Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
Texto Completo: | https://www.rbmfc.org.br/rbmfc/article/view/2661 |
Resumo: | Introduction: chronic non-communicable diseases (CNCDs) and their injuries are estimated to be responsible for approximately 70% of deaths worldwide. The lack of prevention and good management of these pathologies leads to the need for medical assistance with increasing costs, due to the permanent technological incorporation. With regard to the occupational health, the increase in prevalence of cases of CNCDs can result in absenteeism, disability and impact on the quality of the work offered. Objective: to evaluate the presence of risk factors for CNCDs in community health workers (CHW). Methods: This is a cross-sectional study developed with CHWs from a municipality in the state of Minas Gerais. Results: 139 CHWs of both sexes, belonging to the 36 family health units of the municipality, were interviewed by means of a questionnaire with closed and pre-categorized questions on demographic and socioeconomic data, food consumption and health characteristics. Waist circumference (WC), weight and height were measured, and BMI, conicity index and waist-to-height ratio were calculated. A prevalence of married females and white workers was pointed. Overweight was present in 56.1% of respondents. In addition, 51.8% of CHWs were classified as sedentary, and 14.4% reported being smokers. The high risk of developing cardiovascular diseases was stated in 27.27% of male CHWs and 57.81% of female CHWs. Consumption of at least one ultra-processed food was reported by 53.9% of respondents, and a positive association between the consumption of these foods—including sandwiches, pizzas and chips—and the nutritional status of the CHWs was pointed. Conclusions: The results show a high prevalence of risk factors for CNCDs among CHWs. Considering the impact of CNCDs on health and quality of work, surveillance and prevention of risk factors, also aimed at workers’ health, are present in the health programming of municipalities. |
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Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, BrazilFactores de riesgo para enfermedades crónicas en trabajadores de salud comunitarios en un municipio del interior de Minas Gerais – BrasilFatores de risco para doenças crônicas em agentes comunitários de saúde de um município do interior de Minas Gerais, BrasilChronic diseasesOccupational healthPrimary health careCommunity health workers.Enfermedad CrónicaSalud LaboralAtención Primaria de SaludAgentes Comunitarios de SaludDoenças crônicasSaúde do trabalhadorAtenção primária à saúdeIntroduction: chronic non-communicable diseases (CNCDs) and their injuries are estimated to be responsible for approximately 70% of deaths worldwide. The lack of prevention and good management of these pathologies leads to the need for medical assistance with increasing costs, due to the permanent technological incorporation. With regard to the occupational health, the increase in prevalence of cases of CNCDs can result in absenteeism, disability and impact on the quality of the work offered. Objective: to evaluate the presence of risk factors for CNCDs in community health workers (CHW). Methods: This is a cross-sectional study developed with CHWs from a municipality in the state of Minas Gerais. Results: 139 CHWs of both sexes, belonging to the 36 family health units of the municipality, were interviewed by means of a questionnaire with closed and pre-categorized questions on demographic and socioeconomic data, food consumption and health characteristics. Waist circumference (WC), weight and height were measured, and BMI, conicity index and waist-to-height ratio were calculated. A prevalence of married females and white workers was pointed. Overweight was present in 56.1% of respondents. In addition, 51.8% of CHWs were classified as sedentary, and 14.4% reported being smokers. The high risk of developing cardiovascular diseases was stated in 27.27% of male CHWs and 57.81% of female CHWs. Consumption of at least one ultra-processed food was reported by 53.9% of respondents, and a positive association between the consumption of these foods—including sandwiches, pizzas and chips—and the nutritional status of the CHWs was pointed. Conclusions: The results show a high prevalence of risk factors for CNCDs among CHWs. Considering the impact of CNCDs on health and quality of work, surveillance and prevention of risk factors, also aimed at workers’ health, are present in the health programming of municipalities.Introducción: Se estima que las enfermedades crónicas no transmisibles (ENT) y sus lesiones son responsables de aproximadamente el 70% de las muertes en todo el mundo. La falta de prevención y buen manejo de estas patologías acaba exigiendo asistencia médica con costos crecientes, debido a la permanente incorporación tecnológica. Con respecto a la salud de los