Ciencia & saude coletiva最新文献_第7页

Implementation of the Indigenous Health Policy: an ethnographic analysis of healthcare practices in the Upper Solimões River. 执行土著保健政策：对Solimões河上游保健做法的民族志分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-05-15 DOI: 10.1590/1413-812320242912.08202024

Roberta Aguiar Cerri, Luiza Garnelo

{"title":"Implementation of the Indigenous Health Policy: an ethnographic analysis of healthcare practices in the Upper Solimões River.","authors":"Roberta Aguiar Cerri, Luiza Garnelo","doi":"10.1590/1413-812320242912.08202024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.08202024","url":null,"abstract":"This study analyzes the implementation of the Indigenous Health Policy, focusing on the care practices of health teams of the Indigenous Health Care Subsystem in the Upper Solimões River in the Amazon region. Using ethnography as a methodological resource, the dynamics among participants, discourses, and power in the implementation of the policy are investigated, revealing a complex interconnection between practices and other contextual realities. Three phenomena emerge as critical influences on care practices: the medical-care model, the sanitation model, and the culture of performance. The medical-care and sanitation models are perpetuated. The culture of performance introduces a control paradigm based on quantitative indicators and pre-defined goals, affecting professional identity, social interactions, and the effectiveness of actions. On the margins of the institution, other daily practices are induced by temporal needs, subjective feelings, and local networks of power, thus challenging social structures and conventions. The Indigenous Health Policy was reformulated by practices influenced by old policies and was remodeled by techniques induced by bureaucracy, distancing itself from its ideological agenda.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e08202024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945625","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

Rivers of knowledge: demarcating science with Indigenous voices. 知识之河：用土著的声音划分科学。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-20 DOI: 10.1590/1413-812320242912.06742024

Diádiney Helena de Almeida

引用次数: 0

Blood pressure in women in the First National Survey of Health and Nutrition of Indigenous Peoples in Brazil. 巴西第一次全国土著人民健康和营养调查中妇女的血压。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-06-19 DOI: 10.1590/1413-812320242912.10222024

Felipe Guimarães Tavares, Aline Araújo Nobre, Bernardo Lessa Horta, Gerson Luiz Marinho, Andrey Moreira Cardoso

{"title":"Blood pressure in women in the First National Survey of Health and Nutrition of Indigenous Peoples in Brazil.","authors":"Felipe Guimarães Tavares, Aline Araújo Nobre, Bernardo Lessa Horta, Gerson Luiz Marinho, Andrey Moreira Cardoso","doi":"10.1590/1413-812320242912.10222024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.10222024","url":null,"abstract":"Estimating average blood pressure levels and prevalence of arterial hypertension (AH) and associated factors is essential to monitoring health and planning actions to combat noncommunicable diseases (NCDs) in Indigenous peoples in Brazil. This is a cross-sectional study that investigated average blood pressure levels and prevalence of arterial hypertension in 4,680 Indigenous women (aged 18-49 years), using data from the 1st National Survey of Health and Nutrition of Indigenous Peoples (2008-2009) and associated factors, such as through gamma regression and multilevel logistics. The prevalence of hypertension was 10.7%, varying across macro-regions: North, Northeast, Midwest, and South/Southeast. Women who lived in villages without domestic waste collection and in households without stable income were more likely to have AH. Increasing BMI and age were positively associated with the chances of developing high blood pressure. In the model for DBP, unlike education, the variables stable household income, BMI, and age were positively associated. In the model for SBP, there was a negative association with education, in the medium and high strata of the household goods index and in households with no stable income, and a positive association with the housing indicator, BMI and age.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e10222024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945573","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

Ethnic-racial composition of the population in COVID-19 mortality: A spatial ecological approach to Brazilian health inequalities. COVID-19死亡率中人口的族裔-种族构成：巴西卫生不平等的空间生态方法

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-05 DOI: 10.1590/1413-812320242912.05552024

