Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-21T13:17:45Z No. of bitstreams: 1 WilmaMariaDaCostaMedeiros_TESE.pdf: 1291691 bytes, checksum: 21ca1efae5ecd551cf1c7041795af6af (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-26T18:11:28Z (GMT) No. of bitstreams: 1 WilmaMariaDaCostaMedeiros_TESE.pdf: 1291691 bytes, checksum: 21ca1efae5ecd551cf1c7041795af6af (MD5) / Made available in DSpace on 2018-03-26T18:11:28Z (GMT). No. of bitstreams: 1 WilmaMariaDaCostaMedeiros_TESE.pdf: 1291691 bytes, checksum: 21ca1efae5ecd551cf1c7041795af6af (MD5) Previous issue date: 2017-12-22 / Introdu??o: Os acidentes de transporte terrestre se constituem em relevante problema de sa?de p?blica mundial dada a sua magnitude e transcend?ncia, bem como ao alto custo humano e material que acarreta a sociedade. Em fun??o do aumento dos sobreviventes de acidentes de transporte terrestre com les?es leves e graves, nos ?ltimos anos, conhecer as v?timas sob o ponto de vista de caracter?sticas epidemiol?gicas e a percep??o do estado de sa?de, torna-se ?til para melhor monitorar as v?timas pelos sistemas de sa?de. Objetivo: Estimar a preval?ncia e identificar os fatores associados aos acidentes de transporte terrestre, bem como seus efeitos sobre a sa?de autorreferida da popula??o brasileira, segundo a Pesquisa Nacional de Sa?de, 2013. M?todo: Estudo de associa??o de fatores que utilizou dados da Pesquisa Nacional de Sa?de, realizada em 2013, atrav?s do inqu?rito populacional de base domiciliar, pelo Minist?rio da Sa?de e Funda??o Oswaldo Cruz, em parceria com Instituto Brasileiro de Geografia e Estat?stica, realizada no per?odo de agosto de 2013 a fevereiro de 2014. Para a an?lise dos dados foram calculadas as frequ?ncias relativas dos aspectos relacionados aos acidentes de transporte terrestre e da sa?de autorreferida, para fins de caracteriza??o da popula??o de estudo. As associa??es foram verificadas pelo teste Qui-Quadrado, considerando-se um n?vel de signific?ncia de 5%. Na sequ?ncia foram estimadas as raz?es de preval?ncia bruta e ajustadas, utilizando regress?o de Poisson com vari?ncia robusta, n?veis de signific?ncia de 0,05. Para estimar as raz?es de preval?ncia ajustadas, inicialmente foi realizada an?lise bivariada, que verificou associa??o dos acidentes de transporte terrestre com as vari?veis sociodemogr?ficas e as relacionadas aos aspectos da ocorr?ncia; da sa?de autorreferida com as vari?veis sociodemogr?ficas, socioecon?mica e aspecto inerente ? consequ?ncia do evento. As associa??es que apresentaram valor de p<0,05 foram inclu?das no modelo multivariado. Resultados: Do total de entrevistados na Pesquisa Nacional de Sa?de, 3,2% dos indiv?duos relataram ter sofrido acidentes de transporte terrestre no Brasil. Na an?lise de acidentes de transporte terrestre, vari?veis sociodemogr?ficas e aspectos envolvidos no evento, os indiv?duos do sexo masculino (RP=1,46 e IC95%: 1,22?1,75), que relataram n?o serem casados (RP=1,30 e IC95%: 1,12?1,52), dirigirem motocicleta (RP=2,41 e IC95%: 1,84?3,15) apresentaram maior probabilidade de referir envolvimento em acidente de transporte terrestre. As vari?veis idade e frequ?ncia com que anda de moto mostraram associa??o inversa com o desfecho. Na an?lise da sa?de autorreferida, vari?veis sociodemogr?ficas e socioecon?mica, os indiv?duos v?timas de acidentes de transporte terrestre que sofreram sequelas e/ou incapacidades (RP=1,51 e IC95%: 1,17?1,96), com mais de 40 anos (RP=1,75 e IC95%: 1,35?2,27), pertencentes tanto ? classe social D e E (RP=2,82 e IC95%: 1,58?5,00) quanto a C (RP=2,60 e IC95%: 1,49?4,54) apresentaram maior probabilidade de autoavaliar o estado de sa?de como prec?rio. Faz-se necess?rio destacar ainda, que sequela e/ou incapacidade ? a vari?vel independente principal e as demais s?o de ajuste. Conclus?es: Os acidentes de transporte terrestre no Brasil s?o mais prevalentes em motociclistas, do sexo masculino e n?o casado. J? os que sofreram sequelas nos acidentes, com idade mais avan?ada e das classes menos favorecidas economicamente possuem um estado de sa?de mais prec?rio. Tais resultados devem subsidiar pol?ticas p?blicas e programas de preven??o, de promo??o da sa?de e seguran?a no tr?nsito, com atua??o intersetorial, que vai muito al?m de medidas educativas e campanhas de m?dia. / Introduction: Land transport accidents constitute a significant global public health problem due to its magnitude and transcendence, as well as to the high human and material costs that society entails. Due to the increase in the number of land transport accidents survivors with mild and severe injuries in recent years, to know the victims from the point of view of their epidemiological characteristics and their perception of the state of health, it becomes useful to better monitor the health of the victims provided health systems. Objective: To estimate the prevalence and identify the factors associated with land transportation accidents, as well as the self-rated health of the Brazilian population affected by this event, according to the National Health Survey, 2013. Method: Association study of factors that used data of the National Health Survey, conducted in 2013, through a population-based household survey, by the Ministry of Health and the Oswaldo Cruz Foundation, in partnership with the Brazilian Institute of Geography and Statistics, conducted in August 2013 to February 2014. For the analysis of the data, the relative frequencies of the aspects related to land transportation accidents and self-rated health were calculated for the purposes of characterization of the study population. The associations were verified by the chi-square test, considering a level of significance of 5%. The crude and adjusted prevalence ratios were estimated using Poisson regression with robust variance, significance levels of 0.05. To estimate the adjusted prevalence ratios, we initially performed a bivariate analysis, which verified the association of land transport accidents with sociodemographic variables and those related to aspects of the occurrence; of precarious self-reported health with the sociodemographic, socioeconomic and inherent aspects of the consequence of the event. Associations that presented p value <0.05 were included in the multivariate model. Results: Of the total number of interviewees in the National Health Survey, 3.2% of the individuals reported having suffered land transportation accidents in Brazil. In the analysis of ground transportation accidents, sociodemographic variables and aspects involved in the event, male subjects (PR = 1.46 and 95% CI: 1.22-1.75), who reported not being married (PR = 1.30 and 95% CI: 1.12-1.52), motorcycle driving (PR = 2.41 and 95% CI: 1.84-3.15) were more likely to report involvement in ground transportation accidents. The variables age and frequency of motorcycle riding showed an inverse association with the outcome. In the analysis of self-rated health, socio-demographic variables and socioeconomic variables, individuals who were victims of road transport accidents that suffered sequels and/or disabilities (RP = 1.51 and 95% CI: 1.17-1.96), older than 40 (RP = 1.75 and 95% CI: 1.35-2.27), belonging to both social class D and E (RP = 2.82 and 95% CI: 1.58-5.00) and C (RP = 2.60 and 95% CI: 1.49-4.54) were more likely to self-assess health status as precarious. It is also necessary to highlight that sequela and/or incapacity is the main independent variable and the others are of adjustment. Conclusions: Land transportation accidents in Brazil are more prevalent in motorcyclists, male and unmarried. Those who have suffered sequels in accidents, with more advanced age and the economically disadvantaged classes, have a poorer health condition. Such results should support public policies and prevention programs, health promotion and traffic safety, with intersectoral action, which goes far beyond educational measures and media campaigns.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:21:56Z No. of bitstreams: 1 AnaKarlaBezerraLopes_DISSERT.pdf: 697846 bytes, checksum: c09eb278844fc45b4693c128d507f33e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T00:00:36Z (GMT) No. of bitstreams: 1 AnaKarlaBezerraLopes_DISSERT.pdf: 697846 bytes, checksum: c09eb278844fc45b4693c128d507f33e (MD5) / Made available in DSpace on 2017-03-07T00:00:36Z (GMT). No. of bitstreams: 1 AnaKarlaBezerraLopes_DISSERT.pdf: 697846 bytes, checksum: c09eb278844fc45b4693c128d507f33e (MD5) Previous issue date: 2016-09-27 / A S?filis Cong?nita (SC) ? caracterizada como a infec??o do concepto, predominantemente por via transplacent?ria, a partir da gestante infectada n?o tratada ou inadequadamente tratada. No Brasil, os munic?pios com mais de 100.000 habitantes concentram quase 80% do total de casos notificados da doen?a. Dessa forma, o objetivo do estudo ? conhecer a distribui??o da s?filis cong?nita nos munic?pios brasileiros com mais de 100.000 habitantes e avaliar sua correla??o com indicadores socioecon?micos e de servi?os de sa?de, no per?odo entre 2007 e 2013. Trata-se de um estudo ecol?gico e que utilizou como unidade de an?lise os 283 munic?pios brasileiros com mais de 100.000 habitantes. A popula??o do estudo foi constitu?da por todos os casos de S?filis Cong?nita notificados no Sistema de Informa??o de Agravos de Notifica??o (SINAN) nesses munic?pios. Foi realizada a an?lise descritiva dos casos notificados, an?lise bivariada usando o coeficiente de correla??o de Pearson para avaliar o grau de relacionamento da preval?ncia da SC com cada um dos 14 indicadores selecionados para o estudo e an?lise de cluster para agrupar os munic?pios similares e foi realizado o teste t-Student para amostras independentes. No per?odo de 2007 a 2013 foram notificados 38.533 casos da doen?a. A maior parte foi constitu?da por crian?as notificadas antes dos 7 dias de vida, pretas, igualmente distribu?das entre os sexos, de m?es que realizaram o pr?-natal e foram diagnosticadas nesse per?odo ou no momento do parto. As regi?es Norte e Nordeste destacaram-se por serem as ?nicas com m?dia do coeficiente de detec??o acima da nacional (2,54/1.000NV), no per?odo analisado. Dentre as vari?veis relacionadas ? qualidade e cobertura dos servi?os de sa?de, a ?nica significativa foi a vari?vel percentual de nascidos vivos com 7 ou mais consultas de pr?-natal (r = -0,264). O IDHM (r = - 0,151), ?ndice de GINI (r = 0,166), percentual de vulner?veis a pobreza (r = 0,218), percentual de mulheres pretas (r = 0,255), taxa de desemprego (r = 0,286), percentual de mulheres de 10 a 17 anos com filhos (r = 0,256), taxa de s?filis em gestantes (r = 0,480) apresentaram correla??o significativa. Na an?lise de cluster foram gerados dois grupos (Grupo 1 e Grupo 2). Em m?dia, o coeficiente de detec??o da s?filis cong?nita no Grupo 1 foi de 1,45 (DP = 0,06) casos por mil nascidos vivos. O Grupo 2, por sua vez, teve uma m?dia de 5,11 (DP = 0,17) casos por mil nascidos vivos. A diferen?a entre elas foi significativa t(275) = -20,21, p < 0,001. Diante dos resultados encontrados reafirma-se a import?ncia do pr?-natal no enfrentamento da s?filis cong?nita e a influ?ncia dos fatores socioecon?micos nas taxas apresentadas por essa doen?a. / The Congenital Syphilis is characterized as infection of the conceptus, predominantly by transplacental transmission, from infected pregnant untreated or inadequately treated. In Brazil, the cities with more than 100,000 habitants, considered large cities, concentrated almost 80% of all reported cases of the disease. Thus, the objective of the study is to understand the distribution of congenital syphilis in cities with more than 100,000 habitants and assess its correlation with socioeconomic indicators and health services between 2007 and 2013. This is an ecological study and used as the unit of analysis the 283 Brazilian cities with more than 100,000 people. The study population consisted of all cases of congenital syphilis reported in the Notifiable Diseases Information System (SINAN) in these cities. Descriptive analysis of reported cases was performed, the bivariate analysis using Pearson's correlation coefficient to assess the degree of relationship of the prevalence of congenital syphilis with each of the 14 indicators selected for the study and cluster analysis was performed to group the municipalities according to their similarities and was performed Student's t-test to evaluate the difference between the groups. In the period from 2007 to 2013 were reported 38,533 cases of the disease in Brazil. Most of the cases consisted of children reported before 7 days of life, black, equally distributed between the sexes, mothers who underwent prenatal and were diagnosed in that period or at delivery. The northern and northeastern regions stood out for being the only ones with average prevalence above the national (2.54 / 1.000NV) in the period analyzed. Among the variables related to the quality and coverage of health services, the significant one was the percentage of live births variable with 7 or more prenatal consultations (r = -0.264). The IDHM (r = - 0.151), GINI index (r = 0.166), vulnerable percentage of poverty (r = 0.218), percentage of black women (r = 0.255), unemployment rate (r = 0.286), percentage of women 10 to 17 years with children (r = 0.256), Syphilis rate Gestational (r = 0.480) were significantly correlated. In the cluster analysis, two groups were generated (Group 1 and Group 2). On average, the detection rate of congenital syphilis in Group 1 was 1.45 (SD = 0.06) cases per thousand live births. Group 2, in turn, had an average of 5.11 (SD = 0.17) cases per thousand live births. The difference between them was significant t (275) = -20.21, p <0.001. Considering the results reaffirmed the importance of prenatal care in the face of congenital syphilis and the influence of socioeconomic factors in the rates presented by this disease.