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ABSTRACT BACKGROUND: Smoking and unhealthy diet are important risk factors for cardiovascular and metabolic diseases, contributing to public health crises. OBJECTIVE: To evaluate the consumption of natural/minimally processed and ultra-processed foods by Brazilian adults (18-59 years old) according to smoking status. DESIGN AND SETTING: Cross-sectional study of a representative population sample from 26 state capitals and the Federal District (Brazil-2018). METHODS: Data were obtained from Vigitel—Surveillance System for Risk and Protection Factors for Chronic Diseases by Telephone Survey. Participants were categorized as smokers, ex-smokers, and never smokers. Multinomial logistic regression was used for analyses. RESULTS: Of the 30,800 adults evaluated, 9.4% (95%CI: 8.7-10.2) were smokers and 16.5% (95%CI: 15.8-17.3) were ex-smokers. Smokers were less likely to consume fruit and natural juice, and more likely to consume soda or artificial juice (≥ 5 days/week) than ex-smokers and never smokers. Regarding the daily frequency of consumption, smokers were observed to be less likely to eat fruit more than 1 time/day and more likely to drink ≥ 3 cups/cans of soda/day. Compared to never smokers, smokers had a 42% higher chance of consuming ≥ 3 glasses of natural juice/day. On the day before the interview, fruit, milk, tubers, squash, and okra consumption were lower among smokers than non-smokers. Smokers were more likely to report consuming soft drinks, fruit juice, sauces, ready-made dishes, margarine, and sausages. CONCLUSION: Smokers had lower fruit consumption, and higher consumption of natural juices and ultra-processed foods. We highlight the need for strategies that encourage healthy eating and smoking cessation.
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AIMS: Previous epidemiological evidence identified a concerning increase in behavioural problems among young children from 1997 to 2008 in Brazil. However, it is unclear whether behavioural problems have continued to increase, if secular changes vary between sociodemographic groups and what might explain changes over time. We aimed to monitor changes in child behavioural problems over a 22-year period from 1997 to 2019, examine changing social inequalities and explore potential explanations for recent changes in behavioural problems between 2008 and 2019. METHODS: The Child Behaviour Checklist was used to compare parent-reported behavioural problems in 4-year-old children across three Brazilian birth cohorts assessed in 1997 (1993 cohort, n = 633), 2008 (2004 cohort, n = 3750) and 2019 (2015 cohort, n = 577). Response rates across all three population-based cohorts were over 90%. Moderation analyses tested if cross-cohort changes differed by social inequalities (demographic and socioeconomic position), while explanatory models explored whether changes in hypothesized risk and protective factors in prenatal development (e.g., smoking during pregnancy) and family life (e.g., maternal depression and harsh parenting) accounted for changes in child behavioural problems from 2008 to 2019. RESULTS: Initial increases in child behavioural problems from 1997 to 2008 were followed by declines in conduct problems (mean change = -2.75; 95% confidence interval [CI]: -3.56, -1.94; P < 0.001), aggression (mean change = -1.84; 95% CI: -2.51, -1.17; P < 0.001) and rule-breaking behaviour (mean change = -0.91; 95% CI: -1.13, -0.69 P < 0.001) from 2008 to 2019. Sex differences in rule-breaking behaviour diminished during this 22-year period, whereas socioeconomic inequalities in behavioural problems emerged in 2008 and then remained relatively stable. Consequently, children from poorer and less educated families had higher behavioural problems, compared to more socially advantaged children, in the two more recent cohorts. Changes in measured risk and protective factors partly explained the reduction in behavioural problems from 2008 to 2019. CONCLUSIONS: Following a rise in child behavioural problems, there was a subsequent reduction in behavioural problems from 2008 to 2019. However, social inequalities increased and remained high. Continued monitoring of behavioural problems by subgroups is critical for closing the gap between socially advantaged and disadvantaged children and achieving health equity for the next generation.
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Comportamento Problema , Gravidez , Humanos , Masculino , Feminino , Pré-Escolar , Brasil/epidemiologia , Estudos de Coortes , Fatores Socioeconômicos , Poder FamiliarRESUMO
Global initiatives call for further understanding of the impact of inequity on aging across underserved populations. Previous research in low- and middle-income countries (LMICs) presents limitations in assessing combined sources of inequity and outcomes (i.e., cognition and functionality). In this study, we assessed how social determinants of health (SDH), cardiometabolic factors (CMFs), and other medical/social factors predict cognition and functionality in an aging Colombian population. We ran a cross-sectional study that combined theory- (structural equation models) and data-driven (machine learning) approaches in a population-based study (N = 23,694; M = 69.8 years) to assess the best predictors of cognition and functionality. We found that a combination of SDH and CMF accurately predicted cognition and functionality, although SDH was the stronger predictor. Cognition was predicted with the highest accuracy by SDH, followed by demographics, CMF, and other factors. A combination of SDH, age, CMF, and additional physical/psychological factors were the best predictors of functional status. Results highlight the role of inequity in predicting brain health and advancing solutions to reduce the cognitive and functional decline in LMICs.
