Abstract: Immunization, the most successful public health intervention to date, can only be effective if eligible individuals or their legal representatives have access to vaccines and subsequently comply with their use. Under-vaccination stems from multiple causes: access, affordability, awareness, acceptance and activation. In this paper, we focus on acceptance and, specifically, on factors pertaining to indi...
ABSTRACT OBJECTIVE To describe the level and temporal trends of homicide impunity in Brazil. METHODS This is an ecological study that calculated two impunity indexes by dividing the total number of homicides committed in a 5-year period by the number of individuals arrested for murder (homicide impunity) or any other cause (general impunity) two years after this period. The Prais-Winsten linear regression model...
Tradicionalmente, diretrizes clínicas são elaboradas a partir do consenso de opiniões de especialistas. Nos últimos anos, a magnitude dos benefícios do rastreamento mamográfico vem sendo questionada em função dos vieses detectados nos ensaios clínicos que popularizaram a disseminação dessa prática. Paralelamente, o crescente corpo de evidências sobre danos associados ao rastreamento mamográfico também demandava...
Resumo: O câncer de mama é a principal causa de morte por câncer em mulheres no Brasil. As novas diretrizes para detecção precoce no Brasil foram elaboradas com base em revisões sistemáticas da literatura sobre riscos e possíveis benefícios de diversas estratégias de detecção precoce. O objetivo do presente artigo é apresentar as recomendações e atualizar a síntese de evidências, discutindo as principais contro...
O objetivo do presente artigo é apresentar os principais desafios à implementação das novas recomendações para a detecção precoce do câncer de mama no Brasil, bem como refletir sobre as barreiras e estratégias para a sua superação. A implementação de diretrizes baseadas em evidências é um desafio em todo o mundo, e estratégias tradicionais baseadas apenas na disseminação de seu texto são comprovadamente insufic...
Abstract: This study assessed the consistency of self-reports of risk behavior (overall and within four specific domains: alcohol use, tobacco use, drug use, and sexual activity) in two editions of the Brazilian National School Based Survey of Adolescent Health (PeNSE): 2009 and 2012. The overall proportion of cases with at least one inconsistent response in the two editions was 11.7% (2.7% on the alcohol items...
Abstract Our aim was to assess differences between men and women in the likelihood of exposure to traffic as drivers of cars and motorcycles, and in the risk of dying from a car or a motorcycle crash, in order to verify the extent to which Darwin's Sexual Selection Theory could have predicted the findings and can help to interpret them. Study population was composed of men and women aged 18 to 60 years resident...
The aim of this study was to investigate the dimensional structure of the Oral Health Impact Profile-14: (OHIP-14). Data was obtained from studies carried out in Rio de Janeiro (N = 504) and Carlos Barbosa (N = 872), in the State of Rio Grande do Sul, Brazil. Exploratory factor analysis (EFA) was performed to identify the latent dimensions of the OHIP-14. Confirmatory factor analysis (CFA) was carried out of bo...
The objective of this study was to evaluate the association between income inequality at a lagged time of 2 and 11 years with two short latency outcomes (untreated dental caries and gingivitis) and two long latency outcomes (edentulism and periodontal attachment loss > 8mm). We used data from the Brazilian oral health survey in 2002-2003. Our analysis included 13,405 subjects aged 35-44 years. Different lagged ...
The aims of this study were to detect whether recommendations concerning oral hygiene practices for children among Brazilian health agencies are consistent and to verify whether possible inconsistencies in these recommendations might be associated with an apparent gap in the scientific evidence. Fifty-four Brazilian health agencies were contacted by mail or electronic mail and were asked to send any material co...