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Trend of infant mortality in cities of metropolitan region of Porto Alegre, Brazil from 1996 to 2021. 1996年至2021年巴西阿雷格里港大都市区城市婴儿死亡率趋势。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.16642023

Douglas Nunes Stahnke, Marilyn Agranonik, Juvenal Soares Dias da Costa

{"title":"Trend of infant mortality in cities of metropolitan region of Porto Alegre, Brazil from 1996 to 2021.","authors":"Douglas Nunes Stahnke, Marilyn Agranonik, Juvenal Soares Dias da Costa","doi":"10.1590/1413-812320242911.16642023","DOIUrl":"10.1590/1413-812320242911.16642023","url":null,"abstract":"The aim is to verify the trend in infant mortality (IM) and preventable infant mortality (PIM) in municipalities in the metropolitan region of Porto Alegre from 1996 to 2021 and their associations with per capita public spending on health and population coverage of the Family Health Strategy (FHS). Ecological study with data from information systems: on mortality, live births, public budgets and primary health care. The deaths described in the Ministry of Health's list were considered preventable. Statistical analysis used Prais-Winsten regression. A decrease in MIE was observed in the municipalities studied with the exception of Esteio. There was an association between per capita public spending on health and the study outcomes in Novo Hamburgo, Canoas and Porto Alegre. An association was found between the FHS coverage and IM in Novo Hamburgo, Sapucaia do Sul, Canoas and Porto Alegre. PIM was associated with FHS coverage in Novo Hamburgo, Canoas and Porto Alegre. Despite the decrease in the IM and PIM coefficients, the association of this indicator was more impacted by per capita public spending on health than by the FHS population coverage.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e16642023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224519","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

Science, Technology and Innovation and the SUS: a study on health INCTs. 科学、技术和创新与单一系统：卫生技术创新研究。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.04352023

Patrícia Seixas da Costa Braga, Laís Silveira Costa, Ligia Bahia

{"title":"Science, Technology and Innovation and the SUS: a study on health INCTs.","authors":"Patrícia Seixas da Costa Braga, Laís Silveira Costa, Ligia Bahia","doi":"10.1590/1413-812320242911.04352023","DOIUrl":"10.1590/1413-812320242911.04352023","url":null,"abstract":"The study evaluates the potentialities and limits of Science, Technology and Innovation Policies approximation of research carried out in the country and the SUS. It is based on an analysis matrix anchored in the field of Social Studies of Science and Technology, from a social constructivist perspective. Data were obtained from semi-structured interviews carried out with the Coordinators of the health INCTs. The evaluation of the responses was guided by analytical categories of motivation and influence, including guidelines directed at development initiatives. The results show that the INCT Program was successful in strengthening the scientific base in the country and the coordination between researchers and institutions, but the advances were incipient in terms of bringing research closer to the SUS. It also reveals gaps in the initiatives of the INCT Program, such as the bureaucratic evaluation of results and the lack of dialogue between researchers, policy makers, health managers and the population, necessary strategies to increase the engagement of the scientific community in facing public health problems.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e04352023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224514","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 Climate Tragedy in Rio Grande do Sul and the National Force of the SUS: resilience-centered public policy in the face of new health crises. 南巴西大德州的气候悲剧和单一卫生系统国家力量：面对新的卫生危机时以复原力为中心的公共政策。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.09852024

Paula de Castro Nunes, Paulo Victor Rodrigues de Carvalho, Alessandro Jatobá

引用次数: 0

[10 years of resistance/existence of the national policy for the comprehensive health of LGBT: an integrative review]. [LGBT全面健康国家政策的10年抵制/存在：综合回顾]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.05982023

Elton Hoeltgebaum de Almeida Correa, Jennie Debiase, Carla Regina de Almeida Corrêa, Ivanete Rodrigues Dos Santos, Magda de Mattos, Raquel Gonçalves Salgado

{"title":"[10 years of resistance/existence of the national policy for the comprehensive health of LGBT: an integrative review].","authors":"Elton Hoeltgebaum de Almeida Correa, Jennie Debiase, Carla Regina de Almeida Corrêa, Ivanete Rodrigues Dos Santos, Magda de Mattos, Raquel Gonçalves Salgado","doi":"10.1590/1413-812320242911.05982023","DOIUrl":"10.1590/1413-812320242911.05982023","url":null,"abstract":"The National Policy of Integral Health for Lesbians, Gays, Transvestites and Transsexuals (PNSILGBT) is a mitigating measure of discrimination in the Unified Health System (SUS), with more than 10 years of (r)existence, enough time to analyze its implementation and repercussions. The main objective of this research is to identify in the scientific literature the repercussions of the 10 years of implementation of the PNSILGBT. This is an integrative review (IR), with a qualitative approach and an exploratory and descriptive purpose. 53 articles were collected which, after selection, resulted in the inclusion of 16 scientific articles published between 2017 and 2021, most (11) with original text in Portuguese. After categorization and inference of data, two categories emerged: Potentialities and consequences of LGBTQIAPN+ health policies; and Overview of LGBTQIAPN+ health care. The unfamiliarity of PNSILGBT by health workers is one of the main factors for non-implementation of the policy. Thus, it is concluded that the scientific literature on the subject is limited, requiring the expansion of research on this subject.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e05982023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224457","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 sedentary behavior in adolescents: A 10-year analysis. 青少年久坐行为的时间趋势：一项10年分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.16342023

