Ciencia & saude coletivaPub Date : 2026-08-01Epub Date: 2026-04-22DOI: 10.1590/1413-81232026318.06662026
Giovanna Martins de Salvo, Cíntia Oliveira de Moura, Mariana Terra Nunes Ribas, Thaísa Bissoli Mattos Teixeira, Daniele Marano, Dayana Rodrigues Farias, Fernanda Rebelo
{"title":"Association of obstetric practices with postpartum depressive symptoms: data from the Brazilian National Health Survey, 2019.","authors":"Giovanna Martins de Salvo, Cíntia Oliveira de Moura, Mariana Terra Nunes Ribas, Thaísa Bissoli Mattos Teixeira, Daniele Marano, Dayana Rodrigues Farias, Fernanda Rebelo","doi":"10.1590/1413-81232026318.06662026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.06662026","url":null,"abstract":"<p><p>This article aims to evaluate the association between mode of delivery, obstetric practices, and reason for cesarean section with depressive symptoms in postpartum women up to one year postpartum. Cross-sectional study using data from the 2019 National Health Survey, including women aged >15 years and up to 12 months postpartum. Variables: mode of delivery, obstetric interventions, reasons for cesarean section, and postpartum depressive symptoms. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9>4 symptoms of mild depression and ≥9 as severe). STATA 15.0 was used for the analyses, with Directed Acyclic Graphs supporting confounding variables. A total of 986 postpartum women were analyzed. The prevalence of severe depressive symptoms was 13.1%. Of the total, 54.8% underwent cesarean section, 65.3% without appropriate indication. There was no association between type of delivery and depression, nor between obstetric practices during vaginal delivery and depression. The odds of mild depression symptoms (PHQ-9>4) were higher when cesarean section was the physician's choice during prenatal care compared with cesarean sections indicated due to complications. Unnecessary cesarean sections may increase maternal psychological vulnerability. The importance of prenatal care focused on preparing women to make their decisions is emphasized.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e06662026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788910","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 : 2026-08-01Epub Date: 2025-05-24DOI: 10.1590/1413-81232026318.15432024
Frederico Peres, Ana Laura Brandão, Juliana Pereira Casemiro, Karla Meneses Rodrigues
{"title":"[Analysis of health literacy demands in the Food Guide for the Brazilian Population].","authors":"Frederico Peres, Ana Laura Brandão, Juliana Pereira Casemiro, Karla Meneses Rodrigues","doi":"10.1590/1413-81232026318.15432024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.15432024","url":null,"abstract":"<p><p>The present study aims to identify the health literacy demands, organized based on their different domains, present in the second edition of the Dietary Guidelines for the Brazilian Population (2014). It is an exploratory-descriptive study, based on the application of a protocol, previously validated for the national context, for health literacy load analysis of the material, with subsequent content analysis of selected excerpts, organized in a matrix. The analysis of the results identified possible barriers to understanding and make meaning of the Guide recommendations, organized according to the fundamental, scientific, civic, and cultural domains of health literacy, which ranged from the use of non-colloquial language and jargon to the impossibility of following the recommendations present therein, due to the context of the social group. The results point to the need to bring the form and content of the material closer to the health literacy demands of its potential beneficiaries, facilitating access, understanding, evaluation and significance of its recommendations by health workers and groups of the population for whom it is intended.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e15432024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788887","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 : 2026-08-01Epub Date: 2026-04-29DOI: 10.1590/1413-81232026318.06852026
Camila Freire Albuquerque, Maria Eduarda Delduque Pereira, Munique Therense Costa de Morais Pontes, Adriane das Neves Silva, Breno de Oliveira Ferreira
{"title":"Between silence and listening: care narratives of health workers for lesbian and bisexual women in Manaus, AM, Brazil.","authors":"Camila Freire Albuquerque, Maria Eduarda Delduque Pereira, Munique Therense Costa de Morais Pontes, Adriane das Neves Silva, Breno de Oliveira Ferreira","doi":"10.1590/1413-81232026318.06852026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.06852026","url":null,"abstract":"<p><p>Due to the persistence of inequalities and prejudices that permeate the experiences of lesbian and bisexual women, especially in the field of health, this study analyzed narratives of workers from a Family Health Unit about the care provided to these groups. This qualitative research was grounded in bisexual frameworks and lesbian-feminist epistemologies. Participant observations and semi-structured interviews were conducted with 15 health workers. The narrative analysis allowed for the construction of two core meanings based on (1) perceptions of health needs and demands and (2) technical, ethical, and moral challenges in providing care to these women. It is concluded that the realization of equitable care depends on confronting the heteronormativity that structures institutions and training practices, expanding critical training, and recognizing these workers as protagonists in the transformation of the Brazilian Unified Health System (SUS).</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e06852026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788841","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 : 2026-08-01Epub Date: 2026-04-30DOI: 10.1590/1413-81232026318.07202026
