Ciencia & saude coletiva最新文献

[The role of the Brazilian Society of Bioethics and the "Frente pela Vida" in the COVID-19 pandemic from the perspective of critical bioethics].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-31 DOI: 10.1590/1413-81232025303.13172023

Thiago Rocha da Cunha, Marcos Aurélio Trindade

{"title":"[The role of the Brazilian Society of Bioethics and the \"Frente pela Vida\" in the COVID-19 pandemic from the perspective of critical bioethics].","authors":"Thiago Rocha da Cunha, Marcos Aurélio Trindade","doi":"10.1590/1413-81232025303.13172023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.13172023","url":null,"abstract":"The scope of this article is to analyze the role of the Brazilian Society of Bioethics (SBB), especially its involvement in the \"Frente pela Vida\" movement, during the most critical years of the COVID-19 pandemic, between 2020 and 2021. It involved research anchored in the theoretical frameworks of Critical Bioethics and was analyzed using qualitative methodology with a dialectical approach. The results demonstrate that during the period analyzed the Brazilian federal government acted in alignment with a \"major nebula\" that generated several bioethical conflicts. This nebula was sustained by an amalgam of interests of economic power, sectors of medical corporatism, and conservative political-ideological groups. On the other hand, the SBB and the entities of the Frente pela Vida articulated themselves as a \"counter-nebula\" of denunciation and resistance to bioethical conflicts. Considering that the attempt to act on the interests of the \"nebula\" persist, especially in the Brazilian State, the conclusion drawn is that the SBB and the entities of the Frente pela Vida must remain mobilized in social control, in the defense of the Unified Health System, democracy and human rights in the country.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e13172023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological surveillance of neglected tropical diseases in silent areas: the case of zoonotic sporotrichosis.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-01-26 DOI: 10.1590/1413-81232025303.10572023

Ligia Neves Scuarcialupi, Gabriela Chueiri de Moraes, Fernando Cortez Pereira, Yasmin da Silva Alexandre, Oswaldo Santos Baquero

{"title":"Epidemiological surveillance of neglected tropical diseases in silent areas: the case of zoonotic sporotrichosis.","authors":"Ligia Neves Scuarcialupi, Gabriela Chueiri de Moraes, Fernando Cortez Pereira, Yasmin da Silva Alexandre, Oswaldo Santos Baquero","doi":"10.1590/1413-81232025303.10572023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.10572023","url":null,"abstract":"A common practice in the analysis of the spatial distribution of neglected tropical diseases is to assume that in silent areas (no reports) there are no cases. However, when the problem is underreporting, it risks reinforcing the neglect of areas that should be a priority. Instead of this assumption, one can predict the number of cases in silent areas using epidemiologic and spatial dependence information. The present study exemplifies this approach, using the integrated nested Laplace approximation in Bayesian spatial models that relate social vulnerability and the number of reported cases of feline (zoonotic) sporotrichosis in census tracts (CTs) of the municipality of Guarulhos. In addition to predictions for silent CTs, we assigned a priority index to all CTs. The results showed a more problematic epidemiologic situation, compared to the scenario in which it is assumed that there are no cases in silent CTs. To iteratively validate the index predictions and calibrate the degree of confidence assigned to the predictions, one can compare the distribution of the priority indices of silent CTs with the distribution of cases identified through active surveillance in a sample of silent CTs.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e10572023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ERRATA.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 DOI: 10.1590/1413-81232024303.21682024

引用次数: 0

Violence Prevention and Health Promotion Centers: advances and challenges.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.1590/1413-81232025303.21002024

Edinilsa Ramos de Souza, Cristiane Batista Andrade, Daniella Harth Costa, Liana Wernersbach Pinto

