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Risk factors related to productivity loss and increased health care costs in patients attended at primary health care units

Grant number: 15/20458-7
Support type:Scholarships abroad - Research
Effective date (Start): March 04, 2016
Effective date (End): September 04, 2016
Field of knowledge:Health Sciences - Physical Education
Principal researcher:Jamile Sanches Codogno
Grantee:Jamile Sanches Codogno
Host: Nana Kwame Anokye
Home Institution: Faculdade de Ciências e Tecnologia (FCT). Universidade Estadual Paulista (UNESP). Campus de Presidente Prudente. Presidente Prudente , SP, Brazil
Research place: Brunel University, England  


Physical inactivity and the presence of obesity, among other risk factors for health have been responsible for the emergence of numerous chronic diseases and, consequently, the increase in health spending. Thus, the aim of this research is to examine if aggregation of factors / behaviors of risk are associates to loss of work productivity and increased health care costs in adults treated at SUS. For that at least 200 patients will be invited to join the research and will be evaluated about: i) treatment costs, ii) loss of productivity, iii) body fat; iv) level of physical activity, vi) sleep, vii) pain, viii) alcohol consumption, ix) smoking, x) historical economic condition, xi) diseases, xii) metabolic indicators. Thus, the sample will subdivided into four groups: (i) no behavior / risk factor, (ii) 1-2 behaviors / risk factors, (iii) behaviors 3-4 / risk factor and (iv) 5-6 behaviors / risk factors. Statistical analysis will be composed by analysis of covariance (ANCOVA) to establish comparisons between health care costs and lost productivity (in local currency) and groups of factor risks formed. For categorical data, the chi-square test will be used to analyze associations and logistic regression and multivariate model. In all analyzes, statistical significance (p-value) will be pre-set at less than 5% values. The software used will be BioEstat (version 5.0).

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
BRUNA CAMILO TURI; JAMILE SANCHES CODOGNO; FLÁVIA MORI SARTI; NANA KWAME ANOKYE; RÔMULO ARAÚJO FERNANDES; HENRIQUE LUIZ MONTEIRO. Determinants of outpatient expenditure within primary care in the Brazilian National Health System. São Paulo Medical Journal, v. 135, n. 3, p. -, Jun. 2017.
CASTANHO ARAUJO, MONIQUE YNDAWE; SARTI, FLAVIA MORI; FERNANDES, ROMULO ARAUJO; MONTEIRO, HENRIQUE LUIZ; TURI, BRUNA CAMILO; ANOKYE, NANA; CODOGNO, JAMILE SANCHES. Association Between Costs Related to Productivity Loss and Modified Risk Factors Among Users of the Brazilian National Health System. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, v. 59, n. 3, p. 313-319, MAR 2017. Web of Science Citations: 1.

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