Marcos Pascoal Pattussi | Unisinos (original) (raw)

Papers by Marcos Pascoal Pattussi

Research paper thumbnail of Prevalence of Temporomandibular Disorders in an Adult Brazilian Community Population Using the Research Diagnostic Criteria (Axes I and II) for Temporomandibular Disorders (The Maringá Study)

International Journal of Prosthodontics, Nov 1, 2015

The primary objective of this study was to assess the prevalence of temporomandibular disorders (... more The primary objective of this study was to assess the prevalence of temporomandibular disorders (TMDs) and comorbid factors (sleep bruxism and headaches). This study was a cross-sectional population survey in the city of Maringá, state of Paraná, Brazil. Materials and Methods: Axes I and II of the Research Diagnostic Criteria for TMD (RDC/TMD) were used for assessment of TMD signs and symptoms. The population was users of the Brazilian public health system (SUS), of both sexes, between the ages of 20 and 65 years, and not seeking treatment for TMD. Results: The selected population (N = 1,643) was composed mostly of (a) women (65.9%), (b) married or single individuals (90.6%), (c) Caucasians (70.1%), (d) individuals aged 32.7 ± 10.3 years, (e) individuals earning a medium income (75.1%), and (f) those who had completed a high school education or higher (79.9%). According to the chronic pain grade classification (CPG) in the RDC/TMD Axis II, 36.2% of the population had some degree of TMD pain (CPG I to IV); however, only 5.1% had severe limitation due to pain (CPG III or IV). In the RDC/TMD Axis I diagnoses, 29.5% presented with muscle disorders (group I), 7.9% with disk displacements (group II), and 39.1% with other joint disorders (group III). Headaches were present in 67.9% and awake and sleep bruxism in 30% and 33.4% of the population, respectively. The prevalence of signs and symptoms of TMD was high in this population, but with low disability; however, the proportion of patients in need of treatment was much lower.

Research paper thumbnail of Sunburn in Brazilian college students and associated factors

Aletheia

Excessive exposure to solar radiation is an essential determinant of skin cancer. The cross-secti... more Excessive exposure to solar radiation is an essential determinant of skin cancer. The cross-sectional and census study aimed to determine the prevalence of sunburn in a recall for the last year and associated factors among university students. Participants were 2,295 health students aged 18 years or older from a University in the Brazilian Midwestern region in 2018. A pre-tested, standardized, and self-administered questionnaire was applied, using Poisson regression with robust variance. Sunburn was reported by 43.9% (95%CI 41.9-46.0) of the sample, with a higher prevalence among men. White people from a high economic class, higher skin sensitivity, and most frequently wearing a hat/cap showed a higher occurrence of sunburn. Analysis by sex indicated that sunburn was associated with increased skin sensitivity among men. The prevalence of sunburn among university students is high, which highlights the need for educational and skin cancer prevention strategies in this population.

Research paper thumbnail of Perfil Sociodemográfico, Comportamental e Autopercepção da Condição de Saúde de Adultos do Distrito Ferraria, Campo Largo, Paraná, Brasil Sociodemographic, Behavorial Profile and Self-Perception of the Health Condition of Adults of the Ferraria District, Campo Largo, State of Paraná, Brazil

Revista Naval de Odontologia, 2021

O objetivo da presente pesquisa foi traçar o perfil sociodemográfico, comportamental e a autoperc... more O objetivo da presente pesquisa foi traçar o perfil sociodemográfico, comportamental e a autopercepção da condição de saúde de moradores adultos do Distrito Ferraria, localizado no município de Campo Largo, Paraná, Brasil. Com desenho transversal de base populacional, aplicou-se um questionário aos residentes, composto de dados socioeconômicos (classe social, escolaridade, profissão e renda), demográficos (sexo, cor da pele, idade e estado civil) e comportamentais (consumo de álcool, atividade física e morbidades), além da autopercepção da condição de saúde, de moradia e segurança. Os dados obtidos foram tabulados e expressos em frequências. Um total de 373 indivíduos foi avaliado, com média de idade de 48,9 anos. A maioria foi composta de mulheres (73,2%) e de brancos (63,5%), com ensino fundamental incompleto, e média de renda familiar de R$ 1928,25. No momento da coleta, 32,2% se encontravam desempregados. Quanto à qualidade de vida, 57,6% a avaliaram como boa. Dentre as condições de saúde e hábitos comportamentais, destacaram-se os casos de hipertensão (42,0%) e uso de cigarro (70,0%). Em relação às condições de moradia, a maioria (n = 265; 76,0%) relatou estar "satisfeito" e "muito satisfeito", enquanto em relação à segurança durante o dia e à noite, as respostas se concentraram na categoria "às vezes", em ambas. Concluiu-se que o perfil da amostra analisada condiz com o de localidades que tem certo grau de satisfação, mas que ainda carece de melhorias em diversos aspectos, sendo eles sociais, econômicos e de infraestrutura. Este estudo poderá ser útil para o direcionamento de ações das organizações responsáveis pelas demandas mais urgentes dessa comunidade.

