0347/2020 - Managing noncommunicable diseases during the COVID-19 pandemic in Brazil: findingsthe PAMPA cohort Manejo de doenças crônicas não-transmissíveis durante a pandemia de COVID-19: resultados da coorte PAMPA.
O objetivo foi identificar o impacto da distância social no manejo das doenças crônicas não transmissíveis (DCNT) na população adulta do estado do Rio Grande do Sul, sul do Brasil. Este é um estudo de coorte ambispectivo de base populacional. Foi utilizada análise descritiva e modelos de regressão de Poisson, os resultados são apresentados em razão de prevalência e intervalos de confiança de 95%. De um total de 1.288 participantes, 43,1% necessitaram de cuidados médicos e 28,5% relataram manejo prejudicado de DCNT durante a distância social. Sexo feminino, idade entre 18 e 30 anos, residente na região da Serra (região central do estado), pessoas com depressão e multimorbidade apresentaram maior chance de manejo prejudicado das DCNT. Ser fisicamente ativo reduziu a probabilidade de ter gerenciamento prejudicado de DCNT em 15%. A redução da renda mensal esteve associada à dificuldade de acesso a medicamentos prescritos e a deixar de buscar atendimento médico presencial. A depressão foi associada a dificuldades de acesso a medicamentos, enquanto deixar de buscar assistência médica pessoalmente foi mais provável para pessoas com multimorbidade, artrite/artrose/fibromialgia, doenças cardíacas e colesterol alto.
Palavras-chave:
COVID-19, Doença crônica, Acesso aos Serviços de Saúde, Epidemiologia
Abstract:
The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult populationthe 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 1288 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.
Keywords:
COVID-19, Chronic diseases, Health Services Accessibility, Epidemiology
Manejo de doenças crônicas não-transmissíveis durante a pandemia de COVID-19: resultados da coorte PAMPA.
Resumo (abstract):
The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult populationthe 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 1288 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.
Palavras-chave (keywords):
COVID-19, Chronic diseases, Health Services Accessibility, Epidemiology
Leite, J.S, Feter, N., Caputo, E. L., Doring, I.R, Cassuriaga, J., Reichert, F. F, Silva, M. C., Rombaldi, A. J.. Managing noncommunicable diseases during the COVID-19 pandemic in Brazil: findingsthe PAMPA cohort. Cien Saude Colet [periódico na internet] (2020/Nov). [Citado em 05/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/managing-noncommunicable-diseases-during-the-covid19-pandemic-in-brazil-findingsthe-pampa-cohort/17829?id=17829
