cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19969416.v1
title: Socio-spatial inequalities in healthy life expectancy in the elderly, Brazil, 2013 and 2019

description: The growth in longevity in Brazil has drawn attention to more useful population health measures to complement mortality. In this paper, we investigate socio-spatial differences in life expectancy and healthy life expectancy based on information from the Brazilian National Health Survey (PNS), 2013 and 2019. A three-stage cluster sampling with stratification of the primary sampling units and random selection in all stages was used in both PNS editions. Healthy life expectancy was estimated by Sullivan’s method by sex, age, and Federated Units (UF). Severe limitations to at least one noncommunicable chronic disease (NCD) or poor self-rated health were used to define the unhealthy state. Inequality indicators and a Principal Component analysis were used to investigate socio-spatial inequalities. From 2013 to 2019, both life expectancy and healthy life expectancy increased. The analysis by UF show larger disparities in healthy life expectancy than in life expectancy, with healthy life expectancy at age 60 varying from 13.6 to 19.9 years, in 2013, and from 14.9 to 20.1, in 2019. Healthy life expectancy in the wealthiest quintile was 20% longer than for those living in the poorest quintile. Wide socio-spatial disparities were found with the worst indicators in the UF located in the North and Northeast regions, whether considering poverty concentration or health care utilization. The socio-spatial inequalities demonstrated the excess burden of poor health experienced by older adults living in the less developed UF. The development of strategies at subnational levels is essential not only to provide equal access to health care but also to reduce risk exposures and support prevention policies for adoption of health behaviors.
DOI: 10.6084/m9.figshare.19969418
title: Score of ultra-processed food consumption and its association with sociodemographic factors in the Brazilian National Health Survey, 2019

description: This is a cross-sectional population-based study that describes the score of ultra-processed food consumption, applied in the Brazilian National Health Survey performed in 2019, and its association with sociodemographic factors in Brazilian adults (18 years or older). The score of ultra-processed food consumption was calculated by adding up the positive answers about the consumption on the previous day of 10 subgroups of ultra-processed foods frequently consumed in Brazil. The distribution of the score in the population was presented as a count. Poisson regression models were used to evaluate the crude and adjusted associations of scores equal to or higher than five subgroups of ultra-processed foods with urban/rural area, geographic region, sex, age group, schooling level, and wealth index. About 15% of the Brazilian adults reached scores equal to or higher than five. After adjustment for confounders, the prevalence of consuming five or more subgroups of ultra-processed foods decreased linearly with age, increased linearly with wealth quintiles and it was higher in urban areas, in the Southeast and South regions (compared to the others) and in men. Public policies that reduce the consumption of ultra-processed foods with emphasis on strata of the population at the greatest risk are essential and monitoring the score of ultra-processed food consumption across studies and populations will be important to assess the success of these policies.
DOI: 10.6084/m9.figshare.19969418.v1
title: Score of ultra-processed food consumption and its association with sociodemographic factors in the Brazilian National Health Survey, 2019

description: This is a cross-sectional population-based study that describes the score of ultra-processed food consumption, applied in the Brazilian National Health Survey performed in 2019, and its association with sociodemographic factors in Brazilian adults (18 years or older). The score of ultra-processed food consumption was calculated by adding up the positive answers about the consumption on the previous day of 10 subgroups of ultra-processed foods frequently consumed in Brazil. The distribution of the score in the population was presented as a count. Poisson regression models were used to evaluate the crude and adjusted associations of scores equal to or higher than five subgroups of ultra-processed foods with urban/rural area, geographic region, sex, age group, schooling level, and wealth index. About 15% of the Brazilian adults reached scores equal to or higher than five. After adjustment for confounders, the prevalence of consuming five or more subgroups of ultra-processed foods decreased linearly with age, increased linearly with wealth quintiles and it was higher in urban areas, in the Southeast and South regions (compared to the others) and in men. Public policies that reduce the consumption of ultra-processed foods with emphasis on strata of the population at the greatest risk are essential and monitoring the score of ultra-processed food consumption across studies and populations will be important to assess the success of these policies.
DOI: 10.6084/m9.figshare.19969416
title: Socio-spatial inequalities in healthy life expectancy in the elderly, Brazil, 2013 and 2019

