Ciencia & saude coletiva最新文献_第3页

Intersectoral assistance to victims of accidents and violence from the perspective of Primary Care managers and professionals.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1590/1413-81232025303.16952024

Kathie Njaine, Joviana Quintes Avanci, Daniella Harth da Costa

{"title":"Intersectoral assistance to victims of accidents and violence from the perspective of Primary Care managers and professionals.","authors":"Kathie Njaine, Joviana Quintes Avanci, Daniella Harth da Costa","doi":"10.1590/1413-81232025303.16952024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.16952024","url":null,"abstract":"This article examines the implementation of the interdisciplinary and intersectoral assistance guideline for victims of accidents and violence, as outlined in the National Policy for Reducing Morbidity and Mortality from Accidents and Violence (PNRMAV), within Primary Health Care. This is research based on the triangulation of quantitative and qualitative methods, analyzing questionnaires and interviews with managers of primary care services in selected capitals and cities. The health network, social assistance services, and the guardianship council are the primary entities with which Primary Health Care coordinates care for cases of accidents and violence. There is a high frequency of flows and protocols for referring cases of violence and accidents, which are generally well-regarded. However, attention to accident victims is more limited. Progress has been observed in intersectoral coordination for providing care to victims of violence and accidents across all regions of the country. The main challenges identified are insufficient training and high staff turnover. The study concludes that the implementation of the PNRMAV in primary because its role is very important in itself and in conjunction with other services for the quality of life of users and the construction of peace.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e16952024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708573","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

Causal effect of hypertensive syndromes during pregnancy on prematurity: data from cross-sectional study "Born in Brazil".

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-16 DOI: 10.1590/1413-81232025303.01142023

Elizabeth de Paula Franco, Silvana Granado Nogueira da Gama, Mariza Miranda Theme Filha, Katrini Guidolini Martinelli, Ana Carolina Carioca da Costa, Daniele Marano

{"title":"Causal effect of hypertensive syndromes during pregnancy on prematurity: data from cross-sectional study \"Born in Brazil\".","authors":"Elizabeth de Paula Franco, Silvana Granado Nogueira da Gama, Mariza Miranda Theme Filha, Katrini Guidolini Martinelli, Ana Carolina Carioca da Costa, Daniele Marano","doi":"10.1590/1413-81232025303.01142023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.01142023","url":null,"abstract":"To evaluate the causal effect of hypertensive syndromes during pregnancy (HSP) on prematurity. Data were obtained from the nationwide study \"Born in Brazil\" (\"Nascer no Brasil\"), conducted with 23,894 women. Hypertensive syndromes comprised the synthesis of positive responses to any of the questions relating to increased blood pressure contained in the questionnaires completed with data from patients' hospital records and prenatal cards. The outcome was early and late preterm birth. The confounding variables were indicated in the directed acyclic graph, and the causal effect was estimated by the propensity score. Of the 20,494 postpartum women evaluated in this study, 2,369 presented a diagnosis of hypertensive syndromes, and among these, 5.8% were early premature births and 13.5% were late premature births. After weighting, women with hypertensive syndromes had a 2.74-fold greater chance of having an early preterm birth (ORadj: 2.74; 95%CI: 2.12-3.54) and a 2.40-fold greater chance of having a late preterm birth (ORadj: 2.40; 95%CI: 1.86-3.08). The causal effect of hypertensive syndromes on prematurity reaffirmed their role in causing an increase in premature births, reinforcing the importance of controlling syndromes during prenatal care.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e01142023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708612","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

Socio-demographic, family context and behavioral variables associated with intrafamily physical violence in PeNSE.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-04-11 DOI: 10.1590/1413-81232025303.14252023

Paulla Hermann do Amaral, Roberta Hirschmann, Tiago N Munhoz

{"title":"Socio-demographic, family context and behavioral variables associated with intrafamily physical violence in PeNSE.","authors":"Paulla Hermann do Amaral, Roberta Hirschmann, Tiago N Munhoz","doi":"10.1590/1413-81232025303.14252023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.14252023","url":null,"abstract":"The aim was to evaluate the magnitude of population groups at greater risk of intrafamily physical violence (IPV) among 9th grade students. Data from the Pesquisa Nacional de Saúde do Escolar (PeNSE) [National School Health Survey] was used in a cross-sectional school-based study, whose sampling took place in three stages: selection and analysis of municipalities, schools and school classes. Univariate, bivariate and multivariate analyses were conducted, considering the sample weights. Information referring to 60,905, 108,793 and 102,072 students were examined. This identified IPV prevalences of 9.5%, 10.9% and 14.5% for each year analyzed, respectively. After adjustment, it was found that IPV victimization was higher among female students who self-declared black, brown, yellow or indigenous, were aged 15 and 16, and whose mothers had a lower level of education. It was observed that the occurrence of IPV increased in the study period, signaling the need for specialized policies, programs and services to turn attention toward the most vulnerable population segments. The implementation of preventive strategies in the school context, with emphasis on family dynamics, may be a vector for reducing the number of IPV episodes, consolidating the family as a social system contributing to breaking the cycle of violence.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e14252023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708839","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 of workplace accidents incidence in Brazil, according to federative units, and by sector of economic activity.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-01-20 DOI: 10.1590/1413-81232025303.07282023

