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[PMID]:28208158
[Au] Autor:Kim SJ; Rosen B; Fan I; Ivanova A; McLaughlin JR; Risch H; Narod SA; Kotsopoulos J
[Ad] Endereço:Women's College Research Institute, Women's College Hospital, 76 Grenville, Toronto, ON, Canada.
[Ti] Título:Epidemiologic factors that predict long-term survival following a diagnosis of epithelial ovarian cancer.
[So] Source:Br J Cancer;116(7):964-971, 2017 Mar 28.
[Is] ISSN:1532-1827
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Various epidemiologic factors have been shown to influence the risk of ovarian cancer development. Given the high fatality associated with this disease, it is of interest to evaluate the association of prediagnostic hormonal, reproductive, and lifestyle exposures with ovarian cancer-specific survival. METHODS: We included 1421 patients with invasive epithelial ovarian cancer diagnosed in Ontario, Canada. Clinical information was obtained from medical records and prediagnostic exposure information was collected by telephone interview. Survival status was determined by linkage to the Ontario Cancer Registry. Proportional hazards regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for ovarian cancer-specific mortality associated with each exposure. Analyses were stratified by histologic subtype to further investigate the associations of risk factors on ovarian cancer-specific mortality. RESULTS: After a mean follow-up of 9.48 years (range 0.59-20.32 years), 655 (46%) women had died of ovarian cancer. Parity (ever) was associated with a significant 29% decreased mortality risk compared with nulliparity (HR=0.71; 95% CI 0.54-0.93; P=0.01). There was a borderline significant association between ever use of oestrogen-containing hormone replacement therapy (HRT) and mortality (HR=0.79; 95% CI 0.62-1.01; P=0.06). A history of cigarette smoking was associated with a significant 25% increased risk of death compared with never smoking (HR=1.25; 95% CI 1.01-1.54; P=0.04). Women with a greater cumulative number of ovulatory cycles had a significantly decreased risk of ovarian cancer-specific death (HR=0.63; 95% CI 0.43-0.94; P=0.02). Increasing BMI (kg m ) 5 years before diagnosis was associated with an increased risk of death (HR=1.17; 95% CI 1.07-1.28; P=0.0007). Other hormonal or lifestyle factors were not significantly associated with ovarian cancer-specific mortality. CONCLUSIONS: Parity, ovulatory cycles, smoking, and BMI may affect survival following the diagnosis of ovarian cancer. Whether or not oestrogen-containing HRT use is beneficial for survival requires further evaluation.
[Mh] Termos MeSH primário: Adenocarcinoma de Células Claras/mortalidade
Adenocarcinoma Mucinoso/mortalidade
Cistadenocarcinoma Seroso/mortalidade
Neoplasias do Endométrio/mortalidade
Terapia de Reposição Hormonal/mortalidade
Neoplasias Ovarianas/mortalidade
[Mh] Termos MeSH secundário: Adenocarcinoma de Células Claras/diagnóstico
Adenocarcinoma de Células Claras/epidemiologia
Adenocarcinoma Mucinoso/diagnóstico
Adenocarcinoma Mucinoso/epidemiologia
Adulto
Idoso
Canadá/epidemiologia
Cistadenocarcinoma Seroso/diagnóstico
Cistadenocarcinoma Seroso/epidemiologia
Neoplasias do Endométrio/diagnóstico
Neoplasias do Endométrio/epidemiologia
Fatores Epidemiológicos
Feminino
Seguimentos
Seres Humanos
Meia-Idade
Invasividade Neoplásica
Estadiamento de Neoplasias
Neoplasias Ovarianas/diagnóstico
Neoplasias Ovarianas/epidemiologia
Paridade
Gravidez
Prognóstico
História Reprodutiva
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170525
[Lr] Data última revisão:
170525
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.1038/bjc.2017.35


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[PMID]:27960575
[Au] Autor:Roland CL; Setnik B; Brown DA
[Ad] Endereço:a Clinical Development and Outcomes & Evidence , Pfizer Inc , Durham , NC , USA.