Paula Gaudenzi
{"title":"Children with trans experiences: a reflection on (re)existences.","authors":"Paula Gaudenzi","doi":"10.1590/1413-81232026318.07202026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.07202026","url":null,"abstract":"<p><p>In this manuscript, I reflect, through an essay, on the existence of transgender children, starting from questioning the truth of narratives about oneself and the epistemic authority of the child to testify about their own gender identification. The proposed discussion aims to provide resources for reflection on the type of care these children need and how Public Health can be involved in this care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e07202026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788941","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 : 2026-08-01Epub Date: 2026-04-29DOI: 10.1590/1413-81232026318.07052026
Taiza Ramos de Souza Costa Ferreira, Joviana Quintes Avanci, Liana Wernerbach Pinto, Simone Gonçalves de Assis
{"title":"Cyberbullying and mental health in adolescents: bidirectional approach.","authors":"Taiza Ramos de Souza Costa Ferreira, Joviana Quintes Avanci, Liana Wernerbach Pinto, Simone Gonçalves de Assis","doi":"10.1590/1413-81232026318.07052026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.07052026","url":null,"abstract":"<p><p>Cyberbullying is a public health problem with effects on the mental health of those involved, including the roles of victims, aggressors, and victims/aggressors. The study investigated the bidirectional relationship between cyberbullying roles and mental health indicators in adolescents (depression, self-esteem, psychological distress, self-harm, suicide attempts, and drug use). This is a cross-sectional study with multistage cluster sampling totaling 480 adolescents aged 15 to 19 years, in the 10th grade of public and private schools in two Brazilian capitals. The Revised Cyberbullying Inventory (RCBI) and mental health indicators were used, with logistic models adjusted for gender, family structure, age, color/race, religion, and social class. The results reveal that the roles of victim and aggressor/victim are more likely to lead to adverse outcomes in mental health. All mental health outcomes showed a significant association with cyberbullying roles, strongest for suicidal ideation: victim (OR=11.83; 95%CI 2.48-56.59; p=0.005) and victim/aggressor (OR=5.65; 95%CI 2.51-12.69; p<0.001). The study contributes to the reflection about associations of different roles in cyberbullying.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e07052026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788986","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 : 2026-08-01Epub Date: 2026-04-29DOI: 10.1590/1413-81232026318.06572026
Bruna Pereira, Ana Paula Esteves, Daniele Marano
{"title":"Factors associated with neonatal near miss in the Southeastern region of Brazil: results from Birth in Brazil II.","authors":"Bruna Pereira, Ana Paula Esteves, Daniele Marano","doi":"10.1590/1413-81232026318.06572026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.06572026","url":null,"abstract":"<p><p>This article aims to analyze the factors associated with neonatal near miss (NMN) in public and private hospitals in the Southeast region of Brazil. A prospective cohort study with 7,552 live births from singleton pregnancies from the \"Born in Brazil II\" study (2021-2023). NMN was defined according to the criteria of Pileggi-Castro et al. (2014), and the independent variables were organized in a hierarchical model: distal level (sociodemographic characteristics), intermediate level (maternal conditions and prenatal care), and proximal level (obstetric complications, type of delivery, and sex of the newborn). Neonatal mortality (NMN) occurred in 12.5% of live births. After adjustment, the following were associated with the outcome: urban residence (OR=1.75), absence of a partner (OR=1.36), hypertensive syndromes of pregnancy, pre-gestational diabetes (OR=2.76), syphilis (OR=5.44), less than 50% of prenatal visits (OR=2.14), alcoholism (OR=1.50), severe maternal morbidity (OR=1.96), forceps/vacuum delivery (OR=2.39), and male sex (OR=1.23). NMN was associated with clinical, sociodemographic, and care determinants, highlighting persistent inequalities in prenatal and intrapartum care and the need to strengthen integrated maternal and neonatal care policies.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e06572026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789003","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 : 2026-08-01Epub Date: 2025-05-16DOI: 10.1590/1413-81232026318.12652024
Ana Luísa Santos Bizinoto, Pamela Mirelle Nascimento Ferreira, Max Moura de Oliveira, Maria Paula Curado, Mônica Santiago Barbosa
