Percorrer por autor "Sousa Uva, Mafalda"
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- Acidente Vascular Cerebral: evolução e tendência da taxa de incidência na população sob observação da rede Médicos-Sentinela de 1990 a 2012Publication . Sousa Uva, Mafalda; Antunes, Liliana; Rodrigues, Ana; Pinto, Daniel; Nunes, Baltazar; Dias, Carlos MatiasO Acidente Vascular Cerebral (AVC) tem sido descrito como uma das principais causas de morte em Portugal (em 2012 128,6/105). Embora tenha vindo a ser realizada a monitorização das taxas de mortalidade por AVC em Portugal, permanece escassa a informação relativa a outras relevantes medidas epidemiológicas de frequência desta doença, designadamente, a prevalência e a incidência. A Rede de Médicos Sentinela é o único sistema de observação em saúde que tem permitido o cálculo anual das taxas de incidência de AVC, na população sob observação da rede que inclui, exclusivamente, indivíduos inscritos nas listas de utentes dos cuidados de saúde primários. O objectivo do presente trabalho foi Descrever a evolução e analisar as tendências das estimativas de incidência de AVC entre 1990 e 2012, na população sob observação pela Rede Médicos- Sentinela (MS). Observou-se que a taxa de incidência de AVC não tem sofrido alterações significativas no período estudado e tem-se mantido sempre superior nos homens, o que se poderá dever à maior prevalência de hipertensão arterial e à maior prevalência de consumo de tabaco neste sexo.
- AMOCAPE: atlas de mortalidade por cancro em Portugal e EspanhaPublication . Roquette, Rita; Sousa Uva, Mafalda; Nunes, Baltazar; Matias Dias, CarlosNesta sessão foram apresentados os principais resultados da investigação que tem sido desenvolvida no projecto AMOCAPE, na área da mortalidade por cancro na Península Ibérica. Os resultados integrarão o Atlas de Mortalidade por Cancro em Portugal e Espanha, 2003-2012, que será disponibilizado em 2020.
- Association between grip strength and the risk of heart diseases among European middle-aged and older adultsPublication . Peralta, Miguel; Matias Dias, Carlos; Marques, Adilson; Henriques-Neto, Duarte; Sousa Uva, MafaldaBackground and objective(s): The association between grip strength and heart diseases incidence has been little explored. The aim of this study is to analyse the longitudinal relationship between grip strength and the diagnosis of heart diseases in European middle-aged and older adults. Material and methods: A prospective cohort study was conducted using data from the Survey of Health, Ageing and Retirement in Europe (2004-2017). Participants were 20829 middle-aged and older adults from 12 countries. Grip strenght was measured by a dynamometer and heart diseases diagnosis was self-reported. Incidence rate of heart diseases was calculated and a Cox proportional hazard regression was performed. Results: Heart diseases incidence decreased from 930 per 100 000 person-years in the lowest quartile to 380 per 100 000 person-years in the highest grip strength quartile. During the 13 years of follow-up, compared to being in the lowest grip strength quartile, being in the highest quartile decreased the hazard of being diagnosed with a heart disease in 36% (95% confidence interval [CI]: 0.53, 0.78) for the whole sample, 35% (95% CI: 0.51, 0.84) for men and 46% (95% CI: 0.40, 0.73) for women. Discussion and conclusion(s): Grip strength seems to be inversely associated with the incidence of heart diseases among European middle-aged and older adults. Scientific evidence has highlighted the potential role of grip strength as a risk stratifying measure for heart diseases, suggesting its potential to be included in the cardiovascular risk scores used in primary care. However, further research is still needed to clarify it.
- Characterizing stakeholders in cancer primary prevention in European countries: an exploration of challenges and opportunities using a penta-helix frameworkPublication . Roxo, Luis; Carvalho da Silva Santos, Ana João; Girvalaki, Charis; Geantă, Marius; 4P-CAN WP2 study team; Sousa Uva, MafaldaObjectives: Cancer incidence has been increasing in Europe, with stark disparities between Western and Eastern regions. Cancer primary prevention (CPP) is a cost-effective strategy tackling lifestyle and risk factor exposure, but its implementation goes beyond the actions of the governments. This study aims to characterize stakeholders’ role in CPP, using a penta-helix approach, with the objective of shedding a new light in the Iron Curtain of Cancer Cases. Methods: We followed a mixed-methods approach, with quantitative and qualitative data from CPP stakeholders from the public sector, academia/research, private sector, media and civil society. Snowball sampling was used to distribute a survey where participants (n = 110) were asked which sector was the main driver of change, the most proactive and the most influential. Purposive sampling was used for semi-structured interviews (n = 33), where stakeholders were asked about their CPP activities, motivations, barriers and opportunities, and the role of other sectors. Countries were coded as Western or Eastern. Descriptive analysis was used for quantitative data, while thematic analysis was used for qualitative data. Results: The public sector is viewed as the main driver of change, and the most proactive and influential in both Western and Eastern Europe. However, Eastern European countries emphasize the role of other sectors in CPP more strongly. Thematic analysis identified key roles and themes for the public sector (Strategy: “Looking after citizen’s health,” “Making the system work,” “Operational Engagement”), academia/research (Knowledge: “Scientific credibility,” “Diversity of approaches,” “Getting out of the lab,” “Life in academia/research”), private sector (Responsibility: “Profit-oriented,” “Resources and operational activities,” “Ethics and responsibility”), media (Dissemination: “Capacity to reach people,” “Diversity and scope,” “Information and dissemination”) and civil society (Engagement: “Proximity to people,” “Advocacy and voice,” “Do what others do not do”). Although no meaningful differences were identified between Western and Eastern countries, the results highlight opportunities for Eastern countries to reduce regional disparities. Conclusion: Overall, results point to the complementary role of the sectors, emphasizing that involving different stakeholders and promoting adequate collaborations between them is crucial to unravel the full potential of CPP.
