Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil最新文献

{"title":"Work-related violence from a gender perspective: a cross-sectional study with temporal trend analysis, Bahia, Brazil, 2009-2024.","authors":"Adriana Galdino, Anívia de Souza Amaral, Érika Maria Andrade Silva, Alice Leite Velôso, Tarsila Rios Cabral, Ive Caroline Almeida Xavier","doi":"10.1590/S2237-96222026v35e20251061.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20251061.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze cases of work-related violence from a gender perspective in Bahia state, Brazil, from 2009 to 2024, considering sociodemographic characteristics and violent events.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study with temporal trend analysis was conducted using data on work-related violence obtained from the Notifiable Health Conditions Information System, including individuals aged ≥18 years. Relative frequencies, proportional distributions, bivariate analyses between descriptive variables and sex (female and male), and temporal trend analysis of the case reporting rate were estimated.</p><p><strong>Results: </strong>A total of 1,768 cases of work-related violence were recorded in Bahia during the period. A higher frequency was observed among women (55.8%). For women, violence was more frequent among individuals aged 18-29 years (36.5%) and among those of mixed race (46.7%). Cases were also motivated by sexism (9.7%) and occurred in the home setting (27.9%). For males, it predominated in the same age group (35.0%) and among those of mixed race (49.2%), in addition to being motivated by generational conflict (5.9%) and occurring in public thoroughfares (27.3%). Trend analysis showed an increasing reporting rate for both sexes, with 15% annual percentage change (95% confidence interval, 95%CI 15.01;15.09) in women and 15.1% (95%CI 15.11;15.19) in men.</p><p><strong>Conclusion: </strong>Women disproportionately experience work-related violence in Bahia, highlighting the urgency of addressing this phenomenon as a structural and gender-based problem. The development of effective policies for preventing and combating this type of violence is fundamental.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20251061"},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: \"Temporal trend of food intake markers among adults recorded on the Food and Nutrition Surveillance System, Brazil: time series analysis\".","authors":"","doi":"10.1590/S2237-96222025v34e20240041e.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240041e.en","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1590/S2237-96222025v34e20240041.en.].</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20240041e"},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic inequalities in sleep duration and quality at 11, 18, and 22 years of age: a cross-sectional study using data from the 1993 Pelotas Birth Cohort, 2004-2015.","authors":"Fernando Cesar Wehrmeister, Adriana Kramer Fiala Machado, Angel Caroline Chirivino Antunes da Rocha, Indiara da Silva Viegas, Larissa Adna Neves Silva, Michele Krüger Vaz Moreira, Tainã Dutra Valério, Helen Gonçalves, Ana Maria Baptista Menezes","doi":"10.1590/S2237-96222026v35e20260212.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20260212.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze sleep duration and quality at different ages according to sociodemographic factors.</p><p><strong>Methods: </strong>This was a cross-sectional study using data from the 1993 Pelotas Birth Cohort in Rio Grande do Sul, Brazil, with follow-ups conducted at ages 11, 18, and 22. Sleep duration and quality were self-reported; daily sleep duration was estimated from weekday bedtime and wake-up times, and sleep quality was assessed at 22 years of age using a question about sleep perception. Descriptive analyses were performed, and inequality measures were estimated according to sex, race/skin color, and wealth index.</p><p><strong>Results: </strong>A total of 4,439, 4,081, and 3,800 individuals were analyzed at ages 11, 18, and 22, respectively. Mean sleep duration was 9.7 (95% confidence interval [95%CI] 9.6; 9.7), 8.4 (95%CI 8.3; 8.5), and 8.0 (95%CI 7.9; 8.0) hours. The absolute inequality index at 18 years of age was -1.3 (95%CI -1.5; -1.0) among females and -0.7 (95%CI -1.0; -0.4) among males. At 22 years of age, the proportion reporting \"very good\" sleep quality was 19.2% (95%CI 17.4; 21.1) among males, while \"very poor\" sleep quality was 5.2% (95%CI 4.3; 6.2) among females.</p><p><strong>Conclusion: </strong>Sleep duration decreased between 11 and 22 years of age and was longer among females and more vulnerable groups, among whom very good sleep quality was less frequent.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20260212"},"PeriodicalIF":2.