Ciencia & saude coletiva最新文献_第8页

Social and environmental determination of health in sugarcane producing territories in Pernambuco.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-02 DOI: 10.1590/1413-81232025301.07712023

Renata Cordeiro Domingues, Aline do Monte Gurgel, Romário Correia Dos Santos, Fernanda Lowenstein Monteiro de Araújo Lima, Carla Caroline Silva Dos Santos, Mariana Olívia Santana Dos Santos, Idê Gomes Dantas Gurgel

{"title":"Social and environmental determination of health in sugarcane producing territories in Pernambuco.","authors":"Renata Cordeiro Domingues, Aline do Monte Gurgel, Romário Correia Dos Santos, Fernanda Lowenstein Monteiro de Araújo Lima, Carla Caroline Silva Dos Santos, Mariana Olívia Santana Dos Santos, Idê Gomes Dantas Gurgel","doi":"10.1590/1413-81232025301.07712023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.07712023","url":null,"abstract":"The study analyzed the socio-environmental determination of health in five sugarcane-producing municipalities in Pernambuco. This participatory, qualitative research was conducted from January to August 2022. Workshops were held in the participating communities to build the Participatory Rural Diagnosis of protective and destructive processes of global, community, and individual socio-environmental health dimensions. The communities pointed to social inequalities, productive deregulation, environmental degradation, labor exploitation, violence, and illness as the main processes affecting the territories. Despite this, protective processes were related to the social function of land and the right to agrarian reform, family farming, solidarity and community organization ties, and individual and family self-care practices. The diagnosis points to the need to build public policies for equity, protection, and reparation of the eco-social health of territories affected by sugarcane cultivation, burdened with intense use of pesticides and burning and over-exploited labor, among other socio-environmental problems.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e07712023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063937","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

"Water" Populations: Environment-Health, from the Social Determination and Health Policy perspective, in the Baixo Amazonas Region-PA.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-15 DOI: 10.1590/1413-81232025301.19462022

Sara Silva Dos Santos, Franciclei Burlamaque Maciel, Wilson Sabino, Julio Cesar Schweickardt, Jessica Burlamaque Maciel

引用次数: 0

[Advances and challenges in the transsexualizing process in the Brazilian Unified Health System].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-25 DOI: 10.1590/1413-81232025301.10912023

Vitória da Cruz Boldrin, Ruan Dias Rodrigues Coelho, Letícia Carvalho Alves, Edenilson de Souza Teixeira, Sheila Reis de Souza Bernardo, Anacely Guimarães Costa

{"title":"[Advances and challenges in the transsexualizing process in the Brazilian Unified Health System].","authors":"Vitória da Cruz Boldrin, Ruan Dias Rodrigues Coelho, Letícia Carvalho Alves, Edenilson de Souza Teixeira, Sheila Reis de Souza Bernardo, Anacely Guimarães Costa","doi":"10.1590/1413-81232025301.10912023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.10912023","url":null,"abstract":"The implementation of the Transsexualizing Process (TP) / Gender-affirming Surgeries (GAS) in the Unified Health System (SUS) was the result of social struggles by the LGBT community for sexual rights, the construction of gender identity, and bodily autonomy. The scope of this article is to analyze the advances and challenges of TP/GAS in the SUS, through a qualitative narrative literature review. In June 2022, searches were conducted in the Google Scholar, SciELO, and VHL databases to select scientific articles in Portuguese published in the last 10 years, excluding articles in foreign languages and other types of academic work such as reviews, undergraduate theses, dissertations, and/or graduate theses. Eighteen articles were selected that showed the expansion of healthcare services for transsexuals with GAS in the SUS. However, weaknesses were identified, such as unprepared healthcare professionals, social stigmas, clinical diagnosis as a driver of pathologization, and low hospital coverage. The regulation and availability of GAS in the SUS have brought gains to the trans population, but it is necessary to expand access to services and mitigate stigmatizing conduct to ensure that these individuals feel accepted in their entire biopsychosocial context.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e10912023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064106","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