- Comparative Analysis of Direct Costs of Cancer and Risk Factors in EuropePublication . Herțeliu, Claudiu; Horobeț, Alexandra; Nerău, Vlad; Paraschiv, Anca (Gherman); Ștefan, George; Volintiru, Clara; Zaharia, Rodica Milena; Geantă, Marius; Boata Azis, Adriana Elena; Popescu, Ramona; Semenov, Viktor; Kriachkova, Lilia; Kuzmanovska, Milica; Carvalho da Silva Santos, Ana João; Boccia, Stefania; Villani, Leonardo; Espina, Carolina; Mileva, Bilyana; Tchalakov, Ivan; Petrov, Ivaylo; Roxo, Luis Filipe de Almeida; Sousa Uva, Mafalda; Loghin, Cornel Radu; Girvalaki, CharisThis study explores the direct costs and risk factors associated with cancer across European Union member states, emphasizing the economic and public health implications. A Cancer Risk Factors Index (CRFI) is developed to quantify and compare the impact of various determinants, including obesity, smoking, alcohol consumption, socioeconomic conditions, and pollution. Using data from Eurostat and other authoritative sources, we analyze the correlation between CRFI scores, healthcare expenditures, and cancer mortality rates. Results reveal significant disparities in cancer risk factors and healthcare investments across countries, with lower CRFI scores generally associated with higher healthcare spending and improved outcomes. The findings underscore the importance of comprehensive public health strategies and targeted interventions to address modifiable risk factors, reduce cancer-related mortality, and promote equitable healthcare access.
- Evaluability Assesment Report WP6 Task 6.3 InfAct JAPublication . Garcia, Ana Cristina; Sousa Uva, Mafalda; Gómez, VerónicaInfAct (Information for Action!), the Joint Action on Health Information (https://www.inf-act.eu/) is a project funded by the European Commission. It builds on the BRIDGE Health project and other initiatives in health information. The project was launched in March 2018. Through country collaboration, InfAct streamlines health information activities across Europe. It builds towards a sustainable and solid infrastructure on EU health information and strengthens its core elements based on capacity building, health information tools and political support. Portugal, together with Finland, leads the project's Work Package 6 (WP6), through a team of professionals from the Directorate General of Health (who coordinates), the Institute of Hygiene and Tropical Medicine - NOVA University of Lisbon and the National Institute of Health Doctor Ricardo Jorge. WP6 includes, among other tasks, the development of a Sustainable Capacity Building Programme (flagship Programme) and its evaluation. The preparation of the first proposal of the referred Programme is ongoing and will be evaluated when completed. The evaluation team conducted an evaluability assessment (pre-evaluation) based on the principles and methods of the theory of change, with the agreement of the national team. The aims of the evaluability assessment were to describe the target programme of the evaluation through a logical model built with the participation of key stakeholders, and to define the focus of the evaluation. The logical model was built based on the results of a literature review by the evaluation team and the contributions of a workshop meeting, which took place on October 30, 2019, and was attended by 14 stakeholders, selected as representatives of each part interested in the evaluation.
- Evaluating a training programe: European Health Information Training Programme - EHITPPublication . Gómez, Verónica; Sousa Uva, Mafalda; Roquette, Rita; Garcia, Ana Cristina; Matias Dias, CarlosBackground: The InfAct (Information for Action) is a Joint Action of the European Commission’s 3rd Health Programme with the main goal to build an infrastructure of a health information system for a stronger European Union and to strengthen its core elements. The InfAct Joint Action was developed along 36 months and structured in 10 work packages. Portugal co-led the Work Package 6 (WP6) of this project, which included the development of the proposal of a flagship capacity building programme - the European Health Information Training Programme - and its evaluation. The evaluation objectives included: to evaluate the adequacy of the training programme to the health information needs in the European Member States; to identify possible changes regarding the participants selection process, the training activities and the pedagogical project; and to contribute to the understanding of the potential of the programme to add to available offers in learning on the topics of Public Health information, on the capacity building and behavioural changes in Public Health activities which can be attributed to the course, and of the potential of the programme to contribute to the alignment of health information criteria and procedures between the European Member States. Methods: The evaluation process was developed using an observational descriptive study design using a mixed methodological approach with both document analysis and primary data collected by questionnaires and interviews analysis. Mixed quantitative and qualitative data collection methods and analysis were used. Results The proposal of the European Health Information Training Programme seemed adequate to the formative needs and capacities in line with the work performed by the InfAct project. In what concerns about its main thematic areas, it was also aligned with the areas identified in the previous formative needs and capacities mapping. The participants selection process proposed seemed, in general, adequate. The potential of the European Health Information Training Programme proposal to learning, capacity building and behavioral changes at work attributable to the course was considered positive, as well as the potential to the alignment of health information criteria and procedures between European Union Member States. Discussion In general, we found high consistency between the results obtained from data collected by the techniques used. However, different suggestions for improvement were outlined by the evaluation study population.
