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afeta principalmente os negros e pardos&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">No Brasil&#44; s&#227;o observadas diferen&#231;as nos resultados de alguns indicadores de nascimento&#44; mortalidade e morbidez quando estratificados por cor ou etnia&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">5</span></a> Os negros e pardos geralmente mostram piores resultados para esses indicadores&#44; inclusive maiores preval&#234;ncias de IA&#44; em compara&#231;&#227;o com os domic&#237;lios cuja cor&#47;etnia dos residentes &#233; branca&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Observou&#8208;se que as preval&#234;ncias de IA diminu&#237;ram de forma constante nas fam&#237;lias brasileiras&#44; passaram de 34&#44;9&#37; em 2004 para 30&#44;2&#37; em 2009<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">6</span></a> e 22&#44;6&#37; em 2013&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">7</span></a> Apesar desse decl&#237;nio&#44; a IA ainda &#233; alarmante&#44; uma vez que &#233; uma viola&#231;&#227;o dos direitos humanos&#44; que tem potenciais efeitos diretos e indiretos na sa&#250;de das pessoas&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pessoas com uma doen&#231;a cr&#244;nica&#44; quando est&#227;o em situa&#231;&#227;o de maior vulnerabilidade social e IA&#44; podem sofrer uma pioria das condi&#231;&#245;es de vida&#44; com agravamento de sua sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">8</span></a> Portanto&#44; &#233; importante estudar a IA em um grupo de pessoas com alta vulnerabilidade biol&#243;gica&#44; cl&#237;nica e social&#44; como na doen&#231;a falciforme&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Estudos<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">9&#8211;11</span></a> encontraram uma rela&#231;&#227;o inversa entre IA e apoio social&#44; indicaram que o apoio social pode diminuir a situa&#231;&#227;o de inseguran&#231;a alimentar porque influencia a disponibilidade de recursos &#40;por exemplo&#44; doa&#231;&#245;es de alimentos ou trocas&#44; ou mesmo ter algu&#233;m para cozinhar&#41; ou porque proporciona efeitos ben&#233;ficos para a pessoa&#44; como se sentir cuidada&#44; amada ou ter algu&#233;m com quem possa contar&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Davis et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">12</span></a> no entanto&#44; destacam os efeitos mistos entre a IA e o apoio social e estudos qualitativos desses fen&#244;menos podem proporcionar uma compreens&#227;o mais forte de como estrat&#233;gias espec&#237;ficas e fatores contextuais determinam como o apoio social &#233; usado e quais os efeitos que ele produz na seguran&#231;a alimentar&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">O apoio social pode ser descrito como um <span class="elsevierStyleItalic">buffer</span> &#40;no modelo de efeito <span class="elsevierStyleItalic">buffer</span>&#41;&#44; minimiza o impacto de situa&#231;&#245;es estressantes&#44; ou como um efeito principal&#44; no modelo no qual as redes sociais s&#227;o consideradas promotoras de experi&#234;ncias positivas&#44; estabilidade&#44; afeto positivo e autoestima&#44; com potencial para ajudar a evitar situa&#231;&#245;es adversas&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">13</span></a> Por &#250;ltimo&#44; o apoio social tamb&#233;m pode ser descrito em fun&#231;&#227;o de como as rela&#231;&#245;es interpessoais se associam &#224;s dimens&#245;es emocional&#44; instrumental&#47;tang&#237;vel&#44; informativa&#44; afetiva e as dimens&#245;es de intera&#231;&#227;o social positiva do apoio social&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">14</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Com base na hip&#243;tese de que as fam&#237;lias de crian&#231;as com DF pertencem a grupos mais propensos a sofrer situa&#231;&#245;es de IA e que o apoio social tem algum efeito sobre essa rela&#231;&#227;o&#44; este estudo prop&#244;s avaliar a associa&#231;&#227;o entre IA e o apoio social para crian&#231;as com DF&#44; atendidas em um hospital de refer&#234;ncia de hematologia&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Desenho do estudo e participantes</span><p id="par0040" class="elsevierStylePara elsevierViewall">Este estudo transversal examinou uma amostra de crian&#231;as com DF&#44; de cinco a nove anos&#44; registradas em um hospital de refer&#234;ncia de hematologia e moradoras da Regi&#227;o Metropolitana do Estado do Rio de Janeiro&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A amostra foi calculada considerando&#58; &#40;a&#41; a popula&#231;&#227;o de crian&#231;as com DF de cinco a nove anos&#44; 11 meses e 29 dias&#44; registradas no hospital&#59; &#40;b&#41; estimativa de preval&#234;ncia de IA de 50&#37;&#44; uma vez que s&#227;o desconhecidas as estimativas de inseguran&#231;a alimentar nesse grupo&#59; e &#40;c&#41; n&#237;vel de confian&#231;a de 95&#37;&#46; O tamanho da amostra foi calculado em 202 crian&#231;as&#46; Essa amostra foi selecionada aleatoriamente da lista fornecida pelo hospital de 427 crian&#231;as&#44; sem substitui&#231;&#245;es&#44; proporcionou&#8208;se a todas as crian&#231;as a mesma probabilidade de serem selecionadas&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Foram feitas 190 entrevistas&#44; uma cobertura de 94&#37;&#46; Os dados foram coletados entre junho de 2015 e abril de 2016&#46; As entrevistas estruturadas com os pais e respons&#225;veis foram conduzidas por meio da aplica&#231;&#227;o de um question&#225;rio padr&#227;o que solicitava informa&#231;&#245;es sobre IA&#44; apoio social e as covari&#225;veis sociodemogr&#225;ficas relacionadas &#224; DF&#44; al&#233;m de outras quest&#245;es&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Medidas</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Inseguran&#231;a alimentar</span><p id="par0055" class="elsevierStylePara elsevierViewall">A IA foi medida pela Escala Brasileira de Inseguran&#231;a Alimentar &#40;EBIA&#41;&#44; a qual consiste em um question&#225;rio de 14 perguntas do tipo sim&#8208;n&#227;o feitas diretamente para um membro da fam&#237;lia&#44; com o objetivo de identificar a IA no domic&#237;lio ao longo dos 90 dias anteriores&#46; A escala exibe um gradiente de gravidade que reflete o n&#250;mero de respostas afirmativas&#46; Os domic&#237;lios foram classificados como&#58; seguran&#231;a alimentar &#8211; sem respostas afirmativas&#59; inseguran&#231;a alimentar leve &#40;IAL&#41; &#8211; uma a cinco respostas afirmativas&#59; inseguran&#231;a alimentar moderada &#40;IAM&#41; &#8211; seis a nove respostas afirmativas&#59; e inseguran&#231;a alimentar grave &#40;IAG&#41; &#8211; 10 a 14 respostas afirmativas&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">15</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Apoio social</span><p id="par0060" class="elsevierStylePara elsevierViewall">As percep&#231;&#245;es dos entrevistados sobre o apoio social dispon&#237;vel para eles foram medidas pela vers&#227;o brasileira da Escala de Apoio social MOS &#40;<span class="elsevierStyleItalic">Medical Outcomes Study</span>&#41;&#46; Esse instrumento compreende 19 quest&#245;es agrupadas em cinco dimens&#245;es&#58; afetiva &#40;tr&#234;s quest&#245;es&#41;&#44; emocional &#40;quatro quest&#245;es&#41;&#44; informativa &#40;quatro quest&#245;es&#41;&#44; intera&#231;&#227;o social positiva &#40;quatro quest&#245;es&#41; e material &#40;quatro quest&#245;es&#41;&#46; Em cada uma das dimens&#245;es os escores dos itens foram agregados e o escore total foi dividido pelo escore m&#225;ximo poss&#237;vel para a dimens&#227;o e multiplicado por 100&#46; O escore de apoio total foi obtido com a soma de todos os itens da escala e a divis&#227;o por 95&#44; o escore m&#225;ximo poss&#237;vel de apoio social&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">16</span></a></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Covari&#225;veis</span><p id="par0065" class="elsevierStylePara elsevierViewall">As covari&#225;veis relacionadas &#224; DF foram&#58; gravidade da DF nas crian&#231;as&#44; se outros membros da fam&#237;lia tinham a doen&#231;a &#40;sim ou n&#227;o&#41; e&#44; em caso positivo&#44; se viviam com a crian&#231;a &#40;sim ou n&#227;o&#41;&#46; Os crit&#233;rios usados para classificar a gravidade da DF foram&#58; ocorr&#234;ncia de &#8220;complica&#231;&#245;es relacionadas &#224; doen&#231;a falciforme&#8221;&#44; como acidente vascular cerebral&#44; crises vaso&#8208;oclusivas recorrentes no ano anterior&#44; s&#237;ndrome tor&#225;cica aguda&#44; tr&#234;s interna&#231;&#245;es hospitalares no ano anterior e&#44; em meninos&#44; priapismo frequente &#40;ere&#231;&#227;o peniana involunt&#225;ria&#41;&#46; A partir desse conjunto de crit&#233;rios&#44; a DF foi classificada como leve ou grave&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">17</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">As covari&#225;veis relativas aos pais ou respons&#225;veis entrevistados foram&#58; i&#41; anos de escolaridade &#40;cont&#237;nuos&#41;&#59; ii&#41; cor&#47;etnia autodeclarada&#44; classificada em tr&#234;s categorias &#40;1 &#8208; branco&#44; amarelo e ind&#237;gena&#44; 2 &#8208; pardo e 3 &#8208; negro&#41;&#59; iii&#41; informa&#231;&#245;es sobre o chefe da fam&#237;lia&#44; definido como a pessoa que paga a maior parte das despesas dom&#233;sticas&#44; n&#250;mero de chefes de fam&#237;lia &#40;um residente ou dois ou mais residentes&#41;&#44; sexo &#40;masculino e feminino&#41;&#44; idade &#40;vari&#225;vel num&#233;rica&#41; e estado ocupacional &#40;trabalha ou n&#227;o trabalha&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">As vari&#225;veis relacionadas ao domic&#237;lio foram&#58; iv&#41; densidade familiar &#40;cont&#237;nua&#41;&#59; v&#41; n&#250;mero de residentes menores de 18 anos no domic&#237;lio &#40;cont&#237;nuo&#41;&#59; vi&#41; propriedade do domic&#237;lio &#40;propriedade ou n&#227;o de um residente&#41;&#44; vii&#41; n&#250;mero de benef&#237;cios sociais do governo &#40;nenhum&#44; um ou mais de um&#41;&#44; viii&#41; renda familiar per capita &#40;cont&#237;nua &#8211; obtida com a divis&#227;o da soma de todos os rendimentos pelo n&#250;mero de pessoas no domic&#237;lio&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">An&#225;lise dos dados</span><p id="par0080" class="elsevierStylePara elsevierViewall">Foram feitas an&#225;lises simples para descrever as m&#233;dias &#40;DP&#41; e as frequ&#234;ncias para as vari&#225;veis categ&#243;ricas&#46; Um modelo log&#237;stico multinomial foi usado para estimar a associa&#231;&#227;o entre IA e o apoio social e foi ajustado para poss&#237;veis fatores de confus&#227;o&#46; A associa&#231;&#227;o foi testada para os tr&#234;s n&#237;veis de IA &#40;leve&#44; moderada e grave&#41; e a seguran&#231;a alimentar foi usada como categoria de refer&#234;ncia&#46; O apoio social foi analisado pelas dimens&#245;es e pelo escore de apoio total&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Das covari&#225;veis usadas neste estudo&#44; apenas aquelas que retornaram uma associa&#231;&#227;o com IA ap&#243;s a an&#225;lise das raz&#245;es de chance &#40;<span class="elsevierStyleItalic">odds ratio&#41;</span> brutas foram inclu&#237;das nos modelos m&#250;ltiplos&#46; Todas as vari&#225;veis estatisticamente significantes foram inclu&#237;das simultaneamente nos modelos ajustados&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Foram usados tr&#234;s modelos na an&#225;lise de dados&#58; o primeiro estimou as associa&#231;&#245;es entre IA e cada dimens&#227;o de apoio&#44; ajustadas para as covari&#225;veis selecionadas &#40;Modelo 1&#41;&#46; O segundo estimou a associa&#231;&#227;o entre