Ciencia & saude coletivaPub Date : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.05902023
Marcia Naomi Santos Higashijima, Helvo Slomp Junior, Alcindo Antônio Ferla, Laura Camargo Macruz Feuerwerker, Emerson Elias Merhy, Ricardo Burg Ceccim, Jader Vasconcelos, Alessandro Diogo De Carli, Mara Lisiane Moraes Dos Santos
{"title":"Principles and characteristics of Continuing Health Education: rescue and resistance in favor of a powerful SUS and in defense of life.","authors":"Marcia Naomi Santos Higashijima, Helvo Slomp Junior, Alcindo Antônio Ferla, Laura Camargo Macruz Feuerwerker, Emerson Elias Merhy, Ricardo Burg Ceccim, Jader Vasconcelos, Alessandro Diogo De Carli, Mara Lisiane Moraes Dos Santos","doi":"10.1590/1413-812320242911.05902023","DOIUrl":"10.1590/1413-812320242911.05902023","url":null,"abstract":"<p><p>Permanent Health Education (PHE) transcends the National Policy for Permanent Health Education, crafted with its own principles and characteristics to meet the qualification needs of workers within the Unified Health System. While PHE aspires to transform conventional and dominant training paradigms in the field of healthcare, it can also function as a mechanism to replicate and reinforce these same models. In this context, the present study aimed to explore, systematize, and problematize the characteristics and principles of PHE through literature analysis and dialogical encounters with some of its conceptual creators. It is understood that PHE is an investment in life, with educational actions that question work processes and integrate teaching and intervention into reality, with implications for users and their uniqueness. The result was a synthesis essay on the characteristics of PHE, providing insights into ways to produce management, care, participation, and education as live work in healthcare.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e05902023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224512","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.17522023
Viviana Martinovich
{"title":"Scientific journals as narrative objects of the sciences.","authors":"Viviana Martinovich","doi":"10.1590/1413-812320242911.17522023","DOIUrl":"10.1590/1413-812320242911.17522023","url":null,"abstract":"<p><p>Using a referential framework that integrates the hermeneutic philosophy of Hans-Georg Gadamer and Paul Ricœur, the critical theory of Herbert Marcuse and Jürgen Habermas, and the traditions of the history of the book and reading with the works of Roger Chartier and Martyn Lyons, among others, this essay aims to understand scientific journals as narrative objects of the sciences. These journals bring together communities that share common ways of interpreting the world and shape agreed-upon forms of narrating that common understanding. From this perspective, we propose to address the theoretical foundations of the category conversations of the sciences in the narrative dimension, disaggregated into four dimensions of analysis, that interlace the rationality present in the conversations that occur in the narrative dimension with the interests of their social environment.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e17522023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224516","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.01092024
Viviane Torqueti Felisberto Souza, José Mendes Ribeiro
{"title":"Analysis of the implications of the COVID-19 pandemic on maternal mortality in Brazil in 2020-2021.","authors":"Viviane Torqueti Felisberto Souza, José Mendes Ribeiro","doi":"10.1590/1413-812320242911.01092024","DOIUrl":"10.1590/1413-812320242911.01092024","url":null,"abstract":"<p><p>This is a descriptive and ecological study that analyzed the behavior of maternal mortality during the covid-19 pandemic in Brazil in 2020 and 2021, based on data from both the mortality information system (sim) at datasus and the network portal national health data (rnds). from the historical series of maternal mortality ratios (mmr) from 1996 to 2021, it was identified an average of 56.79 maternal deaths per 100,000 live births, concentrated in the north, northeast, and midwest regions, during the pandemic an increase of mmr to 110.25/100,000 live births. of these deaths, 40.5% were related to covid-19 and 70% occurred during the postpartum period, affecting brown, and high-school level of education women. the south, midwest regions and the federal district increased the mmr related to the coronavirus by more than 400%. we identified a low adherence to vaccination against covid-19 was observed in the north, northeast and midwest regions. with noteworthy disparities between the state of são paulo there was a (268.14%) vaccination coverage of immunized pregnant and puerperal women, while in the state of roraima there was only a (4.57%). as a conclusion, the pandemic had tragic effects on maternal health, setting back the mmr in Brazil by about 20 years, which poses even greater challenges to achieving sdg target 3.1 for reducing maternal mortality in the country.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e01092024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224465","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.07342023
Maithê Avelino Salustiano, Matheus de Sousa Mata, Damião Ernane de Souza, Saionara Maria Aires da Câmara
