hospital within 48 hours after delivery, when previously trained interviewers used a single, standardized questionnaire, seeking information on maternal demographic, behavioral and reproductive/obstetric history, as well as socioeconomic status of the household and care received during pregnancy and childbirth. The multivariate analysis followed a previously defined hierarchical model, using Pois...
Geriatrics, Gerontology and Aging
OBJETIVO: Este estudo mediu a prevalência e identificou fatores associados à ocorrência de incont... more OBJETIVO: Este estudo mediu a prevalência e identificou fatores associados à ocorrência de incontinência urinária (IU) entre idosos (60 anos ou mais) residentes na área rural de Rio Grande, Rio Grande do Sul. MÉTODO: Em abordagem única, entrevistadores visitaram de forma sistemática 80% dos domicílios da área rural desse município entre abril e outubro de 2017. Questionário padronizado foi aplicado aos idosos buscando informações sobre características demográficas, socioeconômicas, hábitos de vida e padrão de morbidade. Utilizou-se como medida de efeito a razão de prevalências (RP), o teste do c 2 para comparar proporções e a regressão do Poisson com ajuste da variância robusta na análise multivariável. RESULTADOS: Entre os 1.028 entrevistados (90,9% do total), 15,9% (IC95% 13,6-18,1) referiu IU. A análise ajustada mostrou que o risco de IU aumenta com a idade e é 3 vezes maior nas pessoas do sexo feminino, com RP = 3,72 (IC95% 2,66-5,21). Perceber seu estado de saúde como regular, ruim ou muito ruim mostrou RP = 1,68 (IC95% 1,25-2,26) e ter duas ou mais comorbidades tem RP = 1,73 (IC95% 1,17-2,55). CONCLUSÃO: Neste estudo, a prevalência de IU foi de 15,9%, sendo significativamente mais prevalente em mulheres, idosos acima de 65 anos, naqueles com duas ou mais morbidades e nos que percebem sua saúde como regular, ruim ou muito ruim. PALAVRAS-CHAVE: idoso; zona rural; incontinência urinária.
Cadernos de Saúde Pública
Lower socioeconomic level is positively related to multimorbidity and it is possible that the clu... more Lower socioeconomic level is positively related to multimorbidity and it is possible that the clustering of health conditions carries the same association. The aim of this study was to identify prevalence of multimorbidity and clusters of health conditions among elderly, as well the underlying socioeconomic inequalities. This was a cross-sectional population-based study carried out with 60-year-old individuals. Multimorbidity was defined as the presence of 2+, 3+, 4+ or 5+ health conditions in the same individual. Schooling levels and the National Economic Index were used to investigate inequalities in the prevalence of multimorbidities among elderly. Slope and concentration indexes of inequality were used to evaluate absolute and relative differences. A factorial analysis was performed to identify disease clusters. In every ten older adults, about nine, eight, seven and six presented, respectvely, 2+, 3+, 4+ and 5+ health conditions. Three clusters of health conditions were found, ...
Maternal and child health journal, Jan 13, 2018
Objective to evaluate women's knowledge about the best baby sleeping position and to identify... more Objective to evaluate women's knowledge about the best baby sleeping position and to identify factors associated with a greater probability of putting infants to sleep in an unsafe position, in Rio Grande, Southern Brazil. Method This is a cross-sectional population-based study that included all women who bore children in 2013 in this municipality. A single, standardized questionnaire was given within 48 h after delivery in the only two local maternity hospitals. The outcome was that women reported the lateral and the ventral decubitus as the best sleeping positions for babies. A Chi square test was used for proportions and Poisson regression was used with robust variance adjustment in the multivariate analysis. The prevalence ratio was the measure of effect used. Results We included 2624 women in this study. Of these, 82.1% (95% CI 80.6-83.6) stated that the baby should sleep in the lateral or ventral decubitus positions. 76.4% reported having acquired this knowledge from their...
