Evidence-based decision making and promotion of physical activity among directors of local health departments.


OBJECTIVE:To describe the steps involved in evidence-based decision making for the implementation of programs aimed at the promotion of physical activity. METHODS:It is a descriptive, cross-sectional study with quali-quantitative approach, held with municipal health secretaries chosen deliberately by regional health representatives of the state of Paraná. A total of 27 secretaries participated in a telephone interview consisting of 17 open questions. Content analysis was conducted according to the categories of an evidence-based decision-making model consisting of seven steps. RESULTS:None of the participants employed every step of the evidence-based decision-making model. The steps that were most often mentioned included: evaluation of the program (33.3%), use of evidence from the literature (22.2%) and identification of the problem (22.2%). The steps that were reported the least included: quantification of the problem (14.8%), development and prioritization of actions (14.8%), development of the plan of action (14.8%) and evaluation of the community (3.7%). CONCLUSIONS:The use of evidence-based decision making in the context of the promotion of physical activity was shown to be incipient among the health secretaries of the state of Paraná. We suggest widening dissemination and training on the use of evidence-based decision making among municipal administrators to increase the effectiveness of actions for promotion of physical activity.


Rev Saude Publica


Revista de saude publica


Becker LA,Rech CR,Hino AAF,Reis RS




Has Abstract


2018-11-23 00:00:00












  • [Disability due to mental illness: social security benefits in Brazil 2008-2011].

    abstract::This communication aimed to analyze the profile variation of disability benefits due to mental disorders. Secondary data published by Brazilian Social Security between 2008 and 2011 were evaluated. Mean annual variation rates over the period were calculated for the economically active population, as were the number in...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silva Junior JS,Fischer FM

    更新日期:2014-02-01 00:00:00

  • [Drug use during in-hospital birth delivery stay].

    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


    authors: Perini E,Magalhães SM,Noronha V

    更新日期:2005-06-01 00:00:00

  • [Drug and alcohol use: main findings of a national survey, Brazil 2005].

    abstract:OBJECTIVE:To assess alcohol and drug use in a representative sample of the urban Brazilian population and their correlation with sexual and reproductive health. METHODS:Data from a national population-based survey with a complex sampling, performed in 2005 was used. A total of 5,040 individuals from both genders, in t...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Bastos FI,Bertoni N,Hacker MA,Grupo de Estudos em População, Sexualidade e Aids.

    更新日期:2008-06-01 00:00:00

  • [Mental disorders as risk factors for the development of cocaine abuse/dependence: case-control study].

    abstract:OBJECTIVE:To evaluate the role of psychiatric disorders and alcohol dependence as possible risk factors for cocaine abuse/dependence. METHODS:The case-control study used the "snowball" technique in order to select untreated cocaine users (cases) and to match sex, age and friendship. Information was gathered using the ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Lopes CS,Coutinho ES

    更新日期:1999-10-01 00:00:00

  • [Household food availability in Brazil: distribution and trends (1974-2003)].

    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


    authors: Levy-Costa RB,Sichieri R,Pontes Ndos S,Monteiro CA

    更新日期:2005-08-01 00:00:00

  • Studies on mosquitoes (Diptera:Culicidae) and anthropic environment. 12-host-seeking behaviour of Anopheles albitarsis s.l. in south-eastern Brazil.

    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


    authors: Forattini OP,Kakitani I,Massad E,Marucci D

    更新日期:1996-08-01 00:00:00

  • Economic profile of Ribeirão Preto population: application of the National Economic Indicator.

    abstract::The study aimed to apply the National Economic Indicator on data from a cross-sectional population-based study (nw =2,197) in the city of Ribeirão Preto, Southeastern Brazil, in 2006. Compared to Brazil, the indicator presented a concentration around the last five deciles and was similar to that of the municipality of...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Freitas IC,Moraes SA

    更新日期:2010-12-01 00:00:00

  • [Trends in mortality due to respiratory diseases in elderly, Brazil, 1980 to 1998].

