Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.02582024
Andréia Ferreira Dos Santos, Lana Veras
{"title":"[Lesbian and bisexual students in medical training: narratives of a trajectory].","authors":"Andréia Ferreira Dos Santos, Lana Veras","doi":"10.1590/1413-812320242911.02582024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.02582024","url":null,"abstract":"<p><p>In a contemporaneity world in which it is imperative to be happy, investigating experiences of suffering, from an ethical-political standpoint, proves to be indispensable. The focus on gender and sexuality is justified by the current conquests and upsurges related to feminism and the LGBT+ population. In this respect, analyzing the experiences of lesbian and bisexual students in medical training can be a strategy for observing the dynamics that affect their individualities in their university career and in the production of health care. This narrative research aims to provide a space for listening, expressing and recording of the narratives of lesbian and bisexual students enrolled in medical courses in Piauí. Eleven students were interviewed and their narratives were analyzed in the light of critical hermeneutics. The study revealed the elimination of lesbian and bisexual sexuality in medical training and the subjective and sociopolitical consequences of this, the urgent need to improve public health policies and the effects of cisheteronormativity on the expected profile for medical professionals.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e02582024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343748","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.02752025
Ana Lúcia Ferreira
{"title":"Transition from adolescent care to young adult care.","authors":"Ana Lúcia Ferreira","doi":"10.1590/1413-812320242911.02752025","DOIUrl":"https://doi.org/10.1590/1413-812320242911.02752025","url":null,"abstract":"","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e02752025"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343848","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.14172024
Deborah Carvalho Malta, Crizian Saar Gomes, Alanna Gomes da Silva, Juliana Bottoni de Souza, Évelin Angélica Herculano de Morais, Paula Carvalho de Freitas, Laura de Souza Cury, Adriana Carvalho, Georgia Albuquerque
{"title":"Temporal analysis of the prevalence of chronic noncommunicable diseases and risk and protective factors by schooling level from 2006 to 2023.","authors":"Deborah Carvalho Malta, Crizian Saar Gomes, Alanna Gomes da Silva, Juliana Bottoni de Souza, Évelin Angélica Herculano de Morais, Paula Carvalho de Freitas, Laura de Souza Cury, Adriana Carvalho, Georgia Albuquerque","doi":"10.1590/1413-812320242911.14172024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.14172024","url":null,"abstract":"<p><p>The aim is to analyze the trends in the prevalence of selected indicators of morbidity and risk and protective factors for non-communicable diseases (NCDs) in the Brazilian adult population between 2006 and 2023, according to education levels. This is a time-series study using data from the Risk and Protective Factors Surveillance System for Chronic Diseases by Telephone Survey. A linear regression model was used for trend analysis, and Poisson regression was applied to assess differences in 2023. A declining trend was observed in the prevalence of smoking and bean consumption, while an increasing trend was found in leisure-time physical activity, overweight, obesity, hypertension, and diabetes across all educational levels. Excessive alcohol consumption, intake of fruits and vegetables, consumption of protective foods, and physical activity were higher among those with higher education levels. Conversely, more educated populations presented lower prevalence rates of smoking, bean consumption, insufficient physical activity, hypertension, and diabetes were observed in this group.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e14172024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343880","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.09862023
Neilzo Nunes Oliveira, Nayara Gomes Nunes Oliveira, Darlene Mara Dos Santos Tavares
{"title":"Functional disability of older adult's women and men with self-reported cataract: structural equation modeling.","authors":"Neilzo Nunes Oliveira, Nayara Gomes Nunes Oliveira, Darlene Mara Dos Santos Tavares","doi":"10.1590/1413-812320242911.09862023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.09862023","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the factors directly and indirectly associated with the functional disability of older women and men with cataracts.</p><p><strong>Methods: </strong>cross-sectional study carried out among 302 women and 142 elderly men with self-reported cataracts living in a health macro-region in Minas Gerais. Structural equation modeling was performed through path analysis (p<0.05).</p><p><strong>Results: </strong>in the groups, the lowest cognitive ability (p<0.001; p=0.001) and the highest number of compromised components of the frailty phenotype (p<0.001; p<0.001) were directly associated with functional disability. In older women, there was a direct association with the outcome of worse physical performance (p<0.001) and greater sedentary behavior (p<0.001), and in men, the greater number of depressive symptoms (p<0.001). As for the indirect ones, an association between lower education, mediated by lower cognitive capacity, and functional disability was identified in both groups (p<0.001).</p><p><strong>Conclusion: </strong>regardless of gender, functional disability is associated with worse cognitive ability and the frailty syndrome; specifically, among older women, the outcome was associated with physical and behavioral conditions; among men, to the presence of depressive symptoms.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e09862023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343914","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.18252023