Research paper thumbnail of Análisis multinivel de la autopercepción de la salud oral y factores asociados en adultos del sur de Brasil: un estudio transversal

Cadernos De Saude Publica, 2015

Research paper thumbnail of Neighbourhood social capital and oral health in adolescents

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Research paper thumbnail of Análise em multinível da autopercepção em saúde bucal e fatores associados em adultos do Sul do Brasil: um estudo transversal

Cadernos De Saude Publica, 2015

The aim of this study was to evaluate the association between individual and contextual variables... more The aim of this study was to evaluate the association between individual and contextual variables related to self-perception in oral health among residents in the municipality of São Leopoldo, Rio Grande do Sul State, Brazil. The cross-sectional design involved 1,100 adults in 38 census tracts. The self-perception was evaluated using the Oral Health Impact Profile (OHIP-14) tool. A logistic multilevel analysis was performed. The multivariate analysis revealed that those who are of the female gender, older, with lower scores of quality of life and less social support, with poor healthy eating habits, smokers and those living in low-income census tracts presented higher odds of reporting worse oral health self-perception (OHIP-1). We concluded that individual and contextual variables are associated with oral health self-perception. This is essential information for planning health services wishing to meet the health needs of the population.

Research paper thumbnail of Psychosocial aspects and self-reporting of cardiovascular diseases in Brazilian adults

Psychology Health & Medicine, Aug 13, 2019

The study aimed to evaluate the effect of psychosocial aspects on self-reporting of cardiovascula... more The study aimed to evaluate the effect of psychosocial aspects on self-reporting of cardiovascular diseases (CVDs). The hypotheses were that psychosocial aspects have a direct or indirect effect on health behaviors, cardiovascular disease risk factors (CVDRFs) and CVDs. A cross-sectional population-based study was conducted with a representative sample of 1100 adults from the urban area of a medium-sized municipality in southern Brazil. Structured interviews were conducted using a standardized and pre-tested questionnaire. The psychosocial aspects included scales of resilience, quality of life, sense of coherence and social support. The outcomes were CVDs and CVDRFs measured by single items asking participants whether a physician had stated that they had heart disease, high blood pressure or high cholesterol/triglycerides or were overweight (BMI≥25 kg/m 2). Data analysis was based on structural equation models. The final model exhibited good fit : (χ 2 [57] = 155, p < 0.001, root-mean-square error of approximation [RMSEA] = 0.042, confirmatory fit index [CFI] = 0.902 and standardized root-mean-square residual [SRMR] = 0.042). Consistent with our direct effect hypothesis, favorable psychosocial aspects were inversely associated with CVDRFS (β = −0.15, p = 0.011) and with CVDs (β = −0.10, p = 0.048). The indirect effect through health behaviors was not confirmed. The findings suggest that psychosocial aspects may influence the presence of self-reported CVDs or CVDRFS.

Research paper thumbnail of Self-rated oral health and associated factors in Brazilian elders

Community Dentistry and Oral Epidemiology, Apr 7, 2010

The fast growth of the older adult population is a worldwide phenomenon. It poses challenges to h... more The fast growth of the older adult population is a worldwide phenomenon. It poses challenges to health and social policy-makers because of the changing burden of chronic diseases and the marked inequalities in oral health status and access to dental care of this population (1, 2). Older adults have an increased likelihood of having physically, medically or pharmaceutically compromising conditions that will affect their oral health (3). They usually experience higher rates of tooth loss, dental caries, periodontal disease, xerostomia and oral cancer (1, 3, 4). These conditions are usually chronic, widespread and occasionally very disruptive (1), yet they usually have restricted access to oral health care in Brazil (5-7) and in the world (1, 4, 8). Self-rating provides a simple direct way of capturing perceptions of health and oral health that is valid, reliable and cost-effective (9). International studies have identified several factors associated with self-rated oral health in elders. Higher rates of poor self-rated oral health have been found in elders with low educational attainment ⁄ income, with higher numbers of missing ⁄ carious teeth and in those reporting unfavourable dental appearance, dental pain, treatment need, reduced chewing ability, poor self-rated health, low self-esteem and life satisfaction (2, 10-17). Recent studies carried out in Brazil reported similar results. Poor self-perception of oral health has been associated with low social class, low income, women, depression, perception of treatment need,

Research paper thumbnail of Associated factors with metabolic syndrome in shift workers

Sleep Medicine, Dec 1, 2013

Introduction: This study investigated the prevalence of metabolic syndrome (MS) and its associati... more Introduction: This study investigated the prevalence of metabolic syndrome (MS) and its association with demographic, socioeconomic and behavioral factors in shift workers. Materials and methods: A cross-sectional study was conducted on a sample of 902 shift workers of both sexes in a poultry processing plant in Southern Brazil. The diagnosis of MS was determined according to the recommendations from ''Harmonizing the Metabolic Syndrome''; and its distribution was evaluated according to the demographic (gender, skin color, age and marital status) socioeconomic (schooling, income and work shift) and behavioral characteristics (smoking, alcohol intake, leisure physical activity, number of meals and sleep duration) of the sample. The multivariate analysis followed a theoretical framework for determining MS on shift workers.

Research paper thumbnail of Anos potenciais de vida perdidos por aids no sexo feminino, no Sul do Brasil: estudo descritivo, 2007-2017

Epidemiologia e Serviços de Saúde, 2022

Objetivo: descrever os anos potenciais de vida perdidos (APVPs) por aids na população do sexo fem... more Objetivo: descrever os anos potenciais de vida perdidos (APVPs) por aids na população do sexo feminino e analisar sua associação com raça/cor da pele e indicadores de vulnerabilidade social em Porto Alegre/RS, Brasil. Métodos: estudo descritivo, considerando-se os óbitos do sexo feminino por aids em 2007-2017; os dados foram obtidos no banco do Sistema de Informações sobre Mortalidade; foram calculados valores brutos e taxas de APVPs por 1 mil óbitos, considerando-se os distritos sanitários e a raça/cor da pele. Resultados: entre 1.539 óbitos, foram estimados cerca de 51 mil anos potenciais de vida, representando 86,5 anos perdidos/1 mil pessoas do sexo feminino; identificou-se maior proporção de óbitos naquelas de raça/cor da pele branca (53,4%); porém, maior taxa de APVPs ocorreu para as de raça/cor da pele preta/parda residentes em regiões de maior vulnerabilidade. Conclusão: os resultados sugerem o impacto de desigualdades raciais na diminuição dos anos potenciais de vida, em função do óbito por aids.

