Abstract:
OBJECTIVE:To assess the prevalence of multimorbidity among Brazilian adults and its association with socioeconomic indicators. METHODS:Cross-sectional study that used data from the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Access, Use and Promotion of Rational Use of Medicines), carried out between 2013 and 2014. The definition of multimorbidity was the coexistence, in a single individual, of two or more chronic diseases, measured through a list of 14 morbidities (self-reported medical diagnosis throughout life). Economic status and educational level were the socioeconomic indicators used, being the inequalities assessed through the Slope Index of Inequality (SII) and the Concentration Index, stratified by gender. RESULTS:The study comprehended 23,329 adults (52.8% of which were women), with an average age of 37.9 years. Hypertension and high cholesterol levels were the most prevalent conditions. The prevalence of multimorbidity was of 10.9% (95%CI 10.1-11.7) representing nearly 11 million individuals in Brazil, of which 14.5% (95%CI 13.5-15.4) were women and 6.8% (95%CI 5.9-7.8) were men. The occurrence of multimorbidity was similar according to the socioeconomic indicators. In the inequality analysis, we observed absolute and relative differences in men with a higher purchasing power (SII = 3.7; 95%CI 0.3-7.0) and higher educational level (CIX = 7.1; 95%CI 0.9-14.7), respectively. CONCLUSIONS:The frequency of comorbidities in Brazilian adults is high, especially in absolute terms. We only observed socioeconomic inequalities in multimorbidities among men.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Costa ÂK,Bertoldi AD,Fontanella AT,Ramos LR,Arrais PSD,Luiza VL,Mengue SS,Nunes BPdoi
10.11606/s1518-8787.2020054002569subject
Has Abstractpub_date
2020-12-14 00:00:00pages
138eissn
0034-8910issn
1518-8787pii
S0034-89102020000100311journal_volume
54pub_type
杂志文章abstract:OBJECTIVE:To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors. METHODS:Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association wit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000861
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To assess communications aspects related to pesticide use in a rural area of the Rio de Janeiro state, Brazil. METHODS:The study was carried out in the area of São Lourenço stream. It was based on methodological triangulation comprising: semi-structured interviews and observation of a local population sample...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102001000600010
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVE:To describe perception of family structures and understanding of a healthy family by Programa Saúde da Família (Family Health Program) team members. METHODS:Research with a qualitative approach, employing the focus group technique, and involving the Program professionals from the city of Campo Bom, Southern ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000100012
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:The goal of this paper is to investigate mortality related to tuberculosis in the state of S o Paulo, southeastern Brazil, according to multiple causes of death and their interrelation with other underlying causes. METHODS:The study investigated deaths related to tuberculosis that occurred in the state of S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000600005
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To examine successful practices of health promotion in health, education, culture, welfare and sport, leisure, identifying the elements of success and challenges in the field. METHODS:A qualitative study with data obtained from in-depth analysis that included participant observation, interviews with managers...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048004596
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To identify factors that lead people to visit a doctor in Brazil and assess differences between socioeconomic groups. METHODS:A cross-sectional study comprising 1,260 subjects aged 15 or more was carried out in southern Brazil. Demographic, socioeconomic, health needs and regular source of care data were ana...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000300017
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To analyze HIV/AIDS positive individual's perception and attitudes regarding dental services. METHODS:One hundred and thirty-four subjects (30.0% of women and 70.0% of men) from Nuevo León, Mexico, took part in the study (2014). They filled out structured, analytical, self-administered, anonymous questionnai...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005877
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) carried out a study to compare and evaluate the practices of protecting, promoting and supporting breastfeeding in public and private hospitals using the "ten steps" of the Hospital Initiative (BFHI) as a reference parameter. ...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102001000500001
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To describe the prevalence of the practice of physical activity (PA) among older Brazilian adults and associated factors. In addition, potential effect modifiers of the association between PA and age were investigated. METHODS:We have analyzed data from 8,736 participants (92.8%) aged 50 and older from the B...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000605
更新日期:2018-10-25 00:00:00
abstract:OBJECTIVE:Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS:A cross-sectional study was carried out using medical records ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000300005
更新日期:2005-06-01 00:00:00
abstract::Available information on organochlorines and the chronic effects of exposure to them are set out. Organochlorinated compounds are the most persistent pesticides and can be found in all ecosystems. Although they are generally efficient in pest control, they are also a potent environment pollutant and can provoke health...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89101998000400011
更新日期:1998-08-01 00:00:00
abstract::OBJECTIVE To describe drug consumption and the co-occurrence use of more than one illegal drug as well as associated factors in freshmen at a public university in Southern Brazil. METHODS Cross-sectional study with census of students entering undergraduate courses in 2017. A total of 1,788 university students answered...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002176
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To estimate the test-retest reliability of items of the Resource Generator scale for assessing social capital in the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil). METHODS:The social capital was applied in a subsample of 281 participants from six ELSA investigation centers, on two occasions wit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047003805