Revista brasileira de epidemiologia = Brazilian journal of epidemiology
The use of ferrous sulfate is recommended for all pregnant women from the 20th week of gestation ... more The use of ferrous sulfate is recommended for all pregnant women from the 20th week of gestation to the 3rd month after delivery. To evaluate the coverage of ferrous sulfate among pregnant women and differentials according to demographic and socioeconomic variables. A cross-sectional population-based study with women who had children in Rio Grande, Rio Grande do Sul, Brazil, from January 1st to December 31st, 2013. Ferrous sulfate coverage was assessed according to maternal age, schooling, family income, and type of prenatal care. Statistical analysis included Pearson's χ2 test and Poisson regression. 2,685 postpartum women (97% of the total) were interviewed and the ferrous sulfate coverage was 63%. The largest relative differences were between the extreme maternal schooling groups (50%) and the type of medical care in prenatal care (72%). Women aged between 13 and 19 years were significantly associated with the use of supplement (RP = 1.16; 95%CI 1.08 - 1.25) when compared to ...
Ciencia & saude coletiva, 2018
This study aimed to identify mother's opinion on infant sleep position and the factors associ... more This study aimed to identify mother's opinion on infant sleep position and the factors associated with the intention to place the infant in the supine position in the municipality of Rio Grande, Southern Brazil. A standardized questionnaire was applied to all mothers residing in this municipality who gave birth to a child in the only two local maternity wards from January 1 to December 31, 2010. Chi-square test was used to compare proportions, along with a Poisson regression with robust adjustment in the multivariate analysis. The effect measure used was prevalence ratio (PR). Of the 2,395 mothers interviewed (972% of the total), 20.5% (95%CI: 18.4%-21.6%) intended to place the newborn to sleep in the supine position. This prevalence varied from 11% (95%CI: 8.1-13.7) for mothers with three or more children to 35% (CI95%: 31.1-40.2) among those with 12 or more years of schooling. After adjusted analysis, younger mothers with higher education and household income who performed pre...
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, 2018
to assess the diagnostic criteria and propose cutoff points for waist circumference (WC), arm cir... more to assess the diagnostic criteria and propose cutoff points for waist circumference (WC), arm circumference (AC), leg circumference (LC) and waist/height ratio (WHR) for overweight prediction in adolescents. a census with all individuals aged 13-19 years old (N=1,075) from the municipality of Caracol-PI, Brazil was carried out; overweight was defined as body mass index (BMI) above one z-score, according to the criterion of the World Health Organization. the cutoff points (in centimeters) of WC, AC, LC and WHR for overweight prediction were, respectively, 76.4, 26.4, 34.0 and 0.460 in males, and 74.6, 27.0, 34.5 and 0.475 in females; the area under the ROC curve was above 0.70 (males) and 0.90 (females). the anthropometric indicators assessed reached satisfactory diagnostic values for overweight prediction in adolescents from the Brazilian semi-arid region.
![Research paper thumbnail of [Postpartum depression: prevalence and associated factors]](https://attachments.academia-assets.com/78473844/thumbnails/1.jpg)
](Cadernos de saude publica, Jan 9, 2017
The aim was to identify the prevalence of postpartum depression and associated factors in women i... more The aim was to identify the prevalence of postpartum depression and associated factors in women in a medium-sized city in Southern Brazil during 2013. Trained female interviewers applied a standardized questionnaire to all participants in the city's two maternity hospitals. The study analyzed demographic, socioeconomic, behavioral, social support, and disease characteristics. Screening for depression was done within the first 48 hours postpartum, using the Edinburgh Scale with a cutoff of ≥ 10. Multivariate analysis used Poisson regression with robust variance. Of the 2,687 women interviewed, 14% (95%CI: 12.9-15.6) were identified with depression. Factors such as previous depression, third-trimester sadness, and family history of depression were associated with increased risk of postpartum depression, as were younger maternal age and multiparity. Social support from the health team for the pregnant woman was an important protective factor, reducing the prevalence of postpartum d...
Revista Brasileira de Saúde Materno Infantil
Objectives: to measure the prevalence and identify factors associated to the occurrence of cesare... more Objectives: to measure the prevalence and identify factors associated to the occurrence of cesarean section on demand in the municipality of Rio Grande, RS. Methods: all births that occurred in the two maternities between 01/01 to 12/31/2007, mothers who lived in the municipality were questioned on demographic and maternal reproductive characteristics, family socioeconomic level and health care received during pregnancy and childbirth. The outcome was constituted by cesarean section on demand, in other words, the request was from the parturient. In the analysis, Poisson regression was used with robust adjustment of the variance. The effect measurement used was the prevalence ratios (PR). Results: among the 2,557 parturients included in this study, 51.6% (CI95%:49.6%-53.5%) were submitted to cesarean sections, and 10.7% (CI95%:9.0%-12.4%) were on demand. After the adjustment based on previous hierarchical model, the variables showed significantly the association to the outcomes which...
