Guilherme Almeida Elidio, Graziani Izidoro Ferreira, Cesar de Oliveira, Dirce Bellezi Guilhem
{"title":"[Perspectives for public policies on primary health care in South America - importance of surveillance in health].","authors":"Guilherme Almeida Elidio, Graziani Izidoro Ferreira, Cesar de Oliveira, Dirce Bellezi Guilhem","doi":"10.1590/1413-81232025305.17422024","DOIUrl":"https://doi.org/10.1590/1413-81232025305.17422024","url":null,"abstract":"","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e17422024"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224415","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 : 2025-05-01Epub Date: 2024-03-28DOI: 10.1590/1413-81232025305.08112023
Gabriela Nascimento Brugnaro, Rita de Cássia Pereira Fernandes
{"title":"Disability to work due to respiratory diseases and their risk factors: cohort study in the judiciary sector in Brazil.","authors":"Gabriela Nascimento Brugnaro, Rita de Cássia Pereira Fernandes","doi":"10.1590/1413-81232025305.08112023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.08112023","url":null,"abstract":"<p><p>Absenteeism is an indicator of disease load, therefor, its investigation contributes to worker health monitoring. Sick leave due to respiratory diseases (RD) is a frequent cause of absenteeism, especially among clerical workers, but few studies in the literature explore its risk factors. Fixed and ambispective cohort study (2011-2020) followed 2,669 judicial workers in Bahia, Brazil. Multivariable Cox regression identified first RD-related sick leave risk factors. Medical certificates were analyzed by diagnosis subgroups. Incidence rate of RD-related sick leave was 4.33/100 person-years. Women had 42% higher risk. Non-magistrates, those with more than 13 years of service, and Metropolitan Region workers had elevated risks. A total of 1,777 RD leave episodes occurred among 751 workers, totaling 5,644 absence days. Acute respiratory diseases were 83.7% of the licenses. These findings highlight RD-related absenteeism risk factors, which is essential to guide the adoption of preventive measures recommended by occupational health surveillance and to develop sustained policies for respiratory diseases prevention and health promotion.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e08112023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224427","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 : 2025-05-01Epub Date: 2024-04-13DOI: 10.1590/1413-81232025305.15052023
Gláucia Carvalho Moraes, Nelson Gouveia
{"title":"[Children's exposure to pesticides in Brazil: a scoping review].","authors":"Gláucia Carvalho Moraes, Nelson Gouveia","doi":"10.1590/1413-81232025305.15052023","DOIUrl":"10.1590/1413-81232025305.15052023","url":null,"abstract":"<p><p>The study of health impacts associated with exposure to pesticides requires assessment of exposure. The present study examined, through a scoping review, how children's exposure to pesticides has been evaluated in Brazil. The bibliographic research was carried out in the following databases: PubMed (MEDLINE), Biblioteca Virtual de Saúde (BVS), Web of Science and FSTA (Food Science and Technology Abstracts). Among the 34 studies included in this scope review, was observed that 11 used questionnaires to assess the degree of exposure to pesticides; 12 used biomarkers; 04 analyses of the presence of pesticide residues in food and 11 indirect measures of population's exposure such as information on per capita pesticide consumption. There are 04 studies that simultaneously used questionnaire and biomarker. The relevance of studies with the simultaneous use of questionnaire and biomarkers is highlighted for the establishment of exposure index and for the early identification of the potential harm to the health of a certain agent and minimization of risks. As result of this work, it encourages the advancement of science regarding the assessment of children's exposure to pesticides.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e15052023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224489","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}
Luis Fernado Reis Tavares Pais, José Luiz Barbosa Bevilacqua, José Maria Parente de Oliveira, Ricardo da Silva Santos
{"title":"[A tool for analysis of patients' travels for treating breast cancer in the Brazilian Public Health System based on the national Hospital Cancer Registry].","authors":"Luis Fernado Reis Tavares Pais, José Luiz Barbosa Bevilacqua, José Maria Parente de Oliveira, Ricardo da Silva Santos","doi":"10.1590/1413-81232025305.09622023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.09622023","url":null,"abstract":"<p><p>In Brazil, 704,000 cases of cancer have been estimated for the 2023-2025 triennium, with breast cancer being the most common type, accounting for 10.37% of the total. The organization of care networks is based on the regionalized model. However, this structure means that patients are sometimes obliged to travel long distances to receive the diagnosis and treatment. Patient displacement has been the subject of studies worldwide. In the international context, the focus is on analyzing the association between displacement and clinical outcome. On the national scene, the focus is still restricted to the characterization of displacement, and for this purpose, it uses the database of the outpatient information system (SIA-SUS). In view of the need to evaluate the use of a database that allows more detailed analysis of patient displacement, the scope of this study was to present the development of a computational tool for analyzing the displacement of patients undergoing breast cancer treatment in the SUS, using data from the Hospital Cancer Registry (RHC). The tool was developed and implemented, and, despite potential limitations, it proved to be efficient in generating information.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e09622023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224487","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 : 2025-05-01Epub Date: 2025-02-12DOI: 10.1590/1413-81232025305.02132025
