Ciencia & saude coletiva最新文献_第4页

Understanding and decision-making of older people in face of the information about Covid-19: a case study in southern Brazil. 面对Covid-19信息，老年人的理解和决策：以巴西南部为例

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.12632023

Marina Bittelbrunn Severo, Katia Bones Rocha, Irani Iracema de Lima Argimon, Ricardo Bezerra Cavalcante, Tatiana Engel Gerhardt, Alexandre Fávero Bulgarelli

{"title":"Understanding and decision-making of older people in face of the information about Covid-19: a case study in southern Brazil.","authors":"Marina Bittelbrunn Severo, Katia Bones Rocha, Irani Iracema de Lima Argimon, Ricardo Bezerra Cavalcante, Tatiana Engel Gerhardt, Alexandre Fávero Bulgarelli","doi":"10.1590/1413-812320242911.12632023","DOIUrl":"10.1590/1413-812320242911.12632023","url":null,"abstract":"Information about the Covid-19 pandemic has become the focus of attention in the population's health. In this sense, older people, in addition to being classified as a risk group, are vulnerable to the impacts of the quantity and quality of information received, as they need to go through a digital literacy process. Objective: to understand how active older people use information about Covid-19. Methodologically, a Case Study of a unique type of qualitative methodological theoretical approach was carried out, based on Thomas Wilson's theory of Information Behavior. Semi-structured interviews were carried out, seeking to reach theoretical saturation of the data. Thus, 31 elderly people were interviewed, obtaining an average age of 69 years, mostly with high education. As a result, it was observed that the information was used to assimilate the phenomenon experienced, in the search for understanding how to act and make decisions about health care. It is considered that the case presented elderly people who started to feel more able to select the news during the pandemic period. The findings can contribute to the construction of instructional materials in relation to health information, aiming to make appropriate decisions.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e12632023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224520","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

[Implementation of reverse logistics for medicines and their packaging in São Paulo, Brazil: advances in the first year (2021)]. [在巴西圣保罗实施药品及其包装逆向物流：第一年（2021年）的进展情况]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-05-26 DOI: 10.1590/1413-81232025306.00462024

Diego Xavier Paludetti, Gabriela Arantes Wagner, Carla Grigoletto Duarte, Fábio Kummrow

{"title":"[Implementation of reverse logistics for medicines and their packaging in São Paulo, Brazil: advances in the first year (2021)].","authors":"Diego Xavier Paludetti, Gabriela Arantes Wagner, Carla Grigoletto Duarte, Fábio Kummrow","doi":"10.1590/1413-81232025306.00462024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.00462024","url":null,"abstract":"Brazil started the reverse medicine logistics system (RML) in 2020 as a way of managing this waste. In 2021, São Paulo State brought forward the geographic target of implementing the RML system for municipalities with a population ≥ 200 thousand inhabitants. Our objective was to analyze the performance of the RML system in São Paulo during 2021. This is an ecological study on the performance of the RML system implemented in the 40 municipalities from São Paulo with operations starting in 2021. We used the database generated by the RML system operator (LogMed). The anticipation of the geographic target allowed the RML system to serve approximately 64% of the state's population. 35,514.61 kg of waste were collected in these 40 municipalities, amount that could be greater if Itapevi had started its operation. In general, the regional health departments (RHD) with the largest populations served collected the largest amounts of waste. However, there is no direct relationship between the number of fixed collection points implemented, compliance with the population target for implementing fixed points and waste collection per capita in the RHD. Educational campaigns on the disposal of pharmaceutical waste are essential to improve the performance of the RML system.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e00462024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494938","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

Josué de Castro and political operations against hunger in Brazil. 卡斯特罗和巴西反饥饿的政治行动。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-21 DOI: 10.1590/1413-81232025306.02142024

Adriana Salay Leme

{"title":"Josué de Castro and political operations against hunger in Brazil.","authors":"Adriana Salay Leme","doi":"10.1590/1413-81232025306.02142024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.02142024","url":null,"abstract":"This article analyzes the operations involved in projects to combat hunger in Brazil through one of the main names in the fight against this problem: Josué de Castro. The doctor and geographer from Pernambuco was president of the FAO council, professor at different universities and federal deputy for Pernambuco. Its presence in various instances makes it a privileged actor for us to explore the social life of a public policy. In this analysis, we focus on the articulations surrounding the Social Security Food Service (Saps), the National Food Commission (CNA), the World Association to Fight Hunger (Ascofam) and the partnership with the International Child Relief Fund (Fisi). Through the analysis of his personal collection, which has more than 30 thousand documents, and the press of the period, it was possible to observe that, despite the formulations and public image of the policies presenting a character as technical and impersonal, the operations involved in their implementations took place through personal ties and political networks formed by Josué de Castro. Furthermore, they faced challenges of different kinds, such as lack of funds, misuse of purpose or operational difficulties. The proposal is not to propose a duty or judge the effectiveness of such projects, but to understand how, in fact, they happened.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e02142024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494953","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 public debate on homoparentality on the web in Brazil: virtual ethnography. 巴西网路上同性性的公开辩论：虚拟人种志。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-20 DOI: 10.1590/1413-81232025306.16182023