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-09T22:48:59Z No. of bitstreams: 1 AdrianaGomesMagalhaes_TESE.pdf: 860184 bytes, checksum: ef9edc14db3b19723dc8f539ca17b002 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-13T22:27:48Z (GMT) No. of bitstreams: 1 AdrianaGomesMagalhaes_TESE.pdf: 860184 bytes, checksum: ef9edc14db3b19723dc8f539ca17b002 (MD5) / Made available in DSpace on 2017-03-13T22:27:48Z (GMT). No. of bitstreams: 1 AdrianaGomesMagalhaes_TESE.pdf: 860184 bytes, checksum: ef9edc14db3b19723dc8f539ca17b002 (MD5) Previous issue date: 2016-10-26 / Introdu??o: A depress?o ? um problema de sa?de p?blica e afeta pacientes, familiares e cuidadores, estando entre as dez principais causas de incapacidade no mundo. As mulheres s?o duas vezes mais acometidas por depress?o que os homens. Objetivos:1) Avaliar a preval?ncia e fatores associados ? depress?o em mulheres brasileiras em idade reprodutiva; 2) Avaliar a ocorr?ncia de tratamento fisioterap?utico, no manejo da depress?o em mulheres no contexto brasileiro. Metodologia: Trata-se de um estudo transversal de base populacional, realizado a partir da Pesquisa Nacional de Sa?de ? PNS 2013 (PNS) que abrangeu todo o territ?rio nacional da qual foram retirados 22.621registros de mulheres com idade entre 18 a 49 anos. A vari?vel desfecho prim?rio, foi ter diagn?stico de depress?o, e a vari?vel desfecho secund?rio foi a ocorr?ncia de tratamento fisioterap?utico, as vari?veis independentes foram itens sociodemogr?ficos, h?bitos de vida, hist?rico reprodutivo e doen?as cr?nicas. Foi realizada an?lise descritiva e an?lise bivariada para estimar a magnitude da associa??o entre as vari?veis de exposi??o e os desfechos prim?rio e secund?rio, expressa em OR (odds ratio) e respectivos intervalos de confian?a de 95% (IC95%) pelo m?todo de Mantel-Haenszel. Resultados: observou-se uma preval?ncia de 8.26% de diagn?stico de depress?o, fatores s?cio-demogr?ficos e h?bitos de vida estiveram associados ? diagn?stico de depress?o. Mulheres que tiveram rela??o sexual nos ?ltimos 12 meses (OR=0.78; IC95% 0.69-0.87), usavam m?todos contraceptivos (OR=0.78; IC95% 0.71-0.86) e estavam gestantes (OR=0,43; IC95% 0,30-0.63), apresentaram menor probabilidade de ter depress?o. Em contrapartida, mulheres com autorrelato de sa?de prec?ria (OR=4.24; IC95% 3.64-4.94), v?timas de viol?ncia de pessoa conhecida (OR=2.79; IC95% 2.35-3.31) ou desconhecida (OR=1.86; IC95% 1.52-2.28), com menarca antes dos doze anos (OR=1.10; IC95% 1.01-1.21), com pelo menos um parto (OR=1.70; IC95% 1.52-1.92), submetidas a parto ces?reo (OR=1.33; IC95% 1.19-1.48), com filho com baixo peso (OR=1.36; IC95% 1.18-1.56) ou pr?-termo (OR=1.69; IC95% 1.49-1.93) tiveram mais chances de ter depress?o. Todas as condi??es cr?nicas analisadas aumentaram as chances para desfecho depressivo na amostra. Observou-se que mulheres que autorreferiram sua sa?de como prec?ria (OR=0.36; IC95%: 0.14-0.96), que relataram problemas de sono (OR=0.57; IC95%: 0.36-0.90) e sensa??o de cansa?o ou indisposi??o (OR=0.52; IC95%: 0.33-0.83), tiveram menor probabilidade de fazer tratamento fisioterap?utico. Conclus?o: este estudo demonstrou consider?vel preval?ncia de depress?o entre as mulheres avaliadas, assim como, sua associa??o a fatores sociodemogr?ficos, hist?rico ginecol?gico e reprodutivo e condi??es de sa?de avaliados e que o tratamento fisioterap?utico para depress?o, ainda n?o ? uma realidade entre as mulheres brasileiras, uma vez que, pequena parcela realizou esse tipo de tratamento. / Depression is a public health problem and affects patients, families and caregivers, and it is among the ten leading causes of disability in the world. Women are twice as affected by depression than men. Aim: This study evaluated prevalence and factors associated to depression in Brazilian women at reproductive age. Methods: 22,621 women aged 18-49 years were analyzed from the National Health Survey 2013. The outcomes were depression diagnosis and physical therapy as an adjunct treatment in the management of depression, independent variables were sociodemographic items, lifestyle, reproductive history and chronic diseases. Descriptive and bivariate data analysis were conducted. Results: there was a prevalence of 8.26% of depression diagnosis, socio-demographic factors and lifestyle habits were associated to depression diagnosis. Women who have had sexual intercourse (OR=0.78; CI95% 0.69-0.87), who used contraception (OR=0.78; CI95% 0.71-0.86) and were pregnant (OR=0.43; CI95% 0.30-0.63) were less likely to have depression. In contrast, women with self-reported poor health (OR=4.24; CI95% 3.64-4.94), victims of violence from a known person (OR=2.79; CI95% 2.35-3.31) or unknown person (OR=1.86; CI95% 1.52-2.28 ), with menarche before twelve years (OR=1.10; CI95% 1.01-1.21), with at least one delivery (OR=1.70; CI95% 1.52-1.92), submitted to cesarean section (OR=1.33; CI95% 1.19- 1.48), with low birth weight child (OR=1.36; CI95% 1.18-1.56) or preterm (OR=1.69; CI95% 1.49-1.93) were more likely to have depression. Chronic conditions increased chances for depressive outcome. It was observed that women who self-reported their health as poor (OR=0.36; CI95%: 0.14-0.96), who reported sleep problems (OR=0:57; CI95%: 0.36-0.90) and feeling fatigue or indisposition (OR=0.52; CI95%: 0.33-0.83) were less likely to be under physical therapy treatment. Conclusions: This study showed considerable prevalence of depression among the women studied, as well as its association to sociodemographic factors, gynecological and reproductive history and health conditions and It was observed that physical therapy treatment for depression is still not usual among Brazilian women, since only a small portion performed this type of treatment.