Keywords
Physical activity
Religion and medicine
Socioeconomic Factors
How to Cite
Abstract
Objective: To analyze how clusters of social determinants of health are associated with healthy lifestyle practices among Brazilian Adventist adults and older adults.
Method: A cross-sectional study was conducted with 216 participants. Health behaviors were assessed using the Eight Natural Remedies Questionnaire. Latent Class Analysis (LCA) and linear regression models were used to identify behavioral patterns and associations with socioeconomic factors.
Results: Two latent classes were identified. Individuals in Class 2, associated with lower socioeconomic and educational levels, showed significantly lower scores in exercise-related behaviors compared to those in Class 1. No significant differences were found in other lifestyle factors.
Conclusion: The findings suggest that lower socioeconomic status and limited education negatively influence exercise habits among Adventists, emphasizing the need for targeted public health interventions.
References
ABDALA, Gina Andrade; MEIRA, Maria Dyrce Dias; ISAYAMA, Ricardo Noboro; RODRIGO, Gabriel Tagliari; WATAYA, Roberto Sussumu; TERTULIANO, Ivan Wallan. Validation of the eight natural remedies questionnaire – Q8RN – adult version. LifeStyle Journal, São Paulo, v. 5, n. 2, p. 109-34, July/Dec. 2018. https://jlsr.emnuvens.com.br/LifestyleJournal/article/view/1171
ALVAREZ-GALVEZ, Javier. Multidimensionality of Health Inequalities: A Cross-Country Identification of Health Clusters through Multivariate Classification Techniques. International Journal of Environmental Research and Public Health, [s.l.], v. 15, n. 9, 1900, Sep. 2018. https://doi.org/10.3390/ijerph15091900
ALVAREZ-GALVEZ, Javier; RODERO-COSANO, Maria Luisa; GARCIA-ALONSO, Carlos; SALVADOR-CARULLA, Luis. Changes in socioeconomic determinants of health: Comparing the effect of social and economic indicators through European welfare state regimes. Journal of Public Health, [s.l.], v. 22, n. 4, p. 305-11, May 2014. http://dx.doi.org/10.1007/s10389-014-0623-x
ALVAREZ-GALVEZ, Javier; RODERO-COSANO, Maria Luisa; MOTRICO, Emma; SALINAS-PEREZ, Jose; GARCIA-ALONSO, Carlos; SALVADOR-CARULLA, Luis. The impact of socio-economic status on self-rated health: Study of 29 countries using European social surveys (2002–2008). International Journal of Environmental Research and Public Health, [s.l.], v. 10, n. 3, p. 747-61, Feb. 2013. https://doi.org/10.3390/ijerph10030747
BADZIAK, Rafael Policarpo Fagundes; MOURA, Victor Eduardo Viana. Determinantes sociais da saúde: um conceito para efetivação do direito à saúde. Revista de Saúde Pública de Santa Catarina, Florianópolis, v. 3, n. 1, p. 69-79, jan./jun. 2010. https://revista.saude.sc.gov.br/index.php/files/article/download/21/23/72
BARATA, Rita Barradas. Como e por que as desigualdades sociais fazem mal à saúde. Rio de Janeiro: FIOCRUZ, 2009.
BOTELHO, Vivian Hernandez; WENDT, Andrea; PINHEIRO, Eraldo dos Santos; CROCHEMORE-SILVA, Inácio. Desigualdades na prática esportiva e de atividade física nas macrorregiões do Brasil: PNAD, 2015. Revista Brasileira de Atividade Física & Saúde, Pelotas, v. 26, n. 1, e0206, 2021. https://doi.org/10.12820/rbafs.26e0206
BRASIL. Desigualdades sociais por cor ou raça no Brasil. 2. ed. Rio de Janeiro: IBGE, 2022.
BRASIL. Pesquisa Nacional de Saúde: 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal: Brasil grandes regiões. Rio de Janeiro, IBGE, 2020.
BRASIL. Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2023. Brasília: Ministério da Saúde, 2023.
BUSS, Paulo Marchiori; PELLEGRINI FILHO, Alberto. A Saúde e seus Determinantes Sociais. Physis: Revista de Saúde Coletiva, Rio de Janeiro, v. 17, n. 1, p. 77-93, 2007. https://doi.org/10.1590/S0103-73312007000100006
BUTLER, Terry; FRASER, Gary; BEESON, Laurence; KNUTSEN, Synnøve; HERRING, Patti; CHAN, Jacqueline; SABATÉ, Joan; MONTGOMERY, Susanne; HADDAD, Ella; PRESTON-MARTIN, Susan; BENNETT, Hannelore; JACELDO-SIEGL, Karen. Cohort profile: The Adventist Health Study-2 (AHS-2). International Journal of Epidemiology, [s.l.], v. 37, n. 2, p. 260-5, Apr 2008. https://doi.org/10.1093/ije/dym165
CARDOSO, Adalberto. Escravidão e sociabilidade capitalista: um ensaio sobre inércia social. Novos Estudos, São Paulo, v. 80, p. 71-88, Mar. 2008. https://doi.org/10.1590/S0101-33002008000100006
COBO, Barbara; CRUZ, Claudia; DICK, Paulo. Gender and racial inequalities in the access to and the use of Brazilian health services. Ciência & Saúde Coletiva, Rio de Janeiro, v. 26, n. 9, p. 4021-32, Sep. 2021. https://doi.org/10.1590/1413-81232021269.05732021
COLLINS, Linda M.; LANZA, Stephanie T. Latent Class and Latent Transition Analysis: With Applications in the Social, Behavioral, and Health Sciences. Hoboken: John Wiley & Sons, 2009.
