Ciencia & saude coletivaPub Date : 2025-04-01Epub Date: 2024-04-12DOI: 10.1590/1413-81232025304.08822023
Maria Luiza Sady Prates Pinheiro, Luís Antônio Batista Tonaco, Mariana Santos Felisbino-Mendes, Jorge Gustavo Velásquez-Meléndez, Deborah Carvalho Malta, Alexandra Dias Moreira
{"title":"Association between cardiovascular health and self-reported depression: 2019 National Health Survey.","authors":"Maria Luiza Sady Prates Pinheiro, Luís Antônio Batista Tonaco, Mariana Santos Felisbino-Mendes, Jorge Gustavo Velásquez-Meléndez, Deborah Carvalho Malta, Alexandra Dias Moreira","doi":"10.1590/1413-81232025304.08822023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.08822023","url":null,"abstract":"<p><p>The aim is to analyze the association between the ideal cardiovascular health score and the self-reported diagnosis of depression in Brazilian adults. Cross-sectional study, with 57,898 Brazilian adults from the 2019 National Health Survey. Presence of self-reported depression. Exposures: behavioral scores (BMI, smoking, diet, physical activity, ideal if ≥3 ideal factors), biological (smoking, dyslipidemia, hypertension and diabetes, ideal if ≥3 ideal factors) and cardiovascular health (all factors, ideal if ≥4 ideal factors), based on the score proposed by the American Heart Association. They were categorized as poor/intermediate or ideal. Associations were tested using logistic regression models adjusted for sociodemographic characteristics. The prevalence of depression was 11.1%. All scores classified as ideal were inversely associated with depression after adjustments for sociodemographic variables (Ideal behavioral score: OR: 0.58 [95%CI: 0.48-0.70], ideal biological score: OR: 0.48 [95%CI: 0.43-0.53] and ideal cardiovascular health: OR: 0.53 [95%CI: 0.48-0.59]). The ideal cardiovascular health score was inversely associated with the self-reported diagnosis of depression among Brazilian adults.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e08822023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987453","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: 2024-02-17DOI: 10.1590/1413-81232025304.16382023
Thiago Marques Leão, Carine Sayuri Goto, Aurea Maria Zöllner Ianni
{"title":"Psychological distress in the university and the field of Collective Mental Health: a 46-year integrative review.","authors":"Thiago Marques Leão, Carine Sayuri Goto, Aurea Maria Zöllner Ianni","doi":"10.1590/1413-81232025304.16382023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.16382023","url":null,"abstract":"<p><p>College students' mental health has become a pressing issue, demanding answers from educators and health professionals. Universities are seeking public health systems to address students' psychological distress and ensure access to care. This presents a new challenge for mental health public policies designed for extreme cases in low-income populations stigmatized as insane and denied citizenship. College students don't fit this frame. They are educated, productive, and socially competent even though they are affected by specific vulnerabilities linked to social markers of difference, in an intersectional perspective. In this article, we discuss the scientific production on college students' mental health through an integrative review of publications from the scientific journals \"Saúde em Debate\" and \"Ciência & Saúde Coletiva\" over 46 years (1976-2022). We identify a gap and stress the need to work with universities to create services that align with the reality and complexity of this issue.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e16382023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993240","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: 2024-04-21DOI: 10.1590/1413-81232025304.14292023
Taciana Lima de Paula Black, Iraneide Nascimento Dos Santos, Gerbson da Silva Lima, Carolina da Franca Bandeira Ferreira Santos, Kalina Vanderlei da Silva
{"title":"[Social representations of the body by adolescents: qualitative systematic review].","authors":"Taciana Lima de Paula Black, Iraneide Nascimento Dos Santos, Gerbson da Silva Lima, Carolina da Franca Bandeira Ferreira Santos, Kalina Vanderlei da Silva","doi":"10.1590/1413-81232025304.14292023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.14292023","url":null,"abstract":"<p><p>The scope of this article is to identify adolescents' social representations of the body and how the issue of black bodies has been discussed. This is a systematic review whose searches took place in August 2023 in PubMed/MEDLINE, SciELO, Scopus, Web of Science, PsycInfo, PePSIC, BVS, and in the BDTD and OATD portals. The ten studies included pointed to a body whose central constituent is body appearance, the adolescents' appreciation of hegemonic aesthetic standards, the influence of the body on acceptance among peers, and the search for the desired body. As well as the incipient debate about the racial issue around the representations of the body was verified. Two studies deepen the discussion on this issue, exposing the exaltation of miscegenation and sexism present in stereotypes around the body of black women. Thus, it is clear that the body is conceived by young people as an important mediator of behavior, social relations and an instrument for expressing identities Given these social expectations, teenagers desire a white, thin, curvy and toned body. As well, there is a gap regarding characteristics and values associated with the black body.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e14292023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968764","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: 2024-04-05DOI: 10.1590/1413-81232025304.15142023
Mayalu Matos Silva, Patrícia Constantino