trabajadores, el aumento en la prevalencia de casos de ENT puede resultar en ausentismo, discapacidad e impacto en la calidad del trabajo ofrecido. Objetivo: Evaluar la presencia de factores de riesgo de enfermedades crónicas no transmisibles (ENT) en los agentes comunitarios de salud comunitarios (ACS). Métodos: Este es un estudio transversal desarrollado en un municipio del estado de Minas Gerais. Se entrevistaron 139 ACS, quienes respondieron un cuestionario con preguntas cerradas y pre-categorizadas. Se midieron la circunferencia de la cintura, el peso, la altura y se calcularon el IMC, el índice de inclinación y la relación cintura / altura. Resultados: El exceso de peso estuvo presente en el 56,1% de los encuestados. Además, el 51,8% de los ACS se clasificó como sedentario, y el 14,4% informó ser fumador. El alto riesgo de desarrollar enfermedad cardiovascular se observó en el 27,27% de los ACS masculinos y en el 57,81% de los ACS femeninos. El 53,9% del ACS informó el consumo de al menos un alimento ultraprocesado, y se observó una asociación positiva entre el consumo de estos alimentos y el estado nutricional. Conclusiones: Los resultados muestran una alta prevalencia de factores de riesgo de ENT entre ACS. Considerando el impacto de estas enfermedades en la salud y la calidad del trabajo, es esencial que la vigilancia y prevención de los factores de riesgo estén presentes en la programación de salud de los municipios.Introdução: Estima-se que as doenças crônicas não transmissíveis (DCNT) e seus agravos sejam responsáveis por aproximadamente 70% das mortes no mundo. A falta de prevenção e de gerenciamento adequado dessas patologias acaba demandando assistência médica de custos crescentes, em função da permanente incorporação tecnológica. No que diz respeito à saúde do trabalhador, o aumento da prevalência dos casos de DCNT pode resultar em absenteísmo e invalidez e repercutir na qualidade do trabalho ofertado. Objetivo: Avaliar a presença dos fatores de risco para DCNT em agentes comunitários de saúde (ACS). Métodos: Trata-se de estudo transversal desenvolvido em município do estado de Minas Gerais. Foram entrevistados 139 ACS, que responderam a um questionário com perguntas fechadas e pré-categorizadas. Foram aferidos a circunferência da cintura, o peso e a estatura, e foram calculados o índice de massa corporal (IMC), o índice de conicidade e a relação cintura/estatura. Resultados: O excesso de peso esteve presente em 56,1% dos entrevistados, dos quais 30,2% eram obesos. Ademais, 51,8% dos ACS foram classificados como sedentários, e 14,4% relataram ser fumantes. O risco elevado de desenvolver doença cardiovascular foi observado em 27,27% dos ACS do sexo masculino e em 57,81% dos do sexo feminino. O consumo de pelo menos um alimento ultraprocessado foi relatado por 53,9% dos ACS, e observou-se associação positiva entre o consumo desses alimentos com o estado nutricional (p=0,032). Conclusões: Os resultados mostram significativa prevalência de fatores de risco de DCNT entre os ACS. Considerando-se o impacto dessas doenças para a saúde e a qualidade do trabalho, é fundamental que a vigilância e a prevenção dos fatores de risco estejam presentes na programação de saúde dos municípios.Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2021-12-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original Articlesapplication/pdfapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/266110.5712/rbmfc16(43)2661Revista Brasileira de Medicina de Família e Comunidade; Vol. 16 No. 43 (2021); 2661Revista Brasileira de Medicina de Família e Comunidade; Vol. 16 Núm. 43 (2021); 2661Revista Brasileira de Medicina de Família e Comunidade; v. 16 n. 43 (2021); 26612179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporenghttps://www.rbmfc.org.br/rbmfc/article/view/2661/1656https://www.rbmfc.org.br/rbmfc/article/view/2661/1657Copyright (c) 2021 Milena Serenini Bernardes, Janaína de Cássia Souza Cruz, Renan Serenini Bernardes, Matheus Henrique dos Santos, Ana Caroline Silva, Maysa Helena de Aguiar Tolonihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBernardes, Milena Serenini Cruz, Janaína de Cássia SouzaBernardes, Renan SereniniSantos, Matheus Henrique dosSilva, Ana CarolineToloni, Maysa Helena de Aguiar 2021-12-31T13:16:47Zoai:ojs.rbmfc.org.br:article/2661Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2021-12-31T13:16:47Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false |
dc.title.none.fl_str_mv |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil Factores de riesgo para enfermedades crónicas en trabajadores de salud comunitarios en un municipio del interior de Minas Gerais – Brasil Fatores de risco para doenças crônicas em agentes comunitários de saúde de um município do interior de Minas Gerais, Brasil |
title |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