Research paper thumbnail of Evidências de validade da Escala Multidimensional de Suporte Social Percebido (EMSSP) em universitários

Ciencia & Saude Coletiva, Nov 1, 2022

Resumo O apoio social se refere aos recursos sociais percebidos como disponíveis à pessoa e tem s... more Resumo O apoio social se refere aos recursos sociais percebidos como disponíveis à pessoa e tem sido fortemente associado a desfechos em saúde física e mental. O estudo atual objetivou avaliar a consistência interna, a validação de construto e a confiabilidade teste-reteste da Escala Multidimensional de Suporte Social Percebido (EMSSP) em universitários do Centro Oeste brasileiro. As análises fatoriais exploratória e confirmatória foram realizadas com duas amostras aleatórias e independentes, ambas de 1.147 universitários da área da saúde. O estudo teste-reteste foi realizado com uma amostra de 347 estudantes de medicina e duas coletas com intervalo de 14 dias entre elas. A melhor solução foi com três fatores: família, amigos, e outros significativos, os quais apreesentaram cargas fatoriais variando entre 0,767 a 0,950 e consistência interna elevada (alfa de Cronbach de 0,96, 0,97 e 0,97, respectivamente). O ajustamento para essa solução foi adequado (χ2(g.l.)=380 (49), p<0,001; SRMR: 0,023; RMSEA: 0,077; CFI: 0,993; TLI: 0,990). A confiabilidade teste-reteste foi moderada (Kappa ponderado variando de 0,36 a 0,52). Os resultados sugerem que a EMSSP possui propriedades psicométricas aceitáveis para seu uso com universitários.

Research paper thumbnail of Study on the association between sleep disorders versus oral health related variables

Medicina Oral Patologia Oral Y Cirugia Bucal, 2021

Background: To study the association between sleep quality and oral health related variables, whi... more Background: To study the association between sleep quality and oral health related variables, which still have conflicts in the literature. Material and Methods: This was a population-based case-control study between subjects with versus without sleep disorders from the Brazilian Public Health System (SUS), city of Maringá (N=1,643). Subjects answered self-reported questionnaires: a) Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), b) Sleep Assessment Questionnaire (SAQ) and c) North York Dental Health Survey (NYDHS). Results: No significant difference was found for gender, marital status, or income; however, non-Caucasians, people with lower levels of education, and those between 20 to 50 years old had worse scores of sleep disorders in the SAQ. Self-perceived oral health, masticatory capacity to eat foods, and gingival bleeding was significantly worse among subjects with self-reported sleep disorders. Self-reported tooth loss, edentulism and use of removable partial dentures (with clasps) or complete dentures showed no significant difference between groups. Self-reported sleep disorder subjects presented significantly higher prevalence of both self-reported tooth and TMJ pain. Conclusions: It can be concluded that individuals with self-reported sleep disorders presented worse self-perceived oral health for most studied variables.

Research paper thumbnail of Individual and neighbourhood social capital and all-cause mortality in Brazilian adults: a prospective multilevel study

Public Health, May 1, 2016

OBJECTIVE The relationship between social capital and mortality is not clear-cut. There have been... more OBJECTIVE The relationship between social capital and mortality is not clear-cut. There have been few longitudinal studies investigating this association so far. The objective was to assess the effect of different dimensions of social capital on mortality among adults of a Brazilian city. STUDY DESIGN This is a prospective multilevel study. Baseline data were obtained from a population-based random sample of 846 adults (aged 18 years or more) residing in 38 neighbourhoods (census blocks). METHODS Participants were interviewed in 2006-7 and their vital status investigated in 2013. Social capital was assessed by five scales (social cohesion, informal social control, neighbours' support, social action and political efficacy). The outcome was all-cause mortality. Data analysis used multilevel logistic regression models. RESULTS At the individual level social cohesion was positively related to mortality in the unadjusted model but this association lost significance after adjustment for other variables in multivariable models. At the neighbourhood level, high mortality rates were associated with low social action independently of demographic, socio-economic, behavioural and health-related variables. CONCLUSION We found more evidence for a contextual than individual level effect of social capital on mortality.

Research paper thumbnail of The role of municipal public policies in oral health socioeconomic inequalities in Brazil: A multilevel study

Community Dentistry and Oral Epidemiology, Dec 7, 2017

Objectives: It is known that fluoridation has a contextual effect on oral health socioeconomic in... more Objectives: It is known that fluoridation has a contextual effect on oral health socioeconomic inequalities, but broad public policies have not been investigated. Thus, the aim of this study was to determine the effects of municipal public policies on oral health across different social strata. Methods: This was a cross-sectional study with 7328 12-year-old children and 5445 15-19-year-old adolescents from 177 Brazilian municipalities. Information at municipal level was collated for dental services, educational services, sanitation and water fluoridation. The main individual-level exposure was the disposable equivalent household income. The dichotomous outcomes were as follows: untreated dental caries (≥1 tooth), missing teeth (≥1 tooth) and filled teeth (≥1 tooth). Analyses were carried out using multilevel logistic regression. Interaction terms were tested between individual-level income and policy variables. Results: The prevalence of untreated dental caries, missing and filled teeth was 47.0%, 15.1% and 47.5%, respectively. There was no significant interaction between income and policy indicators. Individuals living in municipalities with no water fluoridation had 1.42 (95% CI: 1.08-1.86) higher odds of having untreated dental caries; the odds ratio (OR) for those in municipalities with less education policies was 1.36

