Prevalence and factors associated with inadequate work ability among community health workers in Montes Claros, Minas Gerais state, Brazil: a cross-sectional study, 2018

Anjos, Jamile Pereira Dias dos; Freitas, Ronilson Ferreira; Almeida, Karine Suene Mendes; Caldeira, Antônio Prates; Popoff, Daniela Araújo Veloso; Rocha, Josiane Santos Brant

doi:10.1590/S2237-96222024v33e2023354.en

person Jamile Pereira Dias dos Anjos

collaborated with the study conception and design · analysis and interpretation of the results · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil

0000-0001-5907-4010

person Ronilson Ferreira Freitas

collaborated with the study conception and design · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Medicina, Manaus, AM, Brazil

0000-0001-9592-1774

person Karine Suene Mendes Almeida

collaborated with the study conception and design · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Estadual de Montes Claros, Departamento de Enfermagem, Montes Claros, MG, Brazil

0000-0002-6213-689X

person Antônio Prates Caldeira

collaborated with data analysis and interpretation · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil

0000-0002-9990-9083

person Daniela Araújo Veloso Popoff

collaborated with the study conception and design · analysis and interpretation of the results · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil

0000-0001-8313-2495

person Josiane Santos Brant Rocha

collaborated with the study conception and design · analysis and interpretation of the results · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

schoolUniversidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil

0000-0002-7317-3880

Correspondence: Ronilson Ferreira Freitas | ronnypharmacia@gmail.com

CONFLICTS OF INTEREST

The authors declare that there is no conflict of interest.

Associate editor:

Thaynã Ramos Flores http://orcid.org/0000-0003-0098-1681

Characteristic variables		Total		Inadequate work ability
Characteristic variables		N	%	n	%
Sociodemografic
Sex
	Male	110	16.3	14	12.7
	Female	565	83.7	160	28.3
Race/skin color
	Black	588	87.1	148	25.2
	White	87	12.9	26	29.9
Marital status
	With a partner	403	59.7	118	29.3
	Without a partner	272	40.3	56	20.6
Schooling
	Higher education	292	43.3	64	21.9
	Elementary education	383	56.7	110	28.7
Family income (in minimum wages)^a
	> 1	629	93.2	168	26.7
	≤ 1	46	6.8	06	13.0
Occupational
Trainning in the healthcare field
	Yes	241	35.7	83	34.4
	No	434	64.3	91	21.0
Length of time working as a CHW (in years)
	≤ 5	382	56.6	58	15.2
	> 5	293	43.4	116	39.6
Clinical
Sedentary behavior (hours spent sitting)
	≤ 4	390	57.8	108	27.7
	> 4	285	42.2	66	23.2
Arterial hypertension
	Do not have	604	89.5	146	24.2
	Have	71	10.5	28	39.4
Self-perceived health status
	Good	398	59.0	55	13.8
	Poor	277	41.0	119	43.0
Body mass index – BMI
	Normal	264	39.1	58	22.0
	Overweight/obesity	411	60.9	116	28.2
Self-esteem
	High self-esteem	408	60.4	103	25.2
	Low self-esteem	267	39.6	71	26.6
Depressive symptoms
	Eperience	547	81.0	98	17.9
	Do not experience	128	19.0	76	59.4
Time spent in the sun (in hours)
	1-4	238	35.3	47	19.7
	> 4	437	64.7	127	29.1
Presence of voice disorders
	No	200	29.6	24	12.0
	Yes	475	70.4	150	31.6

Factors		Crude PR^a (₉₅%CI^b)	p-value^c	Adjusted PR^a (₉₅%CI^b)	p-value^d
Sociodemographic
Sex
	Male	1.00	0.002	1.00	0.079
	Female	2.22 (1.34;3.69)	0.002	1.55 (0.94;2.54)	0.079
Race/skin color
	Black	1.00	0.337	–	–
	White	1.18 (0.83;1.68)	0.337	–	–
Marital status
	With a partner	1.00	0.013	–	–
	Without a partner	0.70 (0.53;0.92)	0.013	–	–
Schooling
	Higher education	1.00	0.048	–	–
	Elementary education	1.31 (1.00;1.71)	0.048	–	–
Family income (in minimum wages)^d
	> 1	1.00	0.064	–	–
	≤ 1	0.48 (0.22;1.04)	0.064	–	–
Occupational
Trainning in the healthcare field
	Yes	1.00	< 0.001	–	–
	No	0.60 (0.47;0.78)	< 0.001	–	–
Length of time working as a CHW (in years)
	≤ 5	1.00	< 0.001	1,00	0.001
	> 5	2.60 (1.97;3.43)	< 0.001	1.64 (1.24;2.18)	0.001
Clinical
Sedentary behavior (hours spent sitting)
	≤ 4	1.00	0.187	–	–
	> 4	0.83 (0.64;1.09)	0.187	–	–
Arterial hypertension
	Do not have	1.00	0.003	–	–
	Have	1.63 (1.18;2.24)	0.003	–	–
Self-perceived health status
	Good	1.00	< 0.001	1.00	< 0.001
	Bad	3.10 (2.34;4.11)	< 0.001	2.10 (1.56;2.83)	< 0.001
Body mass index (BMI)
	Normal	1.00	0.074	–	–
	Overweight/obesity	1.28 (0.97;1.69)	0.074	–	–
Self-esteem
	High self-esteem	1.00	0.695	–	–
	Low self-esteem	1.05 (0.81;1.36)	0.695	–	–
Depressive symptoms
	Do not experience	1.00	< 0.001	1.00	< 0.001
	Experience	3.31 (2.63;4.16)	< 0.001	1.98 (1.54;2.55)	< 0.001
Time spent in the sun (in hours)
	1-4	1.00	0.010	–	–
	> 4	1.47 (1.09;1.97)	0.010	–	–
Presence of voice disorders
	No	1.00	< 0.001	1.00	0.002
	Yes	2.73 (1.82;4.10)	< 0.001	1.85 (1.26;2.73)	0.002

[tfne1] a) Minimum wage: BRL 954.00 in 2018.

Prevalence and factors associated with inadequate work ability among community health workers in Montes Claros, Minas Gerais state, Brazil: a cross-sectional study, 2018

Prevalencia y factores asociados a la capacidad laboral inadecuada entre los trabajadores comunitarios de salud en Montes Claros, Minas Gerais, Brasil: estudio transversal, 2018