COSTA-FONT, Joan; HERNANDEZ-QUEVEDO, Cristina. Measuring inequalities in health: What do we know? What do we need to know? Health Policy, [s.l.], v. 106, n. 2, p. 195-206, Jul. 2012. https://doi.org/10.1016/j.healthpol.2012.04.007
CROCHEMORE-SILVA, Inácio; KNUTH, Alan; MIELKE, Gregore Iven; LOCH, Mathias Roberto. Promotion of physical activity and public policies to tackle inequalities: considerarions based on the Inverse Care Law and Inverse Equity Hypothesis. Cadernos de Saúde Pública, São Paulo, v. 36, n. 6, e00155119, 2020. https://doi.org/10.1590/0102-311X00155119
CROCHEMORE-SILVA, Inácio; RESTREPO-MENDEZ, Maria Clara; COSTA, Janaína Calu; EWERLING, Fernanda; HELLWIG, Franciele; FERREIRA, Leonardo Zanini; RUAS, Luis Paulo Vidaletti; JOSEPH, Gary; BARROS, Aluísio. Measurement of social inequalities in health: concepts and methodological approaches in the Brazilian context. Epidemiologia e Serviços de Saúde, Brasília, v. 27, n. 1, e000100017, 2018. https://doi.org/10.5123/s1679-49742018000100017
FERREIRA, Greciane Marks Farias; STAUT, Thaís Cristina de Pontes; ARAÚJO, Sara Pereira; OLIVEIRA, Natália Cristina; PORTES, Leslie Andrews. Estilo de vida entre brasileiros adventistas do sétimo dia. Lifestyle Journal, São Paulo, v. 1, n. 1, p. 17-25, 2011. https://revistalifestyle.org/LifestyleJournal/article/view/132
FREIRE, Paulo. Pedagogia do oprimido. 84. ed. São Paulo: Paz e Terra, 2019.
GASHUGI, Leonard; OH, Jisoo; MASHCHAK, Andrew; FRASER, Gary. Lifestyle-Related Behavior and Self-Reported Health Status Among Seventh-Day Adventists. American Journal of Lifestyle Medicine, [s.l.], published online 2023. https://doi.org/10.1177/15598276231184401
GIAQUINTO, Salvatore; SPIRIDIGLIOZZI, Cristiana. Possible influence of spiritual and religious beliefs on hypertension. Clinical and Experimental Hypertension, [s.l], v. 29, n. 7, p. 457-64, Oct. 2007. https://doi.org/10.1080/10641960701615683
IDLER, Ellen; BLEVINS, John; KISER, Mimi; HOGUE, Carol. Religion, a social determinant of mortality? A 10-year follow-up of the Health and Retirement Study. Plos One, [s.l], v. 12, n. 12, e0189134, 2017. https://doi.org/10.1371/journal.pone.0189134
KANNO, Daniela Tiemi; SELLA, Luiz Fernando; OLIVEIRA, Natália Cristina. Estilo de vida de adventistas do sétimo dia e de não adventistas do município de Cotia, São Paulo. Revista de Ciências Médicas, Campinas, v. 23, n. 3, p. 137-44, set./dez. 2014. https://doi.org/10.24220/2318-0897v23n3a2824
KNUTH, Alan; ANTUNES, Priscilla de Cesaro. Práticas corporais/atividades físicas demarcadas como privilégio e não escolha: análise à luz das desigualdades brasileiras. Saúde & Sociedade, São Paulo, v. 30, n. 2, e200363, 2021. https://doi.org/10.1590/S0104-12902021200363
MCLACHLAN, Geoffrey J.; LEE, Sharon X.; RATHNAYAKE, Suren I. Finite Mixture Models. Annual Review of Statistics and Its Application, [s.l.], v. 6, p. 355-378, 2019. https://doi.org/10.1146/annurev-statistics-031017-100325
MELLO, Gabrielli Thais; LOPES, Marcus Vinicius Veber; MINATTO, Giseli; COSTA, Rafael Martins; MATIAS, Thiago Sousa; GUERRA, Paulo Henrique; BARBOSA FILHO, Valter Cordeiro; SILVA, Kelly Samara. Clustering of Physical Activity, Diet and Sedentary Behavior among Youth from Low-, Middle-, and High-Income Countries: A Scoping Review. International Journal of Environment Research and Public Health, [s.l.], v. 18, n. 20, 10924, Oct. 2021. https://doi.org/10.3390/ijerph182010924
NYLUND, Karen L.; ASPAROUHOV, Tihomir; MUTHÉN, Bengt O. Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, [s.l.], v. 14, n. 4, p. 535-569, out. 2007. https://doi.org/10.1080/10705510701575396
