{"title":"[Rape and the \"minute-after\" law in Minas Gerais, Brazil: socio-demographic factors associated with emergency prophylaxis].","authors":"Ane Caroline Alves Vieira, Gustavo Carvalho Moreira, Aline Cristina da Cruz","doi":"10.1590/1413-81232024299.19832023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.19832023","url":null,"abstract":"<p><p>This research project investigated the relationship between sociodemographic characteristics of girls and women who were the victims of rape of in Minas Gerais between 2013 and 2021, and the likelihood of receiving emergency treatment as stipulated in Law No. 12,845/2013, known as the \"Minute-After\" (Minuto Seguinte) Law. Data from the Notifiable Diseases Information System (SINAN) for rape cases were used to estimate binary choice models. The results indicate that the sociodemographic factors of the victims, aligned with the theory and practice of intersectionality (race, age, place of residence within health regions, relationship with the perpetrator, and year of crime registration), negatively influence the probability of receiving emergency treatment. Specifically, indigenous victims, minors, those raped by acquaintances, and residents in certain health regions, were found to have a lower probability of receiving immediate medical care after rape. Furthermore, it was found that the implementation of public policy did not result in an improvement, as there has been a decrease in the number of medical appointments since the enactment of the law in 2013 through to the year 2021.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e19832023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079398","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 : 2024-09-01Epub Date: 2024-02-16DOI: 10.1590/1413-81232024299.14782023
Julia Costa de Oliveira, Kênia Araújo Pires, Janete Gonçalves Evangelista, Ana Pereira Dos Santos, Paula Dias Bevilacqua
{"title":"Educational processes to combat violence against women in the health sector: an integrative review.","authors":"Julia Costa de Oliveira, Kênia Araújo Pires, Janete Gonçalves Evangelista, Ana Pereira Dos Santos, Paula Dias Bevilacqua","doi":"10.1590/1413-81232024299.14782023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.14782023","url":null,"abstract":"<p><p>The health sector can contribute to the combat of violence against women, if its services offer qualified care, but there are challenges such as the lack of health professional qualification, even though it is provided in the National Policy to Combat Violence Against Women. This study aims to analyze how health workers have been qualified to act in the prevention and confrontation of violence against women in Brazil. An integrative literature review was made and sixteen articles were analyzed, addressing training trajectories and experience reports, both in the academic and the health service context. The training on this theme proved to be insufficient, which could lead to missed opportunities for detection, care and referral of these cases to the health sector or others related to the care network. Reports on educational experiences were identified in degree courses and in Primary Health Care services, which could boost future educational processes, a need reaffirmed in all the articles. The university, in collaboration with the Unified Health System (SUS), can contribute with reflective, participatory educational processes that consider the social complexity of violence against women.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e14782023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079406","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 : 2024-09-01Epub Date: 2024-05-10DOI: 10.1590/1413-81232024299.02982024
Stephanie Pereira, Yuri Nishijima Azeredo, Lilia Blima Schraiber, Janaína Marques de Aguiar, Beatriz Diniz Kalichman, Cecilia Guida Vieira Gralia, Marina Silva Dos Reis, Nayara Portilho Lima, Loraine J Bacchus, Manuela Colombini, Gene Feder, Ana Flávia Pires Lucas d'Oliveira
{"title":"Evaluation of an intervention to improve Primary Health Care's response to cases of domestic violence against women - São Paulo, Brazil.","authors":"Stephanie Pereira, Yuri Nishijima Azeredo, Lilia Blima Schraiber, Janaína Marques de Aguiar, Beatriz Diniz Kalichman, Cecilia Guida Vieira Gralia, Marina Silva Dos Reis, Nayara Portilho Lima, Loraine J Bacchus, Manuela Colombini, Gene Feder, Ana Flávia Pires Lucas d'Oliveira","doi":"10.1590/1413-81232024299.02982024","DOIUrl":"https://doi.org/10.1590/1413-81232024299.02982024","url":null,"abstract":"<p><p>The aim was to analyse and improve the Primary Health Care (PHC) response to domestic violence against women (DVAW) by developing, implementing and evaluating an intervention. A pilot study evaluating the before and after of intervention implementation, using mixed methods and carried out in three phases - formative, intervention and evaluation - between August 2017 and March 2019 in two Basic Health Units (UBS) in the city of São Paulo. In this paper, we present the details and evaluation of the intervention, carried out six to twelve months after its implementation. The intervention was developed based on the findings of the formative phase and in line with the health policy that establishes the Violence Prevention Nucleus (NPV) and consisted of stablishing a care pathway; general training for all workers and specific training for the NPV; drawing up educational material and monthly case discussions over 6 months. The evaluation showed acceptability among the workers, increased identification and repertoire for caring for cases of DVAW, strengthening internal referral and the intersectoral network. We identified obstacles to the full implementation and sustainability of the intervention.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e02982024"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079410","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 : 2024-08-01Epub Date: 2023-08-24DOI: 10.1590/1413-81232024298.03032023
