Ciencia & saude coletiva最新文献_第7页

[Protection network for the human right to adequate food and the food insecurity: a cohort in the semi-arid Northeast]. [充足食物权和粮食不安全的人权保护网络：半干旱东北地区的一群人]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-20 DOI: 10.1590/1413-81232025307.01882024

Ana Beatriz Macêdo Venâncio Dos Santos, Poliana de Araújo Palmeira, Angelo Giuseppe Roncalli da Costa Oliveira

{"title":"[Protection network for the human right to adequate food and the food insecurity: a cohort in the semi-arid Northeast].","authors":"Ana Beatriz Macêdo Venâncio Dos Santos, Poliana de Araújo Palmeira, Angelo Giuseppe Roncalli da Costa Oliveira","doi":"10.1590/1413-81232025307.01882024","DOIUrl":"10.1590/1413-81232025307.01882024","url":null,"abstract":"This study analyzes the length of time living with Food Insecurity (AI) and access to government programs, identifying the protection network for the human right to adequate food (DHAA) accessed by families in the Brazilian semi-arid region between 2011 and 2019. It is about a cohort in Cuité, Paraíba, with collections in 2011, 2014, and 2019. The time of coexistence with AI was analyzed with the classification into persistent food safety, one-time AI, two-time AI, and persistent AI, based on the definition of security and insecurity in the Brazilian Food Insecurity Scale. Changes in access to 25 programs and the sociodemographic characteristics of families were verified using the Cochran Q test and Pearson's chi-square to verify the association between access and time spent living with AI. Note the coexistence of chronic AI, persistent sociodemographic vulnerability, and a diverse and little-accessed network of programs. Strengthening this network must aim at structural transformations through a socioeconomic development plan that promotes equal opportunities and articulates economy and social well-being.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e01882024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834222","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

Fifteen years of the Primary Health Care Reform (RCAPS) in Rio de Janeiro, Brazil. 巴西里约热内卢15年初级卫生保健改革（RCAPS）

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1590/1413-81232025307.04112025

Luiz Felipe Pinto, Ana Luiza Ferreira Rodrigues Caldas

{"title":"Fifteen years of the Primary Health Care Reform (RCAPS) in Rio de Janeiro, Brazil.","authors":"Luiz Felipe Pinto, Ana Luiza Ferreira Rodrigues Caldas","doi":"10.1590/1413-81232025307.04112025","DOIUrl":"10.1590/1413-81232025307.04112025","url":null,"abstract":"Rio de Janeiro has become a paradigm for Brazilian Primary Health Care (PHC). How did the city, which until 2008 was the capital city of the country with the lowest coverage of complete Family Health Strategy (FHS) teams, with 3.5% of its population, manage to give access to more than 70% of cariocas (residents of the city of Rio de Janeiro) by 2024? The present study analyzes the main axes and results of the Primary Health Care Reform (Reforma dos Cuidados em Atenção Primária à Saúde - RCAPS) over a 15-year period, inspired by PHC in Lisbon, Portugal. Limits, challenges, and advances are discussed. Our study highlights changes in the organizational chart, the management model, health care by results, and the strengthening of PHC as a network organizer and care coordinator. The feasibility of RCAPS for a large city is demonstrated, with the following limitations: (i) the need to reorganize continuing education processes, (ii) improved communication with the SUS user population, and (iii) insufficient tripartite funding, especially from the state government. Digital Health as an axis for improving communication, expanding access, and greater resolutiveness is today consolidated as management's greatest challenge.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e04112025"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834272","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-Private Partnership in healthcare: the experience of Latin America's largest public emergency room. 医疗保健中的公私伙伴关系：拉丁美洲最大的公共急诊室的经验。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-20 DOI: 10.1590/1413-81232025307.21552024

Paula Travassos, Ana Karinny Clímaco de Oliveira Grego, Mariana Monteiro de Castro E Castro, Vinícius Borges de Oliveira Ribeiro, Janessa Vieira Santos, André Luiz Carneiro de Vasconcellos

{"title":"Public-Private Partnership in healthcare: the experience of Latin America's largest public emergency room.","authors":"Paula Travassos, Ana Karinny Clímaco de Oliveira Grego, Mariana Monteiro de Castro E Castro, Vinícius Borges de Oliveira Ribeiro, Janessa Vieira Santos, André Luiz Carneiro de Vasconcellos","doi":"10.1590/1413-81232025307.21552024","DOIUrl":"10.1590/1413-81232025307.21552024","url":null,"abstract":"Brazilian scientific production on the subject of Public-Private Partnerships (PPP) in health is still scarce. In the state of Rio de Janeiro, the first PPP initiative was launched in 2023 for the Souza Aguiar Municipal Hospital Complex (Complexo Hospitalar Municipal Souza Aguiar - CHMSA) involving three SUS units in the capital: a maternity hospital, a general emergency hospital operating 24/7, and a regional emergency center (Centro de Emergência Regional - CER). We sought to characterize the unit, analyze the decision-making processes of the PPP implemented in this Complex, based on the experience of its key players during its formulation, implementation, and follow-up. Our study also highlighted the fundamental role of the permanent health education (Educação Permanente em Saúde - EPS) process, which was key to sustaining the change in the adopted management model. The results show that after the first year of the PPP's implementation, several adjustments have been necessary to make it possible to measure the indicators agreed upon with the concessionaire. By contrast, the Souza Aguiar OTICS Station has stood out as a major training center for Rio de Janeiro's SUS, with more than 2,500 workers trained in its first year of implementation by the SMS-RJ.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e21552024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834284","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

