Revista Brasileira de Epidemiologia Journal Impact Factor & Information

Publisher: Associação Brasileira de Pós-Graduação em Saúde Coletiva

Journal description

Publication of the Associação Brasileira de Pós -Graduação em Saúde Coletiva. Mission: A Revista Brasileira de Epidemiologia aims at publishing not previously published Original Articles, including critical reviews on specific themes, which may contribute to the develo-pment of Epidemiology and related Sciences.

Current impact factor: 0.00

Impact Factor Rankings

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
Website Revista Brasileira de Epidemiologia website
Other titles Revista brasileira de epidemiologia (Online), Brazilian journal of epidemiology
ISSN 1980-5497
OCLC 60618497
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

  • Revista Brasileira de Epidemiologia 09/2015; 18:5-6. DOI:10.1590/1809-4503201500050002
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    ABSTRACT: This article aims to consider some relevant challenges to the provision of “new prevention technologies” in health services in a scenario where the “advances” in the global response to AIDS control are visible. We take as material for analysis the information currently available on the HIV post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP), treatment as prevention (TASP) and over the counter. The methodology consisted of the survey and analysis of the Biblioteca Virtual em Saúde (BVS: MEDLINE, LILACS, WHOLIS, PAHO, SciELO) articles that addressed the issue of HIV prevention and care in the context of so-called new prevention technologies. The results of the studies show that there is assistance on the ground of clinics for the treatment of disease responses, but there are several challenges related to the sphere of prevention. The articles list some challenges regarding to management, organization of services and the attention given by health professionals to users. The current context shows evidence of the effectiveness of antiretroviral therapy in reducing the risk of HIV transmission, but the challenges for the provision of preventive technologies in health services permeate health professionals and users in their individual dimensions and health services in organizational and structural dimension. Interventions should be made available in a context of community mobilization; there should be no pressure on people to make HIV testing, antiretroviral treatment or for prevention. In the management is responsible for the training of health professionals to inform, clarify and make available to users, partners and family information about the new antiretroviral use strategies. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:104-119. DOI:10.1590/1809-4503201500050008
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    ABSTRACT: Introduction: Scientific evidence supports the sinergy between biomedical and behavioral interventions aimed at preventing the transmission of HIV as a strategy to eradicate AIDS. Objective: To characterize comparatively the benefits from biomedical and behavioral interventions to prevent HIV transmission. Methods: Narrative review. We performed a comparative analysis of the benefits of studied interventions by means of estimating the number needed to treat (NNT). Evaluated interventions: counseling activities for behavior change to prevent exposure to HIV; antiretroviral pre-exposure prophylaxis (PrEP) and antiretroviral post-exposure prophylasis (PEP) for HIV and treatment of serodiscordant couples as a strategy for prevention of HIV transmission (TasP). Results: counseling interventions and TasP have smaller NNTs, equal to, respectively, 11 (95%CI 9 – 18) at 12 months and 34 (95%CI 23 – 54) in 42 months comparatively to PrEP interventions, that resulted in 41 (95%CI 28 – 67) individuals receiving antiretrovirals in order to prevent one case of HIV infection at 36 months for men and serodiscordant couples. PEP interventions are associated with protective effects estimated at 81%. Lack of trials evaluating PEP prevents estimate of NNT. Conclusion: The estimate of the NNT can be a helpful parameter in the comparison between the effectiveness of different behavioral and biomedical HIV prevention strategies. Studies evaluating the benefit and safety of combined behavioral and biomedical interventions are needed, especially considering the attributable fraction of each component. Integration of behavioral and biomedical interventions is required to achieve complete suppression of the virus, and thus reducing viral replication, infectivity and the number of cases. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:26-42. DOI:10.1590/1809-4503201500050004
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    ABSTRACT: This article aims to discuss the prevention of the heterosexual HIV infection among women, considering and relationship between this practice and their reproductive demands, based on a critical analysis of the recent literature on the issue. It is assumed the relative exhaustion in the discourse about male condom use in all sexual relations, and the need to recognize that for many women in childbearing age, HIV prevention cannot be dissociated of the contraception practices, although the symbolic and technologically distinction between them. Furthermore, not always the contexts in which the sex occurs allows preventive practices. Women are different, and also their risks, vulnerabilities and needs, and this differences must be identified. The adequacy of preventive strategies to their particularities and situations experienced by each requires an effort of incorporation of available scientific knowledge to the actions taken by the health services, as well as conducting research on specific points relating to heterosexual practices. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:131-142. DOI:10.1590/1809-4503201500050010
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    ABSTRACT: In the last decades, the initiatives implemented under the conceptual umbrella of Harm Reduction have gained momentum, with a vigor and scope (both from a geographic and social perspective) never seen before. A more balanced reevaluation could and should rather say such initiatives have resumed, to a large extent, ideas and actions launched much earlier, in the first decades of the 20th century. Notwithstanding, the dissemination of HIV/AIDS in recent years conferred an exceptional visibility and legitimacy to proposals formerly viewed as subsidiary or openly neglected. Nowadays, initiatives inspired by the Harm Reduction philosophy have faced an “identity crisis”, not secondary (according to our perspective) to challenges faced by its concepts and operations, but rather as consequence of a world in a turmoil. Such fast-changing dynamics have reconfigured both drug scenes and the patterns and prospects of HIV/AIDS worldwide. This article briefly summarizes some of such recent, ongoing, changes, which have been deeply affecting both concepts and practices to the point of asking for a deep reformulation of most of the initiatives implemented so far. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:120-130. DOI:10.1590/1809-4503201500050009

