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RESUMO O objetivo deste estudo foi identificar o uso de dispositivos metodológicos para mudanças de comportamento e a prática de educação em saúde aos indivíduos com Diabetes Mellitus (DM). Estudo descritivo, exploratório, de abordagem transversal, desenvolvido no município de Aracaju, Sergipe, com 138 profissionais, médicos e enfermeiros da Estratégia Saúde da Família, utilizando entrevista estruturada, tendo como referencial teórico-metodológico o Modelo de Atenção à Condição Crônica. Os resultados mostraram que a maioria dos profissionais referiu desenvolver atividades de educação em saúde, sendo os temas mais referidos: alimentação saudável e exercício físico. Com relação ao uso de abordagens para mudança de comportamento dos usuários, a mais utilizada foi a entrevista motivacional, seguida do Modelo Transteórico de Mudança (MTT). Todos os profissionais que utilizam o MTT concordam com sua aplicabilidade. Conclui-se que a prática de educação em saúde para pessoas com DM é desenvolvida, enquanto o uso de dispositivos metodológicos para mudanças de comportamento ainda é subutilizado, sobretudo o Grupo Operativo. ABSTRACT The objective of this study was to identify the use of methodological devices for behavioral changes and practice of health education for individuals with Diabetes Mellitus (DM). A descriptive, exploratory, cross-sectional study developed in the city of Aracaju, Sergipe, Brazil, with 138 professionals, doctors and nurses of the Family Health Strategy, using a structured interview, having as a theoretical-methodological reference the Model of Care to Chronic Conditions. The results showed that most of the professionals referred to developing health education activities, with the most mentioned themes being: healthy eating and physical exercise. Regarding the use of approaches to change the behavior of users, the most used was the motivational interview, followed by the Transtheoretical Model of Change (MTT). All professionals who use MTT agree with its applicability. It is concluded that the practice of health education for people with DM is developed, while the use of methodological devices for behavior changes is still underutilized, especially the Operative Group.

Resumo O artigo objetiva descrever o planejamento e a construção das Redes de Atenção à Saúde (RAS), por meio da Planificação da Atenção à Saúde (PAS), na Região Leste, Distrito Federal. Trata-se de um relato de experiência sobre a PAS, realizada de 2016 a 2018. As atividades foram desenvolvidas a partir de um conjunto de oficinas teóricas temáticas, de tutorias realizadas na Atenção Primária à Saúde (APS) e na Atenção Ambulatorial Especializada (AAE). Os resultados apontam uma melhor organização da RAS, especificamente para a linha de cuidado das condições crônicas, hipertensão e diabetes. Na APS foram organizados os macroprocessos: territorialização, cadastramento das famílias, estratificação de risco, classificação de riscos familiares, diagnóstico local, atendimento por bloco de horas, eliminando filas, dentre outros. Na AAE foi implantado o Ambulatório de Especialidades com a tecnologia de atenção continua, realizada por equipe multiprofissional para hipertensos e diabéticos de alto e muito risco, estratificados na APS, compartilhando o cuidado. Uma das potencialidades da integração da APS e AAE foi o matriciamento realizado por profissionais da AAE, nas unidades laboratórios. A PAS configurou-se como um importante instrumento de gestão das RAS. Abstract This article reports on the experience of implementing Health Care Planning (HCP) in the territories of Itapoã, Paranoá and São Sebastião in the East Region of Brazil’s Federal District. HCP began at the end of 2016 with Itapoã and was expanded to the other territories in 2018. The results point to a better organised health care network, specifically as regards care for chronic conditions, hypertension and diabetes. The activities involved a series of thematic theory workshops and tutoring workshops carried out in Primary Health Care (PHC) and Specialised Ambulatory Care (SAC) facilities. In PHC, macro-processes (territorialisation, family registration, risk stratification, family risk classification, local diagnosis, care by block of hours, elimination of waiting times, and others) were organised to support meeting certain of the population’s demands. In SAC, an Ambulatory Specialities Clinic was set up using the technology of continuous care provided by a multi-professional team to high- and very high-risk hypertensive and diabetic patients stratified in PHC, and care provision is shared. One of the strong points in the integration of PHC and SAC was matrix support provided by SAC professionals in “laboratory units”. HCP has been an important management tool for organising health care in the East Region.