[Association between occupational exposure to pesticides and ototoxicity in farmers of Pontal do Paranapanema-SP, Brazil].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-03 DOI: 10.1590/1413-81232025301.08552023

Meire Aparecida Judai, Jamile Silveira Tomiazzi Simões, Ana Paula Alves Favareto, Patricia Alexandra Antunes

{"title":"[Association between occupational exposure to pesticides and ototoxicity in farmers of Pontal do Paranapanema-SP, Brazil].","authors":"Meire Aparecida Judai, Jamile Silveira Tomiazzi Simões, Ana Paula Alves Favareto, Patricia Alexandra Antunes","doi":"10.1590/1413-81232025301.08552023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.08552023","url":null,"abstract":"The scope of this study was to assess the ototoxic effects and general health of farmers exposed to pesticides in the Pontal do Paranapanema region, SP, Brazil. Participants of both sexes aged 18-40, 40-60 and >60 years were allocated into two groups: Non-Exposed Group (NEG) and Occupationally Exposed Group (OEG). A questionnaire of exposure and health, meatoscopy, pure tone audiometry, logoaudiometry and immittanciometry were assessed. Cypermethrin, chlorpyrifos and glyphosate were the most reported pesticides. The most frequently reported exposure times were 0-10, 31-40 and 51-60 years. Headaches, visual and spinal disorders were the most common complaints, as well as hypertension and gastric and renal disorders. Only 35% (18-40) and 30% (40-60) of the OEG had good hearing perception. Rotational dizziness, ear infection, tinnitus and otalgia were reported. There was an increase in conventional and high frequency hearing thresholds in EWGs, at almost all frequencies and ages, as well as an alteration in the stapedial reflex. It was concluded that occupational exposure to pesticides has ototoxic potential and can harm general health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e08552023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064114","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

[Men who have sex with men negotiating pleasure and prevention through HIV pre-exposure prophylaxis].

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-10-21 DOI: 10.1590/1413-81232025301.15242023

Adriano Henrique Caetano Costa, Adriano Caobianco Sant'ana Filho, Isa da Silva Sorrentino, Lorruan Alves Dos Santos, Ramiro Fernandez Unsain, Marcia Thereza Couto

{"title":"[Men who have sex with men negotiating pleasure and prevention through HIV pre-exposure prophylaxis].","authors":"Adriano Henrique Caetano Costa, Adriano Caobianco Sant'ana Filho, Isa da Silva Sorrentino, Lorruan Alves Dos Santos, Ramiro Fernandez Unsain, Marcia Thereza Couto","doi":"10.1590/1413-81232025301.15242023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.15242023","url":null,"abstract":"Prophylaxis based on antiretrovirals, such as pre-exposure prophylaxis to HIV (PrEP), has the potential to protect the populations most vulnerable to infection, which renews optimism for controlling the HIV epidemic. Against this backdrop, the aim of this article is to analyze the perceptions, negotiations and tensions surrounding the use of PrEP by men who have sex with men (MSM). This is a qualitative cross-section of a multicenter study, analyzing semi-structured interviews with 18 users of specialized HIV/AIDS healthcare facilities in the city of São Paulo/SP. The findings show that negotiating the use of PrEP among MSM involves looking for partners in which different sexual scenarios and the use of alcohol or drugs take place. Users gave PrEP the sense of facilitating the negotiation about the (non-)use of condoms and the (re)definition of care and prevention in different sexual-affective partnerships. The research broadens the debate on subjective aspects involving HIV prevention among MSM, especially with respect to its management in situations of negotiation involving other prevention strategies.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e15242023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064186","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

Characterization of pharmaceutical services in the prison system: cross-sectional study.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-02 DOI: 10.1590/1413-81232025301.11932023

Michele Berger Ferreira, Pauline Schwarzbold, Samantha Lopes de Moraes Longo, Renata Maria Dotta, Lia Gonçalves Possuelo, Isabela Heineck