[Ti] Título:Assessing the impact of abuse-deterrent opioids (ADOs): identifying epidemiologic factors related to new entrants with low population exposure.
[So] Source:Postgrad Med;129(1):12-21, 2017 Jan.
[Is] ISSN:1941-9260
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Prescription opioid misuse and abuse is a serious public health concern that can lead to overdose, addiction, and death. The development of opioid formulations designed to deter misuse and abuse is considered an important step towards addressing the problem, but the extent to which abuse-deterrent opioids (ADOs) actually deter abuse in the community requires confirmation through epidemiologic studies. Epidemiologic evaluations of misuse and abuse present several unique challenges related to study design, sources of data, and methodology, particularly for new entrant ADOs with low population exposure. The purpose of this article is to review the critical methodologic issues that must be considered when designing an epidemiologic evaluation of prescription opioid misuse and abuse, and deterrence for new entrant ADOs. METHODS: A systematic feasibility assessment was conducted by critically evaluating and applying epidemiologic principles to combinations of epidemiology study design, study directionality, population, data source, clinical and patient-reported endpoints, type of comparator, effect size, and the ability to control for confounding variables. RESULTS: Ten epidemiologic factors were identified that are considered key to an epidemiologic evaluation, and the issues associated with each are summarized. CONCLUSION: Given the low population exposure of new entrant ADOs, there is limited feasibility in conducting the epidemiologic studies necessary to evaluate the effectiveness of these products in deterring abuse. Clear regulatory guidance is needed.
[Mh] Termos MeSH primário: Analgésicos Opioides/química
Analgésicos Opioides/uso terapêutico
Química Farmacêutica
Dor Crônica/tratamento farmacológico
Transtornos Relacionados ao Uso de Opioides/epidemiologia
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Uso Indevido de Medicamentos sob Prescrição/estatística & dados numéricos
[Mh] Termos MeSH secundário: Fatores Epidemiológicos
Seres Humanos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170206
[Lr] Data última revisão:
170206
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161215
[St] Status:MEDLINE
[do] DOI:10.1080/00325481.2017.1272397


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[PMID]:28155747
[Au] Autor:Barnay T; Videau Y
[Ti] Título:Regards d’économistes sur les déterminants de la santé et les mécanismes d’incitations à la prévention..
[So] Source:Sante Publique;28(4):435-437, 2016 Oct 19.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Mh] Termos MeSH primário: Efeitos Psicossociais da Doença
Fatores Epidemiológicos
Custos de Cuidados de Saúde
Indicadores Básicos de Saúde
Participação do Paciente/métodos
Medicina Preventiva
Saúde Pública/economia
[Mh] Termos MeSH secundário: Necessidades e Demandas de Serviços de Saúde/economia
Necessidades e Demandas de Serviços de Saúde/organização & administração
Seres Humanos
Benefícios do Seguro
Modelos Econométricos
Participação do Paciente/economia
Medicina Preventiva/economia
Medicina Preventiva/organização & administração
Fatores Socioeconômicos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE


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[PMID]:27977756
[Au] Autor:Sun X; Bernabé E; Liu X; Gallagher JE; Zheng S
[Ad] Endereço:Department of Preventive Dentistry, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Haidian District, Beijing, People's Republic of China.
[Ti] Título:Determinants of Catastrophic Dental Health Expenditure in China.
[So] Source:PLoS One;11(12):e0168341, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study explored catastrophic health expenditure in China, due to out-of-pocket payments for dental care, and its associated individual- and contextual-level factors. We pooled data from 31,566 adults who participated in the third National Oral Health Survey with province-level data from different sources. We defined catastrophic dental health expenditure (CDHE) as payments for dental services and/or medication for dental problems during the last year that exceeded the 10% and 20% of the household income. The association of individual and contextual factors with catastrophic dental health expenditure was evaluated using two-level logistic regression models with individuals nested within provinces. Socioeconomic position (education and household income), household size and dental status (pain in teeth or mouth and number of teeth) were the individual-level factors associated with CDHE among the full sample of participants; and, also, among those who used dental services in the past year. Greater gross domestic product per capita was the only contextual factor associated with CDHE, and only at the lower income threshold. This study shows that out-of-pocket expenses for dental services may put a considerable, and unnecessary, burden on households' finances. Our findings also help characterise those households more likely to face catastrophic expenditure on health if they have to pay for dental services.
