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To estimate the prevalence of violence subtypes and analyze some demographic, socioeconomic, and health factors associated with violence against women in Brazil.

Cross-sectional epidemiological study using the 2019 National Survey of Health. The prevalences of some violence subtypes (psychological, physical, and sexual) in the 12 months prior to the interview were estimated in the country, per federative units. The characteristics of each subtype of violence were also analyzed. Additionally, the crude and adjusted prevalence ratios were estimated by a multivariate model according to the following potential demographic, socioeconomic, and health associated factors: age group, education, skin color, place of residence, household income, marital status, social support network, self-rated health, alcohol consumption, depression, and sexually transmitted infections.

In 2019, 19.38% of Brazilian women reported experiencing violence, with psychological violence being the most common subtype both in isolation and in conjunction with other subtypes. The main aggressor was an intimate partner and most of the violent acts occurred at home, with more than half of women reporting at least one consequence of these acts. Younger women, those with worse self-rated health, alcohol consumption, depression, and sexually transmitted infections had a higher prevalence of all violence subtypes.

One in five Brazilian women reported experiencing violence in the past 12 months. Violence against women is positively associated with younger ages, lower education, Black and Brown skin color, smaller support networks, and health-related factors such as self-rated health, alcohol consumption, depression, and sexually transmitted infections.

Objective: To present a screener for consumption of ultra-processed foods for children in early childhood, evaluating the ability of the score generated by this screener to reflect the participation of ultra-processed foods in children's diets.

Methods: This study was conducted with a convenience subsample of the 2015 Pelotas Birth Cohort (n = 365). The mothers of the participating children answered a food consumption questionnaire the day before the interview (screener) containing 16 subgroups of ultra-processed foods, followed by a traditional 24-hour food recall (24hR). Each participant's ultra-processed food consumption score corresponded to the number of food subgroups consumed and the percentage of energy derived from the participation of ultra-processed foods in the diet on the same day was calculated from the answers in the 24hR. The association between the score and the percentage of energy from ultra-processed foods was tested using linear regression models. The degree of agreement between the classification of participants according to approximate fifths of the percentage of calories from ultra-processed foods and according to the score intervals was assessed using the Pabak index.

Results: The average percentage share of ultra-processed foods in the total caloric value of the diet, calculated using the 24hR, was directly and significantly associated with an increase in the ultra-processed food consumption score. There was substantial agreement between the ranges of the ultra-processed food consumption score obtained by the screener and the approximate fifths of the share of ultra-processed foods in the diet calculated by the 24hR (Pabak index = 0.65).

Conclusions: The ultra-processed food consumption score, obtained from an ultra-processed food consumption screener, a practical and agile instrument, is capable of reflecting the participation of ultra-processed foods in children's diets, with regard to the 2015 Pelotas Birth Cohort.

Objective: To evaluate the space-time trend of fetal mortality in Brazil from 1996 to 2021.

Methods: Ecological time series study with secondary data on fetal deaths at gestational age (GA) ≥ 20 weeks from the Mortality Information System (SIM) in Brazil, between 1996 and 2021, covid-19 pre-pandemic (1996-2019), and years 2020 and 2021 of the pandemic. It analyzed the fetal mortality rate (FMR) to identify the annual risk of fetal death in the specific population. The percentage change (PC), annual percentage change (APC), and average annual percentage change (AAPC) were calculated using Joinpoint regression to determine the trend patterns: increasing, decreasing, or stationary. Excel 2019, Stata, and Joinpoint Regression software were used.

Results: In Brazil, fetal deaths at GA ≥ 20 weeks accounted for 1.14% of births and 58% of perinatal deaths in the period analyzed. Around 93% were antepartum, 6% intrapartum, and 1% were recorded as occurring postpartum. The overall FMR for the period, considering GA ≥ 20, ≥ 22, and ≥ 28 weeks, was 11.4, 10.7, and 8.6/1,000 births, respectively. Despite the increasing trend of stillbirths in perinatal deaths, a slowdown in the reduction and an increase during the covid-19 pandemic, the FMR at the gestational ages evaluated decreased by 20%, 25%, and 41%, respectively, with a AAPC of -1.00, -1.13, and -1.89.

Conclusion: Fetal mortality showed a long-term downward trend at the national and regional levels in Brazil, except in the Central-West region, where the trend was stationary. The covid-19 pandemic slowed down the reduction and increased the measure, however, the downward trend was not interrupted. Regionally, the highest FMRs and the smallest reductions occurred in the North, Northeast, and Central-West, showing regional inequalities.

