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[PMID]: 29297068 [Au] Autor: Xu G; Strathearn L; Liu B; Bao W [Ad] Endereço: Department of Epidemiology, University of Iowa College of Public Health, Iowa City. [Ti] Título: Prevalence of Autism Spectrum Disorder Among US Children and Adolescents, 2014-2016. [So] Source: JAMA;319(1):81-82, 2018 01 02. [Is] ISSN: 1538-3598 [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Transtorno do Espectro Autista/epidemiologia [Mh] Termos MeSH secundário: Adolescente Criança Pré-Escolar Feminino Inquéritos Epidemiológicos Seres Humanos Masculino Prevalência Estados Unidos/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180311 [Lr] Data última revisão: 180311 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180104 [St] Status: MEDLINE [do] DOI: 10.1001/jama.2017.17812

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[PMID]: 28449049 [Au] Autor: Banerjee S; Califano R; Corral J; de Azambuja E; De Mattos-Arruda L; Guarneri V; Hutka M; Jordan K; Martinelli E; Mountzios G; Ozturk MA; Petrova M; Postel-Vinay S; Preusser M; Qvortrup C; Volkov MNM; Tabernero J; Olmos D; Strijbos MH [Ad] Endereço: Gynaecology Unit Royal Marsden Hospital NHS Foundation Trust, Institute of Cancer Research, London. [Ti] Título: Professional burnout in European young oncologists: results of the European Society for Medical Oncology (ESMO) Young Oncologists Committee Burnout Survey. [So] Source: Ann Oncol;28(7):1590-1596, 2017 Jul 01. [Is] ISSN: 1569-8041 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Background: Burnout in health care professionals could have serious negative consequences on quality of patient care, professional satisfaction and personal life. Our aim was to investigate the burnout prevalence, work and lifestyle factors potentially affecting burnout amongst European oncologists ≤40 (YOs). Methods: A survey was conducted using the validated Maslach Burnout Inventory (MBI) and additional questions exploring work/lifestyle factors. Statistical analyses were carried out to identify factors associated with burnout. Results: Total of 737 surveys (all ages) were collected from 41 European countries. Countries were divided into six regions. Results from 595 (81%) YOs were included (81% medical oncologists; 52% trainees, 62% women). Seventy-one percent of YOs showed evidence of burnout (burnout subdomains: depersonalization 50%; emotional exhaustion 45; low accomplishment 35%). Twenty-two percent requested support for burnout during training and 74% reported no hospital access to support services. Burnout rates were significantly different across Europe (P < 0.0001). Burnout was highest in central European (84%) and lowest in Northern Europe (52%). Depersonalization scores were higher in men compared with women (60% versus 45% P = 0.0001) and low accomplishment was highest in the 26-30 age group (P < 0.01). In multivariable linear regression analyses, European region, work/life balance, access to support services, living alone and inadequate vacation time remained independent burnout factors (P < 0.05). Conclusions: This is the largest burnout survey in European Young Oncologists. Burnout is common amongst YOs and rates vary across Europe. Achieving a good work/life balance, access to support services and adequate vacation time may reduce burnout levels. Raising awareness, support and interventional research are needed. [Mh] Termos MeSH primário: Esgotamento Profissional/epidemiologia Saúde do Trabalhador Oncologistas [Mh] Termos MeSH secundário: Adulto Fatores Etários Atitude do Pessoal de Saúde Esgotamento Profissional/diagnóstico Esgotamento Profissional/psicologia Esgotamento Profissional/terapia Distribuição de Qui-Quadrado Despersonalização Emoções Europa (Continente)/epidemiologia Feminino Conhecimentos, Atitudes e Prática em Saúde Inquéritos Epidemiológicos Seres Humanos Satisfação no Emprego Modelos Lineares Modelos Logísticos Masculino Análise Multivariada Oncologistas/psicologia Aceitação pelo Paciente de Cuidados de Saúde Qualidade de Vida Fatores de Risco Fatores Sexuais Equilíbrio Trabalho-Vida [Pt] Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180309 [Lr] Data última revisão: 180309 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170428 [St] Status: MEDLINE [do] DOI: 10.1093/annonc/mdx196