RESUMO Objetivo: identificar os aspectos epidemiológicos dos óbitos fetais e neonatais precoces em filhos de pacientes classificadas com near miss e os fatores associados a este desfecho. Método: estudo transversal realizado com 79 mulheres identificadas com near miss e seus recém-nascidos. As variáveis foram analisadas utilizando-se o teste Exato de Fisher. Os fatores de risco foram estimados com base nas razões de chances não ajustadas e ajustadas, e por meio de análise de correspondência múltipla, com significância para p < 0,05. Resultados: as desordens hipertensivas totalizaram 40,5%; destas, 58,3% tiveram desfecho fetal e neonatal adverso. Mostraram-se significantes para o desfecho os recém-nascidos admitidos na Unidade Terapia Intensiva Neonatal (70,8%), idade gestacional < 32 semanas (41,6%), peso ao nascer < 2500 (66,7%), asfixia neonatal (50%) e desconforto respiratório precoce (72,2%). Conclusão: prematuridade, asfixia neonatal e desconforto respiratório precoce constituíram características significantes para o desfecho entre os recém-nascidos. RESUMEN Objetivo: identificar los aspectos epidemiológicos de los óbitos fetales y neonatales precoces en hijos de pacientes clasificados con near miss y los factores asociados a este desenlace. Método: estudio transversal realizado con 79 mujeres identificadas con near miss y sus recién nacidos. Las variables fueron analizadas utilizando la prueba Exacta de Fisher. Los factores de riesgo fueron estimados con base en las razones de posibilidades no ajustadas y ajustadas, y por intermedio de análisis de correspondencia múltiple, con significación para p < 0,05. Resultados: los desórdenes hipertensivos totalizaron el 40,5%; de los cuales el 58,3% tuvieron desenlace fetal y neonatal adverso. Se han mostrado significativos para el desenlace los recién nacidos admitidos en la Unidad de Terapia Intensiva Neonatal (70,8%), edad gestacional < 32 semanas (41,6%), peso al nacer < 2500 (66,7%), asfixia neonatal (50%) y dificultad respiratoria de inicio precoz (72,2%). Conclusión: prematuridad, asfixia neonatal y dificultad respiratoria de inicio precoz constituyeron características significativas para el desenlace entre los recién nacidos. ABSTRACT Objective: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classified with near miss and the factors associated with this outcome. Method: a cross-sectional study of 79 women identified with near miss and their newborns. The variables were analyzed using Fisher’s exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with significance for p

Entre as doencas que acometem o Sistema Nervoso Central, o Acidente Vascular Cerebral (AVC) e uma das mais prevalentes e de maior morbimortalidade. O estudo verificou o conhecimento dos enfermeiros sobre os fatores de risco, prevencao e prognostico do AVC. Trata-se de um estudo descritivo, desenvolvido com 83 enfermeiros. Entre os participantes, 25,3% reconheceram todos os fatores de risco, 82,9% identificaram as acoes preventivas e 49,3% reconheceram os possiveis prognosticos do AVC. Conclui-se que a maioria dos enfermeiros identificou as acoes preventivas, apesar de poucos terem identificado todos os fatores de risco. Descritores : Acidente Vascular Cerebral, Enfermagem, Atencao Primaria a Saude. Stroke: the knowledge of nurses Among the diseases affecting the central nervous system, the stroke is one of the most prevalent and highest morbimortality. The study assessed the nurse's knowledge about risk factors, prevention and prognosis of stroke. This is a descriptive study, developed with 83 nurses. Among participants, 25,3% recognized all risk factors, 82,9% identified preventive actions and 49,3% recognized the potential predictors of stroke. We conclude that the majority of the nurses identified preventive actions, although just a few have identified all the risk factors. Descriptors : Stroke, Nursing, Primary Health Care. Accidente cerebrovascular: el conocimiento de los enfermeros Entre las enfermedades que afectan al Sistema Nervioso Central, el Accidente Cerebrovascular (ACV) es uno de los mas frecuentes y de mayor morbilidad y mortalidad. El estudio evaluo los conocimientos de los enfermeros de los factores de riesgo, la prevencion y el pronostico del ACV. Este es un estudio descriptivo, realizado con 83 enfermeros. Entre los participantes, 25,3% reconocieron todos los factores de riesgo, el 82,9% identificaron las medidas de prevencion y el 49,3% reconocieron los posibles pronosticos de lo ACV. Se concluye que la mayoria de las enfermeras identifico las acciones de prevencion, aunque pocos han identificado todos los factores de riesgo. Descriptores : Accidente Cerebrovascular, Enfermeria, Atencion Primaria de Salud.

