{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:24:46Z","timestamp":1761744286218},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>Resumo:  Objetivo:  Descrever medidas do cuidado assistencial destinadas ao paciente com diabetes mellitus autorreferido no Brasil.  M\u00e9todos: Foram utilizados dados da Pesquisa Nacional de Sa\u00fade(2013), estudo transversal de base populacional, referentes ao cuidado em sa\u00fade com o diabetes mellitus autorreferido, quanto ao uso de servi\u00e7os de sa\u00fade e acesso a medicamentos.  Resultados: A preval\u00eancia de diabetes mellitus autorreferido foi de 6,2%, e 11,5% da popula\u00e7\u00e3o nunca fez uma glicemia na vida. Dos adultos que referiram diabetes mellitus , 80,2% tomaram medicamentos nas duas semanas anteriores \u00e0 entrevista, 57,4% usaram o Programa Farm\u00e1cia Popular, 73,2% receberam assist\u00eancia m\u00e9dica e 47,1% realizaram o atendimento nas Unidades B\u00e1sicas de Sa\u00fade. Em 65,2%, o m\u00e9dico que atendeu na \u00faltima consulta era o mesmo das consultas anteriores, 95,3% dos pacientes conseguiram realizar os exames complementares solicitados e 83,3% conseguiram fazer as consultas com o m\u00e9dico especialista. A avalia\u00e7\u00e3o de p\u00e9s e olhos foi relatada por 35,6 e 29,1% dos portadores de diabetes mellitus , respectivamente. Relataram interna\u00e7\u00e3o hospitalar por causa do diabetes ou de alguma complica\u00e7\u00e3o 13,4% dos adultos, e outros 7,0% relataram limita\u00e7\u00f5es nas atividades di\u00e1rias. Em geral, mulheres, assim como a popula\u00e7\u00e3o mais idosa, de maior escolaridade, brancos e residentes nas regi\u00f5es Sul e Sudeste, tiveram maior preval\u00eancia da doen\u00e7a e maior acesso aos servi\u00e7os, medicamentos e consultas.  Discuss\u00e3o: Os cuidados aos portadores de diabetes foram recebidos de forma adequada, na maioria dos casos, o que \u00e9 essencial para manter a qualidade de vida dos pacientes e prevenir desfechos mais graves.<\/jats:p>","DOI":"10.1590\/1980-5497201500060003","type":"journal-article","created":{"date-parts":[[2016,3,21]],"date-time":"2016-03-21T07:37:21Z","timestamp":1458545841000},"page":"17-32","source":"Crossref","is-referenced-by-count":21,"title":["Cuidados em sa\u00fade entre portadores de diabetes mellitus autorreferido no Brasil, Pesquisa Nacional de Sa\u00fade, 2013"],"prefix":"10.1590","volume":"18","author":[{"given":"Deborah Carvalho","family":"Malta","sequence":"first","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betine Pinto Moehlecke","family":"Iser","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade do Sul de Santa Catarina,  Brazil; Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia Sampaio","family":"Chueiri","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila Rizzato","family":"Stopa","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celia Landmann","family":"Szwarcwald","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria In\u00eas","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce Bartholow","family":"Duncan","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Global status report on noncommunicable diseases 2014","year":"2014"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.5123\/S1679-49742014000400002","article-title":"Mortalidade por doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis no Brasil e suas regi\u00f5es, 2000 a 2011","volume":"23","author":"Malta DC","year":"2014","journal-title":"Epidemiol Serv Sa\u00fade"},{"issue":"9781","key":"ref3","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1016\/S0140-6736(11)60135-9","article-title":"Chronic non-communicable diseases in Brazil: burden and current challenges","volume":"377","author":"Schmidt MI","year":"2011","journal-title":"Lancet"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1590\/S1020-49892007000900003","article-title":"The increase of diabetes mortality burden among Brazilian adults","volume":"22","author":"Barreto SM","year":"2007","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"ref5","series-title":"Pesquisa Nacional de Sa\u00fade: Percep\u00e7\u00e3o do estado de sa\u00fade, estilos de vida e doen\u00e7as cr\u00f4nicas. Brasil, Grandes Regi\u00f5es e Unidades da Federa\u00e7\u00e3o","year":"2014"},{"issue":"9785","key":"ref6","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0140-6736(11)60679-X","article-title":"National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants","volume":"378","author":"Danaei G","year":"2011","journal-title":"Lancet"},{"issue":"9765","key":"ref7","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0140-6736(10)62037-5","article-title":"National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9\u00b71 million participants","volume":"377","author":"Finucane MM","year":"2011","journal-title":"Lancet"},{"issue":"9859","key":"ref8","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1016\/S0140-6736(12)61689-4","article-title":"Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Murray CJL","year":"2012","journal-title":"Lancet"},{"issue":"3","key":"ref9","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.diabres.2010.01.026","article-title":"Global healthcare expenditure on diabetes for 