{"title":"Armed violence and illicit drug trade. An integrative literature review on Brazil.","authors":"Mayalu Matos Silva, Patrícia Constantino","doi":"10.1590/1413-81232025304.15142023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.15142023","url":null,"abstract":"<p><p>The article maps relationships between armed violence (AV) and the illicit drug trade (IDT) in Brazil through an integrative review focused on empirical research. The sample included 20 articles, categorized according to year of publication and fieldwork, objectives, methods, study location and results. The results were interpreted based on thematic content analysis and showed that the relationship between IDT and AV occurs mainly through Organized Armed Violence. However, this violence spreads, affecting society, especially residents of peripheral areas. The following stood out: Availability of Firearms (AF), with a broad presence in the IDT environment; Illegality and violence, highlighting the need to use FA for the IDT due to its illegality and militarized perspective of repression; State action, thematizes the absence of preventive public security in peripheral areas and the violent, corrupt and ineffective action of the State; Armed territorial dominance, shows the strength of the organized IDT groups and the effects on the population; Young black people: primary victims and perpetrators, highlights the vulnerability of these young people to AV and also Health impacts.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e15142023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983334","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: 2024-04-17DOI: 10.1590/1413-81232025304.15662023
Anna Brandão, Aluízio de Azevedo Silva Júnior, Judit Balázs, Cristiane Batista Andrade
{"title":"Roma Mental health: integrative literature review.","authors":"Anna Brandão, Aluízio de Azevedo Silva Júnior, Judit Balázs, Cristiane Batista Andrade","doi":"10.1590/1413-81232025304.15662023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.15662023","url":null,"abstract":"<p><p>Roma people are considered socioeconomically vulnerable and exposed to historical processes of exclusion and violence, which are still present today. Mental health is an essential component of health, a fundamental human right, and central to the correlations of analyses on poverty, ethnic and racial discrimination, and inequalities. Through this integrative review, we sought to conceive a state of the art regarding the mental health of Roma people. The search followed the PRISMA guidelines and was conducted in six databases (BVS, ProQuest, PsycInfo, PubMed, Scopus and Web of Science); 27 articles comprised the final sample. Seven categories of analysis were constructed: mental disorders, suicide, childhood and adolescence, psychological aspects, risk and protective factors, gender, and mental health prevention. The studies point to several situations of vulnerabilities in the experience of Roma people regarding mental health. We highlight the exclusionary role of majority supremacist societies in relegating Roma communities to marginalization and invisibility, expressed, for example, through the low scientific production regarding these communities, especially in the Latin-American context.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e15662023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983762","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: 2024-04-01DOI: 10.1590/1413-81232025304.00072024
Rafaela Fidelis Lima Silvério, Aluísio Gomes da Silva Júnior, Drieli Oliveira Silva, Patty Fidelis de Almeida
{"title":"Care for people living with HIV in specialized care: an analysis in light of programmatic vulnerability.","authors":"Rafaela Fidelis Lima Silvério, Aluísio Gomes da Silva Júnior, Drieli Oliveira Silva, Patty Fidelis de Almeida","doi":"10.1590/1413-81232025304.00072024","DOIUrl":"https://doi.org/10.1590/1413-81232025304.00072024","url":null,"abstract":"<p><p>Understand and analyze care experiences of people living with HIV (PLH) in specialized services, identifying facilitators and access barriers. Evaluative study, qualitative, carrying out 45 interviews with PLH, whose care is centered on specialty polyclinics. For thematic analysis, the framework of programmatic vulnerability was used in two dimensions: access to health services and comprehensiveness of care. Most participants were not linked to primary health care, although they were virally suppressed. Medical consultations, laboratory tests, individual preventive and educational actions were concentrated in the polyclinics. The referral for health care was assigned to the infectologist, without the involvement of a multidisciplinary team, although there was access to specialists via the internal referral flow at the polyclinics. Follow-up other health conditions was partial, due to the disarticulation between the points of care, depended on the use of private services. Although PLH found support for biomedical and relational demands in Polyclinics, the challenge of guaranteeing of integrated care remained. A model of shared care, co-responsibility, non-hierarchical, user-oriented, is suggested, with changes in the modus operandi of health care networks.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e00072024"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984595","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: 2024-02-29DOI: 10.1590/1413-81232025304.15022023
José Augusto Alves de Britto, Maria da Conceição Borges Lopes, Leticia Cunha Guida, Marcello Raimundo Barbosa de Freitas, Letícia Baptista de Paula Barros, Saint Clair Gomes Junior, Maria Elisabeth Lopes Moreira
{"title":"Development of children born during the Zika virus epidemic in Brazil: a generation at risk?","authors":"José Augusto Alves de Britto, Maria da Conceição Borges Lopes, Leticia Cunha Guida, Marcello Raimundo Barbosa de Freitas, Letícia Baptista de Paula Barros, Saint Clair Gomes Junior, Maria Elisabeth Lopes Moreira","doi":"10.1590/1413-81232025304.15022023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.15022023","url":null,"abstract":"<p><p>In Brazil, during the Zika virus epidemic, studies primarily focused on children with intrauterine virus exposure, while neglecting to monitor those born during that time. Children without intrauterine exposure can also experience developmental challenges due to environmental, social, and individual, and maternal mental health stress during epidemics. The objective of this study was to assess the prevalence of delays in cognitive-language-motor development, identify factors linked to scores, and discuss the impacts of the epidemic on children's development. A cross-sectional study with 78 children without exposure, aged 11-39 months, was conducted using the Bayley-III assessment. It revealed that 27% of the children had delays in at least one domain, with language (24,4%) being the most affected. No link between delays and sociodemographic factors was found. Given the high prevalence and the limited number of studies on the epidemic's impact on the development of children without intrauterine exposure, concerns arise about long-term risks. Therefore, monitoring until school age is recommended.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e15022023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989452","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: 2023-11-12DOI: 10.1590/1413-81232025304.08942023