Made available in DSpace on 2018-11-26T15:28:41Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-03-29 schools in the city of Aracaju health units and Reference Centre for Social Action Background: The high frequency of alterations of the stomatognathic system associated with premature birth may suggest that prematurity is an important risk factor in the development of this system. Prematurity has an incidence between 6-11% of births and is associated with factors such as genetic, maternal conditions (obstetric problems, nutritional status, infections) and antenatal care. In addition, undesirable situations, such as changes in enamel and the development of the skeletal structure, also appears to be associated with prematurity. This study aimed to look for changes in the stomatognathic system at five years of age associated with premature birth. Methods: We estimated the prevalence of developmental disorders of the stomatognathic system in the primary dentition of preschool children at five years of age. Changes in preterm infants (n = 32) compared with term born (n = 381) were evaluated. Clinical examinations and questionnaire with sociodemographic and health of mothers and children information. Gestational age, birth weight, head circumference, Apgar score and mechanical ventilation, were collected from the medical records to birth records. The explanatory variable was preterm (< 37 weeks gestational age). Results: Results: Prevalence of 7.7% of preterm infants was found. Of these, 40.6% had atresic palate, 56.2% malocclusion and 21.8% enamel hypoplasia. Forty (9.6%) children were not breastfed at the breast, and 26 (65.0%) had some type of malocclusion, showing association between not breastfeeding with an abnormal development of the stomatognathic system. The group of preterm infants showed five times more changes in head circumference and three times more mechanical ventilation use at birth. Change in head circumference at birth and mechanical ventilation has a significant association between groups of preterm and term infants. Conclusions: Mechanical ventilation at birth directly contributed to an increased risk of developmental disorders of the stomatognathic system in preterm infants, especially dental hypoplasia. Non-breastfed children had a higher risk of developing malocclusion. Alterations in head circumference were related effective on dental malocclusion. The results suggest that changes in the stomatognathic system are influenced by premature birth and points to the imperative need of using methods of preventive. Univ Fed Sergipe, Grad Sch Hlth Sci, Aracaju, Brazil Univ Fed Sergipe, Dept Nursing, Aracaju, Brazil Univ Estadual Paulista, Araraquara Sch Dent, Araraquara, Brazil Univ Tiradentes, Aracaju, Brazil Univ Fed Sergipe, Aracaju, Brazil Univ Fed Sergipe, Ctr Postgrad Med, Aracaju, Brazil Univ Fed Sergipe, Core Postgrad Med, Aracaju, Brazil PhD Sci Fed Univ Sergipe, Ctr Postgrad Med, Aracaju, Brazil Univ Estadual Paulista, Araraquara Sch Dent, Araraquara, Brazil

