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 disease on hemodialysis accompanied in 81 dialysis services in the Brazilian Unified Health System in 2007. Sampling was performed by conglomerate in two stages and a structured questionnaire was applied to participants. Multilevel multiple logistic regression was used for data analysis. RESULTS:The prevalence of poor health self-assessment was of 54.5%, and in multivariable analysis it was associated with the following variables: increasing age (OR = 1.02; 95%CI 1.01-1.02), separated or divorced marital status (OR = 0.62; 95%CI 0.34-0.88), having 12 years or more of study (OR = 0.51; 95%CI 0.37-0.71), spending more than 60 minutes in commuting between home and the dialysis service (OR = 1.80; 95%CI 1.29-2.51), having three or more self-referred diseases (OR = 2.20; 95%CI 1.33-3.62), and reporting some (OR = 2.17; 95%CI 1.66-2.84) or a lot of (OR = 2.74; 95%CI 2.04-3.68) trouble falling asleep. Individuals in treatment in dialysis services with the highest level of complexity in the structure presented less chance of performing a self-assessment of their health as bad (OR = 0.59; 95%CI 0.42-0.84). CONCLUSIONS:We showed poor health self-assessment is associated with age, years of formal education, marital status, home commuting time to the dialysis service, number of self-referred diseases, report of trouble sleeping, and also with the level of complexity of the structure of health services. Acknowledging these factors can contribute to the development of strategies to improve the health of patients in hemodialysis in the Brazilian Unified Health System.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Moreira TR,Giatti L,Cesar CC,Andrade EI,Acurcio Fde A,Cherchiglia MLdoi
10.1590/S1518-8787.2016050005885subject
Has Abstractpub_date
2016-01-01 00:00:00pages
10eissn
0034-8910issn
1518-8787pii
S0034-89102016000100209journal_volume
50pub_type
杂志文章abstract:OBJECTIVE:To understand the cultural dimensions of HIV/AIDS among adolescent students. METHODS:A cognitive anthropological study was undertaken in Cochabamba (Bolivia), Talca (Chile) and Guadalajara (Mexico), during 2007 and 2008. A total of 184 teenagers (from 14 to 19 years old) were selected by purposeful sampling ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000500007
更新日期:2010-10-01 00:00:00
abstract::The distinguishing characteristics of the definitions of health promotion and health education are here examined. Two different planning frameworks, the PRECEDE-PROCEDE and the HELPSAM models are introduced. Solutions can be directed in two major directions are discussed: individual changes and organizational changes....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000200016
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVE:To investigate the impact of socioeconomic status on elderly health. METHODS:The study was based on cross-sectional data from Survey on Health, Well-Being, and Aging in Latin America and the Caribbean. The sample comprised 2,143 non-institutionalized elderly aged 60 years and older living in the urban area o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006005000042
更新日期:2007-08-01 00:00:00
abstract::Traffic accidents and resulting injuries and deaths have become a global epidemic. In Brazil, most professional drivers, especially truck drivers, face irregular working hours and can be awake for more than 18 hours/day, which reduces their performance and alertness. In this article, we discuss the laws related to Bra...
journal_title:Revista de saude publica
pub_type: 杂志文章
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更新日期:2017-03-30 00:00:00
abstract:OBJECTIVE:Lower extremity amputation is an increasing problem among diabetic patients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS:A matched case-control study was carried out among diabetic patients. Cases were selected in public...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000300010
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of exposure to magnetic fields generated by transmission lines (TL) and characterize the exposed population. METHODS:Information about TL in the metropolitan region of São Paulo, Southeastern Brazil, was provided by the electricity companies and mapped out using geographic informat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000400014
更新日期:2010-08-01 00:00:00
abstract::This is a case report of the first accident involving a scorpion Tityus serrulatus in the city of Porto Alegre, Brazil, that occurred in March, 2001. A 21-year-old male patient, while handling vegetables proceeding from other Brazilian states, was bitten by a scorpion Tityus serrulatus, developing local and systemic r...
journal_title:Revista de saude publica
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doi:10.1590/s0034-89102002000600014
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVE:To analyze the association between the pictorial graphic health warnings on cigarette packs and their impact on intention to quit smoking among women. METHODS:Population-based cross-sectional study among 265 women daily smokers in the State of Paraná in 2010. The sample size was calculated using cluster samp...