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Doenças Cardiovasculares , Fatores Sociais , Humanos , Determinantes Sociais da Saúde , Estudos Transversais , Colômbia/epidemiologia , Populações Vulneráveis , Envelhecimento , CogniçãoRESUMO
BACKGROUND: In recent decades, it has been possible to observe an increase in Complementary and Alternative Medicine (CAM) usage globally for both disease prevention and health promotion purposes. we aim to estimate the prevalence of CAM use and analyze associated factors in Brazil. METHODS: Observational study with data from the 2019 National Health Survey that evaluated a sample of Brazilian adults. The outcome was CAM use, such as acupuncture, homeopathy, medicinal plants and herbal medicines, meditation, and yoga in the last 12 months. A logistic regression model with a 99% confidence interval was used to assess factors associated with CAM use. RESULTS: The prevalence of CAM use in 2019 was 5.2% (CI99% = 4.8-5.6%), the most used modalities: medicinal plants and herbal medicines, with a prevalence of 3.0% (CI99% = 2.7-3.33) followed by: acupuncture 1.4% (CI99% = 1.3-1.6) homeopathy 0.9% (CI99% = 0.7-1.0), meditation 0.7% (CI99% = 0.6-0.8) and yoga 0.4% (CI99% = 0.4-0.5). We observed important geographical differences in CAM use in Brazil, with a higher prevalence in the North Region, 3.7% (CI99% = 2.81-4.75), where herbal medicines were more frequent the in the other regions. After estimating an adjusted model, women, older people, and people with a higher level of education and per capita income were the ones who used all types of CAM the most. The practice of yoga stands out among women 3.6% (CI99% = 2.49-5.28) and among individuals with higher per capita income 7.5% (CI99% = 2.97-18.93); meditation among individuals with higher educational level 13.4% (CI99% = 6.41-28.33) and acupuncture for those who declared regular or poor health 1.9% (CI99% = 1.51-2.39). CONCLUSIONS: We recommend that the Ministry of Health expand CAM access to Unified Health System users and promote health professionals' conscious and guided use for the Brazilian population.
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Terapias Complementares , Plantas Medicinais , Adulto , Idoso , Brasil/epidemiologia , Feminino , Promoção da Saúde , Inquéritos Epidemiológicos , Humanos , PrevalênciaRESUMO
La toxoplasmosis es causada por un protozoo intracelular, Toxoplasma gondii, que tiene una amplia distribución geográfica. La forma congénita resulta en una forma gestacional que puede presentar una parasitemia temporal que infectará al feto. Es adquirido por consumo de carne cruda o poco cocida, alimentos o agua contaminada e infección congénita a través de la placenta. El objetivo de este estudio fue determinar la prevalencia de infección por toxoplasmosis y sus posibles factores de riesgo asociados con mujeres embarazadas que asistieron al servicio de control prenatal en el Hospital Gineco Obstétrico "Isidro Ayora", Ecuador. Las muestras de sangre se analizaron para detectar la presencia de anticuerpos IgG e IgM contra T. gondii utilizando una prueba de hemoaglutinación. Se probó la significación de los factores de riesgo mediante análisis bivariado. Se consideró un valor de p <0,05 como estadísticamente significativo. La prevalencia de anticuerpos IgG e IgM fue de 16,32%. Se observó una asociación significativa entre la seroprevalencia y antecedentes de aborto (p=0,00804), contacto con gatos domésticos (p<0,0001) y hábitos higiénicos incorrectos (p<0.0001). Los hallazgos demostraron que el contacto con gatos, antecedentes de abortos y hábitos higiénicos incorrectos se identificaron como factores de riesgo de infección por T. gondii(AU)
Toxoplasmosis is caused by an intracellular protozoan, Toxoplasma gondii, which has a wide geographical distribution. The congenital form results in a gestational form that can present a temporary parasiteamia that will infect the fetus. It is acquired by consumption of raw or undercooked meat, food or water contaminated and congenital infection through the placenta. Tthe objective of this study was to determine the prevalence of toxoplasmosis infection and its possible risk factors associated with pregnant women who attended the prenatal control service at the Gyneco-Obstetric Hospital "Isidro Ayora", Ecuador. Blood samples were tested for presence of IgG and IgM antibodies against T. gondii using a hemagglutination test. The risk factors were tested for significance using bivariate analysis. P-value <0.05 was considered statistically significant. The prevalence of IgG and IgM antibodies was 16.32%. A significant association was observed between seroprevalence and history of abortion (p=0,00804), contact with domestic cats (p<0,0001) and incorrect hygiene habits (p<0,0001). The findings demonstrated that contact with cats, a history of miscarriages, and poor hygiene habits were identified as risk factors for T. gondii infection(AU)
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Humanos , Feminino , Gravidez , Toxoplasmose/epidemiologia , Prevalência , Complicações Parasitárias na Gravidez/epidemiologia , Gestantes , Testes Sorológicos , Estudos Soroepidemiológicos , Fatores de Risco , Equador/epidemiologiaRESUMO
This paper describes a dataset about institutional and interpersonal trust, life satisfaction and health in Cali, one of the major cities in Colombia, South America. Data was collected with the purpose of monitoring trust levels in the population and to serve as baseline information to monitor changes in population trust after the implementation of government interventions aimed at increasing institutional trust. Data was collected in 2017 with subsequent waves in 2018 and 2019, this manuscript presents data collected in 2017, which corresponds to the data analyzed in the paper related to this manuscript. The information was gathered through a population survey to over 1200 adults' city residents, randomly selected in face to face interviews. Data described also reports information on life satisfaction, physical and mental health, and socioeconomic characteristics. This information is useful for policy making purposes insofar as allow the monitoring of outcomes that are relevant for local and national governments that implement programs that affect trust, subjective well-being and health. Taken as a whole, data also allow to build composite indicators for interpersonal and institutional trust and social capital. This research was fully financed by Universidad Icesi through the Observatorio de Políticas Públicas -POLIS- to monitor citizens' perceptions of a different array of government interventions that affect the outcomes in which data was collected. Measures on trust, life satisfaction, and health follow international measurement standards set by the OEDC and Centers for Disease Control and Prevention to allow international comparisons.