Renata Luz, Marilisa Berti de Azevedo Barros, Lhaís de Paula Barbosa Medina, Daniela de Assumpção, Antonio de Azevedo Barros Filho
{"title":"[Are there differences between men and women with respect to the factors associated with calcium intake?]","authors":"Renata Luz, Marilisa Berti de Azevedo Barros, Lhaís de Paula Barbosa Medina, Daniela de Assumpção, Antonio de Azevedo Barros Filho","doi":"10.1590/1413-81232024298.03032023","DOIUrl":"https://doi.org/10.1590/1413-81232024298.03032023","url":null,"abstract":"<p><p>The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e03032023"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975204","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 : 2024-08-01Epub Date: 2023-08-30DOI: 10.1590/1413-81232024298.03892023
Pedro Henrique Soares Leivas, Lívia Madeira Triaca, Anderson Moreira Aristides Dos Santos, Paulo de Andrade Jacinto, César Augusto Oviedo Tejada
{"title":"Are heart attacks deadlier on weekends? Evidence of weekend effect in Brazil.","authors":"Pedro Henrique Soares Leivas, Lívia Madeira Triaca, Anderson Moreira Aristides Dos Santos, Paulo de Andrade Jacinto, César Augusto Oviedo Tejada","doi":"10.1590/1413-81232024298.03892023","DOIUrl":"https://doi.org/10.1590/1413-81232024298.03892023","url":null,"abstract":"<p><p>This article aims to examine the effects of weekend admission on in-hospital mortality for patients with acute myocardial infarction (AMI) in Brazil. Information from the Hospital Information System of the Unified Health System (SIH/SUS) of urgently admitted patients diagnosed with acute myocardial infarction (AMI) between 2008 and 2018 was used, made available through the Hospital Admission Authorization (AIH). Multivariable logistic regression models, controlling for observable patient characteristics, hospital characteristics and year and hospital-fixed effects, were used. The results were consistent with the existence of the weekend effect. For the model adjusted with the inclusion of all controls, the chance of death observed for individuals hospitalized on the weekend is 14% higher. Our results indicated that there is probably an important variation in the quality of hospital care depending on the day the patient is hospitalized. Weekend admissions were associated with in-hospital AMI mortality in Brazil. Future research should analyze the possible channels behind the weekend effect to support public policies that can effectively make healthcare equitable.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e03892023"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975208","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}
{"title":"Children's health care in the care network for people with disabilities in Brazil: a multicenter study.","authors":"Ayrles Silva Gonçalves Barbosa Mendonça, Bianca Larissa Lesca de Oliveira, Tiótrefis Gomes Fernandes, Ralf Braga Barroso, Kátia Suely Queiroz Silva Ribeiro, Ana Carolina Basso Schmitt","doi":"10.1590/1413-81232024298.06802023","DOIUrl":"https://doi.org/10.1590/1413-81232024298.06802023","url":null,"abstract":"<p><p>The aim of this study was to identify factors associated with early identification of disabilities and developmental follow-up of children in primary health care (PHC) services under the Care Network for People with Disabilities (RCPCD). We conducted a cross-sectional study using data from a multicenter study undertaken in eight states. The data were collected using a structured questionnaire answered by PHC professionals with degree-level qualifications selected using random sampling and stratified by state and municipality. Poisson regression with robust variance was performed for the two outcomes. Of the 1,488 workers in the final sample, 63.6% performed early identification of disabilities and 49% provided developmental follow-up. Family health teams performed early identification of disabilities and follow-up more than traditional model teams, and expanded family health teams provided developmental follow-up more than both these teams. The factors that showed the strongest association with identification and developmental follow-up were profession, working in a family health team and knowledge of the RCPCD.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e06802023"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975210","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 : 2024-08-01Epub Date: 2024-04-17DOI: 10.1590/1413-81232024298.06452024
Cristiana Isabel da Cruz Furtado Firmino, Filipa Alexandra Coelho Pinto, Nídia Sofia Tavares Varela, Débora Bianca Sancho Westermann, João José Rolo Longo, Maria João Sousa Fernandes