OBJETIVO: elaborar e validar um instrumento para visita domiciliar (ficha B-VD) visando ao acompanhamento das visitas domiciliares pelas equipes de Saúde da Família (eSF) na Rede de Atenção Primária à Saúde do município de Aracaju, estado de Sergipe, Brasil. MÉTODOS: a validação da ficha B-VD foi realizada pelos profissionais das equipes de saúde utilizando-se da técnica de Delphi e da escala de Likert; os itens da ficha foram agrupados em três dimensões; a consistência interna dos itens da ficha foi investigada mediante o coeficiente alfa de Cronbach. RESULTADOS: na análise de consistência interna das 17 variáveis investigadas, obteve-se coeficiente alfa de Cronbach de 0,95; na dimensão I (identificação do usuário), esse coeficiente foi de 0,94, na dimensão II (aspectos do território), 0,93, e na dimensão III, (visita domiciliar) 0,82. CONCLUSÃO: a ficha B-VD foi validada pelos profissionais das eSF de Aracaju-SE, confirmando-se um instrumento útil para acompanhamento das famílias. OBJECTIVE: to develop and validate an instrument for home visits (B-VD Form) aimed at monitoring visits made by Primary Health Care network Family Health teams in the city of Aracaju, State of Sergipe, Brazil. METHODS: B-VD Form validation was conducted by health professionals using the Delphi technique and Likert scale. The data items were also grouped into three dimensions. Cronbach's alpha was used to investigate the internal consistency of the form's items. RESULTS: a Cronbach's alpha coefficient of 0.95 was obtained for the internal consistency of the 17 variables analyzed. The coefficient was 0.94 for dimension I (user identification); 0.93 for dimension II (aspects of the territory) and 0.82 for dimension III (home visit). CONCLUSION: the B-VD form was validated by the Family Health teams in the city of Aracaju, proving to be a useful tool for monitoring families.

Identifying the barriers in the access to health care to breast cancer perceived by women undergoing chemotherapy.Method: An exploratory descriptive study. The sample consisted of 58 women with breast cancer receiving chemotherapy and registered in the public oncology ambulatory of Aracaju-Sergipe. Data collection was carried out between October 2011 and March 2012 by semistructured interviews, and data were processed using the SPSS, version 17.Results: Among the interviewed women, 37 (63.8%) reported at least a barrier in the trajectory of care for breast cancer. The organizational and health services barriers were the most reported in the periods of investigation and treatment of breast cancer.Conclusion: In face of these findings, the barriers should be considered in public health policies and programs for the control of breast cancer in Sergipe. Identificar las barreras en el acceso a la atención en salud percibidos por mujeres con cáncer de mama en tratamiento quimioterapéutico.Método: Estudio descriptivo- exploratorio, cuya muestra estuvo constituida por 58 mujeres con cáncer de mama en quimioterapia inscritas en el servicio ambulatorio público de oncología de Aracaju-Sergipe. La recolección de datos fue realizada entre octubre de 2011 a marzo de 2012, por medio de entrevistas semi-estructuradas. Los datos fueron procesados en el software SPSS, versión 17.Resultados: Entre las entrevistadas, 37 mujeres (63,8%) relataron haber enfrentado por lo menos una barrera en la trayectoria de cuidado del cáncer de mama. Las barreras organizacionales o de los servicios de salud fueron las más citadas en los periodos de investigación y tratamiento del cáncer de mama.Conclusión: Las barreras deben ser consideradas en las políticas públicas de salud y de los programas de control del cáncer de mama en Sergipe.

