Ciencia & saude coletiva最新文献_第3页

[Maternal death due to abortion in the states of the Northern region: an analysis from 2012 to 2022]. [北部地区各州因堕胎导致的孕产妇死亡：2012年至2022年的分析]。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-09 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.11492024

Gabriela de Oliveira Góes, Luis Carlos Torres Guillen, Carla Lourenço Tavares de Andrade, Marcos Augusto Bastos Dias

{"title":"[Maternal death due to abortion in the states of the Northern region: an analysis from 2012 to 2022].","authors":"Gabriela de Oliveira Góes, Luis Carlos Torres Guillen, Carla Lourenço Tavares de Andrade, Marcos Augusto Bastos Dias","doi":"10.1590/1413-81232026319.11492024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.11492024","url":null,"abstract":"The study analyzed the ratio of maternal mortality due to abortion in the northern region of the country, using a retrospective sectional method with analysis of data from the Mortality Information System, Live Birth System and Hospital Information System. From 2012 to 2022 there were 174 maternal deaths due to abortion in the region, in 106 (61%) cases it was registered as the principal cause and in 68 (39%) it was registered as a cause associated with death. The most prevalent ICD 10 codes as the principal cause of maternal death were unspecified abortion (54.7%) followed by the ICD codes for Spontaneous abortion (18%) and failed abortion attempt (14.1%). Less than 2% of cases were abortions for medical and legal reasons. The socioeconomic profile was women aged 20 to 29 years (45.3%), black (68.8%) and education was between 8 and 11 years of study (40.6). In the COVID-19 pandemic, RMMA increased by 4.27%. The North region is the one with the highest MMR in the country and abortion continues to be one of the main causes of death. The women who die most are young, black, with low education and without a partner, confirming the characteristics that predict death from abortion. The reduction in maternal deaths in the North region and in Brazil continues to be a challenge for public health and a debt society owes to women.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e11492024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191750","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 Health at a crossroads: contemporary challenges between the civilizational crisis and the defense of life. 十字路口的公共卫生：文明危机与捍卫生命之间的当代挑战。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.10892026

Kátia Rejane de Medeiros, Aline do Monte Gurgel, Eduarda Ângela Pessoa Cesse, Ana Paula Pereira Marques

引用次数: 0

[Haff Disease and health surveillance performance: a documental study]. [Haff病和健康监测绩效：一项文献研究]。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.14812024

Deisiane da Silva Mesquita Serfaty, Ruth Silva Lima da Costa, Débora Cynamom Kligerman

{"title":"[Haff Disease and health surveillance performance: a documental study].","authors":"Deisiane da Silva Mesquita Serfaty, Ruth Silva Lima da Costa, Débora Cynamom Kligerman","doi":"10.1590/1413-81232026319.14812024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.14812024","url":null,"abstract":"This study aims to analyze the role of health surveillance in responding to cases of Haff disease (HD) in Brazil through published documents. This is a documentary, qualitative, retrospective, and exploratory study. Information was collected from governmental electronic platforms using the following keywords: \"rhabdomyolysis,\" \"rhabdomyolysis of unknown etiology,\" and \"outbreak of food- and waterborne diseases compatible with Haff disease,\" published between 2008 and 2024. The inclusion criteria covered scientific articles, reviews, abstracts, news reports, and case reports. Data analysis was performed based on the principles of Bardin's content analysis. The final sample consisted of 21 publications, such as technical notes, epidemiological bulletins, epidemiological reports, manuals, booklets, and institutional collections. Four categories were then formed: HD-related health events in Brazil; Surveillance response to the emergency; Guidance for health professionals; and Guidelines for the population. It is concluded that government actions were implemented to contain outbreaks of the disease, but further efforts are needed to identify the etiological agent, improve clinical protocols, and strengthen coordination among health surveillance areas.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e14812024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135226","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

Climate change and health challenges on the world's periphery. 世界边缘地区的气候变化和卫生挑战。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.11712025

Christovam Barcellos, Felipe José Soek, Diego Ricardo Xavier, Luisa Iñiguez Rojas

引用次数: 0

Public health challenges in the Americas: health surveillance, disease prevention, and equitable access to health care. 美洲的公共卫生挑战：卫生监测、疾病预防和公平获得卫生保健。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.16582025

Jarbas Barbosa da Silva Júnior, Bruna Karla Bezerra da Cruz

引用次数: 0

Analysis of Primary Health Care indicators and expenditures after changes in Federal Co-financing in the municipalities of Pernambuco, Brazil. 巴西伯南布哥各市联邦共同筹资变化后初级卫生保健指标和支出分析。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.14772025

