MOISES GOLDBAUM
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
85 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 85
- Fatores associados ao tabagismo em idosos: Inquérito de Saúde no Estado de São Paulo (ISA-SP)(2012) ZAITUNE, Maria Paula do Amaral; BARROS, Marilisa Berti de Azevedo; LIMA, Margareth Guimaraes; CESAR, Chester Luiz Galvao; CARANDINA, Luana; GOLDBAUM, Moises; ALVES, Maria Cecilia Goi PortoThis article reports on smoking prevalence and associated factors in the elderly, based on a population-based cross-sectional study with multistage sampling including 1,954 individuals 60 years or older living in four areas of Sao Paulo State, Brazil. Overall smoking prevalence was 12.2%, and higher rates were associated with male gender, age 60-69 years, not belonging to an Evangelical church, lower income, low body weight, lack of leisure-time physical activity, depression/anxiety, and hypertension. There was a high prevalence of smokers among individuals with a history of stroke, cancer, and chronic obstructive pulmonary disease. The results point to the need for effective interventions in healthcare services to promote smoking cessation among the elderly, since many are unable to stop on their own, even when they have tobacco-related illnesses. Special attention should be paid to individuals that depend on the National Health System, since smoking prevalence is higher in underprivileged socioeconomic groups.
- Guilherme Rodrigues da Silva: a formação do campo da Saúde Coletiva no Brasil(2015) GOLDBAUM, MoisesThis article describes the academic trajectory of Professor Guilherme Rodrigues da Silva and his contribution in the formation of Collective Health in Brazil. Three key aspects are covered: active participation in medical education, both undergraduate and graduate level; its application in scientific research for the study of neglected diseases and the development of epidemiological methodology; his contribution in establishing health policy with emphasis on the Unique Health System (Sistema Unico de Saude - SUS).
- Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003-2008(2016) MONTEIRO, Camila Nascimento; BEENACKERS, Marielle A.; GOLDBAUM, Moises; BARROS, Marilisa Berti de Azevedo; GIANINI, Reinaldo Jose; CESAR, Chester Luiz Galvao; MACKENBACH, Johan P.Background: Access to, and use of, dental health services in Brazil have improved since 2003. The increase of private health care plans and the implementation of the ""Smiling Brazil"" Program, the largest public oral health care program in the world, could have influenced this increase in access. However, we do not yet know if inequalities in the use of dental health services persist after the improvement in access. The aims of this study are to analyze socioeconomic differences for dental health service use between 2003 and 2008 in Sao Paulo and to examine changes in these associations since the implementation of the Smiling Brazil program in 2003. Method: Data was obtained via two household health surveys (ISA-Capital 2003 and ISA-Capital 2008) which investigated living conditions, lifestyle, health status and use of health care services. Logistic regression was used to analyze associations between socioeconomic factors and dental services use. Additionally, trends from 2003 to 2008 regarding socioeconomic characteristics and dental health service use were explored. Results: Overall, dental health service use increased between 2003 and 2008 and was at both time points more common among those who had higher income, better education, better housing conditions, private health care plans and were Caucasian. Inequalities in use of dental health care did not decrease over time. Among the reasons for not seeking dental care, not having teeth and financial difficulty were more common in lower socioeconomic groups, while thinking it was unnecessary was more common in higher socioeconomic groups. Conclusions: The Brazilian oral health policy is still in a period of expansion and seems to have contributed slightly to increased dental health service use, but has not influenced socioeconomic inequalities in the use of these services. Acquiring deeper knowledge about inequalities in dental health service use will contribute to better understanding of potential barriers to reducing them.