OBJECTIVE: The objective of this study was to evaluate whether adolescent pregnancy is a risk factor for low birth weight (LBW) babies. METHODS: This was a cross-sectional study of mothers and their newborns from a birth cohort in Aracaju, Northeastern Brazil. Data were collected consecutively from March to July 2005. Information collected included socioeconomic, biological and reproductive aspects of the mothers, using a standardized questionnaire. The impact of early pregnancy on birth weight was evaluated by multiple logistic regression. RESULTS: We studied 4,746 pairs of mothers and their babies. Of these, 20.6% were adolescents (< 20 years of age). Adolescent mothers had worse socioeconomic and reproductive conditions and perinatal outcomes when compared to other age groups. Having no prenatal care and smoking during pregnancy were the risk factors associated with low birth weight. Adolescent pregnancy, when linked to marital status "without partner", was associated with an increased proportion of low birth weight babies. CONCLUSIONS: Adolescence was a risk factor for LBW only for mothers without partners. Smoking during pregnancy and lack of prenatal care were considered to be independent risk factors for LBW. OBJETIVO: Avaliar a gravidez na adolescência como fator de risco para baixo peso ao nascer. MÉTODOS: Estudo transversal incluído numa coorte de puérperas e seus respectivos recém-nascidos, nas quatro maternidades de Aracaju, SE, de março a julho de 2005. Os dados foram coletados consecutivamente durante quatro meses. Variáveis sociais, biológicas e assistenciais foram obtidas por meio de questionário padronizado. Foi realizada regressão logística múltipla, com controle de fatores de confusão e de modificação. RESULTADOS: Foram estudados 4.746 pares de mães/recém-nascidos. Dessas, 20,6% eram adolescentes (< 20 anos). As mães adolescentes apresentaram piores condições socioeconômicas, reprodutivas e resultados perinatais mais adversos, quando comparadas com outros grupos etários. Foram identificados como fatores de risco associados ao baixo peso ao nascer a ausência de assistência no pré-natal e tabagismo na gestação. Identificou-se interação da idade materna com a situação conjugal: mães adolescentes sem companheiro tiveram maiores proporções de baixo peso ao nascer. CONCLUSÕES: A adolescência mostrou-se fator de risco para baixo peso ao nascer entre as mães sem companheiro. Tabagismo durante a gestação e ausência de assistência pré-natal associam-se ao baixo peso ao nascer. OBJETIVO: Evaluar el embarazo en la adolescencia como factor de riesgo para bajo peso al nacer. MÉTODOS: Estudio transversal incluido en una cohorte de puérperas y sus respectivos recién nacidos, en las cuatro maternidades de Aracaju, SE (Brasil), de marzo a julio de 2005. Se estudiaron 4.646 pares de madres/recién nacidos. Los datos se colectaron consecutivamente durante cuatro meses. Variables sociales, biológicas y asistenciales se obtuvieron por medio de cuestionario estandarizado. Se realizó regresión logística múltiple, con control de factores de confusión y de modificación. RESULTADOS: Del total analizadas, 20,6% eran adolescentes (

Objective: To evaluate lung function and clinical manifestations suggestive of asthma in children of mothers with a reported medical diagnosis of asthma. Methods: An observational cross-sectional analytical study nested in a cohort of 4,757 pregnant women. A total of 86 six-year-old children were evaluated, born to mothers with a medical diagnosis of asthma before pregnancy. Information was collected regarding clinical symptoms of atopy and respiratory diseases, as well as socioeconomic and exposure variables; the children were submitted to spirometry. Results: Spirometric alterations were observed in 30.3% of cases, with a prevalence of asthma in those who had an obstructive pattern. 9.3% of the children had a previous medical diagnosis of asthma; however, the established diagnosis based on the presence and frequency of asthma symptoms was 18.6%. Of the 86 participating children, 37.2% had a score of five or more points in the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, which was associated with spirometry alterations (p = 0.002). After multiple logistic regression analysis, higher paternal education, higher number of bedrooms in the family's home, and mother who did not have “wheezing” episodes during pregnancy were statistically significant as protective factors for the presence of respiratory disorder detected by spirometry. Conclusions: The frequency of spirometry alterations in children of asthmatic mothers was high; the restrictive