Shifting trends in obesity growth rates in Brazilian adults between 2006 and 2021. 2006年至2021年间巴西成年人肥胖增长率的变化趋势。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-06-27 DOI: 10.1590/1413-81232025307.19882023

Claudia Cristina Gonçalves Pastorello, Caroline Dos Santos Costa, Rafael Moreira Claro, Maria Laura da Costa Louzada

{"title":"Shifting trends in obesity growth rates in Brazilian adults between 2006 and 2021.","authors":"Claudia Cristina Gonçalves Pastorello, Caroline Dos Santos Costa, Rafael Moreira Claro, Maria Laura da Costa Louzada","doi":"10.1590/1413-81232025307.19882023","DOIUrl":"10.1590/1413-81232025307.19882023","url":null,"abstract":"The aim of this article is to analyze and quantify changes in acceleration and/or deceleration in temporal trends in the prevalence of overweight and obesity in adults in Brazilian capitals and the Federal District between 2006 and 2021. Using data from Risk and Protective Factors Surveillance System for Chronic Diseases by Telephone Interviews (Vigitel), joinpoint regression analyses were performed to identify potential inflection points in trends and to estimate the annual percentage change (VPA) of overweight and obesity prevalence. Obesity prevalence increased from 11.9% in 2006 to 22.4% in 2021, and that of overweight from 37.3% in 2006 to 58.8% in 2021. The increase in obesity suggests an annual growth rate of 5.8% (95%CI 4.7; 7.0) in the period from 2006 to 2012, and after that, a slower annual rate of 2.7% (95%CI 2.1; 3.3) between 2012 and 2021. The same trend pattern occurs for overweight prevalence, which grew by 2.9% (95%CI 2.7; 3.2) from 2006 to 2013, and by 1.3% (95%CI 1.1; 1.5) from 2013 to 2021. Reductions in the growth rates were more intense for women with less than 8 years of schooling. The results indicate a likely deceleration in the growth rates of the prevalence of overweight and obesity from 2012/2013 among Brazilian adults.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e19882023"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834287","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

Condom use and reported diagnosis of STI in cisgender men, according to sexual orientation: an analysis based on the 2019 Brazilian National Health Survey. 根据性取向，顺性男性使用避孕套和报告的性传播感染诊断：基于2019年巴西国家健康调查的分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.09752023

Flávia Bulegon Pilecco, Jonatan da Rosa Pereira da Silva, Rafael Steffens Martins, Marco Aurélio Máximo Prado

{"title":"Condom use and reported diagnosis of STI in cisgender men, according to sexual orientation: an analysis based on the 2019 Brazilian National Health Survey.","authors":"Flávia Bulegon Pilecco, Jonatan da Rosa Pereira da Silva, Rafael Steffens Martins, Marco Aurélio Máximo Prado","doi":"10.1590/1413-812320242911.09752023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.09752023","url":null,"abstract":"This study investigated condom use and the reported diagnosis of sexually transmitted infections (STIs) in men, aged 18 to 59 years, according their sexual orientation, based on data from the 2019 Brazilian National Health Survey (NHS). A total of 30,512 subjects were analyzed. Crude and adjusted Poisson regression models, with robust variance, were used to investigate the association between sexual orientation and condom use in the last 12 months and, during the last sexual encounter, as well as the reported diagnosis of STIs. Although in crude analyses, homosexual and bisexual men reported more condom use in the last 12 months and during the most recent sexual encounter, after adjusting for the variable of living with a partner in the models, these associations lost statistical significance. The reported STI diagnosis, however, remained more prevalent in homosexual and bisexual men, even after adjustments (aPR 4.69; 95% CI 2.76-7.99). Public policies for STI/HIV/AIDS prevention should shift from a logic of risky practices to the analysis of a broader context, including different types of relationships, their temporalities, and negotiations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e09752023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324601","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

[Financing of primary care in the municipalities of the state of Bahia, Brazil: analysis of federal transfers from 2008 to 2017]. [巴西巴伊亚州各市初级保健筹资：2008年至2017年联邦转移支付分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.12592023

Amana Santana de Jesus, Rosana Aquino, Ana Luiza Queiroz Vilasbôas

引用次数: 0

[PlanificaSUS as a Permanent Health Education (EPS) strategy for the Unified Health System (SUS)]. [PlanificaSUS作为统一健康系统（SUS）的永久健康教育（EPS）战略]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.08762023

