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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 30 (3) • 2021 • https://doi.org/10.1590/S1679-49742021000300002 copy

Health-related habits among community health workers in Montes Claros, Minas Gerais, Brazil: a cross-sectional study, 2018

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To analyze the health-related habits of community health workers (CHW).

Methods:

This was a cross-sectional study conducted in Montes Claros, Minas Gerais, Brazil, 2018. Anthropometric, sociodemographic, labor and lifestyle characteristics were evaluated. Poisson regression was applied to calculate the prevalence ratio (PR) and 95% confidence interval (95%CI) of unhealthy habits according to independent variables.

Results:

675 CHW participated. Regarding their health profile, 60.8% were overweight, 83.0% reported low fruit consumption and 58.1% reported low greens and vegetable consumption. Physical inactivity was reported by 26.2%. 7.1% stated they were smokers were 37.6% drank alcoholic beverages. Inadequate health habits were higher among males (PR=1.24 - 95%CI 1.05;1.45), younger workers (PR=1.19 - 95%CI 1.01;1.40) and workers without a religion (PR=1.23 - 95%CI 1.04;1.45).

Conclusion:

There was relevant prevalence of inadequate health habits among community health workers, associated with sociodemographic factors.

Keywords:
Occupational Health; Risk Factors; Chronic Disease; Community Health Workers; Cross-Sectional Studies.

Characteristics	n	%
Sex
Female	566	83.9
Male	109	16.1
Age group (in years)
≤40	444	65.8
>40	231	34.2
Schooling
Elementary education/high school education	383	56.7
Incomplete higher education	126	18.7
Complete higher education	166	24.6
Family income (in minimum wages)^a
<2	205	30.4
2-3	333	49.3
>3	137	20.3
Number of people in the family
Up to 3	331	49.0
4 or more	344	51.0
Marital status
Has a partner	403	59.7
Does not have a partner	272	40.3
Race/skin color
White	87	12.9
Non-white	588	87.1
Academic qualifications in the area of health
Yes	241	35.7
No	434	64.3
Religion
Yes	568	84.3
No	106	15.7
Employment relationship with the institution
Public sector employee	174	25.8
Hired/consolidated labor laws/service provider	501	74.2
Second job
No	609	90.2
Yes	66	9.8
Length of service in the area of Health (in years)
<1	167	24.7
1-5	197	29.2
>5	311	46.1
Length of service as a CHW^b (in years)
<1	180	26.7
1-5	201	29.8
>5	294	43.5
Workload (hours per week) in the FHS^c
Up to 40h	306	45.3
Over 40h	369	54.7

Inadequate health habit components	n	%
Low fruit consumption	560	83.0
Excess salt in food	548	81.2
Overweight/obesity	409	60.8
Low consumption of greens and vegetables	392	58.1
Alcohol consumption	254	37.6
Physical inactivity	177	26.2
Tobacco smoking	48	7.1

Variables	Prevalence (%)		Crude prevalence ratio			Adjusted prevalence ratio
Variables	Prevalence (%)		(95%CI)^a	p-value^b		(95%CI)^a	p-value^c
Sex
Female	50.5		1.00			1.00
Male	65.7		1.30 (1.11;1.52)	0.001		1.24 (1.05;1.45)	0.011
Age (in years)
>40	46.3		1.00			1.00
≤40	56.5		1.22 (1.04;1.43)	0.016		1.19 (1.01;1.40)	0.038
Schooling
Fundamental/high school education	53.4		1.00			1.00
Incomplete higher education	58.4		1.09 (0.92;1.30)			1.02 (0.83;1.20)
Complete higher education	47.9		0.90 (0.75;1.08)	0.199		0.87 (0.72;1.05)	0.307
Family income (in minimum wages)^d
<2	57.4		1.00			-
2-3	52.0		0.91 (0.77;1.06)
>3	48.9		0.85 (0.69;1.05)	0.272
Number of people in the family
Up to 3	52.0		1.00			-
4 or more	54.0		1.04(0.90;1.20)	0.610
Marital status
Has a partner(a)	50.5		1.00			1.00
Does not have a partner(a)	56.7		1.12 (0.97;1.29)	0.113		1.07 (0.93; 1.25)	0.309
Race/skin color
White	52.9		1.00			-
Non-white	53.0		1.00 (0.81;1.24)	0.981
Academic qualifications in the area of health
Yes	47.3		1.00			-
No	56.2		1.19 (1.02;1.39)	0.032
Religion
Yes	50.8		1.00			1.00
No	64.2		1.26 (1.07;1.49)	0.005		1.23 (1.04;1.45)	0.017
Employment relationship with the institution
Public sector employee	56.0		1.00			-
Hired/consolidated labor laws/service provider	51.7		0.91 (0.78;1.07)	0.252
Second job
No	52.8		1.00			-
Yes	54.5		1.03 (0.82;1.30)	0.787
Length of service in the area of Health (in years)
<1	50.0		1.00			-
1-5	53.9		1.08 (0.88;1.32)
>5	54.0		1.08 (0.90;1.30)	0.672
Length of service as a CHW^e (in years)
<1	49.2		1.00			-
1-5	53.3		1.01 (0.89;1.32)
>5	55.1		1.12 (0.94;1.35)	0.449
Workload (hours per week) in the FHS^f
Up to 40h	51.5		1.00			-
Over 40h	54.2		1.05 (0.91;1.22)	0.484

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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