Otolaryngology-Head and Neck Surgery
Objective 1) To systematically review the evidence for intranasal steroids in the treatment of na... more Objective 1) To systematically review the evidence for intranasal steroids in the treatment of nasal obstruction caused by adenoidal hypertrophy, in children. 2) To determine the risk of adverse events of treatment. Methods We performed a systematic review and metaanalysis following a specified protocol. Databases searched (May 2007) included Cochrane CENTRAL, MEDLINE, EM-BASE, CINAHL, AMED, LILACS, KoreaMed, IndMED, SIGLE, Cambridge Scientific s, mRCT, National Research Register, ISRCTN, and ISI Web of Science. Results 56 studies were identified, with 4 randomized controlled trials (RCTs) meeting the inclusion criteria. Trial 1: an 8-week crossover RCT demonstrating 4-weeks beclomethasone (336 mcg/day) showed a 45% reduction in symptom scores (p<0.01). Trial 2: a 4-week crossover RCT demonstrating a reduction in nasal obstruction index by 50% in patients treated with beclomethasone (400 micrograms/day) for 2 weeks…
Revista Brasileira de Saúde Materno Infantil, 2013
OBJETIVOS: avaliou-se o conhecimento materno sobre a posição do bebê dormir após campanha naciona... more OBJETIVOS: avaliou-se o conhecimento materno sobre a posição do bebê dormir após campanha nacional. MÉTODOS: aplicou-se questionário padronizado às mães que tiveram filho em 2010 em Rio Grande, RS. RESULTADOS: dentre as 2395 mães entrevistadas, 20% referiram conforme campanha o decúbito dorsal como a melhor posição para o bebê dormir. Destas, 39% disseram ter obtido este conhecimento junto à campanha nacional. Dentre aquelas que indicaram o decúbito lateral como posição correta, 74% disseram ter aprendido com suas mães. CONCLUSÕES: evidencia-se potencial impacto da campanha nacional e importante influência da avó materna sobre a opinião das mães em colocar o bebê para dormir em decúbito dorsal.
Revista Brasileira de Saúde Materno Infantil, 2011
OBJETIVOS: avaliar a assistência à gestação e ao parto entre o setor público e privado no municíp... more OBJETIVOS: avaliar a assistência à gestação e ao parto entre o setor público e privado no município de Rio Grande, RS. MÉTODOS: aplicou-se questionário padronizado a todas as gestantes residentes neste município que tiveram filho em 2007. Investigaram-se aspectos relativos a cuidados recebidos desde o início da gestação até o pós-parto imediato. A análise estatística consistiu da comparação de proporções nestes dois grupos através do teste de qui-quadrado. RESULTADOS: dentre os 2584 nascimentos cujas mães residiam no município, foram obtidas informações sobre 2557, o que representa 98,9% do total. Destas mães, 96% realizaram pelo menos uma consulta de pré-natal. Gestantes atendidas no setor privado iniciaram o pré-natal mais cedo, realizaram um maior número de consultas médicas, exame de sangue e ultrassonografia pélvica, exame ginecológico, das mamas e citopatológico de colo uterino. Gestantes do setor público realizaram maior número de exames de urina e sorologia para sífilis e fo...
Revista brasileira de epidemiologia = Brazilian journal of epidemiology
This study assessed the prevalence of depression and associated factors among Brazilian elderly i... more This study assessed the prevalence of depression and associated factors among Brazilian elderly in Arroio Trinta, Southern Brazil. During home visits, a questionnaire was administered to all people aged 60 or older living in the municipality in 2013. The Geriatric Depression Scale Short Form (GDS-15) was used. The χ 2 test was performed to compare proportions and Poisson regression with robust adjustment of variance in the multivariate analysis. The effect measure applied was the prevalence ratio. The prevalence of depression among 552 (out of 568) elderly studied was 20.4% (95%CI 17.3 - 23.8). An adjusted analysis conducted according to a predefined hierarchical model showed higher prevalence ratios of depression among females, single people, those with lower household income, smokers, and those who had been hospitalized in the 12 months preceding the interview. Engaging in leisure-time activities such as dances and religious activities or regular physical activity were protective ...
