Abstract:
OBJECTIVE:To analyze factors associated with persistence to breast cancer hormone therapy in order to contribute to the quality of care improvement. METHODS:Retrospective longitudinal study, based on secondary data. A cohort of 5,861 women with breast cancer registered in different datasets of the Brazilian National Cancer Institute and the Brazilian Unified Health System were analyzed. All women were treated at this hospital, which provides free medication, and the follow-up period was from January 2004 to October 2010. Sociodemographic, behavioral, and clinical variables, as well as aspects of lifestyle and health care, were considered in the explanation of variations in the persistence to hormone therapy, applying the Kaplan-Meier method and the Cox proportional hazard model. RESULTS:Overall persistence to hormone therapy was 79.0% at the end of the first year, and 31.0% in five years of treatment. The risk of discontinuing hormone therapy was higher among women under 35 years old, with more advanced disease (stages III and IV), alcohol drinkers, those undergoing chemotherapy, and for each additional hospitalization, exam performed, and month between diagnosis and beginning of treatment. In the opposite direction, the risk of discontinuity was lower among women who had at least finished high school, those with partner, with a family history of cancer, those who had undergone breast surgery, and who had outpatient visits to a Mastologist, and a Clinical Oncologist. CONCLUSIONS:The majority of the women with breast cancer (69.0%) do not persist with hormone treatment for the five years recommended, increasing the risk of inadequate clinical results. The results show aspects of care that can provide better results.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Brito C,Portela MC,Vasconcellos MTdoi
10.1590/s0034-8910.2014048004799subject
Has Abstractpub_date
2014-04-01 00:00:00pages
284-95issue
2eissn
0034-8910issn
1518-8787pii
S0034-89102014000200284journal_volume
48pub_type
杂志文章abstract::Sickle cell anemia is the most prevalent hereditary disease in Brazil. However, the Brazilian literature registers no investigations into the public health aspects of the disease. This present study investigates the way of life of 80 adult patients (49 women and 31 men) with a diagnosis of sickle cell anemia, at a blo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::With the purpose of determining the prevalence of vitamin consumption, a survey was conducted in a sample of 894 private university freshmen in São Paulo. It revealed that 30.4% of the students consumed vitamin supplements within the preceding 3 months -23.1% on a regular basis and 6.0% sporadically. Vitamin C and mul...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000200021
更新日期:2002-04-01 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:Describe the process of cross-cultural adaptation of the "Explanatory Model Interview Catalog - Stigma Scale" for people affected by leprosy in Brazil. METHODS:After being authorized by the author of the scale to use it in the national context, we initiated the five steps process of cross-cultural adaptation...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000167
更新日期:2017-09-04 00:00:00
abstract::The aim of this communication was to describe the detection of the coexistence of HIV-1 variant with dipeptide insertion between codons 69 and 70 of reverse transcriptase. These variants were isolated from a 16-year-old male patient, undergoing treatment in the city of Marilia, SP, Southeastern Brazil. After confirmat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004701
更新日期:2013-08-01 00:00:00
abstract::998 children aged 6, 8 and 10, from low income families living in the Federal District, Brazil and attending public, first grade, schools, received bi-annual topical APF Gel-Tray applications. The mass methodology proposed by the National Dental Caries Preventive Program of the Brazilian Ministry of Health, without pr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101993000400008
更新日期:1993-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of socioeconomic variables, birth weight, duration of breastfeeding and income changes on random blood glucose levels among young adults. METHODS:This was a study on the birth cohort from 1982, when the 5,914 hospital births that occurred in the city of Pelotas (Southern Brazil) were ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000900013
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:A comparison of the sensitivity of the agar diffusion method with that of extraction using cell-lines RC-IAL (fibroblastic of rabbit kidney) and HeLa (epithelial carcinoma cells from the cervix uteri of the human uterus), in the in vitro evaluation of materials of medical and hospital. MATERIALS AND METHODS:...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000200008
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVE:To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon. METHODS:In this population-based cross-sectional study, we analyzed data from surveys conducted in the city of Jordão, Acre. In 2005 and 2012, these surveys...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050006505
更新日期:2016-12-22 00:00:00