{"title":"Violence Prevention and Health Promotion Centers: advances and challenges.","authors":"Edinilsa Ramos de Souza, Cristiane Batista Andrade, Daniella Harth Costa, Liana Wernersbach Pinto","doi":"10.1590/1413-81232025303.21002024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.21002024","url":null,"abstract":"This article analyzed the Violence Prevention and Health Promotion Centers (NPVPS) implementation process established by the National Policy for Reducing Morbimortality from Accidents and Violence (PNRMAV). We provided a historical background of its creation. We analyzed data from 531 questionnaires and 63 interviews from an evaluative survey with managers and professionals from the three care levels on the topic. We described quantitative data and performed a content analysis of the interviews. We identified state centers in 56.2% of primary care units, 63.5% in hospital and pre-hospital units, and 54.4% in rehabilitation units, and municipal centers in 18.8% of the first, 31.5% of the second, and 29.1% of the third. The State centers support 83.8% of the primary care units in the municipalities, 84.1% of pre-hospital and hospital care, and 79.2% of rehabilitation units. Municipal centers support Health Units in the following proportions: 96.2% of primary care, 97.1% of pre-hospital and hospital care, and 93.1% of rehabilitation units. The study found several problems in the centers' functioning, although the respondents reaffirmed the support they receive.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e21002024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of redistributions of garbage codes on the evolution of mortality from Chronic Diseases in Brazil, 2010 to 2019.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-08-04 DOI: 10.1590/1413-81232025303.00492024

Deborah Carvalho Malta, Renato Azeredo Teixeira, Juliana Bottoni de Souza, Érika Carvalho de Aquino, Ademar B Dantas Júnior, Adauto M Soares Filho, Elisabeth Barboza França, Ana Maria N Vasconcelos, Fátima Marinho de Souza, Lenice Harumi Ishitani, Crizian Saar Gomes, Marli M Silva Montenegro, Valdelaine E M de Araújo, Shirlei M Costa Faria, Bruce Bartholow Duncan, Antônio Luiz Pinho Ribeiro

{"title":"The effect of redistributions of garbage codes on the evolution of mortality from Chronic Diseases in Brazil, 2010 to 2019.","authors":"Deborah Carvalho Malta, Renato Azeredo Teixeira, Juliana Bottoni de Souza, Érika Carvalho de Aquino, Ademar B Dantas Júnior, Adauto M Soares Filho, Elisabeth Barboza França, Ana Maria N Vasconcelos, Fátima Marinho de Souza, Lenice Harumi Ishitani, Crizian Saar Gomes, Marli M Silva Montenegro, Valdelaine E M de Araújo, Shirlei M Costa Faria, Bruce Bartholow Duncan, Antônio Luiz Pinho Ribeiro","doi":"10.1590/1413-81232025303.00492024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.00492024","url":null,"abstract":"This study aimed to estimate premature mortality (30-69 years) for four priority NCD groups in Brazil from 2010 to 2019, comparing crude data from the Mortality Information System (SIM), SIM data adjusted by GC redistribution and underreporting, and data extracted from the Global Burden of Disease (GBD) study. Premature mortality rates due to NCDs declined in the period analyzed. Although the adjustment methods hardly changed temporal trends, we observed that mortality rates calculated with adjusted data were significantly higher than those without adjustment. This variation was heterogeneous among the Federated Units. The rates estimated by the crude SIM method ranged from 322.0 to 276.1 deaths per 100 thousand inhabitants, while the redistributed SIM rates ranged from 340.4 to 296.8 deaths per 100 thousand inhabitants. The estimated rates for the GBD ranged from 371.6 to 323.0 deaths per 100 thousand inhabitants. In conclusion, this study highlights the importance of adopting methods that can be applied to achieve more reliable mortality statistics, which continuously improves the definition of death causes in the SIM.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e00492024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in preterm birth: results from five population-based surveys in the extreme south of Brazil.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-14 DOI: 10.1590/1413-81232025303.10112023