André Inácio da Silva, João Caio Silva Castro Ferreira, Maiara Basseto Sena, Lucas Signori, Fernando Hellmann, Sonia Silva Marcon, Anderson Reis de Sousa

{"title":"The public debate on homoparentality on the web in Brazil: virtual ethnography.","authors":"André Inácio da Silva, João Caio Silva Castro Ferreira, Maiara Basseto Sena, Lucas Signori, Fernando Hellmann, Sonia Silva Marcon, Anderson Reis de Sousa","doi":"10.1590/1413-81232025306.16182023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.16182023","url":null,"abstract":"In order to analyze the public debate on homoparentality on the social network Instagram in Brazil, a qualitative netnographic study was conducted. A total of 140 posts, including textual and visual data, were subjected to reflexive thematic content analysis, grounded in social identity theory. From the analysis, four themes emerged: affirmation of homoparental identities on digital social networks; construction and strengthening of the self-concept of homoparental identity; challenges in maintaining the principles of acceptance of homoparental identity; broadening the construction of in-group and out-group for the promotion of homoparental identity. The results indicate that social networks play a fundamental role in disseminating homoparental identities and provide a significant space for public debate on homoparentality, contributing to the construction of identity self-concept. The online public debate on homoparentality reveals the resistance and political mobilization of homoparental identities, despite ongoing social challenges and persistent stigmas.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e16182023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494974","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

[Towards nature based social prescription to alleviate loneliness: a co-creative experience from Ecuador]. [以自然为基础的社会处方来缓解孤独：来自厄瓜多尔的共同创造体验]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-14 DOI: 10.1590/1413-81232025306.05692024

Pablo Paño Yáñez, Gabriela García Vélez, Karla Vásquez Pesántez, David Acurio Páez

{"title":"[Towards nature based social prescription to alleviate loneliness: a co-creative experience from Ecuador].","authors":"Pablo Paño Yáñez, Gabriela García Vélez, Karla Vásquez Pesántez, David Acurio Páez","doi":"10.1590/1413-81232025306.05692024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.05692024","url":null,"abstract":"The present contribution is part of the project \"Reimagining Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces\" (RECETAS). It aims to test and evaluate nature-based social prescriptions (NBSP) for the alleviation of loneliness in Europe, Latin America, and Oceania. In contrast to the northern countries, the study of loneliness and NBSP are emerging in the Latin American countries, and particularly in Ecuador. Therefore, this contribution can be considered a pioneering research in this regard, centered on the co-creation a NBSP menu to alleviate loneliness in older adults. The article pursues a double objective: (i) to establish guidelines for a methodological process of co-creation of a NBSP menu for its replication adapted to other contexts, and (ii) to disseminate the activities identified to alleviate the loneliness of older adults. Methodologically, the study adoped a participatory approach with and for older adults, developed in Cuenca, Ecuador, between October 2021 and May 2023, that resulted in a co-created NBSP menu appropriate to the context and population group under study.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e05692024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494943","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

Dietary patterns derived from three diet quality indices and associated factors: findings from the baseline of ELSA-Brasil. 饮食模式来源于三个饮食质量指数和相关因素：ELSA-Brasil基线调查结果。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-16 DOI: 10.1590/1413-81232025306.14412023

Leandro Teixeira Cacau, Paulo Andrade Lotufo, Isabela Martins Benseñor, Dirce Maria Marchioni

{"title":"Dietary patterns derived from three diet quality indices and associated factors: findings from the baseline of ELSA-Brasil.","authors":"Leandro Teixeira Cacau, Paulo Andrade Lotufo, Isabela Martins Benseñor, Dirce Maria Marchioni","doi":"10.1590/1413-81232025306.14412023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.14412023","url":null,"abstract":"The aim of this study was to describe dietary patterns using three diet quality indices and the associated factors among 15,081 participants from the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Dietary intake was assessed through a food frequency questionnaire. Three diet quality indices were applied: the Planetary Health Diet Index (PHDI), the Cardiovascular Health Diet Index (CHDI), and the Healthy Eating Index-2015 (HEI-2015). Linear regression models were constructed to assess the associated factors. The population exhibited low to moderate scores on all three evaluated indices. It was observed that women, the elderly, individuals with higher per capita income, and those engaged in moderate and vigorous physical activity had, on average, higher scores on all three diet quality indices assessed. Conversely, smokers and individuals with overweight and obesity had, on average, lower scores on all three diet quality indices assessed. This study found that sociodemographic and lifestyle conditions are associated with adherence to healthy and sustainable dietary recommendations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e14412023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494945","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

Federalism and SUS Resilience: The new leadership of state governments in facing the COVID-19 pandemic. 联邦制和单一医疗系统的韧性：州政府在应对COVID-19大流行方面的新领导。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1590/1413-81232025306.03492025