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BACKGROUND: Since the identification of Zika virus (ZIKV) in Brazil in May 2015, the virus has spread throughout the Americas. However, ZIKV burden in the general population in affected countries remains unknown. METHODS: We conducted a general population survey in the different communities of French Guiana through individual interviews and serologic survey during June-October 2017. All serum samples were tested for anti-ZIKV immunoglobulin G antibodies using a recombinant antigen-based SGERPAxMap microsphere immunoassay, and some of them were further evaluated through anti-ZIKV microneutralization tests. RESULTS: The overall seroprevalence was estimated at 23.3% (95% confidence interval [CI], 20.9%-25.9%) among 2697 participants, varying from 0% to 45.6% according to municipalities. ZIKV circulated in a large majority of French Guiana but not in the most isolated forest areas. The proportion of reported symptomatic Zika infection was estimated at 25.5% (95% CI, 20.3%-31.4%) in individuals who tested positive for ZIKV. CONCLUSIONS: This study described a large-scale representative ZIKV seroprevalence study in South America from the recent 2015-2016 Zika epidemic. Our findings reveal that the majority of the population remains susceptible to ZIKV, which could potentially allow future reintroductions of the virus.
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Doenças Transmissíveis Emergentes/epidemiologia , Doenças Transmissíveis Emergentes/virologia , Infecção por Zika virus/epidemiologia , Infecção por Zika virus/virologia , Zika virus , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Doenças Transmissíveis Emergentes/diagnóstico , Doenças Transmissíveis Emergentes/imunologia , Estudos Transversais , Feminino , Guiana Francesa/epidemiologia , Geografia Médica , Humanos , Masculino , Pessoa de Meia-Idade , Vigilância da População , Estudos Soroepidemiológicos , Testes Sorológicos , Adulto Jovem , Zika virus/imunologia , Infecção por Zika virus/diagnóstico , Infecção por Zika virus/imunologiaRESUMO
AIMS: In this research we assessed the prevalence of prediabetes and type 2 diabetes and its association with social determinants such as indigenous origin and residence area in population from Comitan, Chiapas, Mexico. METHODS: The Comitan Study is a population-based study carried out from 2010 to 2012 that included 1844 participants agedâ¯≥â¯20â¯years, 880 indigenous and 964 nonindigenous participants. Ethnicity was ascertained by self-report and speaking an indigenous language was also recorded. Prediabetes was defined as fasting serum glucose 5.6-6.9â¯mmol/l or 2-hour post load serum glucose 7.8-11.0â¯mmol/l. Type 2 diabetes was defined as fasting serum glucoseâ¯≥â¯7.0â¯mmol/l or 2-h post load serum glucoseâ¯≥â¯11.1â¯mmol/l or previous clinical diagnosis. RESULTS: Age-sex-adjusted prevalence of prediabetes and type 2 diabetes was 18.0% (95%CI 15.3-20.6) and 11.0% (95%CI 8.9-131.1) in nonindigenous and 10.6% (95%CI 8.4-12.7) and 4.7% (95%CI 3.3-6.1) in indigenous individuals, respectively. After stratifying by ethnicity, in both indigenous and nonindigenous participants the probability of prediabetes and type 2 diabetes increased with age and BMI. In both indigenous and nonindigenous participants the probability of type 2 diabetes was lower in those living in rural compared with urban areas. CONCLUSIONS: The prevalence of prediabetes and type 2 diabetes was significantly lower in indigenous than in nonindigenous participants. Also, the prevalence of type 2 diabetes was lower in those living in rural areas. Health benefits of a traditional lifestyle may partially account for these differences.
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AIMS: While there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder. METHODS: The Argentinean Study of Mental Health Epidemiology (EAESM) is a multistage probability sample representative of adults (aged 18+) living in large urban areas of Argentina. A total of 2116 participants were evaluated with the World Mental Health Composite International Diagnostic Interview to assess psychiatric diagnosis, treatment contact and delay. RESULTS: Projections of cases that will make treatment contact by 50 years taken from a survival curve suggest that the majority of individuals with a mood (100%) or anxiety disorder (72.5%) in Argentina whose disorder persist for a sufficient period of time eventually make treatment contact while fewer with a substance disorder do so (41.6%). Timely treatment in the year of onset is rare (2.6% for a substance disorder, 14.6% for an anxiety disorder and 31.3% of those with a mood disorder) with mean delays between 8 years for mood disorders and 21 years for anxiety disorders. Younger cohorts are more likely to make treatment contact than older cohorts, whereas those with earlier ages of disorder onset are least likely to make treatment contact. Those with anxiety disorders and major depressive disorder are more likely to make treatment contact when they have comorbid disorders, whereas those with substance use disorders are less likely. CONCLUSIONS: Argentina needs to implement strategies to get individuals with substance use disorders into treatment, and to reduce treatment delays for all, but particularly to target early detection and treatment among children and adolescents.
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Transtornos de Ansiedade/diagnóstico , Diagnóstico Tardio , Transtorno Depressivo Maior/diagnóstico , Transtornos Mentais/diagnóstico , Serviços de Saúde Mental/estatística & dados numéricos , Transtornos do Humor/diagnóstico , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Tempo para o Tratamento , Adolescente , Adulto , Fatores Etários , Idade de Início , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/terapia , Argentina/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/terapia , Pesquisa sobre Serviços de Saúde , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Transtornos do Humor/epidemiologia , Transtornos do Humor/terapia , Vigilância da População , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Inquéritos e QuestionáriosRESUMO
Abstract INTRODUCTION: The prevalence of Toxoplasma gondii infection varies markedly among different populations, especially depending on factors related to socioeconomic development and eating habits. Cássia dos Coqueiros is a small city in Brazil with rural characteristics and increased risk factors traditionally associated with T. gondii infection. METHODS: We carried out a cross-sectional study involving 970 inhabitants aged 18 years or more, selected from patients of the local health unit and home visits in urban and rural areas. Each participant completed a survey with questions regarding demographic, socioeconomic, and risk factors for toxoplasmosis. Blood samples from participants were tested for presence of IgG and IgM antibodies against T. gondii using a chemiluminescent microparticle immunoassay. RESULTS: The prevalence of IgG and IgM antibodies was 62.3% and 2.5%, respectively. Variables that proved to be independent predictors of infection were age, low levels of education, and previous diagnosis of toxoplasmosis. CONCLUSIONS: The high prevalence of toxoplasmosis serological markers in this adult population highlights the need to promote preventive practices, especially those directed toward women of childbearing age, in this part of Brazil.