Research paper thumbnail of P1-482 Sleep deprivation and overweight among shift workers of a poultry slaughterhouse plant in Southern Brazil

Journal of Epidemiology and Community Health, Aug 1, 2011

Methods We collected dietary information for 171 children aged 4e5 years from parents of the INMA... more Methods We collected dietary information for 171 children aged 4e5 years from parents of the INMA study in Valencia, a prospective mother-child cohort study. A 105 food items FFQ was used to assess the child's diet of previous year, at baseline and, on average, 10 months later. As the reference method, we estimated several carotenoids, vitamin C and E in the plasma of the children. Pearson (and Spearman) correlations were calculated for reproducibility (FFQ1 vs FFQ1), and validity by comparing nutrient estimates from FFQ to nutrient biomarkers (biochemical calibration). Results The average of correlation coefficients for reproducibility (Spearman r) between the two FFQ was 0.44 (0.44 for energy, 0.41 for protein, 0.39 for carbohydrate, 0.41 fat, 0.55 for b-carotene, 0.60 for vitamin C and 0.39 for vitamin E). The average of correlation coefficients for validity (Pearson r) between the mean of two FFQ and nutrients in plasma were 0.06 for a-tocopherol, 0.10 for lutein-zeaxanthin, 0.44 for b-cryptoxanthin (p<0.001), 0.20 for lycopene (p¼0.01), 0.18 for a-carotene (p¼0.021), 0.24 for b-carotene (p¼0.002) and 0.23 for vitamin C (p¼0.008). When children from mothers who reported a change in their children diets were excluded from the analysis correlations were improved. Conclusions The FFQ showed a relatively good reproducibility and satisfactory agreements with most nutrient biomarkers measured in blood which may support its use as a valid instrument for dietary assessment in preschool children at these early ages.

Research paper thumbnail of Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil

Research Square (Research Square), Jul 5, 2023

Objective: the study aimed to analyze the direct and indirect associations of self-reported exper... more Objective: the study aimed to analyze the direct and indirect associations of self-reported experience of racial discrimination with dietary patterns, obesity, and abdominal obesity. Design: it is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination which was assessed by the Experiences of Discrimination scale. The mediator variables were the dietary patterns: healthy, traditional Brazilian, re ned carbohydrates and sugars, and fast food. The outcomes were obesity (body mass index ≥30 kg/m²), and abdominal obesity (waist circumference ≥ 88 cm for women and ≥ 102 cm for men). Structural equation modeling was used to clarify relationships between exposures, outcomes and mediating variables. Setting: Porto Alegre, Brazil Participants: adults aged between 20 and 70 years. Results: the mean age of participants was 47.2 years (SD = 13.9 years). Experience racial discrimination had a positive direct effect on obesity and abdominal obesity in all models. The experience of racial discrimination did not have a direct effect on any dietary pattern neither the experience of racial discrimination did not have an indirect effect on obesity and abdominal obesity via any dietary pattern. Conclusions: our results suggest that a higher experience of racial discrimination is associated with obesity and abdominal obesity, and its association is independent of healthy or unhealthy dietary patterns.

Research paper thumbnail of Validade e confiabilidade do EUROHIS-QOL 8-item para avaliar a qualidade de vida em adultos brasileiros

Cadernos De Saude Publica, 2022

Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribut... more Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

Research paper thumbnail of Depression, somatization, and sleep disorders as risk factors for temporomandibular disorders development

Psico, Nov 25, 2022

Artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional.

Research paper thumbnail of Factors associated with the mortality of women living with HIV: a case–control study

Aids Care-psychological and Socio-medical Aspects of Aids/hiv, Jul 25, 2022

Research paper thumbnail of Anos Potenciais De Vida Perdidos Por Aids Entre Mulheres Vivendo Com Hiv No Sul Do Brasil

SciELO (SciELO Preprints), Apr 14, 2022

Objetivo: investigar a mortalidade por HIV/aids entre mulheres de Porto Alegre/RS utilizando o ín... more Objetivo: investigar a mortalidade por HIV/aids entre mulheres de Porto Alegre/RS utilizando o índice de Anos Potenciais de Vida Perdidos e identificar associações com vulnerabilidade social. Metodologia: Estudo ecológico considerando óbitos por HIV/aids de mulheres entre 15 a 75 anos de idade (CID- B20-24) entre 2007 a 2017. Foram calculados valores brutos e taxas de APVP/1.000 óbitos considerando os distritos sanitários e a raça/cor. Realizou-se correlação de Pearson para aferir associações. Resultados: Entre 1.539 óbitos por HIV/aids identificados, houve 51,075 APVP, o que representou 86,52 anos perdidos para cada 1000 mulheres, com média de 32,53 APVP por óbito. Identificou-se maior percentual de óbitos em mulheres de raça/cor branca (53,44%), mas maior taxa de APVP entre as mulheres negras (200,36 APVP/1000), com média de 33,38 anos perdidos. Conclusão: Mulheres vivendo com HIV negras e em maior vulnerabilidade social tiveram maiores taxas de APVP, revelando o impacto de desigualdades raciais na mortalidade.