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological profile of accidents involving venomous animals: a descriptive and time series study, Maranhão, 2014-2024.","authors":"Laryssa Stefany de Azevedo Santos, Helena de Paula Gonçalves Lima, Ismália Cassandra Costa Maia Dias, Marcelo Soares Dos Santos, Marcelino Santos, Leonardo Hunaldo Dos Santos","doi":"10.1590/S2237-96222026v35e20251224.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20251224.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the epidemiological profile and temporal trend of accidents involving venomous animals in Maranhão, from 2014 to 2024.</p><p><strong>Methods: </strong>A descriptive and ecological study with time-series analysis aggregated by Health Regions, using data on accidents involving venomous animals obtained from the Notifiable Diseases Information System (<i>Sistema de Informação de Agravos de Notificação</i>, SINAN). The epidemiological profile was analyzed using absolute and relative frequencies, with incidence rates calculated by venomous animal group. Temporal trend analysis was conducted using the Prais-Winsten linear regression model to estimate the annual percent change (APC) with its 95% confidence interval (95%CI).</p><p><strong>Results: </strong>A total of 44,620 cases of accidents involving venomous animals were recorded in Maranhão. Ophidism was the most frequent (46.4%), with higher occurrence among males (76.3%), individuals aged 20 to 39 years (34.2%), those self-identified as Brown (Brazilian mixed race) (73.0%), and those with incomplete elementary education (32.4%). In the state, the temporal trend was stable for ophidism (APC 2.50; 95%CI -0.10; 5.16) and erucism (APC -0.71; 95%CI -3.67; 2.35), whereas scorpionism (APC 7.94; 95%CI 4.75; 11.23), arachnidism (APC 7.87; 95%CI 6.37; 9.40), and bee stings (APC 4.47; 95%CI 1.13; 7.92) showed increasing trends.</p><p><strong>Conclusion: </strong>Accidents involving venomous animals predominantly affected men, young individuals, those self-identified as Brown, and individuals with low educational levels. The temporal trend indicated a growing concern, particularly regarding scorpionism. Overall, the findings reinforce the need for continuous surveillance and regionally tailored public policies for prevention, integrating epidemiological, environmental, and health education actions.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20251224"},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic profile and access to health services among people attending the Transgender Outpatient Clinic: a cross-sectional study, Brazilian Federal District, 2018-2022.","authors":"Francisca Lidiane Sampaio Freitas, Ximena Pamela Díaz Bermúdez, Edgar Merchán-Hamann","doi":"10.1590/S2237-96222026v35e20251037.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20251037.en","url":null,"abstract":"<p><strong>Objectives: </strong>To characterize the sociodemographic profile, gender transition trajectory, and access to health services of trans persons and travestis, as well as to identify factors associated with not having been accessed by the Family Health Strategy (FHS).</p><p><strong>Methods: </strong>This was a cross-sectional study by means of analysis of medical records of trans persons and travestis (≥18 years) attending the Federal District Transgender Outpatient Clinic, 2018-2022. Descriptive analysis stratified by gender was performed. Associated factors were analyzed using bivariate analysis (prevalence ratio [PR] with 95% confidence interval [95%CI]) and multivariate analysis using binary logistic regression (adjusted odds ratio [OR] with 95%CI).</p><p><strong>Results: </strong>Out of 261 records (57.0% trans men, 37.6% trans women, and 5.4% travestis), the majority were young people (66.0%, 18-29 years old), Black (61.3%), with paid employment (46.7%) and complete high school or lower level education (54.3%); 25.0% had legally changed their name, 73.2% reported discrimination, and 49.0% of trans women and travestis began their transition without support. Mental disorders (46.4%) were the most frequently reported; and 17.2% had health insurance. Higher use of public urgent care and emergency services (56.7%) was observed compared to primary care (21.1%). Seeking care at a primary health care center when becoming ill decreased the odds of a negative outcome by 86.0% (OR 0.14; 95%CI 0.05; 0.37).</p><p><strong>Conclusion: </strong>Sociodemographic inequities, inequalities in gender transition trajectories, as well as in access to healthcare were evident, with underutilization of primary care. Being linked to a primary health care center proved to be a protective factor, emphasizing the FHS as essential for comprehensive care.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20251037"},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of food insecurity among adults and older adults diagnosed with coronavirus disease 2019: a longitudinal study, Rio Grande, 2021-2023.","authors":"Thais Dos Anjos Velho, Lilia Schug de Moraes, Bianca Languer Vargas, Mirelle de Oliveira Saes, Suele Manjourany Silva Duro, Romina Buffarini","doi":"10.1590/S2237-96222026v35e20250935.