Rev Baiana Saude Publica, 1993
Anais Do Congresso Sul Brasileiro De Medicina De Familia E Comunidade, 2012
Diferenças na atenção ao pré-natal entre unidades de Estratégia Saúde da Família e unidades tradi... more Diferenças na atenção ao pré-natal entre unidades de Estratégia Saúde da Família e unidades tradicionais
Revista Brasileira De Epidemiologia, Mar 1, 2006
![Research paper thumbnail of [Hospitalization due to pneumonia: the influence of socioeconomic and pregnancy factors in a cohort of children in Southern Brazil]](https://attachments.academia-assets.com/78473869/thumbnails/1.jpg)
](Revistaâ De Saude Publica Journal of Public Health, Feb 1, 1997
Hospitalização por pneumonia: influência de fatores socioeconômicos e gestacionais em uma coorte ... more Hospitalização por pneumonia: influência de fatores socioeconômicos e gestacionais em uma coorte de crianças no Sul do Brasil Hospitalizations due to pneumonia: the influence of socioeconomic and pregnancy factors in a cohort of children in Southern Brazil
Revista Brasileira De Epidemiologia, 2003
ABSTRACT: Objective: To measure the prevalence and to identify factors associated with overweight... more ABSTRACT: Objective: To measure the prevalence and to identify factors associated with overweight among children under five years old living in two municipalities in the semiarid region of Piaui, Brazil. Methods: Previously trained interviewers visited all of the households in these municipalities and applied standard questionnaires to the mothers of the children. The questionnaires sought information on: the demographic characteristics of the mother and children, the family’s socioeconomic status, care received during pregnancy and at childbirth, breastfeeding and dietary patterns. Overweight (>+ 1 standard deviation from the median to the reference population) was calculated transforming body mass index into Z scores, according to the standard by the World Health Organization (WHO). The statistical analysis was performed using Poisson regression with robust adjustment of variance. Results: The prevalence of overweight among the 1,640 children evaluated was of 30.2% (95%CI 27.9 ...
Revista de Saúde Pública
OBJETIVO Descrever a evolução da assistência à gestação e ao parto entre puérperas residentes no ... more OBJETIVO Descrever a evolução da assistência à gestação e ao parto entre puérperas residentes no município de Rio Grande (RS) utilizando dados de inquéritos realizados a cada três anos, entre 2007 e 2019. MÉTODOS Em até 48 horas após o parto foi aplicado questionário único, padronizado, a todas as mães que tiveram filhos nos hospitais locais e cumpriram os critérios de inclusão. Foram investigadas características demográficas e reprodutivas, hábitos de vida, nível socioeconômico da família e cuidados recebidos durante a gestação e o parto. Na análise, utilizou-se o teste qui-quadrado de tendência linear para avaliar a distribuição dos indicadores por inquérito. RESULTADOS Ao todo, 12.645 parturientes foram entrevistadas (98% do total de mulheres aptas a participar da pesquisa). No período avaliado, a proporção de partos caiu 35% entre adolescentes e aumentou 25% entre mulheres com 35 anos ou mais. As mães ganharam, em média, dois anos de escolaridade, e suas famílias tiveram importa...
Background: Urinary incontinence (UI) is a frequent pathology that causes significant harm to the... more Background: Urinary incontinence (UI) is a frequent pathology that causes significant harm to the well-being and quality of life of pregnant women. This study aimed to measure the prevalence and to identify factors associated with the occurrence of UI during pregnancy in women living in the municipality of Rio Grande (RS), Southern Brazil, in 2016. Methods: This is a cross-sectional population-based study that included all puerperae living in this municipality who had a child in one of the two local maternity hospitals between January 1 and December 31, 2016. The interviews were held at the hospital within 48 hours after delivery, when previously trained interviewers used a single, standardized questionnaire, seeking information on maternal demographic, behavioral and reproductive/obstetric history, as well as socioeconomic status of the household and care received during pregnancy and childbirth. The multivariate analysis followed a previously defined hierarchical model, using Pois...
