Ciencia & saude coletiva最新文献

Condom use and reported diagnosis of STI in cisgender men, according to sexual orientation: an analysis based on the 2019 Brazilian National Health Survey. 根据性取向，顺性男性使用避孕套和报告的性传播感染诊断：基于2019年巴西国家健康调查的分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.09752023

Flávia Bulegon Pilecco, Jonatan da Rosa Pereira da Silva, Rafael Steffens Martins, Marco Aurélio Máximo Prado

{"title":"Condom use and reported diagnosis of STI in cisgender men, according to sexual orientation: an analysis based on the 2019 Brazilian National Health Survey.","authors":"Flávia Bulegon Pilecco, Jonatan da Rosa Pereira da Silva, Rafael Steffens Martins, Marco Aurélio Máximo Prado","doi":"10.1590/1413-812320242911.09752023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.09752023","url":null,"abstract":"This study investigated condom use and the reported diagnosis of sexually transmitted infections (STIs) in men, aged 18 to 59 years, according their sexual orientation, based on data from the 2019 Brazilian National Health Survey (NHS). A total of 30,512 subjects were analyzed. Crude and adjusted Poisson regression models, with robust variance, were used to investigate the association between sexual orientation and condom use in the last 12 months and, during the last sexual encounter, as well as the reported diagnosis of STIs. Although in crude analyses, homosexual and bisexual men reported more condom use in the last 12 months and during the most recent sexual encounter, after adjusting for the variable of living with a partner in the models, these associations lost statistical significance. The reported STI diagnosis, however, remained more prevalent in homosexual and bisexual men, even after adjustments (aPR 4.69; 95% CI 2.76-7.99). Public policies for STI/HIV/AIDS prevention should shift from a logic of risky practices to the analysis of a broader context, including different types of relationships, their temporalities, and negotiations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e09752023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324601","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

[Financing of primary care in the municipalities of the state of Bahia, Brazil: analysis of federal transfers from 2008 to 2017]. [巴西巴伊亚州各市初级保健筹资：2008年至2017年联邦转移支付分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.12592023

Amana Santana de Jesus, Rosana Aquino, Ana Luiza Queiroz Vilasbôas

引用次数: 0

[PlanificaSUS as a Permanent Health Education (EPS) strategy for the Unified Health System (SUS)]. [PlanificaSUS作为统一健康系统（SUS）的永久健康教育（EPS）战略]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.08762023

Emalline Angélica de Paula Santos, Gustavo Zambenedetti

{"title":"[PlanificaSUS as a Permanent Health Education (EPS) strategy for the Unified Health System (SUS)].","authors":"Emalline Angélica de Paula Santos, Gustavo Zambenedetti","doi":"10.1590/1413-812320242911.08762023","DOIUrl":"10.1590/1413-812320242911.08762023","url":null,"abstract":"PlanificaSUS is a Permanent Health Education strategy that aims to operationalize the Health Care Network within the scope of the Unified Health System. The objective was to analyze PlanificaSUS from the perspective of managers and tutors in the 4th health region of Paraná in triennium 2018-2020. Qualitative research was carried out, guided by the perspective of Institutional Analysis, using interviews with 4 managers and 14 tutors as devices for data production. The results revealed forces that permeate and transversalize the process. As crossroads we highlight the covid-19 pandemic, financing, professional qualification, team turnover, deadlines and schedule, lack of management support, expansion process and the lack of Specialized Care materials and tools. As transversalities, we highlight integration, the possibility of organizing in stages, the materials and tools made available and the covid-19 pandemic. PlanificaSUS promoted spaces for collective discussion, \"customized\" the proposal according to the local reality and the context of the pandemic and produced changes in work processes, in line with the perspective of Permanent Health Education. Despite this, it faces structural challenges of the SUS that need to be overcome.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e08762023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224461","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

[Public Health Costs in Brazil: An analysis between 2004 and 2021]. [巴西的公共卫生费用：2004年至2021年的分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.11132023

Helen Maria da Silva Gomes, Altair Borgert

引用次数: 0

[The use of contraceptives by women attending at riverine basic health unit in rural communities in the Amazon]. [在亚马逊农村社区的河边基本保健单位就诊的妇女使用避孕药具的情况]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.15212023

Anny Beatriz Costa Antony de Andrade, Maria Laura Rezende Pucciarelli, Fernando José Herkrath, Maria Luiza Garnelo Pereira