Research paper thumbnail of Prevalence of Temporomandibular Disorders in an Adult Brazilian Community Population Using the Research Diagnostic Criteria (Axes I and II) for Temporomandibular Disorders (The Maringá Study)

International Journal of Prosthodontics, Nov 1, 2015

The primary objective of this study was to assess the prevalence of temporomandibular disorders (... more The primary objective of this study was to assess the prevalence of temporomandibular disorders (TMDs) and comorbid factors (sleep bruxism and headaches). This study was a cross-sectional population survey in the city of Maringá, state of Paraná, Brazil. Materials and Methods: Axes I and II of the Research Diagnostic Criteria for TMD (RDC/TMD) were used for assessment of TMD signs and symptoms. The population was users of the Brazilian public health system (SUS), of both sexes, between the ages of 20 and 65 years, and not seeking treatment for TMD. Results: The selected population (N = 1,643) was composed mostly of (a) women (65.9%), (b) married or single individuals (90.6%), (c) Caucasians (70.1%), (d) individuals aged 32.7 ± 10.3 years, (e) individuals earning a medium income (75.1%), and (f) those who had completed a high school education or higher (79.9%). According to the chronic pain grade classification (CPG) in the RDC/TMD Axis II, 36.2% of the population had some degree of TMD pain (CPG I to IV); however, only 5.1% had severe limitation due to pain (CPG III or IV). In the RDC/TMD Axis I diagnoses, 29.5% presented with muscle disorders (group I), 7.9% with disk displacements (group II), and 39.1% with other joint disorders (group III). Headaches were present in 67.9% and awake and sleep bruxism in 30% and 33.4% of the population, respectively. The prevalence of signs and symptoms of TMD was high in this population, but with low disability; however, the proportion of patients in need of treatment was much lower.

Research paper thumbnail of Sunburn in Brazilian college students and associated factors

Aletheia

Excessive exposure to solar radiation is an essential determinant of skin cancer. The cross-secti... more Excessive exposure to solar radiation is an essential determinant of skin cancer. The cross-sectional and census study aimed to determine the prevalence of sunburn in a recall for the last year and associated factors among university students. Participants were 2,295 health students aged 18 years or older from a University in the Brazilian Midwestern region in 2018. A pre-tested, standardized, and self-administered questionnaire was applied, using Poisson regression with robust variance. Sunburn was reported by 43.9% (95%CI 41.9-46.0) of the sample, with a higher prevalence among men. White people from a high economic class, higher skin sensitivity, and most frequently wearing a hat/cap showed a higher occurrence of sunburn. Analysis by sex indicated that sunburn was associated with increased skin sensitivity among men. The prevalence of sunburn among university students is high, which highlights the need for educational and skin cancer prevention strategies in this population.

Research paper thumbnail of Perfil Sociodemográfico, Comportamental e Autopercepção da Condição de Saúde de Adultos do Distrito Ferraria, Campo Largo, Paraná, Brasil Sociodemographic, Behavorial Profile and Self-Perception of the Health Condition of Adults of the Ferraria District, Campo Largo, State of Paraná, Brazil

Revista Naval de Odontologia, 2021

O objetivo da presente pesquisa foi traçar o perfil sociodemográfico, comportamental e a autoperc... more O objetivo da presente pesquisa foi traçar o perfil sociodemográfico, comportamental e a autopercepção da condição de saúde de moradores adultos do Distrito Ferraria, localizado no município de Campo Largo, Paraná, Brasil. Com desenho transversal de base populacional, aplicou-se um questionário aos residentes, composto de dados socioeconômicos (classe social, escolaridade, profissão e renda), demográficos (sexo, cor da pele, idade e estado civil) e comportamentais (consumo de álcool, atividade física e morbidades), além da autopercepção da condição de saúde, de moradia e segurança. Os dados obtidos foram tabulados e expressos em frequências. Um total de 373 indivíduos foi avaliado, com média de idade de 48,9 anos. A maioria foi composta de mulheres (73,2%) e de brancos (63,5%), com ensino fundamental incompleto, e média de renda familiar de R$ 1928,25. No momento da coleta, 32,2% se encontravam desempregados. Quanto à qualidade de vida, 57,6% a avaliaram como boa. Dentre as condições de saúde e hábitos comportamentais, destacaram-se os casos de hipertensão (42,0%) e uso de cigarro (70,0%). Em relação às condições de moradia, a maioria (n = 265; 76,0%) relatou estar "satisfeito" e "muito satisfeito", enquanto em relação à segurança durante o dia e à noite, as respostas se concentraram na categoria "às vezes", em ambas. Concluiu-se que o perfil da amostra analisada condiz com o de localidades que tem certo grau de satisfação, mas que ainda carece de melhorias em diversos aspectos, sendo eles sociais, econômicos e de infraestrutura. Este estudo poderá ser útil para o direcionamento de ações das organizações responsáveis pelas demandas mais urgentes dessa comunidade.

