Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2016 |
| Outros Autores: | |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Revista Brasileira em Promoção da Saúde |
| Texto Completo: | https://ojs.unifor.br/RBPS/article/view/4125 |
Resumo: | Objective: To describe the prevalence of guidelines to healthy eating, differences between health care models and associated factors among users of primary health care. Methods: Cross-sectional study conducted with 1,246 adults and older people in Pelotas, Rio Grande do Sul. Data were collected between May and October 2013 through a questionnaire to assess sociodemographic data, self-reported chronic disease, self-perception of health and nutrition, nutritional status, health care model used, and guidelines to healthy eating. The association between the independent variables and the guidelines to healthy eating was verified using Prevalence Ratio by comparing exposed and unexposed individuals according to the frequency of guidelines. Results: The prevalence of guidelines to healthy eating was 42% (CI95 39.2-44.7) and women (PR 1.51; CI95 1.26-1.83), older people (PR 1.39; CI95 1.20-1.62), those with more chronic diseases (PR 1.62; CI95 1.36-1.93), those with a negative self-perception of nutrition (PR 1.32; CI95 1.14-1.52) and those treated within the Family Health Strategy (PR 1.15; 1.02-1.30) were more likely to be exposed to the guidelines. The probability of guidelines to healthy eating was lower among those with white skin color (PR 0.85; CI95 0.74-0.97) and secondary and higher education or more (PR 0.88 and 0.83 respectively, p=0.037 linear trend test). Conclusion: In primary care, the guidelines to healthy eating are not universal and there is iniquity, highlighting the need given to men, younger individuals, people with white skin color and those diagnosed with chronic diseases. |
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Guidelines to healthy eating and associated factors among users of primary health care in Southern BrazilOrientación para alimentación saludable y factores asociados entre usuarios de la atención primaria de salud del sur de BrasilOrientação para alimentação saudável e fatores associados entre usuários da atenção primária à saúde no sul do BrasilHealth EvaluationPrimary Health CareFood and Nutrition EducationNutritionPublic HealthHealth Promotion.Evaluación en SaludAtención Primaria de SaludEducación Alimentaria y NutricionalNutrición en Salud PúblicaPromoción de la Salud.Avaliação em SaúdeAtenção Primária à SaúdeEducação Alimentar e NutricionalNutrição em Saúde PúblicaPromoção da Saúde.Objective: To describe the prevalence of guidelines to healthy eating, differences between health care models and associated factors among users of primary health care. Methods: Cross-sectional study conducted with 1,246 adults and older people in Pelotas, Rio Grande do Sul. Data were collected between May and October 2013 through a questionnaire to assess sociodemographic data, self-reported chronic disease, self-perception of health and nutrition, nutritional status, health care model used, and guidelines to healthy eating. The association between the independent variables and the guidelines to healthy eating was verified using Prevalence Ratio by comparing exposed and unexposed individuals according to the frequency of guidelines. Results: The prevalence of guidelines to healthy eating was 42% (CI95 39.2-44.7) and women (PR 1.51; CI95 1.26-1.83), older people (PR 1.39; CI95 1.20-1.62), those with more chronic diseases (PR 1.62; CI95 1.36-1.93), those with a negative self-perception of nutrition (PR 1.32; CI95 1.14-1.52) and those treated within the Family Health Strategy (PR 1.15; 1.02-1.30) were more likely to be exposed to the guidelines. The probability of guidelines to healthy eating was lower among those with white skin color (PR 0.85; CI95 0.74-0.97) and secondary and higher education or more (PR 0.88 and 0.83 respectively, p=0.037 linear trend test). Conclusion: In primary care, the guidelines to healthy eating are not universal and there is iniquity, highlighting the need given to men, younger individuals, people with white skin color and those diagnosed with chronic diseases.Objetivo: Describir la prevalencia de orientación para alimentación saludable, las diferencias entre el modelo de asistencia y los factores asociados entre los usuarios de la atención primaria de salud. Métodos: Estudio transversal realizado com 1.246 adultos y mayores de Pelotas, Rio Grande do Sul. Los datos fueron recogidos entre mayo y octubre de 2013 a través de la aplicación de un cuestionario sobre los datos socioeconómicos, las enfermedades crónicas auto referidas, la auto percepción de la salud y la