description: The growth in longevity in Brazil has drawn attention to more useful population health measures to complement mortality. In this paper, we investigate socio-spatial differences in life expectancy and healthy life expectancy based on information from the Brazilian National Health Survey (PNS), 2013 and 2019. A three-stage cluster sampling with stratification of the primary sampling units and random selection in all stages was used in both PNS editions. Healthy life expectancy was estimated by Sullivan’s method by sex, age, and Federated Units (UF). Severe limitations to at least one noncommunicable chronic disease (NCD) or poor self-rated health were used to define the unhealthy state. Inequality indicators and a Principal Component analysis were used to investigate socio-spatial inequalities. From 2013 to 2019, both life expectancy and healthy life expectancy increased. The analysis by UF show larger disparities in healthy life expectancy than in life expectancy, with healthy life expectancy at age 60 varying from 13.6 to 19.9 years, in 2013, and from 14.9 to 20.1, in 2019. Healthy life expectancy in the wealthiest quintile was 20% longer than for those living in the poorest quintile. Wide socio-spatial disparities were found with the worst indicators in the UF located in the North and Northeast regions, whether considering poverty concentration or health care utilization. The socio-spatial inequalities demonstrated the excess burden of poor health experienced by older adults living in the less developed UF. The development of strategies at subnational levels is essential not only to provide equal access to health care but also to reduce risk exposures and support prevention policies for adoption of health behaviors.
DOI: 10.6084/m9.figshare.19969433.v1
title: Trend in the prevalence of depressive symptoms in Brazil: results from the Brazilian National Health Survey 2013 and 2019

description: This study aims to evaluate national variation in depression prevalence and in different sociodemographic groups, health behaviors, and macroregions of Brazil from 2013 to 2019. Data were obtained from two nationwide Brazilian surveys - Brazilian National Health Survey 2013 and 2019. Participants aged 18 years or older were included, totaling 60,202 individuals in 2013 and 88,531 in 2019. Depression was evaluated with the Patient Health Questionnaire-9 (PHQ-9). All estimations accounted for the population weights and the complex sampling. The findings showed that during the six years between the two surveys, the prevalence of depression in Brazil increased by 36.7%, going from 7.9% in 2013 to 10.8% in 2019, and this increase is higher among unemployed young adults, aged 18 to 24 years, with the increase in the prevalence of depression almost tripled (3.7 in 2013 and 10.3 in 2019), an increase of 178.4%. Those dwelling in urban areas had a higher increase in the prevalence of depression in the six-year period (39.8%) when compared to residents in rural areas (20.2%). There was an increase in the prevalence of depression from 2013 to 2019 for the worst categories of the three health behaviors included in the study for both men and women: heavy drinking, smoking, and not exercising the recommended level of physical activity. Our results show a significant increase in the prevalence of depression over the six years between the two surveys, mainly among the younger and unemployed men. The country’s economic recession during this period may explain these findings.
DOI: 10.6084/m9.figshare.19969433
title: Trend in the prevalence of depressive symptoms in Brazil: results from the Brazilian National Health Survey 2013 and 2019