Renata Meira Veras, Ráren Paulo da Silva Araújo, Vitória Batista Calmon de Passos, Mônica Lima de Jesus, Cristina Goenechea Permisán, Maricelly Gómez Vargas
{"title":"Gender-race-class intersectionality in the training of health professionals at UFBA, Brazil.","authors":"Renata Meira Veras, Ráren Paulo da Silva Araújo, Vitória Batista Calmon de Passos, Mônica Lima de Jesus, Cristina Goenechea Permisán, Maricelly Gómez Vargas","doi":"10.1590/1413-81232025305.02132025","DOIUrl":"https://doi.org/10.1590/1413-81232025305.02132025","url":null,"abstract":"<p><p>The aim of this article was to identify and analyze the presence/absence of social markers of gender, race and class in the syllabuses of health courses offered at two campuses of Universidade Federal da Bahia, in force in 2024. In the 22 courses analyzed, we identified 1,090 compulsory, open-access subjects. However, only 3.4% of the syllabuses mentioned the terms and content surrounding these markers and made up the analyzed sample. We used document analysis and submitted the syllabuses to the descending hierarchical classification analysis of the Iramuteq software. We adopted the notion of gender-race-class intersectionality as a theoretical framework. We identified six different classes, presented in a dendrogram. The majority of health courses at UFBA have not yet included the discussion of the main social markers in their curricula in a direct or even indirect way. Only a few have already faced differential discussions that problematize them as constituents for understanding health and which are reflected in professional training. This suggests a careful and urgent review of the curricula.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e02132025"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224446","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":"A sound mind in a sound body: the challenge of the 21st century.","authors":"Rosana Teresa Onocko-Campos","doi":"10.1590/1413-81232025304.20192024","DOIUrl":"https://doi.org/10.1590/1413-81232025304.20192024","url":null,"abstract":"","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e20192024"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977208","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 : 2025-04-01Epub Date: 2025-01-25DOI: 10.1590/1413-81232025304.14312024
Celia Regina Santos Cavalcanti, Soraya Soubhi Smaili, Matheus Henrique Citibaldi, Caio Vinicius Luis, Pedro Fiori Arantes, Vanessa Moreira Sígolo, Mauricio Moura, Debora Foguel, Arthur Chioro, Pilar T Vera Florentino
{"title":"Public perception of the persistence of COVID-19 symptoms and potential strategies to address Long COVID.","authors":"Celia Regina Santos Cavalcanti, Soraya Soubhi Smaili, Matheus Henrique Citibaldi, Caio Vinicius Luis, Pedro Fiori Arantes, Vanessa Moreira Sígolo, Mauricio Moura, Debora Foguel, Arthur Chioro, Pilar T Vera Florentino","doi":"10.1590/1413-81232025304.14312024","DOIUrl":"https://doi.org/10.1590/1413-81232025304.14312024","url":null,"abstract":"<p><p>Long COVID is characterized by symptoms that persist for more than 12 weeks after a SARS-CoV-2 infection. This study investigated public perceptions of long COVID in Brazil. Interviews were conducted with 1,295 participants selected based on variable quotas, according to the population distribution in each region of the country, using data from the 2021 National Household Sample Survey (PNAD) and the 2010 IBGE Census. The findings revealed that 40.6% reported having had COVID-19 between 2020 and 2023, with 33.4% experiencing persistent symptoms for at least three months. The most common symptoms included fatigue (44.6%), headache (43.7%), hair loss (40.9%), memory loss (34.7%), and difficulty concentrating (28.7%). The study highlights that Brazilians are unaware of the correlation between these symptoms and the acute phase of the disease. By increasing public awareness of the issue, society becomes more capable of demanding better healthcare services for long COVID and insisting on effective policies. The importance of social education on this topic is fundamental to improving the healthcare system.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e14312024"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989473","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 : 2025-04-01Epub Date: 2024-02-25DOI: 10.1590/1413-81232025304.06692023
Milena Lima de Moraes, Iván Darío Castañeda Urrego, Gil Robert Romero
