Banca de DEFESA: ANTONIETA RELVAS PEREIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ANTONIETA RELVAS PEREIRA
DATE: 31/08/2021
TIME: 14:00
LOCAL: Videoconferência
TITLE:

NOSOLOGICAL PROFILE OF THE STATE OF AMAZONAS, HUMAITÁ AND THE RIVERSIDE POPULATION OF HUMAITÁ IN THE CONTEXT OF THE PHENOMENON OF THE EPIDEMIOLOGICAL TRANSITION

KEY WORDS:

Demographic transition, Epidemiological transition, Chronic Noncommunicable Disease, Infectoparasitic Disease, Riverside Population.

PAGES: 143
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

This study aimed to evaluate the nosological profile of the State of Amazonas, municipality of Humaitá and riverside population of the municipality in light of the phenomenon of epidemiological transition. A study was carried out on the health situation in Brazil, Amazonas and Humaitá in the context of demographic and epidemiological transition. To characterize this scenario, secondary data from the main health information systems were used. Concomitantly, a prevalence study was carried out on Chronic Non-Communicable Diseases (NCDs) and Infectious and Parasitic Diseases (IPD) that affect the riverside population along the Madeira River, in Humaitá – AM. The traditional riverside population has been showing changes in their lifestyles, caused by socio-environmental impacts that interfere with the morbidity and mortality profile, since the Amazon region is endemic and several infectious diseases continue to grow. The field study site was 16 riverside communities located along the Madeira River, in the municipality of Humaitá, State of Amazonas, in Western Amazonia. An observational method of prevalence study was used, with a sample size of 183 adult individuals, who were screened and verified: weight, height, waist circumference, blood pressure, clinical and epidemiological history, and physical and laboratory examinations were performed. Prevalence analyzes and prevalence ratios were calculated with confidence intervals with statistical significance of 95% and p<0.05. The prevalence of systemic arterial hypertension (SAH) was 44.7%, of which 52.6% were female. Of the hypertensive individuals, 77.5% did not use medication. About 51.5% of hypertensive patients have Grade I SAH. The prevalence of type 2 diabetes mellitus was 16.4%, where no patient used medication and about 40.4% of the studied population fits into the glucose intolerance range . Metabolic syndrome had a prevalence of 24.0%, higher frequency in females (33.8%) (p=0.007). Regarding renal dysfunction, there was a prevalence of 12.1% in both genders. The risk factors found were alcoholism, smoking and obesity, and more than 45% had at least two risk factors. There was a prevalence of 8.7% of PID (Leprosy 5.5%). We found that this riverside population has high prevalence of CNCDs and risk factors, low frequency of medication use, revealing inefficiency of the local health system. We observed that the state of Amazonas and the municipality of Humaitá are less advanced in relation to the demographic and epidemiological transition process in relation to the average in Brazil, as they present coexistence of morbidity and mortality rates from CNCDs and the presence of ILD with morbidity and mortality still high. We found that the access of these populations to health services is limited, economic conditions are unfavorable, and health problems are often solved in the community itself, and that even in remote areas of the northern region, we have already encountered the process of epidemiological transition (or population) in progress, with delineations of problems related to the double burden of diseases (DIP and CNCD), in poor areas, with difficult access and with an unstructured family health strategy.

BANKING MEMBERS:
Externa à Instituição - JACQUELINE DE ALMEIDA GONÇALVES SACHETT - UEA
Externa à Instituição - ISABELA CRISTINA DE MIRANDA GONÇALVES - UEA
Externo à Instituição - RODOLFO LUÍS KORTE
Externo à Instituição - FELIPE ARLEY COSTA PESSOA - FIOCRUZ
Presidente - 066.589.338-80 - LUIS MARCELO ARANHA CAMARGO - USP