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Humanos , Masculino , Feminino , Adulto , Toxoplasma/imunologia , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Anticorpos Antiprotozoários/sangue , Toxoplasmose/epidemiologia , População Rural , Brasil/epidemiologia , Estudos Soroepidemiológicos , Toxoplasmose/diagnóstico , Prevalência , Estudos Transversais , Fatores de Risco , Medições Luminescentes , Pessoa de Meia-IdadeRESUMO
Resumo Objetivou-se analisar os fatores associados ao índice de adiposidade corporal. Um estudo transversal de base populacional foi conduzido com 964 adultos, de 20 e 59 anos, em Viçosa, MG, Brasil. Aplicou-se questionários domiciliares e medidas antropométricas para se obter os dados. A análise múltipla foi realizada por meio de regressão linear, ajustada pelo efeito do desenho amostral. A prevalência de excesso de adiposidade corporal foi 36,89 (IC 30,81-43,43), sendo mais elevada nos homens (48,18% - IC 39,09-57,34). Associou-se positivamente com o índice de adiposidade corporal o sexo feminino (p = 0,002), idade em anos (p < 0,001), aqueles que viveram com companheiro (p = 0,022) e com insatisfação com a imagem corporal (p < 0,001). A autoavaliação da saúde positiva (p = 0,048) esteve associada negativamente com o índice de adiposidade corporal. A prevalência de excesso de adiposidade corporal foi elevada, sendo o sexo, a faixa etária, o estado civil, a autoavaliação da saúde e a insatisfação com a imagem corporal fatores determinantes para o aumento da adiposidade corporal, nesta população, indicando um forte risco para doenças crônicas não transmissíveis decorrentes do excesso de adiposidade.
Abstract The objective of this study was to analyze factors associated with the body adiposity index. A population-based, cross-sectional study was conducted with 964 adults between 20 and 59 years of age, in Viçosa, State of Minas Gerais, Brazil. Household questionnaires and anthropometric measurements were applied to obtain data. Multiple analysis was performed using linear regression, adjusted for the sampling design effect. The prevalence of excess body adiposity was 36.89 (CI 30.81 to 43.43), being higher among men (48.18% - CI 39.09 to 57.34). Factors positively associated with body adiposity index were: female sex (p = 0.002); age in years (p < 0.001); those living with a partner (p = 0.022). Self-evaluation of positive health (p = 0.048) was negatively associated with the body adiposity index. The prevalence of excess body fat was high and the sex, age, marital status, health self-evaluation and dissatisfaction with body image were determinant factors to the increase in body adiposity in this population, indicating a marked risk for chronic diseases resulting from excess body fat.
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Humanos , Masculino , Feminino , Adulto , Imagem Corporal , Tecido Adiposo/fisiologia , Adiposidade/fisiologia , Brasil/epidemiologia , Modelos Lineares , Fatores Sexuais , Antropometria , Prevalência , Estudos Transversais , Inquéritos e Questionários , Fatores Etários , Estado Civil , Pessoa de Meia-IdadeRESUMO
BACKGROUND: The research of light (≤10 cigarettes per day) and non-daily smokers in developing countries including Brazil is scarce despite the high prevalence of these groups among smokers and health risks associated to low-level smoking. OBJECTIVE: To describe health and smoking characteristics of Brazilian adult light and non-daily smokers. METHODS: We analyzed data from the 2013 Brazilian National Health Research survey (n=48,282). RESULTS: The prevalence of current manufactured cigarette smoking in the total sample was 12.4%. Among these smokers, 12.8% were non-daily smokers (NDS), 47.4% were light smokers (LS) and 39.8% were moderate/heavy smokers (MHS). Bivariate analysis showed that non-daily smoking was associated with higher odds of poor self-rated health, binge drinking and lung diseases compared to never smokers (ORs=1.2; 5.9 and 1.9). Light smoking was associated with higher odds of poor self-rated health, binge drinking, depression, use of sleeping pills and lung diseases (ORs=1.3; 4.3; 1.4; 1.2 and 2.0). After controlling for sex and age, non-daily smoking was associated with lung disease (OR=2.2) and light smoking with depression and lung diseases (ORs=1.3 and 1.8). Smoking levels were associated with living with same-level smokers in bivariate and multivariate analyses. CONCLUSION: A large proportion of smokers in Brazil are light and non-daily smokers, carrying substantial health risks related to tobacco use. Longitudinal research is needed to provide further evidence of associations found in this study. Public health policies must take the different smoking patterns into consideration to effectively target all smokers and reduce the harmful consequences of tobacco worldwide.
