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  • 1
    Online Resource
    Online Resource
    Disponibilidade e consumo de ultraprocessados em escolas do Município de São Paulo, Brasil: resultados do SP-Proso
    FapUNIFESP (SciELO) ; 2021
    In:  Cadernos de Saúde Pública Vol. 37, No. suppl 1 ( 2021)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 37, No. suppl 1 ( 2021)
    Abstract: Ultra-processed foods are markers of unhealthy eating patterns, and their consumption is high among adolescents. Characteristics of the school eating environment associate with student eating practices. This study aims to investigate the association between the presence of school canteens and the availability of ultra-processed foods in school canteens with the consumption of these foods, inside the school, among adolescents of the 9th grade (14 years) of the public and private schools of the city of São Paulo, Brazil. We conducted a cross-sectional study with SP-Proso data, in a sample of 2,680 adolescents. We elaborated multilevel linear regression models to evaluate associations between the exposures: presence of school canteens and availability of ultra-processed foods with outcomes of consumption frequency of ultra-processed foods in the school. We found an association between the presence of school canteens and the higher frequency of consumption of sausages (0.46; 95%CI: 0.24; 0.68), package snacks (0.50; 95%CI: 0.19; 0.80), goodies (0.82; 95%CI: 0.55; 1.09), and sugary drinks (0.34; 95%CI: 0.06; 0.62), as well as a score of consumption frequency of ultra-processed foods (2.37; 95%CI: 1.25; 3.48). The availability of package snacks, goodies, and sugary drinks in school canteens increased the frequency of consumption of these foods. We observed a dose-response effect between the diversity of ultra-processed foods in canteens and the frequency of consumption of these foods. A school food environment with greater availability of ultra-processed products is associated with their higher consumption in school, indicating the need to regulate the sale of food within these institutions.
    Type of Medium: Online Resource
    ISSN: 1678-4464 , 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00162920
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2027139-6
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  • 2
    Online Resource
    Online Resource
    Práticas contraceptivas de mulheres jovens: inquérito domiciliar no Município de São Paulo, Brasil
    FapUNIFESP (SciELO) ; 2018
    In:  Cadernos de Saúde Pública Vol. 34, No. 2 ( 2018-02-19)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 34, No. 2 ( 2018-02-19)
    Abstract: The last decade has witnessed initiatives to expand access to contraceptives in Brazil. However, the last population-based study on contraception was undertaken in 2006. A household survey in 2015 investigated contraceptive practices in women 15 to 44 years of age living in the city of São Paulo. The current study selected data on young women 15 to 19 years of age. The objectives were to identify the prevalence of contraception, the contraceptives used, sources, and differences in contraceptive practices. The young women are part of a probabilistic study sample. Differences in contraception use were compared by multiple logistic regression analysis. A total of 633 young women were interviewed, of whom 310 (48.5%) were sexually initiated. Of these, 60% reported emergency contraception use at least once in their lives. Emergency contraception use was directly proportional to age and lifetime number of partners. Prevalence of contraception was 81%. The odds of current contraception use were higher among young women residing in the health district of the city with the better social conditions, Catholics, those who reported sexual relations in the previous 30 days, and those with history of an obstetrics and gynaecology visit in the previous year, and inversely proportional to the lifetime number of sex partners. Male condoms and the pill were the most common methods (28.2% and 23%). Most of the women purchased their contraceptives in retail pharmacies (75.2%), and the Brazilian Unified National Health System (SUS) was only a significant source for injectable hormonal contraceptives. Government support for women’s sexual and reproductive rights is still insufficient.