Research paper thumbnail of Análisis multinivel de la autopercepción de la salud oral y factores asociados en adultos del sur de Brasil: un estudio transversal

Cadernos De Saude Publica, 2015

Research paper thumbnail of Neighbourhood social capital and oral health in adolescents

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Research paper thumbnail of Análise em multinível da autopercepção em saúde bucal e fatores associados em adultos do Sul do Brasil: um estudo transversal

Cadernos De Saude Publica, 2015

The aim of this study was to evaluate the association between individual and contextual variables... more The aim of this study was to evaluate the association between individual and contextual variables related to self-perception in oral health among residents in the municipality of São Leopoldo, Rio Grande do Sul State, Brazil. The cross-sectional design involved 1,100 adults in 38 census tracts. The self-perception was evaluated using the Oral Health Impact Profile (OHIP-14) tool. A logistic multilevel analysis was performed. The multivariate analysis revealed that those who are of the female gender, older, with lower scores of quality of life and less social support, with poor healthy eating habits, smokers and those living in low-income census tracts presented higher odds of reporting worse oral health self-perception (OHIP-1). We concluded that individual and contextual variables are associated with oral health self-perception. This is essential information for planning health services wishing to meet the health needs of the population.

Research paper thumbnail of Psychosocial aspects and self-reporting of cardiovascular diseases in Brazilian adults

Psychology Health & Medicine, Aug 13, 2019

The study aimed to evaluate the effect of psychosocial aspects on self-reporting of cardiovascula... more The study aimed to evaluate the effect of psychosocial aspects on self-reporting of cardiovascular diseases (CVDs). The hypotheses were that psychosocial aspects have a direct or indirect effect on health behaviors, cardiovascular disease risk factors (CVDRFs) and CVDs. A cross-sectional population-based study was conducted with a representative sample of 1100 adults from the urban area of a medium-sized municipality in southern Brazil. Structured interviews were conducted using a standardized and pre-tested questionnaire. The psychosocial aspects included scales of resilience, quality of life, sense of coherence and social support. The outcomes were CVDs and CVDRFs measured by single items asking participants whether a physician had stated that they had heart disease, high blood pressure or high cholesterol/triglycerides or were overweight (BMI≥25 kg/m 2). Data analysis was based on structural equation models. The final model exhibited good fit : (χ 2 [57] = 155, p < 0.001, root-mean-square error of approximation [RMSEA] = 0.042, confirmatory fit index [CFI] = 0.902 and standardized root-mean-square residual [SRMR] = 0.042). Consistent with our direct effect hypothesis, favorable psychosocial aspects were inversely associated with CVDRFS (β = −0.15, p = 0.011) and with CVDs (β = −0.10, p = 0.048). The indirect effect through health behaviors was not confirmed. The findings suggest that psychosocial aspects may influence the presence of self-reported CVDs or CVDRFS.

Research paper thumbnail of Self-rated oral health and associated factors in Brazilian elders

Community Dentistry and Oral Epidemiology, Apr 7, 2010

The fast growth of the older adult population is a worldwide phenomenon. It poses challenges to h... more The fast growth of the older adult population is a worldwide phenomenon. It poses challenges to health and social policy-makers because of the changing burden of chronic diseases and the marked inequalities in oral health status and access to dental care of this population (1, 2). Older adults have an increased likelihood of having physically, medically or pharmaceutically compromising conditions that will affect their oral health (3). They usually experience higher rates of tooth loss, dental caries, periodontal disease, xerostomia and oral cancer (1, 3, 4). These conditions are usually chronic, widespread and occasionally very disruptive (1), yet they usually have restricted access to oral health care in Brazil (5-7) and in the world (1, 4, 8). Self-rating provides a simple direct way of capturing perceptions of health and oral health that is valid, reliable and cost-effective (9). International studies have identified several factors associated with self-rated oral health in elders. Higher rates of poor self-rated oral health have been found in elders with low educational attainment ⁄ income, with higher numbers of missing ⁄ carious teeth and in those reporting unfavourable dental appearance, dental pain, treatment need, reduced chewing ability, poor self-rated health, low self-esteem and life satisfaction (2, 10-17). Recent studies carried out in Brazil reported similar results. Poor self-perception of oral health has been associated with low social class, low income, women, depression, perception of treatment need,

Research paper thumbnail of Associated factors with metabolic syndrome in shift workers

Sleep Medicine, Dec 1, 2013

Introduction: This study investigated the prevalence of metabolic syndrome (MS) and its associati... more Introduction: This study investigated the prevalence of metabolic syndrome (MS) and its association with demographic, socioeconomic and behavioral factors in shift workers. Materials and methods: A cross-sectional study was conducted on a sample of 902 shift workers of both sexes in a poultry processing plant in Southern Brazil. The diagnosis of MS was determined according to the recommendations from ''Harmonizing the Metabolic Syndrome''; and its distribution was evaluated according to the demographic (gender, skin color, age and marital status) socioeconomic (schooling, income and work shift) and behavioral characteristics (smoking, alcohol intake, leisure physical activity, number of meals and sleep duration) of the sample. The multivariate analysis followed a theoretical framework for determining MS on shift workers.

Research paper thumbnail of Anos potenciais de vida perdidos por aids no sexo feminino, no Sul do Brasil: estudo descritivo, 2007-2017

Epidemiologia e Serviços de Saúde, 2022

Objetivo: descrever os anos potenciais de vida perdidos (APVPs) por aids na população do sexo fem... more Objetivo: descrever os anos potenciais de vida perdidos (APVPs) por aids na população do sexo feminino e analisar sua associação com raça/cor da pele e indicadores de vulnerabilidade social em Porto Alegre/RS, Brasil. Métodos: estudo descritivo, considerando-se os óbitos do sexo feminino por aids em 2007-2017; os dados foram obtidos no banco do Sistema de Informações sobre Mortalidade; foram calculados valores brutos e taxas de APVPs por 1 mil óbitos, considerando-se os distritos sanitários e a raça/cor da pele. Resultados: entre 1.539 óbitos, foram estimados cerca de 51 mil anos potenciais de vida, representando 86,5 anos perdidos/1 mil pessoas do sexo feminino; identificou-se maior proporção de óbitos naquelas de raça/cor da pele branca (53,4%); porém, maior taxa de APVPs ocorreu para as de raça/cor da pele preta/parda residentes em regiões de maior vulnerabilidade. Conclusão: os resultados sugerem o impacto de desigualdades raciais na diminuição dos anos potenciais de vida, em função do óbito por aids.

