Author
Jurema Corrêa da Mota
Bio: Jurema Corrêa da Mota is an academic researcher from Oswaldo Cruz Foundation. The author has contributed to research in topics: Population & Medicine. The author has an hindex of 12, co-authored 34 publications receiving 421 citations.
Topics: Population, Medicine, Hepatitis C, Mental health, Internal medicine
Papers
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TL;DR: In this study, sizable proportions of participants reported meaningful changes in lifestyle behaviors during the COVID-19 pandemic in Spain, and the SMILE-C was sensitive to detect these changes and presented good initial psychometric properties.
109 citations
TL;DR: Overall, infection rates for HIV and syphilis were very high, with some variation between different cities, and findings are of great concern, considering the fact that female TGW are not only very hard-to-reach but also face deeply-entrenched prejudice and have been out of the reach of most therapeutic and preventive programs and projects.
59 citations
TL;DR: Interventions addressing lifestyle may be useful in dealing with symptoms of common mental disorders during the strain imposed among essential workers by the COVID-19 pandemic, according to the multinomial logistic regression model.
Abstract: Background: Essential workers have been shown to present a higher prevalence of positive screenings for anxiety and depression during the COVID-19 pandemic. Individuals from countries with socioeconomic inequalities may be at increased risk for mental health disorders.
Objective: We aimed to assess the prevalence and predictors of depression, anxiety, and their comorbidity among essential workers in Brazil and Spain during the COVID-19 pandemic.
Methods: A web survey was conducted between April and May 2020 in both countries. The main outcome was a positive screening for depression only, anxiety only, or both. Lifestyle was measured using a lifestyle multidimensional scale adapted for the COVID-19 pandemic (Short Multidimensional Inventory Lifestyle Evaluation–Confinement). A multinomial logistic regression model was performed to evaluate the factors associated with depression, anxiety, and the presence of both conditions.
Results: From the 22,786 individuals included in the web survey, 3745 self-reported to be essential workers. Overall, 8.3% (n=311), 11.6% (n=434), and 27.4% (n=1027) presented positive screenings for depression, anxiety, and both, respectively. After adjusting for confounding factors, the multinomial model showed that an unhealthy lifestyle increased the likelihood of depression (adjusted odds ratio [AOR] 4.00, 95% CI 2.72-5.87), anxiety (AOR 2.39, 95% CI 1.80-3.20), and both anxiety and depression (AOR 8.30, 95% CI 5.90-11.7). Living in Brazil was associated with increased odds of depression (AOR 2.89, 95% CI 2.07-4.06), anxiety (AOR 2.81, 95%CI 2.11-3.74), and both conditions (AOR 5.99, 95% CI 4.53-7.91).
Conclusions: Interventions addressing lifestyle may be useful in dealing with symptoms of common mental disorders during the strain imposed among essential workers by the COVID-19 pandemic. Essential workers who live in middle-income countries with higher rates of inequality may face additional challenges. Ensuring equitable treatment and support may be an important challenge ahead, considering the possible syndemic effect of the social determinants of health.
51 citations
TL;DR: Policy efforts are needed to reduce social inequalities in health in this city, especially among the elderly, as healthy life expectancy was more than twice as high in the richest sector as in the slum sector.
Abstract: Objectives. We investigated deprivation and inequalities in life expectancy and healthy life expectancy by location in Rio de Janeiro, Brazil.
Methods. We conducted a health survey of 576 adults in 2006. Census tracts were stratified by income level and categorization as a slum. We determined health status by degree of functional limitation, according to the approach proposed by the World Health Organization. We calculated healthy life expectancies by Sullivan's method with abridged life table.
Results. We found the worst indicators in the slum stratum. The life expectancy at birth of men living in the richest parts of the city was 12.8 years longer than that of men living in deprived areas. For both men and women older than age 65 years, healthy life expectancy was more than twice as high in the richest sector as in the slum sector.
Conclusions. Our analysis detailed the excess burden of poor health experienced by disadvantaged populations of Rio de Janeiro. Policy efforts are needed to reduce social inequalities in health in this city, especially among the elderly.
48 citations
TL;DR: The DALY (anos de vida perdidos ajustados por incapacidade), indicator of estudos de carga de doenca, foi estimado for o Brasil em 2008 as mentioned in this paper.
Abstract: No presente estudo, o DALY (anos de vida perdidos ajustados por incapacidade), indicador de estudos de carga de doenca, foi estimado para o Brasil em 2008. Entre os principais resultados, observam-se maior carga de doenca no Norte e Nordeste e preponderância das doencas cronicas nao transmissiveis em todas as regioes do pais, em particular as doencas cardiovasculares, os transtornos mentais, com destaque para a depressao, o diabetes e a doenca pulmonar obstrutiva cronica. Tambem chama a atencao a elevada carga dos homicidios e dos acidentes de trânsito. O perfil epidemiologico apresenta-se ainda mais complexo quando se considera a carga nao desprezivel das doencas transmissiveis, das condicoes maternas, das condicoes perinatais e das deficiencias nutricionais. As analises empreendidas ao longo do estudo possibilitaram conhecer de forma mais detalhada o status de saude da populacao, evidenciando a demanda por acoes transversais, que vao alem de politicas especificas circunscritas a area de saude, bem como a necessidade de ampliar o escopo de preocupacao com a qualidade das informacoes sobre morbimortalidade no Brasil.
41 citations
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03 May 2018
2,508 citations
08 Jan 2010
1,246 citations
TL;DR: As life expectancy has increased, the number of healthy years lost to disability has also increased in most countries, consistent with the expansion of morbidity hypothesis, which has implications for health planning and health-care expenditure.
908 citations
Journal Article•
TL;DR: In this article, the authors examined the psychological distress, depression, anxiety, and stress experienced by health care workers in Singapore in the midst of the outbreak, and compared these between medically and non-medically trained hospital personnel.
Abstract: Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore Background: In response to the coronavirus disease 2019 (COVID-19) pandemic, Singapore raised its Disease Outbreak Response System Condition alert to “orange,” the second highest level. Between 19 February and 13 March 2020, confirmed cases rose from 84 to 200 (34.2 per 1 000 000 population), with an increase in patients in critical condition from 4 to 11 (5.5%) and no reported deaths in Singapore (1). Understanding the psychological impact of the COVID-19 outbreak among health care workers is crucial in guiding policies and interventions to maintain their psychological well-being. Objective: To examine the psychological distress, depression, anxiety, and stress experienced by health care workers in Singapore in the midst of the outbreak, and to compare these between medically and non–medically trained hospital personnel. Methods and Findings: From 19 February to 13 March 2020, health care workers from 2 major tertiary institutions in Singapore who were caring for patients with COVID-19 were invited to participate with a self-administered questionnaire. LETTERS
326 citations