[Non-adherence to continuous treatment and associated factors: prevalence and determinants in adults 40 years and older].


:This study investigates factors associated with non-adherence to continuous drug therapy in individuals 40 years and older. A population-based survey was conducted in Cambé, Paraná State, Brazil. Treatment adherence was assessed with the four-item Morisky et al. medication adherence scale. The study also assessed socio-demographic variables and health services access and use of medication. Among 1,180 interviewees, 78% reported use of medication, with continuous use in 55%. The study analyzed 639 individuals, the majority female, ranging from 40 to 59 years of age, with low schooling, and from socioeconomic stratum C (on a scale from A to E). Prevalence of non-adherence was 63.5%. Mean therapeutic complexity was 8.1. After adjusted analysis, the following factors remained associated with non-adherence: not being assisted by community health workers, discontinuous access to medication, and high frequency of medication throughout the day. The results indicate high prevalence of non-adherence, with potentially negative impacts for individuals and society.


Cad Saude Publica


Remondi FA,Cabrera MA,Souza RK




Has Abstract


2014-01-01 00:00:00














  • Early-life socioeconomic status and malocclusion in adolescents and young adults in Uruguay.

    abstract::This study aims to estimate orthodontic treatment need among 15-24 year-old individuals in Montevideo, Uruguay, and the association of occlusal traits with demographic, clinical and socioeconomic factors, considering a life course approach. A cross-sectional study using data from the First National Oral Health Survey ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Goettems ML,Ourens M,Cosetti L,Lorenzo S,Álvarez-Vaz R,Celeste RK

    更新日期:2018-03-05 00:00:00

  • [Impact of a Well Baby Care Program on the promotion of exclusive breastfeeding].

    abstract::A historical cohort of children born between January 2000 and December 2002 from low-income families attending a primary health care facility on the periphery of Pelotas, Rio Grande do Sul, Brazil, was studied in relation to prevalence of exclusive breastfeeding. Analysis was based on a life table focusing on interrup...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Faleiros JJ,Kalil G,Casarin DP,Laque PA Jr,Santos IS

    更新日期:2005-03-01 00:00:00

  • COVID-19 infection in pregnant women, preterm delivery, birth weight, and vertical transmission: a systematic review and meta-analysis.

    abstract::In less than four months, the total of confirmed cases of COVID-19 was 1,684,833 worldwide. Outcomes among the public of pregnant women with COVID-19 are still unclear. We performed a systematic review and meta-analysis to analyze whether COVID-19 in pregnant women is related to premature birth and birth weight, and t...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,meta分析


    authors: Melo GC,Araújo KCGM

    更新日期:2020-01-01 00:00:00

  • [Relationship between first-time drug use and first offense among adolescents in conflict with the law].

    abstract::The aim of this study was to analyze a possible relationship between first experience with drugs and delinquency among adolescents in conflict with the law. In 2006, a cross-sectional study was conducted in facilities of the State Foundation for the Well-being of Minors (FEBEM), with a total occupancy of 312. The samp...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Martins MC,Pillon SC

    更新日期:2008-05-01 00:00:00

  • Are environmental pollutants risk factors for low birth weight?

    abstract::The aim of this study was to assess the association between prenatal exposure to air pollutants and low birth weight in a medium-sized city. An ecological study was performed, using live birth data from São José dos Campos, São Paulo State, Brazil. The environmental data were obtained from the São Paul State Environme...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Nascimento LF,Moreira DA

    更新日期:2009-08-01 00:00:00

  • [Deaths that save lives: the complexities of medical care for patients with suspected brain death].

    abstract::The objective of this study was to understand how physicians at the largest emergency department in a large Brazilian city orient care for critical patients with suspected brain death and who are potential organ donors. This ethnographic study was conducted in an emergency care hospital, a reference in traumatology in...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Aredes JS,Firmo JOA,Giacomin KC

    更新日期:2018-11-08 00:00:00

  • [Changes in dietary intake among Japanese-Brazilians in Bauru, São Paulo, Brazil, 1993-2000].