Geriatrics, Gerontology and Aging
OBJETIVO: Este estudo mediu a prevalência e identificou fatores associados à ocorrência de incont... more OBJETIVO: Este estudo mediu a prevalência e identificou fatores associados à ocorrência de incontinência urinária (IU) entre idosos (60 anos ou mais) residentes na área rural de Rio Grande, Rio Grande do Sul. MÉTODO: Em abordagem única, entrevistadores visitaram de forma sistemática 80% dos domicílios da área rural desse município entre abril e outubro de 2017. Questionário padronizado foi aplicado aos idosos buscando informações sobre características demográficas, socioeconômicas, hábitos de vida e padrão de morbidade. Utilizou-se como medida de efeito a razão de prevalências (RP), o teste do c 2 para comparar proporções e a regressão do Poisson com ajuste da variância robusta na análise multivariável. RESULTADOS: Entre os 1.028 entrevistados (90,9% do total), 15,9% (IC95% 13,6-18,1) referiu IU. A análise ajustada mostrou que o risco de IU aumenta com a idade e é 3 vezes maior nas pessoas do sexo feminino, com RP = 3,72 (IC95% 2,66-5,21). Perceber seu estado de saúde como regular, ruim ou muito ruim mostrou RP = 1,68 (IC95% 1,25-2,26) e ter duas ou mais comorbidades tem RP = 1,73 (IC95% 1,17-2,55). CONCLUSÃO: Neste estudo, a prevalência de IU foi de 15,9%, sendo significativamente mais prevalente em mulheres, idosos acima de 65 anos, naqueles com duas ou mais morbidades e nos que percebem sua saúde como regular, ruim ou muito ruim. PALAVRAS-CHAVE: idoso; zona rural; incontinência urinária.
Cadernos de Saúde Pública
Lower socioeconomic level is positively related to multimorbidity and it is possible that the clu... more Lower socioeconomic level is positively related to multimorbidity and it is possible that the clustering of health conditions carries the same association. The aim of this study was to identify prevalence of multimorbidity and clusters of health conditions among elderly, as well the underlying socioeconomic inequalities. This was a cross-sectional population-based study carried out with 60-year-old individuals. Multimorbidity was defined as the presence of 2+, 3+, 4+ or 5+ health conditions in the same individual. Schooling levels and the National Economic Index were used to investigate inequalities in the prevalence of multimorbidities among elderly. Slope and concentration indexes of inequality were used to evaluate absolute and relative differences. A factorial analysis was performed to identify disease clusters. In every ten older adults, about nine, eight, seven and six presented, respectvely, 2+, 3+, 4+ and 5+ health conditions. Three clusters of health conditions were found, ...
Maternal and child health journal, Jan 13, 2018
Objective to evaluate women's knowledge about the best baby sleeping position and to identify... more Objective to evaluate women's knowledge about the best baby sleeping position and to identify factors associated with a greater probability of putting infants to sleep in an unsafe position, in Rio Grande, Southern Brazil. Method This is a cross-sectional population-based study that included all women who bore children in 2013 in this municipality. A single, standardized questionnaire was given within 48 h after delivery in the only two local maternity hospitals. The outcome was that women reported the lateral and the ventral decubitus as the best sleeping positions for babies. A Chi square test was used for proportions and Poisson regression was used with robust variance adjustment in the multivariate analysis. The prevalence ratio was the measure of effect used. Results We included 2624 women in this study. Of these, 82.1% (95% CI 80.6-83.6) stated that the baby should sleep in the lateral or ventral decubitus positions. 76.4% reported having acquired this knowledge from their...
Revista brasileira de epidemiologia = Brazilian journal of epidemiology
The use of ferrous sulfate is recommended for all pregnant women from the 20th week of gestation ... more The use of ferrous sulfate is recommended for all pregnant women from the 20th week of gestation to the 3rd month after delivery. To evaluate the coverage of ferrous sulfate among pregnant women and differentials according to demographic and socioeconomic variables. A cross-sectional population-based study with women who had children in Rio Grande, Rio Grande do Sul, Brazil, from January 1st to December 31st, 2013. Ferrous sulfate coverage was assessed according to maternal age, schooling, family income, and type of prenatal care. Statistical analysis included Pearson's χ2 test and Poisson regression. 2,685 postpartum women (97% of the total) were interviewed and the ferrous sulfate coverage was 63%. The largest relative differences were between the extreme maternal schooling groups (50%) and the type of medical care in prenatal care (72%). Women aged between 13 and 19 years were significantly associated with the use of supplement (RP = 1.16; 95%CI 1.08 - 1.25) when compared to ...
