Managing noncommunicable diseases during the COVID-19 pandemic in Brazil: findings from the PAMPA cohort

The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult population from the state of Rio Grande do Sul, southern Brazil. This is an ambispective, population-based cohort study. Descriptive analysis and Poisson regression models wer...

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Bibliographic Details
Published in:Ciência & saude coletiva 2021-03, Vol.26 (3), p.987-1000
Main Authors: Leite, Jayne Santos, Feter, Natan, Caputo, Eduardo Lucia, Doring, Igor Retzlaff, Cassuriaga, Júlia, Reichert, Felipe Fossati, Silva, Marcelo Cozzensa da, Rombaldi, Airton José
Format: Article
Language:English
Subjects:
Adult
Age Factors
Arthritis
Avoidance
Brazil - epidemiology
Cholesterol
Cohort Studies
Comorbidity
Confidence intervals
Coronaviruses
COVID-19
COVID-19 - epidemiology
Depression - psychology
Exercise
Female
Health services
Health Services Accessibility - statistics & numerical data
Heart diseases
Humans
Income
Male
Middle Aged
Multimorbidity
Noncommunicable Diseases - therapy
Pandemics
Patient Acceptance of Health Care
Physical Distancing
Poisson density functions
Poisson Distribution
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Regression Analysis
Regression models
Sex Factors
Socioeconomic Factors
Statistical analysis
Young Adult
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Summary:The objective was to identify the impact of social distance in the management of noncommunicable diseases (NCD) in the adult population from the state of Rio Grande do Sul, southern Brazil. This is an ambispective, population-based cohort study. Descriptive analysis and Poisson regression models were used and the results were reported as prevalence ratio and 95% confidence intervals. From a total of 1,288 participants, 43.1% needed medical care and 28.5% reported impaired management of NCDs during social distance. Female sex, age between 18 and 30 years old, living in the Serra region (central region of the state), people with depression and multimorbidity were more likely to have impaired management of NCDs. Being physically active reduced the probability of having impaired management of NCD by 15%. Reduced monthly income was associated with the difficulty in accessing prescription medicine and avoidance of seeking in-person medical assistance. Depression was associated with difficulties in accessing medications, while avoidance of seeking in-person medical assistance was more likely for people with multimorbidity, arthritis/arthrosis/fibromyalgia, heart disease, and high cholesterol.
ISSN:1413-8123
1678-4561
1678-4561
DOI:10.1590/1413-81232021263.39232020