Ciencia & saude coletiva最新文献_第3页

Military Dictatorship and the Faculty of Medicine-USP: the Experimental Medicine Course, 1967-1982. 军事独裁与美国大学医学院：1967-1982 年的实验医学课程。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-02-18 DOI: 10.1590/1413-812320242910.17462023

André Mota, Lilia Blima Schraiber

引用次数: 0

[The Fiocruz archives: sources for research on science and health during the military dictatorship (1964-1985)]. [Fiocruz 档案：军事独裁统治期间（1964-1985 年）科学和卫生研究的资料来源]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI: 10.1590/1413-812320242910.12182024

Paulo Roberto Elian Dos Santos, Felipe Almeida Vieira

引用次数: 0

Maternal mortality in Brazil: an analysis of temporal trends and spatial clustering. 巴西孕产妇死亡率：时间趋势和空间聚类分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-09-20 DOI: 10.1590/1413-812320242910.05012023

Ianne Vitória Gomes Oliveira, Thatiana Araújo Maranhão, Maria Madalena Cardoso da Frota, Thalis Kennedy Azevedo de Araujo, Samir da Rocha Fernandes Torres, Maria Izabel Félix Rocha, Maria Eduarda da Silva Xavier, George Jó Bezerra Sousa

{"title":"Maternal mortality in Brazil: an analysis of temporal trends and spatial clustering.","authors":"Ianne Vitória Gomes Oliveira, Thatiana Araújo Maranhão, Maria Madalena Cardoso da Frota, Thalis Kennedy Azevedo de Araujo, Samir da Rocha Fernandes Torres, Maria Izabel Félix Rocha, Maria Eduarda da Silva Xavier, George Jó Bezerra Sousa","doi":"10.1590/1413-812320242910.05012023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.05012023","url":null,"abstract":"This article aims to analyze spatial and temporal patterns of maternal mortality in Brazil during the period 2010-2020 and identify related socioeconomic indicators. We conducted an ecological study of the maternal mortality ratio (MMR) in Brazil's municipalities using secondary data. Temporal analysis was performed using the joinpoint method. Bayesian statistics, spatial autocorrelation, the Getis Ord Gi* technique and the scan statistic were used to identify spatial clusters, and multiple non-spatial and spatial regression models were used to assess the association between factors and the MMR. There was an increase in the MMR in 2020 and an increase in deaths in the North and Southeast. Clusters were found in Amazonas, Tocantins, Piauí, Maranhão, Bahia and Mato Grosso do Sul. The following indicators were negatively associated with the MMR: cesarean section rate, Municipal Human Development Index, and per capita household income of people who are vulnerable to poverty. The MMR was stable up to 2019, followed by a sharp rise in 2020 coinciding with the onset of the Covid-19 pandemic in the country. It is essential that efforts to reduce maternal mortality in Brazil extend beyond the promotion of improvements in antenatal, childbirth and postpartum care to address the social determinants of the problem.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e05012023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281210","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

Underreporting of violence against women: an analysis of two data sources. 暴力侵害妇女行为的漏报：对两种数据来源的分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-09-03 DOI: 10.1590/1413-812320242910.07732023

Nádia Machado de Vasconcelos, Regina Tomie Ivata Bernal, Juliana Bottoni de Souza, Polyanna Helena Coelho Bordoni, Caroline Stein, Carolina de Vargas Nunes Coll, Joseph Murray, Deborah Carvalho Malta

{"title":"Underreporting of violence against women: an analysis of two data sources.","authors":"Nádia Machado de Vasconcelos, Regina Tomie Ivata Bernal, Juliana Bottoni de Souza, Polyanna Helena Coelho Bordoni, Caroline Stein, Carolina de Vargas Nunes Coll, Joseph Murray, Deborah Carvalho Malta","doi":"10.1590/1413-812320242910.07732023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.07732023","url":null,"abstract":"This article aims to estimate the underreporting of violence against women (VAW) in the Notifiable Diseases Information System (SINAN), based on data from the National Survey of Health (NSH), in Brazil and subnational units (SU). This work was an ecological study using SINAN and NSH, both from 2019. In SINAN, reports of sexual, physical, and psychological VAW, aged 18 years or older, were selected. In the NSH, women of the same age group who reported psychological, physical, or sexual violence, and who had sought health care due to consequences of the violence were selected. SINAN underreporting was calculated in reference to the NSH's estimated population, for Brazil and each SU. Underreporting of VAW in Brazil was 98.5%, 75.9%, and 89.4% for psychological, physical, and sexual violence, respectively. The North and Northeast states presented the lowest reporting rates among the states. VAW in Brazil is highly underreported by the health sector, showing the need for adequate training of health professionals to recognize situations of violence and raise awareness of the importance of reporting.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e07732023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281228","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

