Ciencia & saude coletiva最新文献_第3页

Distribution and impact of primary healthcare funding in inadequate prenatal care usage: a retrospective population-based cohort study. 初级卫生保健资金在产前护理使用不足中的分布和影响：一项基于人群的回顾性队列研究

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-07-04 DOI: 10.1590/1413-81232025308.06182024

Vinicius Cesar Moterani, Joelcio Francisco Abbade, Cecilia Guimarães Ferreira Fonseca, Júlia Mauleón Ervolino, Nino Jose Wilson Moterani Junior, Laura Bresciani Bento Gonçalves Moterani, Vera Therezinha Medeiros Borges

{"title":"Distribution and impact of primary healthcare funding in inadequate prenatal care usage: a retrospective population-based cohort study.","authors":"Vinicius Cesar Moterani, Joelcio Francisco Abbade, Cecilia Guimarães Ferreira Fonseca, Júlia Mauleón Ervolino, Nino Jose Wilson Moterani Junior, Laura Bresciani Bento Gonçalves Moterani, Vera Therezinha Medeiros Borges","doi":"10.1590/1413-81232025308.06182024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.06182024","url":null,"abstract":"Timely access to prenatal care is necessary to improve perinatal outcomes. The scope of this study was to assess how funding is distributed among sociodemographic groups and if funding impacted the adequacy of antenatal care usage. A retrospective cohort study was conducted. The Kotelchuck Index was used to classify prenatal care usage. Public primary care funding was classified as fixed or variable spending. Municipalities were classified as low, medium-low, medium-high, and high funding, ranking separately per funding type. Poisson regressions were used to calculate the relative risk of inadequate prenatal care usage. Inadequate antenatal care usage was present in 20.2% of the cohort. Higher funding was associated with a lower risk of inadequate prenatal care utilization. A high variable funding level had the highest effect, with an RR of 0.88. Patients who were black, mixed race, or didn't have a partner were underrepresented in higher funding levels. The variable model had higher monetary volume and was more impactful. Broad social vulnerability indicators are inadequate to direct funding among the specific population of pregnant patients, which could benefit from a particular funding model and criteria.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e06182024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032831","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

Factors associated with difficulty in accessing healthcare services among older adults: National Health Survey, 2019. 与老年人难以获得医疗服务相关的因素：2019年全国健康调查。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-15 DOI: 10.1590/1413-81232025308.00082024

Danielle Samara Tavares de Oliveira-Figueiredo, Júlia Emmily Gomes Dos Santos Silva, Paula Yhasmym de Oliveira Feitosa, Matteus Pio Gianotti Pereira Cruz Silva, Arthur Alexandrino

{"title":"Factors associated with difficulty in accessing healthcare services among older adults: National Health Survey, 2019.","authors":"Danielle Samara Tavares de Oliveira-Figueiredo, Júlia Emmily Gomes Dos Santos Silva, Paula Yhasmym de Oliveira Feitosa, Matteus Pio Gianotti Pereira Cruz Silva, Arthur Alexandrino","doi":"10.1590/1413-81232025308.00082024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.00082024","url":null,"abstract":"The objective was to analyze the factors associated with difficulty in accessing healthcare services among older population. This is a cross-sectional, analytical study using data from the 2019 National Health Survey, conducted between 2019 and 2020 with a random sample of 22,728 older adults. The outcome was the difficulty in accessing healthcare services, measured by seeking services but not being attended to, or when services were not sought despite a need due to individual difficulties. The exposures were sociodemographic characteristics, health insurance coverage, health conditions, and functional disability. Multiple logistic regression was employed, considering a 5% significance level. Stata 17 was used for the analysis. The majority of older adults were female, aged between 60 and 69 years. The prevalence of difficulty in accessing services was 13.7% (95%CI: 13.0-14.5). Being female, living in urban areas, having a cerebrovascular accident, pulmonary disease and/or chronic back pain, having fair, poor, or very poor health status, and disability in performing basic activities of daily living (BADLs) were associated with a higher likelihood of difficulty in accessing healthcare services.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e00082024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032869","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