[Mh] Termos MeSH primário: Doença Catastrófica/economia
Doença Catastrófica/epidemiologia
Efeitos Psicossociais da Doença
Assistência Odontológica/economia
Assistência Odontológica/estatística & dados numéricos
Gastos em Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Doença Catastrófica/terapia
Criança
Pré-Escolar
China/epidemiologia
Inquéritos de Saúde Bucal
Fatores Epidemiológicos
Feminino
Financiamento Pessoal/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Saúde Bucal
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161216
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0168341


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[PMID]:27931290
[Au] Autor:Gupta RS; Singh AM; Walkner M; Caruso D; Bryce PJ; Wang X; Pongracic JA; Smith BM
[Ad] Endereço:Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
[Ti] Título:Hygiene factors associated with childhood food allergy and asthma.
[So] Source:Allergy Asthma Proc;37(6):140-146, 2016 Nov.
[Is] ISSN:1539-6304
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Childhood food allergy and asthma rates are increasing. The hygiene hypothesis has been proposed as an explanation for the increased incidence of allergic disease. OBJECTIVE: To describe the association of childhood food allergy and asthma with hygiene factors, such as the number of siblings, antibiotic use, infection history, pet exposure, child care exposure, and maternalchild factors. METHODS: Children ages 021 years old (N = 1359) were recruited for a cross-sectional family-based study, including children with food allergy and children without food allergy, and their siblings. We assessed the associations between childhood food allergy and asthma with hygiene factors. RESULTS: Of the 1359 children, 832 (61.2%) had food allergy, and 406 (30%) had asthma. In the adjusted analysis, the prevalence of food allergy was increased if there was a history of skin infection (prevalence ratio [RRR] 1.12 [95% confidence interval {CI}, 1.011.24]) or eczema (RRR 1.89 [95% CI, 1.702.10]). The prevalence of asthma was increased with a history of respiratory syncytial virus infection (RRR 1.60 [95% CI, 1.341.90]) or eczema (RRR 1.54 [95% CI, 1.271.86]). A greater number of siblings were associated with a decreased prevalence of food allergy (RRR 0.79 [95% CI, 0.750.84]) and asthma (RRR 0.82 [95% CI, 0.740.91]). CONCLUSION: Our findings supported the accumulating evidence of an association between skin infections and eczema with food allergy. Because these results could be subject to recall bias, additional prospective studies are needed to substantiate these findings.
[Mh] Termos MeSH primário: Asma/epidemiologia
Asma/etiologia
Hipersensibilidade Alimentar/epidemiologia
Hipersensibilidade Alimentar/etiologia
Higiene
[Mh] Termos MeSH secundário: Adolescente
Animais
Antibacterianos/efeitos adversos
Antibacterianos/uso terapêutico
Asma/diagnóstico
Criança
Pré-Escolar
Estudos Transversais
Exposição Ambiental
Fatores Epidemiológicos
Feminino
Seres Humanos
Imunoglobulina E/imunologia
Recém-Nascido
Infecção/complicações
Infecção/tratamento farmacológico
Infecção/microbiologia
Masculino
Animais de Estimação
Vigilância da População
Prevalência
Fatores de Risco
Testes Cutâneos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 37341-29-0 (Immunoglobulin E)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE


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[PMID]:27341678
[Au] Autor:Ghane Kisomi M; Wong LP; Tay ST; Bulgiba A; Zandi K; Kho KL; Koh FX; Ong BL; Jaafar T; Hassan Nizam QN
[Ad] Endereço:Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
[Ti] Título:Factors Associated with Tick Bite Preventive Practices among Farmworkers in Malaysia.