OLIVEIRA, Elizabete Regina Araújo; CADE, Nágela Valadão; VELTEN, Ana Paula Costa; SILVA, Gulnar Azevedo; FAERSTEIN, Eduardo. Comparative study of cardiovascular and cancer mortality of Adventists and non‑Adventists from Espírito Santo State, in the period from 2003 to 2009. Revista Brasileira de Epidemiologia, São Paulo, v. 19, n. 1, p. 112-21, Jan./Mar., 2016. https://doi.org/10.1590/1980-5497201600010010
PORTES, Leslie Andrews; SILVA, Natália Cristina Vargas de Oliveira. Estilo de vida: fundamento adventista de saúde. LifeStyle Journal, São Paulo, v. 4, n. 2, p. 103-11, jul./dez. 2017. https://revistalifestyle.org/LifestyleJournal/article/view/1037/944
PROGRAMA DAS NAÇÕES UNIDAS PARA O DESENVOLVIMENTO (PNUD). Relatório de Desenvolvimento Humano Nacional - Movimento é Vida: Atividades Físicas e Esportivas para Todas as Pessoas: 2017. Brasília: PNUD, 2017.
R CORE TEAM. R: A language and environment for statistical computing. The R Project for Statistical Computing. Accessed November 24, 2024. https://www.R-project.org/
SÉRGIO, Manuel. Alguns Olhares sobre o Corpo. 2. ed. Portugal: Instituto Piaget, 2003.
SILVA, Edlla Laurindo; SANTOS, Jeniffer Cardoso; CAMPOS, Islanne; TEIXEIRA, Wandenberg Silva; MARTIS, Eliel; PÔRTO, Elias Ferreira. Prevalência de hipertensão arterial sistêmica entre adventistas do sétimo dia na zona sul de São Paulo. LifeStyle Journal, São Paulo, v. 4, n. 2, p. 87-102, jul./dez. 2017. https://jlsr.emnuvens.com.br/LifestyleJournal/article/view/1034
SILVA, Leilane Bagno Eleutério; SILVA, Stael Silvana Bagno Eleutério; MARCÍLIO, Amanda Garcia; PIERIN, Angela Maria Geraldo. Prevalence of Arterial Hypertension Among Seventh-Day Adventists of the São Paulo State Capital and Inner Area. Arquivos Brasileiros de Cardiologia, [s.l.], v. 98, n. 4, p. 329-37, Apr. 2012. https://doi.org/10.1590/S0066-782X2012005000018
VELTEN, Ana Paula Costa. Comparação da mortalidade dos adventistas do sétimo dia com a população não adventista no período de 2003 a 2009 no Estado do Espírito Santo. 2013. 117f. Dissertação (Mestrado em Saúde Coletiva) – Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, 2013. http://repositorio.ufes.br/handle/10/5681
VELTEN, Ana Paula Costa; CADE, Nágela Valadão; SILVA, Gulnar Azevedo; OLIVEIRA, Elizabete Regina Araújo. Profile of mortality from external causes among Seventh-day Adventists and the general populations. Ciência & Saúde Coletiva, Rio de Janeiro, v. 22, n. 7, p. 2375-82, July 2017. https://doi.org/10.1590/1413-81232017227.13792015
VIACAVA, Francisco; PORTO, Silvia Marta; CARVALHO, Carolina de Campos; BELLIDO, Jaime Gregório. Health inequalities by region and social group based on data from household surveys (Brazil, 1998-2013). Ciência & Saúde Coletiva, Rio de Janeiro, v. 24, n. 7, p. 2745-60, Jul. 2019. https://doi.org/10.1590/1413-81232018247.15812017
WOO, Sang Eun; HOFMANS, Joeri; WILLE, Bart; TAY, Louis. Person-centered modeling: Techniques for studying associations between people rather than variables. Annual Review of Organizational Psychology and Organizational Behavior, [s.l.], v. 11, p. 453-80, Jan. 2024. https://doi.org/10.1146/annurev-orgpsych-110721-045646
WOO, Sang Eun; JEBB, Andrew; TAY, Louis; PARRIGON, Scott. Putting the “Person” in the Center: Review and Synthesis of Person-Centered Approaches and Methods in Organizational Science. Organizational Research Methods, [s.l.], v. 21, n. 4, p. 814-45, Jan. 2018. https://doi.org/10.1177/1094428117752467