{"title":"[The use of contraceptives by women attending at riverine basic health unit in rural communities in the Amazon].","authors":"Anny Beatriz Costa Antony de Andrade, Maria Laura Rezende Pucciarelli, Fernando José Herkrath, Maria Luiza Garnelo Pereira","doi":"10.1590/1413-812320242911.15212023","DOIUrl":"10.1590/1413-812320242911.15212023","url":null,"abstract":"This study aims to analyze the access to and use of contraceptives by riverine women in the Rio Negro, Amazonas, who are attended by a Riverine Basic Health Unit (RBHU), describing the flow of reproductive planning care. A sequential mixed-methods study was conducted, comprising a cross-sectional survey that investigated access to services and contraceptive use by 196 women in 38 communities attending at RBHU. The effects of independent variables on contraceptive use were assessed by estimating prevalence ratios and 95% confidence intervals. A systematic observation of the routine of care provided by RBHU professionals was conducted. Contraceptive use was reported by 146 (74.5%) women, with injectables (44.5%), tubal ligation (31.5%), and male condoms (21.9%) being the most common methods. Use was associated with age (PR=0.98; 95% CI=0.96-0.99), access to service (PR=0.69; 95% CI=0.49-0.97), and self-perception of health (PR=0.81; 95% CI=0.69-0.95). Regarding the organization of care flow, a creative adaptation by professionals was observed, optimizing time and access to care, thus favoring access to contraceptives and contributing to the prevalence of injectable use. A longer duration of RBHU attendance in each locality may promote sexual and reproductive health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15212023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224464","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

Counseling on physical activity before and during the Covid-19 pandemic among users of the Brazilian community health promotion program. 在Covid-19大流行之前和期间，为巴西社区健康促进计划的用户提供身体活动咨询。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.04072023

Letícia Gonçalves, Tiago Rodrigues de Lima, Teresa Maria Bianchini de Quadros, Cassiano Ricardo Rech, Diego Augusto Santos Silva

{"title":"Counseling on physical activity before and during the Covid-19 pandemic among users of the Brazilian community health promotion program.","authors":"Letícia Gonçalves, Tiago Rodrigues de Lima, Teresa Maria Bianchini de Quadros, Cassiano Ricardo Rech, Diego Augusto Santos Silva","doi":"10.1590/1413-812320242911.04072023","DOIUrl":"10.1590/1413-812320242911.04072023","url":null,"abstract":"The aim is to investigate the association between physical activity counseling before and during the Covid-19 pandemic and sociodemographic variables, according to body mass index (BMI) and participation time in the program. A cross-sectional study was conducted with 979 users aged 20 years or older. Before the pandemic, being ≥60 years of age was associated with counseling in users with up to one year of participation in the program. During the pandemic, being ≥60 years of age and having higher education were aspects associated with counseling among participants with normal weight. Furthermore, being separated/widowed among those classified as overweight/obesity, and being female and having higher education among those with up to one year in the program were aspects associated with counseling during the pandemic. Before the pandemic, counseling was associated with age ≥60 years in participants with up to one year in the program. During the pandemic, age ≥60 years and a higher number of years of education were associated with physical activity counseling among those with normal weight. Additionally, being separated/widowed was associated with overweight/obesity. During the pandemic, being female and higher educational attainment were associated with physical activity counseling.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e04072023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224469","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

Principles and characteristics of Continuing Health Education: rescue and resistance in favor of a powerful SUS and in defense of life. 继续健康教育的原则和特点：拯救和抵抗，支持强大的SUS，捍卫生命。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.05902023

Marcia Naomi Santos Higashijima, Helvo Slomp Junior, Alcindo Antônio Ferla, Laura Camargo Macruz Feuerwerker, Emerson Elias Merhy, Ricardo Burg Ceccim, Jader Vasconcelos, Alessandro Diogo De Carli, Mara Lisiane Moraes Dos Santos

{"title":"Principles and characteristics of Continuing Health Education: rescue and resistance in favor of a powerful SUS and in defense of life.","authors":"Marcia Naomi Santos Higashijima, Helvo Slomp Junior, Alcindo Antônio Ferla, Laura Camargo Macruz Feuerwerker, Emerson Elias Merhy, Ricardo Burg Ceccim, Jader Vasconcelos, Alessandro Diogo De Carli, Mara Lisiane Moraes Dos Santos","doi":"10.1590/1413-812320242911.05902023","DOIUrl":"10.1590/1413-812320242911.05902023","url":null,"abstract":"Permanent Health Education (PHE) transcends the National Policy for Permanent Health Education, crafted with its own principles and characteristics to meet the qualification needs of workers within the Unified Health System. While PHE aspires to transform conventional and dominant training paradigms in the field of healthcare, it can also function as a mechanism to replicate and reinforce these same models. In this context, the present study aimed to explore, systematize, and problematize the characteristics and principles of PHE through literature analysis and dialogical encounters with some of its conceptual creators. It is understood that PHE is an investment in life, with educational actions that question work processes and integrate teaching and intervention into reality, with implications for users and their uniqueness. The result was a synthesis essay on the characteristics of PHE, providing insights into ways to produce management, care, participation, and education as live work in healthcare.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e05902023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224512","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