    abstract::Cross-sectional surveys were performed in 1993 and 2000 on Japanese-Brazilians (n = 328) of both sexes, aged 40 to 79 years in 1993, living in Bauru, São Paulo State. Both surveys examined food intake using food frequency questionnaires. Dietary intake in both surveys was compared to Wilcoxon tests according to gender...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: de Castro TG,Bertolino CN,Gimeno SG,Cardoso MA

    更新日期:2006-11-01 00:00:00

  • [Primary health care policy in Brazil: notes on Federal regulation and funding].

    abstract::This article analyzes the Federal implementation of primary health care policy in Brazil from 2003 to 2008, considering the government functions of health planning, regulation, financing, and health services delivery. The methodology included literature and document review, interviews with key policy actors, budget an...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,评审


    authors: Castro AL,Machado CV

    更新日期:2010-04-01 00:00:00

  • Vulnerability to severe forms of COVID-19: an intra-municipal analysis in the city of Rio de Janeiro, Brazil.

    abstract::Given the characteristics of the COVID-19 pandemic and the limited tools for orienting interventions in surveillance, control, and clinical care, the current article aims to identify areas with greater vulnerability to severe cases of the disease in Rio de Janeiro, Brazil, a city characterized by huge social and spati...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Santos JPCD,Siqueira ASP,Praça HLF,Albuquerque HG

    更新日期:2020-01-01 00:00:00

  • [Age at natural menopause among Brazilian women: results from a population-based survey].

    abstract::A descriptive, exploratory, cross-sectional, population-based study was conducted to identify age at menopause and its associated factors as well as socio-cultural, demographic, and economic characteristics of climacteric women in Campinas, São Paulo State. Subjects were 456 Brazilian women between 45 to 60 years of a...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Pedro AO,Pinto Neto AM,Paiva LH,Osis MJ,Hardy E

    更新日期:2003-01-01 00:00:00

  • Suicide rates in the State of Rio Grande do Sul, Brazil: association with socioeconomic, cultural, and agricultural factors.

    abstract::Rio Grande do Sul State has the highest suicide rates in Brazil. Previous studies have suggested a possible role of agricultural activities, especially tobacco farming, where pesticide use is intensive. An ecological study was designed to assess associations between age-adjusted suicide rates based on death certificat...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Faria NM,Victora CG,Meneghel SN,de Carvalho LA,Falk JW

    更新日期:2006-12-01 00:00:00

  • [An anti-Taylor approach: the invention of a method for the cogovernance of health care institutions in order to produce freedom and compromise].

    abstract::This paper describes a new health care management method. A triangular confrontation system was constructed, based on a theoretical review, empirical facts observed from health services, and the researcher's knowledge, jointly analyzed. This new management model was termed 'health-team-focused collegiate management', ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Campos GW

    更新日期:1998-10-01 00:00:00

  • Vaccine coverage and factors associated with influenza vaccination in the elderly in the city of São Paulo, Brazil: SABE Study 2015.

    abstract::This study evaluated influenza vaccine coverage among elderly individuals (≥ 60 years) living in the city of São Paulo, Brazil, in 2015, and analyzed associated factors. This was a cross-sectional population-based study of data from the SABE Study (Health, Well-Being, and Aging). The dependent variable was influenza v...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Sato APS,Andrade FB,Duarte YAO,Antunes JLF

    更新日期:2020-01-01 00:00:00

  • [Comments on the Portuguese translation of the International Classification of Functioning, Disability and Health].

    abstract::An analysis of the World Health Organization terminology for disability indicates the influence of the social model of disability in the International Classification of Functioning, Disability, and Health. This theoretical framework should guide any translations of the document. In Brazil, the document was translated ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Diniz D,Medeiros M,Squinca F