IA e o conjunto de todas as dimens&#245;es de apoio &#40;Modelo 2&#41; e&#44; finalmente&#44; o terceiro &#40;Modelo 3&#41; estimou a associa&#231;&#227;o entre a IA e o apoio total&#44; tamb&#233;m ajustada para as covari&#225;veis&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa do Hemorio &#40;n&#176; 366&#47;14&#41;&#46; Os dados foram analisados com o software R Studio&#44; vers&#227;o 3&#46;13 &#40;RStudio&#58; Integrated Development for R&#46; RStudio&#44; Inc&#46;&#44; MA&#44; EUA&#41;&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><p id="par0100" class="elsevierStylePara elsevierViewall">A maioria dos entrevistados era um dos pais da crian&#231;a &#40;90&#44;2&#37;&#59; m&#227;es &#61; 79&#44;5&#37;&#41; e&#44; em 96&#44;5&#37; dos casos&#44; a crian&#231;a morava com o entrevistado&#46; As crian&#231;as eram predominantemente do sexo masculino &#40;54&#44;2&#37;&#41; com m&#233;dia de 7&#44;9 anos &#40;DP &#61; 1&#44;46&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">A IA foi identificada em 62&#44;2&#37; das fam&#237;lias&#44; nas formas moderada e grave&#44; respectivamente&#44; em 11&#44;1&#37; e 7&#44;9&#37; dos casos <a class="elsevierStyleCrossRef" href="#tbl0021">tabela 1</a>&#46; Em rela&#231;&#227;o &#224;s vari&#225;veis relacionadas &#224; DF&#44; observou&#8208;se que a doen&#231;a era leve em 70&#44;5&#37; das crian&#231;as e 36&#44;8&#37; das fam&#237;lias tinham outros membros com DF&#46;</p><elsevierMultimedia ident="tbl0021"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Os pais ou tutores das crian&#231;as se autodeclararam negros ou pardos em 43&#44;2&#37; e 40&#44;5&#37; dos casos&#44; respectivamente&#46; Em 70&#37; das fam&#237;lias&#44; a maior parte das despesas era paga por apenas um residente e em 74&#44;2&#37; o chefe da fam&#237;lia estava empregado&#46; Foi relatado o recebimento de benef&#237;cios sociais do governo em 60&#44;5&#37; das entrevistas&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">A IA atingiu preval&#234;ncias acima de 60&#37; nos domic&#237;lios cujo chefe de fam&#237;lia era uma mulher&#44; em que a cor&#47;etnia do entrevistado era negra ou parda&#44; nos domic&#237;lios onde as despesas eram pagas por uma &#250;nica pessoa&#44; onde a resid&#234;ncia n&#227;o era pr&#243;pria e nos domic&#237;lios onde as crian&#231;as apresentavam doen&#231;a falciforme grave&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Os entrevistados recebiam apoio social em 68&#44;68&#37; dos casos &#40;DP &#61; 17&#44;99&#41; e&#44; em rela&#231;&#227;o &#224;s dimens&#245;es&#44; a maior m&#233;dia &#8211; 84&#44;70&#37; &#40;DP &#61; 20&#44;43&#41; &#8211; foi obtida no apoio <span class="elsevierStyleItalic">afetivo</span> e a menor &#8211; 69&#44;05&#37; &#40;DP &#61; 23&#44;69&#41; &#8211; no apoio <span class="elsevierStyleItalic">emocional</span><a class="elsevierStyleCrossRef" href="#tbl0025">tabela 2</a>&#46; Os anos m&#233;dios de escolaridade do entrevistado foram de 8&#44;28 &#40;DP &#61; 3&#44;18&#41; e a renda familiar <span class="elsevierStyleItalic">per capita</span> no m&#234;s anterior &#224; entrevista foi de R&#36; 507&#44;30 &#40;DP &#61; R&#36; 451&#44;83&#41;&#46; Os valores m&#233;dios do apoio social&#44; os anos de escolaridade e o rendimento familiar <span class="elsevierStyleItalic">per capita</span> foram menores nos n&#237;veis mais graves de IA&#46; Ao mesmo tempo&#44; o maior n&#250;mero de pessoas por domic&#237;lio e os domic&#237;lios com crian&#231;as menores de 18 anos apresentaram os n&#237;veis mais graves de IA&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">As covari&#225;veis diretamente associadas &#224; IA foram&#58; sexo do chefe de fam&#237;lia&#44; casa de propriedade do entrevistado&#44; presen&#231;a de residentes menores de 18 anos e gravidade da DF&#46; No entanto&#44; foram encontradas rela&#231;&#245;es inversas para os anos de escolaridade do chefe de fam&#237;lia e renda familiar <span class="elsevierStyleItalic">per capita</span><a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">As fam&#237;lias nas quais os chefes eram mulheres tinham maior propens&#227;o para a IAM &#40;OR &#61; 3&#44;48&#59; IC 95&#37;&#58; 1&#44;22&#8208;9&#44;89&#41;&#44; e os domic&#237;lios cujos residentes n&#227;o eram propriet&#225;rios apresentaram maior probabilidade de IAG &#40;OR &#61; 4&#44;34&#59; IC 95&#37;&#58; 1&#44;35&#8208;13&#44;89&#41;&#46; Fam&#237;lias com um n&#250;mero maior de residentes com menos de 18 anos apresentaram 86&#37; mais chances de ter IA&#46; As fam&#237;lias cujos filhos tinham doen&#231;a falciforme apresentaram maior probabilidade &#40;OR &#61; 2&#44;75&#59; IC 95&#37;&#58; 1&#44;30&#8208;5&#44;8&#41; para a IAL&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Essas vari&#225;veis mostraram associa&#231;&#245;es diretas estatisticamente significativas com a IA&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Entretanto&#44; uma rela&#231;&#227;o inversa com IAM foi encontrada em fam&#237;lias nas quais os anos m&#233;dios de escolaridade do chefe de fam&#237;lia eram maiores&#46; A renda familiar <span class="elsevierStyleItalic">per capita</span> foi inversamente relacionada a todos os n&#237;veis de IA&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Uma rela&#231;&#227;o inversa foi encontrada entre IA &#40;nos diferentes n&#237;veis&#41; e o apoio social&#46; Verificou&#8208;se que o apoio social total estava associado &#224; IAL &#40;OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;95&#8208;0&#44;99&#41; e IAG &#40;OR &#61; 0&#44;94&#59; IC 95&#37;&#58; 0&#44;91&#8208;0&#44;98&#41;&#44; quando comparado com a seguran&#231;a alimentar&#46; As dimens&#245;es emocional&#44; intera&#231;&#227;o social positiva e material&#44; do apoio social&#44; tamb&#233;m foram inversamente relacionadas a esses n&#237;veis de IA&#46; O apoio emocional foi associado &#224; IAM e &#224; IAG&#44; enquanto o apoio informativo foi associado apenas &#224; IAG&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0020">tabela 4</a> mostra os resultados dos modelos de regress&#227;o multinomial para as rela&#231;&#245;es entre IA e apoio social&#44; ajustados para as covari&#225;veis&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o a cada dimens&#227;o do apoio social &#40;Modelo 1&#41;&#44; observou&#8208;se uma associa&#231;&#227;o inversa estatisticamente significante entre IA e apoio social nas dimens&#245;es informativa &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;95&#59; IC 95&#37;&#58; 0&#44;92&#8208;0&#44;98&#41;&#44; intera&#231;&#227;o social &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;96&#59; IC 95&#37;&#58; 0&#44;93&#8208;0&#44;99&#41; e material &#40;IAL OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;98&#8208;0&#44;98&#59; 0&#46;97&#59; 95&#37; CI 0&#44;94&#8208;0&#44;99&#41;&#46; Observou&#8208;se que a associa&#231;&#227;o perdeu signific&#226;ncia estat&#237;stica quando todas as dimens&#245;es do apoio social foram inseridas no modelo &#40;Modelo 2&#41; ou quando o apoio total foi usado &#40;Modelo 3&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discuss&#227;o</span><p id="par0160" class="elsevierStylePara elsevierViewall">Este &#233; o primeiro estudo brasileiro que investiga inseguran&#231;a alimentar em crian&#231;as com doen&#231;a falciforme e a sua associa&#231;&#227;o com o apoio social nas fam&#237;lias&#46; A preval&#234;ncia de IA observada foi o dobro da m&#233;dia nacional&#44; j&#225; que de acordo com a &#250;ltima pesquisa a preval&#234;ncia de IA na popula&#231;&#227;o brasileira foi de 22&#44;6&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">7</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Um quarto do total das fam&#237;lias em que o chefe de fam&#237;lia estava desempregado e as crian&#231;as tinham a doen&#231;a classificada como grave apresentaram inseguran&#231;a alimentar moderada e grave&#46; A fam&#237;lia com maior n&#250;mero de indiv&#237;duos menores de 18 anos est&#225; associada &#224; presen&#231;a de IA&#46; Neste estudo&#44; a presen&#231;a de crian&#231;as menores de 18 anos contribuiu para aumentar a IAG devido ao aumento da densidade familiar e &#224; mudan&#231;a da divis&#227;o da renda familiar <span class="elsevierStyleItalic">per capita</span>&#44; uma vez que esses indiv&#237;duos geralmente contribuem pouco ou nada com a renda&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">As crian&#231;as com DF grave s&#227;o justamente aquelas que exigem maior aten&#231;&#227;o cl&#237;nica e nutricional&#44; pois apresentam hospitaliza&#231;&#245;es constantes e crises dolorosas&#44; fatores que reduzem a ingest&#227;o de alimentos&#46; Caso estejam em situa&#231;&#227;o de inseguran&#231;a alimentar&#44; diminuir ou restringir a quantidade de alimentos e o n&#250;mero de refei&#231;&#245;es di&#225;rias pode tamb&#233;m limitar o fornecimento de fontes de micronutrientes&#46; Panepinto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">18</span></a> encontraram uma pioria na qualidade de vida de crian&#231;as com DF grave&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Em fam&#237;lias de crian&#231;as com DF&#44; foi encontrada uma rela&#231;&#227;o inversa entre as dimens&#245;es da IA e o apoio social&#44; ou seja&#44; quanto maior o apoio social&#44; menor a probabilidade de as fam&#237;lias enfrentarem situa&#231;&#245;es de IA&#44; enfatiza&#8208;se o efeito <span class="elsevierStyleItalic">buffer</span> do apoio social na inseguran&#231;a alimentar&#46; Os achados deste estudo foram semelhantes aos de Interlenghi &#38; Salles&#8208;Costa&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Eles demonstraram que os n&#237;veis de IA estavam associados inversamente a todas as dimens&#245;es do apoio social&#46; E os achados de Nagata et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">19</span></a> que tamb&#233;m encontraram uma associa&#231;&#227;o entre IA e apoio social material&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">As dimens&#245;es material&#44; informativa e intera&#231;&#227;o social positiva do apoio social mostraram associa&#231;&#245;es com IA leve e grave&#44; confirmaram os achados de outros autores&#46; As dimens&#245;es que continuaram a ser associadas &#224; IA&#44; ap&#243;s o ajuste do modelo&#44; foram&#58; apoio material&#44; com IAM&#44; emocional&#44; com IAL e IAM&#44; emocional e informativo&#44; com IAG&#44; e intera&#231;&#227;o social positiva com todos os n&#237;veis de IA&#46; Interlenghi &#38; Salles&#8208;Costa<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> sugeriram que o apoio social contribuiu para reduzir a IA&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Neste estudo&#44; as covari&#225;veis que apresentaram associa&#231;&#245;es mais fortes com o fen&#244;meno do estudo foram&#58; gravidade da doen&#231;a&#44; cor ou etnia do entrevistado&#44; ser propriet&#225;rio do domic&#237;lio e presen&#231;a de crian&#231;as menores de 18 anos&#46; Isso era esperado&#44; uma vez que a inseguran&#231;a alimentar&#44; particularmente nos n&#237;veis mais graves&#44; ocorre mais frequentemente em fam&#237;lias com piores condi&#231;&#245;es de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">20</span></a> No Brasil&#44; a renda familiar mensal &#233; o principal meio de acesso da popula&#231;&#227;o a alimentos&#44; bens e servi&#231;os&#44; como habita&#231;&#227;o&#44; roupas e eletricidade&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">21</span></a> Uma revis&#227;o da literatura&#44; que investigou&#44; entre outras coisas&#44; a rela&#231;&#227;o entre IA e os indicadores sociais&#44; observou que&#44; nos seis estudos examinados&#44; a menor renda foi diretamente associada &#224; IA&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">22</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Fam&#237;lias com maior n&#250;mero de indiv&#237;duos menores de 18 anos foram associadas significativamente a todos os n&#237;veis de IA&#46; Hoffman<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">23</span></a> observou que a presen&#231;a de pelo menos um residente menor de 18 anos aumentou a probabilidade de as fam&#237;lias enfrentarem IA&#46; Dos fatores associados &#224; IA&#44; a presen&#231;a de residentes menores de 18 anos aumentou a densidade domiciliar&#44; o que alterou a divis&#227;o da renda familiar <span class="elsevierStyleItalic">per capita</span>&#44; uma vez que esses indiv&#237;duos geralmente contribuem pouco ou nada para essa renda&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Como essas fam&#237;lias t&#234;m filhos com doen&#231;as cr&#244;nicas&#44; a gravidade da doen&#231;a foi o fator diferencial na investiga&#231;&#227;o da rela&#231;&#227;o estudada&#46; Nas fam&#237;lias nas quais a crian&#231;a apresentava DF grave&#44; encontrou&#8208;se associa&#231;&#227;o estat&#237;stica com IAL&#46; A gravidade da DF pode implicar o aumento dos gastos com sa&#250;de e influenciar a seguran&#231;a alimentar das fam&#237;lias&#46; Por outro lado&#44; em fam&#237;lias de crian&#231;as com DF grave&#44; as dimens&#245;es emocional&#44; informativa&#44; intera&#231;&#227;o social e material do apoio social foram inversamente associadas &#224; inseguran&#231;a alimentar grave&#44; com probabilidades de magnitudes semelhantes &#40;varia&#231;&#227;o de 0&#44;80 a 0&#44;96&#41;&#46; Panepinto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">18</span></a> encontraram maior probabilidade de pior qualidade de vida para crian&#231;as que apresentavam caracter&#237;sticas graves da doen&#231;a falciforme &#40;DF&#41;&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">&#201; plaus&#237;vel supor que os pais ou respons&#225;veis com n&#237;veis m&#233;dios mais altos de apoio material podem recorrer a tais redes de apoio em situa&#231;&#245;es de IA&#44; desemprego&#44; hospitaliza&#231;&#227;o e complica&#231;&#245;es de sa&#250;de nas crian&#231;as com DF&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Nagata &#40;2015&#41;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">19</span></a> avaliou apenas a dimens&#227;o material da escala MOS&#44; verificou que os n&#237;veis mais baixos de apoio material se associavam significativamente a uma maior IA &#40;regress&#227;o linear m&#250;ltipla &#61; &#8208;0&#44;81&#59; IC 95&#37; &#8208;1&#44;45 a &#8208;0&#44;17&#41;&#46; Os efeitos positivos do apoio social na IA podem estar associados ao seu papel como moderador em situa&#231;&#245;es estressantes&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">Hadley&#44; Mulder &#38; Fitzherbert&#44;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">24</span></a> em um estudo na Tanz&#226;nia&#44; avaliaram a rela&#231;&#227;o entre IA e apoio material com base em tr&#234;s perguntas sobre a facilidade com a qual a pessoa poderia pedir empr&#233;stimos ou alimentos&#46; Os resultados mostraram uma associa&#231;&#227;o inversa entre apoio material e IA&#46; Tsai et al&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">9</span></a> tamb&#233;m observaram que o apoio material produziu maior efeito protetor do que o apoio emocional&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">O apoio social nas dimens&#245;es informativa e intera&#231;&#227;o social tamb&#233;m exerceu um efeito positivo na IA&#44; na mesma dire&#231;&#227;o do apoio material&#46; Contar com pessoas que podem fornecer informa&#231;&#245;es e orienta&#231;&#227;o tamb&#233;m pode ajudar a lidar com a IA&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a></p><p id="par0215" class="elsevierStylePara elsevierViewall">Quando o conjunto de dimens&#245;es e o apoio social total foram avaliados&#44; verificou&#8208;se que havia uma perda de signific&#226;ncia estat&#237;stica&#44; o que pode indicar que as dimens&#245;es do apoio social n&#227;o est&#227;o sendo distinguidas corretamente&#44; considerando&#8208;se os resultados de raz&#245;es de chance muito pr&#243;ximos e os intervalos de confian&#231;a curtos para todas as dimens&#245;es&#46; Esses achados podem ser respons&#225;veis pela perda de associa&#231;&#227;o nos modelos com todas as dimens&#245;es do apoio social&#46; Estudos futuros s&#227;o necess&#225;rios para an&#225;lises adicionais e aplica&#231;&#227;o de m&#233;todos qualitativos para identificar as dimens&#245;es do apoio social para fam&#237;lias de indiv&#237;duos com DF&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">A associa&#231;&#227;o entre IA e apoio social ainda n&#227;o est&#225; muito clara na literatura&#59; as diferen&#231;as encontradas podem ser explicadas em parte pelos diferentes instrumentos usados para medir o apoio social e&#44; tamb&#233;m&#44; pelas diferentes correntes conceituais e metodol&#243;gicas que se esfor&#231;am para identificar a rela&#231;&#227;o entre apoio social e desfechos de sa&#250;de&#44;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">25</span></a> o que pode tornar dif&#237;cil a compara&#231;&#227;o dos estudos&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">As limita&#231;&#245;es deste estudo foram o seu desenho transversal&#44; o que tornou imposs&#237;vel avaliar a causalidade entre os fen&#244;menos estudados&#44; e o tamanho da amostra&#44; que limitou o poder estat&#237;stico das an&#225;lises&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Os resultados sugerem que as dimens&#245;es informativa&#44; intera&#231;&#227;o social e material do apoio social est&#227;o relacionadas &#224; IA&#46; Considerando os efeitos positivos do apoio social sobre a IA&#44; as pol&#237;ticas p&#250;blicas de seguran&#231;a alimentar e nutricional e a assist&#234;ncia social para pessoas com DF devem ser encorajadas&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Financiamento</span><p id="par0235" class="elsevierStylePara elsevierViewall">Minist&#233;rio da Sa&#250;de&#44; Brasil &#40;N<span class="elsevierStyleSup">o</span>&#46; 778053&#47;2012&#41;&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Conflitos de interesse</span><p id="par0240" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            1 => "Apoio social"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To examine the associations between food insecurity &#40;IA&#41; and social support in families of children with sickle&#8208;cell disease &#40;DF&#41;&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This cross&#8208;sectional study in families of 190 children from five to nine years old in follow&#8208;up at a hematology referral hospital in Rio de Janeiro State&#46; IA was measured using the Brazilian food insecurity scale and social support was measured using the Brazilian version of the MOS social support survey instrument&#46; The relation between IA and social support was analyzed by way of a multinomial logistic model&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">There was IA in 62&#46;2&#37; of the families&#44; in moderate and severe form in&#44; respectively&#44; 11&#46;1&#37; and 7&#46;9&#37; of cases&#46; In families of children with DF&#44; levels of mild and severe food insecurity &#40;IALe and IAGr&#41; were found to relate inversely to levels of social support in the following dimensions&#58; informational support &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;98&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;95&#59; 95&#37; CI 0&#46;92&#8211;0&#46;98&#41;&#59; social interaction &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;98&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;96&#59; 95&#37; CI 0&#46;93&#8211;0&#46;99&#41; and tangible social support &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;97&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;97&#59; 95&#37; CI 0&#46;94&#8211;0&#46;99&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Considering the positive effects of social support on IA&#44; public policies should be encouraged to assure food and nutritional security and social assistance for care for people with DF&#46; Also&#44; social support groups for people with DF should be strengthened&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar as associa&#231;&#245;es entre inseguran&#231;a alimentar &#40;IA&#41; e apoio social em fam&#237;lias de crian&#231;as com doen&#231;a falciforme &#40;DF&#41;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal feito com as fam&#237;lias de 190 crian&#231;as&#44; de cinco a nove anos&#44; atendidas em um hospital de refer&#234;ncia em hematologia no Estado do Rio de Janeiro&#46; A IA foi medida com a escala brasileira de inseguran&#231;a alimentar e o apoio social foi medido com a vers&#227;o brasileira do instrumento de pesquisa de apoio social MOS&#46; A rela&#231;&#227;o entre IA e o apoio social foi analisada por meio de um modelo log&#237;stico multinomial&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Havia IA em 62&#44;2&#37; das fam&#237;lias&#44; nas formas moderada e grave em 11&#44;1&#37; e 7&#44;9&#37; dos casos&#44; respectivamente&#46; Em fam&#237;lias de crian&#231;as com DF&#44; os n&#237;veis de inseguran&#231;a alimentar leve e grave &#40;IAL e IAG&#41; apresentaram rela&#231;&#227;o inversa com os n&#237;veis de apoio social nas seguintes dimens&#245;es&#58; apoio informativo &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;95&#59; IC 95&#37;&#58; 0&#44;92&#8208;0&#44;98&#41;&#59; intera&#231;&#227;o social &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;96&#59; IC 95&#37;&#58; 0&#44;93&#8208;0&#44;99&#41; e material &#40;apoio social tang&#237;vel&#41; &#40;IAL OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;97&#59; 95&#37; CI 0&#44;94&#8208;0&#44;99&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Considerando os efeitos positivos do apoio social na IA&#44; as pol&#237;ticas p&#250;blicas devem ser encorajadas a garantir seguran&#231;a alimentar e nutricional e assist&#234;ncia social para o atendimento de pessoas com DF&#46; Al&#233;m disso&#44; os grupos de apoio social para pessoas com DF devem ser fortalecidos&#46;</p></span>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Grave&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">56 &#40;29&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13 &#40;23&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">31 &#40;55&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">07 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">05 &#40;8&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">02 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">02 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">34 &#40;50&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">37 &#40;40&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">08 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">06 &#40;9&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pardo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">77 &#40;40&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">30 &#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;48&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11 &#40;10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">08 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Branco&#44; asi&#225;tico e ind&#237;gena&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">31 &#40;16&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;51&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12 &#40;38&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">02 &#40;6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">01 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">112 &#40;58&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">48 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">48 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">08 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">08 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">78 &#40;41&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">24 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">34 &#40;43&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">07 &#40;9&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Estado ocupacional do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trabalha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">141 &#40;74&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">54 &#40;38&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63 &#40;44&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o trabalha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">49 &#40;25&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18 &#40;36&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19 &#40;38&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">08 &#40;16&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">04 &#40;8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o marital da m&#227;e&#47;respons&#225;vel</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tem um parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">115 &#40;60&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">42 &#40;36&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">53 &#40;46&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">07 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sem parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">75 &#40;39&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;40&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;39&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07 &#40;9&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">08 &#40;10&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de residentes respons&#225;veis pelo domic&#237;lio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Um residente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">133 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60 &#40;45&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;9&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mais de um residente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;47&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;38&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">06 &#40;10&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o de propriedade do domic&#237;lio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Um dos residentes &#233; propriet&#225;rio&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">132 &#40;69&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de benef&#237;cios sociais</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nenhum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Um&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mais de um&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">05 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">02 &#40;6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a grave M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">76&#44;44 &#40;22&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84&#44;7 &#40;20&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Apoio emocional&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">65&#44;43 &#40;24&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">71&#44;42 &#40;23&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">57&#44;33 &#40;24&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Apoio informativo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">M&#233;dia e desvio padr&#227;o das dimens&#245;es do apoio e vari&#225;veis sociodemogr&#225;ficas&#44; por n&#237;vel de inseguran&#231;a alimentar&#44; em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia no Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;97&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;94&#8208; 0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;97&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;93&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;95 &#40;0&#44;93&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio material&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio social total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94 &#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;94 &#40;0&#44;91&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Gravidade da doen&#231;a falciforme</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Leve&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grave&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;75 &#40;1&#44;30&#8208;5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;26 &#40;0&#44;76&#8208;6&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;26 &#40;0&#44;66&#8208;7&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Outros membros da fam&#237;lia com doen&#231;a falciforme&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;09 &#40;0&#44;56&#8208;2&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;51&#8208;4&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;52 &#40;0&#44;17&#8208;1&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Cor&#47;etnia do entrevistado</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Branco&#44; asi&#225;tico e ind&#237;gena&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Negro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;89 &#40;0&#44;77&#8208;4&#44;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;46 &#40;0&#44;46&#8208; 13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;69 &#40;0&#44;40&#8208;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pardo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;46 &#40;0&#44;59&#8208;3&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;93 &#40;0&#44;57&#8208;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;26 &#40;0&#44;48&#8208; 37&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;35 &#40;0&#44;69&#8208;2&#44;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;48 &#40;1&#44;22&#8208;9&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;64 &#40;0&#44;53&#8208;5&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Estado ocupacional do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;90 &#40;0&#44;43&#8208;1&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;84 &#40;0&#44;65&#8208;5&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;09 &#40;0&#44;30&#8208;3&#44;85&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o marital da m&#227;e&#47;respons&#225;vel</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tem um parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;76 &#40;0&#44;39&#8208;1&#44;46&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;75 &#40;0&#44;26&#8208; 2&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;59 &#40;0&#44;52&#8208;4&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Anos de estudo do entrevistado</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;87 &#40;0&#44;76&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Idade do chefe de fam&#237;lia</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;95&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o de propriedade do domic&#237;lio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Um dos residentes &#233; propriet&#225;rio&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;97 &#40;0&#44;95&#8208;4&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;89 &#40;0&#44;65&#8208;5&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;34 &#40;1&#44;35&#8208;13&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de benef&#237;cios</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nenhum&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;18 &#40;0&#44;59&#8208;2&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;56 &#40;0&#44;18&#8208;1&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;44 &#8208;5&#44;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mais de um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;39 &#40;0&#44;53&#8208; 3&#44;64&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;41&#8208;5&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;20 &#40;0&#44;20&#8208;7&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Densidade domiciliar</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;23 &#40;0&#44;98&#8208;1&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;30 &#40;0&#44;96&#8208;1&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;31 &#40;0&#44;93&#8208;1&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de residentes menores de 18 anos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;62 &#40;1&#44;19&#8208;2&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;86 &#40;1&#44;27&#8208;2&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;85 &#40;1&#44;22&#8208;2&#44;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Renda familiar</span> per capita&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                0 => "xTab2048091.png"
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratios</span> para inseguran&#231;a alimentar em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia no estado do Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
        ]
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        "etiqueta" => "Tabela 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
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            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a leve <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a moderada <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a alimentar grave <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Dimens&#245;es do apoio social</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 1</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;95 &#40;0&#44;92&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;93&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio material&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 2</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;01 &#40;0&#44;98&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;01 &#40;0&#44;97&#8208;1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;91&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;96&#8208;1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio material&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;95&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 3</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Modelo 3&#58; Ajustado para o apoio total&#44; anos de estudo&#44; residentes menores de 18 anos&#44; gravidade da doen&#231;a falciforme&#44; sexo do chefe da fam&#237;lia&#44; situa&#231;&#227;o de propriedade do domic&#237;lio e renda <span class="elsevierStyleItalic">per capita</span>&#46;</p>"
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratios</span> ajustados para inseguran&#231;a alimentar&#44; por dimens&#245;es de apoio social&#44; em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia&#44; Estado do Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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Artigo Original
Food insecurity and social support in families of children with sickle‐cell disease
Insegurança alimentar e apoio social em famílias de crianças com doença falciforme
Isabel Nascimento dos Santosa, Jorginete de Jesus Damiãob, Maria de Jesus Mendes da Fonsecac, Cláudia dos Santos Cople‐Rodriguesd, Odaleia Barbosa de Aguiard,
Autor para correspondência
odaleiab@hotmail.com

Autor para correspondência.
