Banca de DEFESA: ALINE CRISTINA GUSMÃO SOUZA GOMES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ALINE CRISTINA GUSMÃO SOUZA GOMES
DATA : 24/07/2019
HORA: 10:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TÍTULO:

CONTEXTUAL FACTORS ASSOCIATED WITH THE NOTIFICATION OF AUDITIVE LOSS INDUCED BY NOISE IN THE INFORMATION SYSTEM OF NOTIFICATION AGREEMENTS IN BRAZIL

PALAVRAS-CHAVES:

Hearing Loss, Noise-Induced; Mandatory Reporting; Health Information Systems; Public Health Surveillance; Occupational Health

PÁGINAS: 102
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

Background: Information generated by the reporting of diseases in Workers' Health (Saúde do Trabalhador – ST) on the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação – Sinan) can be valuable for monitoring, planning actions and assessing their impact. Among work-related reportable diseases are irreversible noise-induced hearing loss (Perda Auditiva Induzida por Ruído – Pair), considered one of the most widespread and prevalent occupational health problems in the world. In Brazil, the number of cases reported in Sinan is still incipient, a fact consistent with the evidence of underreporting, common in the ST field. There is no evidence of studies investigating factors that may influence reporting of the Pair in Sinan. Objective: To investigate contextual factors associated with the reporting of the Pair on the Sinan in Brazil. Methods: Epidemiological study of mixed ecological type, exploratory, in which the units of observation were the 5,570 Brazilian municipalities between 2013 and 2015. The main variable was the reporting of Pair in Sinan. The variables were grouped into two dimensions: a) related to the municipalities: coverage by Cerest, Cerest host municipality, macroregion of the country, Unit of the Federation (UF), distance to UF capital, territorial extension, economically active and occupied population (Peao), proportion of Peao in the industries of transformation (Peao TEC), extraction and construction industry, Peao in the manufacturing industry, Peao on the extractive industry, Peao on the construction industry, Peao on formal employment and the Municipal Human Development Index (IDHM); b) related to Cerest: year of enabling, average number of employment contract, proportion of staff with statutory relationship, average number of speech therapists, and turnover of professionals. We performed both unadjusted and adjusted logistic regression with its 95% CI to assessed the association with number and proportion of municipalities that reported Pair in the Sinan according to the variables described in each dimension. The Peao was considered to be confounder a priori and included in all of the adjusted model. Statistical inferences were made with 95% confidence intervals. Results: 277 (5.0%) municipalities reported 2,588 cases of Pair in Sinan, between 2013-2015. Mato Grosso do Sul had the highest proportion of notifying municipalities (25.3%). In the adjusted model of the variables related to municipalities dimension, we observed a greater likelihood among those municipalities with coverage by Cerest, to be a Cerest host municipality, belonging to the Midwest region, with less distance to the UF capital and with a high/very high IDHM. Belonging to the North region was negatively associated with the Pair notification in these municipalities. In the dimension of the variables related to Cerest, we observed a greater likelihood associated with the municipalities that had at least one speech pathologist in the Cerest team and had low turnover of professionals. Conclusion: The reporting of Pair in Brazilian municipalities was influenced by contextual factors, either by the characteristics of the municipalities themselves and by the characteristics of the Cerest whose area of coverage they belong.

MEMBROS DA BANCA:
Externo à Instituição - ADRIANA GALDINO BATISTA PEREIRA - UESB
Externo à Instituição - MÁRCIA TIVERON DE SOUZA
Interno - 3115978 - SILVIA FERRITE GUIMARAES