spellingShingle |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil Bernardes, Milena Serenini Chronic diseases Occupational health Primary health care Community health workers. Enfermedad Crónica Salud Laboral Atención Primaria de Salud Agentes Comunitarios de Salud Doenças crônicas Saúde do trabalhador Atenção primária à saúde |
title_short |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
title_full |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
title_fullStr |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
title_full_unstemmed |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
title_sort |
Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil |
author |
Bernardes, Milena Serenini |
author_facet |
Bernardes, Milena Serenini Cruz, Janaína de Cássia Souza Bernardes, Renan Serenini Santos, Matheus Henrique dos Silva, Ana Caroline Toloni, Maysa Helena de Aguiar |
author_role |
author |
author2 |
Cruz, Janaína de Cássia Souza Bernardes, Renan Serenini Santos, Matheus Henrique dos Silva, Ana Caroline Toloni, Maysa Helena de Aguiar |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bernardes, Milena Serenini Cruz, Janaína de Cássia Souza Bernardes, Renan Serenini Santos, Matheus Henrique dos Silva, Ana Caroline Toloni, Maysa Helena de Aguiar |
dc.subject.por.fl_str_mv |
Chronic diseases Occupational health Primary health care Community health workers. Enfermedad Crónica Salud Laboral Atención Primaria de Salud Agentes Comunitarios de Salud Doenças crônicas Saúde do trabalhador Atenção primária à saúde |
topic |
Chronic diseases Occupational health Primary health care Community health workers. Enfermedad Crónica Salud Laboral Atención Primaria de Salud Agentes Comunitarios de Salud Doenças crônicas Saúde do trabalhador Atenção primária à saúde |
description |
Introduction: chronic non-communicable diseases (CNCDs) and their injuries are estimated to be responsible for approximately 70% of deaths worldwide. The lack of prevention and good management of these pathologies leads to the need for medical assistance with increasing costs, due to the permanent technological incorporation. With regard to the occupational health, the increase in prevalence of cases of CNCDs can result in absenteeism, disability and impact on the quality of the work offered. Objective: to evaluate the presence of risk factors for CNCDs in community health workers (CHW). Methods: This is a cross-sectional study developed with CHWs from a municipality in the state of Minas Gerais. Results: 139 CHWs of both sexes, belonging to the 36 family health units of the municipality, were interviewed by means of a questionnaire with closed and pre-categorized questions on demographic and socioeconomic data, food consumption and health characteristics. Waist circumference (WC), weight and height were measured, and BMI, conicity index and waist-to-height ratio were calculated. A prevalence of married females and white workers was pointed. Overweight was present in 56.1% of respondents. In addition, 51.8% of CHWs were classified as sedentary, and 14.4% reported being smokers. The high risk of developing cardiovascular diseases was stated in 27.27% of male CHWs and 57.81% of female CHWs. Consumption of at least one ultra-processed food was reported by 53.9% of respondents, and a positive association between the consumption of these foods—including sandwiches, pizzas and chips—and the nutritional status of the CHWs was pointed. Conclusions: The results show a high prevalence of risk factors for CNCDs among CHWs. Considering the impact of CNCDs on health and quality of work, surveillance and prevention of risk factors, also aimed at workers’ health, are present in the health programming of municipalities. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos Originais; Original Articles |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.rbmfc.org.br/rbmfc/article/view/2661 10.5712/rbmfc16(43)2661 |
url |
https://www.rbmfc.org.br/rbmfc/article/view/2661 |
identifier_str_mv |
10.5712/rbmfc16(43)2661 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
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https://www.rbmfc.org.br/rbmfc/article/view/2661/1656 https://www.rbmfc.org.br/rbmfc/article/view/2661/1657 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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Revista Brasileira de Medicina de Família e Comunidade; Vol. 16 No. 43 (2021); 2661 Revista Brasileira de Medicina de Família e Comunidade; Vol. 16 Núm. 43 (2021); 2661 Revista Brasileira de Medicina de Família e Comunidade; v. 16 n. 43 (2021); 2661 2179-7994 1809-5909 reponame:Revista Brasileira de Medicina de Família e Comunidade (Online) instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) instacron:SBMFC |
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Revista Brasileira de Medicina de Família e Comunidade (Online) |
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Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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