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An individual is considered disabled when he or she has permanent structural or functional abnormalities that prevent him or her from performing daily activities. There are around 1 billion people worldwide (about 15% of the population) with some type of disability or incapacity. About 80% of these people live in developing nations. This study aimed to identify and describe the profile of the disabled population in the Metropolitan Area of Maringá (MAM), Paraná, considering its socio-spatial structure, which was defined by the Metropolis Observatory, Maringá Center. The elaboration of the profile counted with data collected from the 2010 Census sample, provided by the Brazilian Institute of Geography and Statistics, and processed through the SAS software (2016). The study of the MAM in its general configuration reveals that its indicators are lower than national ones. The same indicators, when calculated considering its socio-spatial divisions, suggest a major imbalance in the prevalence of visual, hearing, motor or mental/intellectual disabilities. The research found the highest percentage of people with disabilities among the working class, working poor and farm workers. In contrast, the upper middle class showed the lowest indicators.

The objective of this study is to characterize, relate and compare bio-sociodemographic and economic aspects, hygiene perception, habits and behaviors in the oral health of students recently admitted to an international university. This is a descriptive and quantitative study conducted with 101 Brazilian and non-Brazilian academics. For that purpose, a questionnaire was applied. The data were analyzed and submitted to Fisher’s exact test and Chi-square test. Male and Brazilian students predominated, followed by Guineans. Regarding the perception about oral health, 50.5% of Brazilian academics and 63.3% of non-Brazilian students considered it regular. Of the total participants, more than half of Brazilian and non-Brazilian students brushed their teeth 3 times a day. About dental floss, 98% of Brazilians know it and 76% of non-Brazilian didn’t use it. There was a significant association between the students with age lower than or equal to 18 years and the search for dental care, as well as income above one minimum wage and demand for this type of care. There were similarities and discrepancies between the behavior of Brazilian and non-Brazilian academics. Factors such as age lower than or equal to 18 years and income above one minimum wage positively influenced the search for dental care.

The main purpose of the present study, conducted in the city of Maringá, state of Paraná, Brazil, was to analyze behaviors, needs and use of health services among adult men. This research is constituted of two methodological approaches: one quantitative, cross-sectional and population-based (household survey), counting with the participation of 421 men living in the urban area of the city, aged between 20 and 59 years old, and another one qualitative, descriptive and exploratory, conducted with 10 men. Quantitative data was collected between January and July 2013, through structured instrument, and analyzed through descriptive and inferential statistics (chi-square test and logistic regression). Qualitative data was collected between September and November 2013 through semi-structured interviews and subjected to Content Analysis, a thematic modality. The results show that men with higher income and a health plan often reported abusive alcohol consumption, and smoking habit presented association with not having a religion and lower level of educational attainment. The age group from 30 to 39 years old and the job were linked to insufficient physical activity, and the economic class C to inadequate diet. Absence of a partner and the economic class D were associated with inadequate immunization status and neglect of preventive health exams. Absence of leisure activities was predominant among men over 50 years old and among those of the economic class C. The prevalence of use of health services in the last three months was of 42.8%, and associated variables were "occupational status", "health plan", "management type of the service", "hospitalization in the last year" and "reported morbidity". Regarding use of public health services, a prevalence of 56.3% was observed, being higher among men with elementary education, without health plan and without a partner, who had a greater contact with nurses and other professionals, searched for the services often due to illness, reported morbidity, were faced with difficulties regarding assistance, classified the services as regular, and judged attention and promptness as the most important aspects in healthcare. In the quantitative analysis of health needs indicators, age group and occupational status were associated with self-perception of regular/poor health and reported morbidity. In the qualitative analysis, it was possible to understand that health needs include good diet, practice of physical activity, performance of periodic exams, exercise of religiosity/spirituality, having a job and maintaining good interpersonal relationships, besides economic status, place of residence and access to health services. It was observed that men look for hospitals mainly to meet their needs of clinical nature, and that attention to these needs should involve political intersectorial articulation and respectful attitude from health professionals. Male perceptions are crossed by questions of gender, and the way men think about their health is influenced by women, whether their spouses or