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Article ; Online: Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019.

Pereira, Claudio Vitorino / Leite, Isabel Cristina Gonçalves / Nogueira, Mário Círio / Ferreira, Gustavo Fernandes

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2024 Volume 27, Page(s) e240002

Abstract: Objective: To analyze the spatial flow of care for patients undergoing dialysis therapy in the health regions of the State of Minas Gerais.: Methods: Ecological study whose population was patients undergoing dialysis therapy in public, philanthropic ... ...

Abstract	Objective: To analyze the spatial flow of care for patients undergoing dialysis therapy in the health regions of the State of Minas Gerais. Methods: Ecological study whose population was patients undergoing dialysis therapy in public, philanthropic institutions or whose treatment was paid for by the Unified Health System in private clinics in partnership, in the State of Minas Gerais. Patients were grouped by health region of residence. The proportions of patients who underwent dialysis were calculated, as well as enrollment on the kidney transplant list in their own region of residence or outside it. Person correlations of these proportions with socioeconomic and care indicators of the health regions were estimated. Spatial exploratory techniques estimated general (Moran's I) and local (LISA) spatial correlation coefficients. Results: Regions with higher GDP had a higher number of nephrologists and a higher proportion of registrations in the region of residence. A cluster of regions with low GDP was identified further to the northeast of the State (also with lower nephrologist ratio values), a cluster with a high proportion of those registered on the transplant list in the center of the State, and a cluster with a low proportion of dialysis in the same region of residence further southeast. Conclusion: Regional disparities were evident in relation to the proportion of patients registered on the waiting list for kidney transplantation, the proportion of patients undergoing dialysis in the same region of residence and the proportion of patients registered on the waiting list for kidney transplantation in the same region of residence. residence.
MeSH term(s)	Humans ; Brazil ; Renal Dialysis ; Spatial Analysis ; Healthcare Disparities ; Regional Health Planning ; Renal Insufficiency, Chronic/therapy
Language	Portuguese
Publishing date	2024-01-19
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-549720240002
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Article ; Online: Age-Period-Cohort Study of Breast Cancer Mortality in Brazil in State Capitals and in Non-Capital Municipalities from 1980 to 2019.

Chávez-Penha, Rodrigo / Bustamante-Teixeira, Maria Teresa / Nogueira, Mário Círio

International journal of environmental research and public health

2023 Volume 20, Issue 15

Abstract: Breast cancer was identified as the cancer with the highest mortality rate among women in Brazil. This study analyzed the effects of age, period and birth cohort on the breast cancer mortality rate for Brazilian women, comparing state capitals and non- ... ...

Abstract	Breast cancer was identified as the cancer with the highest mortality rate among women in Brazil. This study analyzed the effects of age, period and birth cohort on the breast cancer mortality rate for Brazilian women, comparing state capitals and non-capital municipalities. Population and deaths data were extracted from the Brazilian Unified Health System database for women aged 30 years or older, for the years between 1980 and 2019. The effects were analyzed using the age-period-cohort model. Age effect on breast cancer mortality is observed in the model through higher mortality rates at older ages. Period effect is similar in all regions in the form of a marked increase in the rate ratio (RR) in non-capital municipalities by period than in state capitals. The RR of birth cohorts in the state capitals remained stable (north, northeast and central-west regions) or decreased followed by an increase in the most recent cohorts (Brazil as a whole and the southeast and south regions). The RR for the other municipalities, however, showed a progressive increase in the cohorts for all regions. Policies and actions focused on breast cancer in women should consider these differences among Brazilian regions, state capitals and other municipalities.
Language	English
Publishing date	2023-08-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20156505
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Article ; Online: Spatial analysis of tuberculosis and its relationship with socioeconomic indicators in a medium-sized city in Minas Gerais.

Pereira, Thamiris Vilela / Nogueira, Mário Círio / Campos, Estela Márcia Saraiva

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2021 Volume 24, Issue suppl 1, Page(s) e210021

Abstract: Objective: To analyze the tuberculosis spatial pattern and its relationship with socioeconomic indicators, from 2008 to 2015, in a priority city for tuberculosis control by the National Tuberculosis Control Program, Juiz de Fora, Minas Gerais.: ... ...

