Ciencia & saude coletiva最新文献_第10页

Democracy, citizenship and health in Brazil: challenges to strengthening the Unified Health System (SUS). 巴西的民主、公民权和卫生：加强统一卫生系统（SUS）的挑战。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-12 DOI: 10.1590/1413-81232024297.02192024

Cristiani Vieira Machado

{"title":"Democracy, citizenship and health in Brazil: challenges to strengthening the Unified Health System (SUS).","authors":"Cristiani Vieira Machado","doi":"10.1590/1413-81232024297.02192024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.02192024","url":null,"abstract":"Relations among democracy, citizenship and health have shaped the Unified Health System (SUS) over the past four decades. Until 2016, democracy was strengthened and social rights extended, despite structural difficulties, conflicts between projects, and unevenly over time. The SUS has allowed advances in access and improvements to health conditions. Between 2016 and 2022, there were significant reversals in economic, social, and health policies. Since 2020, the situation has been aggravated by the multidimensional crisis associated with the COVID-19 pandemic. The work of the SUS, universities and public scientific institutions was fundamental in tackling the crisis. From 2023 onwards, Brazil has faced enormous challenges in restoring a democratic national project focused on social welfare. Strengthening the SUS depends on the character of social policies and democracy, and on transforming relations among State, market and society, to overcome constraints that have persisted even during progressive governments. The SUS, a universal policy rooted in a broad concept of health and democratic values, is fundamental to establishing a pattern of development aimed at reducing inequalities and building a more just society.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02192024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491116","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 network of families involved in child neglect: building a multidimensional perspective. 涉及忽视儿童的家庭的社会网络：构建多维视角。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-26 DOI: 10.1590/1413-81232024297.03132024

Fabiano Henrique Oliveira Sabino, Ana Paula de Miranda Araújo Soares, Ingrid Pacheco, Nathalia Vitória de Carvalho Martinez, Maísa Rodrigues Françoloso, Diene Monique Carlos

{"title":"Social network of families involved in child neglect: building a multidimensional perspective.","authors":"Fabiano Henrique Oliveira Sabino, Ana Paula de Miranda Araújo Soares, Ingrid Pacheco, Nathalia Vitória de Carvalho Martinez, Maísa Rodrigues Françoloso, Diene Monique Carlos","doi":"10.1590/1413-81232024297.03132024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03132024","url":null,"abstract":"Neglect is one of the most frequently reported forms of violence against children and adolescents, although it has rarely been explored in national studies. In this light, the present study aimed to analyze the personal social network of families involved in negligence against children and adolescents. This work takes a qualitative approach, anchored in the Paradigm of Complexity, conducted with twenty families involved in negligence against children and adolescents in a municipality in the countryside of the state of São Paulo, Brazil. Data collection took place through minimal maps of the personal social network and semi-structured interviews in January 2021. The networks were limited, with little to no interaction among the different services and sectors, and were predominantly homogeneous. Because they have many weakened ties, they are relatively unsupportive, pointing out difficulties in access to work, education, and health. Due to the characteristics of the network, the complexity of the phenomenon of neglect was identified, in which elements condition and perpetuate experiences of absence and fragility. Interprofessional and intersectoral views and actions are requested and recommended.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03132024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491066","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

When dissident bodies proclaim their places as dissonant bodies. 当持不同政见的躯体宣称自己是不和谐的躯体时。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2023-12-20 DOI: 10.1590/1413-81232024297.05962023

Reginaldo Moreira, Mara Lisiane de Moraes Dos Santos, Nathalia Silva Fontana Rosa, Débora Cristina Bertussi, Helvo Slomp Junior, Emerson Elias Merhy

引用次数: 0

Association between bullying, childhood adversities and social capital among adolescents. 青少年中的欺凌、童年逆境和社会资本之间的关系。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-03-08 DOI: 10.1590/1413-81232024297.04012024

Andressa Reisen, Daiene Rosa Gomes, Maria Carmen Viana, Luciane Bresciani Salaroli, Edson Theodoro Dos Santos Neto