description: This study aims to evaluate national variation in depression prevalence and in different sociodemographic groups, health behaviors, and macroregions of Brazil from 2013 to 2019. Data were obtained from two nationwide Brazilian surveys - Brazilian National Health Survey 2013 and 2019. Participants aged 18 years or older were included, totaling 60,202 individuals in 2013 and 88,531 in 2019. Depression was evaluated with the Patient Health Questionnaire-9 (PHQ-9). All estimations accounted for the population weights and the complex sampling. The findings showed that during the six years between the two surveys, the prevalence of depression in Brazil increased by 36.7%, going from 7.9% in 2013 to 10.8% in 2019, and this increase is higher among unemployed young adults, aged 18 to 24 years, with the increase in the prevalence of depression almost tripled (3.7 in 2013 and 10.3 in 2019), an increase of 178.4%. Those dwelling in urban areas had a higher increase in the prevalence of depression in the six-year period (39.8%) when compared to residents in rural areas (20.2%). There was an increase in the prevalence of depression from 2013 to 2019 for the worst categories of the three health behaviors included in the study for both men and women: heavy drinking, smoking, and not exercising the recommended level of physical activity. Our results show a significant increase in the prevalence of depression over the six years between the two surveys, mainly among the younger and unemployed men. The country’s economic recession during this period may explain these findings.
DOI: 10.6084/m9.figshare.19969451
title: Food consumption markers and associated factors in Brazil: distribution and evolution, Brazilian National Health Survey, 2013 and 2019

description: This study objective was to describe the distribution of food consumption markers in Brazil per sociodemographic characteristics and its evolution from 2013 to 2019. Healthy food consumption markers (regular consumption of beans, fruits, vegetables, and fish, recommended consumption of red meat, and never replacing meals with snacks) and unhealthy food consumption markers (regular consumption of sweetened beverages and confectionery and excessive salt intake) were studied for adult participants of the Brazilian National Health Survey. The prevalence of food consumption markers was estimated according to sociodemographic characteristics and compared to data of 2013 and 2019. Most of the population regularly consumes beans, fruits, and vegetables, they also follows the recommendation to limit red meat consumption, and never replaces meals with snacks. The percentage of people who regularly consume sweetened beverages and perceive their salt intake as excessive is relatively low. The distribution of food consumption markers was associated with sex, age, income, race/skin color, area of dwelling, and schooling level. From 2013 to 2019, the prevalence of most food consumption markers declined, except for the regular consumption of fruits and recommended consumption of red meat, that increased 8.5% and 18.5%, respectively, and the regular consumption of vegetables, which did not vary. Healthy and unhealthy food consumption markers should be monitored to evaluate the effect of healthy eating policies implemented in the country.
DOI: 10.6084/m9.figshare.19969451.v1
title: Food consumption markers and associated factors in Brazil: distribution and evolution, Brazilian National Health Survey, 2013 and 2019

description: This study objective was to describe the distribution of food consumption markers in Brazil per sociodemographic characteristics and its evolution from 2013 to 2019. Healthy food consumption markers (regular consumption of beans, fruits, vegetables, and fish, recommended consumption of red meat, and never replacing meals with snacks) and unhealthy food consumption markers (regular consumption of sweetened beverages and confectionery and excessive salt intake) were studied for adult participants of the Brazilian National Health Survey. The prevalence of food consumption markers was estimated according to sociodemographic characteristics and compared to data of 2013 and 2019. Most of the population regularly consumes beans, fruits, and vegetables, they also follows the recommendation to limit red meat consumption, and never replaces meals with snacks. The percentage of people who regularly consume sweetened beverages and perceive their salt intake as excessive is relatively low. The distribution of food consumption markers was associated with sex, age, income, race/skin color, area of dwelling, and schooling level. From 2013 to 2019, the prevalence of most food consumption markers declined, except for the regular consumption of fruits and recommended consumption of red meat, that increased 8.5% and 18.5%, respectively, and the regular consumption of vegetables, which did not vary. Healthy and unhealthy food consumption markers should be monitored to evaluate the effect of healthy eating policies implemented in the country.
DOI: 10.6084/m9.figshare.19969458
title: “Tobacco denormalization at home”: the contribution of the smoking ban in enclosed workplaces in Brazil