    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


    authors: Francisco PM,Donalisio MR,Lattorre Mdo R

    更新日期:2003-04-01 00:00:00

  • [Growth and development in the practice of health services. Historical review of the concept of child].

    abstract::Conditions for the emergence and development of health and social policy programs for children are discussed. The concepts of the child, health and health services prevalent in certain historical periods are expounded, as are the relationships of these proposals to the political and economic interest dominant in each ...

    journal_title:Revista de saude publica

    pub_type: 历史文章,杂志文章


    authors: Gomes FZ,Adorno RD

    更新日期:1990-06-01 00:00:00

  • Composite indicator to evaluate quality of municipal management of primary health care.

    abstract:OBJECTIVE:To develop a composite indicator to evaluate the quality of municipal management of primary health care. METHODS:The evaluation model focuses on aspects of health system management. Fifty-five performance indicators were used and classified according to the criteria of relevance, effectiveness, efficacy and ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Scaratti D,Calvo MC

    更新日期:2012-06-01 00:00:00

  • HIV prevalence in pregnant women and vertical transmission in according to socioeconomic status, Southeastern Brazil.

    abstract:OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifiable Diseases database on HIV-positive pregnant women and AIDS in children, repor...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Vieira AC,Miranda AE,Vargas PR,Maciel EL

    更新日期:2011-08-01 00:00:00

  • [The international language of science].

    abstract::There is a trend, with a view to achieving greater scientific visibility and international projection, that favors the adoption of the English language in Brazilian journals dealing with nosological problems. This argument is here questioned. Latin America is a large continent with characteristic health problems. Thus...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Forattini OP

    更新日期:1997-02-01 00:00:00

  • [Estimate of the validity of a new method for the isolation of rabies virus].

    abstract:OBJECTIVES:No population-based studies have been conducted to show the potential for the use of virological diagnosis of the rabies virus. The objective of the present study was to estimate accuracy parameters for the isolation of the rabies virus in McCoy cells as an alternative method and to compare this with the use...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Nogueira YL

    更新日期:2004-04-01 00:00:00

  • [Hospital system as a source of information to estimate stillbirth and neonatal mortality rates].

    abstract:OBJECTIVE:Studies on the evolution of infant mortality rate are very relevant. Nevertheless, lack of vital statistics in Brazil limits the temporal and spatial analysis of this indicator. This study aims to investigate the possible use of the Brazilian Hospital Information System as an alternative information source fo...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Schramm JM,Szwarcwald CL

    更新日期:2000-06-01 00:00:00

  • Detection of Leishmania braziliensis DNA in American tegumentary leishmaniasis patients.

    abstract::Diagnostic tests for American tegumentary leishmaniasis were performed on blood samples of patients living in two endemic municipalities in the state of Pernambuco, Northeastern Brazil. DNA was extracted from 119 samples and used as template for polymerase chain reaction (PCR) analysis. The tests used primers specific...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Martins L,Alexandrino A,Guimarães G

    更新日期:2010-06-01 00:00:00

  • Trends in public health policies addressing violence against women.

    abstract:OBJECTIVE:To analyze the content of policies and action plans within the public healthcare system that addresses the issue of violence against women. METHODS:A descriptive and comparative study was conducted on the health policies and plans in Catalonia and Costa Rica from 2005 to 2011. It uses a qualitative methodolo...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Loría KR,Rosado TG,Espinosa LM,Marrochi LM,Sánchez AF

    更新日期:2014-08-01 00:00:00

  • [Measurement reliability in a study on family violence and severe acute malnutrition].

    abstract:INTRODUCTION:This study is nested within a research program related to family violence and severe childhood malnutrition. Its aim is to evaluate the reliability of the data collection process in a case-control study. Four components of the main instrument are addressed: (a) CTS (Conflict Tactics Scales) used to measure...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Hasselmann MH,Lopes CS,Reichenheim ME

    更新日期:1998-10-01 00:00:00

  • [Intake recommendations and labeling of trans fat in processed foods in Brazil: analysis of official documents].

    abstract::Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mand...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silveira BM,Proença RP

    更新日期:2012-10-01 00:00:00

  • Self-reported voice problems among teachers: prevalence and associated factors.

    abstract:OBJECTIVE:To estimate the prevalence of self-reported voice problems and to identify associated factors. METHODS:A cross-sectional study was carried out in a sample of 393 public elementary and middle school teachers in Florianópolis, Southern Brazil, in 2009. A self-administered questionnaire was used. A multivariabl...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Marçal CC,Peres MA

    更新日期:2011-06-01 00:00:00

  • Aerosols from biomass burning and respiratory diseases in children, Manaus, Northern Brazil.

    abstract:OBJECTIVE:To investigate the effects of fine particulate matter emitted through biomass burning on hospitalizations for respiratory diseases in children living in Manaus, Northern Brazil. METHODS:Descriptive study with ecologic time series design carried out in Manaus from 2002 to 2009. Hospital admission data were ob...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Andrade Filho VS,Artaxo P,Hacon S,Carmo CN,Cirino G

