Ciencia & saude coletiva最新文献_第2页

Health and environmental licensing: analysis of an Environmental Impact Study on oil wells in Northeast Brazil. 健康和环境许可：对巴西东北部油井环境影响研究的分析。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-12-08 DOI: 10.1590/1413-81232026313.09622024

José Marcos Silva, Solange Laurentino Dos Santos, Ana Marília Correia Cavalcanti, Mariana Olívia Santana Dos Santos, Lia Giraldo da Silva Augusto

{"title":"Health and environmental licensing: analysis of an Environmental Impact Study on oil wells in Northeast Brazil.","authors":"José Marcos Silva, Solange Laurentino Dos Santos, Ana Marília Correia Cavalcanti, Mariana Olívia Santana Dos Santos, Lia Giraldo da Silva Augusto","doi":"10.1590/1413-81232026313.09622024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.09622024","url":null,"abstract":"The interrelation between health and the environment lies at the core of the environmental licensing process. Economic development impacts human health, as seen in the oil industry, known for pollution, illness, chemical spill accidents, and their implications for public health. This article presents the findings of research that analyzed the inclusion of human health in an Environmental Impact Study (EIS) for oil well drilling in northeastern Brazil. Using a method that applied a matrix of health and environmental indicators categorized, systematized, and critically assessed, it found a lack of basic indicators for protecting, preventing, and mitigating health-related damages. The study concludes with an urgent call to include health monitoring in environmental licensing for areas subject to risks associated with the oil production chain. The method highlights the absence of public health considerations in the EIS and reaffirms the principles of Brazil's Unified Health System (SUS).","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e09622024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764217","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

[Media representation of mental health in Ibero-America: trends and challenges in the digital age]. [伊比利亚-美洲媒体对精神卫生的报道：数字时代的趋势和挑战]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 DOI: 10.1590/1413-81232026313.13322024

Luis Miguel Romero-Rodríguez, Santiago Tejedor, Jesús Martínez, David Rull-Ribó

引用次数: 0

Temporal trend and epidemiological profile of exogenous poisonings in Brazil: an ecological study from 2007 to 2019. 巴西外源性中毒的时间趋势和流行病学概况：2007年至2019年的生态学研究。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-11-19 DOI: 10.1590/1413-81232026313.07282024

Braian Valério Cassiano de Castro, Marlene Zannin, Jéssica Donato Antônio, Renan Choi Bustamante, Thais Cláudia Roma de Oliveira Konstantyner, Lucas Leite Cunha

{"title":"Temporal trend and epidemiological profile of exogenous poisonings in Brazil: an ecological study from 2007 to 2019.","authors":"Braian Valério Cassiano de Castro, Marlene Zannin, Jéssica Donato Antônio, Renan Choi Bustamante, Thais Cláudia Roma de Oliveira Konstantyner, Lucas Leite Cunha","doi":"10.1590/1413-81232026313.07282024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.07282024","url":null,"abstract":"Poisonings are a global public health problem. With the aim of describing their epidemiological profile in Brazil, an ecological time series study was conducted from 2007 to 2019, characterizing individual demographic variables (sex; age), exposure variables (circumstance; toxic agents), health indicators (incidence; mortality; fatality), and temporal trends. Data concerning notifications were extracted from the Notifiable Diseases Information System (SINAN) and stratified by macro-region, sex, age, circumstance, and toxic agents. The indicators of incidence, fatality, and mortality were calculated, and the temporal trend was analyzed using the Prais-Winsten model. Our search obtained 1,166,299 notifications, the majority of which were female individuals (55.6%). The preponderance of cases that resulted in death were referent to male individuals (59.6%). The adult age group was the most reported (60.4%), yet the incidence (50.49/100,000 inhabitants) was higher among children. Medication was the main agent (43.7%), and attempted suicide was the main circumstance related to notifications, deaths, incidence, and mortality. Our findings show a low fatality rate (1.0%) and an increasing trend in incidence and mortality. Thus, the results can guide health promotion and prevention actions in the country.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e07282024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764169","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

Is it possible to reduce cesarean sections in hypertensive women without increasing the occurrence of negative outcomes? 是否有可能在不增加负面结果发生的情况下减少高血压妇女剖宫产？