{"title":"Trends in premature mortality and in years of life lost due to gastric cancer in Brazil's Central-West region.","authors":"Ana Luísa Santos Bizinoto, Pamela Mirelle Nascimento Ferreira, Max Moura de Oliveira, Maria Paula Curado, Mônica Santiago Barbosa","doi":"10.1590/1413-81232026318.12652024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.12652024","url":null,"abstract":"<p><p>The objective of this study was to analyze the rates and trends of premature mortality (30-69 years) and years of potential life lost (YPLL) due to gastric cancer in the capitals and other cities/towns of the Central-West region, from 1997 to 2021. This is an ecological time series study with data from the Mortality Information System. Premature mortality rates and YPLL were calculated and standardized by age. A joinpoint regression was used for trend. There was a predominance of premature deaths in males. The capitals of all states in the region had lower premature mortality rates compared to other cities/towns. A significant reduction in the trend of these rates was observed in all cities/towns of the region, except for women in the capital of Mato Grosso. The highest YPLL occurred among males, and the Federal District showed an increase of 1.27%. In general, premature mortality from gastric cancer showed significant declines in the Central-West region. Although the results are homogeneous across geographic units, prevention strategies, early diagnosis and increased access to oncological services are essential to reduce inequalities and improve prognoses.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e12652024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788934","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 : 2026-08-01Epub Date: 2025-05-24DOI: 10.1590/1413-81232026318.21412024
Danúbia Hillesheim, Thamara Hubler Figueiró, Viviane Nogueira de Zorzi, Anna Quialheiro, Ana Luiza Curi Hallal, Eleonora d'Orsi
{"title":"Dual sensory loss and cognitive decline: evidence from the EpiFloripa Aging study.","authors":"Danúbia Hillesheim, Thamara Hubler Figueiró, Viviane Nogueira de Zorzi, Anna Quialheiro, Ana Luiza Curi Hallal, Eleonora d'Orsi","doi":"10.1590/1413-81232026318.21412024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.21412024","url":null,"abstract":"<p><p>The aim of this study was to determine the association between dual sensory loss (hearing and vision) and cognitive decline in older adults living in the South of Brazil. We conducted a cross-sectional study using data from the third wave of the EpiFloripa Aging study (2017-2019), involving individuals aged 60 years and over living in urban areas of Florianópolis, in the state of Santa Catarina. The dependent variable was cognitive decline, assessed using the Mini-Mental State Examination, while the main independent variable was sensory loss. Logistic regression analysis was performed. A total of 1,335 older adults participated, most of whom were women (63.0%) and white (88.3%). The findings show that 10.8% of the respondents had dual sensory loss and 20.5% had cognitive decline. In the final model, individuals with dual sensory loss had 4.21 times higher odds (95%CI: 2.06-8.59) of cognitive decline. Participants with just hearing loss (OR: 1.98; 95%CI: 1.13-3.45) also had higher odds of the outcome. Respondents with combined hearing and vision loss had 321% higher odds of having cognitive decline. These findings suggest that combined loss of two sensory functions may exacerbate the impact of sensory loss on the cognitive capacity of older adults.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e21412024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788975","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 : 2026-08-01Epub Date: 2025-05-24DOI: 10.1590/1413-81232026318.22402024
Olga Lucía Mosquera Conde, Yury Lizeth Cardozo Prada, Giuliano Silveira Derrosso, Carmen Justina Gamarra, Ehidee Isabel Gomez La-Rotta, Gustavo Cezar Wagner Leandro, Andrea Del Pilar Trujillo Rodríguez, Larissa Djanilda Parra da Luz
{"title":"Analysis of coverage of the Family Health Strategy of the twin cities of Brazil 2016-2020.","authors":"Olga Lucía Mosquera Conde, Yury Lizeth Cardozo Prada, Giuliano Silveira Derrosso, Carmen Justina Gamarra, Ehidee Isabel Gomez La-Rotta, Gustavo Cezar Wagner Leandro, Andrea Del Pilar Trujillo Rodríguez, Larissa Djanilda Parra da Luz","doi":"10.1590/1413-81232026318.22402024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.22402024","url":null,"abstract":"<p><p>This article aims to analyze the temporal trend of Family Health Strategy (FHS) coverage and its associated factors in Brazilian twin cities between 2016 and 2020. This is a retrospective ecological study of a temporal analysis conducted on the 33 twin cities of Brazil. Secondary data were collected from e-Gestor AB, and variables regarding FHS coverage, population size, border arcs, and temporality were used. Descriptive measures were used in the statistical analysis, which were arcived, tabulated, and analyzed using Microsoft Excel 2019. It was observed that the Northern arc had the highest coverage, followed by the Southern and Midwestern arcs, respectively, with small twin cities standing out in terms of population size. As regards coverage evolution, the Southern arc stood out with a growing trend, while the Northern and Midwestern arcs showed a decrease in the last year of the study. FHS coverage in twin cities varied among the three arcs, likely due to the sociodemographic characteristics of each arc and the particularities in the management of basic care services in municipalities.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e22402024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788874","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}