Ciencia & saude coletivaPub Date : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.14892024
Leandro Quadro Corrêa, Bruno Pedrini de Almeida, Suzana Oliveira Santos, Sthefanie Costa Espírito Santo, João Vinícios Tavares de Souza, Denis de Ávila Pereira, Cleber da Silva Oliveira Júnior, Camilly Luisi Costa Furtado, Samuel de Carvalho Dumith, Michael Pereira da Silva
{"title":"Concerns and emotions related to climate change and students' mental health before and after the floods in Rio Grande do Sul, Brazil.","authors":"Leandro Quadro Corrêa, Bruno Pedrini de Almeida, Suzana Oliveira Santos, Sthefanie Costa Espírito Santo, João Vinícios Tavares de Souza, Denis de Ávila Pereira, Cleber da Silva Oliveira Júnior, Camilly Luisi Costa Furtado, Samuel de Carvalho Dumith, Michael Pereira da Silva","doi":"10.1590/1413-81232026319.14892024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.14892024","url":null,"abstract":"<p><p>This study aimed to assess the association between concern and negative emotions about climate change and mental health among students in Rio Grande, Rio Grande do Sul, Brazil, before and after the 2024 flood. A quantitative, single-group pre-post design was used. The outcomes were concerned about climate change and negative emotions or thoughts that harmful events may occur due to climate change (yes/no). Mental health was assessed using the Depression, Anxiety, and Stress Scale for Adolescents. Adjusted linear regression analyses were performed, with results expressed as beta coefficients and 95%CIs. Increases were observed from pre- to post-event in concern, negative emotions, depression, anxiety, and stress. Depression scores increased significantly among those concerned about climate change before and after the flood, and depression and anxiety scores rose among those with negative emotions. Students showed increased climate-related concern and emotional distress, along with worsened mental health, following the extreme event.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e14892024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191290","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.05722024
Michele Gabriela Schmidt, Juvenal Soares Dias da Costa, Maria Teresa Anselmo Olinto, Vera Maria Vieira Paniz
{"title":"[Trazodone beyond approved indications: consumption trends in Brazilian states and the Federal District, 2014-2021].","authors":"Michele Gabriela Schmidt, Juvenal Soares Dias da Costa, Maria Teresa Anselmo Olinto, Vera Maria Vieira Paniz","doi":"10.1590/1413-81232026319.05722024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.05722024","url":null,"abstract":"<p><p>Ecological study aimed to determine the consumption of low-dose trazodone (unlicensed/off label) in the Brazilian macro-regions, states, and the Federal District, to monitor the trend between the years 2014 and 2021, and to evaluate the relationship with health indicators. Data collection on the dispensation of manipulated trazodone was carried out through the National System for the Management of Controlled Products, considering low-dose prescriptions from 0.001 to 49.999mg. The calculation of consumption used the population estimates of the IBGE. The observed trends were classified as increasing, stable or decreasing, with a confidence interval of 95% and a significance level of 5%. The results showed higher consumption coefficients in the region: Southeast, Northeast, North, South and Midwest and a positive relationship between the number of physicians and magistral pharmacies with the consumption of off-label trazodone. Was increasing consumption in four states, stationary consumption in 23 and absence of decreasing coefficients. Despite limited evidence regarding the off-label consumption of trazodone, a sharp increase was observed in 2021 in all Brazilian macro-regions, with higher consumption in the Southeast and a positive relationship with the number of doctors and magistral pharmacies.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e05722024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191759","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}