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-11-07 DOI: 10.1590/1413-81232026313.16742024

Wellington Lugão da Cunha, Vitor Barreto Paravidino, Maria do Carmo Leal, Rosa Maria Soares Madeira Domingues, Emanuele Souza Marques, Eliseu Verly Junior, Diana Barbosa Cunha, Ana Paula Esteves Pereira, Tatiana Henriques Leite

{"title":"Is it possible to reduce cesarean sections in hypertensive women without increasing the occurrence of negative outcomes?","authors":"Wellington Lugão da Cunha, Vitor Barreto Paravidino, Maria do Carmo Leal, Rosa Maria Soares Madeira Domingues, Emanuele Souza Marques, Eliseu Verly Junior, Diana Barbosa Cunha, Ana Paula Esteves Pereira, Tatiana Henriques Leite","doi":"10.1590/1413-81232026313.16742024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.16742024","url":null,"abstract":"The Adequate Childbirth Project (Projeto Parto Adequado - PPA) is an initiative by the National Supplementary Health Agency aimed at reducing the occurrence of cesarean sections in private hospitals in Brazil. However, it is still unknown whether the project is effective in reducing cesarean sections in hypertensive women, which is the objective of this study. This is a cross-sectional study with hypertensive women who participated in the Nascer Saudável - 2017 study. A total of 382 women were included in this analysis. The exposure variable was participation in the PPA, and the outcomes assessed were spontaneous labor onset, mode of delivery, severe maternal morbidity, and neonatal near miss. The PPA increased the likelihood of hypertensive women going into labor and having a vaginal delivery. Furthermore, the results show that participating in the PPA did not increase the likelihood of severe maternal morbidity or neonatal near miss, assessed using the World Health Organization criteria and the Nascer no Brasil study criteria. This study highlighted positive results for the Adequate Childbirth Project in promoting the physiology of childbirth, concluding that it is possible to reduce cesarean sections in hypertensive women without increasing the occurrence of negative maternal and neonatal outcomes.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e16742024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764201","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

[Government spending on antiretrovirals in Brazil and its main determinants]. [巴西政府在抗逆转录病毒药物上的支出及其主要决定因素]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-11-19 DOI: 10.1590/1413-81232026313.14212023

Graziela Ferrero Zucoloto, Carolinne Thays Scopel, Pedro Villardi, Felipe de Carvalho Borges da Fonseca, Susana Rodrigues Cavalcanti van der Ploeg, Leonardo Szigethy

{"title":"[Government spending on antiretrovirals in Brazil and its main determinants].","authors":"Graziela Ferrero Zucoloto, Carolinne Thays Scopel, Pedro Villardi, Felipe de Carvalho Borges da Fonseca, Susana Rodrigues Cavalcanti van der Ploeg, Leonardo Szigethy","doi":"10.1590/1413-81232026313.14212023","DOIUrl":"https://doi.org/10.1590/1413-81232026313.14212023","url":null,"abstract":"The development of public policies for the prevention and treatment of HIV/AIDS in Brazil is a history of struggle that has united public health officials, researchers and activists since the 1980s. An important part of this journey is linked to the production and distribution of antiretroviral drugs (ARVs), initiatives to reduce the price of ARVs and civil society mobilizations to guarantee rights, which have contributed to creating one of the most successful programs to combat the disease in the world. Based on this history, this study aimed to analyze government spending on the acquisition of selected ARVs between 2005 and 2020, comparing prices with international prices, in the light of factors related to patent disputes, voluntary licensing, PDPs and initiatives to reduction ARV prices. Among other results, it was possible to observe that there was no immediate relationship between the end of the patent concession and price reductions. The filing of other patent applications and the absence of nationally registered competitors, even after patent expired, may be significant factors in maintaining high prices.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e14212023"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764017","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

Difference in neutralizing antibodies percentages against SARS-CoV-2 in vaccinated breastfeeding women's milk and blood. 接种疫苗的母乳和血液中针对SARS-CoV-2的中和抗体百分比的差异

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-12-19 DOI: 10.1590/1413-81232026313.09792024

