Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/10024 |
Resumo: | Background: Identify individuals with reduced life expectancy is a priority in public health policies and a central issue in decision making in clinical care. There are few cohort studies in developing countries addressing self-rated health status and illiteracy as death predictors. Objectives: Determine if self-rated health status and illiteracy are predictors of mortality from cardiovascular disease. Methods: A prospective population study was conducted in a small Brazilian city aiming to determine if self-rated health status and illiteracy were predictors of cardiovascular disease and non-cardiovascular mortality. The cohort was established in 2002 (phase 1) with a representative sample of adults living in the city, and the same individuals were re-assessed in 2015 (phase 2). Data on sociodemographic, anthropometric, lifestyle variables, previous CVD, and SRH were collected in both phases. Multivariable logistic regression models were designed to identify variables from phase 1 that predicted death (all causes, CVD and non-CVD) in phase 2. Results: From the original sample of 1167 subjects included in the phase 1, 101 were excluded from this study. The final sample size was 1066 individuals. Mean age was 42.7±13.8y in phase 1 and 56.1±13.8y in phase 2. From a total of 1066 individuals included, 95 (9%) died of non-CVD causes and 53 (5%) died from CVD causes. Very good/excellent SRH in 2002, was found in 57% of those alive in 2015, compared to 31.1% in the death group (p<0.001). Oppositely, fair/poor SRH in 2002 was more frequent (18.9%) in those dead in 2015 when compared to those living (18.9% x 7.7% - p<0.001). Illiteracy, in 2002, was more frequent in individuals deceased in 2015 when compared to those living (35.1% x 11% - p<0.001). SRH was predictor of CVD death (OR 0.68; 95%CI 0.46 – 0.99; p= 0.049) and all causes of death (OR 0.77; 95%CI 0.60 – 0.99; p=0.049) after the follow-up time while illiteracy predicted Non-CVD death (OR 1.79; 95%CI 1.06 – 3.04; p=0.030). Conclusion: Worse SRH status was predictor of CVD death and all causes of death but not Non-CVD death, and illiteracy predicted Non-CVD death but not CVD death or death from all causes after 13 years of follow-up in a Brazilian cohort. |
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Jardim, Thiago de Sousa Veigahttp://lattes.cnpq.br/2355748864825421Jardim, Thiago de Sousa VeigaSousa, Ana Luiza LimaCampana, Erika Maria Gonçalveshttp://lattes.cnpq.br/2753886841761121Inuzuka, Sayuri2019-09-18T12:22:00Z2018-05-04INUZUKA, Sayuri. Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira. 2018.105 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/10024Background: Identify individuals with reduced life expectancy is a priority in public health policies and a central issue in decision making in clinical care. There are few cohort studies in developing countries addressing self-rated health status and illiteracy as death predictors. Objectives: Determine if self-rated health status and illiteracy are predictors of mortality from cardiovascular disease. Methods: A prospective population study was conducted in a small Brazilian city aiming to determine if self-rated health status and illiteracy were predictors of cardiovascular disease and non-cardiovascular mortality. The cohort was established in 2002 (phase 1) with a representative sample of adults living in the city, and the same individuals were re-assessed in 2015 (phase 2). Data on sociodemographic, anthropometric, lifestyle variables, previous CVD, and SRH were collected in both phases. Multivariable logistic regression models were designed to identify variables from phase 1 that predicted death (all causes, CVD and non-CVD) in phase 2. Results: From the original sample of 1167 subjects included in the phase 1, 101 were excluded from this study. The final sample size was 1066 individuals. Mean age was 42.7±13.8y in phase 1 and 56.1±13.8y in phase 2. From a total of 1066 individuals included, 95 (9%) died of non-CVD causes and 53 (5%) died from CVD causes. Very good/excellent SRH in 2002, was found in 57% of those alive in 2015, compared to 31.1% in the death group (p<0.001). Oppositely, fair/poor SRH in 2002 was more frequent (18.9%) in those dead in 2015 when compared to those living (18.9% x 7.7% - p<0.001). Illiteracy, in 2002, was more frequent in individuals deceased in 2015 when compared to those living (35.1% x 11% - p<0.001). SRH was predictor of CVD death (OR 0.68; 95%CI 0.46 – 0.99; p= 0.049) and all causes of death (OR 0.77; 95%CI 0.60 – 0.99; p=0.049) after the follow-up time