Research paper thumbnail of Evidências de validade da Escala Multidimensional de Suporte Social Percebido (EMSSP) em universitários

Ciencia & Saude Coletiva, Nov 1, 2022

Resumo O apoio social se refere aos recursos sociais percebidos como disponíveis à pessoa e tem s... more Resumo O apoio social se refere aos recursos sociais percebidos como disponíveis à pessoa e tem sido fortemente associado a desfechos em saúde física e mental. O estudo atual objetivou avaliar a consistência interna, a validação de construto e a confiabilidade teste-reteste da Escala Multidimensional de Suporte Social Percebido (EMSSP) em universitários do Centro Oeste brasileiro. As análises fatoriais exploratória e confirmatória foram realizadas com duas amostras aleatórias e independentes, ambas de 1.147 universitários da área da saúde. O estudo teste-reteste foi realizado com uma amostra de 347 estudantes de medicina e duas coletas com intervalo de 14 dias entre elas. A melhor solução foi com três fatores: família, amigos, e outros significativos, os quais apreesentaram cargas fatoriais variando entre 0,767 a 0,950 e consistência interna elevada (alfa de Cronbach de 0,96, 0,97 e 0,97, respectivamente). O ajustamento para essa solução foi adequado (χ2(g.l.)=380 (49), p<0,001; SRMR: 0,023; RMSEA: 0,077; CFI: 0,993; TLI: 0,990). A confiabilidade teste-reteste foi moderada (Kappa ponderado variando de 0,36 a 0,52). Os resultados sugerem que a EMSSP possui propriedades psicométricas aceitáveis para seu uso com universitários.

Research paper thumbnail of Study on the association between sleep disorders versus oral health related variables

Medicina Oral Patologia Oral Y Cirugia Bucal, 2021

Background: To study the association between sleep quality and oral health related variables, whi... more Background: To study the association between sleep quality and oral health related variables, which still have conflicts in the literature. Material and Methods: This was a population-based case-control study between subjects with versus without sleep disorders from the Brazilian Public Health System (SUS), city of Maringá (N=1,643). Subjects answered self-reported questionnaires: a) Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), b) Sleep Assessment Questionnaire (SAQ) and c) North York Dental Health Survey (NYDHS). Results: No significant difference was found for gender, marital status, or income; however, non-Caucasians, people with lower levels of education, and those between 20 to 50 years old had worse scores of sleep disorders in the SAQ. Self-perceived oral health, masticatory capacity to eat foods, and gingival bleeding was significantly worse among subjects with self-reported sleep disorders. Self-reported tooth loss, edentulism and use of removable partial dentures (with clasps) or complete dentures showed no significant difference between groups. Self-reported sleep disorder subjects presented significantly higher prevalence of both self-reported tooth and TMJ pain. Conclusions: It can be concluded that individuals with self-reported sleep disorders presented worse self-perceived oral health for most studied variables.

Research paper thumbnail of Individual and neighbourhood social capital and all-cause mortality in Brazilian adults: a prospective multilevel study

Public Health, May 1, 2016

OBJECTIVE The relationship between social capital and mortality is not clear-cut. There have been... more OBJECTIVE The relationship between social capital and mortality is not clear-cut. There have been few longitudinal studies investigating this association so far. The objective was to assess the effect of different dimensions of social capital on mortality among adults of a Brazilian city. STUDY DESIGN This is a prospective multilevel study. Baseline data were obtained from a population-based random sample of 846 adults (aged 18 years or more) residing in 38 neighbourhoods (census blocks). METHODS Participants were interviewed in 2006-7 and their vital status investigated in 2013. Social capital was assessed by five scales (social cohesion, informal social control, neighbours' support, social action and political efficacy). The outcome was all-cause mortality. Data analysis used multilevel logistic regression models. RESULTS At the individual level social cohesion was positively related to mortality in the unadjusted model but this association lost significance after adjustment for other variables in multivariable models. At the neighbourhood level, high mortality rates were associated with low social action independently of demographic, socio-economic, behavioural and health-related variables. CONCLUSION We found more evidence for a contextual than individual level effect of social capital on mortality.

Research paper thumbnail of The role of municipal public policies in oral health socioeconomic inequalities in Brazil: A multilevel study

Community Dentistry and Oral Epidemiology, Dec 7, 2017

Objectives: It is known that fluoridation has a contextual effect on oral health socioeconomic in... more Objectives: It is known that fluoridation has a contextual effect on oral health socioeconomic inequalities, but broad public policies have not been investigated. Thus, the aim of this study was to determine the effects of municipal public policies on oral health across different social strata. Methods: This was a cross-sectional study with 7328 12-year-old children and 5445 15-19-year-old adolescents from 177 Brazilian municipalities. Information at municipal level was collated for dental services, educational services, sanitation and water fluoridation. The main individual-level exposure was the disposable equivalent household income. The dichotomous outcomes were as follows: untreated dental caries (≥1 tooth), missing teeth (≥1 tooth) and filled teeth (≥1 tooth). Analyses were carried out using multilevel logistic regression. Interaction terms were tested between individual-level income and policy variables. Results: The prevalence of untreated dental caries, missing and filled teeth was 47.0%, 15.1% and 47.5%, respectively. There was no significant interaction between income and policy indicators. Individuals living in municipalities with no water fluoridation had 1.42 (95% CI: 1.08-1.86) higher odds of having untreated dental caries; the odds ratio (OR) for those in municipalities with less education policies was 1.36