description: Estimates suggest that exposure to environmental tobacco smoke is related to 1.2 million deaths per year worldwide. Synergy between various anti-smoking legislative and educational measures is essential to stimulate cessation and prevent initiation. This article aimed to explore how legislative protection from exposure to environmental tobacco smoke in enclosed workplaces in Brazil, whose strengthening occurred in a phased manner between 1996 and 2014, possibly contributed to the protection from passive smoking at home. We evaluated, via generalized linear models, the absolute and relative differences in the proportion of individuals living in smoke-free homes between those exposed and not exposed to passive smoking in enclosed workplaces, both crude and adjusted by sociodemographic and smoking behavior variables, and stratified by non-smokers and smokers. Data from three national surveys conducted in 2008, 2013, and 2019 were used. Regardless of smoking status and year when the data were analyzed, individuals who were employed in smoke-free workplaces were more likely to live in smoke-free homes than smokers who were employed in workplaces that allowed smoking. Adjusted absolute difference increased from +5.5% in 2008 to +10.5% in 2013 among non-smokers, and from +7.1% in 2013 to 15.6% in 2019 among smokers (p-values for additive interaction ≤ 0.05). Strengthening the Brazilian smoke-free legislation was likely associated with a reduction in passive smoking at home, which, therefore, may also reduce the burden of mortality, morbidity, and costs for society related to smoking.
DOI: 10.6084/m9.figshare.19969458.v1
title: “Tobacco denormalization at home”: the contribution of the smoking ban in enclosed workplaces in Brazil

description: Estimates suggest that exposure to environmental tobacco smoke is related to 1.2 million deaths per year worldwide. Synergy between various anti-smoking legislative and educational measures is essential to stimulate cessation and prevent initiation. This article aimed to explore how legislative protection from exposure to environmental tobacco smoke in enclosed workplaces in Brazil, whose strengthening occurred in a phased manner between 1996 and 2014, possibly contributed to the protection from passive smoking at home. We evaluated, via generalized linear models, the absolute and relative differences in the proportion of individuals living in smoke-free homes between those exposed and not exposed to passive smoking in enclosed workplaces, both crude and adjusted by sociodemographic and smoking behavior variables, and stratified by non-smokers and smokers. Data from three national surveys conducted in 2008, 2013, and 2019 were used. Regardless of smoking status and year when the data were analyzed, individuals who were employed in smoke-free workplaces were more likely to live in smoke-free homes than smokers who were employed in workplaces that allowed smoking. Adjusted absolute difference increased from +5.5% in 2008 to +10.5% in 2013 among non-smokers, and from +7.1% in 2013 to 15.6% in 2019 among smokers (p-values for additive interaction ≤ 0.05). Strengthening the Brazilian smoke-free legislation was likely associated with a reduction in passive smoking at home, which, therefore, may also reduce the burden of mortality, morbidity, and costs for society related to smoking.
DOI: 10.6084/m9.figshare.19969487
title: Late Quaternary vegetation dynamics from central parts of the Madeira River in Brazil

description: The present study reconstructs the paleovegetation of a varzea (seasonally flooded) forest in the central parts of the Madeira River floodplain in Brazil using palynological data. Forty-nine cut-bank sediment samples from the Madeira River were processed in the study; from these, ten samples contained pollen: two contained pollen from the Middle Pleniglacial age, one contained pollen from the Tardiglacial age, six contained pollen from the Holocene, and one contained more recently deposited pollen. The Middle Pleniglacial pollen belonged to a primary succession varzea forest, while the Tardiglacial pollen represented a late succession varzea forest. On the other hand, the three Holocene samples showed the characteristic composition of chavascal (water-logged forest) or lacustrine varzea forest, and three samples belonged to a late succession varzea forest. The most recent pollen deposit represented a secondary succession varzea forest. This paleovegetation showed a typical mosaic distribution, which may be explained by the fluvial dynamics, high species richness and diversity in the varzea forest, and the presence of dominant species.
DOI: 10.6084/m9.figshare.19969487.v1
title: Late Quaternary vegetation dynamics from central parts of the Madeira River in Brazil

