Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-09-15DOI: 10.1590/1413-81232024299.20442022
Mário Círio Nogueira, Ana Carolina Moreira Bicalho, Ana Flávia Côrrea Magalhães, Julia Barroso Marques Martins, Marcella Barroso Marques Martins
{"title":"[Prevalence of the use of integrative and complementary practices and chronic diseases: 2019 National Health Survey].","authors":"Mário Círio Nogueira, Ana Carolina Moreira Bicalho, Ana Flávia Côrrea Magalhães, Julia Barroso Marques Martins, Marcella Barroso Marques Martins","doi":"10.1590/1413-81232024299.20442022","DOIUrl":"https://doi.org/10.1590/1413-81232024299.20442022","url":null,"abstract":"<p><p>The study sought to investigate the association between having a chronic disease or condition and the prevalence of having recourse to Integrative and Complementary Practices (ICP) among the Brazilian adult population. Chronic diseases are a serious public health issue and there are limitations of Western medicine to offer effective answers. Thus, the demand for ICP has increased as they constitute a humanized treatment option, with low cost and ease of acquisition. A cross-sectional population-based study was carried out using data from the 2019 National Health Survey. The prevalence of ICP use was estimated by categories of the other variables (presence or absence of chronic conditions) and prevalence ratios (PR) were adjusted for sociodemographic variables. The prevalence of the use of a given ICP, in the last 12 months, by the adult Brazilian population (18 years of age and over) was 5.5% (95%CI: 5.2%-5.8%), and adults with a chronic condition had a higher prevalence of use (PR: 2.11; 95%CI: 1.89-2.36), even after adjusting for sociodemographic characteristics. Stroke, asthma, arthritis, work-related musculoskeletal disorders, depression and other mental illnesses, chronic obstructive pulmonary disease, cancer and heart disease such as hypertension were associated with a higher prevalence of ICP use.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e20442022"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079337","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 : 2024-09-01Epub Date: 2023-10-18DOI: 10.1590/1413-81232024299.04552023
Jamile Guerra Fonseca, Edméia de Almeida Cardoso Coelho, Larissa Silva de Abreu Rodrigues, Joise Magarão Queiroz Silva, Railene Pires Evangelista, Aline Célia Caribé de Araújo Melo
{"title":"Intersection between access difficulties and obstetric violence in abortion itineraries.","authors":"Jamile Guerra Fonseca, Edméia de Almeida Cardoso Coelho, Larissa Silva de Abreu Rodrigues, Joise Magarão Queiroz Silva, Railene Pires Evangelista, Aline Célia Caribé de Araújo Melo","doi":"10.1590/1413-81232024299.04552023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.04552023","url":null,"abstract":"<p><p>In Brazil, several limitations are imposed upon the access of women undergoing abortion to the healthcare network, primarily caused by the influence of moral and religious values and gender iniquities. In this light, the present study aimed to analyze the experience of women who had an abortion regarding the care provided by healthcare services as part of the abortion itinerary. This is a qualitative study, carried out with 18 women in three cities - one small city, one mid-sized, and one big - in the state of Bahia. Data were produced by face-to-face or online interviews. The empirical material was analyzed using the discourse analysis technique. The results show, in the three municipalities, abortion itineraries under social and gender iniquities, with greater access difficulties for low-income women. Better financial conditions allow access to clandestine private clinics but without guaranteeing humanized care. In the three municipalities, economically disadvantaged women self-induced abortions and delayed seeking services, having faced embarrassing and prejudicial professional attitudes. The results point to the urgency of implementing public policies in which reproductive rights are as effective as human rights.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e04552023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079339","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 : 2024-09-01Epub Date: 2023-09-18DOI: 10.1590/1413-81232024299.06162023
Luís Felipe Rios, João Pedro de Souza Dias, Júlio Henrique Magalhães Luckwu