{"title":"Evolution of dental procedures in Brazil: an analysis of the last cycles of PMAQ-AB.","authors":"Maria Tereza Abreu Scalzo, Mauro Henrique Nogueira Guimarães Abreu, Juliana Vaz Melo Mambrini, Suellen Rocha Mendes, Antônio Thomaz Gonzaga Matta-Machado, Renata Castro Martins","doi":"10.1590/1413-81232026319.16662024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.16662024","url":null,"abstract":"<p><p>The aim was to compare the performance of the oral health teams participating in the 2nd and 3rd cycles of the PMAQ-AB. A longitudinal study with data from the external evaluation phase of the second (18,115 OHT) and the third (22,994) cycles of PMAQ-AB was carried out. The OHT participating in the two cycles were matched using the National Team Identifier, resulting in a sample of 15,734 OHT. Eleven procedures related to preventive, surgical-restorative, prosthetic, and oral cancer prevention or diagnosis procedures were selected and analyzed by a questionnaire. Item response theory estimated the performance scores of the OHT based on the items. The Wilcoxon test (p ≤ 0.05) was used to compare the OHT performance between cycles. The mean score in Brazil went from -0.125 (2nd cycle) to 0.149 (3rd cycle). In the North, the average score went from -0.429 to -0.237; Northeast from -0.203 to 0.222; Midwest from -0.259 to 0.007; South from 0.011 to 0.114; Southeast from 0.067 to 0.199, with a greater difference between cycles in the Northeast, Midwest, and North. Brazil and the Brazilian regions showed improvement in the scores between the two cycles analyzed, with regional differences.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e16662024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191585","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.11282024
Fabiana Godoy, Jakelline Raposo, Valdenice Menezes, Viviane Colares, Carolina da Franca
{"title":"Association among bullying, cyberbullying, and malocclusion in teenagers.","authors":"Fabiana Godoy, Jakelline Raposo, Valdenice Menezes, Viviane Colares, Carolina da Franca","doi":"10.1590/1413-81232026319.11282024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.11282024","url":null,"abstract":"<p><p>Malocclusion may affect adolescents' sociability and may be associated with school violence. This study aimed to analyze the association between malocclusion, bullying, and cyberbullying among teenagers. The cross-sectional study was conducted with 801 adolescents aged 14 to 19 from public schools in Olinda, Brazil. Data were collected using a self-administered questionnaire based on the Youth Risk Behavior Survey and a clinical intraoral examination following Moyers' criteria. A logistic regression model was adjusted for each dependent variable, including only those variables that showed a significant association (p-value ≤ 0.20) in the bivariate analysis. The statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) for Windows. Most of the participants were females aged 14 to 16, with a family income of up to one minimum wage. Nearly 40% had class II malocclusion, 20% reported bullying, and 10% cyberbullying. Adolescents with anterior open bite had a higher likelihood of being bullied (OR: 2.9; CI: 1.4-6.2). It was concluded that malocclusion with facial impact is associated with bullying but not with cyberbullying.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e11282024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191694","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.07372024
Rodrigo Meirelles, Aurea Maria Zöllner Ianni
{"title":"[Digital social networks and social participation in the Brazilian public health system (SUS): reflections about sociopolitical transformations and contemporary challenges in health].","authors":"Rodrigo Meirelles, Aurea Maria Zöllner Ianni","doi":"10.1590/1413-81232026319.07372024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.07372024","url":null,"abstract":"<p><p>This paper examines the emergence of a new exercise and participatory practice in health linked to the development of information and communication technologies (ICTs), especially digital social networks, based on the experiences of municipal health managers in the Greater ABC region of São Paulo. Empirical research was conducted through semi-structured interviews with managers from the cities of Diadema, Mauá, Ribeirão Pires, Santo André, and São Caetano do Sul, between September 2019 and February 2020. The analysis of the material allowed the identification of the development of a new participatory exercise within the scope of digital social networks which, being outside the institutional arenas of the State, changes the rules of the democratic game and the ways in which decision-making and health policy are conducted in the region. This new participatory exercise represents, in a reflective manner, a crisis of the original premises of the democratic issue in health, while also enabling its reinvention through other means, forms, and places.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e07372024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191756","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.19872024
Ana Lúcia Danielewicz, Bruno Prates Freitas, Bruno de Souza Moreira, Elaine Cristina Lopes, Rafaela Aguiar Rosa, Maria Fernanda Lima-Costa, Núbia Carelli Pereira de Avelar