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-17T13:17:47Z No. of bitstreams: 1 LaianeSantosEufrasio_TESE.pdf: 1037104 bytes, checksum: 6a15c628dc12800b70fe12fc8360ec9f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-19T12:50:11Z (GMT) No. of bitstreams: 1 LaianeSantosEufrasio_TESE.pdf: 1037104 bytes, checksum: 6a15c628dc12800b70fe12fc8360ec9f (MD5) / Made available in DSpace on 2017-07-19T12:50:12Z (GMT). No. of bitstreams: 1 LaianeSantosEufrasio_TESE.pdf: 1037104 bytes, checksum: 6a15c628dc12800b70fe12fc8360ec9f (MD5) Previous issue date: 2017-05-26 / Introdu??o: A opera??o cesariana atualmente vem se tornando cada dia mais frequente em todo o mundo. Vem sendo realizada sem reais indica??es, aumentando a sua preval?ncia e podendo levar a riscos desnecess?rios, tanto para a m?e quanto para o beb?. V?rios s?o os fatores que podem estar associados a essa crescente taxa, mas estes s?o pouco explorados sobre a ?tica das regi?es brasileiras. Objetivo: Estimar a preval?ncia e fatores associados ?s ces?reas no contexto das regi?es brasileiras. Metodologia: Foi realizado um recorte do banco de dados da Pesquisa Nacional de Sa?de ? PNS, um estudo de base domiciliar, de ?mbito nacional, realizada pelo IBGE em parceria com o Minist?rio da Sa?de em 2013. Foram inclu?dos dados de mulheres com idade entre 18 a 49 anos, totalizando 16.175 registros de mulheres que estiveram gr?vidas e pariram em alguma vez na vida. Foi realizada a an?lise descritiva das vari?veis de interesse, an?lise por meio do teste de Qui-Quadrado e a regress?o log?stica para estimar a magnitude da associa??o entre as vari?veis e o parto ces?rea. Foi adotado um n?vel de signific?ncia ou p valor < 0,05. Resultados: A preval?ncia no Brasil de parto ces?rea foi de 53,03%. Com o passar dos anos (1974- 2013), houve aumento de chances de ter esse tipo de parto principalmente no Nordeste (2,21, IC95: 1,4 ? 3,4) e Sul (2,75, IC95: 1,4 ? 5,2). Referente ? assist?ncia privada em sa?de, as mulheres que possu?am plano de sa?de tiveram 3 vezes mais chances de realizar ces?rea (IC95: 1,6 ? 5,3) que ?s que n?o tem plano de sa?de (1,4, IC95: 1,0 ? 2,0), assim como as que apresentaram hipertens?o arterial (2,77, IC95: 1,5 ? 4,8), problema cr?nico de coluna (2,0, IC95:1,01 ? 4,05). Relativo ? idade da primeira gesta??o e da menarca, foi observado que mulheres que apresentavam idade maior que 20 anos na primeira gravidez apresentaram 2 vezes mais chances (IC95: 1,2 ? 3,3) e as que a idade da menarca foi maior ou igual a 12 anos 1,7 vezes mais chances (IC95: 1,2 ? 2,3). Al?m disso, mulheres que autorreferiam sua sa?de como boa tiveram 1,8 vezes (IC95: 1,2 ? 2,6) e as com maiores n?veis de escolaridade tiveram 2,05 vezes (IC95: 1,2 ? 3,3) mais chances de ter ces?rea, destacando as das regi?es Norte e Sul, enquanto que no Nordeste, esta probabilidade aumentou independentemente do n?vel de escolaridade. Conclus?o: A taxa de ces?reas no Brasil permanece alta e os fatores associados como o ano do ?ltimo parto, grau de escolaridade, a idade materna na primeira gravidez, da menarca, sa?de autorreferida, parecem contribuir para o aumento dessa preval?ncia, tendendo a se comportarem distintamente entre as regi?es do pa?s. / Introduction: Caesarean section is becoming more and more frequent all over the world. If indicated correctly, it is effective in reducing maternal and perinatal mortality. However, it has been performed without real indications, increasing its prevalence and may lead to unnecessary risks, both for the mother and the baby. There are several factors that may be associated with this increasing rate, but these are little explored on the optics of the Brazilian regions. Objective: To estimate the prevalence and factors associated with cesarean sections in the Brazilian regions context. Methodology: A recort of national database of the National Health Survey (PNS), a national domiciliary study conducted by the IBGE in partnership with the Ministry of Health in 2013, was included. data from women aged 18 To 49 years, totaling 16,175 records of women who were pregnant and gave birth at some time in life. Descriptive analysis of the variables of interest, bivariate analysis using the chi-square test, and logistic regression were performed to estimate the magnitude of the association between the variables and cesarean delivery. A level of significance was adopted or p value <0.05. Results: The prevalence in Brazil of women who had cesarean delivery was 53.03%. Over the years (from 1974 to 2013), there was an increase in the chances of having this type of delivery, mainly in the Northeast (2,21, IC95:1,42-3,46) and South (2,75, IC95:1,44-5,23). Regarding private health care, women who had health insurance were 3 times more likely to undergo cesarean section (IC95:1,6?5,3) than those without health insurance (1,4, IC95: 1,0 ? 2,0), as well as those with arterial hypertension (2,77, IC95: 1,5-4,8), chronic column problem (2,0;IC95 1,01?4,05). Regarding the age of first gestation and menarche, it was observed that women who were older than 20 years in the first pregnancy were twice as likely (IC95: 1,2-3,3) and those whose age at menarche was higher or Equal to 12 years 1,7 times more chances (IC95: 1,2-2,3). In addition, women who self-reported their health as good had 1,8 times (IC95: 1,2-2,6) and those with higher levels of education had 2,05 times (IC95: 1,2-3,3) more Cesarean, highlighting those of the North and South regions, while in the Northeast this probability increased independently of the level of schooling. Conclusion: The rate of cesarean delivery in Brazil remains high, associated factors such as time, educational level, maternal age at first pregnancy, menarche, self-reported health, appear to contribute to the increase of this prevalence, behaving distinctly among the regions of the country.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-10-05T00:11:27Z No. of bitstreams: 1 AlannyFerreiraMoutinho_DISSERT.pdf: 898744 bytes, checksum: 97f8d02887986fa9e0b0a8848ca2461c (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-10-16T22:09:54Z (GMT) No. of bitstreams: 1 AlannyFerreiraMoutinho_DISSERT.pdf: 898744 bytes, checksum: 97f8d02887986fa9e0b0a8848ca2461c (MD5) / Made available in DSpace on 2017-10-16T22:09:54Z (GMT). No. of bitstreams: 1 AlannyFerreiraMoutinho_DISSERT.pdf: 898744 bytes, checksum: 97f8d02887986fa9e0b0a8848ca2461c (MD5) Previous issue date: 2017-06-19 / O exame Papanicolaou tem como finalidade o diagn?stico precoce visando reduzir a morbidade e/ou mortalidade por c?ncer cervical. O presente estudo teve como objetivo identificar a preval?ncia e os fatores associados ? n?o realiza??o do Papanicolaou em mulheres brasileiras. Para tal foi adotada a base de dados obtida atrav?s da Pesquisa Nacional de Sa?de (PNS), realizada no Brasil no ano de 2013. Para tabula??o e an?lise estat?stica foi utilizado o software Stata? 