Public Health, Environmental and Occupational Health, Epidemiology, Environmental Science
16
Scopus Publications
Scopus Publications
Data Resource Profile: Harmonized health survey data for 240 cities across 11 countries in Latin America: The SALURBAL project Kari Moore, Mariana Lazo, Ana Ortigoza, D Alex Quistberg, Brisa Sanchez, Binod Acharya, Tania Alfaro, Maria Fernanda Kroker-Lobos, Mariana Carvalho De Menezes, Olga Lucia Sarmiento, Amanda C de Souza Andrade, Carolina Perez Ferrer, Akram Hernandez Vasquez, Waleska Teixeira Caiaffa, Ana V Diez Roux, , Marcio Alazraqui, Hugo Spinelli, Carlos Guevel, Vanessa Di Cecco, Adela Tisnés, Carlos Leveau, Adrián Santoro, Damián Herkovits, Andrés Trotta, Patricia Aguirre, Serena Mónica Perner, Santiago Rodríguez López, Natalia Tumas, Nelson Gouveia, Maria Antonietta Mascolli, Anne Dorothée Slovic, Lucas Soriano Martins, Cláudio Makoto Kanai, Maurício Barreto, Gervásio Santos, Anderson Dias de Freitas, Aureliano Sancho Souza Paiva, José Firmino de Sousa Filho, Maria Izabel dos Santos Bell, Roberto Fernandes Silva Andrade, Caio Porto De Castro, Letícia de Oliveira Cardoso, Mariana Carvalho de Menezes, Maria de Fatima Rodrigues Pereira de Pina, Daniel Albert Skaba, Joanna Miguez Nery Guimarães, Vanderlei Pascoal de Matos, Mariana Carvalho de Menezes, Waleska Teixeira Caiaffa, Amélia Augusta de Lima Friche, Carina Maris de Souza, Débora Moraes Coelho, Denise Marques Sales, Guilherme Aparecido Santos Aguilar, Guilherme Ottoni, Julia de Carvalho Nascimento, Lídia Maria de Oliveira Morais, Mariana de Melo Santos, Solimar Carnavalli Rocha, Uriel Moreira Silva, Camila Teixeira Vaz, Amanda Cristina de Souza Andrade, Patricia Frenz, Tania Alfaro, Carolina Nazzal, Cynthia Córdova, Pablo Ruiz, Mauricio Fuentes, Marianela Castillo, Rodrigo Mora, Sebastian Pedrero, Lorena Rodríguez, Sandra Flores, Tamara Doberti, Alejandra Vives Vergara, Alejandro Salazar, Cristián Schmitt, Daniela Olivares, Francisca González, Fernando Baeza, Flavia Angelini, Ignacio Díaz, Laura Orlando, Natalia Díaz, Pablo Campos, Roxana Valdebenito, Victoria León, Andrea Cortinez-O'Ryan, Olga Lucía Sarmiento, Andrés Felipe Aguilar, Julián Arellana, Claudia Bedoya, Jorge Alexander Bonilla, Marcelo Botero, Sergio Cabrales, Germán Carvajal, Natalia Cely, Diego Lucumí Cuesta, Carlos Mauricio Díaz, Karen Fajardo, Catalina González, Silvia Alejandra González, Oscar Guaje, John Alexis Guerra, Paula Guevara, Tomás Guevara Aladino, Luis Ángel Guzmán, Philipp Hessel, Diana Higuera, Bernardo Huertas, Jorge Huertas, Ana Maria Jaramillo, Joaquín Hernando Jaramillo Sabogal, Mario Linares, Julieth Lopez, Diego Lucumí, Paola Martinez, Andrés Medaglia, Daniela Mendez, Ricardo Morales, Felipe Montes, Anamaria Muñoz Florez, Alejandro Palacio, Fabian Camilo Peña, José David Pinzón, Camilo Triana, Andres Felipe Useche, Maria Alejandra Wilches, Sandra Zúñiga, Carlos Moncada, Lina Martínez, Jose David Meisel, Eliana Martinez, María Fernanda Kroker-Lobos, Manuel Ramirez-Zea, Monica Mazariegos, Analí Morales, Tonatiuh Barrientos-Gutierrez, Arantxa Colchero Aragones, Carolina Perez-Ferrer, Francisco Javier Prado-Galbarro, Nancy Paulina López Olmedo, Filipa de Castro, Rosalba Rojas-Martínez, Alejandra Jauregui, Dalia Stern, Horacio Riojas, José Luis Texcalac, Herney Alonso Rengifo Reina, Desirée Vidaña Pérez, Yenisei Ramírez Toscano, J Jaime Miranda, Cecilia Anza-Ramirez, Francisco Diez-Canseco, Akram Hernández Vásquez, Lorena