Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-25DOI: 10.1590/1413-81232025301.05682023
Roberta Lima Andrade, Lorena de Cerqueira Andrade Braga, Ronisson Santana Reis, Franciele Silva Dos Santos, Nadine Ribeiro de Jesus, João Cruz Neto, Éric Santos Almeida, Vinícius de Oliveira Muniz, Anderson Reis de Sousa
{"title":"[How did men report their long COVID experience? Health-Disease socio-anthropological meaning].","authors":"Roberta Lima Andrade, Lorena de Cerqueira Andrade Braga, Ronisson Santana Reis, Franciele Silva Dos Santos, Nadine Ribeiro de Jesus, João Cruz Neto, Éric Santos Almeida, Vinícius de Oliveira Muniz, Anderson Reis de Sousa","doi":"10.1590/1413-81232025301.05682023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.05682023","url":null,"abstract":"<p><p>The study aims to explain the discourse of the collective subject of adult and elderly men about the experience of long COVID. Qualitative research, derived from a national multicenter clinical-virtual observatory involving 92 adult men, between 2022 and 2023 in Brazil. IRaMuTeQ software was used (data processing), the Collective Subject Discourse technique (analysis) and socio-anthropological references of the disease experience (interpretation). The results showed that the long COVID experience was marked by the prolongation of respiratory symptoms characteristic of COVID-19; systemic symptomatology in the physical-psychic body; and severe clinical complications. The experience of the long COVID-19 disease was shaped by gender relations and masculinities, constructed notions of health-disease, imaginaries about the capacity of the disease in the context of vaccination, the systemic character of syndromic events understood as sequelae left by the disease, resonating the sense of incapacity and stigmatization.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e05682023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064144","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 : 2025-01-01Epub Date: 2024-07-12DOI: 10.1590/1413-81232025301.19872023
Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Nádia Machado de Vasconcelos, Isabela Cristina Vieira Silva, Maria Luiza Sady Prates, Isabella Vitral Pinto, Cheila Marina de Lima
{"title":"Factors associated with the notification of violence among Brazilian adolescents: an analysis of SINAN.","authors":"Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Nádia Machado de Vasconcelos, Isabela Cristina Vieira Silva, Maria Luiza Sady Prates, Isabella Vitral Pinto, Cheila Marina de Lima","doi":"10.1590/1413-81232025301.19872023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.19872023","url":null,"abstract":"<p><p>This study aims to analyze the trend of the notified violence committed against adolescents from 2015 to 2022 and the association between the victim's characteristics, abuse, and the perpetrators of violence against adolescents in 2022. It used data from the Notifiable Diseases Information System (SINAN). Around 400,000 cases of violence against adolescents were reported. The notifications have been on the rise, except in pandemic years (2020 and 2021). The most frequent victims were girls, the principal place of occurrence was at home, and physical violence was the most common type. Correspondence analysis showed an association between female victims, home as a place of occurrence, psychological violence and threat among male victims, violence on public roads committed by strangers, and use of sharp objects. SINAN becomes a vital instrument for allowing visibility to the topic. Preventing youth violence requires an intersectoral approach.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e19872023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064285","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 : 2025-01-01Epub Date: 2024-06-27DOI: 10.1590/1413-81232025301.03102024
Ana Carolina de Moraes Teixeira Vilela Dantas, Luísa da Matta Machado Fernandes, Ana Luísa Jorge Martins, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Gabriela Drummond Marques da Silva, Anelise Andrade de Souza, Rômulo Paes-Sousa
{"title":"Transforming practices into models: paths towards a Health Care Network for the Homeless Population.","authors":"Ana Carolina de Moraes Teixeira Vilela Dantas, Luísa da Matta Machado Fernandes, Ana Luísa Jorge Martins, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Gabriela Drummond Marques da Silva, Anelise Andrade de Souza, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025301.03102024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03102024","url":null,"abstract":"<p><p>The Homeless Population (HP) has grown exponentially in the last decade, causing different challenges for the Brazilian Unified Health System, especially during the COVID-19 pandemic. A cross-sectional, descriptive, and exploratory study, with triangulated quantitative and qualitative methods, was conducted from 2020 to 2022, exploring care practices geared to the HP in Belo Horizonte. The quantitative stage adopted official datasets from the health and social assistance secretariats, and 48 semi-structured interviews and four focus groups were conducted in the qualitative stage, totaling 86 participants. The results point to the need for implementing a polyarchic and multidisciplinary Healthcare Network (RAS-PSR) with intersectoral support, guided care territorialization and longitudinality integrated with information systems to address the complex approach and based on the logic of the expanded clinic. Updating HP records in health systems and qualifying services is needed to achieve RAS-PSR efficacy. Understanding the dynamics of actions developed or broadened by the municipality and lessons learned locally can assist the development of effective social care and health policies that can be upscaled to the national level.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03102024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063947","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 : 2025-01-01Epub Date: 2023-11-08DOI: 10.1590/1413-81232025301.08082023