- Qualidade da dieta de adolescentes: estudo de base populacional em Campinas, SP(2012) ASSUMPÇÃO, Daniela de; BARROS, Marilisa Berti de Azevedo; FISBERG, Regina Mara; CARANDINA, Luana; GOLDBAUM, Moises; CESAR, Chester Luiz GalvãoWe assessed the overall diet quality and adequacy of diet consumption of each component of the diet of adolescents according to demographic, socioeconomic and body mass index (BMI) data. A cross-sectional population-based study analyzed a representative sample of 409 adolescents, aged 12-19 years, using the Healthy Eating Index (HEI). We estimated the prevalence of diets classified in the first quartile of the HEI and the average scores of each component of the HEI. Linear and Poisson multiple regressions were used in the analysis. The mean score of HEI was 59.7. We observed a lower prevalence of inadequate diets in the segment with heads of household presenting higher schooling. The lower socioeconomic status segments, measured by income and schooling, showed a lower consumption of vegetables, fruits, dairy products and a less diversified diet, and a higher intake of cereals and legumes. Overweight/obese adolescents consume more meat and eggs and less fruit compared to low weight/normal weight adolescents. Girls had a higher intake of total fat and lower sodium intake. The results identified diet components that deserve more attention in the strategies to promote healthy eating, and the more vulnerable segments among adolescents.
- Coordination between pharmaceutical services for integrated pharmacotherapy: the case of Catalonia(2017) COSTA, Karen Sarmento; GOLDBAUM, Moises; GUAYTA-ESCOLIES, Rafel; MODAMIO, Pilar; MARIO, Eduardo Luis; TOLS, Jose Luis SeguPharmaceutical policies have been considered strategies to contribute to the guarantee of care coordination and clinical integration. This study sought to describe the pharmaceutical services developed at different levels of care in the health network in Catalonia, as well as to identify and analyze the mechanisms and instruments that act as facilitators and/or barriers to the coordination of pharmacotherapy. This is a descriptive study of 12 cases of hospital pharmacy services, primary care and community pharmacies. Advances related to the perception, formalization and clinical and assistance coordination of the pharmaceutical services were identified. However, weaknesses and potential improvements in coordination were observed. The conclusion drawn was that the different tools and instruments implemented appear to facilitate a greater possibility of integration between pharmaceutical services and the latter with the health services network to contribute to integrated pharmacotherapy.
conferenceObject Health Services Utilization to Immunization against Influenza and Pneumonia in Diabetic Population, Sao Paulo-Brazil.(2015) MONTEIRO, C.; STOPA, S. R.; SEGRI, N.; GIANINI, R.; BARROS, M.; CESAR, C.; GOLDBAUM, M.- Prevalence of arterial hypertension, diabetes mellitus, and adherence to behavioral measures in the city of Sao Paulo, Brazil, 2003-2015(2018) STOPA, Sheila Rizzato; CESAR, Chester Luiz Galvao; SEGRI, Neuber Jose; ALVES, Maria Cecilia Goi Porto; BARROS, Marilisa Berti de Azevedo; GOLDBAUM, MoisesThe objective was to compare the estimates for prevalence of diabetes, hypertension, and behavioral measures to control these diseases. Data were analyzed for the adult population from Health Surveys in the city of Sao Paulo, Brazil, in 2003, 2008, and 2015. Prevalence rates and 95% confidence intervals (95% CI) were calculated for the following: hypertension, diabetes, and practices to control these diseases (diet, physical activity, oral medication, insulin, nothing). Estimates were compared by age and sex-adjusted Poisson regression and analyzed according to the 20-59-years and 60-and-older age brackets. The data were presented comparing 2008 to 2003 and 2015 to 2003. Among persons 20 to 59 years of age, there was an increase in the prevalence rates for: hypertension in 2003-2015 (PR = 1.27; 95% CI: 1.03-1.60) and diet for both periods (2003-2008, PR = 2.04; 95% CI: 1.42-2.91; and 2003-2015, PR = 1.51; 95% CI: 1.05-2.15). Among persons 60 years and older: diabetes (PR = 1.29; 95% CI: 1.08-1.56) and oral medication to control diabetes (PR = 1.38; 95% CI: 1.17-1.63), both in 2003-2015; hypertension in 2003-2015 (PR = 1.19; 95% CI: 1.05-1.39); and diet and oral medication to control hypertension in 2003-2008 (PR = 1.20; 95% CI: 0.95-1.51 and PR = 1.02; 95% CI: 0.95-1.09, respectively). The results are important for surveillance and monitoring of the target indicators and provide backing for planning health care activities in the city of Sao Paulo. Linking and aligning effective and integrated interventions is indispensable for reducing and controlling these chronic non-communicable diseases.