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Consumo Excessivo de Bebidas Alcoólicas/epidemiologia , Depressão/epidemiologia , Nível de Saúde , Pneumopatias/epidemiologia , Fumar/epidemiologia , Adolescente , Adulto , Brasil/epidemiologia , Comorbidade , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Adulto JovemRESUMO
PURPOSE: There is a need for recent, nationally representative data on the prevalence of mental disorders in Latin America. We aim to assess the prevalence of depression in Chile and possible changes over time. METHODS: In the Chilean National Health Surveys in 2003 (n = 5469) and 2010 (n = 7212), two nationally representative cross-sectional population surveys, the Composite International Diagnostic Interview, Short Form (CIDI-SF) was applied to establish diagnosis of major depressive episode (MDE) using DSM-IV criteria. Sociodemographic correlates of MDE and time trends were analyzed. RESULTS: The prevalence of MDE was 20.5% (95% CI 18.3-22.7) in 2003 and 18.4% (95% CI 16.5-20.2) in 2010. In 2003, women and persons residing in urban areas had increased risk of depression, whereas in 2010 the risk factors were female sex, younger age and lower education. There were up to 15-fold differences in prevalence between regions. No significant changes in prevalence occurred over the observation period. 21.2% (95% CI 16.6-25.8) of those depressed were currently receiving antidepressant treatment, with large regional variations in access to treatment. CONCLUSIONS: Depressive disorders are a pressing public health concern in Chile, and particularly women, persons with low education, and the poorer regions of the country are affected. Prompt actions are needed to address the burden of depression with sufficient resources for treatment and prevention.
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Transtorno Depressivo Maior/epidemiologia , Adolescente , Adulto , Idoso , Chile/epidemiologia , Estudos Transversais , Transtorno Depressivo Maior/terapia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Adulto JovemRESUMO
BACKGROUND: Alcohol consumption patterns on the U.S.-Mexico border and their relationships with DSM-5 alcohol use disorders (AUD) have been understudied. Yet, the effects of drinking by Mexican-origin individuals may differ between cities on versus off the border both in the United States and in Mexico. We characterize prior 12-month drinking patterns and examine their relationships with AUD, in border and off-border cities of Texas and adjacent Mexican states. METHODS: Data come from the U.S.-Mexico Study of Alcohol and Related Conditions involving 2,336 Mexican Americans in Texas and 2,460 Mexicans in bordering states of Nuevo Leon and Tamaulipas in Mexico. Drinking pattern was defined as an interaction between volume and maximum amount, or intensity (never vs. ever 5+/4+ [men/women], 8+, and 12+ drinks in a day). DSM-5 AUD was assessed using an adaptation of the Alcohol Section of the World Health Organization Composite International Diagnostic Interview core. Separately by gender, 5 logistic regressions models controlling for age were estimated predicting symptoms in 2 or more AUD criteria domains from volume, heavy pattern and, successively, effects of country, and (by country) residing on vs. off the border, or in each of 3 cities/country. RESULTS: A segmentation analysis for Texas males based on rate of experiencing AUD generated several distinct volume groups, each partitioned by an empirically selected maximum, and helped identify a drinking-pattern typology. In gender-stratified models of AUD rates using this typology, adjusting for age, significant volume and intensity effects were seen, more strongly in the United States. Border versus interior differences implied more AUD for given patterns at the border in the United States and the reverse in Mexico, with some city differences also evident. CONCLUSIONS: Drinking-pattern analyses confirm that border proximity may affect drinking problems but in opposite directions in the United States and Mexico, possibly related to economic and psychological stresses specific to respective communities.
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Consumo de Bebidas Alcoólicas/etnologia , Transtornos Relacionados ao Uso de Álcool/etnologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Emigração e Imigração , Americanos Mexicanos , Adolescente , Adulto , Idoso , Consumo de Bebidas Alcoólicas/psicologia , Consumo de Bebidas Alcoólicas/tendências , Transtornos Relacionados ao Uso de Álcool/diagnóstico , Transtornos Relacionados ao Uso de Álcool/psicologia , Estudos Transversais , Emigração e Imigração/tendências , Feminino , Humanos , Masculino , Americanos Mexicanos/psicologia , México/etnologia , Pessoa de Meia-Idade , Distribuição Aleatória , Texas/etnologia , Estados Unidos/etnologia , Adulto JovemRESUMO
The purpose of this study was to conduct the inventory of goat breed Gurgueia in the state of Piauí, Northeast region of Brazil. The inventory includes a historical survey - made by searching in the literature - and a population survey - made by gathering in loco information. The geographic location through GPS was taken in farms sheltering Gurgueia goats and then individuals Gurgueia were counted to estimate population size and classifying the risk of extinction. To characterize the Gurgueia breed, the presence of beard, horns, earrings, patterns of color roan, agouti and brown, and the presence of reduced ear were observed to perform simple descriptive analysis. The regional literature demonstrates lack of consistency about the origin of the Gurgueia breed. However, flocks of goats in the Gurgueia river valley, in Southern Piauí, gave origin to the breed denomination. The present study found out 119 Gurgueia individuals scattered in three micro-regions - classifying the Gurgueia breed as critically endangered. The morphological analysis shows low frequency of earrings (0,05) and high frequency of horn (0.95) in Gurgéia individuals. The beard frequency was 0.52 and was verified absence of long hairs, indicating no relationship between those. The analysis showed high frequency of roan pattern (0.96), absence of brown and single coat pattern (non-agouti). Reduced ear was absent.