{"title":"Guardians' perceptions of the benefits of dogs in family dynamics during the pandemic.","authors":"Cristiana Isabel da Cruz Furtado Firmino, Filipa Alexandra Coelho Pinto, Nídia Sofia Tavares Varela, Débora Bianca Sancho Westermann, João José Rolo Longo, Maria João Sousa Fernandes","doi":"10.1590/1413-81232024298.06452024","DOIUrl":"https://doi.org/10.1590/1413-81232024298.06452024","url":null,"abstract":"<p><p>During the pandemic, there were a lot of lockdowns that brought changes to the population's daily routine, reducing social interactions, changing work and study methods, isolating the family at their home, which brought changes to family dynamics. These changes sparked the interest of nursing students in carrying out a research study. Starting from the question: What is the role of the dog in the family dynamics in times of pandemic? and the objective: identify the guardians' perceptions about the role of the dog in the family dynamics in a period of confinement, a qualitative, exploratory, and descriptive study was carried out, collecting data through a focus group with six guardians from different families. Bardin's protocol was used to analyze and process the data. Three categories emerged in this study, highlighting the benefits in terms of mental health, physical and psychological well-being of the family with the presence of the dog, its importance in strengthening family ties and the lessons learned from adopting the dogs. We conclude that, in nursing, it is necessary to highlight the presence of the dog in the family since it brings benefits to its dynamics.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e06452024"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975214","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 : 2024-08-01Epub Date: 2024-03-29DOI: 10.1590/1413-81232024298.05172024
Imara Moreira Freire, Maria Cecília de Souza Minayo
{"title":"Trajectories of adolescents living with vertical transmission-HIV virus.","authors":"Imara Moreira Freire, Maria Cecília de Souza Minayo","doi":"10.1590/1413-81232024298.05172024","DOIUrl":"https://doi.org/10.1590/1413-81232024298.05172024","url":null,"abstract":"<p><p>This study analyzes the life stories of eight young people living with vertically transmitted HIV in order to understand their perceptions marked by secrecy and silence regarding their experiences with the virus. Conducted at a specialized outpatient clinic in Rio de Janeiro, the study adopted circle dance, a Complementary and Integrative Health Practice, as a care tool. Using a qualitative approach and Life History as a data collection method, the focus was to understand the youth's experiences related to the disease and the crucial aspects of their lives. Three girls and five boys participated in the study, all aware of their diagnosis. The principal emerging themes included family dynamics, school environment connection, challenges in treatment adherence, age at the time of diagnosis disclosure, and time elapsed since then. Analyzing these young people's narratives allowed us to explore individual and social aspects of their experiences, revealing their similarities and differences. The circle dance workshops provided a playful space for expressing emotions and feelings through body movements, expanding young people's perspectives on the future.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e05172024"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975229","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 : 2024-08-01Epub Date: 2024-03-28DOI: 10.1590/1413-81232024298.05052024
Patzy Dias Rebello, Sabrina da Costa Machado Duarte, Janieiry Lima de Araújo, Cristina Lavareda Baixinho, Andreia Costa, Marcelle Miranda da Silva
{"title":"Qualitative analysis of nurses' performance and experiences in hospital management in the face of COVID-19.","authors":"Patzy Dias Rebello, Sabrina da Costa Machado Duarte, Janieiry Lima de Araújo, Cristina Lavareda Baixinho, Andreia Costa, Marcelle Miranda da Silva","doi":"10.1590/1413-81232024298.05052024","DOIUrl":"10.1590/1413-81232024298.05052024","url":null,"abstract":"<p><p>This study aimed to analyze the role of nurses in hospital management in the face of COVID-19. The study had a qualitative, descriptive, and exploratory approach. The setting was a hospital that was completely transformed to care for patients with COVID-19. At the time of data collection, ten nurses managed the services, and all participated in the semi-structured interview. After thematic analysis, the data were presented in three categories, representing the elements of Donabedian's triad: structure, process, and result. Category 1 highlighted the hospital structure reconfiguration based on material and people management; category 2 addressed the work process restructuring to achieve goals with safety and quality; and category 3 focused on nurses' experiences in describing the results achieved and expected. The analysis highlighted the importance of teamwork, involvement, and adaptation of managers in the face of the challenges of a new and life-threatening disease, scarce resources, and the complexity of human relationships in the crisis. In transformational leadership, these nurses encouraged behavior change, professional growth, and resilience.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 8","pages":"e05052024"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975223","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}