while illiteracy predicted Non-CVD death (OR 1.79; 95%CI 1.06 – 3.04; p=0.030). Conclusion: Worse SRH status was predictor of CVD death and all causes of death but not Non-CVD death, and illiteracy predicted Non-CVD death but not CVD death or death from all causes after 13 years of follow-up in a Brazilian cohort.Fundamento: Identificar indivíduos com expectativa de vida reduzida de forma adequada é uma prioridade em políticas de saúde pública e uma questão central em tomadas de decisão em cuidados clínicos. Existem poucos estudos de coorte em países em desenvolvimento abordando a autoavaliação do estado de saúde (AES) e analfabetismo como preditores de mortalidade. Objetivo: Determinar se a autoavaliação do estado de saúde e analfabetismo tem associação com mortalidade por doença cardiovascular em uma coorte brasileira. Métodos: Foi conduzido um estudo prospectivo populacional numa pequena cidade brasileira com o objetivo de determinar se essas duas variáveis foram preditoras de mortalidade por doença cardiovascular (CV) e doença não cardiovascular (não-CV). A coorte foi estabelecida em 2002 (fase 1) com uma amostra representativa de adultos residentes na cidade, e foram reavaliados em 2015 (fase 2). Dados sobre as variáveis sociodemográficas, antropométricas, de estilo de vida, doença CV prévias e AES foram coletados em ambas as fases. Modelos de regressão logística multivariáveis foram projetados para identificar variáveis da fase 1 que previram morte (todas as causas, doença CV e não-CV) na fase 2. Resultados: A partir da amostra original de 1.167 indivíduos incluídos na primeira fase, 101 foram excluídos deste estudo por não terem sido localizados durante a segunda fase. O tamanho final da amostra foi de 1.066 indivíduos. A idade média foi de 42,7 ± 13,8 anos na fase 1 e 56,1 ± 13,8 anos na fase 2. Do total de 1066 indivíduos incluídos 148 (14%) morreram por todas as causas, sendo que 95 (9%) por causas não-CV e 53 (5%) por doença CV. Autoavaliação da saúde positiva em 2002 foi de 57% para aqueles que sobreviveram em 2015, em comparação a 31,1% dos demais (p <0,001); e o oposto ocorreu quando considerada autoavaliação negativa, sendo 18,9% x 7,7% (p <0,001). Em 2002 o analfabetismo foi mais frequente em indivíduos falecidos em 2015 quando comparados aos vivos (35,1% x 11% - p <0,001). A autoavaliação do estado de saúde foi preditora negativa de mortalidade por doença CV (OR 0,68, IC 95% 0,46 - 0,99; p = 0,049) e todas as causas de morte (OR 0,77; IC 95%: 0,60 - 0,99; p = 0,049) após o seguimento, enquanto o analfabetismo previu positivamente morte não-CV (OR 1,79; IC 95%: 1,06 - 3,04; p = 0,030). Conclusão: A avaliação do estado de saúde negativa foi preditora de morte por doença CV e todas as causas, mas não por doenças não-CV, e o analfabetismo previu a morte não-CV, mas não por doença CV ou por todas as causas após 13 anos de seguimento em uma coorte brasileira.Submitted by Liliane Ferreira (ljuvencia30@gmail.com) on 2019-09-17T12:58:10Z No. of bitstreams: 2 Dissertação - Sayuri Inuzuka - 2018.pdf: 3154418 bytes, checksum: 1c3e34f7f1ce0992f4327685434e938d (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2019-09-18T12:22:00Z (GMT) No. of bitstreams: 2 Dissertação - Sayuri Inuzuka - 2018.pdf: 3154418 bytes, checksum: 1c3e34f7f1ce0992f4327685434e938d (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2019-09-18T12:22:00Z (GMT). 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dc.title.eng.fl_str_mv |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
dc.title.alternative.eng.fl_str_mv |
Self-rated health status and illiteracy as death predictors in a Brazilian cohort |
title |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
spellingShingle |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira Inuzuka, Sayuri Autoavaliação Analfabetismo Mortalidade cardiovascular Países em desenvolvimento Self-rated Illiteracy Cardiovascular mortality Developing countries CLINICA MEDICA::CARDIOLOGIA |
title_short |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
title_full |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
title_fullStr |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
title_full_unstemmed |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
title_sort |
Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira |
author |
Inuzuka, Sayuri |
author_facet |
Inuzuka, Sayuri |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Jardim, Thiago de Sousa Veiga |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2355748864825421 |
dc.contributor.referee1.fl_str_mv |
Jardim, Thiago de Sousa Veiga |
dc.contributor.referee2.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.referee3.fl_str_mv |