Saavedra-Garcia, Jessica H Zafra-Tanaka, Ross Hammond, Daniel Rodriguez, Maryia Bakhtsiyarava, Iryna Dronova, Xize Wang, Mika Ruchama Moran, Yuanyuan Zhao, Yang Ju, Xavier Delclòs-Alió, Peter Hovmand, Ellis Ballard, Jill Kuhlberg, Ana Diez Roux, Binod Acharya, Amy Auchincloss, Ione Avila-Palencia, Sharrelle Barber, Usama Bilal, Ariela Braverman, Dustin Fry, Felipe Garcia-España, Katherine Indvik, Josiah Kephart, Carolyn Knoll, Brent Langellier, Mariana Lazo, Ran Li, Gina Lovasi, Rosie Mae Henson, Kevin Martinez-Folgar, Steve Melly, Yvonne Michael, Kari Moore, Jeff Moore, Pricila Mullachery, Ana Ortigoza, Harrison Quick, D Alexander Quistberg, Jordan Rodriguez Hernandez, Brisa Sanchez, S Claire Slesinski, Ivana Stankov, Jose Tapia Granados, Bricia Trejo, Goro Yamada International Journal of Epidemiology, 2025
Social environment characteristics are related to self-rated health in four Latin America countries: Evidence from the SALURBAL Project Camila Teixeira Vaz, Débora Moraes Coelho, Uriel Moreira Silva, Amanda Cristina de Souza Andrade, Francisca González López, Olga Lucía Sarmiento Dueñas, Amélia Augusta de Lima Friche, Ana Victoria Diez-Roux, Waleska Teixeira Caiaffa Health and Place, 2023 We investigated the associations of social and built environment and demographic features of urban areas with self-rated health among adults living in four Latin American countries. We estimated multilevel models with harmonized data from 69,840 adults, nested in 262 sub-cities and 112 cities, obtained from the Salud Urbana en América Latina project. Poor self-rated health was inversely associated with services provision score at the sub-city-level and with social environment index at the city-level. We did not identify associations of built environment and demographic features with self-rated health. Approaches and policies to improve health in Latin American should be urban context-sensitive.
Discrimination perceived by elderly adults in the use of health services: an integrative review Luciana de Souza Braga, Camila Teixeira Vaz, Danielle Nunes Moura Silva, Elaine Leandro Machado, Amélia Augusta de Lima Friche Ciencia E Saude Coletiva, 2023 Resumo Este trabalho analisa as evidências atuais sobre a discriminação percebida por adultos mais velhos (> 50 anos) no uso de serviços de saúde e identifica os fatores associados a essa experiência. Trata-se de uma revisão integrativa da literatura, realizada a partir de pesquisa nos sítios eletrônicos Biblioteca Virtual de Saúde, CINAHL, Medline, Scopus e Web of Science, em junho de 2021. Foram utilizados os descritores: discriminação social ou ageismo; pessoa de meia-idade ou idoso de 80 anos ou mais ou idoso; e serviço de saúde ou serviço de saúde para idosos, incluindo sinônimos, nos idiomas português, inglês e espanhol. A estratégia de busca identificou 1.165 artigos; 19 cumpriram os critérios de elegibilidade e inclusão. O acervo inclui estudos quantitativos e qualitativos publicados entre 2002 e 2021; cerca de 60% realizados nos Estados Unidos e Austrália. A prevalência de discriminação no uso de serviços de saúde variou de 2% a 42%. O relato de práticas discriminatórias se mostrou associado a características étnico-raciais, sexo, idade, orientação sexual, aparência física e classe social. Ao dar visibilidade ao tema, este trabalho visa estimular a definição de formas concretas de enfrentamento à discriminação e interromper a perpetração de iniquidades no âmbito da atenção à saúde.