a Universidade do Estado do Rio de Janeiro (Uerj), Programa de Pós‐Graduação em Alimentação, Nutrição e Saúde, Rio de Janeiro, RJ, Brasil
b Universidade do Estado do Rio de Janeiro (Uerj), Instituto de Nutrição, Departamento de Nutrição Social, Rio de Janeiro, RJ, Brasil
c Escola Nacional de Saúde Pública (Fiocruz), Departamento de Epidemiologia, Rio de Janeiro, RJ, Brasil
d Universidade do Estado do Rio de Janeiro (Uerj), Instituto de Nutrição, Departamento de Nutrição Aplicada, Rio de Janeiro, RJ, Brasil
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">A doen&#231;a falciforme &#40;DF&#41;&#44; um grupo de doen&#231;as hematol&#243;gicas caracterizadas pela presen&#231;a da hemoglobina S &#40;HbS&#41;&#44; &#233; altamente prevalente e um problema de sa&#250;de p&#250;blica reconhecido em todo o mundo e no Brasil&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">1</span></a> O programa nacional de triagem neonatal do Brasil estima que 3&#46;500 beb&#234;s nascem com DF a cada ano&#46; Qualquer pessoa pode nascer com a doen&#231;a&#44; que &#233; heredit&#225;ria&#44; desde que seus pais tenham o gene HbS&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">2</span></a> No entanto&#44; a DF ainda &#233; reconhecida como uma doen&#231;a &#233;tnica&#44; afeta principalmente os negros e pardos&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">No Brasil&#44; s&#227;o observadas diferen&#231;as nos resultados de alguns indicadores de nascimento&#44; mortalidade e morbidez quando estratificados por cor ou etnia&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">5</span></a> Os negros e pardos geralmente mostram piores resultados para esses indicadores&#44; inclusive maiores preval&#234;ncias de IA&#44; em compara&#231;&#227;o com os domic&#237;lios cuja cor&#47;etnia dos residentes &#233; branca&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Observou&#8208;se que as preval&#234;ncias de IA diminu&#237;ram de forma constante nas fam&#237;lias brasileiras&#44; passaram de 34&#44;9&#37; em 2004 para 30&#44;2&#37; em 2009<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">6</span></a> e 22&#44;6&#37; em 2013&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">7</span></a> Apesar desse decl&#237;nio&#44; a IA ainda &#233; alarmante&#44; uma vez que &#233; uma viola&#231;&#227;o dos direitos humanos&#44; que tem potenciais efeitos diretos e indiretos na sa&#250;de das pessoas&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pessoas com uma doen&#231;a cr&#244;nica&#44; quando est&#227;o em situa&#231;&#227;o de maior vulnerabilidade social e IA&#44; podem sofrer uma pioria das condi&#231;&#245;es de vida&#44; com agravamento de sua sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">8</span></a> Portanto&#44; &#233; importante estudar a IA em um grupo de pessoas com alta vulnerabilidade biol&#243;gica&#44; cl&#237;nica e social&#44; como na doen&#231;a falciforme&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Estudos<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">9&#8211;11</span></a> encontraram uma rela&#231;&#227;o inversa entre IA e apoio social&#44; indicaram que o apoio social pode diminuir a situa&#231;&#227;o de inseguran&#231;a alimentar porque influencia a disponibilidade de recursos &#40;por exemplo&#44; doa&#231;&#245;es de alimentos ou trocas&#44; ou mesmo ter algu&#233;m para cozinhar&#41; ou porque proporciona efeitos ben&#233;ficos para a pessoa&#44; como se sentir cuidada&#44; amada ou ter algu&#233;m com quem possa contar&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Davis et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">12</span></a> no entanto&#44; destacam os efeitos mistos entre a IA e o apoio social e estudos qualitativos desses fen&#244;menos podem proporcionar uma compreens&#227;o mais forte de como estrat&#233;gias espec&#237;ficas e fatores contextuais determinam como o apoio social &#233; usado e quais os efeitos que ele produz na seguran&#231;a alimentar&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">O apoio social pode ser descrito como um <span class="elsevierStyleItalic">buffer</span> &#40;no modelo de efeito <span class="elsevierStyleItalic">buffer</span>&#41;&#44; minimiza o impacto de situa&#231;&#245;es estressantes&#44; ou como um efeito principal&#44; no modelo no qual as redes sociais s&#227;o consideradas promotoras de experi&#234;ncias positivas&#44; estabilidade&#44; afeto positivo e autoestima&#44; com potencial para ajudar a evitar situa&#231;&#245;es adversas&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">13</span></a> Por &#250;ltimo&#44; o apoio social tamb&#233;m pode ser descrito em fun&#231;&#227;o de como as rela&#231;&#245;es interpessoais se associam &#224;s dimens&#245;es emocional&#44; instrumental&#47;tang&#237;vel&#44; informativa&#44; afetiva e as dimens&#245;es de intera&#231;&#227;o social positiva do apoio social&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">14</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Com base na hip&#243;tese de que as fam&#237;lias de crian&#231;as com DF pertencem a grupos mais propensos a sofrer situa&#231;&#245;es de IA e que o apoio social tem algum efeito sobre essa rela&#231;&#227;o&#44; este estudo prop&#244;s avaliar a associa&#231;&#227;o entre IA e o apoio social para crian&#231;as com DF&#44; atendidas em um hospital de refer&#234;ncia de hematologia&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Desenho do estudo e participantes</span><p id="par0040" class="elsevierStylePara elsevierViewall">Este estudo transversal examinou uma amostra de crian&#231;as com DF&#44; de cinco a nove anos&#44; registradas em um hospital de refer&#234;ncia de hematologia e moradoras da Regi&#227;o Metropolitana do Estado do Rio de Janeiro&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A amostra foi calculada considerando&#58; &#40;a&#41; a popula&#231;&#227;o de crian&#231;as com DF de cinco a nove anos&#44; 11 meses e 29 dias&#44; registradas no hospital&#59; &#40;b&#41; estimativa de preval&#234;ncia de IA de 50&#37;&#44; uma vez que s&#227;o desconhecidas as estimativas de inseguran&#231;a alimentar nesse grupo&#59; e &#40;c&#41; n&#237;vel de confian&#231;a de 95&#37;&#46; O tamanho da amostra foi calculado em 202 crian&#231;as&#46; Essa amostra foi selecionada aleatoriamente da lista fornecida pelo hospital de 427 crian&#231;as&#44; sem substitui&#231;&#245;es&#44; proporcionou&#8208;se a todas as crian&#231;as a mesma probabilidade de serem selecionadas&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Foram feitas 190 entrevistas&#44; uma cobertura de 94&#37;&#46; Os dados foram coletados entre junho de 2015 e abril de 2016&#46; As entrevistas estruturadas com os pais e respons&#225;veis foram conduzidas por meio da aplica&#231;&#227;o de um question&#225;rio padr&#227;o que solicitava informa&#231;&#245;es sobre IA&#44; apoio social e as covari&#225;veis sociodemogr&#225;ficas relacionadas &#224; DF&#44; al&#233;m de outras quest&#245;es&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Medidas</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Inseguran&#231;a alimentar</span><p id="par0055" class="elsevierStylePara elsevierViewall">A IA foi medida pela Escala Brasileira de Inseguran&#231;a Alimentar &#40;EBIA&#41;&#44; a qual consiste em um question&#225;rio de 14 perguntas do tipo sim&#8208;n&#227;o feitas diretamente para um membro da fam&#237;lia&#44; com o objetivo de identificar a IA no domic&#237;lio ao longo dos 90 dias anteriores&#46; A escala exibe um gradiente de gravidade que reflete o n&#250;mero de respostas afirmativas&#46; Os domic&#237;lios foram classificados como&#58; seguran&#231;a alimentar &#8211; sem respostas afirmativas&#59; inseguran&#231;a alimentar leve &#40;IAL&#41; &#8211; uma a cinco respostas afirmativas&#59; inseguran&#231;a alimentar moderada &#40;IAM&#41; &#8211; seis a nove respostas afirmativas&#59; e inseguran&#231;a alimentar grave &#40;IAG&#41; &#8211; 10 a 14 respostas afirmativas&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">15</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Apoio social</span><p id="par0060" class="elsevierStylePara elsevierViewall">As percep&#231;&#245;es dos entrevistados sobre o apoio social dispon&#237;vel para eles foram medidas pela vers&#227;o brasileira da Escala de Apoio social MOS &#40;<span class="elsevierStyleItalic">Medical Outcomes Study</span>&#41;&#46; Esse instrumento compreende 19 quest&#245;es agrupadas em cinco dimens&#245;es&#58; afetiva &#40;tr&#234;s quest&#245;es&#41;&#44; emocional &#40;quatro quest&#245;es&#41;&#44; informativa &#40;quatro quest&#245;es&#41;&#44; intera&#231;&#227;o social positiva &#40;quatro quest&#245;es&#41; e material &#40;quatro quest&#245;es&#41;&#46; Em cada uma das dimens&#245;es os escores dos itens foram agregados e o escore total foi dividido pelo escore m&#225;ximo poss&#237;vel para a dimens&#227;o e multiplicado por 100&#46; O escore de apoio total foi obtido com a soma de todos os itens da escala e a divis&#227;o por 95&#44; o escore m&#225;ximo poss&#237;vel de apoio social&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">16</span></a></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Covari&#225;veis</span><p id="par0065" class="elsevierStylePara elsevierViewall">As covari&#225;veis relacionadas &#224; DF foram&#58; gravidade da DF nas crian&#231;as&#44; se outros membros da fam&#237;lia tinham a doen&#231;a &#40;sim ou n&#227;o&#41; e&#44; em caso positivo&#44; se viviam com a crian&#231;a &#40;sim ou n&#227;o&#41;&#46; Os crit&#233;rios usados para classificar a gravidade da DF foram&#58; ocorr&#234;ncia de &#8220;complica&#231;&#245;es relacionadas &#224; doen&#231;a falciforme&#8221;&#44; como acidente vascular cerebral&#44; crises vaso&#8208;oclusivas recorrentes no ano anterior&#44; s&#237;ndrome tor&#225;cica aguda&#44; tr&#234;s interna&#231;&#245;es hospitalares no ano anterior e&#44; em meninos&#44; priapismo frequente &#40;ere&#231;&#227;o peniana involunt&#225;ria&#41;&#46; A partir desse conjunto de crit&#233;rios&#44; a DF foi classificada como leve ou grave&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">17</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">As covari&#225;veis relativas aos pais ou respons&#225;veis entrevistados foram&#58; i&#41; anos de escolaridade &#40;cont&#237;nuos&#41;&#59; ii&#41; cor&#47;etnia autodeclarada&#44; classificada em tr&#234;s categorias &#40;1 &#8208; branco&#44; amarelo e ind&#237;gena&#44; 2 &#8208; pardo e 3 &#8208; negro&#41;&#59; iii&#41; informa&#231;&#245;es sobre o chefe da fam&#237;lia&#44; definido como a pessoa que paga a maior parte das despesas dom&#233;sticas&#44; n&#250;mero de chefes de fam&#237;lia &#40;um residente ou dois ou mais residentes&#41;&#44; sexo &#40;masculino e feminino&#41;&#44; idade &#40;vari&#225;vel num&#233;rica&#41; e estado ocupacional &#40;trabalha ou n&#227;o trabalha&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">As vari&#225;veis relacionadas ao domic&#237;lio foram&#58; iv&#41; densidade familiar &#40;cont&#237;nua&#41;&#59; v&#41; n&#250;mero de residentes menores de 18 anos no domic&#237;lio &#40;cont&#237;nuo&#41;&#59; vi&#41; propriedade do domic&#237;lio &#40;propriedade ou n&#227;o de um residente&#41;&#44; vii&#41; n&#250;mero de benef&#237;cios sociais do governo &#40;nenhum&#44; um ou mais de um&#41;&#44; viii&#41; renda familiar per capita &#40;cont&#237;nua &#8211; obtida com a divis&#227;o da soma de todos os rendimentos pelo n&#250;mero de pessoas no domic&#237;lio&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">An&#225;lise dos dados</span><p id="par0080" class="elsevierStylePara elsevierViewall">Foram feitas an&#225;lises simples para descrever as m&#233;dias &#40;DP&#41; e as frequ&#234;ncias para as vari&#225;veis categ&#243;ricas&#46; Um modelo log&#237;stico multinomial foi usado para estimar a associa&#231;&#227;o entre IA e o apoio social e foi ajustado para poss&#237;veis fatores de confus&#227;o&#46; A associa&#231;&#227;o foi testada para os tr&#234;s n&#237;veis de IA &#40;leve&#44; moderada e grave&#41; e a seguran&#231;a alimentar foi usada como categoria de refer&#234;ncia&#46; O apoio social foi analisado pelas dimens&#245;es e pelo escore de apoio total&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Das covari&#225;veis usadas neste estudo&#44; apenas aquelas que retornaram uma associa&#231;&#227;o com IA ap&#243;s a an&#225;lise das raz&#245;es de chance &#40;<span class="elsevierStyleItalic">odds ratio&#41;</span> brutas foram inclu&#237;das nos modelos m&#250;ltiplos&#46; Todas as vari&#225;veis estatisticamente significantes foram inclu&#237;das simultaneamente nos modelos ajustados&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Foram usados tr&#234;s modelos na an&#225;lise de dados&#58; o primeiro estimou as associa&#231;&#245;es entre IA e cada dimens&#227;o de apoio&#44; ajustadas para as covari&#225;veis selecionadas &#40;Modelo 1&#41;&#46; O segundo estimou a associa&#231;&#227;o entre IA e o conjunto de todas as dimens&#245;es de apoio &#40;Modelo 2&#41; e&#44; finalmente&#44; o terceiro &#40;Modelo 3&#41; estimou a associa&#231;&#227;o entre a IA e o apoio total&#44; tamb&#233;m ajustada para as covari&#225;veis&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa do Hemorio &#40;n&#176; 366&#47;14&#41;&#46; Os