Temporal trend and spatial distribution of reported sexual violence cases in Brazil between 2013 and 2022. 2013 - 2022年巴西报告性暴力案件的时间趋势和空间分布

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-12 DOI: 10.1590/1413-81232025308.11852024

Fabiana Schuelter-Trevisol, Iara Aurélio Orige, Gabriel Oscar Cremona Parma, Jefferson Traebert, Eliane Traebert, Daisson José Trevisol

引用次数: 0

Factors associated with excessive screen time in the Brazilian population: a panel study with 254.600 adults and elderly. 巴西人群中屏幕时间过长的相关因素：一项对254600名成年人和老年人的小组研究。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-12 DOI: 10.1590/1413-81232025308.11592023

Bruno Pedrini de Almeida, Lorena Goulart Vieira, Leonardo Nunes da Costa, Michael Pereira da Silva, Samuel Carvalho Dumith

{"title":"Factors associated with excessive screen time in the Brazilian population: a panel study with 254.600 adults and elderly.","authors":"Bruno Pedrini de Almeida, Lorena Goulart Vieira, Leonardo Nunes da Costa, Michael Pereira da Silva, Samuel Carvalho Dumith","doi":"10.1590/1413-81232025308.11592023","DOIUrl":"https://doi.org/10.1590/1413-81232025308.11592023","url":null,"abstract":"Screen time has prompted investigations by researchers worldwide because of its impact on general health. This research aimed to analyze excessive screen time from a Brazilian national survey among adults and older people and to verify the immediate effect of the COVID-19 pandemic on the evolution of the behavior. A panel study using the survey database between 2016-2022, in a sample of 254,600 Brazilian adults and elderly residents in capital cities. Excessive screen time was considered for \"more than 6 hours\" per day. The prevalence of the outcome was 7.03% (95%CI: 6.8-7.3). Adjusted analysis indicated age 18-39 and 40-59 years, marital status single, stable union and separated or divorced, educational achievement range of 9-11 years, Northern, Northeast, and Southeast regions, cigarette smoking, abusive alcohol consumption, physical inactivity, and the period from 2021 to 2022 as variables that were associated with excessive screen time. This research highlights the importance of a comprehensive look at people who seem to care less about their overall health. It promotes a better understanding of the exposition of excessive screen time in Brazilian adults and older people.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e11592023"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032880","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

[Mortality trends from avoidable causes in Pelotas/RS: ecological study from 2000 to 2021]. [Pelotas/RS可避免原因的死亡率趋势：2000年至2021年的生态学研究]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-07-26 DOI: 10.1590/1413-81232025308.18782023

Juvenal Soares Dias da Costa, Everton José Fantinel, Maria Amália Lutz Saavedra, Thales Moura de Assis, Brunna Machado Medeiros

{"title":"[Mortality trends from avoidable causes in Pelotas/RS: ecological study from 2000 to 2021].","authors":"Juvenal Soares Dias da Costa, Everton José Fantinel, Maria Amália Lutz Saavedra, Thales Moura de Assis, Brunna Machado Medeiros","doi":"10.1590/1413-81232025308.18782023","DOIUrl":"https://doi.org/10.1590/1413-81232025308.18782023","url":null,"abstract":"The objective of this study was to analyze the characteristics of avoidable mortality in the population aged five to 69 years living in the city of Pelotas/RS, comparing it with the rest of the state of Rio Grande do Sul, from 2000 to 2021. An ecological study was conducted analyzing avoidable mortality coefficients according to sex and age, from 2000 to 2021. The data source was the Mortality Information System, and the trend analysis was performed using Prais-Winsten regression, with standardization of coefficients. Violence and human immunodeficiency virus disease were among the main causes of death among younger people. In women, malignant breast cancer was among the main causes from 30 to 59 years of age. Ischemic heart disease and cerebrovascular diseases, although with a decreasing trend, attained the highest coefficients in both sexes. The analysis showed the need for improvement and monitoring of the information system. The main causes of mortality require cross-sectoral policies and improvement of the health system.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e18782023"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032749","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