Scientific journals as narrative objects of the sciences. 作为科学叙述对象的科学期刊。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.17522023

Viviana Martinovich

引用次数: 0

[Association between the age at menopause and impairment in daily-living activities of elderly women: an analysis of the National Health Survey]. [绝经年龄与老年妇女日常生活活动障碍的关系：对全国健康调查的分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.07342023

Maithê Avelino Salustiano, Matheus de Sousa Mata, Damião Ernane de Souza, Saionara Maria Aires da Câmara

{"title":"[Association between the age at menopause and impairment in daily-living activities of elderly women: an analysis of the National Health Survey].","authors":"Maithê Avelino Salustiano, Matheus de Sousa Mata, Damião Ernane de Souza, Saionara Maria Aires da Câmara","doi":"10.1590/1413-812320242911.07342023","DOIUrl":"10.1590/1413-812320242911.07342023","url":null,"abstract":"This study aims to investigate the association between age at menopause and impairment in Activities of Daily Living (ADL) in elderly Brazilian women. In a cross-sectional study, 8,973 elderly women from the 2019 National Health Survey self-reported their menopausal age (<45, 45-49, 50-54, and ≥55 years) and difficulty in performing ADL. Binary logistic regression analyzed the association between variables, adjusted for age, income, education, race/ethnicity, physical exercise, use of alcohol, smoking, chronic diseases, and hormone replacement therapy. Analyzes for the total sample and subdivided by age group (60-74; ≥75 years) were conducted by adjusting the sample weights from complex samples, considering p<0.05. Compared to menopause between 50-54 years old, menopause <45 years and ≥55 years is associated with greater odds of difficulty in ADL in the overall sample. Similar results were found when considering only women aged 60-74 years. Among those ≥75 years old, there was no significant association. The results highlight the need to screen for functional changes in women with early and late menopause and refer them to prevention and rehabilitation services to reduce the risk of disability.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e07342023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224458","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

[Social support perceived by pregnant women and associated factors: cross-sectional study in a population-based cohort]. [孕妇感知到的社会支持及其相关因素：基于人群队列的横断面研究]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.15522023

Luciana Barbosa Pereira, Sibylle Emilie Vogt, Ana Paula Ferreira Holzmann, Maria Fernanda Santos Figueiredo Brito, Marise Fagundes Silveira, Lucineia de Pinho, Carla Silvana de Oliveira E Silva

{"title":"[Social support perceived by pregnant women and associated factors: cross-sectional study in a population-based cohort].","authors":"Luciana Barbosa Pereira, Sibylle Emilie Vogt, Ana Paula Ferreira Holzmann, Maria Fernanda Santos Figueiredo Brito, Marise Fagundes Silveira, Lucineia de Pinho, Carla Silvana de Oliveira E Silva","doi":"10.1590/1413-812320242911.15522023","DOIUrl":"10.1590/1413-812320242911.15522023","url":null,"abstract":"Objective: to measure the social support perceived by pregnant women and identify factors associated with this perception.Method: epidemiological, cross-sectional and analytical study carried out with 1279 pregnant women registered in Family Health Strategies in Minas Gerais - Brazil, from 2018 to 2019. Social support was estimated using the Social Support Survey of the Medical Outcomes Study (MOS-SSS) associating it with sociodemographic, behavioral, obstetric variables and family functionality (Family Apgar). Descriptive, bivariate analysis followed by Poisson Regression with robust variance.Results: general average of social support of 79.0 and 50.7% of pregnant women reported low support, associated with: age group: 20 to 35 years PR: 1.23 [CI: 1.01-1.49]; have two or more children PR: 1.20 [CI: 1.03-1.40]; perform up to three prenatal consultations PR: 1.17 [CI: 1.01-1.36] and belong to a dysfunctional family PR: 1.90 [CI: 1.72-2.10]. The informational domain showed greater strength of association for low perception of support.Conclusion: there was a low perception of social support among pregnant women, which was associated with social, obstetric, behavioral and family characteristics. It is recommended to investigate social support in prenatal care, recognizing it as one of the pillars for comprehensive care for women's health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15522023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224463","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