[Health care under the military government (1964-1985) and its legacy for the SUS: the public-private hybrid Unified Health System]. [军政府时期（1964-1985 年）的医疗保健及其对统一卫生系统的影响：公私混合统一卫生系统]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-02-14 DOI: 10.1590/1413-812320242910.0094024

Telma Menicucci

{"title":"[Health care under the military government (1964-1985) and its legacy for the SUS: the public-private hybrid Unified Health System].","authors":"Telma Menicucci","doi":"10.1590/1413-812320242910.0094024","DOIUrl":"https://doi.org/10.1590/1413-812320242910.0094024","url":null,"abstract":"This article analyzes the health care policy developed during the military government in Brazil (1964-1985), with a core focus on the relationship between the public and private sectors in the provision of health services, in the different modalities in which this occurred, and its repercussions. The objective, from an institutionalist and historical perspective, which considers the mechanisms by means of which prior policies affect the subsequent decision-making process and impose limits on the possibilities for change, is to identify the effects of this policy on the configuration of health policy reform, implemented in the democratization process, which led to the creation of a universal and comprehensive health system. Among these, the political effects on the configuration of the health area stand out; cognitive effects related to the perception of health policy, and effects on the government's capacity to provide and regulate services. The result was the continuation of a duality in the health system, resulting in the coexistence of a vigorous private sector with an allegedly universal public system which posed/poses difficulties for the SUS, but did not prevent its implementation and institutionalization. The article is taken from a previously published book.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e0094024"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281193","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

Effect of the COVID-19 pandemic on malnutrition in socially vulnerable children in Brazil. COVID-19 大流行对巴西社会弱势儿童营养不良的影响。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-09-28 DOI: 10.1590/1413-812320242910.04692023

Elisa Santos Magalhães Rodrigues, Elisa Miranda Costa, Francenilde Silva de Sousa, Felipe Bezerra Pimentel Araújo, Mariana Borges Sodré Lopes, Erika Barbara Abreu Fonseca Thomaz

{"title":"Effect of the COVID-19 pandemic on malnutrition in socially vulnerable children in Brazil.","authors":"Elisa Santos Magalhães Rodrigues, Elisa Miranda Costa, Francenilde Silva de Sousa, Felipe Bezerra Pimentel Araújo, Mariana Borges Sodré Lopes, Erika Barbara Abreu Fonseca Thomaz","doi":"10.1590/1413-812320242910.04692023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.04692023","url":null,"abstract":"This article aims to evaluate the effect of the COVID-19 pandemic on malnutrition among children under two years of age enrolled in the Bolsa Família Program (BFP). Ecological study of interrupted time series (ITS), with low weight for age, stunting, and overweight as time-dependent variables of malnutrition, extracted monthly (Jan/2008 to June/2021) from the Food and Nutrition Surveillance System. The COVID-19 pandemic was the exposure, dichotomized into pre-pandemic and pandemic. In RStudio, the trend was obtained by Prais-Winsten regression, and the effect of the pandemic on the time-dependent variables was determined by SARIMA modeling, estimating the regression coefficients (RC) adjusted for trend and seasonality (α = 5%). The pandemic was associated with an increase in: i) low weight for age in the South (RC = 0.94; p < 0.001) and Southeast (RC = 1.97; p < 0.001); ii) height deficit in the Midwest (RC = 2.4; p = 0.01), South (RC = 2.15; p < 0.001) and Southeast (RC = 2.96; p < 0.001); and iii) and overweight in the North (RC = 1.51; p = 0.04), Midwest (RC = 2.29; p = 0.01), South (RC = 2.83; p < 0.001), and Southeast (RC = 0.72; p = 0.04). The pandemic increased underweight in the South and Southeast, and the double burden of malnutrition in the Midwest, South, and Southeast. In the Northeast and North, higher rates of malnutrition still persist.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e04692023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281203","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

Health and Science in the Brazilian Military Dictatorship (1964-1985). 巴西军事独裁时期的卫生与科学（1964-1985 年）。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-07-10 DOI: 10.1590/1413-812320242910.12112024

Gilberto Hochman

引用次数: 0

The CEP-Conep System in 2020: confronting COVID-19, challenges and lessons learned. 2020 年的 CEP-Conep 系统：应对 COVID-19、挑战和经验教训。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-10-11 DOI: 10.1590/1413-812320242910.01582023