abstract:OBJECTIVE:To assess job satisfaction and work impact among providers of a mental health service and their potential association with sociodemographic and job-related variables. METHODS:A cross-sectional study was carried out in 321 employees of a long-stay mental health service in Rio de Janeiro, Southeastern Brazil, ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000200011
更新日期:2007-04-01 00:00:00
abstract::The interest and accomplishments in qualitative research have been increasing in health. As a consequence, there is a greater demand for both institutional research programs and scientific journal publications. This article has the following purposes: (a) to present some definitions in qualitative methods used in Huma...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000300025
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of physical activity practice in adults and its association with sociodemographic and environmental factors. METHODS:Data from the Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL--Telephone-based Surveillance of Risk and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000900009
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To estimate the basic reproduction number (R0) of dengue fever including both imported and autochthonous cases. METHODS:The study was conducted based on epidemiological data of the 2003 dengue epidemic in Brasília, Brazil. The basic reproduction number is estimated from the epidemic curve, fitting linearly t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000100001
更新日期:2009-02-01 00:00:00
abstract::A cross-sectional study of 354 children under two years of age was carried out in two periurban slums, with poor sanitary and socioeconomic conditions, located in Pelotas, southern Brazil. Most (79%) of the children studied were current users of pacifiers, 15% had never used one and the remaining 6% were ex-users. Amo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101994000500011
更新日期:1994-10-01 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...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004782
更新日期:2013-12-01 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::The objective was to describe the current epidemiological status of visceral leishmaniasis in the State of Pernambuco, Northeastern Brazil. For that, a search for scientific production on epidemiology of visceral leishmaniasis in Pernambuco was carried out in electronic databases MEDLINE, SciELO and LILACS. Additional...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89102006000300024
更新日期:2006-06-01 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::The use of tobacco among school children in ten Brazilian cities, by means of statistical techniques such as bivariate and multivariate analysis (Logit Model), was analyzed. Bivariate analysis revealed a positive association between the use of tobacco and the school child's non-academic occupation, evening course atte...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000500007
更新日期:1989-10-01 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::This article presents a systematic framework for modeling several classes of illness-sickness-disease named as Holopathogenesis. Holopathogenesis is defined as processes of over-determination of diseases and related conditions taken as a whole, comprising selected facets of the complex object Health. First, a conceptu...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005196
更新日期:2014-04-01 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:OBJECTIVES:To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas. METHODS:We perf...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2019053001410
更新日期:2019-11-28 00:00:00
abstract:OBJECTIVE:To analyze the spatial distribution of mortality due to motorcycle accidents in the state of Pernambuco, Northeastern Brazil. METHODS:A population-based ecological study using data on mortality in motorcycle accidents from 01/01/2000 to 31/12/2005. The analysis units were the municipalities. For the spatial ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000010
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To analyze the assistance, management and workers' education models of a network of psychosocial healthcare services (CAPS). METHODS:This is a qualitative evaluation research, supported by the Gadamerian hermeneutics, carried out in the city of Campinas, Southeastern Brazil, in 2006-2007. Data were collected...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102009000800004
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To identify the main socioeconomic, demographic, anthropometric and behavioral characteristics, and pregnancy outcomes of adolescent pregnancy and to assess health services used by pregnant adolescents. METHODS:Data were collected from a cross-section of 2,429 deliveries by women residing in the municipality...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000500003
更新日期:2003-10-01 00:00:00
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: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 analyze the effect of air pollution and temperature on mortality due to cardiovascular and respiratory diseases. METHODS We evaluated the isolated and synergistic effects of temperature and particulate matter with aerodynamic diameter < 10 µm (PM10) on the mortality of individuals > 40 years old due to ca...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2014048005218
更新日期:2014-12-01 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