Objetivou-se com este trabalho realizar o inventário do ecótipo Gurgueia no Estado do Piauí, na região Nordeste do Brasil. O inventário compreendeu o levantamento histórico, com busca em literaturas, e o populacional feito a partir de visitas in loco nos rebanhos. Foi tomado em cada rebanho a localização geográfica por meio o por GPS e contagem dos animais com padrão fenotípico Gurgueia para classifica-la quanto ao risco de extinção. Observou-se a presença dos caracteres barba, chifres, brincos, os padrões de cor ruão, agouti e chocolate, e a presença de orelha reduzida que foram submetidos à análise descritivas simples. A literatura regional consultada não apresentou consistência sobre a origem do caprino Gurgueia no Piauí, mas indicaram que rebanhos instalados no vale do rio Gurgueia no Sul do Piauí, deram origem aos hoje classificados como Gurgueia. No estudo, houve a confirmação de poucos exemplares, apenas 119, dispersos em três microrregiões revelando que grupo genético Gurgueia está em situação crítica de desaparecimento. Nestes animais, observa-se alta frequência da ausência de brincos e do caráter presença de chifre (0,95). A frequência de barba foi de 0,52 e não houve ocorrência de pelos longos, indicando ausência da relação entre esses caracteres. O caráter ruão (0,96), a pelagem chocolate e padrão não-agouti (cor única) não estiveram presentes assim como a presença
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Animais , Ruminantes/classificação , Ruminantes/crescimento & desenvolvimento , Demografia , Marcadores GenéticosRESUMO
SUMMARY The purpose of this study was to conduct the inventory of goat breed Gurgueia in the state of Piauí, Northeast region of Brazil. The inventory includes a historical survey - made by searching in the literature - and a population survey - made by gathering in loco information. The geographic location through GPS was taken in farms sheltering Gurgueia goats and then individuals Gurgueia were counted to estimate population size and classifying the risk of extinction. To characterize the Gurgueia breed, the presence of beard, horns, earrings, patterns of color roan, agouti and brown, and the presence of reduced ear were observed to perform simple descriptive analysis. The regional literature demonstrates lack of consistency about the origin of the Gurgueia breed. However, flocks of goats in the Gurgueia river valley, in Southern Piauí, gave origin to the breed denomination. The present study found out 119 Gurgueia individuals scattered in three micro-regions - classifying the Gurgueia breed as critically endangered. The morphological analysis shows low frequency of earrings (0,05) and high frequency of horn (0.95) in Gurgéia individuals. The beard frequency was 0.52 and was verified absence of long hairs, indicating no relationship between those. The analysis showed high frequency of roan pattern (0.96), absence of brown and single coat pattern (non-agouti). Reduced ear was absent. This inventory appointed that Gurgueia risk of endangerment is unstable, since its presence within herds is mixed with other breed types.
RESUMO Objetivou-se com este trabalho realizar o inventário do ecótipo Gurgueia no Estado do Piauí, na região Nordeste do Brasil. O inventário compreendeu o levantamento histórico, com busca em literaturas, e o populacional feito a partir de visitas in loco nos rebanhos. Foi tomado em cada rebanho a localização geográfica por meio o por GPS e contagem dos animais com padrão fenotípico Gurgueia para classifica-la quanto ao risco de extinção. Observou-se a presença dos caracteres barba, chifres, brincos, os padrões de cor ruão, agouti e chocolate, e a presença de orelha reduzida que foram submetidos à análise descritivas simples. A literatura regional consultada não apresentou consistência sobre a origem do caprino Gurgueia no Piauí, mas indicaram que rebanhos instalados no vale do rio Gurgueia no Sul do Piauí, deram origem aos hoje classificados como Gurgueia. No estudo, houve a confirmação de poucos exemplares, apenas 119, dispersos em três microrregiões revelando que grupo genético Gurgueia está em situação crítica de desaparecimento. Nestes animais, observa-se alta frequência da ausência de brincos e do caráter presença de chifre (0,95). A frequência de barba foi de 0,52 e não houve ocorrência de pelos longos, indicando ausência da relação entre esses caracteres. O caráter ruão (0,96), a pelagem chocolate e padrão não-agouti (cor única) não estiveram presentes assim como a presença de orelha reduzida. O estudo pode apontar também que os caprinos Gurgueia apresentam-se em situação instável, já que a sua presença nos rebanhos está associada a outros tipos raciais.
RESUMO
SUMMARY The purpose of this study was to conduct the inventory of goat breed Gurgueia in the state of Piauí, Northeast region of Brazil. The inventory includes a historical survey - made by searching in the literature - and a population survey - made by gathering in loco information. The geographic location through GPS was taken in farms sheltering Gurgueia goats and then individuals Gurgueia were counted to estimate population size and classifying the risk of extinction. To characterize the Gurgueia breed, the presence of beard, horns, earrings, patterns of color roan, agouti and brown, and the presence of reduced ear were observed to perform simple descriptive analysis. The regional literature demonstrates lack of consistency about the origin of the Gurgueia breed. However, flocks of goats in the Gurgueia river valley, in Southern Piauí, gave origin to the breed denomination. The present study found out 119 Gurgueia individuals scattered in three micro-regions - classifying the Gurgueia breed as critically endangered. The morphological analysis shows low frequency of earrings (0,05) and high frequency of horn (0.95) in Gurgéia individuals. The beard frequency was 0.52 and was verified absence of long hairs, indicating no relationship between those. The analysis showed high frequency of roan pattern (0.96), absence of brown and single coat pattern (non-agouti). Reduced ear was absent. This inventory appointed that Gurgueia risk of endangerment is unstable, since its presence within herds is mixed with other breed types.
RESUMO Objetivou-se com este trabalho realizar o inventário do ecótipo Gurgueia no Estado do Piauí, na região Nordeste do Brasil. O inventário compreendeu o levantamento histórico, com busca em literaturas, e o populacional feito a partir de visitas in loco nos rebanhos. Foi tomado em cada rebanho a localização geográfica por meio o por GPS e contagem dos animais com padrão fenotípico Gurgueia para classifica-la quanto ao risco de extinção. Observou-se a presença dos caracteres barba, chifres, brincos, os padrões de cor ruão, agouti e chocolate, e a presença de orelha reduzida que foram submetidos à análise descritivas simples. A literatura regional consultada não apresentou consistência sobre a origem do caprino Gurgueia no Piauí, mas indicaram que rebanhos instalados no vale do rio Gurgueia no Sul do Piauí, deram origem aos hoje classificados como Gurgueia. No estudo, houve a confirmação de poucos exemplares, apenas 119, dispersos em três microrregiões revelando que grupo genético Gurgueia está em situação crítica de desaparecimento. Nestes animais, observa-se alta frequência da ausência de brincos e do caráter presença de chifre (0,95). A frequência de barba foi de 0,52 e não houve ocorrência de pelos longos, indicando ausência da relação entre esses caracteres. O caráter ruão (0,96), a pelagem chocolate e padrão não-agouti (cor única) não estiveram presentes assim como a presença de orelha reduzida. O estudo pode apontar também que os caprinos Gurgueia apresentam-se em situação instável, já que a sua presença nos rebanhos está associada a outros tipos raciais.