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[PMID]: 28468783 [Au] Autor: Ramirez FD; Chen Y; Di Santo P; Simard T; Motazedian P; Hibbert B [Ad] Endereço: Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. [Ti] Título: Association Between Self-Reported Potentially Modifiable Cardiac Risk Factors and Perceived Need to Improve Physical Health: A Population-Based Study. [So] Source: J Am Heart Assoc;6(5), 2017 May 03. [Is] ISSN: 2047-9980 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: An individual's perceived need to improve their physical health (PNIPH) is an essential precursor to adopting healthy behaviors. Nine potentially modifiable risk factors (PMRFs) for myocardial infarction collectively account for ≥90% of the population attributable risk. Though widely recognized, their impact on individuals' health perceptions is unclear. METHODS AND RESULTS: Residents from 6 provinces were administered a module on changes to improve health as part of the 2011-2012 Canadian Community Health Survey, yielding relevant data for 8 of the 9 PMRFs sought. The potential effects of PMRFs individually and cumulatively on PNIPH were examined using modified Poisson regression. In total, 45 443 respondents were included, representing 11 006 123 individuals and corresponding to 96.8% of the adult population of the sampled provinces. The sum of PMRFs was positively associated with PNIPH (adjusted prevalence ratio, 1.08; 95% CI, 1.07-1.09 per additional PMRF) with 82.3% of individuals with ≥5 PMRFs reporting this perception. Smoking, obesity, and low physical activity were most strongly associated with PNIPH, whereas hypertension and diabetes mellitus exhibited no association with this outcome after adjusting for potential confounders. Barriers to adopting healthy behaviors were reported by 55.9% of individuals endorsing PNIPH. CONCLUSIONS: The cumulative burden of PMRFs is positively associated with PNIPH; however, individual PMRFs differentially contribute to this perception. Among those at highest cardiac risk, ≈1 in 5 denied PNIPH. A better understanding of factors underlying health perceptions and behaviors is needed to capitalize on cardiovascular preventive efforts. [Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde Conhecimentos, Atitudes e Prática em Saúde Estilo de Vida Saudável Infarto do Miocárdio/prevenção & controle Percepção Comportamento de Redução do Risco Autorrelato [Mh] Termos MeSH secundário: Adolescente Adulto Canadá/epidemiologia Comorbidade Estudos Transversais Exercício Feminino Nível de Saúde Inquéritos Epidemiológicos Dieta Saudável Seres Humanos Masculino Meia-Idade Infarto do Miocárdio/diagnóstico Infarto do Miocárdio/epidemiologia Infarto do Miocárdio/psicologia Valor Preditivo dos Testes Prevalência Fatores de Proteção Medição de Risco Fatores de Risco Estilo de Vida Sedentário Fumar/efeitos adversos Fumar/epidemiologia Abandono do Hábito de Fumar Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180306 [Lr] Data última revisão: 180306 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE

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[PMID]: 28459308 [Au] Autor: Akgöz A; Gözüm S; Ilgaz A [Ad] Endereço: a Public Health Nursing Department , Akdeniz University Faculty of Nursing , Antalya , Turkey. [Ti] Título: A comparative study on perception of body weight of women from different socioeconomic levels. [So] Source: Health Care Women Int;38(8):861-872, 2017 Aug. [Is] ISSN: 1096-4665 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: The purpose of the study was to evaluate perception of body weight (PBW) of women who live in two different regions of the Antalya provincial center in Turkey with different socioeconomic status (SES) and whose ages range from 50 to 65. A cross-sectional survey was conducted. Association with PBW was investigated using multiple logistic regression analyses; correct PBW of women in middle SES was 0.28 times more than those in upper-middle and upper SES. Health professionals should take unemployed women with high body mass index and low SES as a target group. [Mh] Termos MeSH primário: Índice de Massa Corporal Classe Social Percepção de Peso [Mh] Termos MeSH secundário: Idoso Estudos Transversais Feminino Inquéritos Epidemiológicos Seres Humanos Meia-Idade Fatores Socioeconômicos Turquia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180306 [Lr] Data última revisão: 180306 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.1080/07399332.2017.1325487

