Ciencia & saude coletiva最新文献_第2页

Analysis of the implications of the COVID-19 pandemic on maternal mortality in Brazil in 2020-2021. COVID-19大流行对2020-2021年巴西孕产妇死亡率的影响分析

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.01092024

Viviane Torqueti Felisberto Souza, José Mendes Ribeiro

{"title":"Analysis of the implications of the COVID-19 pandemic on maternal mortality in Brazil in 2020-2021.","authors":"Viviane Torqueti Felisberto Souza, José Mendes Ribeiro","doi":"10.1590/1413-812320242911.01092024","DOIUrl":"10.1590/1413-812320242911.01092024","url":null,"abstract":"This is a descriptive and ecological study that analyzed the behavior of maternal mortality during the covid-19 pandemic in Brazil in 2020 and 2021, based on data from both the mortality information system (sim) at datasus and the network portal national health data (rnds). from the historical series of maternal mortality ratios (mmr) from 1996 to 2021, it was identified an average of 56.79 maternal deaths per 100,000 live births, concentrated in the north, northeast, and midwest regions, during the pandemic an increase of mmr to 110.25/100,000 live births. of these deaths, 40.5% were related to covid-19 and 70% occurred during the postpartum period, affecting brown, and high-school level of education women. the south, midwest regions and the federal district increased the mmr related to the coronavirus by more than 400%. we identified a low adherence to vaccination against covid-19 was observed in the north, northeast and midwest regions. with noteworthy disparities between the state of são paulo there was a (268.14%) vaccination coverage of immunized pregnant and puerperal women, while in the state of roraima there was only a (4.57%). as a conclusion, the pandemic had tragic effects on maternal health, setting back the mmr in Brazil by about 20 years, which poses even greater challenges to achieving sdg target 3.1 for reducing maternal mortality in the country.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e01092024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224465","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

Obesity, education, and change: displacements of the senses and meanings for health professionals in primary care. 肥胖、教育和变化：初级保健卫生专业人员的感觉和意义的变化。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.01312023

Carolina Gusmão Magalhães, Virgínia Campos Machado, Ricardo Burg Ceccim, Lígia Amparo-Santos, Verena Macedo Santos, Ananda Ivie Dias Novais Cassimiro, Poliana Cardoso Martins, Mônica Leila Portela De-Santana

{"title":"Obesity, education, and change: displacements of the senses and meanings for health professionals in primary care.","authors":"Carolina Gusmão Magalhães, Virgínia Campos Machado, Ricardo Burg Ceccim, Lígia Amparo-Santos, Verena Macedo Santos, Ananda Ivie Dias Novais Cassimiro, Poliana Cardoso Martins, Mônica Leila Portela De-Santana","doi":"10.1590/1413-812320242911.01312023","DOIUrl":"10.1590/1413-812320242911.01312023","url":null,"abstract":"This article analyzed the possible shifts in the senses and meanings of obesity for primary care health professionals in Bahia after a health education initiative. A qualitative study carried out with 37 participants, which used a semi-structured online questionnaire and method triangulation (Free Word Association Technique - prototypical analysis, open question - content analysis, and Obesity Development Factors - descriptive statistical analysis). The Concept and Etiological Approaches categories revealed significant inflections in the senses and meanings of obesity, beyond the biological and biomedical model, in dialogue with the ecological, syndemic, and multifactorial approaches, in addition to evocating anthropological perspectives and body diversity. They also revealed the assumption of concerns about the prevalence and resolution of care practices, the question of the uniqueness of obesity, and the limitation of the evaluation method by Body Mass Index, evidence that contributes to the reflection of health education in the structuring of curricula to the light of the multifactorial nature and complexity of this phenomenon.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e01312023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224509","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

[Challenges and opportunities of health governance: a case study in a small municipality]. [卫生治理的挑战和机遇：一个小城市的案例研究]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.14392023

João Eduardo Linhares, Gilson Ditzel Santos, Marcelo Junior Dos Santos

{"title":"[Challenges and opportunities of health governance: a case study in a small municipality].","authors":"João Eduardo Linhares, Gilson Ditzel Santos, Marcelo Junior Dos Santos","doi":"10.1590/1413-812320242911.14392023","DOIUrl":"10.1590/1413-812320242911.14392023","url":null,"abstract":"This study addresses the importance of governance from the perspective of smart and sustainable cities, as well as the creation of public value for citizens. The study demonstrated the dynamics of health governance through its characteristics and tools in São Lourenço do Oeste (SC), a small municipality in southern Brazil. The case study involved important governance arrangements, such as interstate health agreements for the care of citizens in the Unified Health System, and the municipality's participation in intermunicipal health consortia.Using semi-structured interviews and content analysis, theoretical and empirical categories were associated, demonstrating how health management can contribute to creating public value and offering quality of life to citizens. Health governance in São Lourenço do Oeste encompasses several approaches, including smart, data-driven, urban, regional, and technocratic governance. However, for sociotechnical and citizen-centered governance, additional actions are still needed. Advancing with experimental approaches and involving citizens in technological arrangements can centralize citizens in governance, improving decisions and policies to raise quality of life.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e14392023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224459","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