[Neo-institutionalization in the context of psychiatric reform: an analysis of the trajectory of Psychosocial Care Center (PCC) users]. [精神病学改革背景下的新机构化：心理社会护理中心（PCC）使用者轨迹分析]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-10 DOI: 10.1590/1413-81232025308.00752024

Luisa Motta Corrêa, Rossano Cabral Lima

{"title":"[Neo-institutionalization in the context of psychiatric reform: an analysis of the trajectory of Psychosocial Care Center (PCC) users].","authors":"Luisa Motta Corrêa, Rossano Cabral Lima","doi":"10.1590/1413-81232025308.00752024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.00752024","url":null,"abstract":"Deinstitutionalization enables the removal of users from asylums with the support of the Psychosocial Care Network (PCN), which is based on the Psychosocial Care Centers (PCCs). One of the current impasses is the emergence of private/religious institutions that are updating the asylum model. In order to analyze what leads to neo-institutionalization in these locations, an ethnographical study was carried out on nine cases in four PCCs of the three PCNs in the city of Rio de Janeiro, through scrutiny of medical records, interviews with the patient, family members, PCC technicians and managers of the asylums per se. These locations were institutionalized despite the support of the PCCs and were selected for the research due to the diversity of characteristics, territories and institutional destinations that permitted investigation. The conclusion drawn is that neo-institutionalization is motivated by different factors: crisis, asylum concept, disarticulation and precariousness of intra- and intersectoral networks, reduced teams and insufficient number of territorial services, institutionalization of PCCs, low crisis reception capacity, family overload and family expectations, lack of regular support for family members and housing projects for users whose caregivers have died, are elderly or become ill.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e00752024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032769","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

[Association between parenting, posttraumatic stress, and mental health in adolescents after a mega-forest fire]. [大型森林火灾后青少年的养育、创伤后压力和心理健康之间的关系]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-05 DOI: 10.1590/1413-81232025308.05762024

Carlos Mellado

{"title":"[Association between parenting, posttraumatic stress, and mental health in adolescents after a mega-forest fire].","authors":"Carlos Mellado","doi":"10.1590/1413-81232025308.05762024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.05762024","url":null,"abstract":"The objective of this study was to evaluate the joint or synergistic (interaction) effect of psychological control, parental knowledge, and posttraumatic stress on the mental health of adolescents who experienced a massive forest fire. A non-experimental, cross-sectional design was used to survey 292 Chilean adolescents (Mean age = 14.39, 51.6% female). The results indicate that maternal and paternal psychological control are positively associated with adolescent suicidal ideation, depression, anxiety, and stress. Parental knowledge, meanwhile, shows a negative relationship with depression and anxiety, but only in the father model. Additionally, synergistic associations were observed between psychological control and posttraumatic stress due to the fire: when psychological control is high, posttraumatic stress is associated with greater suicidal ideation, depression, and anxiety, whereas when psychological control is low, this association disappears. The results indicate that considering joint associations between parenting and post-traumatic stress can help us more accurately understand the complexity of mental health in the context of disasters.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e05762024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032805","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 biopsychosocial model in disability evaluation: disability is not an ICD code]. [残疾评估中的生物心理社会模型：残疾不是ICD代码]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-08 DOI: 10.1590/1413-81232025308.02462024

Indyara de Araujo Morais, Marineia Crosara de Resende, Edgar Merchan-Hamann, Everton Luís Pereira

引用次数: 0

[Intimate partner violence and suicidal ideation among pregnant women in Southern Brazil]. [巴西南部孕妇的亲密伴侣暴力和自杀意念]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-07-12 DOI: 10.1590/1413-81232025308.05532024

Vanessa Iribarrem Avena Miranda, Rafael Zaneripe de Souza Nunes, Marcos Bauer Torriani, Letícia Monteiro Bettiol, Lisiane Tuon, Fernanda Oliveira Meller, Antônio Augusto Schäfer, Susana Cararo Confortin