{"title":"[Association between the age at menopause and impairment in daily-living activities of elderly women: an analysis of the National Health Survey].","authors":"Maithê Avelino Salustiano, Matheus de Sousa Mata, Damião Ernane de Souza, Saionara Maria Aires da Câmara","doi":"10.1590/1413-812320242911.07342023","DOIUrl":"10.1590/1413-812320242911.07342023","url":null,"abstract":"<p><p>This study aims to investigate the association between age at menopause and impairment in Activities of Daily Living (ADL) in elderly Brazilian women. In a cross-sectional study, 8,973 elderly women from the 2019 National Health Survey self-reported their menopausal age (<45, 45-49, 50-54, and ≥55 years) and difficulty in performing ADL. Binary logistic regression analyzed the association between variables, adjusted for age, income, education, race/ethnicity, physical exercise, use of alcohol, smoking, chronic diseases, and hormone replacement therapy. Analyzes for the total sample and subdivided by age group (60-74; ≥75 years) were conducted by adjusting the sample weights from complex samples, considering p<0.05. Compared to menopause between 50-54 years old, menopause <45 years and ≥55 years is associated with greater odds of difficulty in ADL in the overall sample. Similar results were found when considering only women aged 60-74 years. Among those ≥75 years old, there was no significant association. The results highlight the need to screen for functional changes in women with early and late menopause and refer them to prevention and rehabilitation services to reduce the risk of disability.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e07342023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224458","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.15522023
Luciana Barbosa Pereira, Sibylle Emilie Vogt, Ana Paula Ferreira Holzmann, Maria Fernanda Santos Figueiredo Brito, Marise Fagundes Silveira, Lucineia de Pinho, Carla Silvana de Oliveira E Silva
{"title":"[Social support perceived by pregnant women and associated factors: cross-sectional study in a population-based cohort].","authors":"Luciana Barbosa Pereira, Sibylle Emilie Vogt, Ana Paula Ferreira Holzmann, Maria Fernanda Santos Figueiredo Brito, Marise Fagundes Silveira, Lucineia de Pinho, Carla Silvana de Oliveira E Silva","doi":"10.1590/1413-812320242911.15522023","DOIUrl":"10.1590/1413-812320242911.15522023","url":null,"abstract":"<p><strong>Objective: </strong>to measure the social support perceived by pregnant women and identify factors associated with this perception.</p><p><strong>Method: </strong>epidemiological, cross-sectional and analytical study carried out with 1279 pregnant women registered in Family Health Strategies in Minas Gerais - Brazil, from 2018 to 2019. Social support was estimated using the Social Support Survey of the Medical Outcomes Study (MOS-SSS) associating it with sociodemographic, behavioral, obstetric variables and family functionality (Family Apgar). Descriptive, bivariate analysis followed by Poisson Regression with robust variance.</p><p><strong>Results: </strong>general average of social support of 79.0 and 50.7% of pregnant women reported low support, associated with: age group: 20 to 35 years PR: 1.23 [CI: 1.01-1.49]; have two or more children PR: 1.20 [CI: 1.03-1.40]; perform up to three prenatal consultations PR: 1.17 [CI: 1.01-1.36] and belong to a dysfunctional family PR: 1.90 [CI: 1.72-2.10]. The informational domain showed greater strength of association for low perception of support.</p><p><strong>Conclusion: </strong>there was a low perception of social support among pregnant women, which was associated with social, obstetric, behavioral and family characteristics. It is recommended to investigate social support in prenatal care, recognizing it as one of the pillars for comprehensive care for women's health.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15522023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224463","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":"Obesity, education, and change: displacements of the senses and meanings for health professionals in primary care.","authors":"Carolina Gusmão Magalhães, Virgínia Campos Machado, Ricardo Burg Ceccim, Lígia Amparo-Santos, Verena Macedo Santos, Ananda Ivie Dias Novais Cassimiro, Poliana Cardoso Martins, Mônica Leila Portela De-Santana","doi":"10.1590/1413-812320242911.01312023","DOIUrl":"10.1590/1413-812320242911.01312023","url":null,"abstract":"<p><p>This article analyzed the possible shifts in the senses and meanings of obesity for primary care health professionals in Bahia after a health education initiative. A qualitative study carried out with 37 participants, which used a semi-structured online questionnaire and method triangulation (Free Word Association Technique - prototypical analysis, open question - content analysis, and Obesity Development Factors - descriptive statistical analysis). The Concept and Etiological Approaches categories revealed significant inflections in the senses and meanings of obesity, beyond the biological and biomedical model, in dialogue with the ecological, syndemic, and multifactorial approaches, in addition to evocating anthropological perspectives and body diversity. They also revealed the assumption of concerns about the prevalence and resolution of care practices, the question of the uniqueness of obesity, and the limitation of the evaluation method by Body Mass Index, evidence that contributes to the reflection of health education in the structuring of curricula to the light of the multifactorial nature and complexity of this phenomenon.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e01312023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224509","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.11472023
Camila Mendes da Silva Souza, Amanda Cristine Moraes de Oliveira, Valéria Marli Leonello
{"title":"Barriers to preceptorship in Interprofessional Education: an integrative review.","authors":"Camila Mendes da Silva Souza, Amanda Cristine Moraes de Oliveira, Valéria Marli Leonello","doi":"10.1590/1413-812320242911.11472023","DOIUrl":"10.1590/1413-812320242911.11472023","url":null,"abstract":"<p><p>Preceptorship in interprofessional education (IPE) occurs when the preceptor facilitates the learning of students from different programs about care from an interprofessional and collaborative perspective. The aim was to identify the barriers related to preceptorship in IPE. This integrative review searched for empirical articles in a comprehensive systematic search in eight databases. The data was extracted using a validated instrument and the analysis identified barriers at the micro, meso, and macro levels of the educational and professional systems. In the 17 studies, 10 barriers were identified at the micro level, such as lack of training, resistance to interprofessional work, and personal and professional availability for IPE and PIC; 13 barriers at the meso level, which include reconciling the demands of the service with preceptorship, few opportunities for interprofessional work and work overload; and five barriers at the macro level, involving lack of remuneration, the disease-centered care model and the predominance of uniprofessional education. The barriers reflect the complexity of interprofessional preceptorship, which is fundamental for training students for interprofessional education and integrating IPE into the workplace.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e11472023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224466","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.14392023