Valdecir Barbosa da Silva Júnior, Garibaldi Dantas Gurgel Júnior

{"title":"Analysis of Primary Health Care indicators and expenditures after changes in Federal Co-financing in the municipalities of Pernambuco, Brazil.","authors":"Valdecir Barbosa da Silva Júnior, Garibaldi Dantas Gurgel Júnior","doi":"10.1590/1413-81232026319.14772025","DOIUrl":"https://doi.org/10.1590/1413-81232026319.14772025","url":null,"abstract":"The Previne Brasil program and the new 2024 methodology altered the federal co-financing of Primary Health Care (PHC) in Brazil. This study aimed to analyze the temporal trend of performance indicators and the number of registrations in PHC services and to compare the cost of PHC expenses from federal resources, after the co-financing changes, in the municipalities of Pernambuco. This is an ecological study with temporal trend analysis using Joinpoint regression, from 2018 to 2024. In this study, Pernambuco was used as an illustrative case to discuss the application of payment for performance (P4P) in universal systems. A growing trend was observed in registrations and performance indicators. A punctual reduction in federal funding was identified in 2021. After the discontinuation of Previne, the Union's participation in the financing of PHC was greater. However, the challenge of overcoming evaluation models restricted to the process dimension persists, making it imperative to recover Donabedian's triad and the essential attributes of primary health care to guarantee quality of the Unified Health System.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e14772025"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135191","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

From the emergence of psychiatry to neoliberal logic: the commodification of contemporary suffering. 从精神病学的出现到新自由主义逻辑：当代苦难的商品化。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.18132025

Paulo Amarante, Júlia Goulart Gomes

引用次数: 0

[Prevalence of obstetric violence during childbirth in Latin America and the Caribbean: a systematic review]. [拉丁美洲和加勒比分娩期间的产科暴力流行情况：系统审查]。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.15412024

Sheila Prado de Oliveira, Emanuele Souza Marques, Marília Arndt Mesenburg, Tatiana Henriques Leite

{"title":"[Prevalence of obstetric violence during childbirth in Latin America and the Caribbean: a systematic review].","authors":"Sheila Prado de Oliveira, Emanuele Souza Marques, Marília Arndt Mesenburg, Tatiana Henriques Leite","doi":"10.1590/1413-81232026319.15412024","DOIUrl":"https://doi.org/10.1590/1413-81232026319.15412024","url":null,"abstract":"The objective of this article is synthesize the scientific literature on the prevalence of verbal, physical, sexual, and stigma/discrimination-related obstetric violence against women during childbirth in Latin American and Caribbean countries. This systematic review was conducted using seven databases (MEDLINE, CINAHL, EMBASE, LILACS, PsycInfo, Scopus, and Google Scholar), without restrictions on time period or language. Three researchers carried out the selection of studies and destruction of data between January 5th and 7th, 2025. A total of 2,085 articles were identified, of which 29 met the inclusion criteria. These studies were conducted in Brazil, Mexico, Ecuador, Chile, Venezuela, Argentina, and Guatemala. The prevalence rates of obstetric violence varied widely across the different dimensions assessed. Verbal violence rates ranged from 1.4% (Mexico) to 87.1% (Brazil). For physical violence, prevalence rates ranged from 0.6% (Brazil) to 39.5% (Ecuador). Sexual violence was reported with a prevalence of 0.0% (Guatemala) and 5.5% (Brazil). Rates of stigma and discrimination ranged from 0.0% (Argentina) to 50.5% (Brazil). The findings highlight the high prevalence and complexity of obstetric violence in the region, emphasizing the need for standardized methods to measure the event in women during childbirth more robustly and comparably.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e15412024"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135163","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-extractivism and the oil spill disaster-crime in Brazil: implications for the health of fishing communities. 巴西的新开采主义和石油泄漏灾难犯罪：对渔业社区健康的影响。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.17302025

Ana Catarina Leite Véras Medeiros, Mariana Olívia Santana Dos Santos, José Erivaldo Gonçalves, Evelyn Siqueira da Silva, Rafaella Miranda Machado, Idê Gomes Dantas Gurgel

{"title":"Neo-extractivism and the oil spill disaster-crime in Brazil: implications for the health of fishing communities.","authors":"Ana Catarina Leite Véras Medeiros, Mariana Olívia Santana Dos Santos, José Erivaldo Gonçalves, Evelyn Siqueira da Silva, Rafaella Miranda Machado, Idê Gomes Dantas Gurgel","doi":"10.1590/1413-81232026319.17302025","DOIUrl":"https://doi.org/10.1590/1413-81232026319.17302025","url":null,"abstract":"The objective was to analyze the implications of the oil spill crime disaster, resulting from the neo-extractivist development model in Latin America, on the social determination of the health of artisanal fishing communities on the coast of Pernambuco. This is a study based on the Social Reproduction of Health Matrix proposed by Samaja. Secondary and primary data were used, produced through interviews and an epidemiological survey with artisanal fishermen from the 16 municipalities on the coast of Pernambuco and interviews with municipal and state health managers in Pernambuco; those through documentary analysis of environmental legislation, open letters from scientific institutions, publications from social movements and government reports. The results indicated degradation of the coastal ecosystem, socioeconomic vulnerability, failures in the State's response and effects on the health of artisanal fishermen who align themselves with the process of Latin American neo-extractivism. It is concluded that this disaster expresses socio-environmental conflicts and cultural rupture, reinforcing injustices and socio-environmental racism and posing the need for effective policies of surveillance, reparation and social protection.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 9","pages":"e17302025"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135235","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

[Interventions to mitigate hesitation related to vaccines of childhood and adolescence, 2012-2023: an integrative review]. [干预措施减轻与儿童和青少年疫苗有关的犹豫，2012-2023：综合回顾]。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI: 10.1590/1413-81232026319.20992024

Fernanda Maria da Rocha, Patrícia Silva da Silva, Ronaldo Bordin

引用次数: 0