Ciencia & saude coletiva最新文献_第9页

Women's Shelter, a prison in reverse: when the protection of victims imprisons them. 妇女庇护所是一座反向监狱：保护受害者的同时也在囚禁她们。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-03-04 DOI: 10.1590/1413-81232024297.03672024

Caroline Dias de Queiroz, Liana Wernersbach Pinto, Vera Lucia Marques da Silva

{"title":"Women's Shelter, a prison in reverse: when the protection of victims imprisons them.","authors":"Caroline Dias de Queiroz, Liana Wernersbach Pinto, Vera Lucia Marques da Silva","doi":"10.1590/1413-81232024297.03672024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03672024","url":null,"abstract":"This article aimed to know a Shelter for women in situations of intimate partner violence at imminent risk of death located in the state of Rio de Janeiro from the perception of its professionals. To this end, this qualitative research adopted semi-structured interviews with seven professionals directly involved with the care and assistance to the Shelter's user population. The findings were interpreted through Bardin's thematic content analysis. Moreover, the profile of the women and children sheltered in 2021 was drawn based on the data provided by the institution. In conceptual terms, this work focused on intersectional feminist theoretical references. Among the results, we argue that the shelter is permeated by contradictions, from its normative idealizations to institutional practices: on the one hand, the shelter represents the possibility of salvation, that is, of interrupting the escalation of violence and, therefore, preventing femicide. However, on the other hand, it appears as an upside-down prison, which \"incarcerates\" the victims. We highlight the importance of thinking about new ways to ensure protection for women who need this shelter.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03672024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491032","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 of the black population in health training: perspectives towards racial equity. 卫生培训中黑人的健康状况：实现种族平等的视角。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-26 DOI: 10.1590/1413-81232024297.02992024

Dyana Helena de Souza, Dais Gonçalves Rocha, Nilza Rogéria de Andrade Nunes

{"title":"Health of the black population in health training: perspectives towards racial equity.","authors":"Dyana Helena de Souza, Dais Gonçalves Rocha, Nilza Rogéria de Andrade Nunes","doi":"10.1590/1413-81232024297.02992024","DOIUrl":"10.1590/1413-81232024297.02992024","url":null,"abstract":"This article aims to understand the view of racial equity and the motivations for approaching the health of the black population in Collective Health, Nursing, and Medicine courses at a Brazilian public university, guided by the black perspective of decoloniality. Considering Institutional Racism, it is necessary to invest in the interfaces between the education and health sectors in the training of professionals for the Unified Health System. This is a qualitative study with an intervention-research approach, affirming a social and political commitment to transforming reality. Workshops were held with representatives of the Structuring Teaching Centers of the selected courses. The theme of the health of the black population has been elaborated in a prompt and decontextualized manner, with no reflection based on structural racism, power relations, and Brazilian socio-historical formation. This creates a distance from the guidelines proposed by the National Policy for Comprehensive Health of the Black Population. At the end of this article, perspectives are identified for the reorientation of health training, aimed at increasing democratic density and racial equity.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02992024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491062","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

Perspectives for Primary Health Care public policy in South America. 南美洲初级保健公共政策展望。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-05 DOI: 10.1590/1413-81232024297.03792024

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

{"title":"Perspectives for Primary Health Care public policy in South America.","authors":"Patty Fidelis de Almeida, Ligia Giovanella, Simone Schenkman, Cassiano Mendes Franco, Petra Oliveira Duarte, Natalia Houghton, Ernesto Báscolo, Aylene Bousquat","doi":"10.1590/1413-81232024297.03792024","DOIUrl":"10.1590/1413-81232024297.03792024","url":null,"abstract":"We aim to conduct a comparative analysis of the implementation of PHC in nine South American countries. Three dimensions were highlighted from documentary sources: political commitment, leadership, and governance; care model; and engagement of communities and other stakeholders. The results indicate a formal commitment that places PHC at the center of efforts to achieve universal access. The following can be observed: revitalization processes in public subsystems, based on guaranteeing preventive, promotional, curative and rehabilitation actions; PHC as gatekeeper; emphasis on family and community; assigned population and territory; multidisciplinary teams; and, in some cases, the accent on interculturality expressed in the concept of \"buen vivir\" (good living). The PHC revitalization processes were affected by political changes. Between progress and setbacks, the segmentation of coverage was not overcome. The current moment seeks to recover more inclusive and broad public policies in the context of the return of the progressive and democratic fields. The dissemination of country experiences can contribute to the development of a comprehensive, integrated, and quality approach to PHC in the Region.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03792024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The protective measure for institutional care of children and adolescents from the perspective of national studies. 从国家研究的角度看儿童和青少年机构照料的保护措施。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI: 10.1590/1413-81232024297.02902024

Rodolfo Brandão de Azevedo Nogueira, Suely Ferreira Deslandes, Patrícia Constantino

