Brazilian State Research Articles

16S rRNA amplicon sequencing and antimicrobial resistance profile of intensive care units environment in 41 Brazilian hospitals.

Infections acquired during healthcare setting stay pose significant public health threats. These infections are known as Healthcare-Associated Infections (HAI), mostly caused by pathogenic bacteria, which exhibit a wide range of antimicrobial resistance. Currently, there is no knowledge about the global cleaning process of hospitals and the bacterial diversity found in ICUs of Brazilian hospitals contributing to HAI. Characterize the microbiome and common antimicrobial resistance genes present in high-touch Intensive Care Unit (ICU) surfaces, and to identify the potential contamination of the sanitizers/processes used to clean hospital surfaces. In this national, multicenter, observational, and prospective cohort, bacterial profiles and several antimicrobial resistance genes from 41 hospitals across 16 Brazilian states were evaluated. Using high-throughput 16S rRNA amplicon sequencing and real-time PCR, the bacterial abundance and resistance genes presence were analyzed in both ICU environments and cleaning products. We identified a wide diversity of microbial populations with a recurring presence of HAI-related bacteria among most of the hospitals. The median bacterial positivity rate in surface samples was high (88.24%), varying from 21.62 to 100% in different hospitals. Hospitals with the highest bacterial load in samples were also the ones with highest HAI-related abundances. Streptococcus spp., Corynebacterium spp., Staphylococcus spp., Bacillus spp., Acinetobacter spp., and bacteria from the Flavobacteriaceae family were the microorganisms most found across all hospitals. Despite each hospital particularities in bacterial composition, clustering profiles were found for surfaces and locations in the ICU. Antimicrobial resistance genes mecA, bla KPC-like, bla NDM-like, and bla OXA-23-like were the most frequently detected in surface samples. A wide variety of sanitizers were collected, with 19 different active principles in-use, and 21% of the solutions collected showed viable bacterial growth with antimicrobial resistance genes detected. This study demonstrated a diverse and spread pattern of bacteria and antimicrobial resistance genes covering a large part of the national territory in ICU surface samples and in sanitizers solutions. This data should contribute to the adoption of surveillance programs to improve HAI control strategies and demonstrate that large-scale epidemiology studies must be performed to further understand the implications of bacterial contamination in hospital surfaces and sanitizer solutions.

Amazon tropical fishes of commercial interest show human-cell contamination but no SARS-CoV-2 in a real-life scenario.

Amazonas was one of the most impacted Brazilian states by the COVID-19 pandemic. Mortality rates were high, and the health systems collapsed. It is important to identify possible intermediate reservoirs to avoid animal-to-human contamination. Several tropical fish are of commercial interest and are sold in large open-air markets in the region, representing a large economic and dietary importance. This study aimed to verify if fish species of commercial importance, aerosols, and fish wastewater in local open-air markets, at a major capital city in the western Brazilian Amazon, are contaminated by SARS-CoV-2. 488 fish, 50 aerosol, and 45 wastewater samples were analyzed for the presence of SARS-CoV-2. The samples were subjected to extraction using the BIOGENE Viral DNA/RNA Extraction kit, and the molecular diagnosis was tested for SARS-CoV-2 using the Bio-Manguinhos SARS-CoV-2 (EDx) Molecular Kit. It was not possible to detect the virus (Ct≤40, for Gene E) in these samples, however, in 181 samples of fish it was possible to detect the human RP gene (Ct≤35, for the RP Gene), indicating human contact. There was a high number of COVID-19 diagnoses in all city districts in which the samples were collected, showing that SARS-CoV-2 was circulating. This study indicates that fish of local commercial importance do not carry SARS-CoV-2 viral particles, despite circulation of SARS-CoV-2, and are not an important source of animal-to-human contamination. Despite these results, the human RP gene was found detectable in fish, air, and fish wastewater, showing that such places may carry human pathogens.

Regional disparities in BCG vaccination coverage and tuberculosis incidence in infants among Brazilian states.