Jorge Bezerra, Rodrigo Antunes Lima, Francys Paula Cantieri, Rafael Miranda Tassitano, José Cazuza de Farias Júnior, Mauro Virgílio Gomes de Barros, Fernanda Cunha Soares

{"title":"Temporal trend of sedentary behavior in adolescents: A 10-year analysis.","authors":"Jorge Bezerra, Rodrigo Antunes Lima, Francys Paula Cantieri, Rafael Miranda Tassitano, José Cazuza de Farias Júnior, Mauro Virgílio Gomes de Barros, Fernanda Cunha Soares","doi":"10.1590/1413-812320242911.16342023","DOIUrl":"10.1590/1413-812320242911.16342023","url":null,"abstract":"The aim of the study was to describe the temporal trend of excessive exposure to sedentary behaviors (SB) and analyze its relationship with sociodemographic factors in adolescents. This study was collected in three waves: 2006 (n = 4,207); 2011 (n = 6,264) and 2016 (n = 6,026). Excessive exposure to sedentary behavior (SB) was operationalized from the following indicators: i) watching television (TV); and ii) SB (except TV). Differences in the prevalence of excessive exposure to sedentary behavior indicators between the collection waves were tested through the intersection of confidence intervals (95%CI). Binary logistic regression was used to assess possible changes in the prevalence of excessive exposure to TV and SB and to analyze its association with sociodemographic factors. Over 10 years, the prevalence of excessive exposure to TV decreased by 23.0 percentage points (79.1% vs. 56.1%), being higher in boys (81.3%). Excessive exposure to SB increased by 15.5 percentage points (62.7%; 95%CI: 61.5-64.0 vs. 78.2%; 95%CI: 77.1-79.4), with a similar magnitude between boys and girls. Excessive exposure to TV is on a downward trend, while that of SB has an upward trend. The temporal behavior of excessive exposure to TV and SB were similar in adolescents of different sociodemographic characteristics in both genders.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e16342023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224517","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

Construction of a logical theoretical model to assess disability care in Primary Health Care services. 初级卫生保健服务残障照护之逻辑理论模型建构。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.11562023

Thais Fernanda Tortorelli Zarili, Elen Rose Lodeiro Castanheira

{"title":"Construction of a logical theoretical model to assess disability care in Primary Health Care services.","authors":"Thais Fernanda Tortorelli Zarili, Elen Rose Lodeiro Castanheira","doi":"10.1590/1413-812320242911.11562023","DOIUrl":"10.1590/1413-812320242911.11562023","url":null,"abstract":"The aim is to propose a theoretical-logical evaluation model for the Attention to Disability dimension in Primary Health Care services. A model was created with 128 indicators divided into five domains: Structure (EST), Prenatal Care (APN), Child Health Care (ASC), Prevention of Disabilities Related to Chronic Conditions (PICC) and Care for People with Disability and the Caregiver (APcDC). Based on the frequency of responses from the application of the Assessment and Monitoring of Primary Care Services (QualiAB) questionnaire in 2739 PHC services in the São Paulo' state, between 2017 and 2018, the existing correlations between the evaluative domains and the dimension by Spearman's correlation coefficient and the level of reliability of responses by Cronbach's alpha (α). The α for the evaluative dimension was 0.956, for the EST domain 0.687, for APN 0.845, ASC 0.872, PICC 0.919 and APcDC 0.916. Significant correlations were found between the evaluative dimension and the domains, and between them, with the exception of the EST domain. The proposed evaluation methodology covers the analysis of the conditions of the physical structure, human resources and work process.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e11562023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224468","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

Hospital readmissions for ambulatory care sensitive conditions in children under 5 years old in the Unified Health System. 统一卫生系统中5岁以下儿童门诊护理敏感条件的再入院率。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.17262023

Jéssica Ferreira, Hugo André da Rocha, Mariangela Leal Cherchiglia, Ilka Afonso Reis

{"title":"Hospital readmissions for ambulatory care sensitive conditions in children under 5 years old in the Unified Health System.","authors":"Jéssica Ferreira, Hugo André da Rocha, Mariangela Leal Cherchiglia, Ilka Afonso Reis","doi":"10.1590/1413-812320242911.17262023","DOIUrl":"10.1590/1413-812320242911.17262023","url":null,"abstract":"This study aimed to analyze readmissions for Ambulatory Care Sensitive Conditions (ACSC) in children under 5 years in the Unified Health System (SUS) between the years 2009 and 2015, to identify the main cause groups and associated factors. This retrospective cohort study used data from the National Health Database, an individual-centered database constructed from deterministic-probabilistic data matching from the main information systems of SUS. The study population consisted of children under 5 years old hospitalized within the SUS with a primary diagnosis listed in the Brazilian Ambulatory Care Sensitive Conditions. Sociodemographic, clinical, hospitalization-related, and hospital service-related factors were considered. Factors associated with readmission included being an infant (between 28 days and 2 years of age), being male, having been initially hospitalized in a private or non-profit institution, residing in the same municipality as the hospital, and the initial hospitalization cause being related to epilepsy, asthma, nutritional deficiencies, pulmonary diseases, bacterial pneumonia and nose, ear, and throat infections.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e17262023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224471","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

