Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Sul. R. Ramiro Barcelos 2400, Campus Saúde. 90035-003 Porto Alegre RS Brasil.
School of Human Movement and Nutrition Sciences, Universidade de Queensland. Queensland Austrália.
Cien Saude Colet. 2021 Mar;26(3):987-1000. doi: 10.1590/1413-81232021263.39232020. Epub 2020 May 20.
The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult population from the state of Rio Grande do Sul, southern Brazil. This is an ambispective, population-based cohort study. Descriptive analysis and Poisson regression models were used and the results were reported as prevalence ratio and 95% confidence intervals. From a total of 1,288 participants, 43.1% needed medical care and 28.5% reported impaired management of NCDs during social distance. Female sex, age between 18 and 30 years old, living in the Serra region (central region of the state), people with depression and multimorbidity were more likely to have impaired management of NCDs. Being physically active reduced the probability of having impaired management of NCD by 15%. Reduced monthly income was associated with the difficulty in accessing prescription medicine and avoidance of seeking in-person medical assistance. Depression was associated with difficulties in accessing medications, while avoidance of seeking in-person medical assistance was more likely for people with multimorbidity, arthritis/arthrosis/fibromyalgia, heart disease, and high cholesterol.
目的是从巴西南部南里奥格兰德州（Rio Grande do Sul）的成年人中，确定社会距离对非传染性疾病（NCD）管理的影响。这是一项前瞻性、基于人群的队列研究。采用描述性分析和泊松回归模型，结果以患病率比和 95%置信区间报告。在总共 1288 名参与者中，43.1%需要医疗护理，28.5%在社会距离期间报告 NCD 管理不善。女性、18 至 30 岁、居住在塞拉地区（该州中部地区）、患有抑郁症和多种疾病的人更有可能 NCD 管理不善。身体活跃可使 NCD 管理不善的可能性降低 15%。月收入减少与获得处方药困难和避免亲自寻求医疗帮助有关。抑郁症与获取药物困难有关，而避免亲自寻求医疗帮助则更可能发生在患有多种疾病、关节炎/骨关节炎/纤维肌痛、心脏病和高胆固醇的人群中。