{"title":"Association between bullying, childhood adversities and social capital among adolescents.","authors":"Andressa Reisen, Daiene Rosa Gomes, Maria Carmen Viana, Luciane Bresciani Salaroli, Edson Theodoro Dos Santos Neto","doi":"10.1590/1413-81232024297.04012024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.04012024","url":null,"abstract":"This study aims to analyze the association between bullying behaviors, adverse childhood experiences and social capital in late adolescence. Secondary school students aged 15-19 of a metropolitan region of Brazil were recruited for a sectional epidemiological survey, with a sample of 2,281 students, stratified by municipality of school location. Descriptive and inferential statistics were performed from three instruments: Olweus Bully/Victim Questionnaire, Childhood Adversity History Questionnaire and Integrated Questionnaire to Measure Social Capital, in adapted versions. The results showed that the factors associated with bullying victims were gender and adversity in childhood. The factors associated to bullying aggressors were gender, childhood adversities, and cognitive social capital. And the factors associated with bullying aggressor-victims were gender, childhood adversities, and cognitive social capital. It is concluded that bullying is associated with adversity in childhood and also with cognitive social capital and they point out the need to address the causes of violence in order to provide a healthy and safe development for children and adolescents, preventing negative outcomes for physical and mental health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e04012024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491112","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

Care resignification in the pandemic context. 大流行病背景下的护理辞职。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-03-04 DOI: 10.1590/1413-81232024297.03692024

Daniella Teixeira Dantas Gouget, Tatiana Wargas de Faria Baptista

引用次数: 0

Expressions of inequalities in access to health services in Latin America: a scoping review. 拉丁美洲在获得医疗服务方面的不平等表现：范围界定审查。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-03-22 DOI: 10.1590/1413-81232024297.04932024

Thaís de Souza Oliveira, Adelyne Maria Mendes Pereira

{"title":"Expressions of inequalities in access to health services in Latin America: a scoping review.","authors":"Thaís de Souza Oliveira, Adelyne Maria Mendes Pereira","doi":"10.1590/1413-81232024297.04932024","DOIUrl":"10.1590/1413-81232024297.04932024","url":null,"abstract":"Latin America is one of the most unequal regions in the world. Due to colonization and occupation of the territory, structural inequalities mark people's living and health conditions. In health, we can observe how different dimensions of inequalities condition access and user experience in the service. This scoping review aimed to map and analyze the expressions of inequalities in access to health services in Latin American countries from the scientific production of the last ten years, from which 272 articles were selected. The categorical analysis classified articles into five dimensions, which characterize the expressions of inequalities in access to health services: socioeconomic, geospatial, ethnic/racial, gender, and people with disabilities. The most frequent access barriers were socioeconomic or ability to pay, geographic or transportation difficulty, availability of services, cultural/ethnic, communication, and architecture. The main conditioning factors of health inequalities were income, schooling, transportation, and living conditions. Combating health inequalities requires proposing structuring and sectorial policies.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e04932024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491120","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

Federal transfers to municipalities through parliamentary amendments: implications for SUS funding. 通过议会修正案向市政当局转移联邦资金：对统一卫生系统资金的影响。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-26 DOI: 10.1590/1413-81232024297.03152024

André Schimidt da Silva, Luciana Dias de Lima, Tatiana Wargas de Faria Baptista, Fabiola Sulpino Vieira, Carla Lourenço Tavares de Andrade

{"title":"Federal transfers to municipalities through parliamentary amendments: implications for SUS funding.","authors":"André Schimidt da Silva, Luciana Dias de Lima, Tatiana Wargas de Faria Baptista, Fabiola Sulpino Vieira, Carla Lourenço Tavares de Andrade","doi":"10.1590/1413-81232024297.03152024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03152024","url":null,"abstract":"The present article analyzes the transfers from parliamentary amendments by the Ministry of Health to municipalities to finance public health actions and services from 2015 to 2021. A descriptive and exploratory study was carried out with secondary data, including all Brazilian cities. Resources from amendments showed an increase, particularly from 2018 onwards, indicating the expansion of their relevance for financing SUS. From 2016 to 2021, over 80% was allocated to municipalities, representing 9.5% of all federal transfers, with 91.2% for operational expenses. Transfers from amendments differ from regular transfers due to greater instability and per capita variation among the amounts collected by municipalities and due to the fact that they allocate most resources to the Northeast and primary care to the detriment of the Southeast and medium and high complexity care. These transfers represent a differentiated modality of resource allocation in SUS that produces new distortions and asymmetries, with implications for intergovernmental relations, as well as between the executive and legislative powers, increasing the risk of the discontinuity of actions and services and imposing challenges for the municipal management.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03152024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491061","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

