Tirza Aidar

University of Campinas, Conceição de Campinas, São Paulo, Brazil

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Publications (11)2.87 Total impact

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    ABSTRACT: This study analyzed the quality of the Live Birth Information System in the State of (SINAC) Paraná, Brazil, from 2000 to 2005, through the percentage of undeclared variables, using a database provided by the State Health Department. Quality was analyzed using the following scale: excellent, undeclared percentage<1%; good between 1% and 2.99%; regular between 3% and 6.99%; and poor>7%. The quality in completing the SINAC in Paraná was excellent, especially as of year 2003. The mothers' occupation, classified as regular and poor, was the variable with the lowest quality in all Regional Health Departments. Live births, stillbirths, and race/color varied between poor and excellent quality. There is a need to improve the quality of the variables marital status and stillbirths in all Regional Health Departments. The excellence of the SINAC demonstrated its potential as a source of health information in Paraná.
    Revista da Escola de Enfermagem da U S P 03/2011; 45(1):79-86. · 0.39 Impact Factor
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    ABSTRACT: Variables from the Information System on Live Births (SINASC) were geocoded for municipalities from Greater Metropolitan Maringá, Paraná State, Brazil, for 19 population expansion areas (PEA). Thematic maps and the Moran I statistic and local indicators of spatial autocorrelation (LISA) were used to evaluate autocorrelation between teenage motherhood, low schooling, black/brown race/color, insufficient number of prenatal visits, cesarean delivery, prematurity, low birth weight, and 5-minute Apgar less than 8. Low schooling, black/brown race/color, and 5-minute Apgar < 8 were concentrated in the peripheral PEA, with significant autocorrelation (Moran I: 0.50; 0.67; and 0.63, respectively), while high cesarean rates were concentrated in the central PEA (Moran I = 0.59), where "low-low" patterns were observed, with black or brown teenage mothers with low schooling. High-risk clusters were identified in the peripheral PEA of Greater Metropolitan Maringá, showing that PEA is a feasible methodological alternative, together with the SINASC, for monitoring socio-spatial inequalities in maternal and child health.
    Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 08/2010; 26(8):1583-94. · 0.83 Impact Factor
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    ABSTRACT: This study aimed to identify and compare the characteristics of women living (WLHA) and not living with HIV/AIDS (WNLHA) regarding the report of lifetime induced abortion. Data from 1,777 MVHA and 2,045 MNVHA were collected between November 2003 and December 2004 during a cross-sectional study carried out in 13 municipalities of Brazil. After adjustment for confounding variables, 13.3% of MVHA versus 11.0% of MNVHA reported induced abortion in their lifetime (p>0.05). In multivariate analysis, independent correlates of lifetime induced abortion for both groups were: age, with older women reporting greater proportions of reporting induced abortion, living in the North region of Brazil, age at sexual debut (up to 17 years old), having three or more lifetime sexual partners, having ever used drugs and self-reporting occurrence of sexually transmitted diseases. The results suggest that, in general, the characteristics of women who reported induced abortion in both groups were similar, and that the contexts associated to HIV infection and to reproductive practices and decisions among women might share similarities.
    Ciencia & saude coletiva 08/2009; 14(4):1085-99.
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    ABSTRACT: A tendência da mortalidade por homicídios de homens de 15 a 49 anos residentes no Paraná foi analisada no período de 1979 a 2005. Foram calculados coeficientes de mortalidade por homicídio (por 105 homens de 15 a 49 anos) por Regionais de Saúde (RS) de residência, agrupados em triênios e analisados por meio de média móvel e da variação percentual anual (VA%) de acordo com os seguintes estratos: muito baixo: < 40; baixo: de 41 a 55; médio: de 56 a 70; alto: de 71 a 85; e muito alto: > 86. De 1979-1981 a 1995-1997 o Paraná apresentava coeficientes de mortalidade por homicídios considerados muito baixo e baixo (43,1 e 49,3 respectivamente) e no final do período, 1999-2001 e 2003-2005, os coeficientes passam a médio e alto (57,4 e 82,3 respectivamente). Houve aumento dos coeficientes para a maioria das RS, principalmente a partir de 2000, destacando Londrina (VA%: 24,9), Metropolitana-Curitiba (VA%: 12,3) e Foz do Iguaçu (VA%: 7,6), além de aumento para as RS do interior do Estado, como Campo Mourão (VA%: 26,9), Cianorte (VA%: 25,4), Umuarama (VA%: 17,7), Ivaiporã (VA%: 14,1), Pato Branco (VA%: 13,7) e Apucarana (VA%: 11,1). O fenômeno da interiorização da violência e a deterioração das relações sociais nas grandes cidades reforçam necessidade de ações para modificar a tendência ascendente da mortalidade por violências no Estado do Paraná.