Victor Fonseca Vieira, Alejandro Goldberg, Ximena Pamela Cláudia Díaz Bermúdez
{"title":"[Transexuality and health care in Brazil: a theoretical-conceptual discussion on the influence of gender binarism].","authors":"Victor Fonseca Vieira, Alejandro Goldberg, Ximena Pamela Cláudia Díaz Bermúdez","doi":"10.1590/1413-81232025304.08942023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.08942023","url":null,"abstract":"<p><p>Documents that subsidize health care for transexual individuals emerged in Brazil in the late twentieth century. As a public policy, the transsexualizer process was redefined in 2013 at the Brazilian Unified Health System (SUS). Literature widely discusses the form as to how the biomedical model crosses healthcare practices and disregards the community's sociocultural aspects. However, in addition to the biological interface, it is known that care practices for trans figures also have identities pervaded by gender binarism. Thus, the present article aimed to carry out a theoretical-conceptual discussion on the fashion that gender binarism influences health-care practices for trans people and violate the diverse possibility of existence of these bodies and identities. Gender binarism is displayed on practices of assistance with the goal of correcting these individuals' bodies into the biological norm: man or woman, ignoring these people's perception and desire over their own bodies, and assigning them a supporting role throughout this process on which they should be a main character. Safe spaces for assistance must be secured which respect these individuals' own desire over their figures and the diverse possibility of human corporeality existence and gender identity.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e08942023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989450","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: 2024-03-13DOI: 10.1590/1413-81232025304.07402023
Simone Isidoro Prado, Maykon Anderson Pires de Novais
{"title":"Acute viral bronchiolitis in Brazil: characteristics of length of stay and hospital costs.","authors":"Simone Isidoro Prado, Maykon Anderson Pires de Novais","doi":"10.1590/1413-81232025304.07402023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.07402023","url":null,"abstract":"<p><p>The objective of the study was to evaluate the length of stay in pediatric hospitalizations for acute viral bronchiolitis in the Brazilian Health System (SUS) and the costs of hospitalizations. This was a quantitative, observational, and ecological study, based on a retrospective and longitudinal analysis of data from the Department of Informatics of the Unified Health System (DATASUS; 2012-2021) using descriptive statistics and Tukey's paired test. Regarding the mean value of AIH/HAA Hospital Admission Authorization, among the regions, the high costs of hospitalizations are located more frequent in the Southeast region and the lowest proportion is directed to the corresponds to the North region. In the length of hospital stay among the regions, the shortest mean stay was identified in the Central West region (2.5 days) and the greatest stay in the Northeast region (3.1 days). Considering the age group of one year of life, its representativeness was 57% when compared to the age group of 1-4 years (43%). The fragility of the implementation of primary public policies in the prevention of bronchiolitis contributes to high hospital costs and significant economic impacts on the national healthcare system.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e07402023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983759","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: 2024-04-06DOI: 10.1590/1413-81232025304.12892023
Caroline Schilling Soares, Kenya Valéria Micaela de Souza Noronha, Mônica Viegas Andrade, Mirela Castro Santos Camargos
{"title":"Impact of changing the financing model of primary health care for municipalities in the state of Minas Gerais, Brazil.","authors":"Caroline Schilling Soares, Kenya Valéria Micaela de Souza Noronha, Mônica Viegas Andrade, Mirela Castro Santos Camargos","doi":"10.1590/1413-81232025304.12892023","DOIUrl":"https://doi.org/10.1590/1413-81232025304.12892023","url":null,"abstract":"<p><p>The article analyzes the financing of primary health care in municipalities in the state of Minas Gerais before and after the institution of the Previne Brasil Program. This is a descriptive cross-sectional study with a quantitative approach, based on secondary data from 853 municipalities in Minas Gerais, with disaggregated analysis by health macro-region. Financing data from 2018 to 2022 were collected. It was found that the federal transfer based on the weighted capitation represented an increase in resources in relation to the Fixed Basic Care Floor. In contrast, the payment for performance and the incentive for strategic actions were worse in terms of the amount of resources transferred in relation to the National Program for Improving Access and Quality of Primary Care and the Variable Primary Care Floor, respectively. The Previne Brasil Program is still being implemented by the Ministry of Health and has undergone several changes since its creation. It is suggested the returned to the Family Health and Expanded Family Health and Primary Care teams funding, as well as incorporating more vulnerability criteria into the weighted capitation and rethinking the municipal financial transfer based on indicator targets.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e12892023"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989454","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}