Abstract:
:The present study aims to evaluate the current operation of Brazilian syringe exchange programs (SEP). After consulting national and regional networks of people working in projects/programs aiming to reduce drug-related harm, we identified 134 potential participant programs. Unfortunately, only 45 SEPs answered a survey, even after repeated attempts. The survey addressed: coverage, funding, procurement of basic supplies, managerial capacity, and the local political environment. Findings were triangulated with in-depth interviews with key informants. The main findings included: satisfactory adherence to the initiatives and adequate documentation, but deficiencies in terms of coverage and monitoring, and uneven procurement of resources. Program personnel work mostly on a provisional basis, despite the efforts of local coordinators. Most programs are funded by the National STDs/AIDS Program. A comprehensive agenda aiming to improve current operations should include: concerted efforts to improve local and regional databanks, incentives/sanctions toward full accountability of initiatives carried by the programs, and a genuine culture of monitoring and evaluation.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Fonseca EM,Ribeiro JM,Bertoni N,Bastos FIdoi
10.1590/s0102-311x2006000400015subject
Has Abstractpub_date
2006-04-01 00:00:00pages
761-70issue
4eissn
0102-311Xissn
1678-4464pii
S0102-311X2006000400015journal_volume
22pub_type
杂志文章abstract::This study aimed to evaluate male participation in the use of contraceptive methods and to identify relevant variables. A secondary data analysis was conducted, and the sample size was estimated at 175 men using contraceptives methods that require male participation. The study used the qui-square test to evaluate diff...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000100023
更新日期:2003-01-01 00:00:00
abstract::Field studies on the morbidity of schistosomiasis mansoni were carried out in some rural endemic areas of Northeastern Brazil during the first semester of 1991. These cross-sectional studies were limited to the assessment of the gradient of clinical forms of the disease. The entire population present in a house-to-hou...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1995000200017
更新日期:1995-04-01 00:00:00
abstract::The aim of this study was to evaluate the Edinburgh Postnatal Depression Scale (EPDS) for screening and diagnosis of postpartum depression. Three months after delivery, EPDS was administered to 378 mothers from the 2004 Pelotas Birth Cohort Study, Rio Grande do Sul State, Brazil. Up to 15 days later, mothers were re-i...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007001100005
更新日期:2007-11-01 00:00:00
abstract::Brazil is among the countries of the world with the most dengue cases. Case reporting systems are essential for monitoring the disease's evolution, but few reporting forms are properly completed. Knowledge of the patients' schooling level is important for understanding the role of social inequality in the risk of illn...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00187219
更新日期:2020-10-26 00:00:00
abstract::This study aimed to describe the distribution of social support networks for the elderly in the City of São Paulo, Brazil, based on socioeconomic and demographic characteristics. A probability sample of 1,568 elderly persons (> 60 years) was studied (SABE query), focusing on structural and functional dimensions of soc...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2007001200019
更新日期:2007-12-01 00:00:00
abstract::The study sought to identify individual and contextual risk factors in healthcare and their interactions and regional differences in the determination of infant mortality in Brazilian state capitals. This was a case-control study that analyzed 7,470 infant deaths in 2012 in the 27 state capitals, recorded in the Brazi...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00057519
更新日期:2020-03-06 00:00:00
abstract::This article aims to assess the influence of hospital characteristics on the odds of performing an elective cesarean in the Southeast region of Brazil. Data were obtained from the Birth in Brazil study, conducted from February 2011 to October 2012. The current analysis includes the sample from Southeast Brazil, with 1...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00218218
更新日期:2019-12-20 00:00:00
abstract::The aim of this article was to evaluate socio-environmental vulnerability by selecting and analyzing socioeconomic, demographic, and infrastructural indicators around the Fazenda Botafogo Industrial Park in the city of Rio de Janeiro, Brazil, taking this work as a case study. The study aimed to determine whether there...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001200016
更新日期:2009-12-01 00:00:00
abstract::To examine changes in the time spent in each mode of transportation used for going to school by gender and age among adolescents from Santa Catarina State, Brazil. Two school-based surveys were performed in 2001 (N = 5,028) and 2011 (N = 6,529) in high school students (15-19 years old). The mode of transportation (on ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00161913
更新日期:2014-11-01 00:00:00
abstract::This study investigated the association between gender and intimate partner physical violence. A random cluster sample was chosen as the baseline cohort population in a cross-sectional design. Lifetime prevalence rates were as follows: any physical violence (17%), moderate physical violence (16.6%), and severe physica...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00159913
更新日期:2015-04-01 00:00:00
abstract::The aim of this study was to estimate the role of victimization by violence among Mexican adolescents that have considered or attempted migrating to the United States, including mental health variables (emotional self-esteem, self-esteem in school, depression, suicidal ideation, and attempted suicide) as mediators of ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00119516
更新日期:2017-07-13 00:00:00
abstract::The 12-item General Health Questionnaire (GHQ-12) is a widely used screening instrument. One- and two-factor structures have been identified in some countries. In Brazil, the best factor structure is still unclear. This study aimed at knowing its factorial validity and reliability, and testing the one-factor and two-f...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000700023
更新日期:2010-07-01 00:00:00
abstract::This study aimed at assessing the potential impact of the reduction of sodium content in processed foods in the average salt intake in the Brazilian population. A total of 32,900 participants of the first National Dietary Survey (NDS 2008-2009), age 10 years and older who provided information about food intake over tw...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00064615
更新日期:2016-02-01 00:00:00
