Health self-assessment by hemodialysis patients in the Brazilian Unified Health System.

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 Publica

journal_title

Revista de saude publica

authors

Moreira TR,Giatti L,Cesar CC,Andrade EI,Acurcio Fde A,Cherchiglia ML

doi

10.1590/S1518-8787.2016050005885

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

10

eissn

0034-8910

issn

1518-8787

pii

S0034-89102016000100209

journal_volume

50

pub_type

杂志文章
  • Cultural conceptions of HIV/AIDS among teenagers in Bolivia, Chile and Mexico.

    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

    authors: Torres López TM,Reynaldos Quinteros C,Lozano González AF,Munguía Cortés JA

    更新日期:2010-10-01 00:00:00

  • [The concepts of health education and promotion: individual and organizational changes].

    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

    authors: Candeias NM

    更新日期:1997-04-01 00:00:00

  • Impact of socioeconomic status on Brazilian elderly health.

    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

    authors: Ramos M

    更新日期:2007-08-01 00:00:00

  • Safety and health of professional drivers who drive on Brazilian highways.

    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

    doi:10.1590/S1518-8787.2017051006761

    authors: Narciso FV,Mello MT

    更新日期:2017-03-30 00:00:00

  • [Lower extremity amputations in diabetic patients: a case-control study].

    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

    authors: Gamba MA,Gotlieb SL,Bergamaschi DP,Vianna LA

    更新日期:2004-06-01 00:00:00

  • Social inequality and exposure to magnetic fields in the metropolitan region of São Paulo, Southeastern Brazil.

    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

    authors: Habermann M,Marcílio I,Lopes M,Prado R,Souza M,Gouveia N

    更新日期:2010-08-01 00:00:00

  • [An accident involving Tityus serrulatus and its epidemiological implications in Brazil].

    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

    pub_type: 杂志文章

    doi:10.1590/s0034-89102002000600014

    authors: Torres JB,Marques Mda G,Martini RK,Borges CV

    更新日期:2002-10-01 00:00:00

  • Pictorial health warnings on cigarette packs and the impact on women.

    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...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047004782

    authors: Bittencourt L,Person SD,Cruz RC,Scarinci IC

    更新日期:2013-12-01 00:00:00

  • [Individual and contextual determinants of dental caries in Brazilian 12-year-olds in 2010].

    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

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047004322

    authors: Freire Mdo C,Reis SC,Figueiredo N,Peres KG,Moreira Rda S,Antunes JL

    更新日期:2013-12-01 00:00:00

  • Patient safety culture from the perspective of workers and primary health care teams.

    abstract:OBJECTIVE:Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS:Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire "Survey on Patien...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.11606/S1518-8787.2019053000788

    authors: Raimondi DC,Bernal SCZ,Matsuda LM

    更新日期:2019-01-01 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

    doi:10.1590/s0034-8910.2014048004797

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

    更新日期:2014-08-01 00:00:00

  • Cause-specific mortality and income inequality in São Paulo, Brazil.

    abstract:OBJECTIVE:To analyze cause-specific mortality rates according to the relative income hypothesis. METHODS:All 96 administrative areas of the city of São Paulo, southeastern Brazil, were divided into two groups based on the Gini coefficient of income inequality: high (≥0.25) and low (<0.25). The propensity score matchin...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102012005000039

    authors: Chiavegatto Filho AD,Gotlieb SL,Kawachi I

    更新日期:2012-08-01 00:00:00

  • [Collective health: a "new public health" or field open to new paradigms?].

    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

    authors: Paim JS,de Almeida Filho N

    更新日期:1998-08-01 00:00:00

  • Perspectives on access to in vitro fertilization in Portugal.

    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

    authors: Silva S,Barros H

    更新日期:2012-04-01 00:00:00

  • [Health promotion and the epistemological sensitivity of 'community' as a category].

    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

    authors: Castiel LD

    更新日期:2004-10-01 00:00:00

  • [Main reasons for non-use of illicit drugs by young population exposed to risk situations].

    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

    authors: Sanchez Zv,de Oliveira LG,Nappo SA

    更新日期:2005-08-01 00:00:00

  • Assessment of outpatient services for AIDS patients, Brazil: comparative study 2001/2007.

    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

    authors: Nemes MI,Alencar TM,Basso CR,Castanheira ER,Melchior R,Alves MT,Caraciolo JM,Santos MA

    更新日期:2013-02-01 00:00:00

  • [Health promotion: challenges revealed in successful practices].

    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

    authors: Silva KL,Sena RR,Belga SM,Silva PM,Rodrigues AT

    更新日期:2014-02-01 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

    doi:10.11606/s1518-8787.2018052000290

    authors: Silveira IHD,Junger WL

    更新日期:2018-01-01 00:00:00

  • [Ratio of proportions and the use of the delta method for confidence intervals in logistic regression].

    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

    authors: de Oliveira NF,Santana VS,Lopes AA

    更新日期:1997-02-01 00:00:00

  • Effects of macroeconomic conditions on health in Brazil.

    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

    authors: Jacinto Pde A,Tejada CA,Sousa TR

    更新日期:2010-04-01 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

    doi:10.1590/S0034-8910.2013047004454

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

    更新日期:2013-08-01 00:00:00

  • [Health advocacy in contemporary Brazil].

    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

    authors: Dallari SG,Barber-Madden R,Torres-Fernandes Mde C,Shuqair NS,Watanabe HA

    更新日期:1996-12-01 00:00:00

  • Hospitalizations for cancer in international migrants versus local population in Chile.

    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

    authors: Oyarte M,Delgado I,Pedrero V,Agar L,Cabieses B

    更新日期:2018-04-09 00:00:00

  • Factors associated with the implementation of programs for drug abuse prevention in schools.

    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

    authors: Pereira AP,Paes ÂT,Sanchez ZM

    更新日期:2016-08-04 00:00:00

  • [Spacial modeling of cutaneous leishmaniasis risk zones].

    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

    authors: Aparicio C,Bitencourt MD

    更新日期:2004-08-01 00:00:00

  • [Diversity of oviposition containers and buildings where Aedes albopictus and Aedes aegypti can be found].

    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

    authors: da Silva VC,Scherer PO,Falcão SS,Alencar J,Cunha SP,Rodrigues IM,Pinheiro NL

    更新日期:2006-12-01 00:00:00

  • Quality of information registered on fetal deaths certificates in São Paulo, Southeastern Brazil.

    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

    authors: Almeida MF,Alencar GP,Schoeps D,Minuci EG,Silva ZP,Ortiz LP,Novaes HM,Alencar AP,Raspantini PR,Santos PC

    更新日期:2011-10-01 00:00:00

  • [Sensitivity, specificity and predictive value of hearing complaints].

    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

    authors: Marini AL,Halpern R,Aerts D

    更新日期:2005-12-01 00:00:00

  • [Management of the health sector in the 80's, in the state of São Paulo, Brazil].

    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

    authors: Tanaka OY,Escobar EM,Gimenez AS,Camargo KG,Lelli CL,Yoshida TM

    更新日期:1992-06-01 00:00:00