    Type of Medium: Online Resource
    ISSN: 1678-4464 , 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00019617
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2018
    detail.hit.zdb_id: 2027139-6
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  • 3
    Online Resource
    Online Resource
    The relationship between ultra-processed food consumption and internalising symptoms among adolescents from São Paulo city, Southeast Brazil
    Cambridge University Press (CUP) ; 2022
    In:  Public Health Nutrition Vol. 25, No. 9 ( 2022-09), p. 2498-2506
    Details
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 25, No. 9 ( 2022-09), p. 2498-2506
    Abstract: To investigate the association between ultra-processed food (UPF) consumption and internalising symptoms (IS) among adolescents. Design: It is a cross-sectional study. Paper-pencil survey was completed in classroom with information on UPF consumption, IS and selected covariates. IS were assessed with the Internalizing Symptoms sub-scale from the Social Behaviour Questionnaire (IS-SBQ). UPF was evaluated with a FFQ extracted from the Brazilian National School Health Survey. Crude and adjusted association between UPF and IS was investigated with structural equation models. Setting: São Paulo, SP, Brazil. Participants: A total of 2680 students, M age = 14·85; (95 % CI 14·81, 14·88). Results: UPF consumption was associated with higher scores in IS in the crude ( β = 0·14; P 〈 0·001) and adjusted ( β = 0·12; P 〈 0·001) models. The higher the consumption of UPF, the higher is the IS score. The following variables were associated with a lower risk of UPF consumption: male sex, public school and having more meals with parents. The change in the magnitude of the standardised score was almost negligible, but the model was significantly improved with the inclusion of covariates. Conclusions: Our results provide evidence about the positive association between UPF consumption and IS among adolescents. The association, despite its low magnitude, remained significant after adjusting for potential confounders. These results are relevant considering the increase in UPF consumption worldwide and in low- and middle-income countries. Also, our study emphasises the importance of a healthy diet with a reduction in UPF consumption among adolescents.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    URL: Article
    DOI: 10.1017/S1368980021004195
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 4
    Online Resource
    Online Resource
    Diferenciais da prática contraceptiva no Município de São Paulo, Brasil: resultados do inquérito populacional Ouvindo Mulheres
    FapUNIFESP (SciELO) ; 2020
    In:  Cadernos de Saúde Pública Vol. 36, No. 10 ( 2020)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 36, No. 10 ( 2020)
    Abstract: Abstract: Contraception is essential for women to be able to regulate their fertility, exercising a key dimension of reproductive rights. However, little is known about how women deal with this challenge in Brazil’s largest city, São Paulo. To fill this gap, the population survey Ouvindo Mulheres: Contracepção no Município de São Paulo was conducted with a probabilistic sample of 4,000 women 15 to 44 years of age living in this city in 2015. This article presents the prevalence of contraceptive practice and analyzes factors associated with lack of contraception use and with types of contraceptives. Prevalence of contraception was estimated for women with at least one heterosexual relation in the 12 months prior to the interview and who were not pregnant. Logistic regression was used to verify factors associated with lack of contraception use, and the CHAID model was used to identify associations with the types of contraceptives used. Prevalence of contraception was 84.8% (95%CI: 83.2-86.3). The most prevalent contraceptives were the pill and condoms. Factors associated with lack of contraceptive use were religion (Pentecostal), number of children (fewer than 3), not having used contraceptives in the first sexual relation, not having a partner, and not having had sex in the previous month. Number of children and woman’s age were the first two levels of discrimination of the types of contraceptives used. Prevalence of contraception was high, but maintaining a concentration in two methods: historically, female sterilization and the pill prevailed, nowadays, the pill and condoms do. New hormonal contraceptives should be incorporated by the Brazilian Unified National Health System (SUS), besides promoting the use of long-acting methods such as IUDs.