    更新日期:2013-04-01 00:00:00

  • [Spatial distribution of risks for work-related injuries in a city of Southeastern Brazil].

    abstract:OBJECTIVE:To assess spatial distribution of risks for work-related injuries controlled for nutritional variables and other covariables. METHODS:Hospital-based spatial case-control study with work-related injuries spatial distribution as the main variable of interest. A total of 794 workers were selected between May an...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Zangirolani LT,Cordeiro R,Medeiros MA,Stephan C

    更新日期:2008-04-01 00:00:00

  • Introduction and expansion of human American visceral leishmaniasis in the state of Sao Paulo, Brazil, 1999-2011.

    abstract:OBJECTIVE:To analyze the spread of human American visceral leishmaniasis and identify the key municipalities for developing surveillance and control activities. METHODS:The area of the study was composed of the 316 municipalities in the state of Sao Paulo belonging to the five health districts in which human American ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Cardim MF,Rodas LA,Dibo MR,Guirado MM,Oliveira AM,Chiaravalloti-Neto F

    更新日期:2013-08-01 00:00:00

  • [Methodology of the Pelotas birth cohort study from 1982 to 2004-5, Southern Brazil].

    abstract:OBJECTIVE:To describe the methods employed in the longitudinal and follow-up studies of children born in Pelotas (Southern Brazil) in 1982. METHODS:The cohort began with a perinatal health survey that included all 6,011 children born in maternity wards in Pelotas in 1982. The 5,914 children born alive in the city were...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Barros FC,Victora CG,Horta BL,Gigante DP

    更新日期:2008-12-01 00:00:00

  • [A sixteen-year epidemiological profile of a pediatric intensive care unit, Brazil].

    abstract:OBJECTIVE:To review epidemiological data from patients admitted to a Pediatric Intensive Care Unit (PICU), Brazil, and to compare them to medical aspects associated to disease severity and mortality. Also, to profile these patients, including demographic data, disease prevalence, mortality rates and associated factors....

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Einloft PR,Garcia PC,Piva JP,Bruno F,Kipper DJ,Fiori RM

    更新日期:2002-12-01 00:00:00

  • [Delayed effects of organochlorine pesticides in man].

    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


    authors: Nunes MV,Tajara EH

    更新日期:1998-08-01 00:00:00

  • Principal components and generalized linear modeling in the correlation between hospital admissions and air pollution.

    abstract::OBJECTIVE To analyze the association between concentrations of air pollutants and admissions for respiratory causes in children. METHODS Ecological time series study. Daily figures for hospital admissions of children aged < 6, and daily concentrations of air pollutants (PM10, SO2, NO2, O3 and CO) were analyzed in the ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Souza JB,Reisen VA,Santos JM,Franco GC

    更新日期:2014-06-01 00:00:00

  • The need to establish a national patient safety program in Brazil.

    abstract::The aim of the study was to promote reflection on the need to create a national incident notification system based on a brazilian patient safety program. Incidents in health care harm patients and encumber the health care system. Although a quality assessment program has been recently launched in health care instituti...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Capucho HC,Cassiani SH

    更新日期:2013-08-01 00:00:00

  • Evaluation of an obesity prevention program in adolescents of public schools.

    abstract:OBJECTIVE:To evaluate the effects of an obesity prevention program on the dietary practices of public school adolescents. METHODS:An intervention was conducted with 331 students aged between 11 and 17 years, enrolled in the 5th and 6th grades of two state public schools in the city of Niterói, Southeastern Brazil, in ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Vargas IC,Sichieri R,Sandre-Pereira G,da Veiga GV

    更新日期:2011-02-01 00:00:00

  • Green spaces and mortality due to cardiovascular diseases in the city of Rio de Janeiro.

    abstract::OBJECTIVE Investigate the association between exposure to green spaces and mortality from ischemic heart and cerebrovascular diseases, and the role of socioeconomic status in this relationship, in the city of Rio de Janeiro, Brazil. METHODS Ecological study, with the census tracts as unit of analysis. This study used ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silveira IHD,Junger WL

    更新日期:2018-01-01 00:00:00

  • Socioeconomic inequalities in the access to and quality of health care services.

    abstract::OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Nunes BP,Thumé E,Tomasi E,Duro SM,Facchini LA

    更新日期:2014-12-01 00:00:00