mothers. The findings of the present study reinforce that socioeconomic and demographic variables are important, because they were associated with health-related behaviors. The prevalence of use of health services were similar to that of other studies, and other variables, besides socioeconomic and demographic, should be focused on prevention actions for men's health, such as recent hospitalization, presence of morbidity and even the management type of the health service. As for the use of public health services, assistance to men requires attention, promptness and improvements. Health needs could be analyzed under different approaches, which allows nurses to expand their view over the needs of men, identifying variables that can indicate them, associated factors and male perceptions on them. No presente estudo, realizado em Maringá-PR, teve-se por objetivo principal analisar os comportamentos, necessidades e utilização dos serviços de saúde entre homens adultos. Trata-se de estudo com duas vertentes metodológicas, uma quantitativa, de corte transversal e de base populacional (inquérito domiciliar) com 421 homens residentes na área urbana do município, com idades entre 20 e 59 anos, e outra qualitativa, descritiva e exploratória, realizada com dez homens. Os dados quantitativos foram coletados entre janeiro e julho de 2013 por meio de instrumento estruturado e analisados com o uso de estatística descritiva e inferencial (Qui-quadrado e regressão logística). Os dados qualitativos foram coletados entre setembro e novembro de 2013, por meio de entrevista semiestruturada e submetidos à Análise de Conteúdo, modalidade temática. Os resultados mostraram que os homens com maior renda e plano de saúde relataram, com freqüência, o consumo abusivo de álcool e o fumar apresentou associação com não ter religião e menor nível de escolaridade. A faixa etária de 30 a 39 anos e o trabalho mostraram-se associados à atividade física insuficiente, e a classe econômica C à dieta inadequada. Ausência de companheira e classe econômica D mostraram-se associadas à situação vacinal inadequada e a não realização de exames preventivos. A não realização de atividades de lazer predominou entre homens com mais de 50 anos e da classe econômica C. A prevalência de utilização dos serviços de saúde nos últimos três meses foi de 42,8% e as variáveis associadas foram: "status ocupacional", "plano de saúde", "tipo de gestão do serviço", "internação no último ano" e "morbidade referida". Quanto à utilização de serviços públicos de saúde verificou-se: prevalência de 56,3%, sendo maior entre homens com nível fundamental de escolaridade, sem plano de saúde e sem companheira, que tiveram maior contato com enfermeiros e outros profissionais; buscaram os serviços mais freqüentemente por doença; relataram morbidade, enfrentaram dificuldades para atendimento, classificaram os serviços como regulares e consideraram a atenção e a prontidão os aspectos mais importantes no atendimento à saúde. Na análise quantitativa dos indicadores de necessidades de saúde constatou-se que a faixa etária e o status ocupacional mostraram-se associados à autopercepção da saúde regular/ruim e à morbidade referida. Na análise qualitativa foi possível compreender que as necessidades de saúde incluem boa alimentação, prática de atividade física, realização de exames periódicos, exercício da religiosidade/espiritualidade, ter um trabalho e manter boas relações interpessoais, além da situação econômica, do local onde mora e o acesso a serviços de saúde. Verificou-se que os homens procuraram os hospitais, principalmente para atender suas necessidades de natureza clínica e que a atenção a estas deve envolver articulação política intersetorial e postura respeitosa dos profissionais de saúde. As percepções masculinas são perpassadas por questões de gênero e o modo como os homens pensam sua saúde é influenciado pela mulher, seja ela sua esposa ou mãe. Os achados do presente estudo reforçam que as variáveis socioeconômicas e demográficas são importantes, pois se mostraram associadas aos comportamentos em saúde. A prevalência de utilização dos serviços de saúde mostrou-se semelhante à de outros estudos, e verificou-se que outras variáveis, além das socioeconômicas e demográficas, devem focalizar as ações de prevenção na saúde do homem como a internação recente, a presença de morbidade e até mesmo o tipo de gestão do serviço de saúde. Quanto à utilização dos serviços públicos de saúde constatou-se que o atendimento ao homem requer atenção, prontidão e ainda carece de melhorias. As necessidades de saúde puderam ser analisadas sob diferentes aspectos, o que possibilita que o enfermeiro amplie seu olhar sobre as necessidades dos homens, identificando variáveis que possam indicá-las, além dos fatores associados e as percepções masculinas acerca delas. 179 f

Population aging is a global event that has been occurred in a very rapid way in Brazil. Elderly nutritional status evaluation is important since they have unique characteristics, and are vulnerable to nutritional disorders and their consequences, as well as functional capacity isa component of quality of life and health indicator that reflects on the general condition of elderly people. The aim of this study was to analyze associated factors with the nutritional status and functional capacity of elderly in the town of Sarandi, state of Paraná. Cross sectional study, population-based household and a sample of 436 elderly selected by systematic sampling from census departments and residencies, with a proportional probability as big as the department. For data analysis the programs Statistics 7.1 and Epi-Info version3.5.1 were used. All the results were analyzed considering p