    更新日期:2007-10-01 00:00:00

  • Santos HG, Nascimento CF, Izbicki R, Duarte YAO, Chiavegatto Filho ADP. Machine learning para análises preditivas em saúde: exemplo de aplicação para predizer óbito em idosos de São Paulo, Brasil. Cad Saúde Pública 2019; 35(7):e00050818.

    abstract::[This corrects the article doi: 10.1590/0102-311X00050818]. ...

    journal_title:Cadernos de saude publica

    pub_type: 已发布勘误



    更新日期:2020-01-20 00:00:00

  • [Air pollution and low birth weight in the city of Rio de Janeiro, Brazil, 2002].

    abstract::The objective of this study was to evaluate the effect of air pollution on low birth weight in full term singleton newborns in the city of Rio de Janeiro, Brazil. The study adopted a cross-sectional design based on the year 2002. Data on live births were obtained from the Live Birth Information System of the Brazilian...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Junger WL,Leon AP

    更新日期:2007-01-01 00:00:00

  • [Cross-cultural adaptation of section A of the Cambridge Examination for Mental Disorders of the Elderly-Revised Version (CAMDEX-R) for dementia diagnosis].

    abstract::This article concerns the first phase of the cross-cultural equivalence of Section A in the Cambridge Examination for Mental Disorders of the Elderly-Revised Version (CAMDEX-R), a clinical interview for dementia diagnosis. Evaluating conceptual and item equivalencies involved a literature review and expert groups. Sem...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Lima DA,Lourenço RA

    更新日期:2010-07-01 00:00:00

  • [Bio-terrorism, bio-defense, bioethics].

    abstract::The terrorist attacks launched on September 11, 2001, ignited fear of further aggression with biological weapons, leading to a discourse and allocation of resources for both defensive and dissuasive/ offensive use in order to counteract such threats. Many such measures involved the investigation and production of biol...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Kottow M

    更新日期:2003-01-01 00:00:00

  • [Psychosocial Care Centers for Children and Adolescents in Brazil: geographic distribution and user profile].

    abstract::Few Brazilian studies have addressed the use of mental health services for children and adolescents. This study aimed to characterize the national distribution of Psychosocial Care Centers for Children and Adolescents (CAPSi) and describe the patient profile in this age group between 2008 and 2012. An ecological study...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Garcia GY,Santos DN,Machado DB

    更新日期:2015-12-01 00:00:00

  • [Use of spatial analysis tools in the epidemiological surveillance of American visceral leishmaniasis, Araçatuba, São Paulo, Brazil, 1998-1999].

    abstract::The control of American visceral leishmaniasis (AVL) is based on combating the vector and eliminating the domestic reservoir of the focus area - defined as 200 meters around human or canine cases. This paper discusses the use of spatial analysis techniques in the epidemiological surveillance of AVL in Araçatuba, São P...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Camargo-Neves VL,Katz G,Rodas LA,Poletto DW,Lage LC,Spínola RM,Cruz OG

    更新日期:2001-09-01 00:00:00

  • Childhood poverty and abdominal obesity in adulthood: a systematic review.

    abstract::Adverse socioeconomic conditions in childhood can have lasting effects on health, but evidence is lacking from prospective studies concerning the effects of early poverty on abdominal obesity in adulthood. Cross-sectional studies in adults from middle and high-income countries show that current socioeconomic status is...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,评审


    authors: González D,Nazmi A,Victora CG

    更新日期:2009-01-01 00:00:00

  • A predictive model for retention in specialized HIV/AIDS care.

    abstract::The establishment of universal targets for HIV/AIDS control and the implementation of treatment as prevention reinforce the need for on-going clinical follow-up of persons living with HIV/AIDS as an essential element of their care, where retention in care is both a need and a challenge. This study aimed to create a pr...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Miranda WA,Medeiros LB,Nascimento JAD,Ribeiro KSQS,Nogueira JA,Leadebal ODCP

    更新日期:2018-10-22 00:00:00

  • Apocalypse...now? Molecular epidemiology, predictive genetic tests, and social communication of genetic contents.

