Ciencia & saude coletiva最新文献_第8页

Contributions of qualitative research to understanding strategic themes in public health. 质性研究对理解公共卫生战略主题的贡献。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 DOI: 10.1590/1413-81232025305.00502025

Christina César Praça Brasil, Ellen Synthia Fernandes de Oliveira, Elza de Fátima Ribeiro Higa

引用次数: 0

[Qualitative evaluation of an intervention on condom use among Mexican adolescents: criticisms of adultcentrism]. [对墨西哥青少年使用避孕套干预的定性评价：对成人中心主义的批评]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2024-01-10 DOI: 10.1590/1413-81232025305.15982023

Alma Angélica Villa-Rueda, Yolanda Viridiana Chávez-Flores, Liliana Leticia Juárez-Medina, Erick Alberto Landeros-Olvera, Adriana Ruiz-Peréz

{"title":"[Qualitative evaluation of an intervention on condom use among Mexican adolescents: criticisms of adultcentrism].","authors":"Alma Angélica Villa-Rueda, Yolanda Viridiana Chávez-Flores, Liliana Leticia Juárez-Medina, Erick Alberto Landeros-Olvera, Adriana Ruiz-Peréz","doi":"10.1590/1413-81232025305.15982023","DOIUrl":"10.1590/1413-81232025305.15982023","url":null,"abstract":"This article qualitatively evaluates the \"Usando Condón\" intervention aimed at increasing condom use by Mexican adolescents, from the standpoint of criticism of adultcentrism as a system of oppression. A qualitative evaluation was developed through written narratives of 132 people from the experimental group between 15-19 years of age. The intervention consisted of two 90-minute sessions, and thematic analysis was used to analyze the narratives, which were then processed using Nvivo software. The analysis and discussion were based on adultcentrism as a system of oppression. The results of the evaluation were categorized into three themes with respect to: thematic-practical content, facilitator characteristics, and recommendations. The three categories reflected on adultcentrism as a system of oppression and a critique of the power-knowledge discourse of traditional sexual health interventions emerged. It was perceived that the intervention was implemented without taboos, with real examples where the people involved were peers, that the person implementing the intervention was young, that there was enough material to model condom use and that it was a safe space to share doubts. Above all, it was considered that the intervention promoted the exercise of sexual rights.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e15982023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224416","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

Ambivalent experiences of people in treatment for tuberculosis-HIV coinfection: a meta-synthesis of qualitative studies. 结核- hiv合并感染治疗中人们的矛盾经历：定性研究的综合。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2024-04-16 DOI: 10.1590/1413-81232025305.18862023

Lucas Vinícius de Lima, Gabriel Pavinati, Anne Jaquelyne Roque Barrêto, Maria Aparecida Salci, Mayckel da Silva Barreto, Gabriela Tavares Magnabosco

{"title":"Ambivalent experiences of people in treatment for tuberculosis-HIV coinfection: a meta-synthesis of qualitative studies.","authors":"Lucas Vinícius de Lima, Gabriel Pavinati, Anne Jaquelyne Roque Barrêto, Maria Aparecida Salci, Mayckel da Silva Barreto, Gabriela Tavares Magnabosco","doi":"10.1590/1413-81232025305.18862023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.18862023","url":null,"abstract":"This study examined the scientific literature, by means of a systematic review with meta-synthesis (PROSPERO No. CRD42023410141), to discover the experiences of people undergoing treatment for tuberculosis-HIV coinfection. Ten databases and reference lists were searched for original articles with qualitative data, published in Portuguese, English and/or Spanish up to 2022. The 11 studies included yielded a meta-theme comprising four themes: (i) tuberculosis-HIV coinfection diagnosis and treatment have impact on the life of the affected person; (ii) personal, social and economic vulnerabilities overlap in people with tuberculosis-HIV coinfection; (iii) medication burden and programmatic weaknesses hinder the treatment of tuberculosis-HIV coinfection; and (iv) support networks and care flows facilitate treatment of tuberculosis-HIV coinfection. Due to the diagnosis, people with tuberculosis-HIV coinfection raise biopsychosocial needs which, associated with weaknesses in health services and practitioners, adversely affect their quality of life and treatment adherence. However, social, family and health care support were revealed to be important to stimulating (self-)care and providing appropriate treatment.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e18862023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224419","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

