Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-28DOI: 10.1590/1413-81232025301.08102023
Camila Carvalho de Souza Amorim Matos, Vivian I Avelino-Silva, Marcia Thereza Couto
{"title":"The politicisation of vaccines and its influence on Brazilian caregivers' opinions on childhood routine vaccination.","authors":"Camila Carvalho de Souza Amorim Matos, Vivian I Avelino-Silva, Marcia Thereza Couto","doi":"10.1590/1413-81232025301.08102023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.08102023","url":null,"abstract":"<p><p>Progressive declines in vaccination coverage have been recorded in Brazil in recent years. The COVID-19 pandemic has introduced even more challenges to this scenario. Considering the pandemic as an event, the scope of this article was to analyze the politicization of vaccines from the perspective of caregivers of young children. This qualitative research was conducted in two Brazilian state capitals, namely São Luís (Maranhão) and Florianópolis (Santa Catarina). The study included families with children up to 6 years of age who were fully or partially vaccinated, as well as children who had never been vaccinated. Snowball sampling was used and in-depth interviews were conducted between March 2021 and April 2022. Forty-eight caregivers, most of them mothers, were interviewed. The study revealed that, regardless of their previous stance regarding vaccines, the health-political event of the COVID-19 pandemic shook beliefs and attitudes about childhood vaccination. The results also showed that the pandemic led to delays in routine childhood immunization and caused caregivers to seek private health services. Finally, the results reveal the politicization of vaccines as a new phenomenon to be addressed in the Brazilian context.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e08102023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063898","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":"Women and traditional knowledge in health care: understanding traditional healing practices in Brazil.","authors":"Milena Regina Mussoi, Rubia Carla Formighieri Giordani, Marisete Hoffmann-Horochovski, Cristiane Rocha Silva","doi":"10.1590/1413-81232025301.13012023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.13012023","url":null,"abstract":"<p><p>Several international agreements acknowledge public participation, equity, and democracy as necessary conditions to achieve Health Promotion. For this purpose, if we accept the validity of distinct systems of knowledge, we realize the relevance of an approach to healthcare based on a pluralist epistemology, which sustains the legitimacy of traditional knowledge in its own processes of production, transmission, and application. In this study, we aim to investigate the notions and understandings of traditional healing practices in a city near Curitiba, in Southern Brazil. A qualitative sociological approach was adopted, incorporating semi-structured interviews, participant observation, and Discourse Analysis of female practitioners. In addition, we want to understand the social function of these practices in contrast with biomedicine-based operations of Health Care Networks in the Brazilian Unified Health System (SUS). We observed that the role of women is central in these practices, who are responsible for their application and transmission. And the knowledge developed through these healing practices engenders a particular view about family and society. Therefore, these women are empowered by increasing their symbolic capital through their knowledge of health care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e13012023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063910","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 : 2025-01-01Epub Date: 2023-12-19DOI: 10.1590/1413-81232025301.00972023
Graziela Maria da Silva Gatto, Juliana Luporini do Nascimento
{"title":"[Self-government processes of mothers in the context of the Brazilian Rede Cegonha Program].","authors":"Graziela Maria da Silva Gatto, Juliana Luporini do Nascimento","doi":"10.1590/1413-81232025301.00972023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.00972023","url":null,"abstract":"<p><p>The study highlights the discourses produced by mothers and professionals from the Rede Cegonha Program of the Brazilian Ministry of Health in the relationship between the body, women and public health policies on labor and birth. For this purpose, 17 semi-structured interviews were conducted and categorized in the Rede Cegonha Program, body and woman, and submitted to Foucauldian discourse analysis, processes of subjectification (resistance and subjection) and biopolitics. The data revealed: i) the relevance of a public program for this purpose; ii) the centrality of the pregnant body and the historical challenge of understanding women as mothers beyond reproduction; iii) the idea of defective bodies and resistance of those who know how to give birth; and iv) the possibilities of self-government of mothers and, consequently, the production of the self based on the experiences reported. We highlight the importance of studies in the area that emphasize the bodies of mothers as being in control of their lives, strengthening their processes of self-government.