Luís Fernando Nogueira Tofani, André Luiz Bigal, Fernando Tureck, Lumena Almeida Castro Furtado, Rosemarie Andreazza, Arthur Chioro
{"title":"Use of WhatsApp® aplicattion in health manegement, work, and care in fighting the COVID-19 pandemic.","authors":"Luís Fernando Nogueira Tofani, André Luiz Bigal, Fernando Tureck, Lumena Almeida Castro Furtado, Rosemarie Andreazza, Arthur Chioro","doi":"10.1590/1413-81232025301.08082023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.08082023","url":null,"abstract":"<p><p>This study aims to analyze the use of the WhatsApp® application in health management, work process, and care in coping with the COVID-19 pandemic. A qualitative research was carried out by multiple case studies with semi-structured interviews with SUS managers and workers from May to November 2022. The material was transcribed and processed on ATLAS.ti® and its thematic content was analyzed. The use of WhatsApp® enhanced processes that created new health management, work, and care practices from a lively, communicative perspective produced in actions especially based on the challenges brought to face the pandemic. Results also point to the overcomplication of workers and managers, sometimes configuring situations of exhaustion due to constant and full-time communication in the application and the potential compromise to their health. They also highlight practices that had been informally produced and that emerged as an accelerated process of non-formal institutionalization in response to the practical demands of the health emergency, constituting new communication and access regulation arrangements.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e08082023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063971","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 : 2025-01-01Epub Date: 2023-10-05DOI: 10.1590/1413-81232025301.01222023
Thayana Calixto de Carvalho, Anne Karin da Mota Borges, Ilce Ferreira da Silva
{"title":"[Gastric cancer cases in Brazil and waiting times for diagnosis and treatment].","authors":"Thayana Calixto de Carvalho, Anne Karin da Mota Borges, Ilce Ferreira da Silva","doi":"10.1590/1413-81232025301.01222023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.01222023","url":null,"abstract":"<p><p>The aim is to describe the sociodemographic and clinical-epidemiological profile of hospital cases of gastric cancer and to analyze factors associated with the Time-to-Treatment in Brazil. Exploratory study of sociodemographic and clinical-epidemiological characteristics of cases of gastric cancer. Time-to-Treatment were continuously estimated and then categorized into ≤ 60/> 60 days to estimate prevalence. Factors associated with delay in treatment were considered by simple and multiple logistic regression. Results: the time between diagnosis and initiation of treatment, both for cases that arrived without diagnosis and without treatment, and for those that arrived with diagnosis and without treatment, was shorter for cases whose 1st intervention was surgery and those with staging- III /IV. The main factors associated with delayed treatment were: age, region, marital status, education, city of residence, staging and first intervention received. There was a disparity in the time-to-treatment according to the 1st intervention received, staging and status of arrival at the institution. In addition, there was an association between sociodemographic and clinical factors and a delay in starting treatment.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e01222023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064137","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 : 2025-01-01Epub Date: 2023-10-05DOI: 10.1590/1413-81232025301.11452023
Denise Montenegro da Silva, Yanka Alcântara Cavalcante, Bruno Luciano Carneiro Alves de Oliveira, Marcos Venícios de Oliveira Lopes, Ana Fátima Carvalho Fernandes, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino
{"title":"Social health determinants associated with mammography performance according to the 2013 and 2019 National Health Survey.","authors":"Denise Montenegro da Silva, Yanka Alcântara Cavalcante, Bruno Luciano Carneiro Alves de Oliveira, Marcos Venícios de Oliveira Lopes, Ana Fátima Carvalho Fernandes, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino","doi":"10.1590/1413-81232025301.11452023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.11452023","url":null,"abstract":"<p><p>Mammography is one of the main methods available for breast cancer screening in Brazil. However, differences in timely access and performance of the exam can be highlighted based on social determinants of health, considered relevant due to their influence on the health situation of a population. Thus, the present study aimed to identify the social determinants of health associated with access to and performance of mammography in Brazilian women. Cross-sectional and analytical study, based on secondary data from the National Health Survey (NHS) from 2013 and 2019 in Brazil. The main determinants of women who did not take the exam during the evaluated period were: aged 65 to 69 years, mixed race and black, living with more than three people, with incomplete primary education, in the 1st quintile of socioeconomic income, without health insurance, registered with the Family Health Strategy (FHS), and residents of the North and Northeast regions. There was a significant improvement in access to mammography exams in all states; however, structural factors, such as economic income, color, level of education, and age group were evident in why mammograms were not performed.