Banca de QUALIFICAÇÃO: SANDERSON JOSE COSTA DE ASSIS

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : SANDERSON JOSE COSTA DE ASSIS
DATE: 04/03/2021
TIME: 09:00
LOCAL: Remoto
TITLE:

Análise dos fatores associados aos problemas crônicos de coluna e tempo de encaminhamento para o serviço especializado de fisioterapia

KEY WORDS:

Spinal Diseases. Social Determinants of Health. Multilevel Analysis. Physical Therapy Specialty.Primary Health Care.

PAGES: 76
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Chronic spine problems are strongly present in society and have a relevant impact on public health due to their high prevalence and the rate of disability and absenteeism that they cause in the population. Much has been discussed about the possible causes of these problems, however little emphasis has been given to the social context and public policies involved in its genesis. In addition, further research is needed on the influence of lifestyle habits, such as the use of technologies and the management of these cases in primary health care. This thesis aims to analyze in an expanded way the factors that may be associated with chronic spine problems, as well as the time of referral to the specialized physiotherapy service. Methodology: it is divided into three studies. 1) cross-sectional study, with multilevel analysis of factors associated with chronic spine problems, based on the National Health Survey; 2) case-control study, with analysis of factors associated with chronic neck pain in young adults, based on primary data; and 3) cross-sectional study, with multilevel analysis of the factors associated with the waiting time for specialized physiotherapy services, based on the National Program for Improving Access and Quality in Primary Care. Results: a higher prevalence of chronic spine problems was found in females (PR = 1.23; 95% CI 1.15-1.30), aged over 49 years (PR = 1.75; 95% CI 1.1 -1.90), and in individuals who perform heavy activities at work (PR = 1.37; 95% CI 1.28-1.46). It was associated with worse self-assessment of health status (PR = 3.92; 95% CI 3.03-5.07), greater number of days with perception of depression (PR = 1.70; 95% CI 1.50-1, 94), and the presence of smoking habits (PR = 1.37; 95% CI 1.27-1.48). There was also an association for chronic spine problems in cities with a higher proportion of NASF per inhabitants (PR = 1.28; 95% CI 1.07-1.54). For chronic neck pain in young adults, a greater association was observed in individuals with greater sedentary behavior (OR = 2.41; 95% CI 1.01-5.88) and with vision problems (OR = 2.83; 95% CI 1 , 26-6.38). No association was found between chronic neck pain and postural habits and use of a cell phone. As for the waiting time for the specialized physiotherapy service, less referral time was found in the health teams that received support for the planning and organization of the work process (p <0.0001), in those that provide information about the health situation. health (p <0.0016), in teams that have a counter-reference (p <0.0001) and in teams that are supported by the NASF physiotherapist (p <0.0001. Conclusion: An association of chronic problems is observed column with both biological and behavioral factors, as well as the time of referral to the specialized physiotherapy service with both organizational and system management factors and contextual variables.

BANKING MEMBERS:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interno - 3926907 - DYEGO LEANDRO BEZERRA DE SOUZA
Externo ao Programa - 1460020 - ALVARO CAMPOS CAVALCANTI MACIEL