Classification of commercial food establishments: comparison between methods. 商业食品机构的分类：方法之间的比较。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.15872023

Nayhanne Gomes Cordeiro, Larissa Loures Mendes, Mariana Zogbi Jardim, Gabriela Gomes de Paiva, Fernanda Cristina Sguizzato Ribeiro, Gabriela Moreira Rabelo Vieira, Bruna Vieira de Lima Costa

{"title":"Classification of commercial food establishments: comparison between methods.","authors":"Nayhanne Gomes Cordeiro, Larissa Loures Mendes, Mariana Zogbi Jardim, Gabriela Gomes de Paiva, Fernanda Cristina Sguizzato Ribeiro, Gabriela Moreira Rabelo Vieira, Bruna Vieira de Lima Costa","doi":"10.1590/1413-812320242911.15872023","DOIUrl":"10.1590/1413-812320242911.15872023","url":null,"abstract":"The aim is to compare the classification of commercial food establishments obtained by the index of access to food in establishments sold for consumption at home (HFSI) with the classification of food acquisition recommended by the technical study \"Mapping of Food Deserts in Brazil\". Investigated commercial food establishments present in the food environment (circular buffer) of areas with and without Public Food and Nutritional Safety Equipment (EPSAN) in Belo Horizonte. An on-site audit was carried out to evaluate the HFSI, which was organized into tertiles to classify the establishment. Comparison was made between the classifications of establishments observed by HFSI and those proposed by the technical study. Grocery stores, bakeries/confectionery shops were classified as ultra-processed food purchasing establishments by the HFSI while the technical study defines them as mixed establishments. There was a difference in the classification of commercial food establishments according to HFSI and technical study, which may compromise the associations of the community food environment in studies with nutrition and health outcomes.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15872023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224467","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

International Statistical Classification of Diseases and Related Health Problems (ICD-11): from its origin to its use in digital systems. 《国际疾病和相关健康问题统计分类》（ICD-11）：从起源到在数字系统中的使用。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.01402024

Evaldo Aguiar Andrade, Maria Cristiane Barbosa Galvão

引用次数: 0

Mental Health Indicators and Coverage of the Psychosocial Care Network for Indigenous Populations in Ceará in Brazil. 巴西塞埃尔<e:1>土著居民心理健康指标和社会心理护理网络的覆盖面。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.14552023

James Ferreira Moura Junior, Larissa Niemann Pellicer, Thayane Bandeira Girão, Merremmi Karão Jaguaribaras, Antonia Vanderli Alves do Nascimento, Rosa Pitaguary, Juliana Alves Jenipapo Kanindé, Magda Dimenstein

{"title":"Mental Health Indicators and Coverage of the Psychosocial Care Network for Indigenous Populations in Ceará in Brazil.","authors":"James Ferreira Moura Junior, Larissa Niemann Pellicer, Thayane Bandeira Girão, Merremmi Karão Jaguaribaras, Antonia Vanderli Alves do Nascimento, Rosa Pitaguary, Juliana Alves Jenipapo Kanindé, Magda Dimenstein","doi":"10.1590/1413-812320242911.14552023","DOIUrl":"10.1590/1413-812320242911.14552023","url":null,"abstract":"This study aims to analyze the coverage of the Psychosocial Care Network (RAPS) and mental health indicators in municipalities in Ceará with and without indigenous populations. Different public databases on the situation and mental health services offered by the Unified Health System (SUS) were used. Descriptive analyses and the Mann-Whitney and Kruskal-Wallis non-parametric tests were carried out. It was observed that the coverage of Primary Care and some of the Psychosocial Care Network are more present in municipalities with indigenous settlements. This backup of services does not prevent the aggravating prevalence of mental health indicators (deaths by suicide, suicide by self-inflicted violence, suicide by exogenous intoxication) in municipalities with indigenous populations. In dialogue with indigenous authors, violence, discrimination, and erasure based on colonization still impact the mental health of indigenous people, as seen in the health outcome indicators presented. Health services still need to advance in coverage and action to focus on this alarming reality of mental health indicators for indigenous populations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e14552023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224508","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

Barriers to preceptorship in Interprofessional Education: an integrative review. 跨专业教育中师徒关系的障碍：综合回顾。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.11472023

Camila Mendes da Silva Souza, Amanda Cristine Moraes de Oliveira, Valéria Marli Leonello