Ciencia & saude coletiva, 2018
This study aimed to identify mother's opinion on infant sleep position and the factors associ... more This study aimed to identify mother's opinion on infant sleep position and the factors associated with the intention to place the infant in the supine position in the municipality of Rio Grande, Southern Brazil. A standardized questionnaire was applied to all mothers residing in this municipality who gave birth to a child in the only two local maternity wards from January 1 to December 31, 2010. Chi-square test was used to compare proportions, along with a Poisson regression with robust adjustment in the multivariate analysis. The effect measure used was prevalence ratio (PR). Of the 2,395 mothers interviewed (972% of the total), 20.5% (95%CI: 18.4%-21.6%) intended to place the newborn to sleep in the supine position. This prevalence varied from 11% (95%CI: 8.1-13.7) for mothers with three or more children to 35% (CI95%: 31.1-40.2) among those with 12 or more years of schooling. After adjusted analysis, younger mothers with higher education and household income who performed pre...
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, 2018
to assess the diagnostic criteria and propose cutoff points for waist circumference (WC), arm cir... more to assess the diagnostic criteria and propose cutoff points for waist circumference (WC), arm circumference (AC), leg circumference (LC) and waist/height ratio (WHR) for overweight prediction in adolescents. a census with all individuals aged 13-19 years old (N=1,075) from the municipality of Caracol-PI, Brazil was carried out; overweight was defined as body mass index (BMI) above one z-score, according to the criterion of the World Health Organization. the cutoff points (in centimeters) of WC, AC, LC and WHR for overweight prediction were, respectively, 76.4, 26.4, 34.0 and 0.460 in males, and 74.6, 27.0, 34.5 and 0.475 in females; the area under the ROC curve was above 0.70 (males) and 0.90 (females). the anthropometric indicators assessed reached satisfactory diagnostic values for overweight prediction in adolescents from the Brazilian semi-arid region.
Cadernos de saude publica, Jan 9, 2017
The aim was to identify the prevalence of postpartum depression and associated factors in women i... more The aim was to identify the prevalence of postpartum depression and associated factors in women in a medium-sized city in Southern Brazil during 2013. Trained female interviewers applied a standardized questionnaire to all participants in the city's two maternity hospitals. The study analyzed demographic, socioeconomic, behavioral, social support, and disease characteristics. Screening for depression was done within the first 48 hours postpartum, using the Edinburgh Scale with a cutoff of ≥ 10. Multivariate analysis used Poisson regression with robust variance. Of the 2,687 women interviewed, 14% (95%CI: 12.9-15.6) were identified with depression. Factors such as previous depression, third-trimester sadness, and family history of depression were associated with increased risk of postpartum depression, as were younger maternal age and multiparity. Social support from the health team for the pregnant woman was an important protective factor, reducing the prevalence of postpartum d...
Revista Brasileira de Saúde Materno Infantil
Objectives: to measure the prevalence and identify factors associated to the occurrence of cesare... more Objectives: to measure the prevalence and identify factors associated to the occurrence of cesarean section on demand in the municipality of Rio Grande, RS. Methods: all births that occurred in the two maternities between 01/01 to 12/31/2007, mothers who lived in the municipality were questioned on demographic and maternal reproductive characteristics, family socioeconomic level and health care received during pregnancy and childbirth. The outcome was constituted by cesarean section on demand, in other words, the request was from the parturient. In the analysis, Poisson regression was used with robust adjustment of the variance. The effect measurement used was the prevalence ratios (PR). Results: among the 2,557 parturients included in this study, 51.6% (CI95%:49.6%-53.5%) were submitted to cesarean sections, and 10.7% (CI95%:9.0%-12.4%) were on demand. After the adjustment based on previous hierarchical model, the variables showed significantly the association to the outcomes which...