    Revista Brasileira de Epidemiologia 06/2009; 12(2):258-269.
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    ABSTRACT: This study analyzed the quality of data from the Mortality Information System (SIM) for deaths due to external causes in the State of Paraná, Brazil, 1979 to 2005, focusing on events of undetermined intent. Deaths were grouped in motor vehicle accidents, homicides, suicides, and events of undetermined intent, and proportional mortality and relative annual variation of rates over the three-year period were analyzed. Motor vehicle accidents (more than 30% of the total) were the most frequent causes of death throughout the period, and since 1997 homicides have become the second most frequent cause. Deaths due to events of undetermined intent caused by weapons (firearms or knives) decreased from 4.8% in 1981 to 0.3% in 2005. Mortality rates for events of undetermined intent (overall) decreased from 14.9 deaths per 100,000 inhabitants in 1979-81 to 2.0 in 2003-05. Annual percentage variation was -13.1% from 1980 to 1985, -6% from 1996 to 2000, and -11% from 2000 to 2004. The findings show the good quality of SIM data on external causes in the State of Paraná, allowing analyses with the potential to support programs to prevent injuries as well as health promotion measures.
    Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 02/2009; 25(1):223-8. · 0.83 Impact Factor
  • Cadernos De Saude Publica - CAD SAUDE PUBLICA. 01/2009; 25(1).
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    ABSTRACT: This article aims to identify contexts of vulnerability related to HIV among Brazilian women. From November 2003 to December 2004, a cross-sectional study was conducted in 13 municipalities in the five Brazilian regions. The study included 1,777 women with a positive HIV diagnosis and 2,045 women attending public health care services. There were no significant differences between the two groups concerning number of sexual partners. However, HIV-positive women had a history of earlier sexual initiation and lower frequency of condom use. Higher proportions of HIV-positive women had used drugs, had a history of previous STDs, and had been victims of sexual violence some time in their life. The findings suggest the importance of considering strategies for HIV prevention focused on women's empowerment as a whole, and not focused only on their individual behaviors.
    Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 01/2009; 25 Suppl 2:S321-33. · 0.83 Impact Factor
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    Revista Brasileira de Epidemiologia 01/2009; 12(2).
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    ABSTRACT: OBJETIVO: Contribuir a los estudios sobre mortalidad por causas violentas en la América Latina a través de la análisis comparativa de los patrones y tendencias reciente de las muertes por causas externas en tres contextos urbanos regionales. MÉTODOS: Estudio descriptivo de fuente secundaria, utilizando estadísticas vitales del período 1980 a 2005, de Córdoba (Argentina), Campinas (Brasil), y Medellín (Colombia) en tres períodos entre 1980 y 2005. Destacan los siguientes grupos de causas: homicidios por armas de fuego y otros, accidentes de transportes, suicidios y de intención no determinada; desagregado por edad y sexo, con tasas calculadas con media de trienios próximos a los años censales. RESULTADOS: Los niveles de Medellín aventajan notablemente los de Campinas y Córdoba, en todas las causas estudiadas y en todas ellas son los hombres jóvenes los que ponen la mayor cuota de muertes. Los niveles de Campinas duplican a los de Córdoba, sobre todo en los homicidios y accidentes de tránsito, pero en los suicidios las tasas cordobesas duplican a las de Campinas. Para Medellín las tasas son máximas en torno de 1990, contrario de las otras ciudades donde la tendencia es creciente entre 1980 y 2000, y decreciente entre 2001 y 2005. CONCLUSIONES: La disponibilidad de datos sobre mortalidad con calidad permite comparaciones sobre la salud de las poblaciones estudiadas. Al comparar la mortalidad por causas externas, se evidencian diferencias en el nivel pero no tanto en el comportamiento por edad y sexo; a pesar que se trata de ciudades con algunas características similares por lo porte, además son centros universitarios y de desarrollo industrial de importancia en cada país. Los resultados sugieren que factores socioeconómicos y demográficos no son suficientes para explicar la gran diferencia en las cantidades observadas.
    Revista Brasileira de Estudos de População 12/2008; 25(2):335-352.