Claudio José Dos Santos Júnior, Cristiano Barreto de Miranda, José Leopoldo Ferreira Antunes, Frida Marina Fischer

{"title":"Temporal trend of workplace accidents incidence in Brazil, according to federative units, and by sector of economic activity.","authors":"Claudio José Dos Santos Júnior, Cristiano Barreto de Miranda, José Leopoldo Ferreira Antunes, Frida Marina Fischer","doi":"10.1590/1413-81232025303.07282023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.07282023","url":null,"abstract":"The objective of this study was to assess the temporal trend of workplace accidents (WA) incidence in Brazil, across its federative units (FU) and by economic activity sector, from 2009 to 2019. An ecological study of time series was conducted using data from the Statistical Yearbook of Occupational Accidents (AEAT InfoLogo) and the Statistical Yearbook of Social Security (AEPS InfoLogo). The annual percent change (APC) of WA incidence rates and the 95% confidence intervals were estimated through Prais-Winsten linear regression. The average WA rate per 1,000 work contracts decreased from 21.64 to 13.72, with an APC of -4.45%. The reduction was observed across all age groups, both genders, and in 26 FU. Incidence rates of WA requiring medical assistance or resulting in disability also showed a declining trend. There was also variation in the indicator among different categories of the National Classification of Economic Activities, with some categories exhibiting a more pronounced declining trend than others. The decrease in WA rates and the declining trend in FU may be the result of public policies and strategies adopted in recent years to address workplace accidents.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e07282023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708846","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

How is the implementation of the National Policy for Reducing Morbidity and Mortality from Accidents and Violence in Brazil progressing?

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 DOI: 10.1590/1413-81232025303.19032024

Edinilsa Ramos de Souza, Liana Wernersbach Pinto, Queiti Batista Moreira Oliveira

引用次数: 0

Surveillance actions of violences in primary care, hospital and rehabilitation services in Brazil.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-10-02 DOI: 10.1590/1413-81232025303.17372024

Joviana Quintes Avanci, Queiti Batista Moreira Oliveira, Simone Gonçalves de Assis

{"title":"Surveillance actions of violences in primary care, hospital and rehabilitation services in Brazil.","authors":"Joviana Quintes Avanci, Queiti Batista Moreira Oliveira, Simone Gonçalves de Assis","doi":"10.1590/1413-81232025303.17372024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.17372024","url":null,"abstract":"This article analyzes how violence monitoring and notification actions are incorporated into different levels of care in Brazil, according to population size and regional belonging. It is characterized by a cross-sectional, descriptive study, combining quantitative and qualitative techniques, with the application of questionnaires in 290 primary care, 128 hospital and 113 rehabilitation services in 379 Brazilian cities. In the qualitative approach, 63 health professionals/service managers were interviewed. The data is analyzed through frequencies by level of care, region and population size. The interviews were analyzed by thematic content. The results show that hospital units stand out in reporting, that primary care services stand out in agreeing flows and disseminating information and that ongoing training actions need to be expanded. The recommendations are integration between information systems, feedback of information in care and surveillance, improvement in the recording of self-inflicted violence and the existence of electronic medical records for integration into the network.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e17372024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708841","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 communication of bad news in the emergency hospital.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-19 DOI: 10.1590/1413-81232025303.02022023

Gislaine Alves de Souza, Janaína Souza Aredes, Karla Cristina Giacomin, Josélia Oliveira Araújo Firmo

{"title":"The communication of bad news in the emergency hospital.","authors":"Gislaine Alves de Souza, Janaína Souza Aredes, Karla Cristina Giacomin, Josélia Oliveira Araújo Firmo","doi":"10.1590/1413-81232025303.02022023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.02022023","url":null,"abstract":"The scope of this study was to understand the elements involved in the communication of bad news in the context of medical practice in a Brazilian emergency hospital. It consisted of qualitative research, based on medical anthropology. Data collection was gathered over nine months of participant observation and interviews with 43 physicians. The emic analysis was based on the model of signs, meanings and actions. Two categories emerged from the analysis of the data: bottlenecks in communicating bad news relating to interaction one's own emotions and those of the family member; insufficient academic preparation in addressing death and the impossibility of a cure, with repercussions on professional practice. The difficulties in communicating bad news in the emergency hospital persist and the omission in training has repercussions on professional practice, and the professionals continue to feel ill-prepared. The difficulties are not only technical, didactic or theoretical. Communicating bad news is also permeated by tacit, experiential, relational, emotional, socio-cultural, human, ethical and reflective knowledge.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e02022023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708848","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

Time trends in the incidence of cancer in the state of Mato Grosso, Brazil, from 2001 to 2016.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-16 DOI: 10.1590/1413-81232025303.05932023