Otolaryngology-Head and Neck Surgery
Objective 1) To systematically review the evidence for intranasal steroids in the treatment of na... more Objective 1) To systematically review the evidence for intranasal steroids in the treatment of nasal obstruction caused by adenoidal hypertrophy, in children. 2) To determine the risk of adverse events of treatment. Methods We performed a systematic review and metaanalysis following a specified protocol. Databases searched (May 2007) included Cochrane CENTRAL, MEDLINE, EM-BASE, CINAHL, AMED, LILACS, KoreaMed, IndMED, SIGLE, Cambridge Scientific s, mRCT, National Research Register, ISRCTN, and ISI Web of Science. Results 56 studies were identified, with 4 randomized controlled trials (RCTs) meeting the inclusion criteria. Trial 1: an 8-week crossover RCT demonstrating 4-weeks beclomethasone (336 mcg/day) showed a 45% reduction in symptom scores (p<0.01). Trial 2: a 4-week crossover RCT demonstrating a reduction in nasal obstruction index by 50% in patients treated with beclomethasone (400 micrograms/day) for 2 weeks…
Revista Brasileira de Saúde Materno Infantil, 2013
OBJETIVOS: avaliou-se o conhecimento materno sobre a posição do bebê dormir após campanha naciona... more OBJETIVOS: avaliou-se o conhecimento materno sobre a posição do bebê dormir após campanha nacional. MÉTODOS: aplicou-se questionário padronizado às mães que tiveram filho em 2010 em Rio Grande, RS. RESULTADOS: dentre as 2395 mães entrevistadas, 20% referiram conforme campanha o decúbito dorsal como a melhor posição para o bebê dormir. Destas, 39% disseram ter obtido este conhecimento junto à campanha nacional. Dentre aquelas que indicaram o decúbito lateral como posição correta, 74% disseram ter aprendido com suas mães. CONCLUSÕES: evidencia-se potencial impacto da campanha nacional e importante influência da avó materna sobre a opinião das mães em colocar o bebê para dormir em decúbito dorsal.
Revista Brasileira de Saúde Materno Infantil, 2011
OBJETIVOS: avaliar a assistência à gestação e ao parto entre o setor público e privado no municíp... more OBJETIVOS: avaliar a assistência à gestação e ao parto entre o setor público e privado no município de Rio Grande, RS. MÉTODOS: aplicou-se questionário padronizado a todas as gestantes residentes neste município que tiveram filho em 2007. Investigaram-se aspectos relativos a cuidados recebidos desde o início da gestação até o pós-parto imediato. A análise estatística consistiu da comparação de proporções nestes dois grupos através do teste de qui-quadrado. RESULTADOS: dentre os 2584 nascimentos cujas mães residiam no município, foram obtidas informações sobre 2557, o que representa 98,9% do total. Destas mães, 96% realizaram pelo menos uma consulta de pré-natal. Gestantes atendidas no setor privado iniciaram o pré-natal mais cedo, realizaram um maior número de consultas médicas, exame de sangue e ultrassonografia pélvica, exame ginecológico, das mamas e citopatológico de colo uterino. Gestantes do setor público realizaram maior número de exames de urina e sorologia para sífilis e fo...
Revista brasileira de epidemiologia = Brazilian journal of epidemiology
This study assessed the prevalence of depression and associated factors among Brazilian elderly i... more This study assessed the prevalence of depression and associated factors among Brazilian elderly in Arroio Trinta, Southern Brazil. During home visits, a questionnaire was administered to all people aged 60 or older living in the municipality in 2013. The Geriatric Depression Scale Short Form (GDS-15) was used. The χ 2 test was performed to compare proportions and Poisson regression with robust adjustment of variance in the multivariate analysis. The effect measure applied was the prevalence ratio. The prevalence of depression among 552 (out of 568) elderly studied was 20.4% (95%CI 17.3 - 23.8). An adjusted analysis conducted according to a predefined hierarchical model showed higher prevalence ratios of depression among females, single people, those with lower household income, smokers, and those who had been hospitalized in the 12 months preceding the interview. Engaging in leisure-time activities such as dances and religious activities or regular physical activity were protective ...
Rev Baiana Saude Publica, 1993
Anais Do Congresso Sul Brasileiro De Medicina De Familia E Comunidade, 2012
Diferenças na atenção ao pré-natal entre unidades de Estratégia Saúde da Família e unidades tradi... more Diferenças na atenção ao pré-natal entre unidades de Estratégia Saúde da Família e unidades tradicionais
Revista Brasileira De Epidemiologia, Mar 1, 2006
Revistaâ De Saude Publica Journal of Public Health, Feb 1, 1997
Hospitalização por pneumonia: influência de fatores socioeconômicos e gestacionais em uma coorte ... more Hospitalização por pneumonia: influência de fatores socioeconômicos e gestacionais em uma coorte de crianças no Sul do Brasil Hospitalizations due to pneumonia: the influence of socioeconomic and pregnancy factors in a cohort of children in Southern Brazil
Revista Brasileira De Epidemiologia, 2003