Bacillus Calmette-Guerin (BCG) vaccination and tuberculosis (TB) incidence in children under 1 year of age are critical public health indicators in Brazil. The coronavirus disease 2019 pandemic disrupted vaccination coverage (VC), potentially impacting TB incidence. Understanding regional disparities in VC and TB incidence can inform targeted interventions. We conducted an observational and ecological study using BCG vaccination data (2019-21) and TB incidence (2020-22) for all births in Brazil. Data were collected from public health databases, stratified by state, and analyzed using descriptive and analytical statistics to explore VC and TB incidence. Between 2019 and 2021, average BCG VC was 79.59%, with significant variation among states (P < .001). Only four states achieved minimum recommended coverage (>90%). TB incidence varied significantly among states (P = .003). There was a notable decline in VC from 2019 (90.72%) to 2021 (78.67%) (P < .001). This study highlights regional disparities in BCG VC and TB incidence among Brazilian states. Lower VC post-pandemic may increase TB incidence, requiring targeted interventions in states with inadequate coverage. The findings underscore the importance of sustaining vaccination programs amidst public health crises and implementing strategies to enhance access and uptake.

Evidence of contingency factors related to financial management in state secretariats in the northern region of Brazil

This research aims to highlight the contingency factors influencing financial management in governmental entities. To achieve this goal, a descriptive, qualitative methodology was adopted, with data collection via individual electronic surveys sent to employees of different secretariats within a Brazilian state. The theoretical framework identified the following contingency variables: Environment, Structure, Technology, Information Technology, and Strategy. The results indicate that Contingency Theory (integration of contingency factors) impacts financial management, with Strategy being the only contingency variable showing interference in financial management when analyzed separately. Thus, the analyzed secretariats align with regulations, addressing managerial issues related to Environment, Structure, Technology, and Information Technology factors.

Leprosy knowledge among primary care physicians in Southern Brazil: are we underdiagnosing?

Leprosy is a chronic infection with high morbidity in Brazil. Primary care physicians' lack of knowledge about the disease may play a significant role in underdiagnosis. This study aimed to assess primary care physicians' ability to identify typical leprosy skin lesions and their knowledge of the subject. This cross-sectional study relied on a questionnaire in which participating doctors chose one main diagnostic hypothesis and two differential diagnoses for each skin lesion presented. Five leprosy lesions were included. Questions regarding management, follow-up, and diagnostic workup for the disease were also included. The questionnaire was sentto primary care physicians working in Curitiba, in the Southern Brazilian state of Paraná, and dermatologists, who constituted the control group. Thirty-two primary care physicians and 26 dermatologists agreed to participate in the study. Primary care physicians accurately identified a mean of 1.8 ± 1.2 of the five leprosy skin lesions, while dermatologists accurately identified 2.5 ± 0.9 (P = 0.009). The main misdiagnosed leprosy forms were the lepromatous and histoid variants. Among primary care physicians, 56.2% claimed to have little knowledge of the subject and a large share of participants was unaware of recent updates in treating paucibacillary forms, even within the dermatologist subgroup. Primary care physicians in Curitiba have little information regarding the diagnosis, treatment, and follow-up of leprosy. Even dermatologists had difficulties with treatment and patient management, emphasizing the constant need for education on this subject.

Exposure to Treponema pallidum among Female Sex Workers: A Retrospective Study Conducted in the State of Pará, Brazilian Amazon.

Syphilis remains a significant global public health issue, and female sex workers (FSWs) are highly vulnerable to the etiological agent of this disease. This study aimed to describe the prevalence of exposure to Treponema pallidum, as well as the vulnerability factors among FSWs in the state of Pará, Brazilian Amazon. A cross-sectional, retrospective study involving 360 FSWs from five cities in Pará was conducted from 2005 to 2007. Blood samples were collected for treponemal and non-treponemal testing, and epidemiological information was obtained through interviews. The exposure rate to T. pallidum was 37.7% (136/360), and the majority of FSWs had serological results indicating past exposure (21.1%). Among the FSWs exposed to T. pallidum, most of them were single, aged 23 to 42 years old, had less than 8 years of schooling, and had a family income of between 1 and 3 minimum wages. They reported using condoms during sexual intercourse and had no history of sexually transmitted infection (STI). Furthermore, many of the FSWs exposed to T. pallidum reported having more than 20 sexual partners per month, and had partners from other Brazilian states, but not from other countries. An age over 42 years and a reduced level of education were factors associated with exposure to T. pallidum. Finally, a high rate of exposure to T. pallidum among FSWs in the Brazilian state of Pará (from 2005 to 2007) was detected. In later years, epidemiological studies conducted with FSWs recorded that this rate remained high. Measures to control, treat, and prevent syphilis among FSWs were necessary between 2005 and 2007, and they are still imperative today. Actions related to educational programs and STI control, treatment, and prevention measures contained in Brazilian policies aimed at women's health have not changed the vulnerability scenario of FSWs regarding their exposure to T. pallidum, even after 16 years, and must be reviewed and adapted to the conditions of the Brazilian Amazon.