{"title":"The protective measure for institutional care of children and adolescents from the perspective of national studies.","authors":"Rodolfo Brandão de Azevedo Nogueira, Suely Ferreira Deslandes, Patrícia Constantino","doi":"10.1590/1413-81232024297.02902024","DOIUrl":"10.1590/1413-81232024297.02902024","url":null,"abstract":"This article aims to analyze the national scientific production on protective measures aimed at institutional care for at-risk children and adolescents in Brazil. By carrying out an integrative review, we seek to reflect on the main trends, themes, institutional actors, methodologies, and objectives of studies on the aforementioned measure and to analyze how the conditions and the right to health are presented and articulated in these references. Six thematic units were identified in the collection: Perceptions and roles of different actors in institutional reception processes; Processes of autonomy, dismissal, and causes of institutional care; Legislative aspects, evaluation of services, and identification of profiles; Family and community coexistence; Education and professional training; and Physical and mental health of sheltered children and adolescents. In Brazil, specifically, few studies investigate the concepts of the children and adolescents placed in shelters concerning protective measure processes or access to education. The link between poverty and institutionalization appears prominently and the scarcity of activities aimed primarily at family reintegration is evident. A large number of surveys point to the difficulties in implementing legislation.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02902024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491071","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

Vulnerability to loss of follow-up and death due to tuberculosis among homeless individuals in Brazil: a retrospective cohort study. 巴西无家可归者因结核病而失去随访和死亡的可能性：一项回顾性队列研究。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-20 DOI: 10.1590/1413-81232024297.02742024

Gabriel Pavinati, Lucas Vinícius de Lima, Camila Silveira Silva Teixeira, Paula Hino, Maria Rita Bertolozzi, Joilda Silva Nery, Gabriela Tavares Magnabosco

{"title":"Vulnerability to loss of follow-up and death due to tuberculosis among homeless individuals in Brazil: a retrospective cohort study.","authors":"Gabriel Pavinati, Lucas Vinícius de Lima, Camila Silveira Silva Teixeira, Paula Hino, Maria Rita Bertolozzi, Joilda Silva Nery, Gabriela Tavares Magnabosco","doi":"10.1590/1413-81232024297.02742024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.02742024","url":null,"abstract":"This retrospective cohort study identified factors associated with loss of follow-up and death due to tuberculosis (TB) in the homeless population (HP) in Brazil, estimating odds ratios (OR) and their 95% confidence intervals (95%CI) by multinomial logistic regression. A total of 3,831 TB cases in this population were analyzed, of which 57.0% had unfavorable outcomes. Loss of follow-up was associated with: history of abandonment (OR=2.38; 95%CI 2.05-2.77), unknown HIV serology (OR=1.79; 95%CI 1.38-2.32), HIV coinfection (OR=1.73; 95%CI 1.46-2.06), drug use (OR=1.54; 95%CI 1.31-1.80), age (OR=0.98; 95%CI 0.97-0.99), mixed clinical form (OR=0.64; 95%CI 0.42-0.97), extrapulmonary form (OR=0.46; 95%CI 0.29-0.73), government beneficiary (OR=0.64; 95%CI 0.50-0.81), and supervised treatment (OR=0.52; 95%CI 0.45-0.60). Regarding death, the following were associated: age (OR=1.03; 95%CI 1.01-1.05), unknown HIV serology (OR=2.39; 95%CI 1.48-3.86), alcohol consumption (OR=1.81; 95%CI 1.27-2.58), and supervised treatment (OR=0.70; 95%CI 0.51-0.96). Overlapping vulnerabilities in the health-disease process of homeless individuals with TB were observed, requiring comprehensive and cross-sectoral care practices.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02742024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491074","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

"I suffered in silence and certainly all women are like that" - Silenced: reproduction of, and breaking with, violence against women living in rural areas. "我在沉默中受苦，当然，所有妇女都是这样"--《沉默：再现并打破针对农村地区妇女的暴力》。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-17 DOI: 10.1590/1413-81232024297.02522024

Luciane Stochero, Liana Wernersbach Pinto

{"title":"\"I suffered in silence and certainly all women are like that\" - Silenced: reproduction of, and breaking with, violence against women living in rural areas.","authors":"Luciane Stochero, Liana Wernersbach Pinto","doi":"10.1590/1413-81232024297.02522024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.02522024","url":null,"abstract":"By way of life stories drawn from 20 interviews of women in two municipalities of Rio Grande do Sul, this qualitative study examined how violence against women living in rural areas is silenced and the challenges involved in breaking that silence. Narrative Analysis arrived at two categories: \"I suffered in silence and certainly all women are like that\" (Violence silenced) and \"We take care of her\" (Breaking the silence). The first relates to the oppression of imposed silence and how women were affected by violence and isolation. The second shows the challenges facing women who break the silence and leave abusive relationships and how, through their narratives, to access the stories of other women who suffer violence. The narratives stress that the imposition of silence, which arose from gender roles and constraints on freedom, contributed to their continuing in the abusive relationship. The violence was sustained by the rural setting, where women were even more isolated, alone and unsupported, which heightened their fears, guilt, shame and financial dependence. An inter-sector approach, with more information and care for rural women, is fundamental to addressing this problem.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02522024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491109","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

Educational interventions for the prevention and management of adverse events following immunisation: a systematic review. 预防和管理免疫接种后不良事件的教育干预：系统综述。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-14 DOI: 10.1590/1413-81232024297.02242024