Controversies about COVID-19 vaccines and vaccination in the journalistic media. 新闻媒体对COVID-19疫苗和疫苗接种的争议。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2024-04-07 DOI: 10.1590/1413-81232025305.14472023

Bruna Aparecida Gonçalves, Renata Fortes Itagyba, Camila Carvalho de Souza Amorim Matos, Marcia Thereza Couto

{"title":"Controversies about COVID-19 vaccines and vaccination in the journalistic media.","authors":"Bruna Aparecida Gonçalves, Renata Fortes Itagyba, Camila Carvalho de Souza Amorim Matos, Marcia Thereza Couto","doi":"10.1590/1413-81232025305.14472023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.14472023","url":null,"abstract":"In the context of COVID-19, controversies about vaccines and vaccination have gained prominence in the media, stirring debates about safety, efficacy and side effects This study analyzed the positioning in favor and against COVID-19 vaccines and vaccination in the Brazilian newspapers Folha de S.Paulo (FSP) and Brasil Sem Medo (BSM). This qualitative research was carried out through documentary analysis of 16 news stories selected from FSP and 12 from BSM, based on the theoretical-methodological perspective of Bruno Latour's Actor-Network Theory. Regarding COVID-19 vaccines, BSM presented arguments questioning the development of these vaccines, concerns about adverse events, ineffectiveness of vaccines, natural immunity superior to that acquired by vaccines and rumors about the composition of vaccines. FSP argued in defense of the safety and effectiveness of vaccines. Regarding vaccination, BSM criticized the restrictions imposed to unvaccinated citizens and defended individual freedom. FSP criticized the former president Bolsonaro's position on vaccination and defended mass immunization. The study shows that newspapers disseminate polarized perspectives on COVID-19 vaccines/vaccination. The controversy about vaccines/vaccination is related to the crisis of expertise in health decision-making.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e14472023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224424","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

Factors associated with the Dietary Total Antioxidant Capacity of the Brazilian population. 与巴西人群膳食总抗氧化能力相关的因素。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2023-11-09 DOI: 10.1590/1413-81232025305.10582023

Mariane Alves Silva, Lara Gomes Suhett, Ilana Nogueira Bezerra, Soraia Pinheiro Machado

{"title":"Factors associated with the Dietary Total Antioxidant Capacity of the Brazilian population.","authors":"Mariane Alves Silva, Lara Gomes Suhett, Ilana Nogueira Bezerra, Soraia Pinheiro Machado","doi":"10.1590/1413-81232025305.10582023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.10582023","url":null,"abstract":"The aim is to assess whether socioeconomic and demographic conditions are associated with the Dietary Total Antioxidant Capacity (DTAC) of the Brazilian population. Study conducted with 46,164 Brazilians, aged 10 or over, evaluated by the Household Budget Survey (Pesquisa de Orçamentos Familiares - POF 2017-2018). Food consumption was assessed through a 24-hour recall, with DTAC determined by calculating the sum of the antioxidant content of the intake of each food, taken from a database containing information on the DTAC value in mmol/100g of 3,100 foods. Multinomial logistic regression models were proposed to test the relationship between socioeconomic factors and DTAC. The median DTAC was 3.48 (0.62-24.55) mmol/1000 Kcal. Women, older individuals (adults and the elderly), and residents of rural areas and the Northeast, South, and Southeast regions of the country showed a higher intake of antioxidants. By contrast, individuals with higher educational and income levels presented lower DTAC values. The socioeconomic and demographic scenario was associated with the consumption of antioxidants, reinforcing the importance of identifying risk groups for inadequate nutrition in order to better guide the implementation of public policies and nutritional interventions.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e10582023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224428","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

