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Resumo: Este estudo teve como objetivo verificar a tendência temporal e desigualdades no rastreamento autorrelatado do câncer de colo de útero nas capitais brasileiras entre os anos de 2011 e 2020. Estudo de tendência com dados da Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel) de 2011 a 2020. O desfecho foi a prevalência de realização de exame citopatológico nos últimos três anos. Para estimar as desigualdades, foram utilizados os índices de desigualdade de inclinação (slope index of inequality - SII) e de concentração (concentration index - CIX). Observou-se tendência crescente do desfecho no país no período pesquisado e queda na maioria das regiões, capitais e em todos os grupos de acordo com escolaridade. Houve uma queda da cobertura na maioria das regiões do Brasil. Destaca-se que o SII apresentou seus piores resultados em 2011 e 2012, alcançando 15,8p.p. (IC95%: 14,1; 17,6) e 15,0p.p. (IC95%: 13,1; 16,9), respectivamente, entre as mulheres com 12 anos ou mais de estudo. Houve queda na cobertura da realização do exame preventivo de câncer de colo de útero na maioria das regiões e capitais brasileiras entre os anos de 2011 e 2020. No período antes e durante a pandemia, houve redução do desfecho no país, nas regiões Sul e Sudeste, sugerindo que a pandemia de COVID-19 acarretou desigualdades geográficas na cobertura desse exame no país.

Obesogenic behaviors have been individually associated with bullying during adolescence. However, physical activity, sedentary behavior, and diet manifest themselves in synergy and even behavioral profiles in which positive and negative behaviors coexist can be more positively associated with psychosocial outcomes. The present study aimed to analyze the association between clusters of obesogenic behaviors and different bullying roles in Brazilian adolescents. This cross-sectional study used data from the Brazilian School-based Health Survey—PENSE, 2015. A total of 100,794 male and female adolescents of the ninth-grade elementary school participated in the study. Students responded to an electronic questionnaire. Clusters of obesogenic behavior consisted of physical activity, exposure to sedentary behavior, and diet, and the different roles in bullying were: participant, victim, bully, and bully–victim. Binary logistic regression with 95% confidence intervals (CI) was used for data analysis ( p < .05). Multiple adjustments and complex sampling procedures were employed. Adolescents in the cluster “Health-promoting sedentary behavior and Diet” had reduced chances of participating in bullying (odds ration [OR] = 0.70; 95% CI [0.64, 0.76]), of being a victim (OR = 0.87; 95% CI = 0.76–0.99), and being the bully (OR = 0.65; 95% CI [0.59, 0.71]); and those from the cluster “Health-promoting physical activity and Diet” had reduced chances of participating (OR = 0.81; 95% CI [0.76, 0.87]), being a victim of bullying (OR = 0.86; 95% CI [0.76, 0.98]), being the bully (OR = 0.79; 95% CI [0.72, 0.85]), and being a bully–victim (OR = 0.74; 95% CI [0.61, 0.90]), when compared to those from the “health-risk” cluster in the adjusted analysis. Clusters of obesogenic behavior may reduce adolescent bullying: victim, bully, and bully–victim benefit when exposed to healthier behavioral profiles. The school setting must recognize bullying as a problem and therefore simultaneously promote multi-component interventions to tackle physical activity, sedentary behavior, and eating behavior. Outcomes other than obesity should be acknowledged when promoting obesogenic behaviors.

Objective: To assess the prevalence of excessive use of social media and associated factors, as well as possible health consequences in high school students in southern Brazil. Methods: This is a population-based cross-sectional study, conducted with high school students in the city of Rio Grande, RS. All students who were attending high school at the Federal Institute of Rio Grande do Sul, campus Rio Grande, were eligible for this research in the second semester of 2019. In total, 513 students participated in the study. The dependent variable was excessive use of social media, defined as more than five hours per day. Descriptive and bivariate analyses were carried out and the Poisson regression was used to verify associations, with robust adjustment of variance. Results: The prevalence of students who reported excessive use of social media was 35.9%. The groups that were most susceptible to excessive use of social media had the following profile: female, black/brown skin, aged between 18 and 20 years old, attending the first year of high school. Excessive use of social media was shown to be associated with smoking, risk of depression, anxiety and stress, high risk of suicide and drug use. Conclusions: More than a third of students used social media excessively. This behavior was associated with negative health outcomes.

Introduction: Worldwide cocaine use in all its various forms is increasing; cocaine users exceeded 17 million in the world. In Brazil, this data is also alarming. A survey conducted in 2010 found that the country has more than 900,000 crack-cocaine users. Objective: To evaluate the effects of exercise on anthropometric variables and components of physical fitness in ex-crack cocaine users. Methods: Randomized controlled trial with 20 men, divided into exercise group (n=10) and control group (n=10), admitted to a detoxification center. We assessed the physical fitness components related to health (cardiorespiratory endurance, flexibility, muscular strength/endurance, and body composition) before and after the physical training program. Results: The exercise contributed to the maintenance of anthropometric variables, while the control group had an increased in total body fat and visceral fat. Regarding physical fitness, resistance training led to the increase of most variables studied, particularly strength and cardiorespiratory capacity. On the other hand, the VO 2 max and the strength of the sedentary subjects were reduced (P<0.05). Conclusion: The exercise showed beneficial effects on the components of physical fitness and maintenance of body composition.Keywords: crack cocaine; exercise; physical fitness; anthropometry. RESUMO Introdução: O consumo mundial de cocaína em suas diversas formas está aumentando; os usuários de cocaína ultrapassaram 17 milhões no mundo. No Brasil, esses dados também são alarmantes. Uma pesquisa realizada em