{"title":"Characterization of pharmaceutical services in the prison system: cross-sectional study.","authors":"Michele Berger Ferreira, Pauline Schwarzbold, Samantha Lopes de Moraes Longo, Renata Maria Dotta, Lia Gonçalves Possuelo, Isabela Heineck","doi":"10.1590/1413-81232025301.11932023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.11932023","url":null,"abstract":"This study aimed to characterize pharmaceutical services (PS) in the prison system of Rio Grande do Sul in terms of organization and infrastructure in the context of primary health care. This is a descriptive study, with a cross-sectional design carried out between August and September 2022. Data collection was carried out remotely, using a questionnaire prepared and adapted based on the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Access, Use and Promotion of Rational Use of Medications in Brazil). A total of 51 prison units participated in the survey. There is no specific area for the pharmacy in most prison units, with only one place for storing medications. There are no standard operating procedures for PS activities in 78.4% of prison units. In 9.8% of prison units, the presence of a pharmacist was mentioned. No medication storage conditions are monitored in 31.4% of sites. Medication fractionation was reported by 78.4% of prison units. Medications are dispensed in 3.9% of prison units. The PS overview in the prison context reveals important weaknesses and the need to adapt to current regulations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e11932023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064195","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

Do Brazilian Olympic athletes live longer than the general population? A retrospective cohort study.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2024-08-16 DOI: 10.1590/1413-81232025301.16862023

Aline Ortega Soloaga, Arthur Duarte Fantesia Costa Cruz, Elen Viviani Pereira Spreafico, Marcos Vinícius Pereira Spreafico, Cássio Pinho Dos Reis, Daniel Boullosa, Christianne de Faria Coelho-Ravagnani

{"title":"Do Brazilian Olympic athletes live longer than the general population? A retrospective cohort study.","authors":"Aline Ortega Soloaga, Arthur Duarte Fantesia Costa Cruz, Elen Viviani Pereira Spreafico, Marcos Vinícius Pereira Spreafico, Cássio Pinho Dos Reis, Daniel Boullosa, Christianne de Faria Coelho-Ravagnani","doi":"10.1590/1413-81232025301.16862023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.16862023","url":null,"abstract":"We investigated if Brazilian Olympic athletes live longer than the general population, and if there are differences between the types of sport. This is a retrospective cohort study with secondary data analysis. Data from Brazilian athletes of both sexes were included, from the 7th edition (1920) to the 25th edition (1992) of the Modern Olympic Games. Details of sex, date of birth, date of death, and sport competed were recorded when available. Comparisons were made between athletes vs. age-matched controls from the general population; and between sport types (strength/power [SP] vs. endurance/mixed [EM]). Brazilian Olympic athletes live approx. 8 years longer than expected for the age matched general population. However, there were no differences in lifespan between SP (68.8 years) vs. EM (68.9 years) athletes (p>0.05). Brazilian Olympic athletes live longer than expected for the general population. However, there are no differences between athletes from different sport types.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e16862023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064257","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

Epidemiological profile of mortality in indigenous children under five years of age in Brazil: an integrative literature review.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-12-15 DOI: 10.1590/1413-81232025301.09342023

Greiciane Amorim da Silva, Ilce Ferreira da Silva, Maria Fernanda de Sousa Oliveira Borges

{"title":"Epidemiological profile of mortality in indigenous children under five years of age in Brazil: an integrative literature review.","authors":"Greiciane Amorim da Silva, Ilce Ferreira da Silva, Maria Fernanda de Sousa Oliveira Borges","doi":"10.1590/1413-81232025301.09342023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.09342023","url":null,"abstract":"The aim is to identify the epidemiological profile of mortality among Brazilian indigenous children under five years of age, through an integrative review. Articles that evaluated the mortality of indigenous Brazilian children under one and/or five years of age, from 2000 to 2020, in Portuguese, English, and/or Spanish, in the LILACS, SciELO, and MEDLINE databases were included. Of the 3,229 publications found, 22 were included in the review. Infant mortality ranged from 15.2/1,000 live births (LB) (1995-1999) for the Kayabí ethnic group to 307.7/1,000 LB (2000) for the Hupdäh ethnic group. Among the studies that evaluated infant mortality by age components, the post-neonatal period stands out, with proportions that varied from 15.2% (1990-1994), for indigenous children from Paraná, to 83.3% (2007- 2008) for the Guarani ethnic group. The main cause of mortality was respiratory diseases, ranging from 17.1% (2010) to 75% (2007-2008) among the Guarani ethnic group. Brazilian indigenous children under one year of age experienced high mortality rates, when compared to non-indigenous children, for all ethnicities and regions of the country. Among the IMT components, a high number of deaths were observed in the post-neonatal period, with respiratory system diseases representing the main causes of death.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e09342023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064262","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