Campana, Erika Maria Gonçalves |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2753886841761121 |
dc.contributor.author.fl_str_mv |
Inuzuka, Sayuri |
contributor_str_mv |
Jardim, Thiago de Sousa Veiga Jardim, Thiago de Sousa Veiga Sousa, Ana Luiza Lima Campana, Erika Maria Gonçalves |
dc.subject.por.fl_str_mv |
Autoavaliação Analfabetismo Mortalidade cardiovascular Países em desenvolvimento |
topic |
Autoavaliação Analfabetismo Mortalidade cardiovascular Países em desenvolvimento Self-rated Illiteracy Cardiovascular mortality Developing countries CLINICA MEDICA::CARDIOLOGIA |
dc.subject.eng.fl_str_mv |
Self-rated Illiteracy Cardiovascular mortality Developing countries |
dc.subject.cnpq.fl_str_mv |
CLINICA MEDICA::CARDIOLOGIA |
description |
Background: Identify individuals with reduced life expectancy is a priority in public health policies and a central issue in decision making in clinical care. There are few cohort studies in developing countries addressing self-rated health status and illiteracy as death predictors. Objectives: Determine if self-rated health status and illiteracy are predictors of mortality from cardiovascular disease. Methods: A prospective population study was conducted in a small Brazilian city aiming to determine if self-rated health status and illiteracy were predictors of cardiovascular disease and non-cardiovascular mortality. The cohort was established in 2002 (phase 1) with a representative sample of adults living in the city, and the same individuals were re-assessed in 2015 (phase 2). Data on sociodemographic, anthropometric, lifestyle variables, previous CVD, and SRH were collected in both phases. Multivariable logistic regression models were designed to identify variables from phase 1 that predicted death (all causes, CVD and non-CVD) in phase 2. Results: From the original sample of 1167 subjects included in the phase 1, 101 were excluded from this study. The final sample size was 1066 individuals. Mean age was 42.7±13.8y in phase 1 and 56.1±13.8y in phase 2. From a total of 1066 individuals included, 95 (9%) died of non-CVD causes and 53 (5%) died from CVD causes. Very good/excellent SRH in 2002, was found in 57% of those alive in 2015, compared to 31.1% in the death group (p<0.001). Oppositely, fair/poor SRH in 2002 was more frequent (18.9%) in those dead in 2015 when compared to those living (18.9% x 7.7% - p<0.001). Illiteracy, in 2002, was more frequent in individuals deceased in 2015 when compared to those living (35.1% x 11% - p<0.001). SRH was predictor of CVD death (OR 0.68; 95%CI 0.46 – 0.99; p= 0.049) and all causes of death (OR 0.77; 95%CI 0.60 – 0.99; p=0.049) after the follow-up time while illiteracy predicted Non-CVD death (OR 1.79; 95%CI 1.06 – 3.04; p=0.030). Conclusion: Worse SRH status was predictor of CVD death and all causes of death but not Non-CVD death, and illiteracy predicted Non-CVD death but not CVD death or death from all causes after 13 years of follow-up in a Brazilian cohort. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-05-04 |
dc.date.accessioned.fl_str_mv |
2019-09-18T12:22:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
INUZUKA, Sayuri. Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira. 2018.105 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/10024 |
identifier_str_mv |
INUZUKA, Sayuri. Autoavaliação do estado de saúde e analfabetismo como preditores de morte em uma coorte brasileira. 2018.105 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/10024 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
-3183512833041903276 |
dc.relation.sponsorship.fl_str_mv |
-961409807440757778 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ciências da Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
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UFG |
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UFG |
reponame_str |
Repositório Institucional da UFG |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/039aa7a8-87c8-4d79-958f-ee1452b67d5f/download http://repositorio.bc.ufg.br/tede/bitstreams/fb756c0d-14d5-40d5-b929-30a486b4ffe6/download http://repositorio.bc.ufg.br/tede/bitstreams/39e00102-0827-4c41-a85b-710bd5a574f9/download http://repositorio.bc.ufg.br/tede/bitstreams/8f036c96-c63b-4605-aab2-7b1f1d81d785/download http://repositorio.bc.ufg.br/tede/bitstreams/82a8800c-f099-4a1b-80be-fba010567290/download |
bitstream.checksum.fl_str_mv |
4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 1c3e34f7f1ce0992f4327685434e938d bd3efa91386c1718a7f26a329fdcb468 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044372322746368 |