Viviane Cardozo Modesto, Noemi Dreyer Galvão, Rita Adriana Gomes de Souza, Mário Ribeiro Alves, Maria Teresa Bustamante-Teixeira, Amanda Cristina de Souza Andrade

{"title":"Time trends in the incidence of cancer in the state of Mato Grosso, Brazil, from 2001 to 2016.","authors":"Viviane Cardozo Modesto, Noemi Dreyer Galvão, Rita Adriana Gomes de Souza, Mário Ribeiro Alves, Maria Teresa Bustamante-Teixeira, Amanda Cristina de Souza Andrade","doi":"10.1590/1413-81232025303.05932023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.05932023","url":null,"abstract":"The scope was to analyze the time-series trend in the incidence of cancer in the health macro-regions of the State of Mato Grosso from 2001 to 2016. It involved an ecological time-series study with data from the Mato Grosso Population-Based Cancer Registry. Age-standardized incidence rates, disaggregated by year, sex, macro-region and type of cancer, were calculated. For men, the trend was increasing for prostate cancer in the state and the Central-Northwest, East, West, and South macro-regions, and for colorectal cancer in the North; and decreasing for stomach cancer in the state and the Central-Northwest and North, for lung cancer in the East, and for esophageal cancer in the Central-Northwest. For women, the trend was increasing for breast cancer in the state from 2009 to 2016, for lung cancer in the state (2008 to 2016) and in the Central-North (2001 to 2016) and South (2007 to 2016) macro-regions; and decreasing for cervical cancer in the state and for all macro-regions, and for stomach cancer in the state and in the Central-Northwest. Colorectal cancer revealed a stable trend for the state and all macro-regions. Cancer surveillance, prevention and control actions should consider regional differences and variations in magnitude of the occurrence of the disease.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e05932023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708856","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

Advances and challenges of reducing adult educational inequalities in stomach cancer: a time series study, Colombia, 1998-2015.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-23 DOI: 10.1590/1413-81232025303.23962021

Laura Isabel Vásquez, Martha Saiz, Ivan Arroyave

{"title":"Advances and challenges of reducing adult educational inequalities in stomach cancer: a time series study, Colombia, 1998-2015.","authors":"Laura Isabel Vásquez, Martha Saiz, Ivan Arroyave","doi":"10.1590/1413-81232025303.23962021","DOIUrl":"https://doi.org/10.1590/1413-81232025303.23962021","url":null,"abstract":"Trends in educational inequalities in adult (25 years old and over) gastric cancer mortality by sex and age group in Colombia from 1998-2015 were analyzed. An ecological time series study was conducted using Colombian vital statistics and official population estimations. Age-standardized mortality rates (ASMR per 100,000 person-years) for gastric cancer were calculated separately by educational level, sex, and grouped age. A Poisson regression model was used to calculate rates ratios (RR) and the Relative Index of Inequalities (RII). The changes over time of the ASMR and RII were analyzed using a joinpoint analysis. During the study period, 80,520 deaths from gastric cancer were recorded among adults, 60% among men. Higher ASMRs were found in the lower educational levels. The inequality measured by the RII was lower among women compared to men. Young and middle-aged men suffered from the highest relative inequalities, while older men bore the toll of higher mortality rates and a greater increase in relative inequalities. It is necessary to address public health programs aimed at strengthening the quality of life of the populations identified as at risk of stomach cancer.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e23962021"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708910","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 family violence and physical activity in Brazilian adolescents: a quantile regression analysis.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-04-18 DOI: 10.1590/1413-81232025303.11582023

Raycauan Silva Benthroldo, Eliseu Verly Júnior, Leandro Fórnias Machado de Rezende, Catarina Machado Azeredo, Emanuele Souza Marques

{"title":"Association between family violence and physical activity in Brazilian adolescents: a quantile regression analysis.","authors":"Raycauan Silva Benthroldo, Eliseu Verly Júnior, Leandro Fórnias Machado de Rezende, Catarina Machado Azeredo, Emanuele Souza Marques","doi":"10.1590/1413-81232025303.11582023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.11582023","url":null,"abstract":"The study aims to assess the association between family physical violence and different domains of physical activity in students. Cross-sectional study with data from the National School Health Survey 2015. Physical activity was measured with a validated questionnaire and comprised the previous seven days. Physical activity domains investigated were commuting, leisure, physical education class, and total physical activity. Family physical violence was obtained with a question about exposure to physical aggression in the last month. Quantile regression analysis was performed to assess the association between exposure and outcomes, stratified by sex. Girls and boys exposed to family physical violence spent more time in commuting physical activity compared to those not exposed. Boys exposed to family physical violence spent less time in leisure physical activity compared to those not exposed, whereas girls exposed to violence spent more time in this activity than not exposed. For physical education class, exposed boys at the 80th percentile had more time for physical activity. For total physical activity, exposed girls had more time in this activity than unexposed girls. Associations were distinct for each physical activity domain by sex.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e11582023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708605","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