Material deprivation, racial inequalities and mortality from female breast, prostate, and cervical neoplasm in the Brazilian adult population: an ecological study.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2024-08-12 DOI: 10.1590/1413-81232025301.02212024

Ana Cristina de Oliveira Costa, Jackson Geraldo de Faria Júnior, Guilherme Lopes de Oliveira, Dandara de Oliveira Ramos, Rômulo Paes-Sousa

{"title":"Material deprivation, racial inequalities and mortality from female breast, prostate, and cervical neoplasm in the Brazilian adult population: an ecological study.","authors":"Ana Cristina de Oliveira Costa, Jackson Geraldo de Faria Júnior, Guilherme Lopes de Oliveira, Dandara de Oliveira Ramos, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025301.02212024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.02212024","url":null,"abstract":"This article aims to identify the relationship between material deprivation and mortality from breast, cervical, and prostate neoplasms in the Brazilian adult population and the relationship between ethnicity/skin color and material deprivation. This cross-sectional ecological study calculated the mean mortality rate per 100,000 inhabitants, and deaths were standardized by age and gender and redistributed per to ill-defined causes, stratified by age group and ethnicity/skin color. We applied the Negative Binomial model, containing the interaction between ethnicity/skin color and the Brazilian Deprivation Index (IBP). We analyzed 85,903 deaths, and the most prevalent were those due to female breast neoplasms. The risk of death from cervical cancer was 8.5% higher for Black women than white women. In other places, mortality was higher among white people. For all causes, mortality increased with age. There was a significant interaction between ethnicity/skin color and IBP for all causes. Only deaths due to cervical neoplasms increased with higher IBP, while a decline was observed in other causes but was less significant among Black people. The IBP offers a multidimensional view of the socioeconomic conditions of the Brazilian population, allowing a better understanding of how social determinants operate on selected neoplasms.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e02212024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063638","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

Nuclear Medicine in Brazilian Health System.

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-01-01 Epub Date: 2023-11-09 DOI: 10.1590/1413-81232025301.04962023

Lorena Pozzo, Mércia Liane de Oliveira, Mário Olímpio de Menezes, Fotini Santos Toscas

{"title":"Nuclear Medicine in Brazilian Health System.","authors":"Lorena Pozzo, Mércia Liane de Oliveira, Mário Olímpio de Menezes, Fotini Santos Toscas","doi":"10.1590/1413-81232025301.04962023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.04962023","url":null,"abstract":"Nuclear Medicine plays an important role in the management of patients with chronic diseases, especially oncological and cardiovascular conditions. In this study, an analysis of the evolution of this field in Brazil was conducted within the framework of the Unified Health System. Retrospective analyses from 2015 to 2021 of public data were performed. Although Brazil has a considerable number of facilities, their geographical distribution is uneven. The same disparity is observed in relation to units that produce and distribute radiopharmaceuticals, limiting access for the Brazilian population, particularly to those with a half-life of less than two hours. There is a noticeable high technological dependence on foreign companies, with little or no domestic production, contributing to a deficit in the trade balance. Despite the increasing demands due to factors such as population aging and epidemiological changes, the area did not expand. It is crucial to implement social and economic policies to reduce vulnerabilities in the public healthcare system, ensure its sustainability, and promote equal and universal access to Nuclear Medicine.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e04962023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063886","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