14 verificando as Raz?es de Preval?ncia com respectivos Intervalos de Confian?a de 95% e valores de p, utilizando-se na an?lise multivariada a regress?o de Poisson. Os resultados apresentaram associa??o para realiza??o do Papanicolaou ap?s 3 anos as mulheres brancas e n?o brancas sem escolaridade, n?o brancas com n?vel fundamental de escolaridade, idade entre 60-64 anos, auto percep??o de sa?de regular, ruim/muito ruim, sem plano de sa?de, que n?o vive com c?njuge, ? fumante, n?o pratica nenhuma atividade f?sica e possui multimorbidades. J? para a nunca realiza??o do exame Papanicolaou apresentaram associa??o mulheres brancas e n?o brancas sem escolaridade, mulheres brancas e n?o brancas com n?vel fundamental de escolaridade, n?o brancas com n?vel m?dio, idade entre 25-29, 30-39 e 60-64 anos, sem ocupa??o, sem plano de sa?de, que n?o vive com o c?njuge, ? ex-fumante de tabaco, bebe moderadamente e foi diagnosticada com 3, 4 ou mais doen?as cr?nicas. Para a nunca realiza??o do Papanicolaou por dificuldade de acesso aos servi?os de sa?de apresentaram associa??o as mulheres brancas e n?o brancas sem escolaridade, n?o brancas com n?vel fundamental, idades entre 25-29 e 30-39, sem plano de sa?de, que n?o vive com o c?njuge e pertence aos estratos sociais D-E. E por motivos pessoais as mulheres brancas e n?o brancas sem escolaridade, n?o brancas com n?veis fundamental e m?dio de escolaridade, idades entre 25-29, 30-39 e 60-64, sem ocupa??o, que n?o possui plano de sa?de, n?o vive com o c?njuge, ? fumante e ex-fumante de tabaco e pratica atividade f?sica de forma insuficiente. Essas informa??es devem ser consideradas para avaliar o impacto das pr?ticas direcionadas ao controle do c?ncer cervical no territ?rio brasileiro e assim contribuir na redu??o das taxas de incid?ncia e mortalidade por c?ncer de colo do ?tero no Brasil. / The Papanicolaou exam aims at the early diagnosis aiming to reduce morbidity and / or mortality from cervical cancer. The present study aimed to identify the prevalence and factors associated with non-realization of Papanicolaou in Brazilian women. For this purpose, the database obtained through the National Health Survey was used in Brazil in 2013. For statistical tabulation and analysis, Stata? 14 software was used to verify the Prevalence Ratios with respective Confidence Intervals of 95% and p values, using the Poisson regression in the multivariate analysis. The results for Pap smear after 3 years white and non-white women with no schooling, non-white with a primary level of education, age between 60-64 years, self-perception of regular health, poor / very poor, without health insurance, who does not live with a spouse, is a smoker, does not practice any physical activity, and has multimorbidities. Papanicolaou never had association with white and non-white women with no schooling, white and non-white women with a primary level of schooling, non-white with a mean level of 25-29, 30-39 and 60-64 years, without occupation, without a health insurance, who does not live with the spouse, is a former tobacco smoker, drinks moderately and was diagnosed with 3, 4 or more chronic diseases. For the Papanicolaou never performed because of difficulty of access to health services, there was association between white and non-white women with no schooling, non-white with a fundamental level, ages between 25-29 and 30- 39, without health insurance, who did not live with the spouse and belongs to the social strata D-E. And for personal reasons white and non-white women with no schooling, not white with basic and average levels of schooling, ages 25-29, 30-39 and 60-64, without occupation, who do not have health insurance, do not live with the spouse, is a smoker and former smoker of tobacco and does not perform enough physical activity. This information should be considered in order to evaluate the impact of practices aimed at the control of cervical cancer in the Brazilian territory and thus contribute to the reduction of incidence and mortality rates for cervical cancer in Brazil.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-07-11T22:47:49Z No. of bitstreams: 1 Vers?o final Disserta??o RENATA com Ficha Catalogr?fica (2).pdf: 2528833 bytes, checksum: fa01f07b02b6ab95d9e09ead2c6b3048 (MD5) / Made available in DSpace on 2016-07-11T22:47:49Z (GMT). No. of bitstreams: 1 Vers?o final Disserta??o RENATA com Ficha Catalogr?fica (2).pdf: 2528833 bytes, checksum: fa01f07b02b6ab95d9e09ead2c6b3048 (MD5) Previous issue date: 2015-03-31 / During pregnancy, the occurrence of anemia is high due to the physiological changes to which a woman's body is subjected during fetal development. Even before the institution of the treatment protocol that the Ministry of Health recommended, the maintenance of high levels of prevalence of anemia during pregnancy was observed. Other causal factors still unknown, beyond those already investigated classics, are possibly contributing to this occurrence. OBJECTIVE: To identify socioeconomic, demographic, nutritional, and gynecological-obstetric factors associated with anemia as well as estimate the frequency of different types and levels of severity of anemia in pregnant women. METHOD: This is a cross-sectional study conducted with pregnant women who received prenatal care in the Family Health Units in Santo Ant?nio de Jesus in Bahia. Patients were classified as being diagnosed with anemia or not, according to the World Health Organization (WHO) criteria that consider the value of hemoglobin less than 11 g / dL. Was also performed to diagnose the types of anemia (pernicious, chronic disease, and iron deficiency) and assessment of the severity of anemia (mild, moderate, and severe). Data collection included the application of a questionnaire in which socioeconomic and demographic information was obtained along with reproductive and pregnancy information, and blood collection was also completed for the determination of haematological parameters. Data were analyzed using Stata, version 11, in which the frequency of different types of anemia was estimated and the association between the studied variables and the presence of anemia was assessed by estimating the prevalence ratio (PR), with its respective confidence interval (CI) of 95% and