RESUMO
The purpose of this study was to conduct the inventory of goat breed Gurgueia in the state of Piauí, Northeast region of Brazil. The inventory includes a historical survey - made by searching in the literature - and a population survey - made by gathering in loco information. The geographic location through GPS was taken in farms sheltering Gurgueia goats and then individuals Gurgueia were counted to estimate population size and classifying the risk of extinction. To characterize the Gurgueia breed, the presence of beard, horns, earrings, patterns of color roan, agouti and brown, and the presence of reduced ear were observed to perform simple descriptive analysis. The regional literature demonstrates lack of consistency about the origin of the Gurgueia breed. However, flocks of goats in the Gurgueia river valley, in Southern Piauí, gave origin to the breed denomination. The present study found out 119 Gurgueia individuals scattered in three micro-regions - classifying the Gurgueia breed as critically endangered. The morphological analysis shows low frequency of earrings (0,05) and high frequency of horn (0.95) in Gurgéia individuals. The beard frequency was 0.52 and was verified absence of long hairs, indicating no relationship between those. The analysis showed high frequency of roan pattern (0.96), absence of brown and single coat pattern (non-agouti). Reduced ear was absent.(AU)
Objetivou-se com este trabalho realizar o inventário do ecótipo Gurgueia no Estado do Piauí, na região Nordeste do Brasil. O inventário compreendeu o levantamento histórico, com busca em literaturas, e o populacional feito a partir de visitas in loco nos rebanhos. Foi tomado em cada rebanho a localização geográfica por meio o por GPS e contagem dos animais com padrão fenotípico Gurgueia para classifica-la quanto ao risco de extinção. Observou-se a presença dos caracteres barba, chifres, brincos, os padrões de cor ruão, agouti e chocolate, e a presença de orelha reduzida que foram submetidos à análise descritivas simples. A literatura regional consultada não apresentou consistência sobre a origem do caprino Gurgueia no Piauí, mas indicaram que rebanhos instalados no vale do rio Gurgueia no Sul do Piauí, deram origem aos hoje classificados como Gurgueia. No estudo, houve a confirmação de poucos exemplares, apenas 119, dispersos em três microrregiões revelando que grupo genético Gurgueia está em situação crítica de desaparecimento. Nestes animais, observa-se alta frequência da ausência de brincos e do caráter presença de chifre (0,95). A frequência de barba foi de 0,52 e não houve ocorrência de pelos longos, indicando ausência da relação entre esses caracteres. O caráter ruão (0,96), a pelagem chocolate e padrão não-agouti (cor única) não estiveram presentes assim como a presença(AU)
Assuntos
Animais , Ruminantes/classificação , Ruminantes/crescimento & desenvolvimento , Marcadores Genéticos , DemografiaRESUMO
Introducción Los estudios epidemiológicos en nuestro país muestran un incremento en el consumo de drogas ilegales y de alcohol. La edad de inicio también ha disminuido, especialmente en el consumo de alcohol. Por su parte, el consumo de inhalables se ha incrementado en forma importante, especialmente entre las mujeres jóvenes. Son diversos los factores asociados al consumo de drogas, pero de manera importante destacan el desarrollo de estrategias de resistencia, junto con sus habilidades sociales subyacentes, así como los estilos parentales de crianza. Método La presente es una encuesta probabilística en población escolar de secundarias y bachilleratos de la Ciudad de México que se levantó en noviembre del 2012, con representación a nivel de cada Delegación. La muestra fue de 26 503 alumnos. La información se obtuvo mediante un cuestionario estandarizado y validado en encuestas anteriores. Resultados El consumo de tabaco disminuyó significativamente (de 44.3% a 41.0%), el 32.9% de los adolescentes comenzó a utilizar tabaco antes de los 13 años. El 68.2% consumió alcohol alguna vez; en tanto que la edad de inicio promedio de consumo de esta sustancia se mantuvo en los 12.6 años. La prevalencia de consumo de drogas alguna vez aumentó de 21.5% a 24.4%. La mariguana es la droga de preferencia en la población estudiantil (15.9%). También se encontraron incrementos en la presencia de abuso sexual, mientras que el intento suicida disminuyó. Discusión Los resultados muestran el continuo crecimiento que tiene esta problemática, aunque los inhalables se mantuvieron constantes y el tabaco disminuyó de manera importante. Dado estos resultados, es una tarea preponderante dedicar más esfuerzos a la prevención con estudios e intervenciones evaluadas para preescolar y primaria, así como para los padres de familia y los maestros.