  • Revista Brasileira de Epidemiologia 09/2015; 18:1-4. DOI:10.1590/1809-4503201500050001
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    ABSTRACT: Sex workers have been the protagonists and focus of HIV prevention campaigns and research since the late 1980s in Brazil. Through a review of national and international literature, combined with a history of sex workers’ involvement in the construction of the Brazilian response, this article explores the overlaps and disconnects between research and practice in contexts of prostitution over the past three decades. We review the scientific literature on the epidemiology of HIV among sex workers and prevention methodologies. We conclude that although research focus and designs often reinforce the idea that sex workers’ vulnerability is due to their sexual relationships with clients, their greatest vulnerability has been found to be with their nonpaying intimate partners. Few studies explore their work contexts and structural factors that influence safe sex practices with both types of partners. The negative effects of criminalization, stigma, and exclusively biomedical and peer education-based approaches are well documented in the scientific literature and experiences of sex worker activists, as is the importance of prevention programs that combine empowerment and human rightsbased approach to reduce HIV infection rates. We conclude that there is a need for actions, policies, and research that encompass the environment and context of sex workers’ lives and reincorporate the human rights and citizenship frame that dominated the Brazilian response until the end of the 2000s. As part of HIV prevention efforts, female sex workers need to be considered above all as women, equal to all others. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:7-25. DOI:10.1590/1809-4503201500050003
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    ABSTRACT: Worldwide, HIV prevention is challenged to change because clinical trials show the protective effect of technologies such as circumcision, preexposure prophylaxis, and the suppression of viral load through antiretroviral treatment. In the face of demands for their implementation on population levels, the fear of stimulating risk compensation processes and of increasing riskier sexual practices has retarded their integration into prevention programs. In this article, following a narrative review of the literature on risk compensation using the PubMed database, we offer a critical reflection on the theme using a constructionist approach of social psychology integrated to the theoretical framework of vulnerability and human rights. The use of biomedical technologies for prevention does not consistently induce its users to the increase of riskier practices, and variations on the specificity of each method need to be carefully considered. Alternatives to the theories of sociocognitive studies, such as social constructionist approaches developed in the social sciences and humanities fields, indicate more comprehensive interpretations, valuing the notions of agency and rights. The critical analysis suggests priority actions to be taken in the implementation process: development of comprehensive programs, monitoring and fostering dialog on sexuality, and technical information. We highlight the need to implement a human rights-based approach and to prioritize dialog, stressing how complementary these technologies can be to meet different population needs. We conclude by stressing the need to prioritize sociopolitical changes to restore participation, dialog about sexuality, and emphasis on human rights such as core elements of the Brazilian AIDS policy. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:89-103. DOI:10.1590/1809-4503201500050007
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    ABSTRACT: On the basis of an ethnographic narrative on sexual interactions observed in urban parks in large Brazilian cities, the article discusses the adoption of new strategies and methods for AIDS prevention in vulnerable populations, especially in men who have sex with men (MSM). By following some guiding questions, the text debates when, why, with whom, and in which context the new prevention methods should be adopted. It emphasizes, in agreement to the initial narrative, the importance of taking into account the prevention strategies created by the population itself to manage HIV risk infection. It also addresses how prevention practices and messages are adapted and recreated by individuals and groups in an attempt to suit them to their sexual desires, practices, and choices. In this perspective, the article recommends the inclusion of the experiences and voices of individuals and groups considered vulnerable in the new AIDS prevention methods and programs targeted to them. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:156-168. DOI:10.1590/1809-4503201500050012
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    ABSTRACT: Introduction: The use antiretroviral reduces the sexual transmission of HIV, expanding interventions for serodiscordant couples. Objective: This article aims to review the use of antiretroviral and other prevention interventions among serodiscordant couples and to analyze its use in Brazil. Methods: A retrospective review was performed through the MEDLINE database and bases included in the Biblioteca Virtual em Saúde. Results: The articles recovered exhibit four main strategies: (1) condom; (2) reduction of risks in sexual practices; (3) use of antiretrovirals, particularly early initiation of antiretroviral therapy (TASP) and pre-exposure prophylaxis (PrEP); (4) risk reduction in reproduction. Discussion: TASP is highly effective in reducing sexual transmission, PrEP was tested in serodiscordant couples and both reduce the sexual transmission risk in different sexual practices, enabling individualized prevention strategies. Conclusions: When used in combination, antiretrovirals and sexual practices with condoms offer greater efficacy than any single strategy. The combined use of new and old strategies allows us to build a prevention policy for all. © 2015, Assocaicao Brasileira de Pos, Gradacao em Saude Coletiva. All rights reserved.
    Revista Brasileira de Epidemiologia 09/2015; 18:169-182. DOI:10.1590/1809-4503201500050013
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    ABSTRACT: Introduction: Musculoskeletal pain is one of the most frequent complaints among teachers, compromising their health and quality of life. Objective: To estimate the prevalence of musculoskeletal pain among teachers, assessing their occurrence according to sociodemographic characteristics, general health and well-being at work. Methods: An exploratory cross-sectional study conducted with 525 teachers. During activities of continuing education, the teachers completed a self-administered questionnaire containing questions about sociodemographic factors, general health, well-being at work and musculoskeletal pain. Results: The overall prevalence of musculoskeletal pain was equal to 73.5%. The most common musculoskeletal pains were localized in the shoulders (31.6%), upper back (27.8%), neck (27.2%) and ankles and/or feet (24.0%). Circulatory and respiratory problems and Common Mental Disorders were associated with pain in the shoulders, upper back, neck and ankles and/or feet. Well- being at work is associated with pain in the shoulders, neck and ankles and/or feet. Conclusion: It is necessary to deepen the knowledge about musculoskeletal pain among teachers, exploring the biological, ergonomic, occupational and psychosocial mechanisms of teaching, as well as invest in practices that improve the relationship of coexistence between workers and activities that enhance the comfort and reduce referred pain.
    Revista Brasileira de Epidemiologia 08/2015; 18(3):702-15. DOI:10.1590/1980-5497201500030015
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    ABSTRACT: To describe the prevalence and to analyze the factors associated with hearing problems in an agricultural company. This was a cross-sectional study, and the participants consisted entirely of employees of an agricultural company in southern Brazil. The workforce of the company was composed of several different occupations. The research instrument was a semi-structured questionnaire administered by interview. Of the 326 workers of the company, there were 273 (83.8%) respondents, and the prevalence of hearing problems was n = 42 (15.4%) among the participants of the study. The hearing problems were associated with lower schooling, with the operating occupational group, the technical assistance group and the general services group. The self-reported health conditions associated with hearing problems were depression and nervousness or irritation. The occupational exposures associated with hearing problems were noise, dust, vibration, oils and solvents, and toxic gases. There was an intermediate prevalence of hearing problems in relation to other studies. It was possible to observe the need to implement strategies aiming at the prevention of hearing problems that primarily contemplate modifiable aspects, such as the use of personal protective equipment, as well as improvements in the conditions, organization and work environment.
    Revista Brasileira de Epidemiologia 07/2015; 18(3):679-90. DOI:10.1590/1980-5497201500030013