Lucas Paulo de Souza, Bruna Lixinski Diniz, João Gabriel Toledo Medeiros, Giovani Basso da Silva, Paulo Ricardo Gazzola Zen
{"title":"Quality of life of adolescent, children and young adults with neurofibromatosis type 1: a scoping review.","authors":"Lucas Paulo de Souza, Bruna Lixinski Diniz, João Gabriel Toledo Medeiros, Giovani Basso da Silva, Paulo Ricardo Gazzola Zen","doi":"10.1590/1413-812320242911.18252023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.18252023","url":null,"abstract":"<p><p>Neurofibromatosis Type 1 (NF1) is a phakomatosis with an autosomal dominant inheritance pattern. The clinical expression of the disorder and its associated complications exhibit marked variability. The aim is to map the key concepts and findings related to the quality of life of children, adolescents, and young adults with Neurofibromatosis Type 1, and to identify gaps in the existing body of literature on this topic. The literature search was performed across multiple databases, including PubMed/MEDLINE, EMBASE, Web of Science, LILACS, CINAHL, Open Grey, and Google Scholar. Eligible studies were selected and evaluated for methodological quality using the Checklist for Analytical Cross-Sectional Studies. Thirty-nine records were screened for eligibility by two independent reviewers. Of these, eight studies met the predefined inclusion criteria and were included in the final review. Neurofibromatosis Type 1 is a complex disorder characterized by a wide range of comorbidities, which directly impact the quality of life of affected individuals. Intervention studies focused on improving quality of life are essential to support and enhance well-being in this population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e18252023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343943","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.06862024
Dilene Francisco Constancio, Martha Cristina Nunes Moreira, Marcelo de Abreu Maciel
{"title":"[Embarassments between living and care in adolescents with type 1 diabetes mellitus: a theoretical essay].","authors":"Dilene Francisco Constancio, Martha Cristina Nunes Moreira, Marcelo de Abreu Maciel","doi":"10.1590/1413-812320242911.06862024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.06862024","url":null,"abstract":"<p><p>In this theoretical essay we seek to problematize the poles of opposition \"living vs. caring\" in the experience of care for adolescents with type 1 diabetes mellitus. It is in the experience of chronicity as a critical category of social and human sciences in collective health that we locate our lenses. Based on Erving 's Embarrassment Perspective Goffman and logics of care with Annemarie Mol, we revisit qualitative productions of articles published from 2001 to 2021 in three databases. We triangulate the experience with research in the field of chronicity, with the bibliographic review and the authors that we theoretically use. Our argument is that DM1 must be located as an illness experience, within the scope of the chronicity of \"living with\", the grammars of care, the management of stigmas, the vocabularies and management of technologies to monitor symptoms and resort to possible networks. The objective of the essay is to problematize the poles of living x caring, linking this purpose to our theoretical reflection. Caring for an adolescent cannot do without political discussion, since asymmetries and inequalities dialogue with the social location of the subjects and with adult-centric structures that produce barriers to care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e06862024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343830","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.05642024
Greice Kely Oliveira de Souza, Rosely Cabral de Carvalho, Sinara de Lima Souza, Jaciele Dos Santos Lima, Vivian Ranyelle Soares de Almeida, Givanildo da Silva Nery
{"title":"[Violence in intimate relationships among young university students: theoretical reflections in the light of bioecological analysis].","authors":"Greice Kely Oliveira de Souza, Rosely Cabral de Carvalho, Sinara de Lima Souza, Jaciele Dos Santos Lima, Vivian Ranyelle Soares de Almeida, Givanildo da Silva Nery","doi":"10.1590/1413-812320242911.05642024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.05642024","url":null,"abstract":"<p><p>Violence in intimate relationships is considered a serious health, social and relational problem, since its forms and consequences directly prejudice the human rights and health of the people involved and are not restricted to the context of conjugal violence. The scope of this article is to present the contributions of the Bioecological Theory of Human Development in the analysis of violence in intimate relationships among young university students. It was possible to reflect on the triad: youth, violence and intimate relationships, as a set of social relationships, considering the contextual influences, historical and political processes that constitute a subjectivity in the world. In view of the theoretical model of the diagram of Urie Bronfenbrenner's theory, the levels of the environment of a university community and the more distal points may be related to IRV, and the demographic and socioeconomic characteristics of the young person and their partner were revealed. In this manner, it is possible to observe the importance of theoretical reflections from the ecological environment on the subject, in the sense of understanding it as a complex, multi-causal phenomenon that is interconnected and connected with violence in intimate relationships.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e05642024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343831","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.18922023