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e00972023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064217","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 : 2025-01-01Epub Date: 2023-10-05DOI: 10.1590/1413-81232025301.19972022
Luiz Fernando Costa Nascimento, Ana Cristina Gobbo César, João Andrade de Carvalho Junior
{"title":"Ambient temperature and hospitalizations of children due to respiratory diseases in Cuiabá-MT, Brazil.","authors":"Luiz Fernando Costa Nascimento, Ana Cristina Gobbo César, João Andrade de Carvalho Junior","doi":"10.1590/1413-81232025301.19972022","DOIUrl":"https://doi.org/10.1590/1413-81232025301.19972022","url":null,"abstract":"<p><p>This study evaluated the role of temperature and fine particulate matter in hospitalizations of children living in Cuiabá-MT, obtained from DATASUS, between 01/01/2016 and 12/31/2018. Daily concentrations of the pollutant fine particulate matter were estimated using the CAMS mathematical model, made available by CPTEC. Diagnoses of tracheitis and laryngitis, pneumonia, bronchitis, bronchiolitis and asthma were included. INMET provided data on maximum and minimum temperatures and relative humidity. Statistical analysis was performed with three generalized additive Poisson regression models, one of which only included the minimum temperature, another including the pollutant and the last with an interaction variable. There were 1,612 hospitalizations in the period; in the multivariate model, associations were identified between minimum temperature and hospitalizations in lags 1 to 5; the effect of increasing the minimum temperature by 4°C resulted in an increase in the risk of hospitalizations by 18%; 15.2% of hospitalizations are attributed to this increase and an excess of approximately US$ 68,000.00 in expenses for the health system during the period evaluated. In addition to the known effects of exposure to pollutants on health, it was possible to identify that an increase in the minimum daily temperature can cause damage to children's health.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e19972022"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064219","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 : 2025-01-01Epub Date: 2023-11-02DOI: 10.1590/1413-81232025301.04892023
Aline Silva-Costa, Lúcia Rotenberg, Estela M L Aquino, Letícia de Oliveira Cardoso, Ana Luísa Patrão, Maria de Jesus M da Fonseca, Rosane Härter Griep
{"title":"Gender and remote work: associations between mental health and hours of remote work and housework.","authors":"Aline Silva-Costa, Lúcia Rotenberg, Estela M L Aquino, Letícia de Oliveira Cardoso, Ana Luísa Patrão, Maria de Jesus M da Fonseca, Rosane Härter Griep","doi":"10.1590/1413-81232025301.04892023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.04892023","url":null,"abstract":"<p><p>To investigate the association between hours of remote work (RWHs) and housework (HWHs), independently, as well as the combined total of work hours (WHs), with gender and mental health of remote workers during the COVID-19 pandemic. Cross-sectional study with data from the ELSA-Brasil (N = 2,318). On average, women reported more time spent on HWHs and WHs than men, while no difference was found in RWHs. Depression, anxiety and stress were more prevalent among women. Women with longer working hours (RWHs, HWHs and WHs) had higher odds of displaying anxiety or stress symptoms than men with shorter working hours. For symptoms of depression, the highest odds ratios were found only among those women with medium or long HWHs and long WHs. A gender perspective into studies of remote work effects has contributed to the recognition of health inequalities between men and women.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e04892023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064290","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 : 2025-01-01Epub Date: 2023-10-08DOI: 10.1590/1413-81232025301.09382023
Cláudia de Azevedo Aguiar, Gisele Almeida Lopes, Jamile Claro de Castro Bussadori, Nathalie Leister, Maria Luiza Gonzalez Riesco, Bruna Dias Alonso