Virgínia Maria Dalfior Fava, Assis Mafort Ouverney, Edjavane Rocha

{"title":"Federalism and SUS Resilience: The new leadership of state governments in facing the COVID-19 pandemic.","authors":"Virgínia Maria Dalfior Fava, Assis Mafort Ouverney, Edjavane Rocha","doi":"10.1590/1413-81232025306.03492025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.03492025","url":null,"abstract":"The health emergencies in the last 20 years have highlighted the need to understand the characteristics of health systems that contribute to resilience in the face of extreme shocks. Studies have emphasized organizational aspects of health systems that contribute to resilience. However, this article analyzed the dynamics of intergovernmental relations to investigate how the state governments contributed to SUS resilience during the COVID-19 pandemic. The analytical model proposed by the World Health Organization was adopted to assess the response of health secretaries of state governments to a survey complemented by data from scientific literature. The results show that the leadership of state health secretariats strengthened the four dimensions of resilience: (1) preserving governance and coordination of health policies; (2) managing financial resources and strengthening coverage of health services; (3) securing resources to preserve services and meet new demands; and (4) implementing innovative approaches in health services to address the pandemic challenges. The study concludes that there was asymmetric progress among the four dimensions, with significant advances in governance.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e03492025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494949","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 2019 National Health Survey and the importance of ACS in the PHC policy. 2019年全国健康调查和ACS在初级保健政策中的重要性。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-21 DOI: 10.1590/1413-81232025306.22322024

Hugo Cesar Bellas, Matthew Harris, Jaqueline Tavares Viana de Souza, Cornelia Junghans Minton

引用次数: 0

e-SUS Vacinação application: an e-SUS APS strategy technology for vaccination campaigns in the Unified Health System. e-SUS疫苗<s:1>应用：统一卫生系统中疫苗接种运动的e-SUS APS战略技术。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-22 DOI: 10.1590/1413-81232025306.02972025

Eduarda Talita Bramorski Mohr, Ianka Cristina Celuppi, Ricardo Luiz Camargo Prado, Júlia Meller Dias de Oliveira, Flávia Amin Barbosa, Jades Fernando Hammes, Raul Sidnei Wazlawick, Eduardo Monguilhott Dalmarco

{"title":"e-SUS Vacinação application: an e-SUS APS strategy technology for vaccination campaigns in the Unified Health System.","authors":"Eduarda Talita Bramorski Mohr, Ianka Cristina Celuppi, Ricardo Luiz Camargo Prado, Júlia Meller Dias de Oliveira, Flávia Amin Barbosa, Jades Fernando Hammes, Raul Sidnei Wazlawick, Eduardo Monguilhott Dalmarco","doi":"10.1590/1413-81232025306.02972025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.02972025","url":null,"abstract":"During the COVID-19 pandemic, digital technologies facilitated communication between professionals, patients, and health systems. Incorporating these technologies enhanced the resilience of public health systems, contributing to the direct response to the pandemic. This paper aims to describe the development, use, and adaptation of the e-SUS Vacinação application during and after the COVID-19 pandemic in Brazil, highlighting its contributions to the resilience of the Unified Health System (SUS). This study included a descriptive design that analyzes the development and application of e-SUS Vacinação, evaluating the application through data comparison, pilot projects, Google Analytics analyses, and client usability surveys. The application showed a reduction of up to 95% in the time required to complete the information, with over 338,000 immunobiologicals administered by 107,000 active users. The application's usability was rated at 4.10, indicating a favorable response from users. Therefore, e-SUS Vacinação exemplifies the resilience of digital technologies in healthcare, reinforcing their importance for the continuity and effectiveness of Brazilian vaccination campaigns.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e02972025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494948","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

[Diagnosis and perspectives of the centre of workers health in combating slave labor]. [工人健康中心在反对奴隶劳动方面的诊断和观点]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-05-26 DOI: 10.1590/1413-81232025306.00262024

Luís Henrique da Costa Leão, Ana Paula Muraro

{"title":"[Diagnosis and perspectives of the centre of workers health in combating slave labor].","authors":"Luís Henrique da Costa Leão, Ana Paula Muraro","doi":"10.1590/1413-81232025306.00262024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.00262024","url":null,"abstract":"The Centre of Worker's Health (CEREST) in Brazil has a crucial role in the comprehensive care to the worker's Health, however, little is known about the effective contribution of them in combating contemporary slave labor (CSL). This study analysed the practices and perspectives of these centers in combating CSL. A descriptive cross-sectional study was carried out in 2021 through online survey applied to all the CEREST active in that year. The questionnaire addressed the identification of CEREST, its needs and attention and surveillance actions against CSL in 2019. The results showed that 20% of them have developed practices to combat CSL and, in general, have limited experience in this field, although 73.7% have carried out surveillance in work processes and environments. Intersectoral actions and training were highlighted as facilitators to the CEREST, and the lack of training and knowledge as the main difficulties. The need for health education and partnerships with civil society was emphasized to improve the performance of CEREST. We concluded that the action of combating CSL requires overcoming historical obstacles, an interdisciplinary approach, intersectoral articulations and expansion of social control.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e00262024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494935","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