Abstract:
OBJECTIVE:To analyze the reliability and performance of the Portuguese version of questionnaires used to evaluate adherence to hypertensive treatment. METHODS:Hypertensive patients attending a primary healthcare unit in Porto Alegre, Southern Brazil, from January to September 2010, were randomly selected (n = 206). To evaluate adherence, Portuguese versions of the Morisky-Green test (MGT) and the Brief Medication Questionnaire (BMQ) were used. The analysis considered internal consistency, temporal stability and performance compared to three gold standards, which are: inadequate control of blood pressure (BP > 140/90 mmHg); insufficient rate of medication acquisition at the institution's pharmacy (<80%) and a combination of both factors. RESULTS:Of the patients studied, 97 only used medications dispensed by the Basic Health Unit. The tests showed good internal consistency by Cronbach's α: BMQ 0.66 (95%CI 0.60 to 0.73) and the MGT 0.73 (95%CI 0.67 to 0.79). The BMQ Regimen Screen had a sensitivity of 77%, specificity of 58%, and an area under the ROC curve of 0.70 (95%CI 0.55 to 0.86); for MGT sensitivity was 61%, specificity 36% and area under the ROC curve 0.46 (95%CI 0.30 to 0.62). The correlation between the BMQ and the MGT was r=0.28, p> 0.001. Low adherence per the BMQ is associated with higher blood pressure levels when compared to adherent patients (148.4 [SD 20.1] vs 128.8 [SD 17.8]; p <0.001), but not for the MGT. CONCLUSIONS:The BMQ showed better performance than the MGT, with greater sensitivity and specificity. Evaluation of adherence may help clinicians discriminate between inadequate use of medication and insufficient treatment regimen.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Ben AJ,Neumann CR,Mengue SSdoi
10.1590/s0034-89102012005000013subject
Has Abstractpub_date
2012-04-01 00:00:00pages
279-89issue
2eissn
0034-8910issn
1518-8787pii
S0034-89102012005000013journal_volume
46pub_type
杂志文章abstract:OBJECTIVE:To identify the maternal characteristics and welcoming actions towards mothers of infants aged less than six months associated with early liquid offer. METHODS:Cross-sectional study performed in 2007, with a representative sample of mothers of infants aged less than six months (n=1,057), users of Primary Hea...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000022
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To describe children's consumption of processed foods and its relationship with per capita family income based on a household survey. METHODS:Food consumption was studied in a statistical sample of 718 children living in the city of São Paulo in the period 1995-1996. A 24-hour dietary recall was used. Data r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000700001
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:The evaluation of the quality of population data and coverage of death statistics for all Federal Brazilian Units by sex in 1990. METHODS:The population data came from censuses and the recorded death data from "Fundação Instituto Brasileiro de Geografia e Estatística" and the Health Ministry. The population ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000100006
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS:A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006808
更新日期:2017-06-26 00:00:00
abstract::Controversies and risks in the social construction of the concept of healthy food are discussed, using soybean as the object of study. Studies concerning the impacts of soy on human health and the effects of its cultivation on the social-environmental domain were reviewed to analyze the political context of the discus...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89102011000400019
更新日期:2011-08-01 00:00:00
abstract::Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000209
更新日期:2018-02-05 00:00:00
abstract:OBJECTIVE:Intimate partner abuse is a complex phenomenon and a public health problem and health care services are one of the places sought by women in this situation. The objective of this study was to assess the prevalence of violence against women attending a health care center. METHODS:This study was carried out in...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000500008
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the magnitude of morbidity and mortality and describe some of the characteristics of road accident victims. METHODS:The study population was composed of 3,643 victims of road accidents which occurred in Londrina, PR (Brazil), during the first semester of 1996. There were included victims from acc...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000200008
更新日期:2000-04-01 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: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 assess a new impunity index and variables that have been found to predict variation in homicide rates in other geographical levels as predictive of state-level homicide rates in Brazil. METHODS:This was a cross-sectional ecological study. Data from the mortality information system relating to the 27 Brazi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000500001
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To investigate how stressful life events and social support relate to central adiposity in Southern Brazil. METHODS:Data included information from 802 participants in the 1982 Pelotas Birth Cohort that was collect in 2004-2005 and 2006. Stratifying by sex, we studied self-reported stressful life events durin...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2018052000161
更新日期:2018-01-01 00:00:00
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
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To analyze serological data collected in two different periods, from the late 1960's to 1983, when these data was first added to the available information about vector triatomines found in the state of São Paulo, and from 1984 to 1999, a period when serology was used to describe endemic Chagas' disease in the...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000100009
更新日期:2003-02-01 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:OBJECTIVE:To characterize the polypharmacy in primary health care patients and to identify its associated factors. METHODS:This is a cross-sectional, exploratory, and evaluative study, part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051007136
更新日期:2017-11-13 00:00:00
abstract:OBJECTIVE:To evaluate the audiometric profile of civilian pilots according to the noise exposure level. METHODS:This observational cross-sectional study evaluated 3,130 male civilian pilots aged between 17 and 59 years. These pilots were subjected to audiometric examinations for obtaining or revalidating the functiona...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005256
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:Estimate the prevalence and determinants of tobacco use by students. METHODS:This cross-sectional study, carried out between 2013 and 2014, evaluates 701 public school students between 10 and 79 years of age living in a city in the countryside of the State of Goias, Midwest of Brazil. A structured questionna...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006283
更新日期:2017-05-04 00:00:00
abstract:OBJECTIVE:To evaluate health status of the elderly in Mexico through their self-perception and to describe social, organizational and health-related factors. METHODS:A study was carried out on secondary data from the 2000 National Health Survey in Mexico. Multiple logistic regression models were used. The dependent va...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000600008
更新日期:2006-10-01 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 apply the temporal-spatial model to assess high-risk areas for the occurrence of dengue fever. METHODS:A total of 11,989 confirmed, autochthonous dengue fever cases, geocoded by address in the city of São José do Rio Preto (Southeastern Brazil), between September of 2001 and August of 2006, were included ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008005000032
更新日期:2008-08-01 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:OBJECTIVE:To describe trends in the incidence of Aids cases according to age and gender from 1986 to 2008. METHODS:Analyses of Aids trends according to age group and to gender was carried out Londrina, Southern Brazil. The timeframe was divided into two periods (1986-1995 and 1996-2008). Of the polynomial models, it w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102013005000003
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:To analyze age as a prognostic factor in early breast cancer. METHODS:Retrospective study analyzing the clinical profile and disease-free survival in a group of 280 subjects aged 25 to 81 years with stage I and II breast cancer followed-up in Porto Alegre, southern Brazil, from 1995 to 2000. Clinical, pathol...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009005000009
更新日期:2009-04-01 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: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
doi:10.1590/s0034-89102012005000034
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS:Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002381
更新日期:2020-12-04 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:OBJECTIVES:To identify and measure the risk of malnutrition associated to determining indicators of mother's ability of childcare: familial structure, education level, work, maternal physical and mental health. METHODS:A case-control study was performed. Cases (101 children whose weight/age was below 5th percentile) a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000200011
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To analyze factors associated with failure to breastfeed during the first hour of life, especially the influence of time of delivery of rapid HIV test results. METHODS:Cohort study, beginning with the administration of the rapid test and ending the first time the baby is breastfed. The study population inclu...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000100007
更新日期:2010-02-01 00:00:00