{"title":"[Sarcopenia, obesity, and limitations in daily activities in older adults from Elsi-Brazil: recommendations from the Sarcopenia Definition and Outcomes Consortium].","authors":"Ana Lúcia Danielewicz, Bruno Prates Freitas, Bruno de Souza Moreira, Elaine Cristina Lopes, Rafaela Aguiar Rosa, Maria Fernanda Lima-Costa, Núbia Carelli Pereira de Avelar","doi":"10.1590/1413-81232026319.19872024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.19872024","url":null,"abstract":"<p><p>This study aimed to investigate the associations between isolated sarcopenia and its combination with general and abdominal obesity, stratified by sex, with limitations in basic (BADL) and instrumental (IADL) activities of daily living among Brazilian older adults. A cross-sectional study was conducted with 6,874 older adults (≥ 60 years) from the second wave of the Brazilian Longitudinal Study of Aging (2019-2021). Sarcopenia was defined according to the criteria of the Sarcopenia Definition and Outcomes Consortium, which involves the concomitant presence of low gait speed and low handgrip strength, analyzed both in isolation and combined with general and abdominal obesity. The outcomes were self-reported difficulties in performing at least one BADL and one IADL. There were higher odds of BADL limitations only among women with sarcopenia and general obesity (OR: 3.37; 95%CI: 1.47-7.71) and sarcopenia and abdominal obesity (OR: 2.59; 95%CI: 1.16-5.76). For IADL, higher odds were observed in women with sarcopenia without general obesity (OR: 2.08; 95%CI: 1.59-2.71) and without abdominal obesity (OR: 2.14; 95%CI: 1.56-2.94) and with sarcopenia and general obesity (OR: 2.52; 95%CI: 1.64-3.87) and sarcopenia and abdominal obesity (OR: 2.46; 95%CI: 1.59-3.79); in men with sarcopenia without general obesity (OR: 2.49; 95%CI: 1.67-3.73) and without abdominal obesity (OR: 2.50; 95%CI: 1.48-4.22), and in those with sarcopenia and general obesity (OR: 2.23; 95%CI: 1.01-4.91) and sarcopenia and abdominal obesity (OR: 2.52; 95%CI: 1.30-4.90).</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e19872024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191780","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.08252024
Lucas Reis Felício, Cristina Mariano Ruas, Sarah Nascimento Silva
{"title":"Access to antipsychotic in Brazil: using risk management to assess changes in pharmaceutical services.","authors":"Lucas Reis Felício, Cristina Mariano Ruas, Sarah Nascimento Silva","doi":"10.1590/1413-81232026319.08252024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.08252024","url":null,"abstract":"<p><p>The treatment of schizophrenia is essential for patients' quality of life and relies on the continuous use of antipsychotics provided by the Brazilian Unified Health System (SUS). This study aimed to compare the processes that affect access to antipsychotics across different components of pharmaceutical services (PS) using risk management. The risk management methodology applied establishes risk levels, from very low to very high, based on the combination of probability and impact scales, following consecutive stages from context understanding to risk treatment. A total of 20 risk events were identified within the stages of the PS cycle. Both components show high and very high risks that need to be mitigated, with 12 in the basic component (60%), 11 in the specialized component (55%), and seven shared between the two. The component comparison indicates that both require risk mitigation and have opportunities for improvement; thus, the maintenance or transition of antipsychotics between components should be guided by the capacity to mitigate PS management risks, along with other local context criteria. Risk management proved useful in discussing medication access and guiding decision-making in PS management.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e08252024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191735","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.06792024
Ramiro Januário Dos Santos Neto, Deisy de Freitas Lima Ventura
{"title":"[Securitisation of health and the production of neglect: the case of the United Nations Mission for Ebola Emergency Response (2014-2015)].","authors":"Ramiro Januário Dos Santos Neto, Deisy de Freitas Lima Ventura","doi":"10.1590/1413-81232026319.06792024","DOIUrl":"10.1590/1413-81232026319.06792024","url":null,"abstract":"<p><p>This study aims to analyze the international community's response to the health crisis caused by the Ebola virus outbreak in West Africa (2014-2015), addressed through the establishment of the United Nations Mission for Ebola Emergency Response (UNMEER). This unprecedented mission resulted from a process of securitisation of Ebola by the United Nations, in that it transformed the response to the disease into a form of threat containment through immediate medical care, rather than addressing the socioeconomic factors related to the emergence and recurrence of the illness. Through a narrative literature review on the securitisation of health within Critical Security Studies, as well as documentary research on the international response to Ebola, this research concludes that the securitisation of the disease resulted in neglectful outcomes in the international community's response to the outbreak, failing to reduce vulnerabilities faced by affected populations.