Fernanda Mazzoli, Ianne Stéfani Angelim Vieira, Ana Carolina Carioca da Costa, Maria Célia Chaves Zuma, Zilton Faria Meira de Vasconcelos, Paolla Beatriz de Almeida Pinto, Ada Maria de Barcelos Alves, Simone Morais da Costa, Maria Elisabeth Lopes Moreira, Daniele Marano

{"title":"Difference in neutralizing antibodies percentages against SARS-CoV-2 in vaccinated breastfeeding women's milk and blood.","authors":"Fernanda Mazzoli, Ianne Stéfani Angelim Vieira, Ana Carolina Carioca da Costa, Maria Célia Chaves Zuma, Zilton Faria Meira de Vasconcelos, Paolla Beatriz de Almeida Pinto, Ada Maria de Barcelos Alves, Simone Morais da Costa, Maria Elisabeth Lopes Moreira, Daniele Marano","doi":"10.1590/1413-81232026313.09792024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.09792024","url":null,"abstract":"The aim is to compare the percentage of antibodies with neutralizing potential to Wuhan and Omicron variants in the milk and blood of lactating women immunized for SARS-CoV-2 based on the number of doses, vaccine technologies used. Cross-sectional study conducted in 2022 with 214 lactating women vaccinated for COVID-19 with mRNA, non-replicating viral vector or inactivated whole virus vaccines. Data gathered via standardized questionnaire, and samples of breast milk and blood. Antibodies detected by the ELISA method. A significance level of 5% was considered. Blood had higher neutralizing antibodies percentage than milk for Wuhan (blood-91·3%/milk-23·1%) and Omicron (blood-83·7%/milk-15·2%) variants. Women receiving three or more doses had higher blood antibody percentages for Wuhan and Omicron variants. In milk, no disparity in the percentage of antibodies was found, but the probability of antibodies' presence was higher than in blood for both variants. Vaccine technologies led to significant differences in the presence of antibodies in milk but not in blood over time for Omicron variant. No difference was observed for Wuhan variant. Protection conferred by antibodies present in milk lasted longer than in blood.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e09792024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764123","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

Does antimicrobial use during pregnancy impact excess weight in early childhood? Findings from the 2015 Pelotas (Brazil) Birth Cohort Study. 怀孕期间使用抗微生物药物会影响幼儿期超重吗？2015年佩洛塔斯（巴西）出生队列研究结果。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-12-11 DOI: 10.1590/1413-81232026313.10692024

Andréa Dâmaso Bertoldi, Thaynã Ramos Flores, Marysabel Pinto Telis Silveira, Isabel Emmerick, Alexandra Crispim Boing, Mariângela Freitas Silveira, Grégore Iven Mielke

{"title":"Does antimicrobial use during pregnancy impact excess weight in early childhood? Findings from the 2015 Pelotas (Brazil) Birth Cohort Study.","authors":"Andréa Dâmaso Bertoldi, Thaynã Ramos Flores, Marysabel Pinto Telis Silveira, Isabel Emmerick, Alexandra Crispim Boing, Mariângela Freitas Silveira, Grégore Iven Mielke","doi":"10.1590/1413-81232026313.10692024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.10692024","url":null,"abstract":"This study aimed to investigate the association between the use of antimicrobials during pregnancy and excess weight in children at ages three, 12, 24 and 48 months. Data of participants from the 2015 Pelotas (Brazil) Birth Cohort study were analyzed. The use of antimicrobials during pregnancy was assessed using standardized questionnaires and excess weight was defined as BMI for age in z-score ≥ 1. Over 43% of women used at least one antimicrobial during pregnancy. Overall, most associations investigated between the use of antimicrobials during pregnancy and excess weight in children were null. On average, children whose mothers used antimicrobials in one trimester of pregnancy had a BMI-for-age z-score at 12mo 0.11 z-score higher than those from mothers who did not use antimicrobials. An increased risk in excess weight at 48 months was observed among children whose mothers' used antimicrobials in the first trimester of pregnancy. Given that most of the associations investigated had either null results or a small magnitude of association, this study does not support previous findings that the use of antimicrobial during pregnancy impacts excess weight in early childhood.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e10692024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764108","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

Spatiotemporal distribution of people hospitalized with cancer and COVID-19 in Rio de Janeiro, Brazil: two years of pandemic. 巴西里约热内卢因癌症和COVID-19住院患者的时空分布：大流行的两年