Júnia Maria Drumond Cajazeiro, Andrey Moreira Cardoso, Aline Araújo Nobre

{"title":"Ethnic-racial composition of the population in COVID-19 mortality: A spatial ecological approach to Brazilian health inequalities.","authors":"Júnia Maria Drumond Cajazeiro, Andrey Moreira Cardoso, Aline Araújo Nobre","doi":"10.1590/1413-812320242912.05552024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.05552024","url":null,"abstract":"The COVID-19 pandemic has unevenly affected regions, countries, and ethnic-racial segments. Socioenvironmental factors were associated with worse disease evolution, with a greater likelihood of mortality in vulnerable people. This study aimed to investigate the association between the proportion of vulnerable populations (Black, brown, and Indigenous people) and mortality from COVID-19 in Brazil from March 2020 to February 2021. Mortality rate ratios and respective 95% Confidence Intervals (95%CI) were estimated using negative binomial regression models. Statistically significant associations were found between the proportion of these populations and mortality rates, emphasizing Blacks in the first four-month period, mixed race in the second four-month period, and Indigenous people in the third four-month period, in which an increase of 54%, 16% and 27% in mortality rates was observed, respectively, for every 10% increase in the proportion of these populations. We highlight the existence of ethnic-racial inequalities in COVID-19 mortality in Brazil and that efforts must be made to mitigate health inequalities, an expression of the perpetuated structural racism and social exclusion of historically vulnerable groups.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e05552024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945580","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

Oral health inequality: characterization of the indigenous people Xukuru do Ororubá, Pernambuco, Brazil. 口腔健康不平等：巴西伯南布哥省Xukuru do ororub<e:1>土著人民的特征。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-19 DOI: 10.1590/1413-812320242912.06712024

Herika de Arruda Mauricio, Thatiana Regina Fávaro, Rafael da Silveira Moreira

{"title":"Oral health inequality: characterization of the indigenous people Xukuru do Ororubá, Pernambuco, Brazil.","authors":"Herika de Arruda Mauricio, Thatiana Regina Fávaro, Rafael da Silveira Moreira","doi":"10.1590/1413-812320242912.06712024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.06712024","url":null,"abstract":"This article aims to characterize Indigenous people aged 18-23 of the Xukuru do Ororubá ethnic group, Pernambuco state, Brazil, regarding the use of dental services, self-perceived oral health, oral hygiene practices and caries experience, and socioeconomic and demographic aspects. This population-based cross-sectional study is nested in a cohort study that started in 2010 and was conducted in the Indigenous territory in 2018. Oral examinations and questionnaires were conducted with 131 Indigenous people. Data were collected using Epi Info software and the SPSS 20.0 statistical program was used for descriptive statistics. R software was adopted to compare the caries experience results obtained with the National Oral Health Survey (SB Brasil 2010). The caries experience verified by the DMFT Index had a mean of 7.4, with the mean Index components corresponding to 22.8 for healthy teeth, 2.4 for decayed teeth, 0.2 for filled/carious teeth, 3.5 for filled teeth, and 1.4 for missing teeth. The oral health condition of Indigenous people is characterized by significant inequality when compared to the results of epidemiological surveys conducted in the country involving other population groups.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e06712024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945646","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

Mental health in the Tupinambá community of Serra do Padeiro, southern Bahia, Brazil: community and struggle as sources of health. 巴西巴伊亚州南部Serra do Padeiro的tupinamb<e:1>社区的精神卫生：作为健康来源的社区和斗争。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1590/1413-812320242912.13832023

Leonardo José de Alencar Mendes, István van Deursen Varga, Mônica de Oliveira Nunes de Torrenté