[So] Source:PLoS One;11(6):e0157987, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Farmworkers are at high-risk for tick bites, which potentially transmit various tick-borne diseases. Previous studies show that personal prevention against tick bites is key, and certain factors namely, knowledge, experience of tick bites, and health beliefs influence compliance with tick bites preventive behaviour. This study aimed to assess these factors and their associations with tick bite preventive practices among Malaysian farmworkers. METHODS: A total of eight cattle, goat and sheep farms in six states in Peninsular Malaysia participated in a cross-sectional survey between August and October 2013. RESULTS: A total of 151 (72.2%) out of 209 farmworkers answered the questionnaire. More than half of the farmworkers (n = 91) reported an experience of tick bites. Farms with monthly acaricide treatment had significantly (P<0.05) a low report of tick bites. Tick bite exposure rates did not differ significantly among field workers and administrative workers. The mean total knowledge score of ticks for the overall farmworkers was 13.6 (SD±3.2) from 20. The mean total tick bite preventive practices score for all farmworkers was 8.3 (SD±3.1) from 15. Fixed effect model showed the effects of four factors on tick bite prevention: (1) farms, (2) job categories (administrative workers vs. field workers), (3) perceived severity of tick bites, and (4) perceived barriers to tick bite prevention. CONCLUSIONS: A high proportion of farmworkers, including administrative workers, reported an experience of tick bites. The effectiveness of monthly acaricide treatment was declared by low reports of tick bites on these farms. Tick bite preventive practices were insufficient, particularly in certain farms and for administrative workers. Our findings emphasise the need to have education programmes for all farmworkers and targeting farms with low prevention practices. Education and health programmes should increase the perception of the risk of tick bites and remove perceived barriers of tick bite prevention.
[Mh] Termos MeSH primário: Fazendeiros
Picadas de Carrapatos/prevenção & controle
Doenças Transmitidas por Carrapatos/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Animais
Estudos Transversais
Fatores Epidemiológicos
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Malásia/epidemiologia
Masculino
Meia-Idade
Vigilância em Saúde Pública
Fatores Socioeconômicos
Doenças Transmitidas por Carrapatos/terapia
Doenças Transmitidas por Carrapatos/transmissão
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160625
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0157987


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[PMID]:27145835
[Au] Autor:De Silva AP; De Silva SH; Haniffa R; Liyanage IK; Jayasinghe KS; Katulanda P; Wijeratne CN; Wijeratne S; Rajapakse LC
[Ad] Endereço:Department of Community Medicine, Faculty of Medicine, University of Colombo, No. 25, P.O. Box 271, Kynsey Road, Colombo 08, Sri Lanka. pubududesilva@ymail.com.
[Ti] Título:A survey on socioeconomic determinants of diabetes mellitus management in a lower middle income setting.
[So] Source:Int J Equity Health;15:74, 2016 May 04.