description: The present study reconstructs the paleovegetation of a varzea (seasonally flooded) forest in the central parts of the Madeira River floodplain in Brazil using palynological data. Forty-nine cut-bank sediment samples from the Madeira River were processed in the study; from these, ten samples contained pollen: two contained pollen from the Middle Pleniglacial age, one contained pollen from the Tardiglacial age, six contained pollen from the Holocene, and one contained more recently deposited pollen. The Middle Pleniglacial pollen belonged to a primary succession varzea forest, while the Tardiglacial pollen represented a late succession varzea forest. On the other hand, the three Holocene samples showed the characteristic composition of chavascal (water-logged forest) or lacustrine varzea forest, and three samples belonged to a late succession varzea forest. The most recent pollen deposit represented a secondary succession varzea forest. This paleovegetation showed a typical mosaic distribution, which may be explained by the fluvial dynamics, high species richness and diversity in the varzea forest, and the presence of dominant species.
DOI: 10.6084/m9.figshare.19969488
title: Seed coat diversity in some tribes of Cucurbitaceae: implications for taxonomy and species identification

description: To evaluate their diagnostic value in systematic studies, seed coat morphology for 16 taxa from 11 genera of Cucurbitaceae were examined using stereomicroscopy and scanning electron microscopy. The taxa included representatives of the tribes Benincaseae, Bryonieae, Coniandreae, and Luffeae in order to evaluate their diagnostic value in systematic studies. Macro- and micromorphological characters of their seeds are presented, including shape, color, size, surface, epidermal cell shape, anticlinal boundaries, and periclinal cell wall. The taxonomic and phylogenetic implications of seed coat micromorphology were compared with those of the available gross morphological and molecular data. Seed character analysis offered useful data for evaluating the taxonomy of Cucurbitaceae on both intrageneric and tribal levels. Monophyly of the tribes Bryonieae, Coniandreae, and Luffeae was supported. Moreover, these analyses supported previous biochemical and phylogenetic data, indicating that distinct lineages are present within the tribe Benincaseae, that this tribe is not monophyletic, and that the subtribe Benincasinae is highly polyphyletic. A key is provided for identifying the investigated taxa based on seed characters.
DOI: 10.6084/m9.figshare.19969488.v1
title: Seed coat diversity in some tribes of Cucurbitaceae: implications for taxonomy and species identification

description: To evaluate their diagnostic value in systematic studies, seed coat morphology for 16 taxa from 11 genera of Cucurbitaceae were examined using stereomicroscopy and scanning electron microscopy. The taxa included representatives of the tribes Benincaseae, Bryonieae, Coniandreae, and Luffeae in order to evaluate their diagnostic value in systematic studies. Macro- and micromorphological characters of their seeds are presented, including shape, color, size, surface, epidermal cell shape, anticlinal boundaries, and periclinal cell wall. The taxonomic and phylogenetic implications of seed coat micromorphology were compared with those of the available gross morphological and molecular data. Seed character analysis offered useful data for evaluating the taxonomy of Cucurbitaceae on both intrageneric and tribal levels. Monophyly of the tribes Bryonieae, Coniandreae, and Luffeae was supported. Moreover, these analyses supported previous biochemical and phylogenetic data, indicating that distinct lineages are present within the tribe Benincaseae, that this tribe is not monophyletic, and that the subtribe Benincasinae is highly polyphyletic. A key is provided for identifying the investigated taxa based on seed characters.
DOI: 10.6084/m9.figshare.19969491
title: The effects of fragmentation on Araucaria forest: analysis of the fern and lycophyte communities at sites subject to different edge conditions

description: Edge effects impact species richness and composition as a result of environmental changes caused by fragmentation. This study analyzed edge effects on a community of terrestrial ferns and lycophytes in an Araucaria forest in Brazil at sites subjected to differing edge conditions: (1) a site bordering a road running through the interior of a conservation unit, and (2) a site bordering an agricultural property. Twelve 10 × 10 m plots were selected at the edge and in the interior of each site, and accounted for a total of 48 plots. The edges had lost their characteristic floristic identity, suggesting that many species are sensitive to variations in environmental conditions. The edge effect had a negative impact on species richness as shown by the greater average numbers of fern and lycophyte species in forest interiors at both sites. The results showed that the forest fragments in contact with agricultural areas were subjected to more intense edge effects than the fragments bordering a road within a conservation unit.