Risk factors for chronic diseases in community health workers in a municipality in the countryside of Minas Gerais, Brazil

Detalhes bibliográficos
Autor(a) principal: Bernardes, Milena Serenini
Data de Publicação: 2021
Outros Autores: Cruz, Janaína de Cássia Souza, Bernardes, Renan Serenini, Santos, Matheus Henrique dos, Silva, Ana Caroline, Toloni, Maysa Helena de Aguiar
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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spelling 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
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dc.identifier.uri.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/2661
10.5712/rbmfc16(43)2661
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
dc.source.none.fl_str_mv 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
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