{"title":"Mental health in the Tupinambá community of Serra do Padeiro, southern Bahia, Brazil: community and struggle as sources of health.","authors":"Leonardo José de Alencar Mendes, István van Deursen Varga, Mônica de Oliveira Nunes de Torrenté","doi":"10.1590/1413-812320242912.13832023","DOIUrl":"https://doi.org/10.1590/1413-812320242912.13832023","url":null,"abstract":"This work presents concepts and practices linked to mental health in the Tupinambá Indigenous community of Serra do Padeiro in southern Bahia, Brazil. This qualitative cartographic research mapped existing processes and relationships in the Tupinambá territory. Data production techniques were participant observation, semi-structured interviews, field diary, and bibliographic studies. Shared responsibility characterizes how Indigenous medicine care is organized in the territory. The factors that produce psychosocial distress, care practices, and conflict coping are understood from the interactions between Indigenous and non-Indigenous ways of care. The inseparability between psychic and social is combined with territorial dimensions, reinforcing the link between mental health and daily community life. The struggle for territory enables the reconstruction of a subjective ethos that refuses servitude, moving from previous conditions of precariousness and subalternity, with expulsion from the territory to other more autonomous and collective subjectivation processes. The example of Serra do Padeiro highlights that the struggle offers the most significant health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e13832023"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945641","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 Medicines Center and pharmaceutical care during the civil-military dictatorship (1970-1974). 军民独裁统治时期（1970-1974 年）的药品中心和药品护理。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-03-24 DOI: 10.1590/1413-812320242910.01502024

Matheus S Santana

{"title":"The Medicines Center and pharmaceutical care during the civil-military dictatorship (1970-1974).","authors":"Matheus S Santana","doi":"10.1590/1413-812320242910.01502024","DOIUrl":"https://doi.org/10.1590/1413-812320242910.01502024","url":null,"abstract":"The present article analyzes the formation of the first pharmaceutical care policies implemented by the Brazilian Federal Government between 1968 and 1974, during the civil-military dictatorship. It examines a set of measures adopted by the Costa e Silva and Médici governments to contain a continuous rise in the prices of raw materials and pharmaceutical specialties, with this context being essential to the creation of the Medicines Center (CEME) in 1971. The core argument of the article is that CEME represented, at the federal level, the consolidation of a policy carried out at the National Institute of Social Security (Instituto Nacional da Previdência Social - INPS) between 1968 and 1970, based on the production of inputs and medicines in public laboratories. Ended in 1970, this policy was resumed the following year with broad participation of military personnel and laboratories of the Armed Forces. The originality of this article lies in its explanation of how such support influenced the establishment of CEME in its early years. Until 1974, military members were the majority in the Board of Directors of CEME, with some of the agency's early missions being the supplier for Civil-Social Actions of the Armed Forces.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e01502024"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281227","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

[Impure blood: specialists, institutions, and cultural authority in the context of AIDS in Brazil]. [不纯净的血液：巴西艾滋病背景下的专家、机构和文化权威]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-10-05 DOI: 10.1590/1413-812320242910.07322023

João Paulo Gugliotti, Lilia Blima Schraiber

{"title":"[Impure blood: specialists, institutions, and cultural authority in the context of AIDS in Brazil].","authors":"João Paulo Gugliotti, Lilia Blima Schraiber","doi":"10.1590/1413-812320242910.07322023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.07322023","url":null,"abstract":"In this article, we examine the concept of cultural authority in the context of the professionalization/corporatization of medicine at the end of the 20th century, and its political and moral contours since the HIV/AIDS epidemic in São Paulo. Based on journalistic articles collected from the newspaper O Estado de São Paulo (1986-1989), we seek to highlight the place of medical expertise, examining the discourses produced about the disease in Brazil, in bases that show the emergence of social actors, disputes for credibility and the clinical authority under challenge. We analyze public narratives about AIDS, situating the place of authority. We argue that such discourses, in the context of sexual panic, did not occur outside a dynamic of therapeutic/clinical authority and the profession's own norms, which also immediately made visible the role of physicians, specialists and other health professionals, in dialogue with the moral grammar of the socially current illness. The conclusions illustrate the link between Brazilian medicine at the end of the century and the local-global history of AIDS, concentrating historical and political movements that disputed the scientific and moral meanings of the disease, fractured by the clash between authorities in the scientific, sanitary and clinical fields.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e07322023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281194","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 according to gender and ethnicity associated with metabolic syndrome: a systematic review and meta-analysis. 与代谢综合征相关的性别和种族饮食模式：系统回顾和荟萃分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-09-28 DOI: 10.1590/1413-812320242910.03662023