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To examine whether the level of complexity of the services structure and sociodemographic and clinical characteristics of patients in hemodialysis are associated with the prevalence of poor health self-assessment. METHODS:In this cross-sectional study, we evaluated 1,621 patients with chronic terminal kidney...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050005885
更新日期:2016-01-01 00:00:00
abstract::Further to a research project into the accuracy of death given on the causes of death given on the death certificates of women of fertile age (10-49), resident in the City of S. Paulo, SP, Brazil, in 1986, the main causes of death for the population according to age, with remarks on the mortality from cardiovascular d...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101991000100008
更新日期:1991-02-01 00:00:00
abstract::Results obtained with Anopheles albitarsis s.l. catches mainly performed through human bait at the Ribeira Valley region, SP (Brazil), are reported. Two species of the complex were recognized, namely An. albitarsis s.s. and species B. This latter predominated both in the rice fields and in the dwelling environments. T...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101996000400002
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:To analyze Estratégia de Saúde da Família (Family Health Strategy) professionals' perception of complementary and integrative therapies. METHODS:A study with 177 doctors and nurses was conducted in 2008, based on a self-administered questionnaire. The outcome variables were "interest in complementary and int...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000002
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To evaluate how the Judicial Power safeguards the social right to pharmaceutical assistance as well as the relationships between the legal and political systems to safeguard this right. METHODS:There were assessed decisions in lawsuits of drug supply in the state of São Paulo, Southern Brazil, between 1997 a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000100014
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the psychometric properties of the Brazilian Portuguese version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) administered to adolescents. METHODS:The study included 750 adolescents: 375 aged 12 years and 375 aged 15-19 years, attending public and private schools in Campina Gra...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000999
更新日期:2019-08-15 00:00:00
abstract::Public health actions endorsed by the federal government, for instance, health promotion initiatives, usually have greater impact at population level compared to other types of initiatives. This commentary aims to instigate debate on the importance and necessity of producing federally endorsed brazilian physical activ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005338
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence and patterns of psychotropic use by population and to compare the results with a study carried out in 1994. METHODS:This is a population-based cross-sectional study carried out in 2003 with 3,542 participants aged 15 or older who lived in an urban area in Southern Brazil. Two-week re...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000100017
更新日期:2006-02-01 00:00:00
abstract::Adults, nymphs and nits of the Pediculus humanus were found in a frame-house infesting the clothes and bedding of three inhabitants in a shanty town in S. Paulo county, S. Paulo State. A total of 198 nits were found glued in 15.0 cm2 of fibres of the infested clothing, giving a ratio of 13.2 nits/cm2. Having in view t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000100012
更新日期:1998-02-01 00:00:00
abstract:INTRODUCTION:The increase in life expectancy and the decline in mortality rates in Brazil have an impact on social programs to the elderly, especially related to health care. The objective of the study isto analyze the mortality trends for respiratory diseases in elderly. METHODS:An ecological time series was carried ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000200005
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS:The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS:600 protocols were filled o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000500006
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:Data from household food budget surveys were examined in order to describe the regional and socio-economic distribution of household food availability in Brazil in 2002-2003 and trends from 1974 to 2003. METHODS:The study uses data from the "Pesquisa de Orçamento Familiar 2002-2003" budget survey conducted b...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000400003
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of acute exposure to air pollutants (NO2 and PM10) on hospitalization of adults and older people with cardiovascular diseases in Western São Paulo. METHODS:Daily cardiovascular-related hospitalization data (CID10 - I00 to I99) were acquired by the Department of Informatics of the Braz...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006495
更新日期:2017-03-02 00:00:00
abstract:OBJECTIVE:To analyze the magnitude and growth of homicides among male population according to the geopolitical areas. METHODS:An ecological study including a time series analysis was carried out among 15 to 49 year-old males living in the state of Pernambuco, Brazil. Mortality data was collected from the Ministry of H...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000400012
更新日期:2002-08-01 00:00:00
abstract::During the second half of 1986 the health and nutritional status of 254 children aged up to six years was studied, as well as the socio-economic situation of their parents in two favelas (shantytowns) in Belo Horizonte, Brazil. The nutritional status of the children was characterized by stunting (Z-score: 20.1% less t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000200002
更新日期:1989-04-01 00:00:00
abstract::The shared management put into effect by the "Ações Integradas de Saúde" (Integrated Health Actions) in the State of S. Paulo (Brazil), in the early 80s is analysed. The relevant data were collected from the minutes of the meetings of the "Comissão Interinstitutional de Saúde" (Interinstitutional Health Committee). Th...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000300010
更新日期:1992-06-01 00:00:00
abstract::OBJECTIVE To review studies on the readability of package leaflets of medicinal products for human use. METHODS We conducted a systematic literature review between 2008 and 2013 using the keywords "Readability and Package Leaflet" and "Readability and Package Insert" in the academic search engine Biblioteca do Conheci...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-8910.2015049005559
更新日期:2015-01-01 00:00:00