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[慢性非传染性疾病风险行为的不平等现象:2019年巴西成人健康调查]

[Inequalities in risk behaviors for chronic noncommunicable diseases: Vigitel, 2019].

作者信息

Meller Fernanda de Oliveira, Santos Leonardo Pozza Dos, Miranda Vanessa Iribarrem Avena, Tomasi Cristiane Damiani, Soratto Jacks, Quadra Micaela Rabelo, Schäfer Antônio Augusto

机构信息

Universidade do Extremo Sul Catarinense, Criciúma, Brasil.

Universidade Federal de Pelotas, Pelotas, Brasil.

出版信息

Cad Saude Publica. 2022 Jun 27;38(6):e00273520. doi: 10.1590/0102-311XPT273520. eCollection 2022.

Abstract

This study analyzes the economic, racial, and geographic inequalities in risk behaviors for chronic non-communicable diseases of Brazilian adults. This is a cross-sectional study conducted with data from the 2019 Vigitel (Risk and Protective Factors Surveillance System for Chronic Noncomunicable Diseases Through Telephone Interview). The analyzed risk behaviors were smoking, alcohol abuse, physical inactivity, overweight, regular consumption of soft drinks or artificial juice drinks, and non-regular consumption of fruits, legumes, and vegetables. Inequalities in risk behaviors were assessed considering Brazilian's schooling level and their dwelling region, via the slope index of inequality (SII). Equiplots graphs were also built to better illustrate the inequalities. Stata svy command was used for all analyses due to the complexity of the sampling process. In total, 52,395 patients were evaluated. Significant inequalities in risk behaviors for chronic non-communicable diseases were observed: most risk behaviors were concentrated in those with low schooling. Smoking and soft drinks consumption were more observed in the Southern region of Brazil. Public policies are necessary to reduce the inequalities found, allowing for improvement in health indicators of the Brazilian population.

摘要

本研究分析了巴西成年人慢性非传染性疾病风险行为中的经济、种族和地理不平等情况。这是一项横断面研究,采用了2019年Vigitel(通过电话访谈进行的慢性非传染性疾病风险和保护因素监测系统)的数据。所分析的风险行为包括吸烟、酗酒、缺乏身体活动、超重、经常饮用软饮料或人工果汁饮料,以及不经常食用水果、豆类和蔬菜。通过不平等斜率指数(SII),根据巴西人的受教育程度及其居住地区评估风险行为的不平等情况。还绘制了等值线图以更好地说明不平等情况。由于抽样过程的复杂性,所有分析均使用Stata的svy命令。总共评估了52395名患者。观察到慢性非传染性疾病风险行为存在显著不平等:大多数风险行为集中在受教育程度低的人群中。吸烟和软饮料消费在巴西南部地区更为常见。需要制定公共政策来减少所发现的不平等现象,从而改善巴西人口的健康指标。

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