Beatriz Gouveia Moura, Clara Cecília Ribeiro de Sá, Jucelir Dos Santos, Eduardo Augusto Fernandes Nilson, Luciene Burlandy, Inês Rugani Ribeiro de Castro, Andhressa Fagundes, Silvia Maria Voci
{"title":"[Contribution of the Food and Nutritional Surveillance to Food and Nutritional Security: a qualitative and quantitative study].","authors":"Beatriz Gouveia Moura, Clara Cecília Ribeiro de Sá, Jucelir Dos Santos, Eduardo Augusto Fernandes Nilson, Luciene Burlandy, Inês Rugani Ribeiro de Castro, Andhressa Fagundes, Silvia Maria Voci","doi":"10.1590/1413-812320242911.18922023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.18922023","url":null,"abstract":"<p><p>The objective of this study was to know the perception of the actors involved about the contributions of the Food and Nutritional Surveillance (VAN in portuguese) for the policies and public actions of Food and Nutritional Security (SAN in portuguese), having the Food Sovereignty of the peoples as a principle. The research was cross-cutting exploratory, with questionnaires being applied to managers, researchers and members of civil society organizations operating at the VAN and/or SAN. The responses were systematized via Microsoft Excel® and Statistical Package for the Social Sciences and analyzed descriptively and using thematic content analysis proposed by Bardin. 142 actors participated, mostly women active in nutrition and at the local level. As a result, the potential of the VAN to provide visibility to different Brazilian territories was highlighted. As challenges, political inertia and a lack of articulation and awareness among professionals working on the agendas were mentioned. Strengthening the participation of civil society and the broad dissemination of information were suggested strategies. VAN's contribution to SAN policies is recognized and the reported setbacks provide a basis for implementing measures to advance the integration between health and SAN.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e18922023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343683","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.01612024
Gisela da Costa Mascarenhas, Joana Angélica Oliveira Molesini, Maria Célia Delduque, Sandra Mara Campos Alves, Ximena Pamela Claudia Díaz Bermúdez
{"title":"[The criteria for the apportionment of financial resources in the SUS to reduce regional inequalities: a normative analysis].","authors":"Gisela da Costa Mascarenhas, Joana Angélica Oliveira Molesini, Maria Célia Delduque, Sandra Mara Campos Alves, Ximena Pamela Claudia Díaz Bermúdez","doi":"10.1590/1413-812320242911.01612024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.01612024","url":null,"abstract":"<p><p>Brazilian legislation establishes that the federative allocation of financial resources should be based on the search for regional equity to overcome social inequalities. The objective of this study is the documentary analysis of the criteria for allocation of financial resources of the SUS.</p><p><strong>Methodology: </strong>The 13 legislative and infralegislative frameworks, published between 1988 and 2023, available in three official databases, were used.</p><p><strong>Results: </strong>Intra-textual incoherence and inter-textual disarticulations were found that impact the calculation of the values for decentralized financing of the SUS.</p><p><strong>Conclusions: </strong>In the period studied, the apportionment of resources did not meet the criteria defined in the constitutional and infra-constitutional provisions. Once the legal criteria were selected, the infralegal norms were normative substitutes for calculating the amount to be decentralized, mainly in the form of incentives.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e01612024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343782","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}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.14942023
Leonardo Henriques Portes, Mariana Coutinho Marques de Pinho, Vera Luiza da Costa E Silva, Silvana Rubano Barretto Turci, Cristiani Vieira Machado, Cristiane Almeida Pires Tourinho
{"title":"Tobacco Control Policy in Brazil from 2016 to 2022: continuities, setbacks and challenges.","authors":"Leonardo Henriques Portes, Mariana Coutinho Marques de Pinho, Vera Luiza da Costa E Silva, Silvana Rubano Barretto Turci, Cristiani Vieira Machado, Cristiane Almeida Pires Tourinho","doi":"10.1590/1413-812320242911.14942023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.14942023","url":null,"abstract":"<p><p>Smoking persists as an important public health problem. Brazil is considered an international reference, with tobacco control actions implemented four decades ago. This study seeks to carry out an assessment of the National Tobacco Control Policy from 2016 to 2022 through a predominantly qualitative nature with contributions from political economy and public policy analysis. During this period, Brazil maintained the bases of the Policy and its international recognition. However, the weakening of its governmental coordination was observed due to an unfavorable political context that was markedly neoliberal. To face adversities, the institutionality of the Policy and the resistance of governmental and non-governmental actors committed to tobacco control in the country should be highlighted. Strengthening tobacco control policies is essential to protect the population's health and promote a healthier lifestyle.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e14942023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343905","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}