    Type of Medium: Online Resource
    ISSN: 1678-4464 , 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00096919
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2020
    detail.hit.zdb_id: 2027139-6
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  • 5
    Online Resource
    Online Resource
    Sorteio de domicílios em favelas em inquéritos por amostragem
    FapUNIFESP (SciELO) ; 2011
    In:  Revista de Saúde Pública Vol. 45, No. 6 ( 2011-12), p. 1099-1109
    Details
    In: Revista de Saúde Pública, FapUNIFESP (SciELO), Vol. 45, No. 6 ( 2011-12), p. 1099-1109
    Abstract: OBJETIVO: Identificar ventajas y desventajas del uso de segmentos para el sorteo de domicilios en muestreo por conglomerados en múltiples fases en tugurios con relación al sorteo hecho a partir de la lista completa de direcciones. PROCEDIMIENTOS METODOLÓGICOS: Estudio cualitativo realizado en cuatro tugurios sorteados en la Pesquisa de Salud del Municipio de Sao Paulo 2008, sureste de Brasil, en los cuales fueron aplicadas las dos técnicas. Se realizaron grupos focales con investigadores de campo - "arroladores" y entrevistadores de pesquisa, para identificar las ventajas y desventajas de cada método según su percepción. Los contenidos de las conversaciones fueron analizados, agrupados en categorías y organizados en núcleos temáticos. ANÁLISIS DE RESULTADOS: La utilización de segmentos de domicilios fue asociada a numerosas ventajas y pocas desventajas. Entre las ventajas, constaron la rapidez y facilidad en la elaboración del catastro de direcciones y en la localización e identificación de domicilios en la etapa de realización de las entrevistas, mayor seguridad de los entrevistadores y de la población, mayor acceso a los entrevistados, mayor estabilidad y mayor cobertura del catastro producido y menor ocurrencia de errores en la identificación de los domicilios sorteados. CONCLUSIONES: La construcción de catastro de domicilios por medio de la creación de segmentos es ventajosa con relación al listado completo de direcciones, al realizarse en tugurios. Por haberse mostrado una opción económica y fácil de ser aplicada, constituye alternativa para la simplificación del proceso de muestreo en áreas con características de desorganización y concentración de domicilios.
    Type of Medium: Online Resource
    ISSN: 0034-8910
    URL: Article
    DOI: 10.1590/S0034-89102011000600012
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2011
    detail.hit.zdb_id: 2031055-9
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  • 6
    Online Resource
    Online Resource
    Conhecendo egressos do curso técnico de Enfermagem do PROFAE
    FapUNIFESP (SciELO) ; 2011
    In:  Revista da Escola de Enfermagem da USP Vol. 45, No. 4 ( 2011-08), p. 945-952
    Details
    In: Revista da Escola de Enfermagem da USP, FapUNIFESP (SciELO), Vol. 45, No. 4 ( 2011-08), p. 945-952
    Abstract: El PROFAE (Proyecto de Profesionalización de Trabajadores del Área de Enfermería) fue una iniciativa importante en la educación profesional. Se objetivó describir el perfil de egresados del curso de técnico en enfermería de centros de formación de la Secretaría de Estado de Salud de San Pablo y conocer los resultados para desempeño profesional y movimiento del mercado laboral. La recolección de datos se realizó mediante cuestionario respondido por 216 egresados y cuatro grupos focales de egresados-enfermeros supervisores. Quienes respondieron fueron mayoritariamente mujeres con media etaria 42,2 años. El curso fue bien evaluado, destacándose el apoyo institucional y las resoluciones del Consejo Regional de Enfermería (COREN) como impulsores de su promoción. Los egresados perciben tener mayor iniciativa y preparación teórica luego del curso. En el área, la función más ejercida es la de auxiliar de enfermería. Esto genera insatisfacción, pues principalmente en servicios públicos, no existen cargos de técnico.