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e06792024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191766","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.17712024
Eliane Oliveira de Andrade Paquiela, Julia Santos Silva, Eluana Borges Leitão de Figueiredo, Fabiana Ferreira Koopmans, Ricardo de Mattos Russo Rafael, Alessandra Sant'Anna Nunes, Ândrea Cardoso de Souza
{"title":"Women living on the street: an intersectional analysis of their ways of living and the support network they build for themselves.","authors":"Eliane Oliveira de Andrade Paquiela, Julia Santos Silva, Eluana Borges Leitão de Figueiredo, Fabiana Ferreira Koopmans, Ricardo de Mattos Russo Rafael, Alessandra Sant'Anna Nunes, Ândrea Cardoso de Souza","doi":"10.1590/1413-81232026319.17712024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.17712024","url":null,"abstract":"<p><p>The aim of this study was to analyze the ways of living and support networks that women living on the streets build for themselves. We conducted a qualitative exploratory study incorporating ethnographic elements with women living on the streets in Rio de Janeiro. The data were analyzed in three stages: contact with the study setting; meetings with women living on the streets during the work undertaken by a mobile clinic; and processing/analysis of the women\"s experiences. The following thematic categories were identified: \"intersectionalities and the lives of women on the streets\", \"broken networks that cause suffering to women living on the streets\"; and \"support networks that women living on the streets build for themselves\". The findings reveal the effects of racism, patriarchy, class oppression and other interconnected oppressions that cause suffering, highlighting the construction of support networks promoted by the experiences of living on the street. Drawing on the concept of intersectionality, it was possible to reflect on the need to understand the forms of oppression that traverse women\"s bodies to provide care oriented towards social justice.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e17712024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191664","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 : 2026-10-09eCollection Date: 2026-01-01DOI: 10.1590/1413-81232026319.19612024
Natália Gomes Pimenta, Claudia Leite de Moraes, Michael Eduardo Reichenheim, Emanuele Souza Marques
{"title":"Exposure to intimate partner violence and overweight among children aged six to thirty months.","authors":"Natália Gomes Pimenta, Claudia Leite de Moraes, Michael Eduardo Reichenheim, Emanuele Souza Marques","doi":"10.1590/1413-81232026319.19612024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.19612024","url":null,"abstract":"<p><p>The objective of this article is to investigate the relationship between intimate partner violence (IPV) and overweight in children aged six to thirty months. We conducted a cross-sectional population-based study in Campos Elíseos, Duque de Caxias, Rio de Janeiro, Brazil. IPV was measured using the Brazilian version of the Revised Conflict Tactics Scale (CTS2) and nutritional status was assessed using BMI-for-age z-scores calculated using the Anthro software package. Multivariate logistic regression was used to analyze the relationships of interest. Approximately 52% of children were overweight. Physical IPV against women increased the odds of childhood overweight by 1.7 times (95%CI: 1.01-1.20). Exposure to psychological and physical violence between the couple increased the odds by 1.1 times (95%CI: 1.01-1.20) and 1.4 times (95%CI: 1.16-1.61), respectively. With regard to cumulative violence, the likelihood of overweight increased with the increasing number of violence acts experienced (ORIPV against women: 2.60; 95%CI: 1.34-5.03; ORIPV between couple: 2.53; 95%CI: 1.22-5.28). The findings suggest that IPV influences overweight in children, reinforcing the need for multidisciplinary approaches and interventions to mitigate violence and protect children's nutritional status.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e19612024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191636","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}