  • Revista Brasileira de Epidemiologia 07/2015; 18(3):720-4. DOI:10.1590/1980-5497201500030017
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    ABSTRACT: This study aimed to determine if individual and socio-environmental characteristics can influence the self-rated health among Brazilian adolescents. It included 1,042 adolescents from 11 to 17 years old who participated in the Beagá Health Study (Estudo Saúde em Beagá), a multistage household survey in an urban setting. Logistic regression analyses were performed to determine the association between the self-rated health and the following explanatory variables: sociodemographic factors, social support, lifestyle, physical and psychological health. Good/very good and reasonable/poor/very poor self-rated health were reported by 88.5 and 11.5% of adolescents, respectively. The data on sociodemographic factors (SES), social support, lifestyle, psychological and physical health were associated with poor self-rated health (p ≤ 0.05). The associated variables were: age 14 - 17 years (OR =1.71; 95%CI 1.06 - 2.74), low SES (OR =1.68; 95%CI 1.05 - 2.69), few (OR = 2.53; 95%CI 1.44 - 4.46) and many quarrels in family (OR = 9.13; 95%CI 4.53 - 18.39), report of unkind and unhelpful peers (OR = 2.21; 95%CI 1.11 - 4.43), consumption of fruits < 5 times a week (OR = 1.78; 95CI% 1.07 - 2.95), physical inactivity (OR = 2.31; 95%CI 1.15 - 4.69), overweight (OR = 2.42; 95%CI 1.54 - 3.79) and low level of life satisfaction (OR = 2.31; 95%CI 1.34 - 3.98). Poor self-rated health among adolescents was associated with individual and socio-environmental characteristics related to family, school and neighborhood issues. Quantifying the self-rated health according to the theoretical framework of the child's well-being should help in arguing that self-rated health might be a strong indicator of social inequities for the studied population.
    Revista Brasileira de Epidemiologia 07/2015; 18(3):538-51. DOI:10.1590/1980-5497201500030002