Elderly have characteristics that need to be addressed by health services. Researches that aim to study their health profile are fundamental for their assistance, for they provide health professionals and managers with information to design actions and public policies that assure care with effectiveness and quality. To analyze the health and socio-demographic profile of elderly living in the city of Guarapuava - PR. This is a transversal study with people with 60 years-old and older living in Guarapuava - PR, enrolled in 30 (thirty) city Health Centers. Out of the 5508 elderly enrolled 359 were chosen by proportional stratified sampling. Data was collected using sections I, II, III and IV of the BOAS questionnaire (Brazil Old Age Schedule) which were applied to the elderly in their homes by trained interviewers. Data was analyzed using the Statistic software and was presented using descriptive analysis (simple frequency and percentage, chi-square and Fisher's exact test for association). Outcomes: 64.3% interviewees were women and 35.7% men. The main diseases manifested by them were arterial hypertension (34.9%), diabetes (12.4%) and arthritis/arthrose (12.2%). Most elderly reported being satisfied about their lives (83.4%), their health self-perception, visual and auditory accuracy was good (54.9%, (45.1%) and (48.6%), respectively. 65.2% of elderly found their dental state poor, 6.8% found it horrible and 73.5% reported that most of their teeth are missing. There were low proportions of elderly hospitalization (9.0%), physical therapy appointments (4.5%) and urgency situations (11.8%) in the past three months. Regarding utilization of medical and dental services 70.4% and 26.4% went to public institutions respectively. Most interviewees showed satisfaction towards public health institutions (83.1%), private clinics and health maintenance organizations (92.2%). Women displayed higher mild dependence level (70.5%) and moderate/severe (62.3%) than men, as 75% of them did not present any functional disability. For the elders aged between 70-79, the chance of having moderate/severe dependence increases by six-fold, and up to eleven-fold for those aged 80 or more. Concerning marital status the widows presented better opportunity to have moderate/severe dependence, with 7.1 odds ratio. It was observed that professional formation is important but beyond that, getting to know the real needs of elders is a fundamental key to generate health indicators that cannot be obtained from other data sources and which are essential for planning actions by managers, politician leaders and health professionals. O idoso possui suas particularidades que precisam ser atendidas pelos serviços de saúde. A realização de estudos de perfil de saúde é essencial para a assistência a população de idosos, pois irá proporcionar aos profissionais de saúde, gestores a formulação de ações e políticas públicas que tornem o cuidado resolutivo e de qualidade. Analisar o perfil sócio demográfico e de saúde do idoso residente em Guarapuava - PR. Estudo transversal, com dados de pessoas com idade igual ou superior a 60 anos residentes em Guarapuava, PR, cadastradas nas 30 (trinta) Unidades Básicas de Saúde (UBS) do município. Dos 5508 idosos cadastrados foram selecionados 359 por meio de amostragem estratificada proporcional. Os dados foram coletados utilizando as seções I, II, III e IV do questionário BOAS (Brazil Old Age Schedule) aplicado aos idosos no domicílio, por entrevistadores previamente treinados. Para análise utilizou-se o programa Estatistic e os dados foram apresentados por meio da análise descritiva (freqüência simples e porcentagem e para a associação foi utilizado o teste qui - quadrado, teste exato de Fisher, razão de prevalência). Dos entrevistados 64,3% eram mulheres e a hipertensão arterial (34,9%), diabetes mellitus (12,4%) e artrite/artrose. (12,2%) foram as doenças mais prevalentes. A maior parte dos idosos relataram satisfação com a vida (83,4%) e em relação à auto-percepção de saúde, acuidade visual e auditiva (54,9%), (45,1%) e (48,6%), respectivamente, referiram ser boa. Para 65,2% dos idosos o estado dentário foi considerado ruim, 6,8% péssimo e 73,5% dos idosos relatam que falta a maioria de seus dentes. Para a utilização de serviços de saúde houve baixas proporções de idosos que foram hospitalizados (9,0%), fizeram tratamento fisioterápico (4,5%), foram socorridos na urgência (11,8%) nos últimos 3 meses. Com relação à utilização de serviços médicos e dentários 70,4% e 26,4% procuram serviços de saúde de instituições públicas, respectivamente. A maioria dos idosos entrevistados apresentou-se satisfeito com serviços em instituições públicas (83,1%), particular,/plano saúde (92,2%). As mulheres apresentaram maior grau de dependência leve (70,5%) e moderada/grave (62,3%) que os homens, visto que 75% deles não apresentaram comprometimento da sua capacidade funcional. Para a faixa etária, entre 70-79 anos aumenta aproximadamente, 6 (seis) vezes a prevalência de ter dependência moderada/grave e aumenta até cerca de 11 (onze) vezes entre 80 anos ou mais. Com relação ao estado conjugal, a categoria de viúvos, apresentou maior chance para estar com dependência moderada/grave, com razão de prevalência de 7,1. Percebeu-se que além da importância da capacitação profissional, de conhecer as reais necessidades dos idosos, este perfil é um componente essencial para a geração de indicadores que não são obtidos em outras fontes de dados e que são essenciais para planejamento das ações dos gestores, lideres políticos e profissionais da saúde. 98 f