pattern was more often observed that the obstructive. There was a higher incidence of obstructive test results in those who presented clinical symptoms of asthma, with a higher frequency of clinical diagnosis of asthma than that found in the literature. Resumo: Objetivo: Avaliar a função pulmonar e as manifestações clínicas sugestivas de asma em filhos de mães com diagnóstico médico referido de asma. Métodos: Estudo observacional transversal analítico aninhado a uma coorte de 4.757 parturientes. Foram avaliadas 86 crianças aos seis anos de idade, filhas de mães com diagnóstico médico de asma antes da gestação. Foram coletadas informações referentes a sintomatologias clínicas de atopias e doenças respiratórias, variáveis socioeconômicas e de exposição; tendo sido as crianças submetidas à espirometria. Resultados: Foram encontrados 30,3% de alterações espirométricas, havendo predomínio do diagnóstico de asma nos que apresentaram padrão obstrutivo. Diagnóstico médico pregresso de asma ocorreu em 9,3% das crianças; contudo, o diagnóstico estabelecido a partir da presença e frequência dos sintomas de asma representou 18,6%. Das 86 crian- ças participantes, 37,2% tiveram um escore de cinco ou mais pontos no questionário ISAAC, estando isso associado à alteração do padrão espirométrico (p = 0,002). Após a regressão logística múltipla, maior escolaridade paterna, maior número de quartos no domicílio e o fato de a mãe não ter apresentado “chiado” durante a gestação foram estatisticamente significantes como fatores protetores para a presença de distúrbio ventilatório à espirometria. Conclusões: A frequência de alterações do teste espirométrico em filhos de mães asmá- ticas foi alta, com o padrão restritivo ocorrendo mais vezes que o obstrutivo. Houve uma maior ocorrência de exames obstrutivos naqueles que apresentavam sintomatologia clínica de asma, com uma frequência de diagnóstico clínico de asma superior à encon- trada na literatura. Keywords: Asthma, Child, Spirometry, Palavras-chave: Asma, Criança, Espirometria

OBJETIVO: Descrever, numa coorte de nascimentos, aspectos socioeconômicos e comportamentais de gestantes com asma e analisar as repercussões desta sobre alguns parâmetros perinatais. MÉTODOS: Estudo observacional, transversal e analítico a partir de informações de parturientes da coorte de nascimentos ocorridos no período entre 8 de março e 15 de julho de 2005 nas maternidades da Grande Aracaju (SE). A identificação de asma nas gestantes foi obtida segundo informação destas a partir do diagnóstico emitido anteriormente por um médico. Foram analisadas variáveis epidemiológicas, obstétricas e perinatais. RESULTADOS: Das 4.757 parturientes incluídas no estudo, 299 (6,3%) eram asmáticas. As mães asmáticas tinham menor renda familiar e mais frequentemente procuraram assistência no pré-natal e no parto em serviços públicos que as mães sem asma. Embora somente 9,4% das gestantes asmáticas fumaram, e 27,6% ingeriram bebidas alcoólicas, as proporções em relação ao grupo controle foram significativamente maiores. Não se detectou associação entre asma e problemas obstétricos ou do recém-nascido. Não foi encontrada associação entre asma e parto cesariano, prematuridade ou recém-nascido sendo pequeno para a idade gestacional. CONCLUSÕES: O nível socioeconômico inferior parece ser um fator de risco para a asma. OBJECTIVE: To describe socioeconomic and behavioral aspects of pregnant women with asthma and to analyze the effects of maternal asthma on certain perinatal parameters in a birth cohort. METHODS: An observational crosssectional analytical study using data regarding the mothers of a birth cohort at maternity hospitals in the greater metropolitan area of Aracaju, Brazil, between the 8th of March and the 15th of July of 2005. In the pregnant women, asthma was self-reported, based on previous medical diagnosis. Epidemiological, obstetric and perinatal variables were studied. RESULTS: Of the 4,757 mothers included in the study, 299 (6.3%) had asthma. The mothers with asthma had lower family incomes and more frequently made use of the public health care system (for prenatal care and delivery) than did those without asthma. Although only 9.4% of the mothers with asthma smoked and only 27.6% consumed alcoholic beverages, these proportions were higher than were those observed for the control group. Asthma was not found to be associated with obstetric problems or with problems involving the neonates. Nor did we find asthma to be associated with cesarean delivery, prematurity or small-for-gestational-age neonates. CONCLUSIONS: Low socioeconomic level seems to be a risk factor for asthma.