Objectives: To compare rates, disability-adjusted life years (DALYs), and years of healthy life lost due to disability (YLDs) associated with deaths due to self-harm in Brazil.

Methods: This epidemiological study utilized secondary data obtained from the Global Burden of Disease Study. Analytical examinations were conducted to provide detailed descriptions of national and subnational rates.

Results: We identified mortality rates, DALYs, and YLDs resulting from deaths due to self-harm - national data from 26 states and the Federal District - between 1990 and 2019. The national rates in 1990 and 2019 were the same for mortality = 6.2 deaths per 100.000 inhabitants, reduced for DALYs = 312-289 DALYs, and the same for YLDs = 1.6 YLDs. Four united federations had higher mortality rates, DALYs, and YLDs caused by self-harm compared to national rates throughout the analyzed period (between 1990 and 2019) - Goiás (mortality = 11-67%, DALYs = 13-73%, and YLDs = 4-45%), Mato Grosso do Sul (mortality = 23-42%, DALYs = 28-46%, and YLDs = 13-64%), Minas Gerais (mortality = 5-25%, DALYs = 7-25%, and YLDs = 19-35%), and Rio Grande do Sul (mortality = 73-98%, DALYs = 55-84 %, and YLDs = 52-70%).

Conclusion: Although national mortality rates and YLD caused by self-harm have been maintained, there has been a decrease in the incidence of DALYs. However, certain states in Brazil have rates higher than the national average, indicating the need for multiple strategies to be implemented to reduce mortality rates, DALYs, and YLDs resulting from self-harm in these specific states.

Objective: We tested the reliability and validity of the Perceived Stress Scale, an online questionnaire, among college students from low-income Brazilian regions.

Methods: We assessed 195 college students from a region with a Gini index of 0.56 for the validity study and a subsample of 117 students for the reliability study, where we evaluated the Perceived Stress Scale with the 14 original items. We also applied the shortened version of the Brief Symptom Inventory with 18 items (BSI-18). The psychometric properties analyzed, including temporal stability, internal consistency, and structural and convergent validity, were assessed using Spearman's correlation coefficient, Cronbach's alpha coefficient, unsupervised machine learning, and confirmatory factor analysis.

Results: The questionnaire showed acceptable reliability (temporal stability [rho ≥ 0.32] and internal consistency [alpha ≥ 0.79]). In construct validity, we identified two clusters, "helplessness" and "self-efficacy", as structure solutions for our sample via unsupervised machine learning. An acceptable fit for the two-factor structure of the scale was indicated by multiple indices (chi-square/degrees of freedom [χ2/df] = 119/76; Tucker-Lewis Index [TLI] = 0.916; Comparative Fit Index [CFI] = 0.930; root mean square error of approximation [RMSEA] = 0.054; standardized root mean-squared residual [SRMR] = 0.078)) on confirmatory factor analysis. Moreover, convergent validity was supported by significant correlations of the BSI-18 Global Severity Index score with perception of helplessness (rho = 0.71) and self-efficacy (rho = -0.42).

Conclusion: The Perceived Stress Scale, which is an online tool, is a reliable and valid self-report tool for college students.

To analyze the trends and spatial patterns of hepatitis C-related mortality in Brazil from 2000 to 2020.

A population-based, mixed ecological study of spatial and temporal trends, using secondary data from death certificate (DC) registries, in which hepatitis C was mentioned as an underlying or associated cause of mortality. Temporal trends were analyzed by joinpoint regression, and spatial analysis by the distribution of adjusted rates by age and sex, and spatial autocorrelation by the local Moran index and the Getis-Ord Gi* index (Gi star).

From 2000 to 2020, 64,029 deaths due to hepatitis C were recorded in the Mortality Information System (SIM), representing 0.26% of deaths in Brazil. Most deaths were due to underlying causes (n = 33,652, 52.6%). Areas with high rates in all five analyzed periods were identified in the states of São Paulo, southern Minas Gerais, southern Rio de Janeiro, northern Paraná, southern and coastal Santa Catarina, eastern Mato Grosso do Sul, and Rio Grande do Sul. The states of Acre and southern Amazonas showed high rates after 2004, which spread to northern Rondônia from 2016 to 2020. The joinpoint regression model showed an increasing trend in hepatitis C mortality in Brazil from 2000 to 2015, but a decreasing trend from 2016-2020. The mortality rate was higher in men and people over sixty years of age.