dados foram analisados com o software R Studio&#44; vers&#227;o 3&#46;13 &#40;RStudio&#58; Integrated Development for R&#46; RStudio&#44; Inc&#46;&#44; MA&#44; EUA&#41;&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><p id="par0100" class="elsevierStylePara elsevierViewall">A maioria dos entrevistados era um dos pais da crian&#231;a &#40;90&#44;2&#37;&#59; m&#227;es &#61; 79&#44;5&#37;&#41; e&#44; em 96&#44;5&#37; dos casos&#44; a crian&#231;a morava com o entrevistado&#46; As crian&#231;as eram predominantemente do sexo masculino &#40;54&#44;2&#37;&#41; com m&#233;dia de 7&#44;9 anos &#40;DP &#61; 1&#44;46&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">A IA foi identificada em 62&#44;2&#37; das fam&#237;lias&#44; nas formas moderada e grave&#44; respectivamente&#44; em 11&#44;1&#37; e 7&#44;9&#37; dos casos <a class="elsevierStyleCrossRef" href="#tbl0021">tabela 1</a>&#46; Em rela&#231;&#227;o &#224;s vari&#225;veis relacionadas &#224; DF&#44; observou&#8208;se que a doen&#231;a era leve em 70&#44;5&#37; das crian&#231;as e 36&#44;8&#37; das fam&#237;lias tinham outros membros com DF&#46;</p><elsevierMultimedia ident="tbl0021"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Os pais ou tutores das crian&#231;as se autodeclararam negros ou pardos em 43&#44;2&#37; e 40&#44;5&#37; dos casos&#44; respectivamente&#46; Em 70&#37; das fam&#237;lias&#44; a maior parte das despesas era paga por apenas um residente e em 74&#44;2&#37; o chefe da fam&#237;lia estava empregado&#46; Foi relatado o recebimento de benef&#237;cios sociais do governo em 60&#44;5&#37; das entrevistas&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">A IA atingiu preval&#234;ncias acima de 60&#37; nos domic&#237;lios cujo chefe de fam&#237;lia era uma mulher&#44; em que a cor&#47;etnia do entrevistado era negra ou parda&#44; nos domic&#237;lios onde as despesas eram pagas por uma &#250;nica pessoa&#44; onde a resid&#234;ncia n&#227;o era pr&#243;pria e nos domic&#237;lios onde as crian&#231;as apresentavam doen&#231;a falciforme grave&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Os entrevistados recebiam apoio social em 68&#44;68&#37; dos casos &#40;DP &#61; 17&#44;99&#41; e&#44; em rela&#231;&#227;o &#224;s dimens&#245;es&#44; a maior m&#233;dia &#8211; 84&#44;70&#37; &#40;DP &#61; 20&#44;43&#41; &#8211; foi obtida no apoio <span class="elsevierStyleItalic">afetivo</span> e a menor &#8211; 69&#44;05&#37; &#40;DP &#61; 23&#44;69&#41; &#8211; no apoio <span class="elsevierStyleItalic">emocional</span><a class="elsevierStyleCrossRef" href="#tbl0025">tabela 2</a>&#46; Os anos m&#233;dios de escolaridade do entrevistado foram de 8&#44;28 &#40;DP &#61; 3&#44;18&#41; e a renda familiar <span class="elsevierStyleItalic">per capita</span> no m&#234;s anterior &#224; entrevista foi de R&#36; 507&#44;30 &#40;DP &#61; R&#36; 451&#44;83&#41;&#46; Os valores m&#233;dios do apoio social&#44; os anos de escolaridade e o rendimento familiar <span class="elsevierStyleItalic">per capita</span> foram menores nos n&#237;veis mais graves de IA&#46; Ao mesmo tempo&#44; o maior n&#250;mero de pessoas por domic&#237;lio e os domic&#237;lios com crian&#231;as menores de 18 anos apresentaram os n&#237;veis mais graves de IA&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">As covari&#225;veis diretamente associadas &#224; IA foram&#58; sexo do chefe de fam&#237;lia&#44; casa de propriedade do entrevistado&#44; presen&#231;a de residentes menores de 18 anos e gravidade da DF&#46; No entanto&#44; foram encontradas rela&#231;&#245;es inversas para os anos de escolaridade do chefe de fam&#237;lia e renda familiar <span class="elsevierStyleItalic">per capita</span><a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">As fam&#237;lias nas quais os chefes eram mulheres tinham maior propens&#227;o para a IAM &#40;OR &#61; 3&#44;48&#59; IC 95&#37;&#58; 1&#44;22&#8208;9&#44;89&#41;&#44; e os domic&#237;lios cujos residentes n&#227;o eram propriet&#225;rios apresentaram maior probabilidade de IAG &#40;OR &#61; 4&#44;34&#59; IC 95&#37;&#58; 1&#44;35&#8208;13&#44;89&#41;&#46; Fam&#237;lias com um n&#250;mero maior de residentes com menos de 18 anos apresentaram 86&#37; mais chances de ter IA&#46; As fam&#237;lias cujos filhos tinham doen&#231;a falciforme apresentaram maior probabilidade &#40;OR &#61; 2&#44;75&#59; IC 95&#37;&#58; 1&#44;30&#8208;5&#44;8&#41; para a IAL&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Essas vari&#225;veis mostraram associa&#231;&#245;es diretas estatisticamente significativas com a IA&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Entretanto&#44; uma rela&#231;&#227;o inversa com IAM foi encontrada em fam&#237;lias nas quais os anos m&#233;dios de escolaridade do chefe de fam&#237;lia eram maiores&#46; A renda familiar <span class="elsevierStyleItalic">per capita</span> foi inversamente relacionada a todos os n&#237;veis de IA&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Uma rela&#231;&#227;o inversa foi encontrada entre IA &#40;nos diferentes n&#237;veis&#41; e o apoio social&#46; Verificou&#8208;se que o apoio social total estava associado &#224; IAL &#40;OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;95&#8208;0&#44;99&#41; e IAG &#40;OR &#61; 0&#44;94&#59; IC 95&#37;&#58; 0&#44;91&#8208;0&#44;98&#41;&#44; quando comparado com a seguran&#231;a alimentar&#46; As dimens&#245;es emocional&#44; intera&#231;&#227;o social positiva e material&#44; do apoio social&#44; tamb&#233;m foram inversamente relacionadas a esses n&#237;veis de IA&#46; O apoio emocional foi associado &#224; IAM e &#224; IAG&#44; enquanto o apoio informativo foi associado apenas &#224; IAG&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0020">tabela 4</a> mostra os resultados dos modelos de regress&#227;o multinomial para as rela&#231;&#245;es entre IA e apoio social&#44; ajustados para as covari&#225;veis&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o a cada dimens&#227;o do apoio social &#40;Modelo 1&#41;&#44; observou&#8208;se uma associa&#231;&#227;o inversa estatisticamente significante entre IA e apoio social nas dimens&#245;es informativa &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;95&#59; IC 95&#37;&#58; 0&#44;92&#8208;0&#44;98&#41;&#44; intera&#231;&#227;o social &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;96&#59; IC 95&#37;&#58; 0&#44;93&#8208;0&#44;99&#41; e material &#40;IAL OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;98&#8208;0&#44;98&#59; 0&#46;97&#59; 95&#37; CI 0&#44;94&#8208;0&#44;99&#41;&#46; Observou&#8208;se que a associa&#231;&#227;o perdeu signific&#226;ncia estat&#237;stica quando todas as dimens&#245;es do apoio social foram inseridas no modelo &#40;Modelo 2&#41; ou quando o apoio total foi usado &#40;Modelo 3&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discuss&#227;o</span><p id="par0160" class="elsevierStylePara elsevierViewall">Este &#233; o primeiro estudo brasileiro que investiga inseguran&#231;a alimentar em crian&#231;as com doen&#231;a falciforme e a sua associa&#231;&#227;o com o apoio social nas fam&#237;lias&#46; A preval&#234;ncia de IA observada foi o dobro da m&#233;dia nacional&#44; j&#225; que de acordo com a &#250;ltima pesquisa a preval&#234;ncia de IA na popula&#231;&#227;o brasileira foi de 22&#44;6&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">7</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Um quarto do total das fam&#237;lias em que o chefe de fam&#237;lia estava desempregado e as crian&#231;as tinham a doen&#231;a classificada como grave apresentaram inseguran&#231;a alimentar moderada e grave&#46; A fam&#237;lia com maior n&#250;mero de indiv&#237;duos menores de 18 anos est&#225; associada &#224; presen&#231;a de IA&#46; Neste estudo&#44; a presen&#231;a de crian&#231;as menores de 18 anos contribuiu para aumentar a IAG devido ao aumento da densidade familiar e &#224; mudan&#231;a da divis&#227;o da renda familiar <span class="elsevierStyleItalic">per capita</span>&#44; uma vez que esses indiv&#237;duos geralmente contribuem pouco ou nada com a renda&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">As crian&#231;as com DF grave s&#227;o justamente aquelas que exigem maior aten&#231;&#227;o cl&#237;nica e nutricional&#44; pois apresentam hospitaliza&#231;&#245;es constantes e crises dolorosas&#44; fatores que reduzem a ingest&#227;o de alimentos&#46; Caso estejam em situa&#231;&#227;o de inseguran&#231;a alimentar&#44; diminuir ou restringir a quantidade de alimentos e o n&#250;mero de refei&#231;&#245;es di&#225;rias pode tamb&#233;m limitar o fornecimento de fontes de micronutrientes&#46; Panepinto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">18</span></a> encontraram uma pioria na qualidade de vida de crian&#231;as com DF grave&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Em fam&#237;lias de crian&#231;as com DF&#44; foi encontrada uma rela&#231;&#227;o inversa entre as dimens&#245;es da IA e o apoio social&#44; ou seja&#44; quanto maior o apoio social&#44; menor a probabilidade de as fam&#237;lias enfrentarem situa&#231;&#245;es de IA&#44; enfatiza&#8208;se o efeito <span class="elsevierStyleItalic">buffer</span> do apoio social na inseguran&#231;a alimentar&#46; Os achados deste estudo foram semelhantes aos de Interlenghi &#38; Salles&#8208;Costa&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Eles demonstraram que os n&#237;veis de IA estavam associados inversamente a todas as dimens&#245;es do apoio social&#46; E os achados de Nagata et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">19</span></a> que tamb&#233;m encontraram uma associa&#231;&#227;o entre IA e apoio social material&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">As dimens&#245;es material&#44; informativa e intera&#231;&#227;o social positiva do apoio social mostraram associa&#231;&#245;es com IA leve e grave&#44; confirmaram os achados de outros autores&#46; As dimens&#245;es que continuaram a ser associadas &#224; IA&#44; ap&#243;s o ajuste do modelo&#44; foram&#58; apoio material&#44; com IAM&#44; emocional&#44; com IAL e IAM&#44; emocional e informativo&#44; com IAG&#44; e intera&#231;&#227;o social positiva com todos os n&#237;veis de IA&#46; Interlenghi &#38; Salles&#8208;Costa<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> sugeriram que o apoio social contribuiu para reduzir a IA&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Neste estudo&#44; as covari&#225;veis que apresentaram associa&#231;&#245;es mais fortes com o fen&#244;meno do estudo foram&#58; gravidade da doen&#231;a&#44; cor ou etnia do entrevistado&#44; ser propriet&#225;rio do domic&#237;lio e presen&#231;a de crian&#231;as menores de 18 anos&#46; Isso era esperado&#44; uma vez que a inseguran&#231;a alimentar&#44; particularmente nos n&#237;veis mais graves&#44; ocorre mais frequentemente em fam&#237;lias com piores condi&#231;&#245;es de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">20</span></a> No Brasil&#44; a renda familiar mensal &#233; o principal meio de acesso da popula&#231;&#227;o a alimentos&#44; bens e servi&#231;os&#44; como habita&#231;&#227;o&#44; roupas e eletricidade&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">21</span></a> Uma revis&#227;o da literatura&#44; que investigou&#44; entre outras coisas&#44; a rela&#231;&#227;o entre IA e os indicadores sociais&#44; observou que&#44; nos seis estudos examinados&#44; a menor renda foi diretamente associada &#224; IA&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">22</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Fam&#237;lias com maior n&#250;mero de indiv&#237;duos menores de 18 anos foram associadas significativamente a todos os n&#237;veis de IA&#46; Hoffman<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">23</span></a> observou que a presen&#231;a de pelo menos um residente menor de 18 anos aumentou a probabilidade de as fam&#237;lias enfrentarem IA&#46; Dos fatores associados &#224; IA&#44; a presen&#231;a de residentes menores de 18 anos aumentou a densidade domiciliar&#44; o que alterou a divis&#227;o da renda familiar <span class="elsevierStyleItalic">per capita</span>&#44; uma vez que esses indiv&#237;duos geralmente contribuem pouco ou nada para essa renda&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Como essas fam&#237;lias t&#234;m filhos com doen&#231;as cr&#244;nicas&#44; a gravidade da doen&#231;a foi o fator diferencial na investiga&#231;&#227;o da rela&#231;&#227;o estudada&#46; Nas fam&#237;lias nas quais a crian&#231;a apresentava DF grave&#44; encontrou&#8208;se associa&#231;&#227;o estat&#237;stica com IAL&#46; A gravidade da DF pode implicar o aumento dos gastos com sa&#250;de e influenciar a seguran&#231;a alimentar das fam&#237;lias&#46; Por outro lado&#44; em fam&#237;lias de crian&#231;as com DF grave&#44; as dimens&#245;es emocional&#44; informativa&#44; intera&#231;&#227;o social e material do apoio social foram inversamente associadas &#224; inseguran&#231;a alimentar grave&#44; com probabilidades de magnitudes semelhantes &#40;varia&#231;&#227;o de 0&#44;80 a 0&#44;96&#41;&#46; Panepinto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">18</span></a> encontraram maior probabilidade de pior qualidade de vida para crian&#231;as que apresentavam caracter&#237;sticas graves da doen&#231;a falciforme &#40;DF&#41;&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">&#201; plaus&#237;vel