To describe socioeconomic and behavioral aspects of pregnant women with asthma and to analyze the effects of maternal asthma on certain perinatal parameters in a birth cohort.An observational crosssectional analytical study using data regarding the mothers of a birth cohort at maternity hospitals in the greater metropolitan area of Aracaju, Brazil, between the 8th of March and the 15th of July of 2005. In the pregnant women, asthma was self-reported, based on previous medical diagnosis. Epidemiological, obstetric and perinatal variables were studied.Of the 4,757 mothers included in the study, 299 (6.3%) had asthma. The mothers with asthma had lower family incomes and more frequently made use of the public health care system (for prenatal care and delivery) than did those without asthma. Although only 9.4% of the mothers with asthma smoked and only 27.6% consumed alcoholic beverages, these proportions were higher than were those observed for the control group. Asthma was not found to be associated with obstetric problems or with problems involving the neonates. Nor did we find asthma to be associated with cesarean delivery, prematurity or small-for-gestational-age neonates.Low socioeconomic level seems to be a risk factor for asthma.

A transversal study was realized in order to identify information about anticonceptive methods in high school students. The sample included 816 adolescents of both genders from public schools in Aracaju, Sergipe. With respect to this information, demographic, pedagogical, behavioral and reproductive aspects were also analyzed. It was verified that 59.0% of the teenagers have an active sexual life and 57.7% affirmed that they do not receive information about anticonceptive methods in school. Magazines, books and newspapers obtained 28% as sources of information and the male condom (84.5%) was the best known method. The analysis made it possible to identify the need for further discussion in school and the insertion of the parents in this process.

Realizou-se estudo de corte transversal, com o objetivo de identificar, em escolares do ensino médio, informações relativas aos métodos anticoncepcionais. A amostra compreendeu 816 adolescentes de ambos os sexos de escolas públicas de Aracaju, Sergipe. Em relação a essas informações, foram investigados também aspectos demográficos, pedagógicos, comportamentais e reprodutivos. Verificou-se que 59% dos adolescentes possuíam vida sexual ativa e 57,7% afirmaram não receber informações sobre métodos anticoncepcionais nas escolas. As fontes de informações, revistas, livros e jornais, alcançaram o percentual de 28% e o condon masculino (84,5%) foi o método mais conhecido. A análise possibilitou identificar a necessidade de maior discussão na escola e a inserção dos pais nesse processo. _________________________________________________________________________________________ ABSTRACT: A transversal study was realized in order to identify information about anticonceptive methods in high school students. The sample included 816 adolescents of both genders from public schools in Aracaju, Sergipe. With respect to this information, demographic, pedagogical, behavioral and reproductive aspects were also analyzed. It was verified that 59.0% of the teenagers have an active sexual life and 57.7% affirmed that they do not receive information about anticonceptive methods in school. Magazines, books and newspapers obtained 28% as sources of information and the male condom (84.5%) was the best known method. The analysis made it possible to identify the need for further discussion in school and the insertion of the parents in this process. _________________________________________________________________________________________ RESUMEN: Se realizó un estudio de corte transversal, con el objetivo de identificar en estudiantes de enseñanza media, informaciones relacionadas con los métodos anticonceptivos. La muestra comprendió 816 adolescentes de ambos sexos de escuelas públicas de Aracaju Estado de Sergipe. Se averiguaron aspectos demográficos, pedagógicos, comportamentales y reproductivos. Se encontró que 59% de los adolescentes tienen vida sexual activa y 57,7% afirmaron no haber recibido informaciones sobre los métodos anticonceptivos en las escuelas. Las fuentes de información, revistas, libros y periódicos alcanzaron un porcentaje de 28% y el condón masculino 84,5%, fue el método más conocido. El análisis hizo posible identificar la necesidad de mayor discusión en la escuela y la inclusión de los padres en este proceso.