[Is] ISSN:1475-9276
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Information on socioeconomic determinants in the management of diabetes mellitus is scarce in lower middle income countries. The aim of this study is to describe the socioeconomic determinants of management and complications of diabetes mellitus in a lower middle income setting. METHODS: Cross sectional descriptive study on a stratified random sample of 1300 individuals was conducted by an interviewer administered questionnaire, clinical examinations and blood investigations. A single fasting venous blood sugar of ≥126 mg/dl was considered diagnostic of new diabetics and poor control of diabetes mellitus as HbA1C > 6.5 %. RESULTS: There were 202 (14.7 %) with diabetes mellitus. Poor control was seen in 130 (90.7 %) while 71 (49.6 %) were not on regular treatment. Highest proportions of poor control and not on regular medication were observed in estate sector, poorest social status category and poorest geographical area. The annual HbA1C, microalbuminuria, retinal and neuropathy examination were performed in less than 6.0 %. Social gradient not observed in the management lapses. Most (76.6 %) had accessed private sector while those in estate (58.1 %) accessed the state system. The microvascular complications of retinopathy, neuropathy and microalbuminuria observed in 11.1 %, 79.3 % and 54.5 % respectively. Among the macrovascular diseases, angina, ischaemic heart disease and peripheral arterial disease seen in 15.5 %, 15.7 % and 5.5 % respectively. These complications do not show a social gradient. CONCLUSIONS: Diabetes mellitus patients, irrespective of their socioeconomic status, are poorly managed and have high rates of complications. Most depend on the private healthcare system with overall poor access to care in the estate sector.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/etiologia
Diabetes Mellitus Tipo 2/psicologia
Fatores Epidemiológicos
Fatores Socioeconômicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Glicemia/análise
Estudos Transversais
Diabetes Mellitus Tipo 2/sangue
Feminino
Hemoglobina A Glicada/análise
Seres Humanos
Masculino
Meia-Idade
Pobreza/psicologia
Pobreza/estatística & dados numéricos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Glycated Hemoglobin A)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160506
[St] Status:MEDLINE
[do] DOI:10.1186/s12939-016-0363-3


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[PMID]:27028070
[Au] Autor:Dobson AD; Auld SK
[Ti] Título:Epidemiological Implications of Host Biodiversity and Vector Biology: Key Insights from Simple Models.
[So] Source:Am Nat;187(4):405-22, 2016 Apr.
[Is] ISSN:1537-5323
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Models used to investigate the relationship between biodiversity change and vector-borne disease risk often do not explicitly include the vector; they instead rely on a frequency-dependent transmission function to represent vector dynamics. However, differences between classes of vector (e.g., ticks and insects) can cause discrepancies in epidemiological responses to environmental change. Using a pair of disease models (mosquito- and tick-borne), we simulated substitutive and additive biodiversity change (where noncompetent hosts replaced or were added to competent hosts, respectively), while considering different relationships between vector and host densities. We found important differences between classes of vector, including an increased likelihood of amplified disease risk under additive biodiversity change in mosquito models, driven by higher vector biting rates. We also draw attention to more general phenomena, such as a negative relationship between initial infection prevalence in vectors and likelihood of dilution, and the potential for a rise in density of infected vectors to occur simultaneously with a decline in proportion of infected hosts. This has important implications; the density of infected vectors is the most valid metric for primarily zoonotic infections, while the proportion of infected hosts is more relevant for infections where humans are a primary host.
[Mh] Termos MeSH primário: Vetores Aracnídeos
Biodiversidade
Culicidae/fisiologia
Fatores Epidemiológicos
Insetos Vetores
Modelos Teóricos
Carrapatos/fisiologia
[Mh] Termos MeSH secundário: Animais
Comportamento Alimentar
Interações Hospedeiro-Parasita
Seres Humanos
Densidade Demográfica
Zoonoses
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160331
[St] Status:MEDLINE
[do] DOI:10.1086/685445


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[PMID]:26975532
[Au] Autor:Freitas-Simoes TM; Ros E; Sala-Vila A
[Ad] Endereço:Lipid Clinic, Endocrinology and Nutrition Service, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
[Ti] Título:Nutrients, foods, dietary patterns and telomere length: Update of epidemiological studies and randomized trials.
[So] Source:Metabolism;65(4):406-15, 2016 Apr.
[Is] ISSN:1532-8600
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Identifying simple strategies to prevent or delay age-associated pathologies is a major public health concern. Attrition of telomeres, chromatin structures that help maintain genome stability, leads to cell death or senescence. Thus telomere length is a reliable hallmark of biological aging and the risk of developing age-related chronic diseases through common oxidation and inflammation mechanisms. Variability in telomere shortening that is independent of chronological age suggests that it is a modifiable factor, which may be explained in part by lifestyle variables such as smoking, adiposity, physical exercise, and diet. Here we summarize data from published studies focused on nutrition (nutrients, foods, and dietary patterns) and telomere length. Research on the topic is incipient and most data comes from epidemiologic studies, often cross-sectional in design. Consistent with well-known evidence of benefit or harm for chronic age-related diseases, dietary antioxidants and consumption of antioxidant-rich, plant-derived foods help maintain telomere length. In contrast, total and saturated fat intake and consumption of refined flour cereals, meat and meat products, and sugar-sweetened beverages relate to shorter telomeres. Data on alcohol and dairy products is controversial. There is evidence that adherence to the Mediterranean diet is associated with longer telomeres. Randomized clinical trials are limited to seafood-derived long-chain n-3 polyunsaturated fatty acids, with promising results. To fill the many gaps in our knowledge of the aging process and confirm nutrition as a useful tool to counteract biological aging more research is warranted, particularly observational studies using repeated measurements of telomere length and randomized trials of foods and dietary patterns with sequential telomere analyses.