- Evaluation Report of the Sustainable Capacity Building Programme (European Health Information Training Programme - EHITP): Final ReportPublication . Garcia, Ana Cristina; Sousa Uva, Mafalda; Roquette, Rita; Gómez, Verónica; Matias Dias, CarlosThe InfAct (Information for Action) project is a Joint Action of the European Commission's 3rd Health Programme, which includes 28 EU Member States and Associated Countries. The main goal of InfAct is to build an infrastructure of a health information system for a stronger European Union and to strengthen its core elements. Its vision is to improve the use of health data and information for a healthier Europe. Portugal co-leads the Work Package 6 (WP6) of this project, through a team of professionals from the Directorate-General of Health (who coordinates), the Institute of Hygiene and Tropical Medicine - NOVA University of Lisbon and the National Institute of Health Doctor Ricardo Jorge. WP6 includes, among other tasks, the development of a Flagship Capacity Building Programme and its evaluation. The proposal of the programme was presented through the document “InfAct - Sustainable Capacity Building Programme (European Health Information Training Programme - EHITP), Task 6.2 – February 2020”.
- Evolução da incidência de Diabetes Mellitus em Portugal: tendências de 1992 a 2020 e projeções até 2026Publication . Torres, Ana Rita; Sousa Uva, Mafalda; Antunes, Liliana; Ribeiro, Rogério; Boavida, José; Simões, José; Simões, Pedro; Matias Dias, Carlos; Ambrósio, Ana PaulaSobre as tendências de 1992 a 2020 e projeções até 2026 na Evolução da incidência de Diabetes Mellitus em Portugal.
- Fatores de risco e eventos cardiovasculares na população da Rede Médicos-SentinelaPublication . Gaio, Vânia; Sousa Uva, Mafalda; Matias Dias, Carlos; Rodrigues, Ana PaulaAs doenças do aparelho circulatório são a principal causa de morte em Portugal. Em 2016, a doença isquémica cardíaca e o acidente vascular cerebral (AVC) foram as duas principais causas de mortalidade prematura da população portuguesa. O Enfarte Agudo do Miocárdio (EAM) e o AVC, bem como alguns fatores de risco destes dois eventos cardiovasculares, nomeadamente a hipertensão arterial (HTA), a diabetes mellitus (DM) e a dislipidémia foram alvo de notificação na Rede Médicos-Sentinela durante vários anos desde 1989. O presente trabalho tem como objetivo descrever a evolução das taxas de incidência anuais de EAM, AVC, HTA, DM e dislipidémia na população portuguesa com 15 ou mais anos de idade, entre 1990 e 2017. Foi calculada a taxa de incidência anual padronizada para a idade (população padrão europeia) de AVC, EAM, HTA, DM e dislipidémia na população com 15 ou mais anos de idade nos anos em que estes eventos estiveram em notificação na Rede Médicos Sentinela, entre 1990 e 2017. As taxas de incidência anuais foram estratificadas por sexo. Os novos casos desses eventos foram notificados a partir da lista de utentes de cada Médico-Sentinela, de acordo com o melhor conhecimento clínico da situação. Em 2017 a taxa de incidência padronizada de EAM (83,8/105) atingiu o valor mais baixo desde 1994. Observou-se uma acentuada redução da incidência de HTA em 2017 (765,1/105 no sexo masculino e 669,7/105 no sexo feminino), contrariando a tendência crescente dos últimos anos. No entanto, no que se refere à taxa de incidência de AVC registou-se um decréscimo até 2016, seguido de um aumento em 2017 em ambos os sexos (302,3/105 no sexo masculino e 122,8/105 no sexo feminino). As taxas de incidência de HTA, DM, AVC e EAM foram mais elevadas no sexo masculino, ao longo do período em estudo, indicando um maior risco neste sexo. Estes resultados encontram-se de acordo com os dados de mortalidade cardiovascular para a população portuguesa. As quebras nestas séries temporais são limitadoras da interpretação das variações das taxas de incidência, demonstrando a necessidade de manter a notificação permanente destes problemas de saúde de forma a ser possível estimar a sua tendência, acrescida ao facto da Rede Médicos-Sentinela ser a única fonte que disponibiliza dados epidemiológicos desta natureza para a população portuguesa.