Anemia is estimated to affect half the school-age children and adolescents in developing countries. The main causes are parasitic infections, malaria, and low iron intake. This study aimed to describe the prevalence of anemia, parasitic infections, and nutritional status of children attending public primary schools in Aracaju, Northeast Brazil. Of 360 students, 26.7% were anemic, and prevalence was higher in children under 8 and over 15 years of age. Overall prevalence of intestinal parasites was 42%, with Ascaris lumbricoides (28.7%), Trichuris trichiura (15.6%), and hookworm (1.7%) most frequently found. There was an association between parasitic infections and poor sanitary conditions, but there was no association between anemia and presence of intestinal parasites. Height-for-age Z scores were lower than the NCHS standard, and prevalence of stunting was 5.4%. Although intestinal parasites were not associated with anemia, children with parasites had lower nutritional indices (weight- and height-for-age Z scores) than those without parasites. Estima-se que a anemia afeta metade dos escolares e adolescentes nos países em desenvolvimento. As principais causas são enteroparasitoses, malária e/ou baixa ingesta de ferro. Este estudo objetivou descrever a prevalência de anemia e de enteroparasitoses, assim como o estado nutricional de escolares de primeiro grau de escolas públicas municipais de Aracaju, SE, Brasil. Dos 360 estudantes, 26,7% estavam anêmicos, sendo a prevalência maior nos menores de oito anos e nos maiores de 15. A prevalência geral de enteroparasitoses foi de 42%. Ascaris lumbricoides (28,7%), Trichuris trichiura (15,6%) e ancilostomídeos (1,7%) estavam entre os mais freqüentemente encontrados. Houve associação entre enteroparasitose e má condição de saneamento, mas não entre anemia e presença de enteroparasitos. Os escores de desvio padrão (Z-scores) de altura para idade foram inferiores aos padrões do NCHS, com prevalência de 5,4% de desnutrição pregressa (stunting). Apesar de as enteroparasitoses não terem sido associadas com anemia, as crianças que tinham parasitas ao exame apresentavam pior estado nutricional (peso/altura) que aquelas cujos exames resultaram negativos.

Background The aim of prenatal care is to promote good maternal and foetal health and to identify risk factors for adverse pregnancy outcomes in an attempt to promptly manage and solve them. Although high prenatal care attendance is reported in most areas in Brazil, perinatal and neonatal mortalities are disproportionally high, raising doubts about the quality and performance of the care provided. The objective of the present study was to evaluate the adequacy of prenatal care use and the risk factors involved in inadequate prenatal care utilization in the metropolitan area of Aracaju, Northeast Brazil. Methods A survey was carried out with puerperal women who delivered singleton liveborns in all four maternity hospitals of Aracaju. A total of 4552 singleton liveborns were studied. The Adequacy of Prenatal Care Utilization Index, modified according to the guidelines of the Prenatal Care and Birth Humanization Programme, was applied. Socioeconomic, demographic, biological, life style and health service factors were evaluated by multiple logistic regression. Results: Prenatal care coverage in Aracaju was high (98.3%), with a mean number of 6.24 visits. Prenatal care was considered to be adequate or intensive in 66.1% of cases, while 33.9% were considered to have inadequate usage. Age < 18 to 34 years at delivery, low maternal schooling, low family income, two or more previous deliveries, maternal smoking during pregnancy, having no partner and prenatal care obtained outside Aracaju were associated with inadequate prenatal care use. In contrast, private service attendance protected from inadequate prenatal care use. Conclusion Prenatal care coverage was high. However, a significant number of women still had inadequate prenatal care use. Socioeconomic inequalities, demographic factors and behavioural risk factors are still important factors associated with inadequate prenatal care use.