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2019 年巴西圣埃斯皮里图州维多利亚市多重疾病与社区卫生工作者的医疗保健:一项横断面研究

Multimorbidity and health care of community health workers in Vitória, Espírito Santo, Brazil, 2019: a cross-sectional study.

机构信息

Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES, Brasil.

Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Nutrição e Saúde, Vitória, ES, Brasil.

出版信息

Epidemiol Serv Saude. 2022;31(1):e2021543. doi: 10.1590/S1679-49742022000100006.

Abstract

OBJECTIVE

To assess health conditions, health care and lifestyle habits of community health workers (CHW) in Vitória, Espírito Santo, Brazil.

METHODS

This was a cross-sectional study using baseline data from an intervention study. Biochemical, anthropometric and hemodynamic examinations and interviews were carried out between October 2018 and March 2019 in Vitória. Appropriate statistical tests, in accordance with the sample design, were performed using SPSS software version 21.0, adopting p<0.05.

RESULTS

We assessed 262 CHWs with a mean age of 46.1±9.3 years. High prevalence of prediabetes (22.9%), diabetes mellitus (17.2%), hypertension (37.0%), obesity (39.8%), hypercholesterolemia (57.3%), hypertriglyceridemia (27.1%), multimorbidity (40.8%), physical inactivity (60.9%) and use of anxiolytics/antidepressants (22.5%) was found. Some 40% of the CHWs had three or more morbidities.

CONCLUSION

High percentages of chronic diseases, multimorbidity, sedentary lifestyle and use of anxiolytics/antidepressants were found in CHWs in Vitória.

摘要

目的

评估巴西圣埃斯皮里图州维多利亚市社区卫生工作者(CHW)的健康状况、医疗保健和生活方式习惯。

方法

这是一项使用干预研究基线数据的横断面研究。2018 年 10 月至 2019 年 3 月在维多利亚市进行了生化、人体测量和血液动力学检查以及访谈。根据样本设计,使用 SPSS 软件版本 21.0 进行了适当的统计检验,采用 p<0.05。

结果

我们评估了 262 名 CHW,平均年龄为 46.1±9.3 岁。糖尿病前期(22.9%)、糖尿病(17.2%)、高血压(37.0%)、肥胖症(39.8%)、高胆固醇血症(57.3%)、高甘油三酯血症(27.1%)、多种疾病(40.8%)、身体活动不足(60.9%)和使用抗焦虑药/抗抑郁药(22.5%)的患病率较高。约 40%的 CHW 有三种或更多种疾病。

结论

在维多利亚市,CHW 中发现了高比例的慢性疾病、多种疾病、久坐不动的生活方式和使用抗焦虑药/抗抑郁药。

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