João Eduardo Linhares, Gilson Ditzel Santos, Marcelo Junior Dos Santos
{"title":"[Challenges and opportunities of health governance: a case study in a small municipality].","authors":"João Eduardo Linhares, Gilson Ditzel Santos, Marcelo Junior Dos Santos","doi":"10.1590/1413-812320242911.14392023","DOIUrl":"10.1590/1413-812320242911.14392023","url":null,"abstract":"<p><p>This study addresses the importance of governance from the perspective of smart and sustainable cities, as well as the creation of public value for citizens. The study demonstrated the dynamics of health governance through its characteristics and tools in São Lourenço do Oeste (SC), a small municipality in southern Brazil. The case study involved important governance arrangements, such as interstate health agreements for the care of citizens in the Unified Health System, and the municipality's participation in intermunicipal health consortia.Using semi-structured interviews and content analysis, theoretical and empirical categories were associated, demonstrating how health management can contribute to creating public value and offering quality of life to citizens. Health governance in São Lourenço do Oeste encompasses several approaches, including smart, data-driven, urban, regional, and technocratic governance. However, for sociotechnical and citizen-centered governance, additional actions are still needed. Advancing with experimental approaches and involving citizens in technological arrangements can centralize citizens in governance, improving decisions and policies to raise quality of life.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e14392023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224459","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.15872023
Nayhanne Gomes Cordeiro, Larissa Loures Mendes, Mariana Zogbi Jardim, Gabriela Gomes de Paiva, Fernanda Cristina Sguizzato Ribeiro, Gabriela Moreira Rabelo Vieira, Bruna Vieira de Lima Costa
{"title":"Classification of commercial food establishments: comparison between methods.","authors":"Nayhanne Gomes Cordeiro, Larissa Loures Mendes, Mariana Zogbi Jardim, Gabriela Gomes de Paiva, Fernanda Cristina Sguizzato Ribeiro, Gabriela Moreira Rabelo Vieira, Bruna Vieira de Lima Costa","doi":"10.1590/1413-812320242911.15872023","DOIUrl":"10.1590/1413-812320242911.15872023","url":null,"abstract":"<p><p>The aim is to compare the classification of commercial food establishments obtained by the index of access to food in establishments sold for consumption at home (HFSI) with the classification of food acquisition recommended by the technical study \"Mapping of Food Deserts in Brazil\". Investigated commercial food establishments present in the food environment (circular buffer) of areas with and without Public Food and Nutritional Safety Equipment (EPSAN) in Belo Horizonte. An on-site audit was carried out to evaluate the HFSI, which was organized into tertiles to classify the establishment. Comparison was made between the classifications of establishments observed by HFSI and those proposed by the technical study. Grocery stores, bakeries/confectionery shops were classified as ultra-processed food purchasing establishments by the HFSI while the technical study defines them as mixed establishments. There was a difference in the classification of commercial food establishments according to HFSI and technical study, which may compromise the associations of the community food environment in studies with nutrition and health outcomes.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e15872023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224467","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 : 2025-06-02eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.01402024
Evaldo Aguiar Andrade, Maria Cristiane Barbosa Galvão
{"title":"International Statistical Classification of Diseases and Related Health Problems (ICD-11): from its origin to its use in digital systems.","authors":"Evaldo Aguiar Andrade, Maria Cristiane Barbosa Galvão","doi":"10.1590/1413-812320242911.01402024","DOIUrl":"10.1590/1413-812320242911.01402024","url":null,"abstract":"<p><p>The International Statistical Classification of Diseases and Related Health Problems (ICD) allows the systematization of health statistics around the world. This study describes the origin, functionalities, forms of construction and updating of the CID, through a qualitative, exploratory and descriptive study focusing on document analysis, considering official documents and technological tools. Since its creation, the ICD has been revised and published, reflecting its connection to advances in health, science and society. Such reviews were accompanied by many studies, debates and consensus. The current version of the ICD, called ICD-11, in addition to traditional content revisions, has been transformed to better adapt to the digital world. This new version has been available in Portuguese since February 2024 and its implementation is in process in Brazil - a fact that requires preparation from all operators of the Unified Health System.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e01402024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224507","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}