Abstract	Objective: To analyze the tuberculosis spatial pattern and its relationship with socioeconomic indicators, from 2008 to 2015, in a priority city for tuberculosis control by the National Tuberculosis Control Program, Juiz de Fora, Minas Gerais. Methods: Ecological study in which the units of analysis were 81 urban regions of Juiz de Fora. Secondary data from Notifiable Diseases Information System and 2010 Demographic Census were used. Georeferenced data from 1,854 notifications were used to elaborate thematic maps in order to verify the distribution pattern of average tuberculosis rates and socioeconomic indicators within the city. Global spatial autocorrelation (Moran's I) and local (Local Indicator of Spatial Association) and multiple linear regression model were estimated to analyze the relationship between the average tuberculosis incidence rate and socioeconomic indicators. Results: The average tuberculosis incidence rate was 48.3 cases/100,000 inhabitants/year. It was found that the urban regions corresponding to central regions of the city had lower rates with a progressive increase toward the urban regions representative of the most peripheral neighborhoods. All variables showed significant spatial autocorrelation. The regression model showed an association between the average tuberculosis incidence rate and the proportion of poor, household density, and aging index. Conclusion: The dynamics of tuberculosis transmission in Juiz de Fora may be explained by the maintenance of social inequality and urban space organization process.
MeSH term(s)	Brazil/epidemiology ; Cities/epidemiology ; Humans ; Incidence ; Socioeconomic Factors ; Spatial Analysis ; Tuberculosis/epidemiology
Language	Portuguese
Publishing date	2021-04-16
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-549720210021.supl.1
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Article ; Online: Association between racial residential segregation and homicide mortality in municipalities in Minas Gerais, Brazil.

Nogueira, Mário Círio / Costa, Ana Luísa Soares / Reis, Juliana Lopes de Oliveira / Pereira, Ítalo

Ciencia & saude coletiva

2022 Volume 27, Issue 9, Page(s) 3637–3646

Abstract: This article aims to evaluate the association between racial residential segregation and homicide mortality in the state of Minas Gerais (MG), Brazil. We conducted an ecological study in which the units of analysis were municipalities in MG. The outcome ... ...

Title translation	Associação entre segregação residencial racial e mortalidade por homicídio nos municípios de Minas Gerais, Brasil.
Abstract	This article aims to evaluate the association between racial residential segregation and homicide mortality in the state of Minas Gerais (MG), Brazil. We conducted an ecological study in which the units of analysis were municipalities in MG. The outcome was homicide deaths between 2008 and 2012 and the exposure variable was residential segregation measured using the racial interaction index, calculated using data from the 2010 Demographic Census. The covariables were per capita family income and the Gini index. The variables were presented in tables and thematic maps and associations were measured using Bayesian hierarchical models. The results of the model adjusted for per capita family income showed a negative association between the racial interaction index and homicide mortality (coefficient=-1.787; 95%CI=-2.459; -1.119). Homicide mortality was lower in municipalities with higher levels of racial interaction.
MeSH term(s)	Bayes Theorem ; Brazil/epidemiology ; Cities ; Homicide ; Humans ; Income
Language	English
Publishing date	2022-04-14
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1678-4561
ISSN (online)	1678-4561
ISSN	1678-4561
DOI	10.1590/1413-81232022279.06982022
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Article ; Online: Temporal trends in social security benefits for female breast cancer in Brazil.

Girardi, Flávia Araújo / Nogueira, Mário Círio / Bustamante-Teixeira, Maria Teresa / Guerra, Maximiliano Ribeiro

Ciencia & saude coletiva

2022 Volume 27, Issue 10, Page(s) 4039–4050

Abstract: The aim of this study was to assess temporal trends in disability benefits for breast cancer awarded to women by Brazil's National Social Security Institute. We conducted a time-series analysis of disability benefit incidence rates between 2007 and 2018 ... ...