{"title":"Waist circumference cut-off points for the definition of metabolic syndrome in older adults: SABE Colombia study.","authors":"Milena Lima de Moraes, Iván Darío Castañeda Urrego, Gil Robert Romero","doi":"10.1590/1413-81232025304.06692023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.06692023","url":null,"abstract":"<p><p>We aimed to define sex-specific waist circumference cut-off points for Colombian older adults that best predict metabolic syndrome using data obtained in the \"Survey on Health, Well-Being, and Aging in Colombia\" (SABE Colombia study). A total of 3,812 non-institutionalized older adults aged 60 years or more were studied. Participants with two or more of International Diabetes Federation criteria for the definition of metabolic syndrome were classified as high risk. The optimal cut-off point was analyzed by sex. Waist circumference demonstrated a good predictive capacity in the Colombian older adult population (AUC for men 0.71 and women 0.66). The most adequate cut-off point for waist circumference for the definition of metabolic syndrome was 91 cm for both sexes. We propose the use of 91 cm waist circumference as the cut-off point to be used for the definition of metabolic syndrome for older Colombian adults and older adults from Latin America (while there is a lack of specific studies for the last). The cut-off points recommended by the International Diabetes Federation and the National Cholesterol Education Program Adult Treatment Panel III are not supported by the present study of a significant sample of the Colombian older adult population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e06692023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967918","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 : 2025-04-01Epub Date: 2024-03-01DOI: 10.1590/1413-81232025304.09102023
Laura Moreira Goularte, Betina Daniele Flesch, Maitê Peres de Carvalho, Ana Laura Sica Cruzeiro Szortyka, Felipe Mendes Delpino, Anaclaudia Gastal Fassa
{"title":"[Factors associated with health workers' quality of diet during the fight against the COVID-19 pandemic].","authors":"Laura Moreira Goularte, Betina Daniele Flesch, Maitê Peres de Carvalho, Ana Laura Sica Cruzeiro Szortyka, Felipe Mendes Delpino, Anaclaudia Gastal Fassa","doi":"10.1590/1413-81232025304.09102023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.09102023","url":null,"abstract":"<p><p>The study characterized the quality of the diet of healthcare workers at a teaching hospital in Pelotas-RS, Brazil, after the first peak of the COVID-19 pandemic, between October and December 2020. A cross-sectional study was conducted with 1,159 hospital workers, assessing their food frequency in the last week and examining the association between sociodemographic, behavioral, and occupational factors and the Diet Quality Index using multinomial logistic regression. Female respondents (OR = 1.58), those aged 50 or older (OR = 3.70), with more years of schooling (OR = 1.32), and physically active individuals (OR = 5.37) had better diet quality. Conversely, those with high alcohol consumption (OR = 0.39), support workers (security, cleaning, and maintenance) (OR = 0.36), and those who ate their meals on the street (restaurants, snack bars) (OR = 0.40) had poorer diet quality. During the pandemic, 48.7% reported weight gain, 25% reported a deterioration in diet quality, and 43.1% reported an increase in the quantity of food consumed. The prevalence of overweight was 63.4%. Workers consumed both healthy and unhealthy foods, and the pandemic negatively impacted diet quality.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e09102023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982216","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 : 2025-04-01Epub Date: 2024-04-09DOI: 10.1590/1413-81232025304.19072023
Richard Miskolci, Fernando Sanches de Oliveira, Flávia do Bonsucesso Teixeira, Keila Deslandes, Pedro Paulo Gomes Pereira
{"title":"[What a basic health unit can offer to LGBTI+ people?]","authors":"Richard Miskolci, Fernando Sanches de Oliveira, Flávia do Bonsucesso Teixeira, Keila Deslandes, Pedro Paulo Gomes Pereira","doi":"10.1590/1413-81232025304.19072023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.19072023","url":null,"abstract":"<p><p>Based on interviews with health professionals that work in primary healthcare in the city of São Paulo (Brazil), this paper identifies: 1) how the professionals describe LGBTI+ people and their health demands; 2) how they evaluate their education to deal with this segment; 3) which are the main obstacles to provide services to them; and 4) how they describe the healthcare provided to LGBTI+ people. Through Foucauldian discourse analysis and sources of sociology of medicine the research identified the preponderance of the anatomopathological gaze in the recognition of the LGBTI+ segment, a negative evaluation of previous education to deal with this population, the persistence of obstacles to provide healthcare to this segment, and the perception that service provided for these people is still deficient. The conclusion is that the hegemony of the biomedical model and the imperative of practical training create obstacles to provide comprehensive healthcare to the LGBTI+ population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e19072023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961337","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}