Lídia Bezerra Barbosa, Isabelle Rodrigues de Souza Gama, Nancy Borges Rodrigues Vasconcelos, Ewerton Amorim Dos Santos, Thays Ataide-Silva, Haroldo da Silva Ferreira

{"title":"Dietary patterns according to gender and ethnicity associated with metabolic syndrome: a systematic review and meta-analysis.","authors":"Lídia Bezerra Barbosa, Isabelle Rodrigues de Souza Gama, Nancy Borges Rodrigues Vasconcelos, Ewerton Amorim Dos Santos, Thays Ataide-Silva, Haroldo da Silva Ferreira","doi":"10.1590/1413-812320242910.03662023","DOIUrl":"10.1590/1413-812320242910.03662023","url":null,"abstract":"The objective of this systematic review (SR) with meta-analysis (MA) was to identify the dietary patterns of the population, regarding ethnicity and gender, and their association with the metabolic syndrome and its risk factors (MetS-RF). The literature search was performed using Medline, Scopus, Ebsco, SciELO, and BVS databases. Studies with adult participants that identified dietary patterns associated with MetS-RF were included. Pooled odds ratio (OR) and 95%CI were calculated using a random-effect, generic inverse variance method. Statistical heterogeneity and publication bias were explored. The dietary patterns were classified as healthy or unhealthy. Studies were categorized into three groups: Women (all ethnicities), Afro-descendant (men and women), and General Population (both genders and ethnicity). Among the articles found (n=8,496), 22 integrated the SR and 11 the MA. The adherence to the healthy dietary pattern was negatively associated (protective factor) with MetS-RF only in the General Population (OR=0.77; 95%CI: 0.61-0.98). Nevertheless, the unhealthy dietary pattern was associated with the higher prevalence of MetS-RF in all analyzed groups. It was concluded that an unhealthy eating pattern increases the chances of SM-RF in adults, regardless of gender and ethnicity.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e03662023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281202","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

Evaluation of the structure of primary maternal and infant healthcare in the state of Roraima, the North region of Brazil, and Brazil, 2012-2017. 2012-2017 年巴西北部地区罗赖马州初级母婴保健结构评估。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-10-08 DOI: 10.1590/1413-812320242910.03462023

Daniele Alves Damaceno Gondim, Mônica Rodrigues Campos, Débora Castanheira

{"title":"Evaluation of the structure of primary maternal and infant healthcare in the state of Roraima, the North region of Brazil, and Brazil, 2012-2017.","authors":"Daniele Alves Damaceno Gondim, Mônica Rodrigues Campos, Débora Castanheira","doi":"10.1590/1413-812320242910.03462023","DOIUrl":"https://doi.org/10.1590/1413-812320242910.03462023","url":null,"abstract":"Primary healthcare is the main gateway and priority for healthcare management in Brazil. However, there are significant challenges in the quality of care, particularly for those most vulnerable, especially maternal and infant healthcare. This fact is exacerbated by regional inequalities, which have historically left the North and Northeast regions at a relative disadvantage. The study involves an analysis of the resources available for maternal and infant healthcare in the state of Roraima, the North region, and Brazil as a whole in 2012, 2014, and 2017, using data from Module I of the National Program for the Improvement of Access and Quality of Primary Care (PMAQ-AB). There was a significant improvement in physical infrastructure indicators (e.g., ventilation and air conditioning) as well as improvement in the distribution of supplies and equipment needed for maternal and infant care between 2014 and 2017. However, the availability of medicines and the number of human resources and hours worked diminished. The study offers a crucial longitudinal analysis, comparing the situation in Roraima and Brazil, whose findings could contribute to the development of programs and public policymaking for reproductive rights and maternal and infant health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e03462023"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281204","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