Title translation	Tendência temporal dos benefícios previdenciários concedidos por câncer de mama feminino no Brasil.
Abstract	The aim of this study was to assess temporal trends in disability benefits for breast cancer awarded to women by Brazil's National Social Security Institute. We conducted a time-series analysis of disability benefit incidence rates between 2007 and 2018 using joinpoint regression and data from the Unified Benefits Information System (SUIBE) and open access social security system database. The age-adjusted incidence rate increased by 6.7% per year between 2015 and 2018 after a period of stability between 2007 and 2014. The number of benefits granted to women aged 20-49 increased, on average, by 3.4% per year, showing a marked rise from 2015 to 2018 (10.4% per year). The findings highlight that breast cancer is an important cause of sick leave among female workers and that the incidence of the disease is growing in younger economically active women, reinforcing the importance of early referral to the Social Security Professional Rehabilitation Program to help workers return to work and readapt to working life.
MeSH term(s)	Brazil/epidemiology ; Breast Neoplasms/epidemiology ; Disabled Persons ; Female ; Humans ; Sick Leave ; Social Security
Language	English
Publishing date	2022-06-15
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1678-4561
ISSN (online)	1678-4561
ISSN	1678-4561
DOI	10.1590/1413-812320222710.08602022
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Article ; Online: Frequency and factors associated with delay in breast cancer treatment in Brazil, according to data from the Oncology Panel, 2019-2020.

Nogueira, Mário Círio / Atty, Adriana Tavares de Moraes / Tomazelli, Jeane / Jardim, Beatriz Cordeiro / Bustamante-Teixeira, Maria Teresa / Azevedo E Silva, Gulnar

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

2023 Volume 32, Issue 1, Page(s) e2022563

Abstract: Objective: to analyze treatment delay and the flow of care for women with breast cancer in Brazil in 2019 and 2020.: Method: this was a follow-up study of breast cancer cases available from the Oncology Panel; a chi-square test and multilevel ... ...

Abstract	Objective: to analyze treatment delay and the flow of care for women with breast cancer in Brazil in 2019 and 2020. Method: this was a follow-up study of breast cancer cases available from the Oncology Panel; a chi-square test and multilevel logistic regression were performed in order to analyze the explanatory variables associated with delay (greater than 60 days) in starting treatment. Results: 22,956 cases (54.5%) with delay in treatment were identified in 2019 and 17,722 (48.7%) in 2020; the Southeast region (54.6%) had the greatest proportion of delay; delay was greater when treatment was provided outside the municipality of residence and lower in 2020 compared to 2019; most outward flows were to the capital cities in the same Federative Units of residence. Conclusion: strategies to reduce cancer treatment delay and optimize health care networks in the Federative Units should be prioritized.
MeSH term(s)	Female ; Humans ; Health Services Accessibility ; Breast Neoplasms/epidemiology ; Breast Neoplasms/therapy ; Brazil/epidemiology ; Follow-Up Studies ; Residence Characteristics
Language	Portuguese
Publishing date	2023-03-17
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2880588-4
ISSN	2237-9622 ; 1679-4974
ISSN (online)	2237-9622
ISSN	1679-4974
DOI	10.1590/S2237-96222023000300004
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Article ; Online: Relação entre temperatura do ar e incidência de dengue: estudo de séries temporais em Minas Gerais, Brasil (2010-2019).

Gomes, João Pedro Medeiros / Ribas, Igor Magaton / Valadares, Pedro Augusto Rosa / Jardim, Lucas Santos / Nogueira, Mário Círio / Ferreira, Cássia de Castro Martins / Watanabe, Aripuanã Sakurada Aranha / Ferreira, Letícia de Castro Martins

Cadernos de saude publica

2024 Volume 40, Issue 3, Page(s) e00076723

Abstract: Air temperature is a climatic factor that affects the incidence of dengue, with effects varying according to time and space. We investigated the relationship between minimum air temperature and dengue incidence in Minas Gerais, Brazil, and evaluated the ... ...