    Type of Medium: Online Resource
    ISSN: 0080-6234
    URL: Article
    DOI: 10.1590/S0080-62342011000400022
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2011
    detail.hit.zdb_id: 2411320-7
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  • 7
    Online Resource
    Online Resource
    Prevalence of obesity in preschool children from five towns in São Paulo State, Brazil
    FapUNIFESP (SciELO) ; 2004
    In:  Cadernos de Saúde Pública Vol. 20, No. 6 ( 2004-12), p. 1627-1632
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 20, No. 6 ( 2004-12), p. 1627-1632
    Abstract: Com o intuito de conhecer a saúde e nutrição de crianças menores de cinco anos que residiam em municípios de pequeno porte no Estado de São Paulo, Brasil, foi realizado um inquérito domiciliar em cinco municípios: Bady Bassit, Bofete, Jaborandi, Morungaba e Riversul, localizados em diferentes regiões geográficas e com perfis distintos de desenvolvimento. A coleta de dados foi realizada por meio de sorteio sistemático dos domicílios com base no Censo Demográfico de 1991. Foram consideradas com déficit de altura crianças com o índice altura/idade menor que -2 scores Z, e para a obesidade aquelas com o índice de peso/altura maior que 2 scores Z, segundo o National Center for Health Statistics, Estados Unidos. A amostra foi composta por 987 crianças (490 meninos e 497 meninas). A prevalência de obesidade foi de 6,6% e o déficit de altura de 5,2%. Na análise das prevalências de déficit de altura e de obesidade desagregadas por categorias de renda per capita em salários mínimos, são encontradas diferenças significativas, onde a prevalência de obesidade aumenta com o aumento da renda per capita (p = 0,018), enquanto que o déficit de altura apresentou comportamento inverso (p = 0,038).
    Type of Medium: Online Resource
    ISSN: 0102-311X
    URL: Article
    DOI: 10.1590/S0102-311X2004000600021
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2004
    detail.hit.zdb_id: 2027139-6
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  • 8
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    Online Resource
    Acesso a serviços de saúde: homeopatia e acupuntura na Região Metropolitana da Baixada Santista (RMBS) - São Paulo
    Sociedade Brasileira de Medicina de Familia e Comunidade (SBMFC) ; 2012
    In:  Revista Brasileira de Medicina de Família e Comunidade Vol. 7 ( 2012-06-22), p. 24-
    Details
    In: Revista Brasileira de Medicina de Família e Comunidade, Sociedade Brasileira de Medicina de Familia e Comunidade (SBMFC), Vol. 7 ( 2012-06-22), p. 24-
    Abstract: Introdução: O acesso aos serviços de saúde é entendido como resultante do equilíbrio entre necessidades de saúde e características da população, assim como da relação entre oferta e serviços existentes. O inquérito domiciliar é uma ferramenta clássica para o planejamento de políticas publicas. O estado de São Paulo tem três regiões metropolitanas. A desfavorável situação sanitária da Baixada Santista em relação ao estado e o fato de não ter sido objeto de inquéritos semelhantes tornaram-se decisivos na escolha da região. Objetivo: traçar a partir da ótica da população o acesso e perfil de utilização dos serviços de saúde SUS e especificamente da Acupuntura e Homeopatia. Método: Inquérito domiciliar sobre acesso a serviços de saúde nos cinco municípios da Baixada Santista com mais de 100.000 habitantes: Cubatão, Guarujá, Praia Grande, Santos e São Vicente. Foram visitados 2507 domicílios e realizadas 6815 entrevistas. O questionário composto por 200 questões tem 16 questões sobre acesso á Homeopatia e Acupuntura. Resultados: 67,2% da população amostrada conhecem a Homeopatia, destas 15,9 % tiveram consulta na especialidade sendo 38,48 % nos últimos dois anos. O atendimento foi SUS em 13,33 % dos casos e consulta particular em 75,85 % dos casos. O medicamento em 96,62 % foi prescrito por medico e pago pelo paciente em 90,45 % dos casos. A Acupuntura para a população pesquisada é conhecida para 65,6 % da amostra, mas 91,39% não utilizam este tratamento. A população que busca acupuntura tem sido atendida em serviços particulares em 86,45% dos casos. Conclusão: O SUS tem um programa para Medicina Tradicional que precisa ser ampliado. A pesquisa demonstra uma demanda da população a este modelo de atenção que não esta sendo contemplada na região metropolitana da baixada santista em São Paulo.