supor que os pais ou respons&#225;veis com n&#237;veis m&#233;dios mais altos de apoio material podem recorrer a tais redes de apoio em situa&#231;&#245;es de IA&#44; desemprego&#44; hospitaliza&#231;&#227;o e complica&#231;&#245;es de sa&#250;de nas crian&#231;as com DF&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> Nagata &#40;2015&#41;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">19</span></a> avaliou apenas a dimens&#227;o material da escala MOS&#44; verificou que os n&#237;veis mais baixos de apoio material se associavam significativamente a uma maior IA &#40;regress&#227;o linear m&#250;ltipla &#61; &#8208;0&#44;81&#59; IC 95&#37; &#8208;1&#44;45 a &#8208;0&#44;17&#41;&#46; Os efeitos positivos do apoio social na IA podem estar associados ao seu papel como moderador em situa&#231;&#245;es estressantes&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">Hadley&#44; Mulder &#38; Fitzherbert&#44;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">24</span></a> em um estudo na Tanz&#226;nia&#44; avaliaram a rela&#231;&#227;o entre IA e apoio material com base em tr&#234;s perguntas sobre a facilidade com a qual a pessoa poderia pedir empr&#233;stimos ou alimentos&#46; Os resultados mostraram uma associa&#231;&#227;o inversa entre apoio material e IA&#46; Tsai et al&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">9</span></a> tamb&#233;m observaram que o apoio material produziu maior efeito protetor do que o apoio emocional&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">O apoio social nas dimens&#245;es informativa e intera&#231;&#227;o social tamb&#233;m exerceu um efeito positivo na IA&#44; na mesma dire&#231;&#227;o do apoio material&#46; Contar com pessoas que podem fornecer informa&#231;&#245;es e orienta&#231;&#227;o tamb&#233;m pode ajudar a lidar com a IA&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a></p><p id="par0215" class="elsevierStylePara elsevierViewall">Quando o conjunto de dimens&#245;es e o apoio social total foram avaliados&#44; verificou&#8208;se que havia uma perda de signific&#226;ncia estat&#237;stica&#44; o que pode indicar que as dimens&#245;es do apoio social n&#227;o est&#227;o sendo distinguidas corretamente&#44; considerando&#8208;se os resultados de raz&#245;es de chance muito pr&#243;ximos e os intervalos de confian&#231;a curtos para todas as dimens&#245;es&#46; Esses achados podem ser respons&#225;veis pela perda de associa&#231;&#227;o nos modelos com todas as dimens&#245;es do apoio social&#46; Estudos futuros s&#227;o necess&#225;rios para an&#225;lises adicionais e aplica&#231;&#227;o de m&#233;todos qualitativos para identificar as dimens&#245;es do apoio social para fam&#237;lias de indiv&#237;duos com DF&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">A associa&#231;&#227;o entre IA e apoio social ainda n&#227;o est&#225; muito clara na literatura&#59; as diferen&#231;as encontradas podem ser explicadas em parte pelos diferentes instrumentos usados para medir o apoio social e&#44; tamb&#233;m&#44; pelas diferentes correntes conceituais e metodol&#243;gicas que se esfor&#231;am para identificar a rela&#231;&#227;o entre apoio social e desfechos de sa&#250;de&#44;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">25</span></a> o que pode tornar dif&#237;cil a compara&#231;&#227;o dos estudos&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">As limita&#231;&#245;es deste estudo foram o seu desenho transversal&#44; o que tornou imposs&#237;vel avaliar a causalidade entre os fen&#244;menos estudados&#44; e o tamanho da amostra&#44; que limitou o poder estat&#237;stico das an&#225;lises&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Os resultados sugerem que as dimens&#245;es informativa&#44; intera&#231;&#227;o social e material do apoio social est&#227;o relacionadas &#224; IA&#46; Considerando os efeitos positivos do apoio social sobre a IA&#44; as pol&#237;ticas p&#250;blicas de seguran&#231;a alimentar e nutricional e a assist&#234;ncia social para pessoas com DF devem ser encorajadas&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Financiamento</span><p id="par0235" class="elsevierStylePara elsevierViewall">Minist&#233;rio da Sa&#250;de&#44; Brasil &#40;N<span class="elsevierStyleSup">o</span>&#46; 778053&#47;2012&#41;&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Conflitos de interesse</span><p id="par0240" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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          "palabras" => array:6 [
            0 => "Food insecurity"
            1 => "Social support"
            2 => "Anemia sickle cell"
            3 => "Hemoglobin sickle"
            4 => "Child"
            5 => "Family"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras&#8208;chave"
          "identificador" => "xpalclavsec1117607"
          "palabras" => array:6 [
            0 => "Inseguran&#231;a alimentar"
            1 => "Apoio social"
            2 => "Anemia falciforme"
            3 => "Hemoglobina falciforme"
            4 => "Crian&#231;a"
            5 => "Fam&#237;lia"
          ]
        ]
      ]
    ]
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To examine the associations between food insecurity &#40;IA&#41; and social support in families of children with sickle&#8208;cell disease &#40;DF&#41;&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This cross&#8208;sectional study in families of 190 children from five to nine years old in follow&#8208;up at a hematology referral hospital in Rio de Janeiro State&#46; IA was measured using the Brazilian food insecurity scale and social support was measured using the Brazilian version of the MOS social support survey instrument&#46; The relation between IA and social support was analyzed by way of a multinomial logistic model&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">There was IA in 62&#46;2&#37; of the families&#44; in moderate and severe form in&#44; respectively&#44; 11&#46;1&#37; and 7&#46;9&#37; of cases&#46; In families of children with DF&#44; levels of mild and severe food insecurity &#40;IALe and IAGr&#41; were found to relate inversely to levels of social support in the following dimensions&#58; informational support &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;98&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;95&#59; 95&#37; CI 0&#46;92&#8211;0&#46;98&#41;&#59; social interaction &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;98&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;96&#59; 95&#37; CI 0&#46;93&#8211;0&#46;99&#41; and tangible social support &#40;IALe OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;97&#59; 95&#37; CI 0&#46;96&#8211;0&#46;99 and IAGr OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;97&#59; 95&#37; CI 0&#46;94&#8211;0&#46;99&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Considering the positive effects of social support on IA&#44; public policies should be encouraged to assure food and nutritional security and social assistance for care for people with DF&#46; Also&#44; social support groups for people with DF should be strengthened&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
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          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusion"
          ]
        ]
      ]
      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar as associa&#231;&#245;es entre inseguran&#231;a alimentar &#40;IA&#41; e apoio social em fam&#237;lias de crian&#231;as com doen&#231;a falciforme &#40;DF&#41;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal feito com as fam&#237;lias de 190 crian&#231;as&#44; de cinco a nove anos&#44; atendidas em um hospital de refer&#234;ncia em hematologia no Estado do Rio de Janeiro&#46; A IA foi medida com a escala brasileira de inseguran&#231;a alimentar e o apoio social foi medido com a vers&#227;o brasileira do instrumento de pesquisa de apoio social MOS&#46; A rela&#231;&#227;o entre IA e o apoio social foi analisada por meio de um modelo log&#237;stico multinomial&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Havia IA em 62&#44;2&#37; das fam&#237;lias&#44; nas formas moderada e grave em 11&#44;1&#37; e 7&#44;9&#37; dos casos&#44; respectivamente&#46; Em fam&#237;lias de crian&#231;as com DF&#44; os n&#237;veis de inseguran&#231;a alimentar leve e grave &#40;IAL e IAG&#41; apresentaram rela&#231;&#227;o inversa com os n&#237;veis de apoio social nas seguintes dimens&#245;es&#58; apoio informativo &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;95&#59; IC 95&#37;&#58; 0&#44;92&#8208;0&#44;98&#41;&#59; intera&#231;&#227;o social &#40;IAL OR &#61; 0&#44;98&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;96&#59; IC 95&#37;&#58; 0&#44;93&#8208;0&#44;99&#41; e material &#40;apoio social tang&#237;vel&#41; &#40;IAL OR &#61; 0&#44;97&#59; IC 95&#37;&#58; 0&#44;96&#8208;0&#44;99 e IAG OR &#61; 0&#44;97&#59; 95&#37; CI 0&#44;94&#8208;0&#44;99&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Considerando os efeitos positivos do apoio social na IA&#44; as pol&#237;ticas p&#250;blicas devem ser encorajadas a garantir seguran&#231;a alimentar e nutricional e assist&#234;ncia social para o atendimento de pessoas com DF&#46; Al&#233;m disso&#44; os grupos de apoio social para pessoas com DF devem ser fortalecidos&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objetivo"
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          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todos"
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          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclus&#227;o"
          ]
        ]
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Como citar este artigo&#58; Santos IN&#44; Dami&#227;o JJ&#44; Fonseca MJ&#44; Cople&#8208;Rodrigues CS&#44; Aguiar OB&#46; Food insecurity and social support in families of children with sickle&#8208;cell disease&#46; J Pediatr &#40;Rio J&#41;&#46; 2019&#59;95&#58;306&#8211;13&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Estudo vinculado a Universidade do Estado do Rio de Janeiro &#40;UERJ&#41;&#44; Rio de Janeiro&#44; RJ&#44; Brasil&#46;</p>"
      ]
    ]
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        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
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            "identificador" => "at1"
            "detalle" => "Tabela "
            "rol" => "short"
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        "tabla" => array:1 [
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Seguran&#231;a &#40;n 72&#59; 37&#44;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a leve &#40;n 82&#59; 43&#44;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a moderada &#40;n 21&#59; 11&#44;1&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Leve&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">134 &#40;70&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">59 &#40;44&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">51 &#40;38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">14 &#40;10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10 &#40;7&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Grave&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">56 &#40;29&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13 &#40;23&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">31 &#40;55&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">05 &#40;8&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Outro membro familiar com doen&#231;a falciforme</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">70 &#40;36&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">27 &#40;38&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29 &#40;44&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">06 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">08 &#40;11&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">120 &#40;63&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">15 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">05 &#40;5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Se sim&#44; ele&#47;ela vive com a crian&#231;a&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">33 &#40;49&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;54&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">02 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">02 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Cor ou etnia do entrevistado</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Branco&#44; asi&#225;tico e ind&#237;gena&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Estado ocupacional do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trabalha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o trabalha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o marital da m&#227;e&#47;respons&#225;vel</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tem um parceiro&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sem parceiro&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">75 &#40;39&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">30 &#40;40&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">29 &#40;39&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">08 &#40;10&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de residentes