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20250935.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the incidence of food insecurity over a one-and-a-half-year period in Rio Grande, Rio Grande do Sul, and to investigate risk factors, considering adults and older adults who had coronavirus disease 2019.</p><p><strong>Methods: </strong>This is a longitudinal study, with data collected at two time points: 2021 and 2022-2023. Food insecurity was assessed using the reduced version of the Brazilian Food Insecurity Scale (Escala Brasileira de Insegurança Alimentar, EBIA). The following were considered as exposure variables: sex, age, race/color, marital status, educational level, family income, income situation, and employment status during the pandemic. The variables were described using absolute and relative frequencies, and proportions were compared using the Chi-square test. Associated factors were estimated using Poisson regression with robust variance adjustment.</p><p><strong>Results: </strong>Among the 1,231 individuals analyzed, the incidence of food insecurity during the period was 20.1%. In the adjusted analysis, female sex (incidence ratio [IR] 1.53; 95% confidence interval [95%CI] 1.21; 1.95), lower educational levels (IR 1.75; 95%CI 1.26; 2.41 and IR 1.54; 95%CI 1.16; 2.04), lower family income (IR 2.01; 95%CI 1.17; 3.47 and IR 2.53; 95%CI 1.54; 4.15), and marked income reduction during the pandemic (IR 1.51; 95%CI 1.15; 1.98) were risk factors associated with the incidence of food insecurity.</p><p><strong>Conclusion: </strong>The results showed that 2 out of every 10 individuals developed food insecurity over the follow-up period, which spanned the pandemic and the subsequent period, with greater risk among individuals in more socially vulnerable groups.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250935"},"PeriodicalIF":2.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of physical inactivity and associated factors among transgender people: a cross-sectional study, Baixada Santista, Brazil, 2023.","authors":"Katia Cristina Bassichetto, Margareth Guimarães Lima, Donatila Barbieri de Oliveira Souza, Lilian de Fatima Zanoni Nogueira, Carla Gianna Luppi, Barbara Iansã de Lima Barroso","doi":"10.1590/S2237-96222026v35e20251283.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20251283.en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate prevalence of physical inactivity and investigate associated factors among self-identified transgender (trans) people.</p><p><strong>Methods: </strong>This was a cross-sectional study using data from the Baixada Santista Transgender Population Mapping survey. Trans people aged ≥18 years who lived, studied or worked that region in 2023 were recruited using a non-probabilistic sample. Those who reported not practicing physical activity were considered inactive. The independent variables were sociodemographic and variables related to well-being, described by relative and absolute frequencies, along with 95% confidence intervals (95%CI). In order to verify associations, Pearson's chi-square test was applied with a 5% significance level, and logistic regression analyses with odds ratio (OR) estimation were performed.</p><p><strong>Results: </strong>Of the 237 participants, 40.9% were classified as inactive. The likelihood of leisure-time physical inactivity was higher among those with lower levels of education (OR 3.32; 95%CI 1.23; 8.94; p-value 0.018), those who had used mental health services in the last 12 months (OR 2.26; 95%CI 1.24; 4.09; p-value 0.007), and those with low quality of life (OR 2.39; 95%CI 1.32; 4.32; p-value 0.004). Physical inactivity was lower among people who experienced high levels of everyday discrimination (OR 0.45; 95%CI 0.21; 0.96; p-value 0.038).</p><p><strong>Conclusion: </strong>Physical inactivity in the population studied was associated with lower levels of education, use of mental health services and low quality of life. More active transgender people tended to suffer greater everyday discrimination, suggesting that adherence to physical activity is not only an individual choice but also a reflection of historical, social and environmental determinants.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20251283"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syphilis in pregnancy detection rate: time series study associated with descriptive analysis by periods, Campo Grande, 2015-2023.","authors":"Caroliny Oviedo Fernandes Reis, Luciana Aparecida da Cunha Borges, Cláudia Du Bocage Santos-Pinto, Ana Lúcia Lyrio de Oliveira, Daniele Soares-Marangoni, Carlos Dornels Souza Freire, Everton Falcão de Oliveira","doi":"10.1590/S2237-96222026v35e20250940.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20250940.