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pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004782
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence and severity of dental caries in Brazilian children and the association with individual and contextual factors. METHODS:Data were taken from the Brazilian Oral Health Survey (SBBrasil 2010) a sample of 7,247 12-year-olds. The data were collected using clinical examinations and inte...
journal_title:Revista de saude publica
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pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1590/s0034-89102012005000039
更新日期:2012-08-01 00:00:00
abstract::The present essay is an exploratory study of the historical and institutional background of the so-called "crisis in public health", aimed at identifying the new trends and perspectives for the paradigmatic transformation of the health field in the context of the current international panorama of economic and cultural...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000400001
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To analyze users' reasons for choosing in vitro fertilization treatment in public or private services and to identify their suggestions for improving fertility treatment. METHODS:A qualitative study using an interpretative approach was conducted. Fifteen semi-structured interviews were conducted with patient...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012000200017
更新日期:2012-04-01 00:00:00
abstract::A discussion on the scope of "community" as a category in health promotion by means of its "epistemological sensitivity"--a reasoning tool based upon the epidemiological concept of "sensitivity", adjusted to the epistemological field--was carried out. A brief review of promotional health topics and a short description...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000500001
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:Although there are many studies on risk factors for drug use, little has been known about the reasons that prevent people away from drug use. The aim of this study was to identify the reasons that would prevent low-income youngsters against psychotropic drug experimentation and use, even when living in a drug...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000400013
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To assess Brazilian Unified Health System outpatient services delivering care to adults living with AIDS in 2007 and to compare with the assessment conducted in 2001. METHODS:The 636 health services registered in the Ministry of Health in 2007 were invited to respond to a previously validated questionnaire (...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102013000100018
更新日期:2013-02-01 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 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
doi:10.11606/s1518-8787.2018052000290
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To present an application of logistic regression modelling to estimate ratios of proportions, such as prevalence ratio or relative risk, and the Delta Method to estimate confidence intervals. METHOD:The Delta Method was used because it is appropriate for the estimation of variance of non-linear functions of ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000100012
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To analyze the relationship between macroeconomic conditions and health in Brazil. METHODS:The analysis of the impact of employment and income on mortality in Brazil was based on panel data from Brazilian states between 1981 and 2002. Mortality rates obtained from the national mortality database was used as ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000200011
更新日期:2010-04-01 00:00:00
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 ...
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pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004454
更新日期:2013-08-01 00:00:00
abstract::The concept of health advocacy is presented by means of a description of its elements, practice and agents. The need to formulate this concept derives from one of the main functions of the university: the identification of social demands and the presentation of alternatives that aim at eliminating obstacles to their f...
journal_title:Revista de saude publica
pub_type: 历史文章,杂志文章
doi:10.1590/s0034-89101996000600014
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To compare cancer hospital morbidity among the local population and the immigrant population in Chile. METHODS:This is a prevalence study based on the analysis of hospital discharges of all the health centers of Chile. Cancer hospital discharges were characterized in 2012 according to the migratory status. T...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000222
更新日期:2018-04-09 00:00:00
abstract:OBJECTIVE:To analyze if characteristics of managers, schools, and curriculum are associated with the implementation of programs for drug abuse prevention in elementary and high schools. METHODS:Cross-sectional study, with random sample of 263 school managers. Data were collected between 2012 and 2013 by a program that...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050005819
更新日期:2016-08-04 00:00:00
abstract:OBJECTIVE:To spatially delimit cutaneous leishmaniasis (CL) human contact risk zones (CoRZ) using remote sensing and geoprocessing techniques. METHODS:A total of 27 CL cases reported from 1992 to 1997 in the municipality Itapira, Brazil, were studied. The influence of some important environmental variables related to ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000400005
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To assess the diversity of oviposition containers and buildings where females of Aedes albopictus and Aedes aegypti can be found. METHODS:A study was carried out in the city of Rio de Janeiro, Southern Brazil, between 2002 and 2003. Larvae in different types of buildings were investigated, and immature forms...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000700021
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the quality of information registered on fetal death certificates. METHODS:Records were reviewed from 710 fetal deaths registered in the consolidated database of deaths from the State System for Data Analysis and the São Paulo State Secretary of Health, for deaths in São Paulo municipality (South...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000058
更新日期:2011-10-01 00:00:00
abstract::This study assessed the sensitivity, specificity and predictive value of hearing complaints in outpatients attending an university ear, nose and throat clinic. A cross-sectional study was carried out in Canoas, Southern Brazil, from 1999 to 2002. Seven-hundred and ninety-five subjects who underwent the audiometric tes...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000600017
更新日期:2005-12-01 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