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  • 1
    Online Resource
    Online Resource
    Questionario do ELSA-Brasil: desafios na elaboracao de instrumento multidimensional
    FapUNIFESP (SciELO) ; 2013
    In:  Revista de Saúde Pública Vol. 47, No. suppl 2 ( 2013-06), p. 27-36
    Details
    In: Revista de Saúde Pública, FapUNIFESP (SciELO), Vol. 47, No. suppl 2 ( 2013-06), p. 27-36
    Abstract: This article describes the development of the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil) questionnaire. We first address the selection of topics whose contents have to cover the knowledge available on the complex causal network of outcomes and allow comparability with similar studies. Then we deal with the "translation and adaptation of measurement instruments" including neighborhood environment rating scales, depression and anxiety disorder rating scale and a food frequency questionnaire and discuss criteria that guided "theme block sequencing". And finally we focus on the practical importance of "pretesting and pilot studies". The ELSA may provide an original contribution regarding factors that cause or aggravate the outcomes of interest in the Brazilian population, as well as protective factors.
    Type of Medium: Online Resource
    ISSN: 0034-8910
    URL: Article
    DOI: 10.1590/S0034-8910.2013047003835
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2013
    detail.hit.zdb_id: 2031055-9
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  • 2
    Online Resource
    Online Resource
    Differential reporting of discriminatory experiences in Brazil and the United States
    FapUNIFESP (SciELO) ; 2017
    In:  Cadernos de Saúde Pública Vol. 33, No. suppl 1 ( 2017)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 33, No. suppl 1 ( 2017)
    Abstract: Resumo: Há poucos estudos comparativos entre países sobre a experiência com a discriminação percebida, e poucos examinaram a maneira pela qual as identidades interseccionais configuram a percepção do tratamento discriminatório nas diferentes sociedades. Com base em dados do ELSA-Brasil (um estudo de funcionários públicos brasileiros) e do Americans’ Changing Lives Study (em uma amostra nacional representativa de adultos americanos), os autores comparam os relatos de grupos diferentes em relação à discriminação sofrida ao longo da vida, de acordo com raça e gênero, em cada sociedade. O estudo também investiga se o grau de escolaridade explica as diferenças entre grupos, ou se as diferenças dentro do mesmo grupo variam de acordo com a escolaridade. Os resultados mostram uma percepção maior de discriminação entre indivíduos negros em ambos os países, principalmente homens negros, comparado com brancos, além de menos relatos de discriminação sofrida por mulheres brancas comparado com homens brancos. No Brasil, mulheres e homens pardos relataram maiores níveis de discriminação em comparação com homens brancos. Com exceção de homens brancos, para todos os grupos analisados por raça e gênero, os relatos de discriminação foram mais frequentes entre os mais escolarizados, embora o ajuste por diferenças de escolaridade dentro dos grupos não explicasse as diferenças entre grupos. No Brasil, encontramos as maiores disparidades raciais entre indivíduos com nível superior, enquanto nos Estados Unidos, os homens negros relatavam mais discriminação do que os homens brancos, independentemente de grau de escolaridade. Os resultados revelam semelhanças gerais entre os dois países, apesar de importantes diferenças históricas. A abordagem interseccional contribuiu para a identificação dessas semelhanças e de algumas diferenças nas experiências com a discriminação. Os achados do estudo têm implicações importantes para a vigilância social e sanitária, assim como, para intervenções voltadas ao enfrentamento das consequências danosas da discriminação.
    Type of Medium: Online Resource
    ISSN: 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00110516
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2017
    detail.hit.zdb_id: 2027139-6
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  • 3
    Online Resource
    Online Resource
    Social position and anthropometric status among adults in the ELSA-Brasil study: a latent class analysis
    FapUNIFESP (SciELO) ; 2021
    In:  Cadernos de Saúde Pública Vol. 37, No. 9 ( 2021)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 37, No. 9 ( 2021)
    Abstract: Resumen: El objetivo de este estudio fue evaluar la asociación entre posición social y estatus antropométrico de adultos brasileños de ambos sexos. Fue un estudio transversal, realizado usando datos de referencia recogidos entre 2008 y 2010, del Estudio Longitudinal Brasileño de Salud en Adultos (ELSA-Brasil), llevado a cabo en seis de las mayores capitales de estado brasileñas. Un total de 15.105 activos y jubilados, mujeres y hombres funcionarios públicos de 35 a 74 años de edad. Se definieron dos variables latentes mediante análisis de clases latentes: posición social y estatus antropométrico. Ambos constructos y análisis fueron evaluados separadamente por sexo. Las asociaciones fueron evaluadas usando una regresión logística multivariada con ajuste por edad, color de piel/raza autoinformado y estatus marital. Alrededor de un 44% de las mujeres y un 26% de los hombres fueron clasificados como con sobrepeso u obesos. La posición social tendió a ser más baja en mujeres (43,2%) y más alta entre hombres (40,4%). Las mujeres con más peso tenían más probabilidad de ser negras y mulatas/mestizas y las mujeres más delgadas tenían más probabilidad de ser blancas. En mujeres, tras el ajuste, se incrementó más el peso cuanto mayor decrecía la posición social (OR = 1,52; IC95%: 1,36-1,70), mientras en hombres el peso decrecía al igual que la posición social (OR = 0,87; IC95%: 0,76-0,99). La posición social afectó diferentemente al estatus antropométrico de mujeres y hombres, con los patrones corporales también estando afectados por etnicidad/color de piel, mostrando su potencialidad tomando en consideración la perspectiva transversal, cuando se está investigando los posibles determinantes sociales del fenómeno.