Emalline Angélica de Paula Santos, Gustavo Zambenedetti

{"title":"[PlanificaSUS as a Permanent Health Education (EPS) strategy for the Unified Health System (SUS)].","authors":"Emalline Angélica de Paula Santos, Gustavo Zambenedetti","doi":"10.1590/1413-812320242911.08762023","DOIUrl":"10.1590/1413-812320242911.08762023","url":null,"abstract":"PlanificaSUS is a Permanent Health Education strategy that aims to operationalize the Health Care Network within the scope of the Unified Health System. The objective was to analyze PlanificaSUS from the perspective of managers and tutors in the 4th health region of Paraná in triennium 2018-2020. Qualitative research was carried out, guided by the perspective of Institutional Analysis, using interviews with 4 managers and 14 tutors as devices for data production. The results revealed forces that permeate and transversalize the process. As crossroads we highlight the covid-19 pandemic, financing, professional qualification, team turnover, deadlines and schedule, lack of management support, expansion process and the lack of Specialized Care materials and tools. As transversalities, we highlight integration, the possibility of organizing in stages, the materials and tools made available and the covid-19 pandemic. PlanificaSUS promoted spaces for collective discussion, \"customized\" the proposal according to the local reality and the context of the pandemic and produced changes in work processes, in line with the perspective of Permanent Health Education. Despite this, it faces structural challenges of the SUS that need to be overcome.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e08762023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224461","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 Costs in Brazil: An analysis between 2004 and 2021]. [巴西的公共卫生费用：2004年至2021年的分析]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.11132023

Helen Maria da Silva Gomes, Altair Borgert

引用次数: 0

[The use of contraceptives by women attending at riverine basic health unit in rural communities in the Amazon]. [在亚马逊农村社区的河边基本保健单位就诊的妇女使用避孕药具的情况]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.15212023

Anny Beatriz Costa Antony de Andrade, Maria Laura Rezende Pucciarelli, Fernando José Herkrath, Maria Luiza Garnelo Pereira

{"title":"[The use of contraceptives by women attending at riverine basic health unit in rural communities in the Amazon].","authors":"Anny Beatriz Costa Antony de Andrade, Maria Laura Rezende Pucciarelli, Fernando José Herkrath, Maria Luiza Garnelo Pereira","doi":"10.1590/1413-812320242911.15212023","DOIUrl":"10.1590/1413-812320242911.15212023","url":null,"abstract":"This study aims to analyze the access to and use of contraceptives by riverine women in the Rio Negro, Amazonas, who are attended by a Riverine Basic Health Unit (RBHU), describing the flow of reproductive planning care. A sequential mixed-methods study was conducted, comprising a cross-sectional survey that investigated access to services and contraceptive use by 196 women in 38 communities attending at RBHU. The effects of independent variables on contraceptive use were assessed by estimating prevalence ratios and 95% confidence intervals. A systematic observation of the routine of care provided by RBHU professionals was conducted. Contraceptive use was reported by 146 (74.5%) women, with injectables (44.5%), tubal ligation (31.5%), and male condoms (21.9%) being the most common methods. Use was associated with age (PR=0.98; 95% CI=0.96-0.99), access to service (PR=0.69; 95% CI=0.49-0.97), and self-perception of health (PR=0.81; 95% CI=0.69-0.95). Regarding the organization of care flow, a creative adaptation by professionals was observed, optimizing time and access to care, thus favoring access to contraceptives and contributing to the prevalence of injectable use. A longer duration of RBHU attendance in each locality may promote sexual and reproductive health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15212023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224464","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

Counseling on physical activity before and during the Covid-19 pandemic among users of the Brazilian community health promotion program. 在Covid-19大流行之前和期间，为巴西社区健康促进计划的用户提供身体活动咨询。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.04072023

Letícia Gonçalves, Tiago Rodrigues de Lima, Teresa Maria Bianchini de Quadros, Cassiano Ricardo Rech, Diego Augusto Santos Silva

{"title":"Counseling on physical activity before and during the Covid-19 pandemic among users of the Brazilian community health promotion program.","authors":"Letícia Gonçalves, Tiago Rodrigues de Lima, Teresa Maria Bianchini de Quadros, Cassiano Ricardo Rech, Diego Augusto Santos Silva","doi":"10.1590/1413-812320242911.04072023","DOIUrl":"10.1590/1413-812320242911.04072023","url":null,"abstract":"The aim is to investigate the association between physical activity counseling before and during the Covid-19 pandemic and sociodemographic variables, according to body mass index (BMI) and participation time in the program. A cross-sectional study was conducted with 979 users aged 20 years or older. Before the pandemic, being ≥60 years of age was associated with counseling in users with up to one year of participation in the program. During the pandemic, being ≥60 years of age and having higher education were aspects associated with counseling among participants with normal weight. Furthermore, being separated/widowed among those classified as overweight/obesity, and being female and having higher education among those with up to one year in the program were aspects associated with counseling during the pandemic. Before the pandemic, counseling was associated with age ≥60 years in participants with up to one year in the program. During the pandemic, age ≥60 years and a higher number of years of education were associated with physical activity counseling among those with normal weight. Additionally, being separated/widowed was associated with overweight/obesity. During the pandemic, being female and higher educational attainment were associated with physical activity counseling.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e04072023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224469","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