Perceptions, knowledge and guidelines developed by health professionals in the post-epidemic context of the Zika virus. 卫生专业人员在寨卡病毒流行后背景下制定的观念、知识和指南。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.09892023

Fernanda Macedo da Silva Lima, Jorge Alberto Bernstein Iriart, Eduardo Massad, John Kinsman

{"title":"Perceptions, knowledge and guidelines developed by health professionals in the post-epidemic context of the Zika virus.","authors":"Fernanda Macedo da Silva Lima, Jorge Alberto Bernstein Iriart, Eduardo Massad, John Kinsman","doi":"10.1590/1413-812320242911.09892023","DOIUrl":"10.1590/1413-812320242911.09892023","url":null,"abstract":"Health professionals are a fundamental category to guide the population about various health problems and effective prevention measures. Despite this, so far, no studies have been identified in Brazil that analyze knowledge and guidance given about the zika virus by health professionals. The objective was to understand the perceptions, knowledge and guidelines developed by health professionals in Salvador-Bahia about the zika virus in the post-epidemic context. This is a qualitative study, developed through 13 semi-structured interviews. The data showed that health professionals had the perception of not being adequately prepared, even in the post-epidemic, to face the zika virus. Situation evidenced by insufficiencies in knowledge about important aspects of this arbovirus. Furthermore, guidelines in the course of the epidemic made the population responsible for mitigating the risk of infection, restricting themselves to the reproduction of the speeches of health authorities, disregarding socio-environmental vulnerabilities. In addition to professional training and appropriate health recommendations, it is necessary that the social determinants that provide different levels of susceptibility to illness are effectively transformed.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e09892023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224510","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 for occupational safety and health in Brazil. 巴西职业安全和健康的公共政策。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.14452023

Claudio José Dos Santos Júnior, Ildeberto Muniz de Almeida, Frida Marina Fischer

{"title":"Public policies for occupational safety and health in Brazil.","authors":"Claudio José Dos Santos Júnior, Ildeberto Muniz de Almeida, Frida Marina Fischer","doi":"10.1590/1413-812320242911.14452023","DOIUrl":"10.1590/1413-812320242911.14452023","url":null,"abstract":"This study aimed to systematize federal public policies related to occupational safety and health (OSH) in Brazil, focusing on the prevention of occupational diseases and accidents, the promotion of safe work environments, and social protection for workers, in force in Brazil in 2023. The documentary research was conducted in three stages: exploratory research and data collection, systematization, and analysis. Data collection was carried out on official platforms indexing normative instruments, as well as programs or plans instituted by the federal government, using complementary data triangulation strategies. Nine OSH public policies were identified, organized into five thematic categories: Social Security; Labor and Employment; Health; Management; and Inspection and Regulation. Each category encompasses specific strategies to protect workers and promote safe workplaces. In summary, Brazil has adopted a series of governmental efforts to protect workers, expanding protective measures over the past decades. However, there is a need for institutional redesign to minimize the isolation of the identified policies and to carry out their monitoring and evaluation.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e14452023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224513","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

Scientific evidence in decision making: a reflection for healthcare organizations. 决策中的科学证据：对医疗保健组织的反思。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.02782024

Silvio Fernandes da Silva, Romeu Gomes, Maria Lúcia Teixeira Machado, Jorge Otávio Maia Barreto, Rachel Riera

{"title":"Scientific evidence in decision making: a reflection for healthcare organizations.","authors":"Silvio Fernandes da Silva, Romeu Gomes, Maria Lúcia Teixeira Machado, Jorge Otávio Maia Barreto, Rachel Riera","doi":"10.1590/1413-812320242911.02782024","DOIUrl":"10.1590/1413-812320242911.02782024","url":null,"abstract":"The objective was to analyze the results of the project Support for the formulation and implementation of evidence-informed health policies (ESPIE) developed between 2015 and 2023, at Hospital Sírio-Libanês, to support decision-making in health organizations. This study was carried out through triangulation between the published results of the project, Simon's Decision-Making Theory and the experience of the authors, participants in the implementation of the project. The analysis was guided by the following question: What advances, limits and learnings were observed in the implementation of the use of scientific evidence in decision-making in organizational contexts, within the scope of the project? It was found that the incorporation of knowledge in health organizations is a complex process that needs to consider the dynamics of the decision-making chain, the behavior of authorities in favoring or legitimizing them, and barriers rooted in the organization's culture and that compete with new knowledge. It is concluded that the more successful the strategies are, the more the individual capabilities acquired interact with the contexts of the organizations and with the actors in the decision-making chain.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e02782024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224515","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