A decreased trajectory of loneliness among Brazilians aged 50 years and older during the COVID-19 pandemic: ELSI-Brazil Luciana de Souza Braga, Bruno de Souza Moreira, Juliana Lustosa Torres, Amanda Cristina de Souza Andrade, Anna Carolina Lustosa Lima, Camila Teixeira Vaz, Elaine Leandro Machado, Waleska Teixeira Caiaffa, Cleusa Pinheiro Ferri, Juliana Vaz de Melo Mambrini Cadernos De Saude Publica, 2023 This study aimed to estimate prevalence of loneliness among older Brazilian adults over the first seven months of the COVID-19 pandemic and to identify the predictors of loneliness trajectories. Pre-pandemic data derived from face-to-face interviews of participants of the 2019-2020 Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is a nationally representative study of community-dwelling individuals aged 50 years and over. Pandemic data were based on three rounds of telephone interviews among those participants, conducted from May to October 2020. Loneliness was measured by a single-item question, considering those who had at least two repeated measures. Explanatory variables included depression, living alone, leaving home in the last week, and virtual connectedness in the last month. Mixed-effects logistic regression was used to estimate odds ratios with their 95% confidence intervals (95%CI) and to investigate loneliness trajectories and their predictors. In total, 5,108 participants were included. The overall prevalence of loneliness in the pre-pandemic period was 33.1% (95%CI: 29.4-36.8), higher than the pandemic period (round 1: 23.6%, 95%CI: 20.6-26.9; round 2: 20.5%, 95%CI: 17.8-23.5; round 3: 20.6%, 95%CI: 17.1-24.6). A significant interaction (p ≤ 0.05) was evidenced only between depression and time; participants with depression showed a greater reduction in loneliness levels. Although loneliness levels in Brazil have decreased during the pandemic, this pattern is not present for all older adults. Individuals with depression had a more significant reduction, probably due to feeling closer to their social network members during the stay-at-home recommendations.
Aging and self-reported health in 114 Latin American cities: gender and socio-economic inequalities Marianela Castillo-Riquelme, Goro Yamada, Ana V. Diez Roux, Tania Alfaro, Sandra Flores-Alvarado, Tonatiuh Barrientos, Camila Teixeira Vaz, Andrés Trotta, Olga L. Sarmiento, Mariana Lazo BMC Public Health, 2022 Background Understanding how urban environments influence people’s health, especially as individuals age, can help identify ways to improve health in the rapidly urbanizing and rapidly aging populations. Objectives To investigate the association between age and self-reported health (SRH) in adults living in Latin-American cities and whether gender and city-level socioeconomic characteristics modify this association. Methods Cross-sectional analyses of 71,541 adults aged 25–97 years, from 114 cities in 6 countries (Argentina, Brazil, Colombia, Chile, El Salvador, and Guatemala), as part of the Salud Urbana en America Latina (SALURBAL) Project. We used individual-level age, gender, education, and self-reported health (SRH) data from harmonized health surveys. As proxies for socioeconomic environment we used a city-level socioeconomic index (SEI) calculated from census data, and gross domestic product (GDP) per-capita. Multilevel Poisson models with a robust variance were used to estimate relative risks (RR), with individuals nested in cities and binary SRH (poor SHR vs. good SRH) as the outcome. We examined effect modification by gender and city-level socioeconomic indicators. Results Overall, 31.4% of the sample reported poor SRH. After adjusting for individual-level education, men had a lower risk of poor SRH (RR = 0.76; CI 0.73–0.78) compared to women, and gender modified the association between age and poor SRH (p-value of interaction < 0.001). In gender stratified models, the association between older age and poor SRH was more pronounced in men than in women, and in those aged 25–65 than among those 65+ (RR/10 years = 1.38 vs. 1.10 for men, and RR/10 years = 1.29 vs. 1.02 for women). Living in cities with higher SEI or higher GDP per-capita was associated with a lower risk of poor SRH. GDP per-capita modified the association between age (25–65) and SRH in men and women, with SEI the interaction was less clear. Conclusions Across cities in Latin America, aging impact on health is significant among middle-aged adults, and among men. In both genders, cities with lower SEI or lower GDP per-capita were associated with poor SRH. More research is needed to better understand gender inequalities and how city socioeconomic environments, represented by different indicators, modify exposures and vulnerabilities associated with aging.