respons&#225;veis pelo domic&#237;lio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Um residente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">133 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60 &#40;45&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;9&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mais de um residente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;47&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;38&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">06 &#40;10&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">02 &#40;3&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o de propriedade do domic&#237;lio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Um dos residentes &#233; propriet&#225;rio&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">132 &#40;69&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57 &#40;43&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;40&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;10&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07 &#40;5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58 &#40;30&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;25&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#40;48&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07 &#40;12&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">08 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de benef&#237;cios sociais</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nenhum&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75 &#40;39&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;40&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;40&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">05 &#40;6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;44&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#40;38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;45&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">06 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">08 &#40;9&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mais de um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;16&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;32&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;45&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">05 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">02 &#40;6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Preval&#234;ncia de inseguran&#231;a alimentar em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia estadual&#44; Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Seguran&#231;a M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a leve M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a moderada M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a grave M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Dimens&#245;es do apoio social</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&#44;53 &#40;15&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">M&#233;dia e desvio padr&#227;o das dimens&#245;es do apoio e vari&#225;veis sociodemogr&#225;ficas&#44; por n&#237;vel de inseguran&#231;a alimentar&#44; em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia no Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Inseguran&#231;a leve <span class="elsevierStyleItalic">vs&#46;</span> Seguran&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Inseguran&#231;a moderada <span class="elsevierStyleItalic">vs&#46;</span> Seguran&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Inseguran&#231;a alimentar grave <span class="elsevierStyleItalic">vs&#46;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR<span class="elsevierStyleInf">bruto</span> &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR<span class="elsevierStyleInf">bruto</span> &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Seguran&#231;a OR<span class="elsevierStyleInf">bruto</span> &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Dimens&#245;es do apoio social</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;97&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;94&#8208; 0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;97&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;93&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;95 &#40;0&#44;93&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio material&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Apoio social total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94 &#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;94 &#40;0&#44;91&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Gravidade da doen&#231;a falciforme</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Leve&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grave&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;75 &#40;1&#44;30&#8208;5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;26 &#40;0&#44;76&#8208;6&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;26 &#40;0&#44;66&#8208;7&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Outros membros da fam&#237;lia com doen&#231;a falciforme&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;09 &#40;0&#44;56&#8208;2&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;51&#8208;4&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;52 &#40;0&#44;17&#8208;1&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Cor&#47;etnia do entrevistado</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Branco&#44; asi&#225;tico e ind&#237;gena&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Negro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;89 &#40;0&#44;77&#8208;4&#44;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;46 &#40;0&#44;46&#8208; 13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;69 &#40;0&#44;40&#8208;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pardo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;46 &#40;0&#44;59&#8208;3&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;93 &#40;0&#44;57&#8208;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;26 &#40;0&#44;48&#8208; 37&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;35 &#40;0&#44;69&#8208;2&#44;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;48 &#40;1&#44;22&#8208;9&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;64 &#40;0&#44;53&#8208;5&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Estado ocupacional do chefe de fam&#237;lia</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;90 &#40;0&#44;43&#8208;1&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;84 &#40;0&#44;65&#8208;5&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;09 &#40;0&#44;30&#8208;3&#44;85&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o marital da m&#227;e&#47;respons&#225;vel</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tem um parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem parceiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;76 &#40;0&#44;39&#8208;1&#44;46&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;75 &#40;0&#44;26&#8208; 2&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;59 &#40;0&#44;52&#8208;4&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Anos de estudo do entrevistado</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;87 &#40;0&#44;76&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Idade do chefe de fam&#237;lia</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;95&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o de propriedade do domic&#237;lio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Um dos residentes &#233; propriet&#225;rio&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;97 &#40;0&#44;95&#8208;4&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;89 &#40;0&#44;65&#8208;5&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;34 &#40;1&#44;35&#8208;13&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de benef&#237;cios</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nenhum&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;18 &#40;0&#44;59&#8208;2&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;56 &#40;0&#44;18&#8208;1&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;44 &#8208;5&#44;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mais de um&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;39 &#40;0&#44;53&#8208; 3&#44;64&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;49 &#40;0&#44;41&#8208;5&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;20 &#40;0&#44;20&#8208;7&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Densidade domiciliar</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;23 &#40;0&#44;98&#8208;1&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;30 &#40;0&#44;96&#8208;1&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;31 &#40;0&#44;93&#8208;1&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de residentes menores de 18 anos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;62 &#40;1&#44;19&#8208;2&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;86 &#40;1&#44;27&#8208;2&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;85 &#40;1&#44;22&#8208;2&#44;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Renda familiar</span> per capita&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratios</span> para inseguran&#231;a alimentar em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia no estado do Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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            "identificador" => "at4"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a leve <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a moderada <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Inseguran&#231;a alimentar grave <span class="elsevierStyleItalic">vs&#46;</span>Seguran&#231;aOR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Dimens&#245;es do apoio social</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 1</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;95 &#40;0&#44;92&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;93&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio material&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;96&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#40;0&#44;94&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 2</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio afetivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;01 &#40;0&#44;98&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;01 &#40;0&#44;97&#8208;1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio informativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96 &#40;0&#44;91&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio de intera&#231;&#227;o social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;00 &#40;0&#44;96&#8208;1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;98 &#40;0&#44;94&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio material&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;97 &#40;0&#44;95&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;96&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;99 &#40;0&#44;95&#8208;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Modelo 3</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Apoio total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#40;0&#44;99&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;97&#8208;1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;97 &#40;0&#44;93&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  """
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            0 => array:3 [
              "identificador" => "tblfn0005"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Modelo 1&#58; Cada dimens&#227;o de apoio&#44; ajustada para anos de estudo&#44; residentes menores de 18 anos&#44; gravidade da doen&#231;a falciforme&#44; sexo do chefe de fam&#237;lia&#44; situa&#231;&#227;o de propriedade do domic&#237;lio e renda <span class="elsevierStyleItalic">per capita</span>&#46;</p>"
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            1 => array:3 [
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Modelo 2&#58; ajustado para todas as dimens&#245;es do apoio&#44; anos de estudo&#44; residentes menores de 18 anos&#44; gravidade da doen&#231;a falciforme&#44; sexo do chefe de fam&#237;lia&#44; situa&#231;&#227;o de propriedade do domic&#237;lio e renda <span class="elsevierStyleItalic">per capita</span>&#46;</p>"
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            2 => array:3 [
              "identificador" => "tblfn0015"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Modelo 3&#58; Ajustado para o apoio total&#44; anos de estudo&#44; residentes menores de 18 anos&#44; gravidade da doen&#231;a falciforme&#44; sexo do chefe da fam&#237;lia&#44; situa&#231;&#227;o de propriedade do domic&#237;lio e renda <span class="elsevierStyleItalic">per capita</span>&#46;</p>"
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratios</span> ajustados para inseguran&#231;a alimentar&#44; por dimens&#245;es de apoio social&#44; em fam&#237;lias de crian&#231;as com doen&#231;a falciforme atendidas em um centro de refer&#234;ncia&#44; Estado do Rio de Janeiro &#8211; Brasil&#44; 2016</p>"
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