Gender and income inequalities in Brazilian households: implications for food security and nutrition. 巴西家庭中的性别和收入不平等：对粮食安全和营养的影响。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2024-04-11 DOI: 10.1590/1413-81232025305.11662023

Aléxia Vieira de Abreu Rodrigues, Delaine Martins Costa, Rosana Salles-Costa

{"title":"Gender and income inequalities in Brazilian households: implications for food security and nutrition.","authors":"Aléxia Vieira de Abreu Rodrigues, Delaine Martins Costa, Rosana Salles-Costa","doi":"10.1590/1413-81232025305.11662023","DOIUrl":"https://doi.org/10.1590/1413-81232025305.11662023","url":null,"abstract":"In Brazil, the articulation between the problem of combating hunger and income transfer policies deepened the debate on food insecurity (FI). Limited access to income may explain the greater vulnerability of families with a female reference person to severe FI. The article aims to investigate the difference in the participation of earnings from work, benefits and social programs in the income of families in food security (FS) and severe FI, according to the gender of the reference person. Quantitative study that analyzed data from 37,927 households from the 2018 Household Budget Survey. The difference in the participation of income from work, retirement, pension, and the Bolsa Família Program (PBF) in family income was analyzed according to per capita income and situation of AS and severe FI, assessed by the Brazilian Scale of Food Insecurity. The analysis privileged the concept of the sexual division of labor, and the results revealed a greater participation of the PBF for families with a female reference person when in FS and with lower income. The greater contribution of conditional cash transfers to these families reaffirms their importance as a mechanism for social protection and reduction of inequalities.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e11662023"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224429","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

[Health surveillance as a strategic pillar of a comprehensive primary health care]. [作为全面初级保健战略支柱的健康监测]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 DOI: 10.1590/1413-81232025305.04572025

Patty Fidelis de Almeida, Ligia Giovanella, Simone Schenkman, Cassiano Mendes Franco, Petra Oliveira Duarte, Natalia Houghton, Ernesto Báscolo, Aylene Bousquat

引用次数: 0

Long-Term Care Institutions: potentials and challenges of integration with Primary Health Care. 长期护理机构：与初级保健相结合的潜力和挑战。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2025-02-12 DOI: 10.1590/1413-81232025305.02172025

Luiz Fernando de Andrade Silva, Fabiana Veronez Martelato Gimenez, Danielle Abdel Massih Pio, Vanessa Clivelaro Bertassi Panes, Daniel Augusto da Silva, Cristina Rosa Soares Lavareda Baixinho, Mara Quaglio Chirelli

{"title":"Long-Term Care Institutions: potentials and challenges of integration with Primary Health Care.","authors":"Luiz Fernando de Andrade Silva, Fabiana Veronez Martelato Gimenez, Danielle Abdel Massih Pio, Vanessa Clivelaro Bertassi Panes, Daniel Augusto da Silva, Cristina Rosa Soares Lavareda Baixinho, Mara Quaglio Chirelli","doi":"10.1590/1413-81232025305.02172025","DOIUrl":"https://doi.org/10.1590/1413-81232025305.02172025","url":null,"abstract":"The weak training to understand the demands of older adults in Long-Term Care Institutions raises questions about the supply and challenges for comprehensive care in Primary Health Care. The aim was to analyze professionals' perception about the potentialities and challenges of integration between Long-Term Care Institutions and Primary Health Care (PHC) in providing care to older adults. This is an exploratory and qualitative research with 18 professionals from the PHC health team. Semi-structured interviews were conducted and analyzed using the Discourse of Collective Subject. The work process presents challenges, such as reception, problem-solving, procedures offered, gaps in organization. The potentialities highlighted are priority in care and institutional monitoring. The challenges contradict the potentialities such as lack of priority, difficulty in care and interaction between teams. The organization and coordination of care is suggested, based on the needs identified, considering the principles and guidelines of the Brazilian Health System and the Elderly Statute.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e02172025"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224448","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