- Prevalência de asma e fatores associados: estudo de base populacional em São Paulo, SP, 2008-2009(2012) SOUSA, Clovis Arlindo de; CESAR, Chester Luiz Galvao; BARROS, Marilisa Berti de Azevedo; CARANDINA, Luana; GOLDBAUM, Moises; PEREIRA, Julio Cesar RodriguesOBJECTIVE: To assess the prevalence of asthma and risk factors associated in children and adolescents. METHODS: Population-based cross-sectional study with 1,185 female and male children and adolescents carried out in the city of Sao Paulo, Southeastern Brazil, from 2008 to 2009. Data were collected through home interviews. Respondents were selected from two-stage (census tract, household) cluster random sampling stratified by gender and age. Multiple Poisson regression was used in the adjusted analysis between the outcome and socioeconomic, demographic, lifestyle and health condition variables. RESULTS: Of all respondents, 9.1% (95%CI 7.0; 11.7) reported asthma. After adjustment, the following variables were found independently associated with asthma: age (0 to 4 years vs. 15 to 19) (PR 3.18, 95%CI 1.20;8.42); age (5 to 9 years vs. 15 to 19) (PR 6.37, 95%CI 2.64;15.39); age (10 to 14 years vs. 15 to 19) (PR 4.51,95%CI 1.95;10.40); allergy (yes vs. no) (PR 2.22, 95%CI 1.24;4.00); rhinitis (yes vs. no) (PR 2.13, 95%CI 1.22;3.73); health conditions in the 15 days preceding the interview (yes vs. no) (PR 1.96, 95%CI 1.23;3.11); number of rooms in the household (1 to 3 vs. 4 and more) (PR 1.67, 95%CI 1.05;2.66); and skin color (black and mixed vs. white) (PR 2.00, 95%CI 1.14;3.49). CONCLUSIONS: This study showed the importance of factors associated with asthma including rhinitis and allergy; age between 5 to 9 years old; black and mixed skin color; and household with few rooms. Frequent health problems are seen as a common consequence of asthma.
article 14 Citação(ões) na Scopus Aging and self-reported hearing loss: a population-based study(2011) PAIVA, Karina Mary de; CESAR, Chester Luis Galvao; ALVES, Maria Ceclia Goi Porto; BARROS, Marilisa Berti de Azevedo; CARANDINA, Luana; GOLDBAUM, MoisesThe aim of this study was to estimate the prevalence of self-reported hearing loss among elderly people in Sao Paulo, Brazil, according to sociodemographic characteristics and to identify associated factors. Data were from the Sao Paulo Health Survey (ISA-Capital 2003), and the sub-group of elderly (n = 872) was analyzed. The chi(2) test was used to verify the association between self-reported hearing loss and socio-demographic characteristics. The statistical analyses used Poisson regression. Prevalence of self-reported hearing loss in the elderly was 11.2%, and was higher in men (PR = 1.86; 95% CI: 1.19-2.92). There was an important lack of knowledge among the elderly regarding the causes of their hearing loss (42.5%). Among the sample, 25.5% reported difficulties in leisure-time activities and 11.4% needed help in routine activities, while 63.3% required no assistance due to their impairment. The high prevalence of self-reported hearing loss in the elderly, especially in men, highlights the importance of this public health problem. Population aging is a new reality, placing increasing demands on healthcare professionals and government.article 15 Citação(ões) na Scopus Factors associated with prostate cancer screening: a population-based study(2011) AMORIM, Vivian Mae Schmidt Lima; BARROS, Marilisa Berti de Azevedo; CESAR, Chester Luiz Galvao; GOLDBAUM, Moises; CARANDINA, Luana; ALVES, Maria Ceclia Goi PortoThe aim of this study was to analyze the prevalence of prostrate cancer screening among men aged 50 years or older based on socioeconomic, demographic, and health-related behavioral variables and the presence of morbidity. A population-based cross-sectional study was performed. The following factors were associated with failure to undergo screening: age under 70 years; less than eight years of schooling; per capita household income less than one-half the minimum wage; not having diabetes; lack of visual impairment; and lack of visit to the dentist in the previous year. The Brazilian public healthcare system accounted for 41% of the reported prostate cancer screening tests. According to the present study, despite controversy over the effectiveness of digital rectal examination and prostrate-specific antigen for detecting prostate cancer, a significant portion of the male population has been undergoing these tests, the access to which displays significant socioeconomic inequalities.