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[PMID]: 29351551 [Au] Autor: Pérez Barrionuevo AM; Gómez Real F; Igland J; Johannessen A; Omenaas E; Franklin KA; Pérez Barrionuevo L; Åstrøm AN; Svanes C; Bertelsen RJ [Ad] Endereço: Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. [Ti] Título: Periodontal health status and lung function in two Norwegian cohorts. [So] Source: PLoS One;13(1):e0191410, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE AND OBJECTIVES: The oral cavity is united with the airways, and thus poor oral health may affect respiratory health. However, data on the interaction of periodontal and respiratory health is limited. We aimed to evaluate whether periodontal health status, assessed by the Community Periodontal Index (CPI), was related to lung function among young and middle-aged adults in two Norwegian cohorts. METHODS: Periodontal health status and lung function were measured among 656 participants in the Norwegian part of the European Community Respiratory Health Survey (ECHRS III) and the RHINESSA offspring study. Each participant was given a CPI-index from 0 to 4 where higher values reflect poorer periodontal status. The association between CPI and lung function was estimated with linear regression adjusting for age, gender, smoking, body mass index, exercise, education, use of antibiotics, inhaled medication and corrected for clustering within families. MAIN RESULTS: Participants with CPI 3-4 had significantly lower FEV1/FVC ratio compared to participants with CPI 0, b (95% CI) = -0.032 (-0.055, -0.009). Poorer periodontal health was associated with a significant decrease in the FEV1/FVC ratio with an adjusted regression coefficient for linear trend b (95% CI) = -0.009 (-0.015, -0.004) per unit increase in CPI. This negative association remained when excluding asthmatics and smokers (-0.014 (-0.022, -0,006)). CONCLUSIONS: Poorer periodontal health was associated with increasing airways obstruction in a relatively young, healthy population. The oral cavity is united with the airways and our findings indicate an opportunity to influence respiratory health by improving oral health. [Mh] Termos MeSH primário: Pulmão/fisiologia Saúde Bucal Índice Periodontal [Mh] Termos MeSH secundário: Adulto Estudos de Coortes Estudos Transversais Feminino Volume Expiratório Forçado Nível de Saúde Inquéritos Epidemiológicos Seres Humanos Modelos Lineares Masculino Meia-Idade Noruega Doenças Periodontais/fisiopatologia Capacidade Vital Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180305 [Lr] Data última revisão: 180305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180120 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0191410

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[PMID]: 28457202 [Au] Autor: Nguyen AH; Giuliano AR; Mbah AK; Sanchez-Anguiano A [Ad] Endereço: 1 Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, USA. [Ti] Título: HIV/sexually transmitted infections and intimate partner violence: Results from the Togo 2013-2014 Demographic and Health Survey. [So] Source: Int J STD AIDS;28(14):1380-1388, 2017 12. [Is] ISSN: 1758-1052 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Among clinic-based studies, intimate partner violence (IPV) has been shown to contribute to HIV/AIDS among young girls and women. Results from studies among the general population have been less consistent. This study evaluated the associations between HIV infection, any sexually transmitted infections (STIs), and IPV in a population-based sample of Togolese women. Data from the Togo 2013-2014 Demographic and Health Survey were utilized for these analyses. Women aged 15-49, who were currently married, had HIV test results, and answered the Domestic Violence Module were analyzed (n = 2386). Generalized linear mixed-models adjusting for sociodemographic variables, risk behaviors, and cluster effect were used to estimate HIV and STI risks with experience of IPV. HIV prevalence was 2.8%. Prevalence of IPV was 39% among HIV-positive women and 38% among HIV-negative women. Significant associations between IPV and HIV infection were not detected. Adjusted