statistical significance level of 5%. RESULTS: They are presented in a scientific paper, "Determinants of Anemia in Pregnant Women Using the Health Family Program," to be submitted to the Portuguese Journal of Public Health. The final sample consisted of 349 pregnant women, and after the regression analysis model was used, the prevalence ratios?both as adjusted gross?found no statistically significant association between the selected features and the main outcome. The prevalence of anemia in the study sample was 22.64%, classified as moderate in Portuguese Journal of Public Health. CONCLUSIONS: No association was found between the investigated factors and anemia. In addition, the most common form of the disease was the anemia of chronic disease, with there being a low prevalence of iron deficiency anemia. Thus, the need exists to investigate other factors besides iron deficiency as well as examine therapeutic strategies targeting anemia in pregnant women, which are more effective than those existing in the health actions aimed at this group. / Durante o per?odo gestacional, a ocorr?ncia da anemia ? alta devido ?s altera??es fisiol?gicas que o corpo da mulher ? submetido para o desenvolvimento fetal. Mesmo diante do protocolo terap?utico preconizado pelo Minist?rio da Sa?de, a manuten??o de n?veis de preval?ncia elevados da anemia durante a gesta??o tem sido observada. Possivelmente, outros fatores causais ainda desconhecidos, al?m daqueles cl?ssicos j? investigados, est?o contribuindo para esta ocorr?ncia. OBJETIVO: Identificar os fatores socioecon?micos, demogr?ficos, nutricionais e gineco-obst?tricos associados ? ocorr?ncia de anemia, al?m de estimar a frequ?ncia de diferentes tipos e gravidade de anemia em gestantes. M?TODO: Trata-se de um estudo de corte transversal desenvolvido com gestantes que realizavam acompanhamento pr?-natal em Unidades de Sa?de da Fam?lia no munic?pio de Santo Ant?nio de Jesus, na Bahia. As gestantes foram classificadas com o diagn?stico de anemia ou n?o, de acordo com o crit?rio da OMS que considera o valor da hemoglobina menor que 11 g/dL. Foi tamb?m realizado o diagn?stico para tipos de anemia (perniciosa, de doen?a cr?nica e ferropriva), al?m de avalia??o da gravidade de anemia (leve, moderada e grave). A coleta de dados compreendeu a aplica??o de um question?rio em que foram obtidas informa??es socioecon?mico-demogr?ficas, reprodutivas e gestacionais, assim como a coleta de sangue para dosagem dos par?metros hematol?gicos. Os dados foram analisados no programa Stata, vers?o 11, no qual a frequ?ncia dos diferentes tipos de anemia foi estimada e a associa??o entre as vari?veis estudadas e a presen?a de anemia foi avaliada por meio da estimativa da raz?o de preval?ncia (RP), com seu respectivo intervalo de confian?a (IC) a 95% e n?vel de signific?ncia estat?stica de 5%. RESULTADOS: Est?o apresentados em forma de artigo cient?fico: ?Determinantes da anemia em gestantes usu?rias do Programa de Sa?de da Fam?lia?, a ser submetido ? Revista Portuguesa de Sa?de P?blica. A amostra final foi composta de 349 gestantes e ap?s a realiza??o do modelo de an?lise de regress?o, as raz?es de preval?ncia tanto bruta quanto ajustada n?o encontraram associa??o estatisticamente significante entre as caracter?sticas selecionadas e o desfecho principal. A preval?ncia de anemia, na amostra estudada foi de 22,64%, classificada como moderada em Sa?de P?blica. CONCLUS?ES: N?o foi detectada associa??o entre os fatores investigados e a anemia. Al?m disso, a forma mais frequente da enfermidade foi a anemia de doen?a cr?nica, sendo baixa preval?ncia de anemia ferropriva, havendo assim, a necessidade de investigar outros fatores, para al?m da car?ncia de ferro, visando estrat?gias terap?uticas de anemia em gestantes mais efetivas que as vigentes nas a??es de sa?de destinadas a esse grupo.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-07-14T23:59:58Z No. of bitstreams: 1 Disserta??o Luciana Carneiro de Oliveira (1).pdf: 1315236 bytes, checksum: dbc38b310d1db68fee1ca38f0df7001c (MD5) / Made available in DSpace on 2016-07-14T23:59:58Z (GMT). No. of bitstreams: 1 Disserta??o Luciana Carneiro de Oliveira (1).pdf: 1315236 bytes, checksum: dbc38b310d1db68fee1ca38f0df7001c (MD5) Previous issue date: 2014-03-21 / Overweight is characterized by the accumulation of body above the recommended values and acceptable fat, and today has ceased to be considered an individual problem and last to be treated as a major public health problem affecting both developed and developing countries Although there are reliable and current population information on the characterization of the anthropometric status in adults , referring to regions of the country , few cities have such information from population-based studies . Objective: To describe the prevalence of overweight in adults enrolled in the Family Health Program (FHP) in S?o Francisco do Conde, Bahia, according to sociodemographic, and lifestyle variables . Methods: Epidemiological study of secondary cross-section of a Research and Extension Proposal for Health Surveillance for the detection of minor psychiatric disorders and hypertension in S?o Francisco do Conde, Bahia, 2010. Research conducted with a random sample of individuals aged over 18 years, registered at the Family Health Program. Data were collected through home visits by students of Medicine, State University of Feira de Santana, which form applied previously tested and have carried out measurement of physical parameters (weight, height and waist circunferencia) of the participants . Data were processed and analyzed using the Epi Data 3.1 and SPSS 9.0 (SSAEE / DAS / UEFS). Results: The prevalence of overweight was 58.1 % . Higher in females, among married individuals , among those who reported having more than three children , among those who reported being ex - smokers and self-reported hypertension . Conclusion: The results of this study showed high prevalence of overweight in S?o Francisco do Conde in adults of both sexes , especially in females which justifies the adoption of specific actions aimed at reducing this problem. / O excesso de peso ? caracterizado pelo ac?mulo de gordura corporal acima dos valores recomendados e aceit?veis, sendo considerado na atualidade um importante problema de sa?de p?blica que tem atingindo tanto pa?ses desenvolvidos como os em desenvolvimento. Embora existam informa??es populacionais confi?veis e atuais sobre a caracteriza??o do estado antropom?trico em adultos no Brasil, poucos munic?pios disp?em dessas informa??es a partir