{"title":"Where has the circle taken us? A conversation on sexual health promotion for sex-dissident populations.","authors":"Luís Felipe Rios, João Pedro de Souza Dias, Júlio Henrique Magalhães Luckwu","doi":"10.1590/1413-81232024299.06162023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.06162023","url":null,"abstract":"<p><p>This work discusses the health promotion challenges of men who have sex with men (MSM) through the use of data from a conversation circle with people from institutions that provide services to MSM in the Metropolitan Region of Recife. The results allow for the identification of the following challenges for health promotion work, not only for MSM but also for sex dissidents: difficulties with the use of identity categories, stigmatization for providing them with sexual health care, structural racism, the deprivation of liberty, extreme poverty, and literacy.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e06162023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079346","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 : 2024-09-01Epub Date: 2024-05-08DOI: 10.1590/1413-81232024299.08252023
Deborah Carvalho Malta, Évelin Angélica Herculano de Morais, Alanna Gomes da Silva, Juliana Bottoni de Souza, Crizian Saar Gomes, Filipe Malta Dos Santos, Cimar Azeredo Pereira
{"title":"Changes in tobacco use and associated factors among Brazilian adolescents: National Student Health Survey.","authors":"Deborah Carvalho Malta, Évelin Angélica Herculano de Morais, Alanna Gomes da Silva, Juliana Bottoni de Souza, Crizian Saar Gomes, Filipe Malta Dos Santos, Cimar Azeredo Pereira","doi":"10.1590/1413-81232024299.08252023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.08252023","url":null,"abstract":"<p><p>This cross-sectional study used data from Brazil's National Student Health Survey (PeNSE), from 2015 and 2019, to compare consumption of tobacco products among adolescent students in Brazil and identify associated factors. The study variables were current cigarette smoking, use of other tobacco products and use of any tobacco product. Pearson's Chi-square test was used to ascertain associations between the variables; bivariate and multivariate analyses were performed using logistic regression. Cigarette smoking remained stable between 2015 (6.6%) and 2019 (6.8%), but use of any tobacco product increased (from 10.6% in 2015 to 14.8% in 2019), involving particularly hookahs (7.8%) and e-cigarettes (2.8%). Cigarette smoking was greater among adolescents aged 16 and 17, whose skin colour was black or brown, who missed classes without permission, who reported having no friends, displayed other risk factors, such as drinking alcoholic beverages, or who were passive smokers. The prevalence of smoking has increased over the years and is associated with sociodemographic aspects and other health risk behaviour, highlighting the need for lifelong health promotion actions.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e08252023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079401","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 : 2024-09-01Epub Date: 2024-04-20DOI: 10.1590/1413-81232024299.19572023
Deborah Carvalho Malta, Juliana Bottoni de Souza, Nadia Machado de Vasconcelos, Flávia Carvalho Malta de Mello, Júlia Bicas Buback, Crizian Saar Gomes, Cimar Azeredo Pereira
{"title":"Cyberbullying among Brazilian schoolchildren: data from the National Student Health Survey, 2019.","authors":"Deborah Carvalho Malta, Juliana Bottoni de Souza, Nadia Machado de Vasconcelos, Flávia Carvalho Malta de Mello, Júlia Bicas Buback, Crizian Saar Gomes, Cimar Azeredo Pereira","doi":"10.1590/1413-81232024299.19572023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.19572023","url":null,"abstract":"<p><p>This cross-sectional study assessed data from Brazil's 2019 National Student Health Survey to investigate associations between cyberbullying and sociodemographic, family, mental health, and behavioural factors among Brazilian schoolchildren. Multivariate analysis by Poisson regression found 13.2% prevalence of cyberbullying, which was higher among adolescents who felt nobody cared about them (PR=1.47; 1.36-1.59); felt sad (PR=1.5; 1.4-1.7); reported that life was not worth living (PR=1.71; 1.59-1.84); had no friends (PR=1.68; 1.50-1.87); suffered parental aggression (PR=1.54; 1.45-1.65); missed classes without permission (PR=1.13; 1.06-1.20); used tobacco (PR=1.19; 1.10-1.30); alcoholic beverages (PR=1.16; 1.08-1.25); or illicit drugs (PR=1.14; 1.04-1.25); or had sexual intercourse (PR=1.23; 1.14-1.33). Prevalence was lower among boys (PR=0.85; 0.80-0.91); those 16-17 years old (PR=0.88; 0.82-0.95); and who reported having parental supervision in their free time (PR=0.78; 0.73-0.83). Cyberbullying has a high prevalence, highlighting the importance of monitoring this practice and establishing prevention measures in schools.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e19572023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079404","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 : 2024-09-01Epub Date: 2023-08-20DOI: 10.1590/1413-81232024299.12082022
Rayana Tavares de Oliveira Bueno, Edinilsa Ramos de Souza, Bruno Costa Poltronieri