    abstract::The author analyzes the underlying theoretical aspects in the construction of the molecular watershed of epidemiology and the concept of genetic risk, focusing on issues raised by contemporary reality: new technologies, globalization, proliferation of communications strategies, and the dilution of identity matrices. H...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Castiel LD

    更新日期:1999-01-01 00:00:00

  • [Cross-cultural equivalence of three scales used to estimate cardiorespiratory fitness in the elderly].

    abstract::This study aimed at establishing the cross-cultural equivalence of scales used to evaluate physical activity level and measure cardiorespiratory fitness, for further application in elderly subjects. Three scales were identified after systematic review: Veterans Physical Activity Questionnaire (VSAQ), Rating of Perceiv...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Maranhão Neto Gde A,Ponce de Leon AC,Farinatti Pde T

    更新日期:2008-11-01 00:00:00

  • Factors associated with preterm birth: from logistic regression to structural equation modeling.

    abstract::This study proposed the application of structural equation modeling (SEM) to investigate variables associated with preterm birth based on a theoretical model analyzed previously by hierarchical logistic regression. The data came from a population-based case-control observational study of hospital births to mothers res...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Oliveira AA,Almeida MF,Silva ZPD,Assunção PL,Silva AMR,Santos HGD,Alencar GP

    更新日期:2019-01-21 00:00:00

  • Social vulnerability and health status: a household survey in the central area of a Brazilian metropolis.

    abstract::The self-rated health in a sample of adults living in the central area of São Paulo, Brazil, was studied by comparing a group of residents in census tracts without social vulnerability, identified using an indicator developed by the SEADE Foundation, and a group of residents in census tracts with middle, high or very ...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Barata RB,Ribeiro MC,Cassanti AC,Grupo do Projeto Vulnerabilidade Social no Centro de São Paulo.

    更新日期:2011-01-01 00:00:00

  • Evidence-based medicine and prejudice-based medicine: the case of homeopathy.

    abstract::In recent decades an important social movement related to Complementary and Alternative Medicine has been identified worldwide. In Brazil, although homeopathy was recognized as a specialist medical area in 1980, few medical schools offer courses related to it. In a previous study, 176 resident doctors at the Universit...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Barros NF,Fiuza AR

    更新日期:2014-11-01 00:00:00

  • Vulnerability and non-adherence to antiretroviral therapy among HIV patients, Minas Gerais State, Brazil.

    abstract::The aim of the present study was to describe vulnerability profiles and to verify their association with non-adherence to antiretroviral therapy (ART) among 295 HIV-patients receiving their first prescription in two public-referral centers in Minas Gerais States, Brazil. The cumulative incidence of non-adherence was 3...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,多中心研究


    authors: Bonolo Pde F,Machado CJ,César CC,Ceccato Md,Guimarães MD

    更新日期:2008-11-01 00:00:00

  • [Tuberculosis among indigenous populations in Rondonia, Amazonia, Brazil].

    abstract::Tuberculosis persists as a serious public health problem in Brazil. Prevalence rates are alarming in certain social groups, including indigenous peoples. This article presents an epidemiological analysis of records in the Rondonia State Tuberculosis Control Program, identifying the disease's profile among indigenous g...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章


    authors: Escobar AL,Coimbra CE Jr,Camacho LA,Portela MC

    更新日期:2001-03-01 00:00:00

  • [Uncomplicated Plasmodium vivax and P. falciparum malaria in Brazil: evidence on single and combined drug treatments recommended by official guidelines].

    abstract::Malaria is the most important endemic parasitic disease in the world. Conditions are favorable for transmission of the disease in 60% of Brazil's territory. Over 500,000 cases per year are recorded in the country. However, the geographic distribution is uneven, which may explain differences in the efficacy and effecti...

    journal_title:Cadernos de saude publica

    pub_type: 杂志文章,评审


    authors: Freitas LF,Chaves GC,Wannmacher L,Osorio-de-Castro CG

    更新日期:2007-10-01 00:00:00