Vulnerabilities mediating the Healthcare encounter: by an intersectional agency. 调解医疗保健遭遇的脆弱性：由交叉机构提供。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1590/1413-81232024297.04352024

Ana Cláudia Barbosa, Simone Santos Oliveira, Roberta Gondim de Oliveira

引用次数: 0

Bodies-territories and intersectionalities: contributions to public health surveillance. 身体-领土和交叉性：对公共卫生监测的贡献。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI: 10.1590/1413-81232024297.03212024

Cristiane Coradin, Simone Oliveira, Maria de Los Angeles Arias Guevara

{"title":"Bodies-territories and intersectionalities: contributions to public health surveillance.","authors":"Cristiane Coradin, Simone Oliveira, Maria de Los Angeles Arias Guevara","doi":"10.1590/1413-81232024297.03212024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03212024","url":null,"abstract":"Multiple bodies and territories experience impacts, conflicts, and socioenvironmental injustices in different ways. The consequences of the neoextractivist accumulation patterns weigh differently on women, especially non-white women. This text brings narratives of a wide range of women who live in different territories and experience different impacts from major undertakings. Through their narratives, we seek to understand how they constitute their territorial bodies; how they are impacted; and how they resist colonialist domination, defend life, and restore health. These impacts affect women's means and ways of life, and restrict their ways of being, power, and knowledge in these territories, rendering them vulnerable, subject to the precariousness of life, immersed in systemic intoxication, reaching situations classified as genocide. Faced with such threats, they manage collective resistance; trigger what makes them active subjectivity; and decolonize themselves as beings, knowledge, and power. In this way they defend life and restore their health and that of their environments. These experiences indicate ways to strengthen public health surveillance perspectives and networks.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03212024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491113","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

Analysis of the performance of health services in a group of vulnerable municipalities. 一组弱势城市的医疗服务绩效分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI: 10.1590/1413-81232024297.03202024

Carolina de Campos Carvalho, Francisco Viacava, Ricardo Antunes Dantas de Oliveira, Mônica Martins

{"title":"Analysis of the performance of health services in a group of vulnerable municipalities.","authors":"Carolina de Campos Carvalho, Francisco Viacava, Ricardo Antunes Dantas de Oliveira, Mônica Martins","doi":"10.1590/1413-81232024297.03202024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03202024","url":null,"abstract":"This work was a descriptive study that analyzed the performance of health services in 112 municipalities (g100) characterized by more than 80,000 inhabitants, low public revenue, and socioeconomic vulnerability. Based on the Projeto de Avaliação de Desempenho do Sistema de Saúde, 31 indicators of funding, resources, access, effectiveness, acceptability, and appropriateness were selected for the period of 2017-2020, and were compared to the variations of each year's indicators year on year. In 2020, an increase in funding, especially SUS transfers (31.6%), was observed. The availability of hospital beds had been decreasing between 2017 and 2019, but began to increase again in 2020; likewise, the availability of health professionals also showed a slight increase. A decline was observed in cervical and breast cancer screening exams of nearly 40% (2020), as well as a decrease in surgical procedures, such as cataracts and angioplasties. The hospitalizations due to conditions manageable by primary care were 15.8% in 2020, 14.1% lower than in 2019. A 55.8% increase in mortality due to diabetes and greater tuberculosis treatment non-adherence was also observed. The pandemic context calls for caution when interpreting results, which highlight access barriers and postponements of proper health care.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03202024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491110","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