Luana Patrícia Marmitt, Adriana Kramer Fiala Machado, Juraci Almeida Cesar

{"title":"Trends in preterm birth: results from five population-based surveys in the extreme south of Brazil.","authors":"Luana Patrícia Marmitt, Adriana Kramer Fiala Machado, Juraci Almeida Cesar","doi":"10.1590/1413-81232025303.10112023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.10112023","url":null,"abstract":"This study aimed to analyze trends in preterm birth in Southern Brazil, and to identify associated maternal characteristics with this outcome. In five cross-sectional surveys, we included all 10,582 puerperal women residing in Rio Grande who had a single birth at years 2007, 2010, 2013, 2016 and 2019. A questionnaire was applied up to 48 hours after delivery. The prevalence of preterm birth (< 37 weeks of gestation) was presented according to maternal characteristics and year of study. We observed a reduction in preterm births, from 17.3% in 2007 to 15.5% in 2019 (-1.8 percentage points (p.p.)). The most expressive reduction was observed among women who gave birth in the private sector (-12.3 p.p.) and those with gestational diabetes (-10.3 p.p.). The risk of having a preterm birth was significantly higher for older women, with black skin color, lower education, multiparous, and those with hypertension, diabetes, and depression during pregnancy. Between 2007 and 2019, there was a reduction in preterm births for most identified risk groups, except for women with low education, depression, and diabetes. Despite the slight reduction in the preterm birth rate over time, this outcome continues to grow in some risk groups.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e10112023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Life satisfaction in community-dwelling older adults and direct and indirect associations with physical activity, functionality and overall health: a pathway analysis.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-10-22 DOI: 10.1590/1413-81232025303.07922023

Daniel Vicentini de Oliveira, Yara Lucy Fidelix, Priscila Ester de Lima Cruz, José Roberto Andrade do Nascimento Júnior, Lenamar Fiorese

{"title":"Life satisfaction in community-dwelling older adults and direct and indirect associations with physical activity, functionality and overall health: a pathway analysis.","authors":"Daniel Vicentini de Oliveira, Yara Lucy Fidelix, Priscila Ester de Lima Cruz, José Roberto Andrade do Nascimento Júnior, Lenamar Fiorese","doi":"10.1590/1413-81232025303.07922023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.07922023","url":null,"abstract":"This study aimed to analyze whether physical activity, functionality, health variables and psychological factors are associated with life satisfaction of 654 older adults users of basic health units in the city of Maringá, Brazil. The WHODAS 2.0, International Physical Activity Questionnaire, Geriatric Depression Scale, Life Satisfaction Scale, Geriatric Anxiety Inventory, Self-Esteem Scale, Life Purpose Scale, Perceived Stress Scale and Mini Nutritional Assessment were used. Path analysis was used. Self-esteem was the main factor related to satisfaction with life. Stress and depression indicators negatively influenced life satisfaction. Level of physical activity and life purpose were indirectly related to life satisfaction. Anxiety was the main factor linked to stress and indicative of depression, which in turn seems to negatively impact life satisfaction. It is concluded that satisfaction with life was directly related to self-esteem, nutritional status, stress and indicative of depression. Self-esteem was the main factor related to satisfaction with life.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e07922023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distribution of garbage codes in the Mortality Information System, Brazil, 2000 to 2020.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-10-22 DOI: 10.1590/1413-81232025303.09442023

Érika Carvalho de Aquino, Sílvia Lúcia Borowicc, Solange Nice Alves-Souza, Renato Azeredo Teixeira, Lenice Harumi Ishitani, Deborah Carvalho Malta, Otaliba Libânio de Morais Neto

