Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献

Objective: To investigate the association between family characteristics concerning partners and children and loneliness among Brazilians aged 50 and over, taking into account both the occurrence of loneliness and its severity levels.

Methods: This cross-sectional study used data from 7,163 participants in the second wave of the Brazilian Longitudinal Study of Aging, a nationally representative study conducted in 2019-2021. Loneliness was assessed using the 3-item University of California Loneliness Scale. Family characteristics included: marital status and living with the partner and presence of children and living with them. Statistical analysis employed Zero-Inflated Negative Binomial regression models, allowing the assessment of the outcome in both dichotomous and counting-based forms.

Results: Only family characteristics related to the partner were associated with loneliness prevalence, whether in a living-apart-together arrangement (PR=0.35; 95%CI 0.23-0.53) or cohabiting (PR=0.37; 95%CI 0.30-0.45). Family characteristics concerning the partner [cohabiting (PR=0.80; 95% CI 0.73-0.88)] and children [non-cohabiting (PR=0.86; 95%CI 0.77-0.95) or cohabiting (PR=0.81; 95%CI 0.72-0,92)] were negatively associated with loneliness levels.

Conclusion: Family characteristics play a crucial role in both preventing loneliness and reducing its levels. Public services for improving social support should target older adults with reduced nuclear families.

Objective: To analyze the changes in the methodological aspects of the National Survey of School Health (PeNSE) and its comparability with the Global School-based Student Health Survey (GSHS).

Methods: This evaluative study that utilized the PeNSE questionnaires from 2009, 2012, 2015, and 2019, and the GSHS questionnaires from 2013-2017 e 2018-2020. The variables analyzed included the sample size, representativeness and geographic stratification of PeNSE, the number of questions in PeNSE, the percentage similarity of the PeNSE 2019 relative to the 2015, and its comparability with GSHS.

Results: Over the four editions of PeNSE, the sample size increased (from 63,411 in 2009 to 125,123 in 2019). There were changes in educational levels (exclusion of the 6th grade and inclusion of the 7th and 8th grades of primary and secondary education), geographic stratification (expanded to large regions and federation units), and the number of questions increased by 46%. Regarding the similarity between the 2015 and 2019 editions, 48 questions were added, 35 were excluded, and 4 were changed. In 2019, PeNSE presented 11 modules that were partially comparable and 3 that were potentially not to those of 2015. The PeNSE 2015 edition was more similar to the GSHS, with 10 comparable modules, whereas in 2019, this number was reduced to five.

Conclusion: Since its creation, PeNSE has undergone several changes, including increased sample representativeness and number of questions across editions. However, changes to the questionnaires must be analyzed with caution, as they may compromise comparability with previous editions and international surveys.

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Objective: To describe the sociodemographic, socio-occupational profile, and effects on the health of artisanal fishers from the state of Pernambuco, Brazil, affected by the oil disaster-crime in Brazil in 2019.

Methods: This is a cross-sectional epidemiological study, carried out in 16 municipalities on the coast of Pernambuco, with a sample made up of 1,259 artisanal fishers. A questionnaire containing 14 blocks was used, including socioeconomic issues, exposure to oil, among others. A descriptive analysis was carried out with calculation of simple frequencies and percentages.

Results: Of those interviewed, 95.1% considered fishing as their main occupation and 97% were carrying out this activity. Among fishers, the most common fishing spot was the mangrove, and wood fire was used in the work process by around 60% of the population. Regarding health issues, 34.4% reported a severe headache or migraine and 28.2% reported burning eyes, within one to three months after the oil spill.

Conclusion: According to the results, working, health, and lifestyle conditions were impacted by the oil disaster-crime. Further research should be carried out to better understand the damage caused by exposure to oil and its effects on the health of fishers. Observing the profile of people who live in artisanal fishing territories in Pernambuco is paramount for public policies and government actions that promote safe and sustainable territories.

Objective: To describe the locations of food and beverage acquisition in Brazil, according to the level of food processing and household location (urban/rural).

Methods: Data from 49,489 households from the Household Budget Survey 2017-2018 were used. Information regarding food and beverages was collected through a collective acquisition booklet over 7 consecutive days. Locations were classified into 10 groups on the basis of similarities in sales structure and mode of food offering, and food and beverages were categorized according to the NOVA classification. The frequency of households acquiring food in each location was estimated, as well as the acquisition frequency according to processing level, considering significance through non-overlapping 95% confidence intervals.

Results: Half of the households (51.9%) acquired food in supermarkets, contributing to both the acquisition of fresh and minimally processed foods (92.2% in urban; 90.2% in rural) and ultra-processed foods (78.6% in urban; 74.1% in rural). For the urban area, the Supermarket (55.0%), Bakery (46.5%) and Small markets (43.1%) are among the places with the highest frequency of food acquisition, while for rural areas, it is found that Small Markets (53%), Supermarkets (32.3%) and Home production (31.0%) presented the highest frequencies.

Conclusion: The acquisition of food and beverages for household consumption in Brazil differs according to household location (urban/rural), indicating the importance of the community food environment in the consumption patterns of ultra-processed foods.

[This corrects the article doi: 10.1590/1980-549720230004.supl.1 ] [This corrects the article doi: 10.1590/1980-549720230004.supl.1.1].

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[This corrects the article doi: 10.1590/1980-549720220012.supl.2] [This corrects the article doi: 10.1590/1980-549720220012.supl.2.1].