{"title":"Model of care in freestanding birth centers in Brazil: a scoping review.","authors":"Cláudia de Azevedo Aguiar, Gisele Almeida Lopes, Jamile Claro de Castro Bussadori, Nathalie Leister, Maria Luiza Gonzalez Riesco, Bruna Dias Alonso","doi":"10.1590/1413-81232025301.09382023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.09382023","url":null,"abstract":"<p><p>Freestanding birth centers (FBCs) in Brazil are regulated to provide care for women with a straightforward pregnancy. The systematization of the literature on FBCs can broaden our knowledge of these facilities. We conducted a scoping review to answer the following research question: \"What are the characteristics of the model of care in freestanding birth centers in Brazil?\". Relevant studies covering any period and in any language were included. Searches were performed of platforms, databases, repositories, and institutional websites. The searches followed the stages set out in the JBI Manual for Evidence Synthesis and the review protocol was registered with the OSF. A total of 85 documents were selected, involving ten FBCs. The maternal and neonatal outcomes described by the studies were categorized as follows: respect for women's autonomy and needs; humanized evidenced-based care; feeling safe with and confident in care providers; use of integrative and complementary health practices; positive maternal experience and neonatal outcomes; and welcoming and comfortable environment. The findings reinforce that care delivery in FBCs is grounded in the biopsychosocial model of health care and that the physical environment and organization of these facilities and approach to childbirth are structured around the needs of pregnant people and their babies.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e09382023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063845","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 : 2025-01-01Epub Date: 2023-10-25DOI: 10.1590/1413-81232025301.05682023
Roberta Lima Andrade, Lorena de Cerqueira Andrade Braga, Ronisson Santana Reis, Franciele Silva Dos Santos, Nadine Ribeiro de Jesus, João Cruz Neto, Éric Santos Almeida, Vinícius de Oliveira Muniz, Anderson Reis de Sousa
{"title":"[How did men report their long COVID experience? Health-Disease socio-anthropological meaning].","authors":"Roberta Lima Andrade, Lorena de Cerqueira Andrade Braga, Ronisson Santana Reis, Franciele Silva Dos Santos, Nadine Ribeiro de Jesus, João Cruz Neto, Éric Santos Almeida, Vinícius de Oliveira Muniz, Anderson Reis de Sousa","doi":"10.1590/1413-81232025301.05682023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.05682023","url":null,"abstract":"<p><p>The study aims to explain the discourse of the collective subject of adult and elderly men about the experience of long COVID. Qualitative research, derived from a national multicenter clinical-virtual observatory involving 92 adult men, between 2022 and 2023 in Brazil. IRaMuTeQ software was used (data processing), the Collective Subject Discourse technique (analysis) and socio-anthropological references of the disease experience (interpretation). The results showed that the long COVID experience was marked by the prolongation of respiratory symptoms characteristic of COVID-19; systemic symptomatology in the physical-psychic body; and severe clinical complications. The experience of the long COVID-19 disease was shaped by gender relations and masculinities, constructed notions of health-disease, imaginaries about the capacity of the disease in the context of vaccination, the systemic character of syndromic events understood as sequelae left by the disease, resonating the sense of incapacity and stigmatization.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e05682023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064144","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 : 2025-01-01Epub Date: 2024-07-12DOI: 10.1590/1413-81232025301.19872023
Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Nádia Machado de Vasconcelos, Isabela Cristina Vieira Silva, Maria Luiza Sady Prates, Isabella Vitral Pinto, Cheila Marina de Lima
{"title":"Factors associated with the notification of violence among Brazilian adolescents: an analysis of SINAN.","authors":"Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Nádia Machado de Vasconcelos, Isabela Cristina Vieira Silva, Maria Luiza Sady Prates, Isabella Vitral Pinto, Cheila Marina de Lima","doi":"10.1590/1413-81232025301.19872023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.19872023","url":null,"abstract":"<p><p>This study aims to analyze the trend of the notified violence committed against adolescents from 2015 to 2022 and the association between the victim's characteristics, abuse, and the perpetrators of violence against adolescents in 2022. It used data from the Notifiable Diseases Information System (SINAN). Around 400,000 cases of violence against adolescents were reported. The notifications have been on the rise, except in pandemic years (2020 and 2021). The most frequent victims were girls, the principal place of occurrence was at home, and physical violence was the most common type. Correspondence analysis showed an association between female victims, home as a place of occurrence, psychological violence and threat among male victims, violence on public roads committed by strangers, and use of sharp objects. SINAN becomes a vital instrument for allowing visibility to the topic. Preventing youth violence requires an intersectoral approach.