{"title":"Distribution of garbage codes in the Mortality Information System, Brazil, 2000 to 2020.","authors":"Érika Carvalho de Aquino, Sílvia Lúcia Borowicc, Solange Nice Alves-Souza, Renato Azeredo Teixeira, Lenice Harumi Ishitani, Deborah Carvalho Malta, Otaliba Libânio de Morais Neto","doi":"10.1590/1413-81232025303.09442023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.09442023","url":null,"abstract":"The analysis of the causes of death is essential to understand the main problems that affect the health level of the population of a region or country. The garbage codes (GC) provide little useful information about causes of death. This study aims to identify the proportion of GC among the deaths registered and to analyze their temporal distribution in Brazil from 2000 to 2020. It's an ecological time-series study of the evolution of the proportion of GC in Brazil. Time series analysis was performed using segmented linear regression models (joinpoint). Between 2000 and 2020, 39.9% of deaths that occurred in Brazil were coded with GC. Between 2000 and 2007, there was a continuous and persistent reduction in the proportion of GC (APC -2.1; P < 0.001). Between 2007 and 2015, there continued to be a reduction, albeit to a lesser extent (APC = -0.7; P = 0.013). Between 2015 and 2018, there was no significant trend of the proportion of GC (APC = -2.3; P = 0.172), which persisted from 2018 (APC 3.2; P < 0.079). Although a reduction in the proportion of GC in Brazil was observed until 2018, this trend did not persist after that year. Reducing the proportion of GC allows managers to plan health policies more adequately for the population.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e09442023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recovery and Rehabilitation in the Context of Health Care for Victims of Accidents and Violence in Brazil.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-09-25 DOI: 10.1590/1413-81232025303.1675024

Simone Gonçalves de Assis, Silvânia Suely Caribé de Araújo Andrade, Cosme Marcelo Furtado Passos da Silva, Daniella Harth da Costa

{"title":"Recovery and Rehabilitation in the Context of Health Care for Victims of Accidents and Violence in Brazil.","authors":"Simone Gonçalves de Assis, Silvânia Suely Caribé de Araújo Andrade, Cosme Marcelo Furtado Passos da Silva, Daniella Harth da Costa","doi":"10.1590/1413-81232025303.1675024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.1675024","url":null,"abstract":"This article aims to analyze healthcare implementation in recovery and rehabilitation in the country, considering the assistance offered to victims of violence and accidents. Rehabilitation corresponds to the specific guideline of the National Policy on Morbimortality due to Accidents and Violence. A descriptive quantitative study was conducted nationwide by analyzing data collected through the electronic platform to access a questionnaire sent to the municipal health secretaries of the 5,570 Brazilian municipalities (113 answered). The results revealed advances in some areas, such as formulating regulations, decentralizing care, and increasing the availability of services and variability of professionals in most participating cities. However, we identified historical gaps, such as the sector's underfunding, weak infrastructure and human resources, problems regarding the provision of orthoses and prostheses, and unequal distribution of services in the country's regions. Although the recovery/rehabilitation backdrop of accident and violence victims has improved in Brazil in recent years, it is still far from offering a universal, comprehensive, and equitable service.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e16752024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between bullying with depressive symptoms and health-related quality of life among Brazilian high school students from Southern Brazil.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-02-07 DOI: 10.1590/1413-81232025303.12502023

Bruno Nunes de Oliveira, Alexsandra da Silva Bandeira, Bruno Gonçalves Galdino da Costa, Marcus Vinicius Veber Lopes, Felipe Barreto Schuch, Kelly Samara da Silva

{"title":"Relationship between bullying with depressive symptoms and health-related quality of life among Brazilian high school students from Southern Brazil.","authors":"Bruno Nunes de Oliveira, Alexsandra da Silva Bandeira, Bruno Gonçalves Galdino da Costa, Marcus Vinicius Veber Lopes, Felipe Barreto Schuch, Kelly Samara da Silva","doi":"10.1590/1413-81232025303.12502023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.12502023","url":null,"abstract":"The aim is to analyze the associations of bullying victimization and perpetration with depressive symptoms and health-related quality of life (HRQoL) in a sample of Brazilian high school adolescents. Adolescents (n=852, 50.2% female, mean age: 16.4 years) answered a questionnaire about depressive symptoms drawn from the Center for Epidemiologic Studies Depression Scale. HRQoL was measured using the Kidscreen-10 Index, and bullying-related information was extracted from two different questions (victims and perpetrators). Multilevel logistic regression models were used. Adolescent victims of bullying had higher levels of depressive symptoms and a lower perception of HRQoL than those who were not victims. On the other hand, an inverse relationship was found for perpetrators of bullying compared to those who were not perpetrators. Adolescents' health-related impacts varied according to their role in bullying situations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e12502023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0