Measurement properties of the Regular Physical Exercise Adherence Scale (REPEAS) in individuals with chronic pain

ObjectiveTo examine the measurement properties of the Regular Physical Exercise Adherence Scale (REPEAS) in Brazilians with chronic pain.MethodsCross-sectional and longitudinal design (washout period for reliability). The study was conducted in two Brazilian states, Maranhão and São Paulo, and included Brazilian adults, irregular exercisers, former exercisers or non-exercise practitioners, aged 18 to 59 years and with chronic pain. The instruments used in this study were: the REPEAS, the Numerical Pain Rating Scale (NPRS), the Baecke Habitual Physical Activity Questionnaire (BHPAQ), the Pain Self-Efficacy Questionnaire (PSEQ), and the Roland-Morris Disability Questionnaire for general pain (RMDQ-g). The evaluation focused on structural validity, construct validity, reliability (with standard error of measurement and minimum detectable change), internal consistency, and floor and ceiling effects.ResultsThe two-dimensional structure was tested through confirmatory factor analysis, which resulted in adequate fit indeces: chi-square values/degrees of freedom = 1.541, Tucker-Lewis Index = 0.966, comparative fit index = 0.974, root mean square error of approximation = 0.074, and standardized root mean square residual = 0.068. Additionally, satisfactory factor loadings (> 0.40) were obtained. Test-retest reliability and internal consistency were adequate for the environmental factors domain (intraclass correlation coefficient [ICC] = 0.79, Cronbach’s alpha = 0.88) and the personal factors domain (ICC = 0.97, Cronbach’s alpha = 0.93). In hypothesis testing for construct validity, we observed a significant correlation with magnitude below 0.30 of the environmental factors domain of the REPEAS with RMDQ-g, PSEQ and sport domain of the BHPAQ. For the personal factors domain, we observed a significant correlation with a magnitude of 0.30 to 0.50 with RMDQ-g, PSEQ, and sport domain of the BHPAQ, and below 0.30 with leisure domain of the BHPAQ. No floor or ceiling effects were found for the REPEAS domains.ConclusionThe REPEAS is a valid instrument with a two-dimensional internal structure consisting of 12 items. It has a reliable construct and is suitable for use in the clinical and epidemiological context for adults with chronic pain in Brazil.

New findings on the karyotype and distribution of two Rhipidomys Tschudi, 1845 species (Rodentia: Sigmodontinae) from Upper Purus River

Abstract Rhipidomys is a Sigmodontinae genus with a great diversity in western Amazonia, including Rhipidomys gardneri and Rhipidomys leucodactylus. These species shared the same diploid number of 44, however, two fundamental numbers were attributed to R. leucodactylus and one to R. gardneri. A new karyotype for R. leucodactylus is described, with a diploid and fundamental number shared by other Rhipidomys species. Data confirmed three karyotypes for R. leucodactylus, only one for R. gardneri, the presence of R. leucodactylus in the Brazilian state of Acre and extend the distribution of R. gardneri to Manoel Urbano, in Acre, showing both species occurring in the high Purus River basin.

Explicit discrimination among Brazilian dental students: A multicenter study

To test the association between socioeconomic and sociodemographic status of Brazilian dental students with discriminatory experiences suffered by them. This multicenter cross-sectional study was conducted with 531 undergraduate dental students from four different Brazilian states. The Explicit Discrimination Scale (EDS) was used to measure the experience of discrimination in several daily situations. A questionnaire about sociodemographic and socioeconomic characteristics, form of admission, and permanence in dental schools was developed and validated by experts and six dental students through cognitive interviews. The EDS and questionnaire were sent to students by an online platform using snowball sampling. Descriptive analysis, bivariate tests, and multiple Poisson regression were performed. Among the participants, most were female, white, heterosexual, and cisgender. The mean EDS total score was higher among those students who used Brazilian Affirmative Actions for higher education access and permanence (p<0.005). The multiple analysis indicated that students who were black (prevalence ratio [PR]=1.484; 95% confidence interval [95%CI]: 1.291-1.705), women (PR=1.227; 95%CI: 1.030-1.462), had lower monthly income (PR=1.212; 95%CI: 1.043-1.409) and were lesbian, gay, bisexual, transgender, intersex, queer, pansexual, and plus (LGBTQIAP+) (PR=1.466; 95%CI: 1.238-1.735) showed a higher probability of discriminatory experiences when compared to white, male and heterosexual students with higher monthly income. There is a racial and social class pattern among dental students. The exclusionary factors such as black race, female gender, lower monthly income and being LGBTQIAP+ make students more vulnerable to discriminatory experiences.

