Variação temporal da coexistência de comportamento de risco para doenças crônicas não transmissíveis: 2009 a 2019

• Ano de defesa: 2021
• Autor(a) principal: Thaís Cristina Marquezine Caldeira
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL; Programa de Pós-Graduação em Saúde Pública; UFMG
• Palavras-chave em Português: Doença crônica; Saúde pública; Vigilância em saúde; Análise multivariada; Doença Crônica; Saúde Pública; Vigilância em Saúde Pública; Análise Multivariada; Dissertação Acadêmica
• Link de acesso: http://hdl.handle.net/1843/36043

Introduction: Noncommunicable diseases (NCDs) stand out among the main world public health problems. Most NCD deaths are related to a common set of behavioral and modifiable risk factors, such as unhealthy diet, tobacco use, harmful use of alcohol, physical inactivity, and obesity. These behaviors often coexist in individuals, thus increasing the chance of developing and worsening diseases. Objective: To analyze the temporal variation in the coexistence of risk behaviors for noncommunicable diseases in the adult population of state capitals and the Federal District, between 2009 and 2019. Methods: A time-series study was conducted with data from the Surveillance System for Risk and Protective Factors for Chronic Diseases (Vigitel) between 2009 and 2019 with adults from Brazilian capitals and DF (n=567,336). For the creation of the coexistence indicator between risk behaviors (simultaneous realized of behaviors) in the population studied, the method of Item Response Theory (IRT) was used. In addition, with the objective of identifying the main socio-demographic factors (sex, age groups, and years of schooling) associated with the coexistence of risk factors and the temporal variation of this coexistence, Poisson regression models, were used for the calculation of crude and adjusted prevalence ratios (according to sex, age, and schooling). Results: In the complete period of the study, there was a reduction in the coexistence of risk behaviors for NCDs, with a stabilization of the reduction as of 2015 (between 4% and 6% per year). The highest number of coexisting behaviors was higher among males (11% lower among women) and was inversely associated with the age group (14% lower among individuals aged 60 years and older) and schooling (10% lower among individuals aged 12 years or more). Conclusion: The realization of risk behaviors for NCDs together decreased among the population in the period. There was also a greater association of coexistence of risk behaviors for males, younger individuals, and with lower schooling.