    Type of Medium: Online Resource
    ISSN: 2179-7994 , 1809-5909
    URL: Article
    DOI: 10.5712/rbmfc7(1)559
    Language: Unknown
    Publisher: Sociedade Brasileira de Medicina de Familia e Comunidade (SBMFC)
    Publication Date: 2012
    detail.hit.zdb_id: 2717078-0
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  • 9
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    Online Resource
    Sorteio intradomiciliar em inquéritos de saúde
    FapUNIFESP (SciELO) ; 2014
    In:  Revista de Saúde Pública Vol. 48, No. 1 ( 2014-02), p. 86-93
    Details
    In: Revista de Saúde Pública, FapUNIFESP (SciELO), Vol. 48, No. 1 ( 2014-02), p. 86-93
    Abstract: OBJETIVO: Comparar la eficiencia y la precisión de delineamientos de muestreo con y sin sorteo intra-domiciliar en pesquisas de salud. MÉTODOS: Con base en los datos de una pesquisa realizada en la Baixada Santista, SP – Brasil, entre 2006 y 2007, se retiraron 1.000 muestras considerando cada uno de los delineamientos y, en cada muestra, se obtuvo estimativas para personas de 18 a 59 años de edad y de 18 años y más. En el primero, fueron sorteados 40 sectores censados, 12 domicilios por sector y una persona por domicilio. En el análisis, los datos fueron ponderados por el número de adultos residentes en los domicilios. En el segundo, se sortearon 40 sectores, seis domicilios por sector para el grupo de 18 a 59 años de edad y cinco o seis domicilios para el grupo de 18 años y más. No hubo sorteo dentro del domicilio. Medidas de precisión y de vicio de las estimativas de proporción para 11 indicadores fueron calculadas en los dos conjuntos finales de muestras seleccionadas para los dos tipos de delineamientos. Ambos fueron comparados por medio de medidas relativas: coeficiente de variación, cociente vicio/promedio, cociente vicio/desviación estándar y desviación media cuadrática relativa. El costo fue comparado considerando costo básico por persona, costo por domicilio y número de personas y domicilios. RESULTADOS: Los vicios se mostraron insignificantes en los dos delineamientos. La precisión fue mayor para el delineamiento sin sorteo y el costo fue menor. CONCLUSIONES: El delineamiento sin sorteo intra-domiciliar se mostró superior en términos de eficiencia y precisión, siendo la opción preferencial del investigador. El sorteo de la población debe ser adoptado cuando existan motivos relacionados con el objeto de estudio que puedan llevar a la introducción de vicios en las respuestas de los entrevistados en el caso de que varios de ellos respondan al cuestionario propuesto.
    Type of Medium: Online Resource
    ISSN: 0034-8910
    URL: Article
    DOI: 10.1590/S0034-8910.2014048004540
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2014
    detail.hit.zdb_id: 2031055-9
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  • 10
    Online Resource
    Online Resource
    National Survey on Access, Use and Promotion of Rational Use of Medicines : methods
    Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais ; 2017
    In:  Revista de Saúde Pública Vol. 51 ( 2017-09-22), p. 4s-
    Details
    In: Revista de Saúde Pública, Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais, Vol. 51 ( 2017-09-22), p. 4s-
    Abstract: The Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services) aimed to characterize the organization of pharmaceutical services in the Primary Health Care of the Brazilian Unified Health System (SUS). PNAUM – Services is a cross-sectional and evaluative study, with planned sample of 600 cities, held between 2014 and 2015, composed of a remote phase, with telephone interviews with health managers. Of these 600 cities, 300 were selected for a survey on health services. We selected the 27 capitals, the 0.5% largest cities of each region, and the remaining cities were drawn. The estimate of the representative national sample size considered three levels: cities, medicine dispensing services, and patients. The interviews were carried out with a structured questionnaire specific for: municipal secretaries of health, professionals responsible for pharmaceutical services in the city, professionals responsible for the dispensing of medicines, physicians, and patients. The secondary data were obtained in official databases, in the latest update date. PNAUM – Services was the first nationwide research aimed at the assessment and acquisition of national and regional indicators on access to medicines, as well as use and rational use, from the perspective of various social subjects
    Type of Medium: Online Resource
    ISSN: 1518-8787 , 0034-8910
    URL: Article
    DOI: 10.11606/S1518-8787.2017051007027
    Language: Unknown
    Publisher: Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais
    Publication Date: 2017
    detail.hit.zdb_id: 2031055-9
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