Title translation	Relationship between air temperature and dengue incidence: time series study in Minas Gerais, Brazil (2010-2019).
Abstract	Air temperature is a climatic factor that affects the incidence of dengue, with effects varying according to time and space. We investigated the relationship between minimum air temperature and dengue incidence in Minas Gerais, Brazil, and evaluated the influence of socioeconomic and geographic variables on this relationship. This is a time series study with analysis conducted in three distinct stages: modeling using a distributed lag non-linear model, meta-analysis of models obtained, and meta-regression with geographic and socioeconomic data. Minimum temperature was a protective factor at extreme cold temperatures (RR = 0.65; 95%CI: 0.56-0.76) and moderate cold temperatures (RR = 0.71; 95%CI: 0.64-0.79), and a risk factor at moderate hot temperatures (RR = 1.15; 95%CI: 1.07-1.24), but not at extreme hot temperatures (RR = 1.1; 95%CI: 0.99-1.22). Heterogeneity of the models was high (I2 = 60%), which was also observed in meta-regression. Moderate and extreme cold temperatures have a protective effect, while moderate hot temperatures increase the risk. However, minimum air temperature does not explain the variability in the region, not even with the other variables in meta-regression.
MeSH term(s)	Humans ; Temperature ; Brazil/epidemiology ; Time Factors ; Cold Temperature ; Hot Temperature ; Dengue/epidemiology
Language	Portuguese
Publishing date	2024-03-25
Publishing country	Brazil
Document type	Meta-Analysis ; English Abstract ; Journal Article
ZDB-ID	1115730-6
ISSN	1678-4464 ; 0102-311X
ISSN (online)	1678-4464
ISSN	0102-311X
DOI	10.1590/0102-311XPT076723
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Article ; Online: Detecção precoce e prevenção do câncer do colo do útero: conhecimentos, atitudes e práticas de profissionais da ESF.

Ferreira, Márcia de Castro Martins / Nogueira, Mário Círio / Ferreira, Letícia de Castro Martins / Bustamante-Teixeira, Maria Teresa

Ciencia & saude coletiva

2021 Volume 27, Issue 6, Page(s) 2291–2302

Abstract: The study aimed to investigate the knowledge, attitudes and practices of professionals of the Family Health Strategy (FHS) on the control of uterine cervical cancer (CCU) recommended by the Ministry of Health (MS). This is a cross-sectional study, which ... ...

Title translation	Early detection and prevention of cervical cancer: knowledge, attitudes and practices of FHS professionals.
Abstract	The study aimed to investigate the knowledge, attitudes and practices of professionals of the Family Health Strategy (FHS) on the control of uterine cervical cancer (CCU) recommended by the Ministry of Health (MS). This is a cross-sectional study, which used a self-administered questionnaire with the doctors and nurses of the FHS of Juiz de Fora, MG, in 2019. For analysis, the chi-square and Fisher's exact test were used, 5% level of significance. Among the 170 surveyed, which corresponded to 93% of FHS professionals in the city, the prevalence of adequate knowledge was 39.4% and had association with younger age and female gender. The prevalence of an adequate attitude was 59.5% and of appropriate practices 77.6%, both associated with a longer time since graduation. The presence of the Ministry of Health guidelines in the units was associated with the outcomes, knowledge and adequate practice, confirming the importance of support material for consultation by professionals. Only 28.2% of professionals reported having received training in the last 3 years and 50.3% carried out educational actions for users. The need for permanent education actions with professionals is highlighted, aiming at a more effective action to confront and eradicate CCU.
MeSH term(s)	Cross-Sectional Studies ; Early Detection of Cancer ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Surveys and Questionnaires ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/prevention & control
Language	Portuguese
Publishing date	2021-11-05
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1678-4561
ISSN (online)	1678-4561
ISSN	1678-4561
DOI	10.1590/1413-81232022276.17002021
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Article ; Online: Mortality Due to Acute Myocardial Infarction in Brazil from 1996 to 2016: 21 Years of Disparities in Brazilian Regions.

Ferreira, Letícia de Castro Martins / Nogueira, Mário Círio / Carvalho, Marilia Sá / Teixeira, Maria Teresa Bustamante

Arquivos brasileiros de cardiologia

2021 Volume 115, Issue 5, Page(s) 849–859

Abstract: Background: Acute myocardial infarction (AMI), the leading cause of death in Brazil, has presented regional disparities in mortality rate time trends in recent years. Previous time trend studies did not correct for cause-of-death garbage codes, which ... ...