models found significant associations between experience of any IPV and having had STIs (OR 2.05, 95% CI 1.25-3.35). The high rates of violence in this setting warrant community-based interventions that address abuse and gender inequity. These interventions should also discuss the spectrum of STIs in relation to IPV. [Mh] Termos MeSH primário: Infecções por HIV/epidemiologia Violência por Parceiro Íntimo/estatística & dados numéricos Doenças Sexualmente Transmissíveis/epidemiologia Maus-Tratos Conjugais/estatística & dados numéricos [Mh] Termos MeSH secundário: Adulto Estudos Transversais Feminino Inquéritos Epidemiológicos Seres Humanos Meia-Idade Vigilância da População Prevalência Fatores de Risco Togo/epidemiologia Adulto Jovem [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180306 [Lr] Data última revisão: 180306 [Sb] Subgrupo de revista: IM; X [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.1177/0956462417705970

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[PMID]: 29206821 [Au] Autor: Muro-Báez VA; Mendoza-García ME; Vera-López JD; Pérez-Núñez R [Ad] Endereço: Estudiante de la Licenciatura en Sociología, Secretariado Técnico del Consejo Nacional para la Prevención de Accidentes, Secretaría de Salud México, Ciudad de México, México. [Ti] Título: [Analysis of road traffic injuries in Mexican cyclists]. [Ti] Título: Análisis de las lesiones causadas por el tránsito sufridas por ciclistas en México.. [So] Source: Gac Med Mex;153(6):653-661, 2017 Nov-Dec. [Is] ISSN: 0016-3813 [Cp] País de publicação: Mexico [La] Idioma: spa [Ab] Resumo: With the objective of analyzing fatal and non-fatal road traffic injuries in cyclists and to document helmet use in this road user to inform sustainable mobility policies, a descriptive analysis of four secondary official information sources was conducted at the national level: mortality, Ministry of Health's hospital discharges, Unintentional and Violence Registry System (SIS-SS-17-P) and the 2012 National Health and Nutrition Survey (ENSANUT). Only SIS-SS-17-P and ENSANUT document helmet use. Except for ENSANUT information analyzed is of 2014.A total of 190 cyclists died in Mexico during 2014 and 392 were hospitalized; head was the anatomical region most frequently affected (63% and 32%, respectively). Only 0.75% of the 667 cases registered in SIS-17 reported helmet use and 24% suffered head injuries. Of the 165,348 non-fatally injured cyclists from ENSANUT <10% used helmet, 24% had head injuries and more than 16,000 suffered permanent injuries. Whereas cyclist-friendly infrastructure is an effective intervention to prevent injuries in the long term, helmet use could potentially reduce the frequency and severity of head injuries in the short run while bicycle use widespread as a means of transportation providing "safety in numbers". [Mh] Termos MeSH primário: Acidentes de Trânsito/estatística & dados numéricos Ciclismo/lesões Traumatismos Craniocerebrais/epidemiologia Ferimentos e Lesões/epidemiologia [Mh] Termos MeSH secundário: Adolescente Adulto Idoso Ciclismo/estatística & dados numéricos Criança Estudos Transversais Feminino Dispositivos de Proteção da Cabeça/utilização Inquéritos Epidemiológicos Hospitalização/estatística & dados numéricos Seres Humanos Masculino México Meia-Idade Sistema de Registros Índices de Gravidade do Trauma Ferimentos e Lesões/mortalidade Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE [do] DOI: 10.24875/GMM.17002632

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[PMID]: 28470441 [Au] Autor: Stallknecht SE; Strandberg-Larsen K; Hestbæk L; Andersen AN [Ad] Endereço: Department of Public Health, Section of Social Medicine, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen, Denmark. stallknecht.se@gmail.com. [Ti] Título: Spinal pain and co-occurrence with stress and general well-being among young adolescents: a study within the Danish National Birth Cohort. [So] Source: Eur J Pediatr;176(6):807-814, 2017 Jun. [Is] ISSN: 1432-1076 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: This study aims to describe the patterns in low back, mid back, and neck pain complaints in young adolescents from the Danish National Birth Cohort (DNBC) and to investigate the co-occurrence of spinal pain and stress and general well-being, respectively. Cross-sectional