Food insecurity, income loss, healthcare access, and other exacerbated social inequalities among people experiencing homelessness during the COVID-19 pandemic in Brazil (2021–2023)

BackgroundDuring COVID-19, the number of people experiencing homelessness increased, further exacerbating the violation of basic rights necessary for human survival. Thus, the study aimed to investigate the inequalities associated with income loss and food insecurity among people experiencing homelessness during the COVID-19 pandemic in Brazil.MethodsA cross-sectional study was conducted in 24 Brazilian state capitals and the Federal District among the homeless population using a validated instrument. Descriptive analyses and binary logistic regressions were performed.ResultsAmong 1512 homeless participants (median age:37, range:18–89), 39.4% had incomplete primary education, 83.7% earned below minimum wage or had no income, 56.5% received government aid, and 87.1% used the Sistema Único de Saúde (Brazilian Public Health System-SUS). During the pandemic, 42.0% faced food difficulties, and 26.3% experienced income loss. Across Brazilian macroregions, lack of employment affected four regions, with high SUS dependency and food scarcity. In the North (72.7%) and Northeast (51.9%), most lacked government aid, while in the Midwest (51.6%), temporary income loss prevailed. In regression analyses, men, black/mixed race, those married or in a stable union, government aid recipients, and SUS users had greater difficulty acquiring food during COVID-19. Men with incomplete high school or higher education and income above minimum wage were less likely to suffer temporary income loss, and black/mixed race individuals and those living on the streets were more likely.ConclusionsThe study showed how socioeconomic factors increased income loss and food acquisition difficulties during COVID-19, exacerbating vulnerability and social inequities for the people experiencing homelessness.

Acanthoatractis xinguensis n. gen., n. sp. (Nematoda: Cosmocercoidea: Atractidae) parasite of yellow-spotted Amazon river turtle, Podocnemis unifilis Troschel (Testudines: Podocnemididae) in Brazilian Amazon

Nematodes collected from the stomach of the yellow-spotted turtle Podocnemis unifilis Troschel, 1848 (Testudinidae) in the Brazilian state of Pará are assigned to a new genus, allocated to the family Atractidae (Cosmocerdoidea). Acanthoatractis n. gen. differs from all other genera of Atractidae based on the combination of the following morphological characters: cephalic extremity surrounded by eight bifurcated, wrench-shaped sclerotized structures arranged in a circle; oral opening encircled by two sclerotized pieces with pointed ends and a median portion with a pair of hooks; in males the larger (left) spicule is narrower in the middle third and the gubernaculum is absent. The type species, Acanthoatractis xinguensis n. gen., n. sp., has nine pairs of caudal papillae and a single papilla anterior to the cloacal lip. The new species is the seventh record of an atractid genus parasitizing P. unifilis.

The Brazilian Migration Policy in the Context of the Russia‐Ukraine War: A Rights‐Based Response to Forced Displacement?

On 24 February 2022, Russia launched a major military incursion on Ukrainian territory, thereby initiating one of the biggest international conflicts of the twenty‐first century. Not only has this conflict claimed the lives of thousands of Russians and Ukrainians, but it has also resulted in mass migration. Against this backdrop, this paper sets out to answer the following question: what are the main legal aspects of the migration policy adopted by the Brazilian state in response to the Ukrainian diaspora? The findings of this research indicate that the Brazilian Federal Government has passed ordinances that can protect the human rights of these people on a temporary basis. Although these ordinances have a precarious nature, their beneficiaries will be able to apply for refugee status when their provisions cease to produce legal effects.

Armed violence in Manguinhos/RJ, Brazil: health and daily life of health and education workers.