{"title":"Indirect victims of violence: a look at health impacts.","authors":"Rayana Tavares de Oliveira Bueno, Edinilsa Ramos de Souza, Bruno Costa Poltronieri","doi":"10.1590/1413-81232024299.12082022","DOIUrl":"10.1590/1413-81232024299.12082022","url":null,"abstract":"<p><p>We sought to investigate the perceptions of indirect victims or family members of homicide victims, about the repercussions of these deaths on their health. A qualitative, exploratory, descriptive study was carried out, based on eight semi-structured individual interviews with two groups: family members of police officers victimized by lethal violence, and family members of people killed as a result of police intervention, designated here as homicide. Both groups reported the perception that their health deteriorated after the homicide, and mentioned problems such as depression, panic disorder, insomnia, heart conditions and eating disorders. They also highlighted the acquisition of habits that are harmful to health, such as the consumption of alcoholic beverages, tobacco and self-medication, and the worsening of pre-existing health issues. It was observed that the homicide committed and suffered by police agents affects various aspects of the lives of indirect victims that are inseparable from health issues in a broader sense. These people are also victims of this violence, although their suffering is often made invisible. Studying this topic helps to give space to the suffering and mourning of these people and to subsidize the best performance of the institutions and services involved.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e12082022"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079412","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 : 2024-09-01Epub Date: 2023-10-05DOI: 10.1590/1413-81232024299.08992023
Patrícia Pereira Tavares de Alcantara, Fernando Ferreira Carneiro, Vanira Matos Pessoa, Antonio Germane Alves Pinto, Maria de Fátima Antero Sousa Machado
{"title":"Comprehensive care for women victims of violence.","authors":"Patrícia Pereira Tavares de Alcantara, Fernando Ferreira Carneiro, Vanira Matos Pessoa, Antonio Germane Alves Pinto, Maria de Fátima Antero Sousa Machado","doi":"10.1590/1413-81232024299.08992023","DOIUrl":"10.1590/1413-81232024299.08992023","url":null,"abstract":"<p><p>Violence against women is defined as any act resulting from gender relations that cause death or physical, sexual, psychological, property and moral harm. Comprehensive care requires professionals understanding the support network to guide and refer women victims of violence to services and to value complaints/anxieties. The objective of this study was to identify the scientific production of comprehensive care for women victims of violence. This is an integrative literature review. Data collection was performed via a paired and independent search by two researchers in the Scopus, PubMed, CINAHL, Web of Science, LILACS, BDENF and SciELO databases between January and February 2023. After applying the eligibility criteria and descriptors in health sciences and medical subject headings, ten articles were retrieved. IRAMUTEQ software was used for data analyses. There are great challenges in implementing comprehensive care, and violence against women, as a serious social problem, demands health, education, social assistance and public security policies. The comprehensive actions taken in the care of women victims of violence demonstrate a strong link with the practices of reception and humanization, in addition to an interdisciplinary and intersectoral scope.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e08992023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079403","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 : 2024-09-01Epub Date: 2024-04-19DOI: 10.1590/1413-81232024299.16462023
Carolina Abreu Henn de Araújo, Deise Warmling, Pierre Guedes Araújo, Elza Berger Salema Coelho
{"title":"Domestic violence, obesity and malnutrition in elderly people in a capital in southern Brazil - EpiFloripa Idoso Study.","authors":"Carolina Abreu Henn de Araújo, Deise Warmling, Pierre Guedes Araújo, Elza Berger Salema Coelho","doi":"10.1590/1413-81232024299.16462023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.16462023","url":null,"abstract":"<p><p>The objective of this article was to verify the association between domestic violence and obesity and malnutrition in elderly people in Florianópolis, Santa Catarina, Brazil. Cross-sectional study evaluated in the EpiFloripa Elderly cohort in 2013/2014. The outcomes were body mass index (BMI) and abdominal obesity (increased WC). Violence against elderly people was measured using the HawlekSengstock Elder Abuse Screening Test (H-S/EAST) instrument, and IPV using the Conflict Tatics Scales Form R (CTS-1) instrument. Logistic regression and multinomial logistic regression models were used. It was observed that men had a greater chance of abdominal obesity when in situations of violence and in the potential abuse dimension. Women were more likely to have abdominal obesity in the dimension of violation of personal rights or abuse, when they suffered IPV and when they were perpetrators of IPV. In relation to BMI, elderly women in situations of violence were associated with a greater chance of being overweight and those who suffered IPV. On the other hand, men in vulnerable situations were more likely to be underweight. It is concluded that violence against elderly people and IPV generate an asymmetric impact on nutritional status in relation to sex.