de estudos de base populacional. Objetivo: Descrever a preval?ncia do excesso de peso em adultos cadastrados no Programa de Sa?de da Fam?lia (PSF) do munic?pio de S?o Francisco do Conde, Bahia, segundo vari?veis sociodemogr?ficas e h?bitos de vida. Metodologia: Estudo epidemiol?gico de corte transversal derivado do Projeto de Pesquisa e Extens?o Proposta de Vigil?ncia ? Sa?de para a detec??o de dist?rbios ps?quicos menores e hipertens?o arterial em S?o Francisco do Conde-Bahia, 2010. Pesquisa realizada com amostra aleat?ria de indiv?duos com idade igual ou superior a 18 anos, cadastrados ao Programa de Sa?de da Fam?lia. Os dados foram coletados atrav?s de visitas domiciliares realizadas por estudantes do curso de Medicina da Universidade Estadual de Feira de Santana, que aplicaram formul?rio previamente testado e procederam a aferi??o de medidas antropom?tricas (peso, estatura e circunfer?ncia da cintura) dos participantes. Os dados foram processados e analisados utilizando-se os programas Epi Data 3.1 e SPSS 9.0 (SSAEE/DAS/UEFS). Resultados: A preval?ncia de excesso de peso classificado pelo o ?ndice de Massa Corp?rea (IMC) foi de 58,1%. Estiveram associados com o excesso de peso as vari?veis sexo, idade, situa??o conjugal e n?mero de filhos. Conclus?o: Os resultados do presente estudo evidenciaram alta preval?ncia de excesso de peso em adultos de ambos os sexos no munic?pio de S?o Francisco do Conde, o que justifica a ado??o de a??es espec?ficas que visem a redu??o desse problema.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-01-29T22:45:42Z No. of bitstreams: 1 Disserta??o Luciana completa com ficha catalogr?fica 16.07.17.pdf: 2247373 bytes, checksum: 0ff7d144b6f58b050a152ed5d27d84c7 (MD5) / Made available in DSpace on 2018-01-29T22:45:42Z (GMT). No. of bitstreams: 1 Disserta??o Luciana completa com ficha catalogr?fica 16.07.17.pdf: 2247373 bytes, checksum: 0ff7d144b6f58b050a152ed5d27d84c7 (MD5) Previous issue date: 2017-04-04 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The dissertation aims to analyze the prevalence and the associated factors of domestic violence in gestation at a referral maternity, in Feira de Santana, Bahia. It is a cross-sectional study with 324 women treated at the Women's Hospital after 24 hours postpartum. A bivariate analysis was performed with Pearson's Chi Square considering possible associations with presence of domestic violence and socioeconomic, demographic and gynecological-obstetric variables and drug use by relatives with p value <0.05 and multivariate analysis with logistic regression model With adjustments of variables that presented p value <0.05. Among the results, the prevalence of domestic violence was 21%, before gestation 48.5% and during gestation 51.5%. The proportions of the types of violence were psychological 34.3%, moral 23.8%, physical 19.3%, patrimonial (11.6%) and sexual (11%). The main offender was former companion. The presence of domestic violence indicated association with marital status (p 0.000), work away from home (p 0.001), occupation of women (p 0.002), women's financial dependency (p 0,000), partner's age (p 0.007), occupation (P0.032), number of births (p0.035), use of drugs by the former partner (p = 0.000), and psychological violence in the form of insult (OR = 0.44, 95% CI = 0.21 to 0.90, p = 0.026), and the mean age of the patients was significantly higher than that observed in the regression analysis. (OR = 0.43, 95% CI = 0.19-098, p = 0.046), presence of abortion (OR = 0.43, 95% CI = 0.19-096, p = 0.041). It is concluded that domestic violence in these findings incorporates gender relations within the family structure and should be investigated in prenatal services. From this perspective, it reflects the need for services and actions aimed at prevention in different personal, social and cultural perspectives of women, aggressors and families. / A disserta??o tem como objetivo analisar a preval?ncia e os fatores associados a viol?ncia dom?stica na gesta??o em maternidade de refer?ncia, em Feira de Santana, Bahia. Trata-se de um estudo de corte transversal com 324 mulheres atendidas no Hospital da Mulher ap?s 24 horas p?s-parto. Realizou-se an?lise bivariada com Qui Quadrado de Pearson considerando poss?veis associa??es com presen?a da viol?ncia dom?stica e vari?veis socioecon?micas, demogr?ficas, gineco-obst?tricas e uso de drogas por parentes com valor de p < 0,05 e an?lise multivariada com modelo de regress?o log?stica com ajustes de vari?veis que apresentaram valor de p <0,05. Dentre os resultados, a preval?ncia encontrada da viol?ncia dom?stica foi de 21%, antes da gesta??o 48,5% e durante a gesta??o 51,5%. As propor??es dos tipos de viol?ncia foram psicol?gica 34,3%, moral 23,8%, f?sica 19,3%, patrimonial 11,6% e sexual 11%. O principal agressor foi o parceiro ?ntimo. A presen?a de viol?ncia dom?stica indicou associa??o com estado civil (p 0,000), trabalho fora de casa (p 0,001), ocupa??o da mulher (p 0,002), depend?ncia financeira da mulher (p 0,000), idade do companheiro (p 0,007), ocupa??o do companheiro (p 0,032), n?mero de gesta??es (p 0,007), presen?a de aborto (p 0,024), n?mero de partos (p 0,035),uso de drogas pelo ex-companheiro (p 0,000) e viol?ncia psicol?gica sob forma de insulto, chantagem e ridiculariza??o (p 0,010), na regress?o log?stica apresentaram associa??o estatisticamente significante com presen?a de viol?ncia dom?stica as vari?veis estado civil (OR=0,44; IC 95%=0,21-0,90; p=0,026), depend?ncia financeira da mulher (OR=0,43; IC 95%=0,19-098; p=0,046), presen?a de aborto (OR=0,43; IC 95%=0,19-096; p=0,041). Conclui-se que, a viol?ncia dom?stica nesses achados incorpora rela??es de g?nero dentro da estrutura familiar e deve ser investigada nos servi?os de pr?-natal. Nessa perspectiva, reflete a necessidade de servi?os e a??es voltadas a preven??o em diferentes aspectos pessoais, sociais e culturais de mulheres, agressores e fam?lias.