The article presents the results of qualitative action research on armed violence with health and education professionals and territorial community services in Manguinhos, Rio de Janeiro, Brazil. It is justified by the urgent nature of this violence in the territory and aims to identify its impacts on their health and work, coping, protection, and care strategies. The effects of armed violence on health and education professionals and the territory are discussed through interviews and focus groups with participant observation, identifying some of its transversalities, such as the Brazilian State racist public security policy based on a warlike logic of confrontation with groups with armed control of the territory, which makes life precarious by exposing residents and workers to constant risks, weakening the community fabric and preventing full access to health and education.

El avizinhar en la consolidación del concepto de extractivismo en la amazonia acreana, Brasil

The work consists of a historical-geographical reconstruction, using the popular orkers avizinhar in the consolidation of the orkers Extractivism in the Acrean Amazon. The methodology is based on bibliographic analysis, documents, fieldwork, interviews, public domain images. Extractivism developed throughout history throughout the world, with orkers biases: as na activity that has its action linked to na unprecedented extraction of elements of nature, extraction without due concern for orkers damage or the absence of such elements in the composition of the ecosystem. However, the orkers work seeks to orkers and conceptualize extractivism from the experience of the Amazon, in particular the Brazilian state of Acre that, despite complying with the etymology of the word, “withdrawal, collection of materials from nature”, transcends predatory extraction, and reverts into struggles for the conservation of nature and human lives that inhabit the forests. These actions were led by Chico Mendes in the mid-1980s through the union organization of forestry orkers initiated in the 1970s.

Brazilians living with diabetes do not meet basic physical activity guidelines for health – a cross-sectional study

Introduction and aim. The purpose of this study was to describe the profile of physical activity (PA) of Brazilian adults living with diabetes mellitus living in large Brazilian urban centers, as well as to determine whether the practice aligns with the physical activity guidelines recommended for people with diabetes. Material and methods. Cross-sectional data were acquired from the 2020 Surveillance System for Risk and Protective Factors for Chronic Non-communicable Diseases, in which about 54,000 persons aged 18 and older in all Brazilian state capitals were contacted in a telephone survey. Participants reported on their engagement in recreational physical activity and active commuting to school and/or work in the three months preceding the interview, as well as the weekly frequency and duration of these activities. They also stated whether they were living with diabetes. A descriptive analysis was performed, and statistical significance was determined using Pearson’s chi-squared test. Results. In 2020, 7.9% of the population identified themselves living with diabetes. There was a greater frequency among older women and those with less education. Walking, water aerobics, and general gymnastics were the most common kinds of physical activity reported by people with diabetes. Moreover, over half of them (54.5%) were inactive, and 15% matched the physical activity criteria. The majority (90%) practiced PA for 30 minutes or more per day, while 87% of those who were active and exercised 1 to 2 times per week did not meet the requirements of the Ministry of Health. Conclusion. In 2020, 7.9% of the population identified themselves as having diabetes. There was a higher frequency among older women and those with less schooling. In the sample as a whole, approximately 70% of people living with diabetes were inactive (54.5%) or did not meet the minimum BP recommendations for people with diabetes. The duration of each session seemed to be in line with the recommendations, however, the lack of regularity caused by the low weekly frequency meant that the minimum recommended target could not be achieved. Efforts involving the continued monitoring of people living with diabetes and counseling in Primary Health Care to opt for a more physically active life, seem to be promising acts for a healthier life, pending a definitive resolution to the disease.

The applicability of the urine color scale in pediatric urology

To determine the level of agreement between healthcare professionals, patients and their parents/guardians in the interpretation of the urine color scale (UCS) in cases of urinary dysfunction, analyzing the applicability of the scale as a diagnostic tool determining the hydration status. This was a cross-sectional study involving 5-17-year-old patients with lower urinary tract symptoms (LUTS) and enuresis. The study was conducted in a public healthcare referral center for pediatric urology in the Brazilian state of Bahia between October 2019 and March 2020. The Kolmogorov-Smirnov test was used to assess the distribution of the variables. Agreement was assessed using the kappa coefficient and weighted kappa. The z-test was used to determine significant differences between the kappa and weighted kappa. The statistical analysis was conducted using SPSS, version 14, and significance was established at p<0.05. Forty-four patients were included. The kappa value was 32.4% (p=0.000) for the agreement between healthcare professionals and patients, 41.9% (p=0.000) for agreement between healthcare professionals and parents/guardians, and 25.0% (p=0.001) for agreement between patients and parents/guardians. The weighted kappa was 70.6% (p=0.000) for agreement between healthcare professionals and patients, 82.4% (p=0.000) for agreement between healthcare professionals and parents/guardians, and 51.5% (p=0.001) for agreement between patients and parents/guardians. There was a statistically significant difference in kappa values when the healthcare professionals were compared with the other groups. Although there were some inconsistencies in interpretation, the UCS proved to be a useful tool with which to evaluate patients' hydration status.