Title translation	Mortalidade por Infarto Agudo do Miocárdio no Brasil de 1996 a 2016: 21 Anos de Contrastes nas Regiões Brasileiras.
Abstract	Background: Acute myocardial infarction (AMI), the leading cause of death in Brazil, has presented regional disparities in mortality rate time trends in recent years. Previous time trend studies did not correct for cause-of-death garbage codes, which may have skewed the estimates. Objective: To analyze regional and gender-based inequalities in the AMI mortality trend in Brazil from 1996-2016. Methods: A 21-year time series study (1996-2016). Data are from the Mortality Information System and population estimates from the Brazilian Institute of Geography and Statistics. Corrections of deaths due to ill-defined causes of death, garbage codes, and underreporting were made. The time series broken down by major geographic regions, gender, capital cities, and other municipalities was analyzed using the linear regression technique segmented by Jointpoint. Statistical significance level was set at 5%. Results: In the period, mortality decreased more sharply in women (-2.2%; 95% CI: -2.5; -1.9) than in men (-1.7%; 95% CI: - 1.9; -1.4) and more in the capital cities (-3.8%; 95% CI: - 4.3; -3.3) than in other municipalities (-1.5%; 95% CI: - 1.8; -1.3). Regional inequalities were observed, with an increase for men living in other municipalities of the North (3.3; 95% CI: 1.3; 5.4) and Northeast (1.3%; 95% CI: 1.0; 1.6). Statistical significance level was set at 5%. Mortality rates after corrections showed a significant difference in relation to the estimates without corrections, mainly due to the redistribution of garbage codes. Conclusions: Although AMI-related mortality has decreased in Brazil in recent years, this trend is uneven by region and gender. Correcting the numbers of deaths is essential to obtaining more reliable estimates.
MeSH term(s)	Brazil/epidemiology ; Cities ; Female ; Humans ; Male ; Mortality ; Myocardial Infarction ; Socioeconomic Factors
Language	Portuguese
Publishing date	2021-01-28
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	730261-7
ISSN	1678-4170 ; 0066-782X
ISSN (online)	1678-4170
ISSN	0066-782X
DOI	10.36660/abc.20190438
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Zs.A 548: Show issues

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Article ; Online: COVID-19's intra-urban inequalities and social vulnerability in a medium-sized city.

Nogueira, Mário Círio / Leite, Isabel Cristina Gonçalves / Teixeira, Maria Teresa Bustamante / Vieira, Marcel de Toledo / Colugnati, Fernando Antonio Basile

Revista da Sociedade Brasileira de Medicina Tropical

2022 Volume 55, Page(s) e04452021

Abstract: Background: Social conditions are related to the impact of epidemics on human populations. This study aimed to investigate the spatial distribution of cases, hospitalizations, and deaths from COVID-19 and its association with social vulnerability.: ... ...

Abstract	Background: Social conditions are related to the impact of epidemics on human populations. This study aimed to investigate the spatial distribution of cases, hospitalizations, and deaths from COVID-19 and its association with social vulnerability. Methods: An ecological study was conducted in 81 urban regions (UR) of Juiz de Fora from March to November 2020. Exposure was measured using the Health Vulnerability Index (HVI), a synthetic indicator that combines socioeconomic and environmental variables from the Demographic Census 2010. Regression models were estimated for counting data with overdispersion (negative binomial generalized linear model) using Bayesian methods, with observed frequencies as the outcome, expected frequencies as the offset variable, and HVI as the explanatory variable. Unstructured random-effects (to capture the effect of unmeasured factors) and spatially structured effects (to capture the spatial correlation between observations) were included in the models. The models were estimated for the entire period and quarter. Results: There were 30,071 suspected cases, 8,063 confirmed cases, 1,186 hospitalizations, and 376 COVID-19 deaths. In the second quarter of the epidemic, compared to the low vulnerability URs, the high vulnerability URs had a lower risk of confirmed cases (RR=0.61; CI95% 0.49-0.76) and a higher risk of hospitalizations (RR=1.65; CI95% 1.23-2.22) and deaths (RR=1.73; CI95% 1.08-2.75). Conclusions: The lower risk of confirmed cases in the most vulnerable UR probably reflected lower access to confirmatory tests, while the higher risk of hospitalizations and deaths must have been related to the greater severity of the epidemic in the city's poorest regions.
MeSH term(s)	Bayes Theorem ; COVID-19 ; Cities/epidemiology ; Humans ; Social Vulnerability ; Socioeconomic Factors
Language	English
Publishing date	2022-04-08
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	1038126-0
ISSN	1678-9849 ; 0037-8682
ISSN (online)	1678-9849
ISSN	0037-8682
DOI	10.1590/0037-8682-0445-2021
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Zs.A 2726: Show issues

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