FATORES DE RISCO PARA DOEN��AS CR��NICAS N��O TRANSMISS��VEIS E VARI��VEIS SOCIODEMOGR��FICAS DE SERVIDORES P��BLICOS

Objetivo: Associar fatores de risco para doenças cr��nicas n��o transmiss��veis (DCNT) com vari��veis sociodemogr��ficas de servidores de uma institui����o p��blica de ensino superior. M��todos: Estudo transversal, realizado no per��odo de 2012 a 2013. Utilizou-se um question��rio com vari��veis sociodemogr��ficas, fatores de risco para DCNT e aferi����o de peso e estatura. Classificou-se o estado nutricional de acordo com o ��ndice de massa corporal. Analisaram-se os dados pelos programas Epi-Info 3.2.1 e Bioestat 5.0. As associa����es foram verificadas pelos testes qui-quadrado de Yates, de tend��ncia e exato de Fisher (p���0,05). Resultados: Participaram 225 servidores, maioria de mulheres (64,4%), na faixa et��ria entre 45-54 anos (37,3%) e escolaridade superior a 12 anos de estudo (85,8%). O sexo associou-se ao excesso de peso (p=0,034), consumo di��rio de leite integral (p=0,023), consumo insuficiente de frutas, legumes e verduras - FLV (p=0,020) e consumo insuficiente de feij��o (p=0,000), sendo mais frequentes entre mulheres. Entre os homens, foi mais frequente o consumo excessivo de bebida alco��lica (p=0,000). O excesso de peso associou-se �� faixa et��ria (p=0,008). O h��bito de fumar (p=0,004) e o consumo di��rio de leite integral (p=0,016) apresentaram associa����o com a escolaridade. Conclus��o: Encontrou-se elevada preval��ncia de fatores de risco para doenças cr��nicas n��o transmiss��veis na amostra estudada, com associa����o para sexo, faixa et��ria e escolaridade. O excesso de peso apresentou maior ocorr��ncia nas mulheres e nas idades acima de 45 anos, h��bitos alimentares inadequados no sexo feminino, maior ingest��o de bebida alco��lica no masculino e h��bito de fumar nos indiv��duos com maior escolaridade.

PREVALENCE AND FACTORS ASSOCIATED WITH THE PERFORMANCE OF MAMMOGRAPHY AND PAP SMEAR TEST

Objective: To estimate the prevalence and factors associated with the performance of mammography and pap smear test in women from the city of Maring��, Paran��. Methods: Population-based cross-sectional study conducted with 345 women aged over 20 years in the period from March 2011 to April 2012. An interview was carried out using a questionnaire proposed by the Ministry of Health, which addressed sociodemographic characteristics, risk factors for chronic noncommunicable diseases and issues related to mammographic and pap screening. Data were analyzed using bivariate analysis, crude analysis with odds ratio (OR) and chi-squared test using Epi Info 3.5.1 program; multivariate analysis using logistic regression was performed using the software Statistica 7.1, with a significance level of 5% and a confidence interval of 95%. Results: The mean age of the women was 52.19 (��5.27) years. The majority (56.5%) had from 0 to 8 years of education. Additionally, 84.6% (n=266) of the women underwent pap smear and 74.3% (n=169) underwent mammography. The lower performance of pap smear test was associated with women with 9-11 years of education (p=0.01), and the lower performance of mammography was associated with women without private health insurance (p<0.01). Conclusion: The coverage of mammography and pap smear test was satisfactory among the women from Maring��, Paran��. Low education level and women who depended on the public health system presented lower performance of mammography.