Débora Amorim de Vasconcelos, Alberto Matos Dos Santos, Jéssica Carvalho Nascimento, Camila Tahis Dos Santos Silva, Andreia Freire de Menezes, Maria do Socorro Claudino Barreiro, Camila Belo Tavares Ferreira, Glebson Moura Silva

{"title":"Educational interventions for the prevention and management of adverse events following immunisation: a systematic review.","authors":"Débora Amorim de Vasconcelos, Alberto Matos Dos Santos, Jéssica Carvalho Nascimento, Camila Tahis Dos Santos Silva, Andreia Freire de Menezes, Maria do Socorro Claudino Barreiro, Camila Belo Tavares Ferreira, Glebson Moura Silva","doi":"10.1590/1413-81232024297.02242024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.02242024","url":null,"abstract":"This study investigated educational interventions for the prevention and management of adverse events following immunisation. This a systematic review was conducted by examining observational studies, with no restriction as to language or year, registered in PROSPERO with the identifier CRD42022313144 and by searching the MEDLINE, LILACS, Embase, CINAHL and Scopus databases. Two researchers selected the studies, extracted the data and assessed the risk of study bias; disagreements were resolved by a third researcher. A total of six articles met the inclusion criteria of the systematic review and the studies reported significant post-intervention improvements in staff conduct in relation to immunisation. It was concluded that educational strategies that lead to continued professional development in relation to vaccination in primary care were effective in reducing and/or eradicating immunisation errors and adverse events following immunisation.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02242024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491117","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 recurrence of violence against children and adolescents. Mato Grosso-Brazil, 2013 to 2019. 暴力侵害儿童和青少年行为复发的相关因素。巴西马托格罗索州，2013 年至 2019 年。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI: 10.1590/1413-81232024297.02912024

Silvana Maria da Silva, Amanda Cristina de Sousa Andrade, Francine Nesello Melanda, Ligia Regina de Oliveira

{"title":"Factors associated with the recurrence of violence against children and adolescents. Mato Grosso-Brazil, 2013 to 2019.","authors":"Silvana Maria da Silva, Amanda Cristina de Sousa Andrade, Francine Nesello Melanda, Ligia Regina de Oliveira","doi":"10.1590/1413-81232024297.02912024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.02912024","url":null,"abstract":"This study examined factors associated with the recurrence of interpersonal violence against children and adolescents in Mato Grosso state, considering cases recorded in the Notifiable Diseases Information System, from 2013 to 2019. Associations between variables were estimated by logistic regression and stratified by age group (children and adolescents). The frequency of recurrent violence against children was 49.0% and, against adolescents, 42.9%. For both, recurrent violence was positively associated with occurrence at home, psychological or emotional violence, aggressors' being more than two, their being relatives and threats being the means of aggression. Neglect or abandonment and male or both-sex aggressors were positively associated with recurrent violence against children. Against adolescents, poor education, sexual violence and intimate-partner aggressors were positively associated with recurrent violence, while other aggressors and firearms or physical force were negatively associated. The findings offer significant contributions to knowledge of factors associated with recurrent violence, which is still little studied in the national and international literature. This is essential in order to inform strategies to reduce the recurrence of violence and protect children and adolescents.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e02912024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491060","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

ERRATA. 错误。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 DOI: 10.1590/1413-81232024297.06892024

引用次数: 0

Telecare in the Brazilian Unified Health System: where we are and where we are heading. 巴西统一医疗系统中的远程医疗：我们的现状与未来。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI: 10.1590/1413-81232024297.03302024

Soraia de Camargo Catapan, Eduardo Alves Melo, Angélica Baptista Silva, Mariana Vercesi de Albuquerque, Maria Cristina Marino Calvo

{"title":"Telecare in the Brazilian Unified Health System: where we are and where we are heading.","authors":"Soraia de Camargo Catapan, Eduardo Alves Melo, Angélica Baptista Silva, Mariana Vercesi de Albuquerque, Maria Cristina Marino Calvo","doi":"10.1590/1413-81232024297.03302024","DOIUrl":"https://doi.org/10.1590/1413-81232024297.03302024","url":null,"abstract":"This article explores telecare from telehealth developments and the recent acceleration of the digital health transformation caused by the COVID-19 pandemic, focusing on the Brazilian Unified Health System (SUS). It addresses terminological issues, the scope of actions, the potential use for healthcare, and constraints and contingencies for telecare in Brazil, focusing on teleconsultations and interactions between health professionals and patients. Finally, it presents a set of propositions for the development of telecare policies and practices in Brazil, considering SUS principles, in two central themes: organizational political guidelines and operational propositions to organise services and healthcare delivery. The importance of clarifying the scope and limits of new technologies is highlighted in the attempt to avoid idealizations with proposed solutions to complex health problems. Telecare solutions should be compatible with SUS principles and with the recommended model of care, with the healthcare network coordinated and organised by primary care, ensuring access to health services and integrated and quality healthcare for the Brazilian society.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 7","pages":"e03302024"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491069","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