22 documents found, page 1 of 3

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Os impactos da descentralização da saúde na equidade, eficiência e efetividade:...

Oliveira, Rafaela; Santinha, Gonçalo; Perelman, Julian; Marques, Teresa Sá


Syndemic Pandemic in Portugal: Social Inequality in Risk Factors Associated Wit...

Perelman, Julian

Introduction: International evidence has unveiled the existence of social inequalities in the risk of death associated with SARS-CoV-2 (COVID-19). In Portugal, the impossibility to identify the socioeconomic condition of deceased people hinders this evaluation. This study analyzes the social inequalities in the risk factors of COVID-19 mortality in Portugal.Material and Methods: We used data from the sixth Nati...

Date: 2022   |   Origin: Acta Médica Portuguesa

Combining self-reported and objectively measured survey data to improve hyperte...

Kislaya, Irina; Leite, Andreia; Perelman, Julian; Machado, Ausenda; Torres, Ana Rita; Tolonen, Hanna; Nunes, Baltazar

Background: Accurate data on hypertension is essential to inform decision-making. Hypertension prevalence may be underestimated by population-based surveys due to misclassification of health status by participants. Therefore, adjustment for misclassification bias is required when relying on self-reports. This study aims to quantify misclassification bias in self-reported hypertension prevalence and prevalence r...


Change in the Prevalence and Social Patterning of First- and Second-Hand Smokin...

Alves, Joana; Filipe, Rita; Machado, João; Nunes, Baltazar; Perelman, Julian

Between 2005 and 2007, important reinforcements of the tobacco legislation have been implemented in Portugal, which may have affected smoking patterns. The aim of this study was to measure the change in prevalence of first- and second-hand smoking (SHS) among adults, and its socio-demographic patterning in Portugal from 2005 to 2014. Data from the last two Portuguese National Health Interview Surveys (2005 and ...


Excess winter mortality and morbidity before, during, and after the Great Reces...

Almendra, Ricardo Jorge Meireles; Perelman, Julian; Vasconcelos, João; Rodrigues, Ana Paula Santana

Although winter mortality and morbidity are phenomena common to most European countries, their magnitude varies significantly from country to country. The geographical disparities among regions with similar climates are the result of several social, economic, demographic, and biological conditions that influence an individual's vulnerability to winter conditions. The impact of poor socioeconomic conditions may ...


Do self-reported data accurately measure health inequalities in risk factors fo...

Kislaya, Irina; Perelman, Julian; Tolonen, Hanna; Nunes, Baltazar

Objectives: This study aimed to compare the magnitude of educational inequalities in self-reported and examination-based hypertension and hypercholesterolemia and to assess the impact of self-reported measurement error on health inequality indicators. Methods: We used the Portuguese National Health Examination Survey data (n = 4911). The slope index of inequality (SII) and the relative index of inequality (RII)...


Is food insecurity related to health-care use, access and absenteeism?

Dias, Sara; Gregório, Maria João; Melo, António; Matias, Maria Ana; Rodrigues , Ana M; Sousa, Rute Dinis de; Canhão,Helena; Perelman, Julian

Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access...

Date: 2019   |   Origin: IC-online

Excess winter mortality and morbidity before, during, and after the Great Reces...

Almendra, Ricardo; Perelman, Julian; Vasconcelos, João; Santana, Paula

Although winter mortality and morbidity are phenomena common to most European countries, their magnitude varies significantly from country to country. The geographical disparities among regions with similar climates are the result of several social, economic, demographic, and biological conditions that influence an individual’s vulnerability to winter conditions. The impact of poor socioeconomic conditions may ...

Date: 2019   |   Origin: IC-online

Excess winter mortality and morbidity before, during, and after the Great Reces...

Almendra, Ricardo; Perelman, Julian; Vasconcelos, João; Santana, Paula

Although winter mortality and morbidity are phenomena common to most European countries, their magnitude varies significantly from country to country. The geographical disparities among regions with similar climates are the result of several social, economic, demographic, and biological conditions that influence an individual's vulnerability to winter conditions. The impact of poor socioeconomic conditions may ...


Is food insecurity related to health-care use, access and absenteeism?

Melo, António; Matias, Maria Ana; Dias, Sara S; Gregório, Maria João; Rodrigues, Ana Maria; de Sousa, Rute Dinis; Canhao, Helena; Perelman, Julian

Objective: Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use...


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