RESUMO
AIM: The aim of this study was to describe the most common gynecological complaints and possible associated factors among women of reproductive age attended at a family health-care clinic. METHODOLOGY: A transversal study conducted with a sample of an outpatient population consisting of women of reproductive age. Pregnant women and minors were excluded. The final sample consisted of women between 18 and 49 years of age. The participants answered a questionnaire in which the complaints of the last 4 weeks were registered. They were examined, had the vaginal pH assessed, and secretion was tested using a 10% potassium hydroxide solution to verify the presence of amine odor (whiff test). RESULTS: Most participants were black or of mixed races. Considering the frequency of complaints, there were no significant differences between white and nonwhite women. There was an association between vaginal pH and discharge complaints as well as unpleasant odor, positive test of amines, smoking, and performing vaginal douches. CONCLUSIONS: Vaginal complaints were common among participants; the practice of vaginal douches was also frequent and was associated with higher pH values. The use of hormonal contraceptives was associated with lower pH values. There was no significant association between condom use and gynecological complaints, vaginal pH, or the whiff test.
RESUMO
A tuberculose (TB) permanece como um importante problema de saúde pública no Brasil, especialmente nos povos indígenas da Região Amazônica, destacando-se os elevados coeficientes de morbidade e mortalidade descritos entre os Suruí e Warí de Rondônia (RO). O presente estudo analisou comparativamente, indicadores clínicos, epidemiológicos e operacionais da TB sobre os casos indígenas e não-indígenas e entre os Distritos Sanitários Especiais Indígenas (DSEI) de RO, com base nos dados disponíveis no período de dez anos (1997-2006) junto ao Sistema de Informação de Agravos de Notificação (SINAN) da Secretaria de Estado da Saúde (SESAU/RO). A estratégia de identificação dos casos indígenas através de seus sobrenomes (etnias) contornou as dificuldades relacionadas à ausência de preenchimento da variável raça/cor no SINAN/TB, possibilitando que os indicadores utilizados fossem calculados entre indígenas e não-indígenas e por DSEI (Porto Velho e Vilhena). No decênio foram analisados 6.407 casos, dos quais 6,5 por cento (420) foram reclassificados como indígenas e 93,5 por cento grupados como não-indígenas. Do total de casosindígenas, 55,7 por cento pertenciam ao DSEI Porto Velho e 44,3 por cento do DSEI Vilhena, com destaque para a elevada concentração de casos nas etnias Suruí, Warí e Karitiana. Os casos não-indígenas eram, em sua maioria (80,0 por cento), residentes de áreas urbanas do Estado, ao contrário dos indígenas que provinham de áreas rurais (81,9 por cento), especialmente os que pertenciam ao território do DSEI Vilhena(91,4 por cento)...
Tuberculosis (TB) remains an important public health problem in Brazil, especially among indigenous people of Rondônia - RO (Western Amazon - Brazil), for presenting one of the highestlevels of incidence in the country. This study sought to analyze the epidemiology of TB among theindigenous and non-indigenous populations of RO, comparing the indicators, using data of reportedcases in the ten-year period (1997-2006), along with the Sistema de Informação de Agravos deNotificação (SINAN - System of Reporting Aggravation Information) from Secretaria de Estadoda Saúde SESAU/RO (State Secretary of Health/RO). The strategy used for the identification of the cases outlined the difficulties observed by the inconsistency of the filling out of theidentification variable of race/color in SINAN/TB, observing that in Rondônia, in general, the indigenes surname is that which identifies the ethnic group to which he/she belongs to. During thestudy period, 6.631 cases were reported from which 6.407 were analyzed. From this amount, 6,5%(420) were classified as indigenes and 93,5% (5.987) as non-indigenes. In distribution by the variable zone of residency, it was observed that 75,8% of all reported cases were located in theurban area of the state. However, among the indigenes it was verified that 81,9% of the reports were located in rural areas. In relation to the variable-type of entering in the system, the indigenes corresponded to 81,7% of new cases, 12,6% of relapsing cases, 2,4% of post-desertion reentry, 1,9% of transferences and in 1,2% there was no defined situation. Among the classified as nonindigenous, the new cases consisted in 83,2% of the reports, the relapsing cases were 6,1%,reentries were 4,7% and transferences were 4,8% and the non-informed cases about the type of entry were 0,8%...