data from the 11-year follow-up of DNBC were used. As part of a web-based survey, a total of 45,371 young adolescents between 10 and 14 years old completed the Young Spine Questionnaire, the Stress in Children Questionnaire, and a one-item question on general well-being. Associations between spinal pain and, respectively, stress and general well-being were estimated by means of multiple logistic regression models. Almost one fifth of boys and one quarter of girls reported spinal pain. Compared with adolescents who reported no stress, adolescents reporting medium and high values of stress had odds ratios (OR) of 2.19 (95% CI 2.08-2.30) and 4.73 (95% CI 4.28-5.23), respectively, of reporting spinal pain (adjusted for age, gender, and maternal education). Adolescents who reported poor general well-being had an OR of 2.50 (95% CI 2.31-2.72) for reporting spinal pain compared to adolescents with good general well-being. CONCLUSION: Spinal pain is a common complaint among young adolescents and co-occurs with stress and poor general well-being. The mutual dependency between the factors remained to be explained. What is Known: • The prevalence of spinal pain increases rapidly during childhood and adolescence, but different measurement instruments result in great variation in the estimates of spinal pain in children and adolescents. • Some studies have shown that different psychosocial measures are associated with spinal pain in children and adolescents. What is New: • Spinal pain, as measured by the newly developed and validated Young Spine Questionnaire, is a common complaint in young adolescents aged 10-14 years. • Spinal pain in young adolescents co-occurs with stress and poor general well-being. [Mh] Termos MeSH primário: Saúde do Adolescente/estatística & dados numéricos Dor nas Costas/epidemiologia Estresse Psicológico/epidemiologia [Mh] Termos MeSH secundário: Adolescente Dor nas Costas/complicações Dor nas Costas/diagnóstico Dor nas Costas/psicologia Estudos de Casos e Controles Criança Estudos de Coortes Estudos Transversais Dinamarca/epidemiologia Feminino Inquéritos Epidemiológicos Seres Humanos Modelos Logísticos Masculino Razão de Chances Prevalência Estresse Psicológico/complicações Estresse Psicológico/diagnóstico [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1007/s00431-017-2915-y

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[PMID]: 28467097 [Au] Autor: Oiye S; Mwanda W; Mugambi M; Filteau S; Owino V [Ad] Endereço: 1 University of Nairobi Institute of Tropical and Infectious Diseases (UNITID) , Nairobi, Kenya . [Ti] Título: Exclusive Breastfeeding Is More Common Among HIV-Infected Than HIV-Uninfected Kenyan Mothers at 6 Weeks and 6 Months Postpartum. [So] Source: Breastfeed Med;12:283-289, 2017 06. [Is] ISSN: 1556-8342 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To compare breastfeeding practices determined by mothers' own recall versus a stable isotope technique (deuterium oxide dilution) among human immunodeficiency virus (HIV)-infected and HIV-uninfected mothers at 6 weeks and 6 months postpartum. METHODS: Exclusive breastfeeding (EBF) rates were assessed cross-sectionally at 6 weeks and 6 months postpartum among 75 HIV-positive and 68 HIV-negative women attending postnatal care. EBF was derived from maternal 24-hour recall of foods that were fed to the infant and by objective measurement of nonhuman milk-water intake using deuterium oxide (DO) dilution technique. RESULTS: Multivariable logistic analyses were adjusted for infant sex, gravidity, maternal age, marital status, and maternal education. Using recall method, a greater proportion of HIV-infected mothers exclusively breastfed than HIV-uninfected mothers both at 6 weeks postpartum [94.1% versus 76.9%, respectively (adjusted odds ratio [aOR] 7.81; 95% confidence interval [CI] 1.9-31.6, p = 0.004)] and at 6 months postpartum [75% versus 59.7%, respectively (aOR 2.27; 95% CI 1.0-5.3, p = 0.058)]. At 6 weeks postpartum EBF rates from the DO technique were 23.5% and 13.8% for HIV-positive and HIV-negative mothers, respectively (aOR 0.35; 95% CI 0.11-1.04, p = 0.059). At 6 months postpartum, the DO technique determined EBF rates were 43.3% among HIV-positive and 24.2% among HIV-negative mothers, respectively (aOR 2.4; 95% CI 1.0-5.7, p = 0.048). CONCLUSIONS: HIV-infected mothers are more likely to exclusively breastfeed compared with HIV-uninfected mothers. In this resource-poor setting, maternal recall overestimates EBF rates as compared with the deuterium oxide dilution technique. Validating EBF recall data using the objective DO technique is highly recommended for accurate tracking toward global targets on breastfeeding practices. [Mh] Termos MeSH primário: Aleitamento Materno/estatística & dados numéricos Infecções por HIV/epidemiologia Mães Período Pós-Parto [Mh] Termos MeSH secundário: Adulto Fármacos Anti-HIV/uso terapêutico Estudos Transversais Óxido de Deutério Feminino Infecções por HIV/tratamento farmacológico Infecções por HIV/transmissão Comportamentos Relacionados com a Saúde Inquéritos Epidemiológicos Seres Humanos Técnicas de Diluição do Indicador/instrumentação Lactente Fenômenos Fisiológicos da Nutrição do Lactente Recém-Nascido Quênia Masculino Rememoração Mental Leite Humano/química Mães/psicologia Mães/estatística & dados numéricos Cooperação do Paciente Gravidez Autorrelato [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (Anti-HIV Agents); J65BV539M3 (Deuterium Oxide) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180302 [Lr] Data última revisão: 180302 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170504 [St] Status: MEDLINE [do] DOI: 10.1089/bfm.2016.0126

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[PMID]: 27771960 [Au] Autor: Tenkorang EY [Ad] Endereço: a Department of Sociology , Memorial University of Newfoundland , St. John's , Canada. [Ti] Título: Early onset of type 2 diabetes among visible minority and immigrant populations in Canada. [So] Source: Ethn Health;22(3):266-284, 2017 Jun. [Is] ISSN: 1465-3419 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Type 2 diabetes is a chronic condition that affects nearly over three million Canadians, including immigrants. The timing of the first onset of diabetes has been linked to several other severe diseases. Yet, there is a dearth of empirical studies that examine the timing of the first onset of diabetes among Canadians, in general, and among immigrants and ethnic minority populations within Canada, in particular. DESIGN: Applying event history techniques to the 2013 Canadian Community and Health Survey, we address this research void by examining factors that contribute to the first onset of diabetes among immigrant and visible minority populations in Canada (N = 8905). Given the gendered patterns in the epidemiology of diseases and the differences in risk factors for men and women, gender-specific models were estimated. RESULTS: Results showed that South Asian, Black and Filipino women developed diabetes earlier, compared to women from the UK. Similarly, South Asian, Chinese, Filipino, Black, South East Asian and Arab men developed diabetes earlier than men from the UK. A significant and important finding of this analysis was that the risks of developing diabetes vanished completely for Black and Filipino women, after accounting for lifestyle factors. For South Asian women, however, there was significant attenuation in their risks after accounting for lifestyle factors. The findings were strikingly different for immigrant men. Specifically, their risks of developing diabetes increased after accounting for lifestyle factors. CONCLUSIONS: These results suggest the development of gender-specific and lifestyle interventions, targeted at specific immigrant groups with increased risks of developing diabetes earlier in the life course. [Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/etnologia Emigrantes e Imigrantes/estatística & dados numéricos Estilo de Vida Grupos Minoritários/estatística & dados numéricos [Mh] Termos MeSH secundário: Adolescente Adulto Grupo com Ancestrais do Continente Africano/etnologia Idade de Início Idoso Árabes/estatística & dados numéricos Ásia Sudeste/etnologia Canadá Criança China/etnologia Feminino Inquéritos Epidemiológicos Seres Humanos Estilo de Vida/etnologia Masculino Meia-Idade Filipinas/etnologia Fatores de Risco Fatores Sexuais Reino Unido/etnologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161025 [St] Status: MEDLINE [do] DOI: 10.1080/13557858.2016.1244623

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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