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e19872023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064285","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 : 2025-01-01Epub Date: 2024-06-27DOI: 10.1590/1413-81232025301.03102024
Ana Carolina de Moraes Teixeira Vilela Dantas, Luísa da Matta Machado Fernandes, Ana Luísa Jorge Martins, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Gabriela Drummond Marques da Silva, Anelise Andrade de Souza, Rômulo Paes-Sousa
{"title":"Transforming practices into models: paths towards a Health Care Network for the Homeless Population.","authors":"Ana Carolina de Moraes Teixeira Vilela Dantas, Luísa da Matta Machado Fernandes, Ana Luísa Jorge Martins, Rafaela Alves Marinho, Diadorim Maria Rodrigues, Gabriela Drummond Marques da Silva, Anelise Andrade de Souza, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025301.03102024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03102024","url":null,"abstract":"<p><p>The Homeless Population (HP) has grown exponentially in the last decade, causing different challenges for the Brazilian Unified Health System, especially during the COVID-19 pandemic. A cross-sectional, descriptive, and exploratory study, with triangulated quantitative and qualitative methods, was conducted from 2020 to 2022, exploring care practices geared to the HP in Belo Horizonte. The quantitative stage adopted official datasets from the health and social assistance secretariats, and 48 semi-structured interviews and four focus groups were conducted in the qualitative stage, totaling 86 participants. The results point to the need for implementing a polyarchic and multidisciplinary Healthcare Network (RAS-PSR) with intersectoral support, guided care territorialization and longitudinality integrated with information systems to address the complex approach and based on the logic of the expanded clinic. Updating HP records in health systems and qualifying services is needed to achieve RAS-PSR efficacy. Understanding the dynamics of actions developed or broadened by the municipality and lessons learned locally can assist the development of effective social care and health policies that can be upscaled to the national level.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03102024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063947","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 : 2025-01-01Epub Date: 2023-11-08DOI: 10.1590/1413-81232025301.08082023
Luís Fernando Nogueira Tofani, André Luiz Bigal, Fernando Tureck, Lumena Almeida Castro Furtado, Rosemarie Andreazza, Arthur Chioro
{"title":"Use of WhatsApp® aplicattion in health manegement, work, and care in fighting the COVID-19 pandemic.","authors":"Luís Fernando Nogueira Tofani, André Luiz Bigal, Fernando Tureck, Lumena Almeida Castro Furtado, Rosemarie Andreazza, Arthur Chioro","doi":"10.1590/1413-81232025301.08082023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.08082023","url":null,"abstract":"<p><p>This study aims to analyze the use of the WhatsApp® application in health management, work process, and care in coping with the COVID-19 pandemic. A qualitative research was carried out by multiple case studies with semi-structured interviews with SUS managers and workers from May to November 2022. The material was transcribed and processed on ATLAS.ti® and its thematic content was analyzed. The use of WhatsApp® enhanced processes that created new health management, work, and care practices from a lively, communicative perspective produced in actions especially based on the challenges brought to face the pandemic. Results also point to the overcomplication of workers and managers, sometimes configuring situations of exhaustion due to constant and full-time communication in the application and the potential compromise to their health. They also highlight practices that had been informally produced and that emerged as an accelerated process of non-formal institutionalization in response to the practical demands of the health emergency, constituting new communication and access regulation arrangements.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e08082023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063971","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}