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e11452023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063941","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}
Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva
{"title":"Ciência & Saúde Coletiva, National and International Science.","authors":"Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva","doi":"10.1590/1413-81232025301.16042024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.16042024","url":null,"abstract":"","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e16042024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064198","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 : 2025-01-01Epub Date: 2024-07-26DOI: 10.1590/1413-81232025301.07752024
Priscilla Victória Rodrigues Fraga, Maria Cecília Assis de Araújo, Anelise Andrade de Souza, Ana Luísa Jorge Martins, Ana Carolina de Moraes Teixeira Vilela Dantas, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Rômulo Paes-Sousa
{"title":"Between the streets and the RAPS: Integrative review on the access of the homeless population to Mental Health Services.","authors":"Priscilla Victória Rodrigues Fraga, Maria Cecília Assis de Araújo, Anelise Andrade de Souza, Ana Luísa Jorge Martins, Ana Carolina de Moraes Teixeira Vilela Dantas, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025301.07752024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.07752024","url":null,"abstract":"<p><p>This integrative review systematized the factors that influence access to mental health services for the Homeless Population (HP) in harmful use of alcohol and other drugs in the Psychosocial Care Network (RAPS) in Brazil by categorizing the factors into access \"barriers\" and \"facilitators\". We selected 13 corresponding articles and subsequently assessed their methodological quality. We identified 19 access barriers and 22 access facilitators, observing a convergence and complementarity of the factors identified, with no disagreements between authors. Although there are specific barriers and facilitators related to substance use, most are connected to HP's conditions and lifestyles or how services address the HP. Discrimination, bureaucratic rigidity of services, and a lack of intra- and intersectoral integration were identified as significant barriers. On the other hand, Street Outreach Clinics and practices such as harm reduction and matrix-based support emerged as notable facilitators, adapting to patients' needs. Future studies should explore specific factors and the relationships between these factors.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e07752024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064221","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 : 2025-01-01Epub Date: 2023-10-18DOI: 10.1590/1413-81232025301.05572023
Mariana de Moura E Dias, Olívia Gonçalves Leão Coelho, Flávia Galvão Cândido, Helen Hermana Miranda Hermsdorff
{"title":"Construction and validation of an instruction manual of nutritional care for severely obese people in the Unified Health System.","authors":"Mariana de Moura E Dias, Olívia Gonçalves Leão Coelho, Flávia Galvão Cândido, Helen Hermana Miranda Hermsdorff","doi":"10.1590/1413-81232025301.05572023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.05572023","url":null,"abstract":"<p><p>This article describes the construction and validation of an instruction manual geared toward nutritional care (NC) for people with severe obesity in the Brazilian Unified Health System (SUS). In the production of this instruction manual, a broad literature review was conducted for the identification and discussion of topics to be treated. The content and appearance validity were conducted according to the Delphi technique and to focus groups, respectively, with evaluators who were nutritionists and practitioners, from different regions of Brazil. According to the Delphi technique, the instruction attributes and their content as a whole were properly and sufficiently evaluated according to values obtained for the Content Validity Index (CVI > 0.8). In the focus groups, the saturation of content was reached. Furthermore, discussions considering the reality of SUS were conducted and subsequently incorporated into the instructions in order to adequate the final version of the instructions to SUS professionals' needs. In conclusion, the instruction manual produced to fill the gap regarding nutritional care for people with severe obesity presents an adequate content in terms of both quality and topics of interest (content validation), and is applicable within the reality of SUS nutritionists (appearance validity).</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e05572023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064202","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}