Research paper thumbnail of P1-482 Sleep deprivation and overweight among shift workers of a poultry slaughterhouse plant in Southern Brazil

Journal of Epidemiology and Community Health, Aug 1, 2011

Methods We collected dietary information for 171 children aged 4e5 years from parents of the INMA... more Methods We collected dietary information for 171 children aged 4e5 years from parents of the INMA study in Valencia, a prospective mother-child cohort study. A 105 food items FFQ was used to assess the child's diet of previous year, at baseline and, on average, 10 months later. As the reference method, we estimated several carotenoids, vitamin C and E in the plasma of the children. Pearson (and Spearman) correlations were calculated for reproducibility (FFQ1 vs FFQ1), and validity by comparing nutrient estimates from FFQ to nutrient biomarkers (biochemical calibration). Results The average of correlation coefficients for reproducibility (Spearman r) between the two FFQ was 0.44 (0.44 for energy, 0.41 for protein, 0.39 for carbohydrate, 0.41 fat, 0.55 for b-carotene, 0.60 for vitamin C and 0.39 for vitamin E). The average of correlation coefficients for validity (Pearson r) between the mean of two FFQ and nutrients in plasma were 0.06 for a-tocopherol, 0.10 for lutein-zeaxanthin, 0.44 for b-cryptoxanthin (p<0.001), 0.20 for lycopene (p¼0.01), 0.18 for a-carotene (p¼0.021), 0.24 for b-carotene (p¼0.002) and 0.23 for vitamin C (p¼0.008). When children from mothers who reported a change in their children diets were excluded from the analysis correlations were improved. Conclusions The FFQ showed a relatively good reproducibility and satisfactory agreements with most nutrient biomarkers measured in blood which may support its use as a valid instrument for dietary assessment in preschool children at these early ages.

Research paper thumbnail of Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil

Research Square (Research Square), Jul 5, 2023

Objective: the study aimed to analyze the direct and indirect associations of self-reported exper... more Objective: the study aimed to analyze the direct and indirect associations of self-reported experience of racial discrimination with dietary patterns, obesity, and abdominal obesity. Design: it is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination which was assessed by the Experiences of Discrimination scale. The mediator variables were the dietary patterns: healthy, traditional Brazilian, re ned carbohydrates and sugars, and fast food. The outcomes were obesity (body mass index ≥30 kg/m²), and abdominal obesity (waist circumference ≥ 88 cm for women and ≥ 102 cm for men). Structural equation modeling was used to clarify relationships between exposures, outcomes and mediating variables. Setting: Porto Alegre, Brazil Participants: adults aged between 20 and 70 years. Results: the mean age of participants was 47.2 years (SD = 13.9 years). Experience racial discrimination had a positive direct effect on obesity and abdominal obesity in all models. The experience of racial discrimination did not have a direct effect on any dietary pattern neither the experience of racial discrimination did not have an indirect effect on obesity and abdominal obesity via any dietary pattern. Conclusions: our results suggest that a higher experience of racial discrimination is associated with obesity and abdominal obesity, and its association is independent of healthy or unhealthy dietary patterns.

Research paper thumbnail of Validade e confiabilidade do EUROHIS-QOL 8-item para avaliar a qualidade de vida em adultos brasileiros

Cadernos De Saude Publica, 2022

Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribut... more Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

Research paper thumbnail of Depression, somatization, and sleep disorders as risk factors for temporomandibular disorders development

Psico, Nov 25, 2022

Artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional.

Research paper thumbnail of Factors associated with the mortality of women living with HIV: a case–control study

Aids Care-psychological and Socio-medical Aspects of Aids/hiv, Jul 25, 2022

Research paper thumbnail of Anos Potenciais De Vida Perdidos Por Aids Entre Mulheres Vivendo Com Hiv No Sul Do Brasil

SciELO (SciELO Preprints), Apr 14, 2022

Objetivo: investigar a mortalidade por HIV/aids entre mulheres de Porto Alegre/RS utilizando o ín... more Objetivo: investigar a mortalidade por HIV/aids entre mulheres de Porto Alegre/RS utilizando o índice de Anos Potenciais de Vida Perdidos e identificar associações com vulnerabilidade social. Metodologia: Estudo ecológico considerando óbitos por HIV/aids de mulheres entre 15 a 75 anos de idade (CID- B20-24) entre 2007 a 2017. Foram calculados valores brutos e taxas de APVP/1.000 óbitos considerando os distritos sanitários e a raça/cor. Realizou-se correlação de Pearson para aferir associações. Resultados: Entre 1.539 óbitos por HIV/aids identificados, houve 51,075 APVP, o que representou 86,52 anos perdidos para cada 1000 mulheres, com média de 32,53 APVP por óbito. Identificou-se maior percentual de óbitos em mulheres de raça/cor branca (53,44%), mas maior taxa de APVP entre as mulheres negras (200,36 APVP/1000), com média de 33,38 anos perdidos. Conclusão: Mulheres vivendo com HIV negras e em maior vulnerabilidade social tiveram maiores taxas de APVP, revelando o impacto de desigualdades raciais na mortalidade.