Carlos Cezar Flores Vidotti, Ângela Esher, Claudia Garcia Serpa Osorio-de-Castro

{"title":"The CEP-Conep System in 2020: confronting COVID-19, challenges and lessons learned.","authors":"Carlos Cezar Flores Vidotti, Ângela Esher, Claudia Garcia Serpa Osorio-de-Castro","doi":"10.1590/1413-812320242910.01582023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.01582023","url":null,"abstract":"This paper presents the structuring dimensions of the CEP-Conep System in order to understand the actions promoted by the National Research Ethics Commission in response to demands for the processing and ethical analysis of research protocols related to COVID-19 in 2020. Based on CEP-Conep System public documents, an assessment of legislation, from 1988 to 2020, and its extension in terms of the number of Committees, users, and protocols, from 2012 to 2020 was presented. The minutes of Conep's Ordinary Meetings (RO), for 2020, of a confidential nature, were analyzed, to verify adaptations to the pandemic. At the end of 2020, the System had 844 Committees, 854,741 users, and 701,791 analyzed protocols. The Commission centralized the analysis of COVID-19 protocols, in January 2020, and promoted three decentralizations, as more knowledge was generated, with vaccine protocols for COVID-19 remaining centralized. The history of the CEP-Conep System provided ballast for the adoption of management, educational and communication measures that accelerated the approval of protocols and made the process transparent. The absence of indicators made it impossible to evaluate the performance in 2020, which was apparently satisfactory.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e01582023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281226","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

Internalized homophobia and depression in homosexual and bisexual men and women: LGBT+ health survey, 2020. 同性恋和双性恋男女的内部化恐同症和抑郁症：LGBT+ 健康调查，2020 年。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-09-01 Epub Date: 2023-11-29 DOI: 10.1590/1413-81232024299.05412023

Thales Santos Batista, Filipe Marques de Pinho Tavares, Gabriela Persio Gonçalves, Juliana Lustosa Torres

{"title":"Internalized homophobia and depression in homosexual and bisexual men and women: LGBT+ health survey, 2020.","authors":"Thales Santos Batista, Filipe Marques de Pinho Tavares, Gabriela Persio Gonçalves, Juliana Lustosa Torres","doi":"10.1590/1413-81232024299.05412023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.05412023","url":null,"abstract":"This study aimed to analyze the association between internalized homophobia and its domains and depression in homosexual and bisexual individuals and to quantify its results in depression. This is a cross-sectional online and anonymous study based on the LGBT+ health study conducted in Brazil from August to November, 2020, summing 926 respondents. Depression was self-reported. Internalized Homophobia was measured by the Brazilian Internalized Homophobia Scale for Gays and Lesbians, using 80% percentile to classify elevated total and by domain scores. Statistical analysis was based on Poisson Regression models with robust variance. Depression prevalence was 23.7%. The results revealed that internalized homophobia was positively associated with depression only among homosexuals (Prevalence Ratio (RP) = 1.80; 95% confidence interval (95%CI) 1.12-2.90). We found no statistical association for stigma and oppression domains. Population attributable fraction of depression was 2.3% (95%CI 0.1-4.5) in relation to internalized homophobia. Our findings highlight the need of controlling internalized homophobia to decrease the prevalence of depression among homosexuals.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e05412023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079338","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

[Public policies and interventions to prevent excess weight in Mexico: analysis from an intersectional perspective]. [墨西哥防止体重超标的公共政策和干预措施：从跨部门的角度进行分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-09-01 Epub Date: 2023-09-20 DOI: 10.1590/1413-81232024299.04142023

Natalia Tumas, Candela de la Vega, Mariana Gutiérrez-Zamora Navarro, Lucinda Cash-Gibson, Paula Carreño, Juan M Pericàs, Joan Benach

{"title":"[Public policies and interventions to prevent excess weight in Mexico: analysis from an intersectional perspective].","authors":"Natalia Tumas, Candela de la Vega, Mariana Gutiérrez-Zamora Navarro, Lucinda Cash-Gibson, Paula Carreño, Juan M Pericàs, Joan Benach","doi":"10.1590/1413-81232024299.04142023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.04142023","url":null,"abstract":"The scope of this article is to analyze public policies and interventions (PPI) prevailing in 2022 at the national level for the prevention of excess weight (overweight and obesity) in the adult population of Mexico, from an intersectional perspective. We performed documental analysis of PPI to prevent excess weight in Mexico in adulthood by applying a methodology for policy analysis based on intersectionality (Intersectionality-Based Policy Analysis Framework). A total of nine PPI were analyzed. The extent to which the PPI design considers an intersectional perspective is heterogeneous in the documents analyzed. In the definition of the problem, we identified two main tendencies, namely reductionist and holistic. Both are combined in a variable way in the PPI, revealing internal contradictions in their design. Most PPI consider relatively few cases of social inequality, and as an additive rather than an intersectional consideration. Overall, the PPI consider social inequalities predominantly in the definition of the problem and, to a far lesser extent, in the proposed solutions and in the consultation and negotiation processes. The consideration of the intersectional nature of the problem of excess weight in PPI is important to address the unequal epidemic of excess weight.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e04142023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079397","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