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e16462023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079405","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 : 2024-09-01Epub Date: 2024-05-10DOI: 10.1590/1413-81232024299.02982024
Stephanie Pereira, Yuri Nishijima Azeredo, Lilia Blima Schraiber, Janaína Marques de Aguiar, Beatriz Diniz Kalichman, Cecilia Guida Vieira Gralia, Marina Silva Dos Reis, Nayara Portilho Lima, Loraine J Bacchus, Manuela Colombini, Gene Feder, Ana Flávia Pires Lucas d'Oliveira
{"title":"Evaluation of an intervention to improve Primary Health Care's response to cases of domestic violence against women - São Paulo, Brazil.","authors":"Stephanie Pereira, Yuri Nishijima Azeredo, Lilia Blima Schraiber, Janaína Marques de Aguiar, Beatriz Diniz Kalichman, Cecilia Guida Vieira Gralia, Marina Silva Dos Reis, Nayara Portilho Lima, Loraine J Bacchus, Manuela Colombini, Gene Feder, Ana Flávia Pires Lucas d'Oliveira","doi":"10.1590/1413-81232024299.02982024","DOIUrl":"10.1590/1413-81232024299.02982024","url":null,"abstract":"<p><p>The aim was to analyse and improve the Primary Health Care (PHC) response to domestic violence against women (DVAW) by developing, implementing and evaluating an intervention. A pilot study evaluating the before and after of intervention implementation, using mixed methods and carried out in three phases - formative, intervention and evaluation - between August 2017 and March 2019 in two Basic Health Units (UBS) in the city of São Paulo. In this paper, we present the details and evaluation of the intervention, carried out six to twelve months after its implementation. The intervention was developed based on the findings of the formative phase and in line with the health policy that establishes the Violence Prevention Nucleus (NPV) and consisted of stablishing a care pathway; general training for all workers and specific training for the NPV; drawing up educational material and monthly case discussions over 6 months. The evaluation showed acceptability among the workers, increased identification and repertoire for caring for cases of DVAW, strengthening internal referral and the intersectoral network. We identified obstacles to the full implementation and sustainability of the intervention.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e02982024"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079410","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":"[Rape and the \"minute-after\" law in Minas Gerais, Brazil: socio-demographic factors associated with emergency prophylaxis].","authors":"Ane Caroline Alves Vieira, Gustavo Carvalho Moreira, Aline Cristina da Cruz","doi":"10.1590/1413-81232024299.19832023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.19832023","url":null,"abstract":"<p><p>This research project investigated the relationship between sociodemographic characteristics of girls and women who were the victims of rape of in Minas Gerais between 2013 and 2021, and the likelihood of receiving emergency treatment as stipulated in Law No. 12,845/2013, known as the \"Minute-After\" (Minuto Seguinte) Law. Data from the Notifiable Diseases Information System (SINAN) for rape cases were used to estimate binary choice models. The results indicate that the sociodemographic factors of the victims, aligned with the theory and practice of intersectionality (race, age, place of residence within health regions, relationship with the perpetrator, and year of crime registration), negatively influence the probability of receiving emergency treatment. Specifically, indigenous victims, minors, those raped by acquaintances, and residents in certain health regions, were found to have a lower probability of receiving immediate medical care after rape. Furthermore, it was found that the implementation of public policy did not result in an improvement, as there has been a decrease in the number of medical appointments since the enactment of the law in 2013 through to the year 2021.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e19832023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079398","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}