{"title":"[Intimate partner violence and suicidal ideation among pregnant women in Southern Brazil].","authors":"Vanessa Iribarrem Avena Miranda, Rafael Zaneripe de Souza Nunes, Marcos Bauer Torriani, Letícia Monteiro Bettiol, Lisiane Tuon, Fernanda Oliveira Meller, Antônio Augusto Schäfer, Susana Cararo Confortin","doi":"10.1590/1413-81232025308.05532024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.05532024","url":null,"abstract":"The scope of this study was to analyze the association between intimate partner violence (IPV) and suicidal ideation among pregnant women in southern Brazil. It involved a cross-sectional study with pregnant women from Primary Health Care in Criciúma, Brazil, in 2022. Suicidal ideation was assessed using the validated PHQ-9 questionnaire, and IPV was evaluated using the World Health Organization Violence Against Women questionnaire. Crude and adjusted Poisson regression analyses were performed. Of the 389 pregnant women evaluated, the majority were aged 20 to 30 years (58.1%), of white skin color (68.1%), one-third had up to 8 years of education (29%), and approximately half had an income between R$ 1,001.00 and R$ 2,000.00 (45%). Most did not engage in physical activity (91.2%), and 13.6% experienced IPV during pregnancy, with 7.4% reporting suicidal ideation. In the adjusted analysis, pregnant women who experienced IPV were 2.44 times more likely to have suicidal ideation than those who did not experience IPV (95%CI: 1.11; 5.36). The data revealed that IPV during pregnancy was associated with a higher risk of suicidal ideation.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e05532024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032792","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 representations of postpartum women on obstetric violence in childbirth and birth settings]. [产后妇女关于分娩和分娩环境中的产科暴力的社会陈述]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-08-01 Epub Date: 2024-08-09 DOI: 10.1590/1413-81232025308.08662024

Kassya Rosete Silva Leitão, Adriana Nogueira Gomes Ferreira, Cleber Augusto Pereira, Cleide Maria Pontes, Kayo Elmano Costa da Ponte Galvão, Maria de Fátima Lires Paiva, Dorlene Maria Cardoso de Aquino, Rita da Graça Carvalhal Frazão Corrêa

{"title":"[Social representations of postpartum women on obstetric violence in childbirth and birth settings].","authors":"Kassya Rosete Silva Leitão, Adriana Nogueira Gomes Ferreira, Cleber Augusto Pereira, Cleide Maria Pontes, Kayo Elmano Costa da Ponte Galvão, Maria de Fátima Lires Paiva, Dorlene Maria Cardoso de Aquino, Rita da Graça Carvalhal Frazão Corrêa","doi":"10.1590/1413-81232025308.08662024","DOIUrl":"https://doi.org/10.1590/1413-81232025308.08662024","url":null,"abstract":"The purpose of this study was to analyze the social representations attributed by postpartum women regarding obstetric violence in childbirth and birth settings. This qualitative study is grounded in Social Representations Theory and involved postpartum women attending a university hospital. Data were collected through free associations to the trigger term \"obstetric violence\" organized using IRaMuTeQ software. The social representations allowed the construction of a diagram with frequency and Average Order of Evocation (AOE), characterized in a framework with a central core including the terms ignorance (f=11; AOE=2.4), fear (f=11; AOE=2.7), and pain (f=9; AOE=2.7); in the first periphery, rudeness (f=14; AOE=3. 4), anger (f=9; AOE=2.6), and evil (f=9; AOE=3.4); in the contrast zone, sadness (f=5; AOE=2.4), fear (f=5; AOE=2. 8), and invasion of privacy (f=3; AOE=2.7); and in the second periphery, assault (f=4; AOE=3.2), recklessness (f=4; AOE=4.5), and vulnerability (f=2; AOE=4.0). Social representations emphasized vulnerability, lack of information, and disrespect for autonomy. It is imperative that discussions on this topic be held in healthcare settings and during professional training to reinforce the implementation of effective practices in childbirth and maternity care.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 8","pages":"e08662024"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032866","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