23
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      O Impacto da Educação na Mortalidade por Todas as Causas após Infarto do Miocárdio com Supradesnivelamento do Segmento ST (IAMCSST): Resultados do Brasília Heart Study

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Resumo

          Fundamento

          A baixa escolaridade tem sido considerada um fator de risco modificável significativo para o desenvolvimento de doenças cardiovasculares há bastante tempo. Apesar disso, ainda não se sabe muito sobre esse fator impactar ou não os desfechos após infarto do miocárdio com supradesnivelamento do segmento ST (IAMCSST).

          Objetivo

          Investigar se a escolaridade é um fator de risco independente para mortalidade em pacientes com IAMCSST.

          Métodos

          Os pacientes com diagnóstico de IAMCSST foram consecutivamente incluídos em uma coorte prospectiva ( Brasília Heart Study) e categorizados de acordo com os anos dos quartis de estudo (0-3, 4-5, 6-10 e >10 anos). Os grupos foram comparados pelo teste t de Student para variáveis contínuas e qui-quadrado para categóricas. A incidência de mortalidade por todas as causas foi comparada com Kaplan-Meyer com regressão de Cox ajustada por idade, sexo e escore GRACE. Valores de p < 0,05 foram considerados significativos. SPSS21.0 foi utilizado para todas as análises.

          Resultados

          A média de escolaridade foi de 6,63±4,94 anos. Durante o período de acompanhamento (média: 21 meses; até 6,8 anos), 83 pacientes vieram à óbito (mortalidade cumulativa de 15%). A taxa de mortalidade foi maior entre o quartil inferior em comparação com aqueles do quartil superior [18,5 vs. 6,8%; RR 2,725 (IC 95%: 1,27-5,83; p=0,01)]. Na análise multivariada, a baixa escolaridade perdeu significância estatística para mortalidade por todas as causas após ajuste para idade e sexo, com RR 1,305 (IC 95%: 0,538-3,16; p=0,556), e após ajuste pelo escore GRACE com RR 1,767 (IC 95%: 0,797-3,91; p=0,161).

          Conclusão

          Investigar se a escolaridade é um fator de risco independente para mortalidade em pacientes com IAMCSST.

          Related collections

          Most cited references20

          • Record: found
          • Abstract: not found
          • Article: not found

          Social Determinants of Risk and Outcomes for Cardiovascular Disease: A Scientific Statement From the American Heart Association.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Cardiovascular Health in Brazil: Trends and Perspectives.

            Brazil is a large country, with an evolving economy, but marked social inequalities. The population is formed by an admixture of native Brazilians, Europeans, and Africans; is predominantly urban; and faces rapid aging. Time trends related to health behaviors show a substantial reduction in smoking rates, but a rising prevalence of overweight and obesity, unhealthy eating habits, and insufficient physical activity. The high prevalence of hypertension and the increasing prevalence of diabetes mellitus are also causes for concern. Cardiovascular disease (CVD) has been the leading cause of mortality since the 1960s and has accounted for a substantial percentage of all hospitalizations. In 2011, CVD was responsible for 31% of all deaths, with ischemic heart disease (31%) and cerebrovascular diseases (30%) being the leading CVD causes. Despite an increase in the overall number of CVD deaths, the age-adjusted mortality rates for CVD declined 24% between 2000 and 2011. Health care delivered by Brazil's universal public health system, which focuses on primary prevention, has contributed to this achievement. However, the decline in age-adjusted mortality differs according to race, sex, and socioeconomic status with black individuals and lower-income populations sustaining the greatest impact of CVD, especially at younger ages. With one of the world's largest public health systems in terms of population coverage, Brazil has the means to implement actions to confront the high burden of CVD, focusing on health promotion and comprehensive care. Insufficient funding, low education levels, and social inequalities remain as the main barriers to be overcome.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease

              Background Health literacy may constitute a modifiable determinant of health behaviour and affect cardiovascular disease prevention. This study investigates the associations between health literacy and health behaviour as well as health status. Design A cross-sectional study on a population-based sample of people with acute myocardial infarction, angina pectoris or stroke (N = 3116). Methods Health literacy was assessed using two dimensions from the Health Literacy Questionnaire: ‘understanding health information’ and ‘engaging with healthcare providers’. Health behaviour included physical activity, dietary habits, smoking, alcohol consumption and body mass index. Health status was examined using Short Form Health Survey 12 version 2 (four-week recall) (physical and mental components). We used regression analyses to examine the associations. Results ‘Understanding health information’ was inversely associated with physical inactivity (odds ratio (OR) 0.48 (0.39;0.59), unhealthy diet (OR 0.64 (0.47;0.88)), underweight (OR 0.43 (0.21;0.89)) and obesity (OR 0.79 (0.63;0.99)). ‘Engaging with healthcare providers’ was inversely associated with physical inactivity (OR 0.64 (0.53;0.77)), less than healthy diet (OR 0.79 (0.64;0.96)) and daily smoking (OR 0.81 (0.66;1.0)). An increase in ‘understanding health information’ as well as ‘engaging with healthcare providers’ was associated with an increase in both physical and mental health status. Conclusions The findings suggest that aspects of health literacy are associated with health status and health behaviour in cardiovascular patients and should be considered in interventions regarding cardiovascular disease prevention.
                Bookmark

                Author and article information

                Journal
                Arq Bras Cardiol
                Arq Bras Cardiol
                abc
                Arquivos Brasileiros de Cardiologia
                Sociedade Brasileira de Cardiologia - SBC
                0066-782X
                1678-4170
                15 July 2021
                July 2021
                : 117
                : 1
                : 5-12
                Affiliations
                [1 ]orgnameUniversidade Estadual de Campinas orgdiv1Laboratório de Aterosclerose e Biologia Vascular Campinas SPBrasiloriginalUniversidade Estadual de Campinas (UNICAMP) - Laboratório de Aterosclerose e Biologia Vascular (Aterolab), Campinas, SP - Brasil
                [2 ]orgnameEscola Superior de Ciências da Saúde Brasília DFBrasiloriginalEscola Superior de Ciências da Saúde, Brasília, DF - Brasil
                [1 ]BrasiloriginalUniversidade Estadual de Campinas (UNICAMP) - Laboratório de Aterosclerose e Biologia Vascular (Aterolab), Campinas, SP - Brasil
                [2 ]BrasiloriginalEscola Superior de Ciências da Saúde, Brasília, DF - Brasil
                Author notes
                Correspondência: Joaquim Barreto Oliveira • Universidade Estadual de Campinas (UNICAMP) - Laboratório de Aterosclerose e Biologia Vascular (Atherolab) - R. Tessália Vieira de Camargo, 126. CEP 13083-872, SP, Campinas – Brasil E-mail: joaquimbarretoantunes@ 123456gmail.com

                Contribuição dos autores

                Concepção e desenho da pesquisa e Análise e interpretação dos dados: Oliveira JB, Sposito AC, Carvalho LS; Obtenção de dados e Revisão crítica do manuscrito quanto ao conteúdo intelectual importante: Oliveira JB, Quinaglia JC, Sposito AC, Carvalho LS; Análise estatística e Redação do manuscrito: Oliveira JB, Carvalho LS; Obtenção de financiamento: Sposito AC.

                Potenciais conflitos de interesse

                Não há conflito com o presente artigo

                Mailing Address: Joaquim Barreto Oliveira • Universidade Estadual de Campinas (UNICAMP) - Laboratório de Aterosclerose e Biologia Vascular (Atherolab) - R. Tessália Vieira de Camargo, 126. Postal Code 13083-872, SP, Campinas – Brazil E-mail: joaquimbarretoantunes@gmail.com

                Author Contributions

                Conception and design of the research and Analysis and interpretation of the data: Oliveira JB, Sposito AC, Carvalho LS; Acquisition of data and Critical revision of the manuscript for intellectual contente: Oliveira JB, Quinaglia JC, Sposito AC, Carvalho LS; Statistical analysis and Writing of the manuscript: Oliveira JB, Carvalho LS; Obtaining financing: Sposito AC.

                Potential Conflict of Interest

                No potential conflict of interest relevant to this article was reported.

                Author information
                https://orcid.org/0000-0003-1914-316X
                https://orcid.org/0000-0001-7127-2052
                Article
                abc.20190854
                10.36660/abc.20190854
                8294733
                34320060
                884d5f8b-b543-406c-9495-aaa8a0e5aeb5

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 December 2019
                : 02 June 2020
                : 16 June 2020
                Page count
                Figures: 4, Tables: 6, Equations: 0, References: 20, Pages: 8
                Categories
                Artigo Original

                doenças cardiovasculares,fatores de risco,mortalidade,estudos de coorte,síndrome coronariana aguda,aterosclerose,escolaridade

                Comments

                Comment on this article