alimentación, el estado nutricional, el modelo de asistencia y la orientación para alimentación saludable. La asociación entre las variables independientes y la orientación para alimentación saludable fue verificada a través de la Razón de Prevalencias comparándose los expuestos y no expuestos cuanto a la frecuencia de la orientación. Resultados: La prevalencia de orientación para alimentación saludable fue del 42% (IC95 39,2-44,7) y presentaron mayor probabilidad las mujeres (RP=1,51; IC95 1,26-1,83), los mayores (RP=1,39; IC95 1,20-1,62), aquellos con más enfermedades crónicas (RP=1,62; IC95 1,36-1,93), los que auto percibieron su alimentación como negativa (RP=1,32; IC95 1,14-1,52) y los asistidos por la Estrategia de Salud de la Familia (RP=1,15; 1,02-1,30). La probabilidad de la orientación para alimentación saludable se mostró menor entre los que tenían el color de piel blanco (RP=0,85; IC95 0,74-0,97) y educación secundaria y superior o más (RP=0,88 e 0,83 respectivamente, p prueba tendencia linear = 0,037). Conclusión: La orientación para alimentación saludable en la atención primaria no es universal y hay iniquidad lo que muestra la necesidad de más esfuerzos para la ampliación de la oferta. Más atención se debe dar a los hombres, a los individuos más jóvenes, a los de color de piel blanco y aquellos sin diagnóstico de enfermedades crónicas.Objetivo: Descrever a prevalência de orientação para alimentação saudável, diferenças entre modelo assistencial e fatores associados entre usuários da atenção primária de saúde. Métodos: Estudo transversal, realizado com 1.246 adultos e idosos, em Pelotas, Rio Grande do Sul. Os dados foram coletados entre maio e outubro de 2013, por meio da aplicação de questionário investigando dados socioeconômicos, doenças crônicas autorreferidas, autopercepção da saúde e da alimentação, estado nutricional, modelo assistencial em que é atendido e orientação para alimentação saudável. A associação entre as variáveis independentes e a orientação para alimentação saudável foi verificada por meio da Razão de Prevalências, comparando-se expostos e não expostos quanto à frequência da orientação. Resultados: A prevalência da orientação para alimentação saudável foi de 42% (IC95 39,2-44,7) e apresentaram maior probabilidade: mulheres (RP=1,51; IC95 1,26-1,83), idosos (RP=1,39; IC95 1,20-1,62), aqueles com maior número de doenças crônicas (RP=1,62; IC95 1,36-1,93), que autoperceberam sua alimentação como negativa (RP=1,32; IC95 1,14-1,52) e atendidos pela Estratégia de Saúde da Família (RP=1,15; 1,02-1,30). A probabilidade da orientação para alimentação saudável mostrou-se menor entre os com cor da pele branca (RP=0,85; IC95 0,74-0,97) e ensino médio e superior ou mais (RP=0,88 e 0,83 respectivamente, p teste tendência linear = 0,037). Conclusão: Na atenção primária, a orientação para alimentação saudável não é universal e há iniquidade, deixando clara a necessidade de maiores esforços no sentido de ampliar a oferta. Maior atenção deve ser dada aos homens, aos indivíduos mais jovens, aos com cor da pele branca e àqueles sem diagnóstico de doenças crônicas.Universidade de Fortaleza2016-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/412510.5020/18061230.2016.p34Brazilian Journal in Health Promotion; Vol. 29 No. 1 (2016); 34-42Revista Brasileña en Promoción de la Salud; Vol. 29 Núm. 1 (2016); 34-42Revista Brasileira em Promoção da Saúde; v. 29 n. 1 (2016); 34-421806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/4125/pdfhttps://ojs.unifor.br/RBPS/article/view/4125/pdf_1Lindemann, Ivana LoraineMendoza-Sassi, Raúl Andresinfo:eu-repo/semantics/openAccess2022-02-16T12:32:31Zoai:ojs.ojs.unifor.br:article/4125Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:32:31Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false |
| dc.title.none.fl_str_mv |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil Orientación para alimentación saludable y factores asociados entre usuarios de la atención primaria de salud del sur de Brasil Orientação para alimentação saudável e fatores associados entre usuários da atenção primária à saúde no sul do Brasil |
| title |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| spellingShingle |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil Lindemann, Ivana Loraine Health Evaluation Primary Health Care Food and Nutrition Education Nutrition Public Health Health Promotion. Evaluación en Salud Atención Primaria de Salud Educación Alimentaria y Nutricional Nutrición en Salud Pública Promoción de la Salud. Avaliação em Saúde Atenção Primária à Saúde Educação Alimentar e Nutricional Nutrição em Saúde Pública Promoção da Saúde. |