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the time series and trend of the syphilis in pregnancy detection rate over nine years and the variations in clinical and epidemiological characteristics across four periods according to relevant public health events in Campo Grande, Mato Grosso do Sul.</p><p><strong>Methods: </strong>Time series study with descriptive analysis by periods, using data from the Notifiable Diseases Information System (<i>Sistema de Informação de Agravos de Notificação</i>, SINAN) and the Live Birth Information System (<i>Sistema Nacional de Nascidos Vivos</i>, SINASC). Segmented linear regression was used to analyze the temporal trend of the syphilis in pregnancy detection rate, and the Kruskal-Wallis test was employed to analyze clinical and epidemiological variables across the evaluated periods: penicillin shortage (2015-2016); supply normalization and pre-pandemic period (2017-2019); pandemic (2020-2021); and post-COVID-19 pandemic (2022-2023).</p><p><strong>Results: </strong>A total of 2,802 cases were analyzed. An increase of 170.4% in the detection rate was observed, with a rising trend until 2018 (annual percentage change, APC 31.18%; 95% confidence interval, 95%CI 4.79; 118.80; p-value 0.017) and subsequent stabilization (APC 1.16%; 95%CI -27.24; 15.83; p-value 0.936). Regarding clinical-epidemiological characteristics, there was an increase in the frequency of latent phase, reactive treponemal tests, adequate treatment, and maternal education, and a reduction in partner treatment. During 2017-2019, there was a reduction in the use of non-treponemal tests; in 2020-2021, a decrease in Brown (Brazilian mixed race)/Black/Asian/Indigenous women; and in 2022-2023, an increase in prenatal care visits and late diagnoses.</p><p><strong>Conclusion: </strong>The syphilis in pregnancy detection rate increased until 2018 and remained stable thereafter. Changes in clinical and epidemiological characteristics reflect variations in the care context, with advances in prenatal care, but persistence of weaknesses in the timely diagnosis and treatment of partners.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20250940"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Integrative and complementary practices in diabetes management: a rapid review of clinical guidelines.","authors":"","doi":"10.1590/S2237-96222026v35e20263003.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20263003.en","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1590/S2237-96222026v35e20250602.en.][This corrects the article DOI: 10.1590/S2237-96222026v35e20250602.pt.].</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20263003"},"PeriodicalIF":2.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the integrality of the psychosocial care network: multiple case study, Southern Region of Brazil, 2021.","authors":"Larissa Weber, Claudia Flemming Colussi","doi":"10.1590/S2237-96222026v35e20240890.en","DOIUrl":"https://doi.org/10.1590/S2237-96222026v35e20240890.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the integrality of health actions of the services in the Psychosocial Care Network (Raps) in three municipalities in the Southern Region of Brazil, with different population sizes and varied Raps configurations.</p><p><strong>Method: </strong>Evaluative research based on a multiple case study. An analysis and judgment matrix was used, comprising two dimensions, six subdimensions, and 16 indicators. Primary data from five interviews per municipality with managers, professionals, and users, totaling 15 interviews, were cross-analyzed with data from direct observation and secondary data, all collected in the field in 2021. Content analysis was applied to the qualitative data, whereas quantitative data were submitted to descriptive analysis.</p><p><strong>Results: </strong>The three cases showed satisfactory results in the \"Essential elements\" dimension. This finding highlighted the feasibility of implementing qualified actions for territorial care, such as providing receptiveness, emphasizing users' uniqueness and autonomy, and supporting family members, regardless of the size of municipalities' Raps. Only case 3 performed well in the \"Integrations\" dimension, while the other two achieved fair performance. In a scenario where all Raps components coexist, the presence of work processes aligned with the logic of network-based care favored the performance of case 3 in this dimension.</p><p><strong>Conclusion: </strong>The provision of singular and territorial care stood out positively in the three cases. It was also shown necessary to improve the articulation of Raps components, especially through investments in the production, integration, and dissemination of data.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"35 ","pages":"e20240890"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149280506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}