[Recurrence of pregnancy in adolescence: choice or subjection]. [青春期怀孕复发：选择还是服从]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2024-04-10 DOI: 10.1590/1413-81232025305.02952022

Luiz Carlos da Silva Júnior, Sophia Cristina da Silva, Luciana Netto

{"title":"[Recurrence of pregnancy in adolescence: choice or subjection].","authors":"Luiz Carlos da Silva Júnior, Sophia Cristina da Silva, Luciana Netto","doi":"10.1590/1413-81232025305.02952022","DOIUrl":"10.1590/1413-81232025305.02952022","url":null,"abstract":"This systematic review of the literature seeks to reveal the factors that lead to recidivism in teenage pregnancies. The data, analyzed by content, reveal that teenage pregnancy is associated with greater risks of late and inadequate prenatal care and worse outcomes in childbirth and the postpartum period. Lack of life projects, unstable personality, low self-esteem, submission to the partner, lack of preventive attitude, antisocial behavior, drug abuse, dysfunctional family, feeling of hopelessness, low confidence, non-white skin color and the lack of assistance programs for adolescents are factors that favor early pregnancy. Early sexual initiation associated with a lack of knowledge about reproductive health and low use of contraceptives, due to a lack of guidance from the family/school or the inefficiency of family planning services, has a strong impact on teenage pregnancy rates. The recurrence of teenage pregnancies can be understood as subjection or choice, considering the multiple factors that express the phenomenon. There is a lack of studies to understand this phenomenon better in the lives of adolescents, and to provide guidance and appropriate interventions capable of having the desired educational and preventive effect.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e02952022"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224417","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

Network of formal and informal care provided by family members for cancer patients receiving palliative care at home. 家庭成员为在家接受姑息治疗的癌症患者提供正式和非正式护理的网络。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-05-01 Epub Date: 2025-02-12 DOI: 10.1590/1413-81232025305.02182025

Luísa Cavalcanti Martinho Moraes, Audrei Castro Telles, Nair Caroline Cavalcanti de Mendonça Bittencourt, Beatriz Barboza Fernandes, Beatriz Brandão do Santos, Cristina Rosa Soares Lavareda Baixinho, Andreia Cátia Jorge Silva da Costa, Marcelle Miranda da Silva

{"title":"Network of formal and informal care provided by family members for cancer patients receiving palliative care at home.","authors":"Luísa Cavalcanti Martinho Moraes, Audrei Castro Telles, Nair Caroline Cavalcanti de Mendonça Bittencourt, Beatriz Barboza Fernandes, Beatriz Brandão do Santos, Cristina Rosa Soares Lavareda Baixinho, Andreia Cátia Jorge Silva da Costa, Marcelle Miranda da Silva","doi":"10.1590/1413-81232025305.02182025","DOIUrl":"https://doi.org/10.1590/1413-81232025305.02182025","url":null,"abstract":"In the face of advanced oncological disease in palliative care at home, caregivers are mostly family members who are part of the informal system. The lack of guidance and social support exposes them to stress and overload that can affect their health, well-being, quality of life, and contribute to failures in care. The aim is to understand the care networks around the main caregiver in the context of home palliative care and describe the implications of the availability of these networks on the health care of this caregiver. Descriptive and qualitative study, developed at a national reference institute in oncology, in Rio de Janeiro, Brazil. Eighteen informal caregivers of patients with advanced cancer hospitalized in the specialized palliative care clinical ward were interviewed. Ethical approval was obtained. Three categories emerged: Formal support network; Informal support network; and Overload of the main caregiver. The qualitative approach was fundamental for understanding that family members present their own demands in the care process. This study contributes to discussions regarding the role of nursing in promoting the transversalization of care to caregivers.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 5","pages":"e02182025"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224453","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