abstract::This study investigated whether men's and women's work status is associated with current smoking, after adjusting for schooling, income, and health, besides discussing hypotheses for such associations. The sample included individuals 15 to 64 years of age living in metropolitan areas, currently in the work force, and ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011000600010
更新日期:2011-06-01 00:00:00
abstract::This study aimed to assess the program for use of the monoclonal antibody palivizumab in São Paulo State, Brazil. The evaluation adopted the frame of reference proposed by Donabedian, and the data were discussed on the basis of the guidelines from the Ruling on the use of palivizumab in the national network and in the...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00117816
更新日期:2018-07-23 00:00:00
abstract::The study aimed to identify the cutoff points for inflammatory markers that best discriminate the occurrence of metabolic syndrome in community-dwelling older adults. Baseline data were used from the elderly cohort in the city of Bambuí, Minas Gerais State, Brazil. The target exposure was presence of metabolic syndrom...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00129918
更新日期:2019-03-25 00:00:00
abstract::This study focused on the reliability of the DSM-III inventory of psychiatric symptoms in representative general population samples in three Brazilian cities. Reliability was assessed through two different designs: inter-rater reliability and internal consistency. Diagnosis of lifetime (k = 0.46) and same-year general...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract::Human albumin is frequently used without regard for the relationship between its pharmacological properties and the respective disease. We investigated the prescription of human albumin in a Brazilian public hospital with emphasis on adherence to international guidelines. Data were gathered from pharmacy and medical r...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000400025
更新日期:2005-07-01 00:00:00
abstract::This paper analyzes the proportion of Brazilian women who have sex with women, considering three time periods. The data are from a national population-based survey from 1998. The proportion of the female population who reported having any same-sex relations during their lifetime decreased from 3% to 1.7% in the previo...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006000700015
更新日期:2006-07-01 00:00:00
abstract::The text De Profundis: Valsa Lenta (De Profundis: Slow Waltz), by Portuguese author José Cardoso Pires, describing the aphasia he experienced after a stroke, was used as a starting point to study the different approaches writers and physician have regarding the disease. The differences in form and content of texts des...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2000000100026
更新日期:2000-01-01 00:00:00
abstract::The objective of the study was to determine the dynamics of precancerous lesions in women of a cohort treated for cervical intraepithelial neoplasia (CIN) and followed up over the next two years. The conditional probability of failure was calculated using the Kaplan-Meier method, and the raw and adjusted hazard ratios...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00164913
更新日期:2014-09-01 00:00:00
abstract::The dyad comprising eye anomalies and congenital heart defects in the same newborn has been proposed as the best sentinel phenotype for the early detection of rubella embryopathy. Time-space birth prevalence distributions of the eye-heart dyad were described in 36 Brazilian hospitals from the Latin-American Collaborat...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011001000009
更新日期:2011-10-01 00:00:00
abstract::The AIDS epidemic has spread and reached various population groups differently. The epidemic's dynamics have also differed according to the characteristics of different areas within cities, related to the principal modes of spread. This study analyzes the AIDS epidemic in women in the city of Rio de Janeiro using the ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000400027
更新日期:2003-07-01 00:00:00
abstract::Two cohorts of children born in the city of Pelotas, Southern Brazil, in 1993 and 2004, were compared in terms of neuro-psychomotor development at the age of 12 months. Children were evaluated using the Denver II screening test. Analyses were performed using the Poisson regression technique. The prevalence of suspecte...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001500010
更新日期:2008-01-01 00:00:00
abstract::The aim of the present study was to validate two versions of CPITN for periodontitis diagnosis. A sample of 400 individuals underwent full mouth periodontal examination including Clinical Attachment Loss, Periodontal Pocket Depth, and Sub-gingival Calculus. Full and partial CPITN versions were derived from this exam (...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006000200005
更新日期:2006-02-01 00:00:00
abstract::Structural equation modeling (SEM) is an important statistical tool for evaluating complex relations in several research areas. In epidemiology, the use and discussion of SEM have been limited thus far. This article presents basic principles and concepts in SEM, including an application using epidemiological data anal...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010001200004
更新日期:2010-12-01 00:00:00
abstract::This study aimed to assess the prevalence of dental pain among adults and older people living in Brazil's State capitals. Information was gathered from the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL) in 2009 (n = 54,367). Dental pain was the outcome. Geographic r...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012001300012
更新日期:2012-01-01 00:00:00
abstract::This article provides a new interpretation of Geografia da Fome [The Geography of Hunger], by Josué de Castro, focusing on the convergence of three fields of knowledge: geography, clinical science, and epidemiology. Although there is a certain commonality in the methodological procedures, the book offers multiple conf...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001100025
更新日期:2008-11-01 00:00:00
abstract::A descriptive analysis of systems and forms of payment for medical labor was carried out based on an intentional sample of hospitals, according to preestablished criteria. Hospital administrators, physicians, and representatives of medical and entrepreneurial corporations were interviewed. The results were analyzed ac...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1994000100008
更新日期:1994-01-01 00:00:00
abstract::Seventeen variables were evaluated as possible risk factors for the intradomiciliary infestation with Triatoma dimidiata in 644 houses in Jutiapa, Guatemala. During 2004 the houses were assessed for vector presence and evaluated for hygiene, cluttering, material comfort, construction conditions and number of inhabitan...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001300008
更新日期:2009-01-01 00:00:00