Prevalence of urinary incontinence, impact on quality of life and associated factors in users of Primary Health Care Units Camila Amâncio Alves, Denise Cristina Cardoso Ferreira, Marina Ferreira de Lima, Karoline Amaral Coimbra, Camila Teixeira Vaz Fisioterapia Em Movimento, 2022 Resumo Introdução: A incontinência urinária (IU) causa considerável impacto negativo na qualidade de vida, ocasionando prejuízo psicossocial, emocional e higiênico, além de alto custo para o sistema de saúde e limitações nas atividades de vida diária. Objetivo: Descrever a proporção de mulheres com IU e o seu impacto na qualidade de vida, bem como investigar os fatores associados a essa condição de saúde entre usuárias de Unidades de Atenção Primária à Saúde (UAPS) do município de Governador Valadares, MG. Métodos: Estudo transversal realizado entre mulheres usuárias de UAPS do município. Um questionário elaborado pelas pesquisadoras foi utilizado para coleta de dados. As participantes que relataram queixa de perda urinária em qualquer situação responderam ao International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Resultados: Participaram do estudo 201 mulheres. A proporção de mulheres com incontinência urinária foi de 36,32% e entre essas o escore do ICIQ-SF teve mediana igual a 7 pontos, indicando impacto moderado na qualidade de vida. A incontinência urinária associou-se à idade, renda, índice de massa corporal e paridade. Conclusão: A proporção de mulheres com IU está de acordo com a prevalência descrita pela International Continence Society (ICS), impactando moderadamente na qualidade de vida, o que indica uma normalização do problema. Ademais, a IU esteve associada à idade, renda, IMC e número de gestações. Assim, estratégias de educação em saúde para esse grupo são necessárias, a fim de prevenir e tratar a IU nas UAPS, bem como ações intersetoriais para melhorar a renda da população, no sentido de controlar os fatores de risco que são modificáveis.
Loneliness and social disconnectedness in the time of pandemic period among Brazilians: evidence from the ELSI COVID-19 initiative Juliana Lustosa Torres, Luciana de Souza Braga, Bruno de Souza Moreira, Camila Menezes Sabino Castro, Camila Teixeira Vaz, Amanda Cristina de Souza Andrade, Fabíola Bof Andrade, Maria Fernanda Lima-Costa, Waleska Teixeira Caiaffa Aging and Mental Health, 2022 Objectives: This study aimed at estimating the pre-pandemic and pandemic prevalence of loneliness and investigating the association of loneliness with social disconnectedness during social distancing strategies in the time of the COVID-19 pandemic period. Methods: We used data from the ELSI COVID-19 initiative with participants from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which comprised 4,431 participants aged 50 years and over. Loneliness (hardly ever/some of the time/often) was assessed by the question “In the past 30 days, how often did you feel alone/lonely?”. Social disconnectedness included information on social contacts through virtual talking (i.e. telephone, Skype, WhatsApp, or social media) and outside-home meetings with people living in another household. Covariates included sociodemographic and health related characteristics. Multinomial logistic regression models were used to estimate odds ratios (OR) with their 95% confidence interval (CI). Results: The overall prevalence of loneliness during the pandemic was 23.9% (95% CI 20.7-27.5); lower than in the pre-pandemic period (32.8%; 95% CI 28.6-37.4). In the pandemic period, 20.1% (95% CI 16.9-23.6) reported some of the time feeling lonely and 3.9% (95% CI 3.1-4.8) reported often feeling lonely. In the fully adjusted model, virtual talking disconnectedness (OR=1.67; 95% CI 1.09-2.56) was positively associated with some of the time feeling lonely and outside-home disconnectedness (OR=0.33; 95% CI 0.18-0.60) was negatively associated with often feeling lonely. Conclusion: Individuals with virtual talking disconnectedness and without outside-home disconnectedness are at higher risk of loneliness during the time of COVID-19 pandemic. Stimulating virtual talking connectedness might have the potential to diminish loneliness despite steep outside-home disconnectedness.