[Mh] Termos MeSH primário: Dieta
Fatores Epidemiológicos
Estado Nutricional
Encurtamento do Telômero
Telômero/fisiologia
Telômero/ultraestrutura
[Mh] Termos MeSH secundário: Animais
Dieta Mediterrânea
Alimentos
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160315
[Lr] Data última revisão:
160315
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160316
[St] Status:MEDLINE


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[PMID]:26960962
[Au] Autor:Abebe Abate B; Admassu Wossen B; Tilahun Degfie T
[Ad] Endereço:Department of Social and Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. bediluab@gmail.com.
[Ti] Título:Determinants of intimate partner violence during pregnancy among married women in Abay Chomen district, Western Ethiopia: a community based cross sectional study.
[So] Source:BMC Womens Health;16:16, 2016 Mar 10.
[Is] ISSN:1472-6874
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Intimate partner violence during pregnancy is the most common form of violence that harms the health of women and the fetus but practiced commonly in developing countries. There is scarcity of information regarding intimate partner violence during pregnancy in Ethiopia. Thus, this study aimed to assess the prevalence and associated factors of intimate partner violence during recent pregnancy in Abay Chomen district, Western Ethiopia. METHODS: Community based cross sectional study was conducted among married pregnant women in Abay Chomen district in April, 2014 using a standard WHO multi-country study questionnaire. Two hundred eighty two randomly selected pregnant women aged 15-49 years participated in the study. Logistic regression and multivariate analysis were employed. RESULTS: The prevalence of intimate partner violence during recent pregnancy was 44.5% (95% CI, 32.6, 56.4). More than half 157 (55.5%) experienced all three forms of intimate partner violence during recent pregnancy. The joint occurrence of intimate partner physical and psychological violence during recent pregnancy as well as joint occurrence of intimate partner physical and sexual violence was 160 (56.5%). Pregnant women who were ever lived with their partner's family were 46% less likely to experience recent intimate partner violence. Dowry payment decreases intimate partner violence during recent pregnancy (AOR 0.09, 95% CI 0.04, 0.2) and pregnant women who didn't undergo marriage ceremony during their marriage were 79% are less likely to experience violence (AOR 0.21, 95% CI 0.1, 0.44). CONCLUSION: Nearly half of interviewed pregnant women experienced intimate partner violence during pregnancy implying the prevalence of such practice in the study site. To that end, increasing community awareness about the consequences of the practice could be important. Moreover, as health extension workers works closely with households, they could be crucial players to increase community awareness about intimate partner violence on pregnant mothers and halt it or its risk factors.
[Mh] Termos MeSH primário: Fatores Epidemiológicos
Conflito Familiar/psicologia
Relações Interpessoais
Violência por Parceiro Íntimo/estatística & dados numéricos
[Mh] Termos MeSH secundário: Estudos Transversais
Etiópia/epidemiologia
Feminino
Seres Humanos
Violência por Parceiro Íntimo/psicologia
Gravidez
Prevalência
Fatores de Risco
Delitos Sexuais/psicologia
Parceiros Sexuais/psicologia
Violência/psicologia
Violência/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170924
[Lr] Data última revisão:
170924
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160311
[St] Status:MEDLINE
[do] DOI:10.1186/s12905-016-0294-6



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