Impact of Political Ideology on Spending Audiences of Brazilian States

Objective: The present study seeks to verify the extent to which affiliation with parties in different locations on the ideological spectrum explains public spending in Brazilian states (2012-2017). Theoretical framework: To achieve the proposed objective, the article in question has a section where the theoretical framework is exposed, consisting of the discussion regarding the classic distinctions between left and right and the relationship with the provision of public policies. Method: Data were collected using the National Treasury Secretariat (STN) databases. Some expenditure functions were chosen which, in principle, would denote ideological divergences between left and right parties and consequently differentiated public spending, namely: public security, social assistance, health, education, urban planning and environmental management. With the database ready, the Chi-square test was carried out to check whether there was an association between ideologies and spending. The Mann-Whitney U test was subsequently applied to compare the median expenditures of the two terms (2012-2014 and 2015-2017). Finally, panel data were used. Results and Discussion: It can be seen that there is no consistent relationship between ideology (E/D) and public spending, that is, left-wing and right-wing parties tend to spend similarly. The exceptions are spending on education and urbanization, which are higher in states led by managers affiliated with left-wing parties, as expected. Implications of the Research: If ideology is a good predictor of political positioning in the legislature, the same cannot be said in the executive and subnational governments. The ideological component here remains in the background and reveals little explanatory power. Originality/Value: Few studies delve into the impact of political ideology on the provision of public policies.

The presence of a female officer is not significantly associated with the likelihood of a suspect resisting arrest or assaulting a police team in a southern Brazilian state: results from a case-control study

The presence of a female officer is not significantly associated with the likelihood of a suspect resisting arrest or assaulting a police team in a southern Brazilian state: results from a case-control study

The Brazilian Soil Spectral Library data opening

Among the various repositories of soil spectral data, the Brazilian Soil Spectral Library (BSSL, https://bibliotecaespectral.wixsite.com/english), created and maintained by the GeoCiS research group, is representative of the pedodiversity of the region, since it combines soil spectra from agricultural and environmental research. The BSSL database contains 16,084 observations with soil-harmonized surface layer physicochemical and spectral data in the visible, near-infrared, short-wave infrared (Vis-NIR-SWIR, 350–2,500 nm) and mid-infrared (MIR, 4,000–600 cm-¹) ranges from all 26 Brazilian states and the Federal District. The idea of creating the BSSL was born in 1995, completed in 2019 and opened to users in 2023. This database is currently available online at https://zenodo.org/records/8361419. During oppening process, data filtering was performed to ensure reliable and valuable information provided to society. Then consistency and quality assessments were executed using Pearson's correlation and the Cubist algorithm in the R environment. Modeling analysis revealed the robust predictive power of the spectral database, facilitating the modeling of key soil attributes. An open-access BSSL will help researchers validate their results by comparing measured data with predicted data, enabling the development of new models or the improvement of existing ones. The BSSL is a globally significant spectral library due to its broad coverage and representation of different tropical soil classes. Soil spectral data can help governments and corporations by providing information to decision-makers regarding the conservation or exploitation of natural resources to monitor soil health.

Analyzing the welfare economic of freight transport companies with disaggregated data for Brazilian states

Efficient use of transport systems can increase well-being and ensure benefits for society. Reducing the costs involved in transport operations can occur through management, investments, or using more efficient infrastructures. Well-being gains are weighted based on economic theory, particularly with the classical welfare function that measures consumer surplus gains. Therefore, this article aims to analyse the economic well-being of freight transport companies with disaggregated data for Brazilian states. Data from a stated preference survey were used for the entire Brazilian territory. We estimate logit models to determine the value of travel time, and a logsum measure was used to calculate differences in well-being for freight transport companies. The results show the heterogeneity of Brazilian shippers when choosing the mode of mode of transport for freight transport companies. Research deepens the investigations underway in Brazil, disaggregating the analysis at the state level and simulating different scenarios to describe well-being and the value of travel time. The results show significant differences in the choice of road modes compared to their competing modes by region in Brazil. The findings indicate that states may have greater marginal benefits in well-being with changes in transport costs, transport time, delivery reliability, and flexibility.