A decreased trajectory of loneliness among Brazilians aged 50 years and older during the COVID-19 pandemic: ELSI-Brazil Luciana de Souza Braga, Bruno de Souza Moreira, Juliana Lustosa Torres, Amanda Cristina de Souza Andrade, Anna Carolina Lustosa Lima, Camila Teixeira Vaz, Elaine Leandro Machado, Waleska Teixeira Caiaffa, Cleusa Pinheiro Ferri, Juliana Vaz de Melo Mambrini Cadernos De Saude Publica, 2022 This study aimed to estimate prevalence of loneliness among older Brazilian adults over the first seven months of the COVID-19 pandemic and to identify the predictors of loneliness trajectories. Pre-pandemic data derived from face-to-face interviews of participants of the 2019-2020 Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is a nationally representative study of community-dwelling individuals aged 50 years and over. Pandemic data were based on three rounds of telephone interviews among those participants, conducted from May to October 2020. Loneliness was measured by a single-item question, considering those who had at least two repeated measures. Explanatory variables included depression, living alone, leaving home in the last week, and virtual connectedness in the last month. Mixed-effects logistic regression was used to estimate odds ratios with their 95% confidence intervals (95%CI) and to investigate loneliness trajectories and their predictors. In total, 5,108 participants were included. The overall prevalence of loneliness in the pre-pandemic period was 33.1% (95%CI: 29.4-36.8), higher than the pandemic period (round 1: 23.6%, 95%CI: 20.6-26.9; round 2: 20.5%, 95%CI: 17.8-23.5; round 3: 20.6%, 95%CI: 17.1-24.6). A significant interaction (p ≤ 0.05) was evidenced only between depression and time; participants with depression showed a greater reduction in loneliness levels. Although loneliness levels in Brazil have decreased during the pandemic, this pattern is not present for all older adults. Individuals with depression had a more significant reduction, probably due to feeling closer to their social network members during the stay-at-home recommendations.
Life expectancy and mortality in 363 cities of Latin America Usama Bilal, , Philipp Hessel, Carolina Perez-Ferrer, Yvonne L. Michael, Tania Alfaro, Janeth Tenorio-Mucha, Amelia A. L. Friche, Maria Fatima Pina, Alejandra Vives, Harrison Quick, Marcio Alazraqui, Daniel A. Rodriguez, J. Jaime Miranda, Ana V. Diez-Roux Nature Medicine, 2021 The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death (communicable, maternal, neonatal and nutritional, cancer, cardiovascular disease and other noncommunicable diseases) varied substantially between countries. In multivariable mixed models, higher levels of education, water access and sanitation and less overcrowding were associated with longer life expectancy, a relatively lower proportion of communicable, maternal, neonatal and nutritional deaths and a higher proportion of deaths from cancer, cardiovascular disease and other noncommunicable diseases. These results highlight considerable heterogeneity in life expectancy and causes of death across cities of Latin America, revealing modifiable factors that could be amenable to urban policies aimed toward improving urban health in Latin America and more generally in other urban environments.
The results of a 24-h pad test in Brazilian women Elyonara Mello Figueiredo, Raquel Gontijo, Camila Teixeira Vaz, Elza Baracho, Andrea Moura Rodrigues Maciel da Fonseca, Marilene Vale de Castro Monteiro, Agnaldo Lopes Silva Filho International Urogynecology Journal, 2012