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-30T22:40:09Z No. of bitstreams: 1 Disserta??o Word.pdf: 981897 bytes, checksum: 07a62006324eebe45fdf8bbea8797be4 (MD5) / Made available in DSpace on 2018-01-30T22:40:09Z (GMT). No. of bitstreams: 1 Disserta??o Word.pdf: 981897 bytes, checksum: 07a62006324eebe45fdf8bbea8797be4 (MD5) Previous issue date: 2017-03-15 / Objective: To estimate the prevalence and associated factors of the Professional Burn Syndrome in Physical Therapy workers of intensive care in a large city in Bahia. Methods: A cross-sectional epidemiological study was carried out in a population of 59 physiotherapists working in intensive care in a large city in Bahia. A self-administered questionnaire assessed sociodemographic data, job characteristics, and burnout through the Maslach Burnout Inventory. Results: The prevalence of burnout syndrome when the criterion of having a high level in at least one of the three dimensions was 33.9%. There was a statistically significant association between burnout and variables: age, sex, marital status, having children, monthly income, working time, workload (weekly in ICU, night shift in ICU and any activity that generates Income over the week) and if it comes from another job before the shift. Final considerations: There was a high prevalence of burnout syndrome among intensivist physiotherapists. Strategies for health promotion of these workers should be discussed and implemented in hospitals. / Objetivo: Estimar a preval?ncia e os fatores associados da S?ndrome da Estafa Profissional (burnout), em Fisioterapeutas trabalhadores de Terapia Intensiva de uma grande cidade da Bahia. M?todos: Estudo epidemiol?gico de corte transversal, em uma popula??o de 59 fisioterapeutas trabalhadores de Terapia Intensiva de uma grande cidade da Bahia. Um question?rio autoaplic?vel avaliou dados sociodemogr?ficos, caracter?sticas do trabalho e o burnout por meio do Maslach Burnout Inventory. Resultados: A preval?ncia da s?ndrome de burnout quando adotado o crit?rio de ter n?vel alto em pelo menos uma das tr?s dimens?es foi de 33,9%. Observou-se associa??o estatisticamente significante entre o burnout e as vari?veis: idade, sexo, situa??o conjugal, ter filhos, renda mensal, tempo de trabalho, carga hor?ria de trabalho (semanal em UTI, de plant?o noturno em UTI e de toda atividade que gera renda ao longo da semana) e se vem de outro trabalho antes do plant?o. Considera??es finais: Observou-se elevada preval?ncia de s?ndrome de burnout entre os fisioterapeutas intensivistas. Estrat?gias de promo??o ? sa?de desses trabalhadores devem ser discutidas e implementadas nos hospitais.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-07-10T22:51:13Z No. of bitstreams: 1 Santos, Cristiane Brand?o.pdf: 1618648 bytes, checksum: 207f755363fb3b9a7dca89df5c0b2fbc (MD5) / Made available in DSpace on 2018-07-10T22:51:13Z (GMT). No. of bitstreams: 1 Santos, Cristiane Brand?o.pdf: 1618648 bytes, checksum: 207f755363fb3b9a7dca89df5c0b2fbc (MD5) Previous issue date: 2017-06-02 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / Introduction: Dental fluorosis is an alteration in dental enamel mineralization, related to fluoride (F?) intake. Objectives: To investigate the impact of F? addition in toothpaste on the prevalence of dental fluorosis and to compare methods for F? determination in samples of diet and toothpaste. Methods: Two studies were developed: 1) systematic review of the literature, with meta-analysis, performed by two reviewers independently searching the four electronic databases (MEDLINE / PubMed; MEDLINE / Ovid; Bireme and Web of Science). The quality of articles eligible for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE), and by the classification modified by Irani (2013); 2) a laboratory study that determined the F? concentration in the diet and dentifrice samples using two extraction methods: HMDS facilitated microdiffusion and hydrolysis in 0.01M HCl at times 30, 60 and 120 min of incubation. For analysis of the data, the one-way ANOVA test was applied. Results: 1) In the systematic review, eleven articles were eligible, and, when STROBE was applied, the number of items included ranged from 14 and 19, with an average of 16.3 and a standard deviation of 4.03; in the analysis of the classification modified by Irani (2013), two articles were classified as high quality and the rest of intermediate quality; 2) the method of extraction using 0.01M HCl, in the time 30 min, resulted in similar values to that expected by inactivation of 50% of the dentifrice?s F?. And in time 120 min resulted in similar values to HMDS facilitated microdiffusion. Conclusion: The majority of eligible articles in the systematic review found an association between the age of fluoride toothpaste use and dental fluorosis, but the prevalent severity of fluorosis was very mild, ie it does not imply dental fluorosis as a public health problem. It's the method of F? extraction using 0.01M HCl, in the experimental study, was promising to be used in evaluation of F? in dietary intake and dentifrices. / Introdu??o: Fluorose dent?ria ? uma altera??o na mineraliza??o do esmalte dental relacionada ? ingest?o de fluoreto (F?). Objetivos: Investigar o impacto da adi??o de F? aos dentifr?cios na preval?ncia de fluorose dent?ria e comparar metodologias para a determina??o da concentra??o de F? em amostras de dieta e dentifr?cio. M?todos: Dois estudos foram desenvolvidos: 1) revis?o sistem?tica da literatura, realizada por dois revisores que buscaram, de forma independente, os estudos em quatro bases de dados eletr?nicas (MEDLINE/PubMed; MEDLINE/Ovid; Bireme e Web of Science). Avaliou-se a qualidade dos artigos eleg?veis pelo Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) e pela classifica??o modificada por Irani (2013); 2) experimento laboratorial que determinou a concentra??o de F- nas amostras de dieta e dentifr?cio utilizando-se dois m?todos de extra??o: microdifus?o facilitada por HMDS e hidr?lise em HCl 0,01M com tempos 30, 60 e 120 minutos de incuba??o. Para an?lise dos dados foi aplicada o teste ANOVA um crit?rio. Resultados: 1) Na revis?o sistem?tica, onze artigos foram eleg?veis, e quando aplicado o STROBE o n?mero de itens inclu?dos variou entre 14 e 19, com m?dia de 16,3 e desvio padr?o 4,03; na an?lise da classifica??o modificada por Irani (2013), dois artigos foram classificados como de alta qualidade e o restante de qualidade intermedi?ria. 2) A t?cnica de extra??o em HCl 0,01M no tempo 30 minutos resultou em valores semelhantes ao esperado pela inativa??o de 50% do F? do dentifr?cio. E o tempo de 120 minutos resultou em resultados semelhantes ? t?cnica de microdifus?o facilitada por HMDS. Conclus?o: A maoiria dos artigos eleg?veis da revis?o sistem?tica encontraram associa??o entre idade do uso do dentifr?cio fluoretado e fluorose dental, por?m a severidade prevalente da flurose foi o grau muito leve, ou seja, n?o implica considerar fluorose dental como um problema de sa?de p?blica. E o estudo laboratorial sugere que o m?todo de extra??o de F? em HCl 0,01M ? promissor para ser utilizado em trabalhos de avalia??o da ingest?o de F? pela dieta e dentifr?cios.