Differences were observed in the temporal and spatial trend of hepatitis C mortality in different regions of Brazil. These data may support the design of hepatitis C elimination strategies in Brazil, according to regional specificities.

To explore the associations between current mental health symptoms and social disparities in university students.

We recruited participants from nine public universities in Brazil, from August to November 2022, using online advertisements and in-person lectures. All participants completed an online survey containing social (sex, race/color, gender identity, sexual orientation, and income) and mental health assessments. The Jeopardy index was composed of social variables. The index considered zero points for subjects with less oppressive experienced characteristics (men, White, cisgender, heterosexual, higher income) and one point for the opposite characteristics. We defined six clusters according to Jeopardy Index results: 0, 1, 2, 3, 4, and 5 points, with the greatest number of points representing the most disadvantaged group. The mental health symptoms were assessed on two levels. First by the "DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure - Adult," and second by the "Patient Health Questionnaire-9," and the "Generalized Anxiety Disorder Questionnaire-7." Adjusted Odds Ratio (OR) analyses was performed for age and educational level.

748 participants were allocated into the six Jeopardy clusters: 0 (n = 46; 6.1%), 1 (n = 112; 15.0%), 2 (n = 163; 21.8%), 3 (n = 218; 29.1%), 4 (n = 171; 22.9%), and 5 (n = 38; 5.1%). It was observed a high prevalence of anxiety (42.5%) and depression (51.0%), however, the less privileged group (5) had a higher risk of having severe symptoms of anxiety (OR = 6.21; 1.51-25.58; p < 0.01) and depression (OR = 8.60; 2.15-34.43; p < 0.01), compared against the most privileged group.

Although anxiety and depressive symptoms were highly prevalent for all participants, these disorders are not equally distributed in this population and the intersectionality between social factors plays an important role in contributing to these differences.

[This corrects the article doi: 10.11606/s1518-8787.2024058005636].

To analyze the time trend of federal public resources invested in the Brazilian Food and Nutrition Security agenda from 2000-2022.

A time series study was carried out with data collected from a publicly accessible system on the Federal Government's planning and budget. We analyzed the budget actions and their resources indicated by the Budget Allocation and the Settled Amount. The actions were categorized into themes of the Food Nutrition Security agenda, analyzed using the Prais-Winsten regression, together with the Cochrane-Orcutt method. The values were adjusted by the Broad Consumer Price Index for January 2023.

Investment in the area of Food and Nutrition Security has shown an upward trend over two decades of federal funding, although it has shown fluctuations in certain years. The Budgetary Allocation showed an annual variation of 10.1%, and the Settled Amount obtained 10.8%. However, there is an imbalance in federal funding between strategic areas, with an upward trend in health (37.4%), food sovereignty (23.7%), and access to food (12.3%); and a downward trend in investment in some areas, such as agrarian development (-7.0%). The allocation of resources was concentrated on welfare actions to guarantee access to food, averaging 73.4% of the total resources spent.

The results show that public investment in Brazil's Food and Nutrition Security agenda has been on the rise, although there have been fluctuations in certain years and a concentration of resources in specific areas. Despite having two thirds of the budget aimed exclusively at actions toward access to food, recent data shows that hunger still plagues the Brazilian reality. This reinforces the need for continuous and more equitable investment between areas, as a way of strengthening structuring public policies that permanently guarantee Food and Nutrition Security for the Brazilian population.

To describe patterns of self-rated health (SRH) trajectories and investigate their association with sociodemographic, occupational, and health factors.

The sample consisted of 7,738 active public servants from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), evaluated from 2008 to 2020. The patterns of SRH trajectories were obtained by eleven time points, using the latent class growth curve. A multinomial logistic model was used to test associations between the exposures and patterns of trajectories of SRH.

Three patterns of trajectories of SRH were identified: i- good, ii- moderate, and iii- poor (29%, 61%, and 10% of the participants, respectively). Adjusted results showed that women, mixed-race, frequent work to family or family to work conflict were associated with a greater chance of poor pattern of trajectory of SRH, compared to good pattern. Besides, high school, low income, passive work, high strain, low social support, lack of time selfcare and leisure, overweight, obesity, unhealthy lifestyle, and the presence of comorbidities were associated with a greater chance of moderate and poor pattern of trajectory of SRH, when compared with a good pattern.

Adverse socioeconomic and occupational conditions, as well as unhealthy lifestyle and comorbidities were associated with worse SRH patterns of trajectories.