{"title":"Barriers to preceptorship in Interprofessional Education: an integrative review.","authors":"Camila Mendes da Silva Souza, Amanda Cristine Moraes de Oliveira, Valéria Marli Leonello","doi":"10.1590/1413-812320242911.11472023","DOIUrl":"10.1590/1413-812320242911.11472023","url":null,"abstract":"Preceptorship in interprofessional education (IPE) occurs when the preceptor facilitates the learning of students from different programs about care from an interprofessional and collaborative perspective. The aim was to identify the barriers related to preceptorship in IPE. This integrative review searched for empirical articles in a comprehensive systematic search in eight databases. The data was extracted using a validated instrument and the analysis identified barriers at the micro, meso, and macro levels of the educational and professional systems. In the 17 studies, 10 barriers were identified at the micro level, such as lack of training, resistance to interprofessional work, and personal and professional availability for IPE and PIC; 13 barriers at the meso level, which include reconciling the demands of the service with preceptorship, few opportunities for interprofessional work and work overload; and five barriers at the macro level, involving lack of remuneration, the disease-centered care model and the predominance of uniprofessional education. The barriers reflect the complexity of interprofessional preceptorship, which is fundamental for training students for interprofessional education and integrating IPE into the workplace.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e11472023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224466","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

Perspectives for the Implementation of Public Policies Focused on the Resilience of the SUS in the Face of Contemporary Brazil Challenges. 面对当代巴西的挑战，侧重于单一系统弹性的公共政策的实施视角。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.17602024

Alessandro Jatobá, Paula de Castro-Nunes, Paulo Victor Rodrigues de Carvalho

引用次数: 0

Health technologies in home care: concept analysis. 家庭护理中的卫生技术：概念分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.08022023

Patrícia Pinto Braga, Samara Larissa Silva, Renata de Oliveira Costa, Helen Cristiny Teodoro Couto Ribeiro, Ana Luisa Brandão de Carvalho Lira, Kênia Lara Silva

{"title":"Health technologies in home care: concept analysis.","authors":"Patrícia Pinto Braga, Samara Larissa Silva, Renata de Oliveira Costa, Helen Cristiny Teodoro Couto Ribeiro, Ana Luisa Brandão de Carvalho Lira, Kênia Lara Silva","doi":"10.1590/1413-812320242911.08022023","DOIUrl":"10.1590/1413-812320242911.08022023","url":null,"abstract":"The aim is to analyze the concept of health technologies in home care. Concept analysis, guided by the Walker and Avant method, based on an integrative literature review. Eighty-one studies were selected, from which the attributes, antecedents and consequences of the concept were extracted and model, borderline and contrary cases were elaborated. The attributes found were knowledge applied to care; health communication resources; patient assistive products; electronic equipment and objects for adapting and monitoring the environment. The health needs of patients and improvements in the management and provision of care stood out as antecedents. Among the consequences, improvements in access, care, communication and management of data and/or information stood out. Health technology in HC revealed itself as applied knowledge, resources and communication strategies, objects, materials and equipment, electronic or not, used to monitor, adapt, generate information and interactions and assist, continuously, in person or remotely, in rehabilitation, recovery and/or maintenance of health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e08022023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224470","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

Integrative review of the literature on hospitalizations of older people for conditions sensitive to Primary Care in Brazil. 对巴西对初级保健敏感的老年人住院文献的综合审查。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.16402023

Dalia Romero Montilla, Nathalia Andrade de Souza, Vinícius de Souza Silva Carvalho, Aline Pinto Marques, Gabriela Nayara Nascimento Almeida, Jonathan de Freitas Sales

{"title":"Integrative review of the literature on hospitalizations of older people for conditions sensitive to Primary Care in Brazil.","authors":"Dalia Romero Montilla, Nathalia Andrade de Souza, Vinícius de Souza Silva Carvalho, Aline Pinto Marques, Gabriela Nayara Nascimento Almeida, Jonathan de Freitas Sales","doi":"10.1590/1413-812320242911.16402023","DOIUrl":"10.1590/1413-812320242911.16402023","url":null,"abstract":"Hospitalizations for ambulatory care sensitive conditions (ACSCs) are preventable with adequate primary care (PC). For the elderly population, they are important due to their greater vulnerability to chronic diseases and comorbidities. Objective: to carry out an integrative review of articles on ACSCs in the elderly and their correlation with indicators of access to primary care. The research was carried out on the BVS and PUBMED databases. Inclusion criteria: relationship between ICSAP and PA, publications from 2000 to 2022, analysis of the elderly age group, statistical methods, Portuguese, Spanish or English languages and indexing in peer-reviewed journals. We identified 315 publications and selected 15, 12 of which focused on the elderly population. The South and Southeast regions were the most analyzed, and the year most investigated was 2012. Coverage of the Family Health Strategy was the most commonly used indicator. A reduction in ACSC rates in the elderly was positively correlated with access to PHC. Monitoring ACSCs is an important tool for managing the health of the elderly, with PH playing a strategic role in reducing hospitalizations, minimizing risks and promoting healthy ageing.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e16402023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224472","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