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2024-11-23 DOI: 10.1590/1413-81232026313.05952024

Lucian da Silva Viana, Gustavo Menezes Silva Damasceno, Gina Torres Rego Monteiro, Andrea Sobral

{"title":"Spatiotemporal distribution of people hospitalized with cancer and COVID-19 in Rio de Janeiro, Brazil: two years of pandemic.","authors":"Lucian da Silva Viana, Gustavo Menezes Silva Damasceno, Gina Torres Rego Monteiro, Andrea Sobral","doi":"10.1590/1413-81232026313.05952024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.05952024","url":null,"abstract":"The aim is to analyze the spatiotemporal distribution of people with cancer and COVID-19 hospitalized in the city of Rio de Janeiro - RJ. This is an ecological research, focused on the analysis of spatial distribution and exploratory analysis of time of hospitalization, Intensive Care Unit (ICU) and death. In the spatial analysis, the Moran global and local index was calculated using the QGIS software (v.3.22.16) and GeoDa (v.1.22.0.4). In the time analysis, the Mann-Whitney and Kruskal-Wallis tests were used, using the SPSS Statistics software. The city of Rio de Janeiro had the highest number of cases per 100,000 inhabitants (12.56), with positive spatial autocorrelation between the number of hospitalized patients and their municipalities of origin (global Moran index was 0.583). The presence of comorbidities (p-value < 0.01) and the different periods of the pandemic (p-value = 0.03) had an effect on the time to hospitalization. Both the type of tumor (p-value < 0.01 and p-value = 0.02) and the different periods of the pandemic (p-value < 0.01 and p-value = 0.01) had an effect on the time of hospitalization and death, respectively. The need for screening and referral strategies is highlighted, as well as the relevance of personalized care protocols for cancer patients.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e05952024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764178","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

Symptom intensity and the use of Complementary and Integrative Medicine for the treatment of depression in Brazil: a population-based study. 症状强度和使用补充和综合医学治疗巴西抑郁症：一项基于人群的研究。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 Epub Date: 2025-02-20 DOI: 10.1590/1413-81232026313.10042024

Alexandre Faisal-Cury, Daniel Maurício de Oliveira Rodrigues, Jessica Mayumi Maruyama, Ana Elise Machado Ribeiro Silotto, Artur Heps, Alicia Matijasevich

{"title":"Symptom intensity and the use of Complementary and Integrative Medicine for the treatment of depression in Brazil: a population-based study.","authors":"Alexandre Faisal-Cury, Daniel Maurício de Oliveira Rodrigues, Jessica Mayumi Maruyama, Ana Elise Machado Ribeiro Silotto, Artur Heps, Alicia Matijasevich","doi":"10.1590/1413-81232026313.10042024","DOIUrl":"https://doi.org/10.1590/1413-81232026313.10042024","url":null,"abstract":"Many depressed patients opt for complementary integrative medicine (CIM). We aim to evaluate whether there is an association between the severity of depressive symptoms and CIM. A cross-sectional study using the Brazilian National Survey (PNS, 2019), a population-based study. A sample of 4,792 participants (15-107 years old) reporting a current treatment of depression was categorized into 3 groups: 1 (N=4,307, Yes Psychotherapy/Medication-No CIM), 2 (N=148, Yes CIM-No Psychotherapy/Medication) and 3 (N=337, Yes Psychotherapy/Medication-Yes CIM). Participants answered a sociodemographic questionnaire and the Patient Health Questionnaire-9. We used three categories of depression: no depression (score ≤9), mild (score 10-14) and moderate/severe (≥15). Multinomial logistic regression estimated crude/adjusted odds ratios and 95% confidence intervals. Among participants who reported using at least one type of CIM, 3.2% and 7.0% used CIM exclusively or associated with conventional treatments, respectively. The higher the intensity of depressive symptoms, the lower the chance of using CIM exclusively. In Brazil only a minority of depressed people use CIM exclusively.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 3","pages":"e10042024"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834163","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

The complex and painful experience of living: contributions from studies in the field of mental health. 复杂而痛苦的生活经验：来自心理健康领域研究的贡献。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2026-03-01 DOI: 10.1590/1413-81232026313.24332025

Lilian Miranda

引用次数: 0