2010 and 2030","volume":"87","author":"Zhang P","year":"2010","journal-title":"Diabetes Res Clin Pract"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"S137","DOI":"10.1016\/j.jval.2011.05.009","article-title":"The costs of type 2 diabetes mellitus outpatient care in the Brazilian public health system","volume":"14","author":"Bahia LR","year":"2011","journal-title":"Val Health"},{"issue":"9","key":"ref11","article-title":"Prevalence, Correlates, and Description of Self-Reported Diabetes in Brazilian Capitals - Results from a Telephone Survey","volume":"9","author":"Iser BPM","year":"2014","journal-title":"PLoS ONE"},{"key":"ref12","first-page":"74","article-title":"Prevalence of diabetes and hypertension based on self-reported morbidity survey, Brazil, 2006","volume":"43","author":"Schmidt MI","year":"2009","journal-title":"Rev Saude Publica"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.jclinepi.2004.04.005","article-title":"Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure","volume":"57","author":"Okura Y","year":"2004","journal-title":"J Clin Epidemiol"},{"issue":"2","key":"ref14","first-page":"333","article-title":"National Health Survey in Brazil: design and methodology of application","volume":"19","author":"Szwarcwald CL","year":"2014","journal-title":"Cien Saude Colet"},{"key":"ref15","series-title":"Pesquisa Nacional por amostra de domic\u00edlios (PNAD 2008). 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Diabetes mellitus","year":"2013"},{"key":"ref20","first-page":"S1","article-title":"Standards of Medical Care in Diabetes-2015","volume":"38","year":"2015","journal-title":"Diabetes Care"},{"issue":"9","key":"ref21","doi-asserted-by":"crossref","first-page":"3755","DOI":"10.1590\/S1413-81232011001000012","article-title":"Tend\u00eancias das desigualdades sociais e demogr\u00e1ficas na preval\u00eancia de doen\u00e7as cr\u00f4nicas no Brasil, PNAD: 2003-2008","volume":"16","author":"Barros MBA","year":"2011","journal-title":"Cien Saude Colet"},{"key":"ref22","series-title":"Pesquisa Mundial de Sa\u00fade 2003. O Brasil em n\u00fameros. RADIS Comunica\u00e7\u00e3o em Sa\u00fade","year":"2004"},{"issue":"4","key":"ref23","first-page":"975","article-title":"Geographic and social inequalities in the access to health services in Brazil: 1998 and 2003","volume":"11","author":"Travassos C","year":"2006","journal-title":"Cien Saude Colet"},{"key":"ref24","first-page":"15","article-title":"Redes de Aten\u00e7\u00e3o \u00e0 Sa\u00fade: rumo \u00e0 integralidade","volume":"52","author":"Magalh\u00e3es J\u00fanior HM","year":"2014","journal-title":"Divulga\u00e7\u00e3o em Sa\u00fade para Debate"},{"issue":"17","key":"ref25","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1056\/NEJMsa1213829","article-title":"Achievement of Goals in US. Diabetes Care, 1999-2010","volume":"368","author":"Ali MK","year":"2013","journal-title":"N Engl J Med"},{"issue":"3","key":"ref26","first-page":"19","article-title":"14-year diabetes incidence: the role of socio-economic status","volume":"21","author":"Ross NA","year":"2010","journal-title":"Health Rep"},{"issue":"1","key":"ref27","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/1758-5996-6-122","article-title":"The cost of type 2 diabetes in Brazil: evaluation of a diabetes care center in the city of S\u00e3o Paulo, Brazil","volume":"6","author":"Borges NB","year":"2014","journal-title":"Diabetol Met Syndr"},{"issue":"6","key":"ref28","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1590\/S0102-311X2009000600006","article-title":"Global burden of disease attributable to diabetes mellitus in Brazil","volume":"25","author":"Oliveira AF","year":"2009","journal-title":"Cad Saude Pub"},{"issue":"3","key":"ref29","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1590\/1806-9282.60.03.010","article-title":"Estimated hospitalizations attributable to diabetes mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79","volume":"60","author":"Rosa R","year":"2014","journal-title":"Rev Assoc Med Bras"},{"key":"ref30","series-title":"Medicina Ambulatorial, Condutas de Aten\u00e7\u00e3o Prim\u00e1ria Baseadas em Evid\u00eancias","author":"Duncan BB","year":"2013","edition":"4a ed"},{"key":"ref31","series-title":"Plano de a\u00e7\u00f5es estrat\u00e9gicas para o enfrentamento das doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis (DCNT) no Brasil 2011-2022","year":"2012"},{"issue":"4","key":"ref32","first-page":"691","article-title":"Access to medicines in the public sector: analysis of users of the Brazilian Unified National Health System","volume":"29","author":"Boing AC","year":"2013","journal-title":"Cad Saude Pub"},{"issue":"3","key":"ref33","doi-asserted-by":"crossref","first-page":"397","DOI":"10.5123\/S1679-49742014000300003","article-title":"Conhecimento e utiliza\u00e7\u00e3o do Programa Farm\u00e1cia Popular do Brasil: estudo de base populacional no munic\u00edpio de Campinas-SP","volume":"23","author":"Costa KS","year":"2014","journal-title":"Epidemiol Serv Sa\u00fade"},{"key":"ref34","series-title":"Pesquisa Nacional sobre Acesso, Utiliza\u00e7\u00e3o e Promo\u00e7\u00e3o do uso Racional de Medicamentos no Brasil - PNAUM. 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