Introduction Epidemiological studies in our country show increases in the consumption of illegal drugs and alcohol. The age of onset has decreased, especially regarding alcohol use. Meanwhile, consumption of inhalants has increased significantly, especially among young women. There are several factors associated with drug use, but the development of resistance strategies, along with its underlying social skills and parenting styles, stand out in a significant way. Method Data comes from a probabilistic survey carried out in November 2012, with students from 7th to 12th school grades, in Mexico City, which was representative for each of its districts. The sample was 26 503 students. Information was obtained through a questionnaire standardized and validated in previous surveys. Results Tobacco consumption decreased significantly (44.3% to 41.0%); 32.9% of the adolescents began its use before age 13. Lifetime consumption of alcohol was 68.2%, while the average age of onset of cannabis use remained at 12.6 years. Lifetime prevalence of any drug use increased from 21.5% to 24.4%. Marijuana was the first drug of choice among students (15.9%). Increases were also found in sexual abuse rate, while suicide attempt decreased. Discussion Although inhalants use remained stable and tobacco use decreased significantly, results show the continued growth of drug use. Given this context, concentrating more efforts in prevention with studies and evaluated interventions for pre-school and elementary school students, as well as for parents and teachers, is a preponderant task.
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OBJETIVO: Atualizar estimativas sobre consumo de sódio no Brasil. MÉTODOS: Foram utilizados dados da Pesquisa de Orçamentos Familiares 2008-2009. Realizou-se a conversão em nutrientes dos registros de aquisição de alimentos dos domicílios brasileiros por meio de tabelas de composição de alimentos. Foram calculadas a disponibilidade média de sódio/pessoa/dia e a disponibilidade média ajustada para um consumo energético diário de 2.000 kcal. Calculou-se a contribuição de grupos de alimentos selecionados para o total de sódio disponível para consumo no domicílio e comparou-se com aqueles da Pesquisa de Orçamentos Familiares 2002-2003. RESULTADOS: A quantidade diária de sódio disponível para consumo nos domicílios brasileiros foi de 4,7 g para ingestão diária de 2.000 kcal, mantendo-se mais de duas vezes superior ao limite recomendado de ingestão desse nutriente. A maior parte do sódio disponível para consumo provém do sal de cozinha e de condimentos à base de sal (74,4%), mas a fração proveniente de alimentos processados com adição de sal aumentou linear e intensamente com o poder aquisitivo domiciliar (12,3% do total de sódio no quinto inferior da distribuição da renda por pessoa e 27,0% no quinto superior). Observou-se redução na contribuição de sal e condimentos à base de sal (76,2% para 74,4%) e dos alimentos in natura ou processados sem adição de sal (6,6% para 4,8%) e aumento dos alimentos processados com adição de sal (15,8% para 18,9%) e dos pratos prontos (1,4% para 1,6%) na comparação com a Pesquisa de Orçamentos Familiares 2002-2003. CONCLUSÕES: O consumo de sódio no Brasil mantém-se em níveis acima da recomendação máxima para esse nutriente ...
OBJETIVO: Actualizar estimativas sobre consumo de sodio en Brasil. MÉTODOS: Se utilizaron datos de la Investigación de Presupuestos Familiares 2008-2009. Se realizó la conversión en nutrientes de los registros de adquisición de alimentos de los domicilios brasileños por medio de tablas de composición de alimentos. Se calcularon la disponibilidad promedio de sodio/persona/día y la disponibilidad promedio ajustada para un consumo energético diario de 2000 kcal. Se calculó la contribución de grupos de alimentos seleccionados para el total de sodio disponible para consumo en el domicilio y se comparó con los datos de la Investigación de Presupuestos Familiares 2002-2003. RESULTADOS: La cantidad diaria de sodio disponible para consumo en los domicilios brasileños fue de 4,7 g para ingestión diaria de 2000 kcal, manteniéndose más de dos veces mayor al límite recomendado de ingestión de dicho nutriente. La mayor parte del sodio disponible para consumo proviene de la sal de cocina y de condimentos a base de sal (74,4%), sin embargo, la fracción proveniente de alimentos procesados con adición de sal aumentó linear e intensamente con el poder adquisitivo domiciliar (12,3% del total de sodio en la quinta parte inferior de la distribución de renta por persona y 27,0% en la quinta parte superior). Se observó reducción en la contribución de sal y condimentos a base de sal (de 76,2% a 74,4%) y de los alimentos in natura o procesados sin adición de sal (de 6,6% a 4,8%) y aumento de los alimentos procesados con adición de sal (de 15,8% a 18,9%) y de las comidas listas (de 1,4% a 1,6%) en comparación con la Investigación de Presupuestos Familiares 2002-2003. CONCLUSIONES: El consumo de sodio en Brasil se mantiene en niveles por encima de la recomendación máxima para dicho nutriente ...
OBJECTIVE: To update estimates of sodium intake in Brazil. METHODS: We used data from the Brazilian Household Budget Survey of 2008-2009. Records of food purchases of households were converted into nutrients using food composition tables. Mean sodium availability per person per day and mean adjusted availability for a 2,000 kcal daily energy intake were calculated. The contribution of food groups to the total household sodium availability was calculated and compared to results estimated from the 2002-2003 Household Budget Survey. RESULTS: Mean daily sodium available for consumption in Brazilian households was 4.7 g per 2,000 kcal per day, thus still more than twice the recommended levels of intake for this nutrient. Although most of the sodium available for intake is derived from table salt or salt-based condiments (74.4%), the fraction derived from processed foods with added salt showed a strong linear increase with household income (12.3% of total sodium intake in the lower quintile of per capita income distribution and 27.0% in the upper quintile). There was a reduction in the contribution of salt and salt-based condiments (76.2% to 74.4%) and fresh or processed foods without added salt (6.6% to 4.8%) and an increase of processed foods with added salt (15.8% to 18.9%) and ready meals (1.4% to 1.6%), when compared to results estimated from the 2002-2003 Household Budget Survey. CONCLUSIONS: Sodium intake in Brazil remains at levels above the recommended maximum for this nutrient in all Brazilian macro regions and income strata. There was stability in the total household sodium availability, and an increase in the fraction from processed foods with addition of salt and ready meals, when comparing 2008-2009 with 2002-2003. .