| title_short |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| title_full |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| title_fullStr |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| title_full_unstemmed |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| title_sort |
Guidelines to healthy eating and associated factors among users of primary health care in Southern Brazil |
| author |
Lindemann, Ivana Loraine |
| author_facet |
Lindemann, Ivana Loraine Mendoza-Sassi, Raúl Andres |
| author_role |
author |
| author2 |
Mendoza-Sassi, Raúl Andres |
| author2_role |
author |
| dc.contributor.author.fl_str_mv |
Lindemann, Ivana Loraine Mendoza-Sassi, Raúl Andres |
| dc.subject.por.fl_str_mv |
Health Evaluation Primary Health Care Food and Nutrition Education Nutrition Public Health Health Promotion. Evaluación en Salud Atención Primaria de Salud Educación Alimentaria y Nutricional Nutrición en Salud Pública Promoción de la Salud. Avaliação em Saúde Atenção Primária à Saúde Educação Alimentar e Nutricional Nutrição em Saúde Pública Promoção da Saúde. |
| topic |
Health Evaluation Primary Health Care Food and Nutrition Education Nutrition Public Health Health Promotion. Evaluación en Salud Atención Primaria de Salud Educación Alimentaria y Nutricional Nutrición en Salud Pública Promoción de la Salud. Avaliação em Saúde Atenção Primária à Saúde Educação Alimentar e Nutricional Nutrição em Saúde Pública Promoção da Saúde. |
| description |
Objective: To describe the prevalence of guidelines to healthy eating, differences between health care models and associated factors among users of primary health care. Methods: Cross-sectional study conducted with 1,246 adults and older people in Pelotas, Rio Grande do Sul. Data were collected between May and October 2013 through a questionnaire to assess sociodemographic data, self-reported chronic disease, self-perception of health and nutrition, nutritional status, health care model used, and guidelines to healthy eating. The association between the independent variables and the guidelines to healthy eating was verified using Prevalence Ratio by comparing exposed and unexposed individuals according to the frequency of guidelines. Results: The prevalence of guidelines to healthy eating was 42% (CI95 39.2-44.7) and women (PR 1.51; CI95 1.26-1.83), older people (PR 1.39; CI95 1.20-1.62), those with more chronic diseases (PR 1.62; CI95 1.36-1.93), those with a negative self-perception of nutrition (PR 1.32; CI95 1.14-1.52) and those treated within the Family Health Strategy (PR 1.15; 1.02-1.30) were more likely to be exposed to the guidelines. The probability of guidelines to healthy eating was lower among those with white skin color (PR 0.85; CI95 0.74-0.97) and secondary and higher education or more (PR 0.88 and 0.83 respectively, p=0.037 linear trend test). Conclusion: In primary care, the guidelines to healthy eating are not universal and there is iniquity, highlighting the need given to men, younger individuals, people with white skin color and those diagnosed with chronic diseases. |
| publishDate |
2016 |
| dc.date.none.fl_str_mv |
2016-05-16 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed Article" "Avaliado pelos pares" "Avaliado pelos pares" |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/4125 10.5020/18061230.2016.p34 |
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https://ojs.unifor.br/RBPS/article/view/4125 |
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10.5020/18061230.2016.p34 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
| dc.relation.none.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/4125/pdf https://ojs.unifor.br/RBPS/article/view/4125/pdf_1 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de Fortaleza |
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Universidade de Fortaleza |
| dc.source.none.fl_str_mv |
Brazilian Journal in Health Promotion; Vol. 29 No. 1 (2016); 34-42 Revista Brasileña en Promoción de la Salud; Vol. 29 Núm. 1 (2016); 34-42 Revista Brasileira em Promoção da Saúde; v. 29 n. 1 (2016); 34-42 1806-1230 reponame:Revista Brasileira em Promoção da Saúde instname:Universidade de Fortaleza (Unifor) instacron:UFOR |
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Universidade de Fortaleza (Unifor) |
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UFOR |
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UFOR |
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Revista Brasileira em Promoção da Saúde |
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Revista Brasileira em Promoção da Saúde |
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Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor) |
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1798313063639678976 |