    Type of Medium: Online Resource
    ISSN: 1678-4464 , 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00168918
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2027139-6
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    Online Resource
  • 4
    Online Resource
    Online Resource
    Health behavior-related indicator of lifestyle: application in the ELSA-Brasil study
    SAGE Publications ; 2019
    In:  Global Health Promotion Vol. 26, No. 4 ( 2019-12), p. 62-69
    Details
    In: Global Health Promotion, SAGE Publications, Vol. 26, No. 4 ( 2019-12), p. 62-69
    Abstract: Various behaviors are considered health enhancing. Nevertheless, according to the current scientific literature, four health behaviors are considered particularly risky in view of their association with a group of chronic diseases: 1) smoking; 2) excessive alcohol consumption; 3) poor diet; and 4) lack of physical activity. Theoretically, it should be possible to make improvements to one’s health by maximizing the number of healthy behaviors and minimizing the unhealthy ones. However, in reality, the different behaviors interconnect to create more complex lifestyles. Therefore, the objective of this paper is to present the construction of a lifestyle indicator based on health behaviors selected in the ELSA-Brazil study. This indicator revealed two lifestyles: less healthy and healthier lifestyles. The model proved adequate and was confirmed using latent class analysis (LCA). Agreement was 83.2 between the indicator and the LCA results, with a kappa coefficient of 0.65. Women were more likely to have a healthier lifestyle than men, reinforcing the scientific consistency of the indicator, since this finding is in agreement with data from the scientific literature. The indicator created to define lifestyle was found to have scientific consistency and validity; therefore, its use can be recommended for future population-based studies concerning the promotion of health and healthy lifestyles.
    Type of Medium: Online Resource
    ISSN: 1757-9759 , 1757-9767
    URL: Article
    DOI: 10.1177/1757975918763148
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2502152-7
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  • 5
    Online Resource
    Online Resource
    Gender and psychosocial factors associated with healthy lifestyle in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort: a cross-sectional study
    BMJ ; 2017
    In:  BMJ Open Vol. 7, No. 8 ( 2017-08), p. e015705-
    Details
    In: BMJ Open, BMJ, Vol. 7, No. 8 ( 2017-08), p. e015705-
    Abstract: It has been estimated that over 50% of the premature deaths occurring in Western countries can be attributed to causes rooted in lifestyle. In turn, leading a healthy lifestyle has also been associated with a wide range of psychosocial factors. Today, it is known that these differ among men and women. The present article aimed to identify, from a gender-based perspective, the psychosocial factors associated with healthy lifestyles in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort, the largest study concerning adult health conducted in Latin America to date. Design This cross-sectional study was conducted using ELSA-Brasil baseline data, collected between 2008 and 2010. Setting Six Brazilian public higher education and research institutions. Participants The ELSA-Brasil cohort consists of approximately 15 000 employees (8218 women and 6887 men), both currently working and retired. Main outcome measures The lifestyle indicator was constructed by summing the scores attributed to four different behaviours. Results The women of the ELSA-Brasil cohort have healthier lifestyles than men. In women, strong associations were found between a healthy lifestyle and age 60 years or older, Asian race and university level of education or higher. In men, being 60 years or older, of Asian or Caucasian race, having a high-school equivalent level of education or higher, being retired, having a housekeeper, having a good or very good self-perception of health and being satisfied with body image were the psychosocial factors associated with leading a healthy lifestyle. Conclusions The factors that influenced healthy lifestyles were found to differ among men and women, a fact that must be addressed when developing programmes designed to promote health.
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2016-015705
    Language: English
    Publisher: BMJ
    Publication Date: 2017
    detail.hit.zdb_id: 2599832-8
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