Cadernos de saude publica最新文献_第6页

[Invariance of the Brazilian Food Insecurity Scale: analysis of demographic groups based on the Brazilian National Household Sample Survey]. [巴西粮食不安全量表的不变性：基于巴西全国家庭抽样调查的人口群体分析]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT115125

Vanessa Guimarães Cezimbra, João Luiz Bastos, Michael Eduardo Reichenheim

引用次数: 0

[Professional practices and commitments in the care of people living with HIV/AIDS]. [照顾艾滋病毒/艾滋病患者的专业做法和承诺]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT156225

Fernanda Karla Metelski, Betina Hörner Schlindwein Meirelles, Marcelle Miranda da Silva, Alacoque Lorenzini Erdmann, Carine Vendruscolo, Wilson Jorge Correia Pinto de Abreu

{"title":"[Professional practices and commitments in the care of people living with HIV/AIDS].","authors":"Fernanda Karla Metelski, Betina Hörner Schlindwein Meirelles, Marcelle Miranda da Silva, Alacoque Lorenzini Erdmann, Carine Vendruscolo, Wilson Jorge Correia Pinto de Abreu","doi":"10.1590/0102-311XPT156225","DOIUrl":"10.1590/0102-311XPT156225","url":null,"abstract":"This study sought to understand the professional practices in caring for people living with HIV/AIDS considering the global commitments to end the AIDS epidemic by 2030 in a priority municipality of Santa Catarina, Brazil. Qualitative research based on the constructivist branch of grounded theory was carried out in primary health and specialized care with in-depth interviews with 45 participants, including healthcare providers, managers, and people living with HIV/AIDS, from 2020 to 2021. Data analysis obtained the core category \"Unveiling local professional practices aimed at global commitments to confront the HIV/AIDS epidemic\", supported by seven subcategories that evince the expansion of timely rapid testing with reception and counseling, guarantee of access, early diagnosis and immediate start of antiretroviral therapy, engagement with the therapeutic regimen and its contradictions, social stigmatization, fear and overcoming HIV/AIDS, and the limitations of information systems. Practices related to preventive and clinical aspects stood out, with nurses playing a leading role in them. Coping with the social stigmatization by people living with HIV/AIDS experience still features an incipient approach in several dimensions: themselves, their families, healthcare providers, and social life. Overcoming the HIV/AIDS epidemic requires articulated and equitable strategies that consider the social determinants of health, expand access, and promote the well-being of people living with HIV/AIDS.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00156225"},"PeriodicalIF":2.1,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors influencing hepatitis C treatment initiation in a high-prevalence Brazilian state. 影响丙型肝炎在巴西高流行州开始治疗的因素

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN233025

Vitória Machado Krüger, Ana Carolina Almeida da Silva, Marlise Antunes Grahl, Matheus Dos Anjos Catasblancas, Maiara Lenise Lütz, João Pedro Stepan Wagner, Alexandre Lemos da Silva, Eduardo Viegas da Silva, Pedro Augusto Crespo da Silva

{"title":"Factors influencing hepatitis C treatment initiation in a high-prevalence Brazilian state.","authors":"Vitória Machado Krüger, Ana Carolina Almeida da Silva, Marlise Antunes Grahl, Matheus Dos Anjos Catasblancas, Maiara Lenise Lütz, João Pedro Stepan Wagner, Alexandre Lemos da Silva, Eduardo Viegas da Silva, Pedro Augusto Crespo da Silva","doi":"10.1590/0102-311XEN233025","DOIUrl":"10.1590/0102-311XEN233025","url":null,"abstract":"Hepatitis C virus infection remains a leading cause of chronic liver disease worldwide, affecting more than 70 million people, many of whom remain undiagnosed or untreated. In Brazil, Rio Grande do Sul State has the highest hepatitis C detection rate, underscoring the need for coordinated strategies to eliminate it by 2030. Underdiagnosis and barriers to treatment initiation persist despite the availability of highly effective antiviral therapies. This study aimed to estimate the proportion of diagnosed individuals who initiated treatment and to find factors associated with non-initiation of treatment. A retrospective cohort included all hepatitis C cases that had been diagnosed in 2022-2023 and reported in the Brazilian Information System for Notifiable Diseases (SINAN). Treatment initiation was verified in the Logistics Control System for Medications for Viral Hepatitis (SICLOM-HV). Probabilistic record linkage was performed to integrate both databases and to assess factors associated with non-initiation of treatment. Among 2,671 diagnosed individuals, 64.9% started treatment, with a median of 104 days between diagnosis and initiation. Multivariable analysis showed lower initiation among Black individuals than in White ones (adjusted OR = 1.41; 95%CI: 1.02-1.93) and among those aged 0-39 than in those aged 50-59 years (adjusted OR = 0.68; 95%CI: 0.49-0.96). Regional differences, HIV coinfection, and clinical variables also affected initiation. Treatment coverage in Rio Grande do Sul State remains below elimination targets. Persistent disparities by race, region, and coinfection highlight the need for targeted strategies to ensure equitable hepatitis C care and accelerate elimination efforts.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00233025"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Stigma among primary healthcare providers: a mixed-method study]. [初级卫生保健提供者的耻辱：一项混合方法研究]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT230225

Aenne Zandonadi Rodrigues Santana, Annelita Almeida Oliveira Reiners, Luciane Almeida Casarin, Rosemeiry Capriata de Souza Azevedo, Joana Darc Chaves Cardoso, Carla Rafaela Teixeira Cunha, Amanda Cristina de Souza Andrade

{"title":"[Stigma among primary healthcare providers: a mixed-method study].","authors":"Aenne Zandonadi Rodrigues Santana, Annelita Almeida Oliveira Reiners, Luciane Almeida Casarin, Rosemeiry Capriata de Souza Azevedo, Joana Darc Chaves Cardoso, Carla Rafaela Teixeira Cunha, Amanda Cristina de Souza Andrade","doi":"10.1590/0102-311XPT230225","DOIUrl":"10.1590/0102-311XPT230225","url":null,"abstract":"This study analyzed how stigma occurs in primary healthcare providers based on dimensions of knowledge, attitudes, and practices targeting people living with dementia syndrome. A mixed-methods, sequential explanatory study was carried out with 122 healthcare providers from 91 Family Health Units in Cuiabá, Mato Grosso State, Brazil, from 2023 to 2024. Its quantitative stage applied the following instruments: Healthcare for Dementia: A View of Primary Care and Attitude Questionnaire. In total, two focus groups with 11 participants were carried out the qualitative stage of this research. Analysis of the results integrated quantitative and qualitative to find convergences and interpretative divergences. Results showed participants' insufficient knowledge and technical preparedness regarding dementia due to lack of specific training, suggesting a structural and social stigma. Participants showed stigmatizing misconceptions regarding the condition and people living with it and professional insecurity and uncertainty in care actions, which negatively contribute to patients' timely diagnosis, treatment, and follow-up. The dissonance between attitudes and practices indicated manifestations of implicit stigma. Structural, social, and implicit stigma in primary healthcare providers compromise timely diagnosis, treatment, and follow-up of patients and family members, perpetuating practices centered on dementia and care neglect. These findings reinforce the need for specific and continuous training to reduce stigma and promote person-centered care.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00230225"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Social inequalities in food access: an assessment based on patterns of food purchase locations in the city of Rio de Janeiro, Brazil]. [食品获取中的社会不平等：基于巴西里约热内卢市食品购买地点模式的评估]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT159725

Yoko Ametista Carvalho Suete Matos, Paulo César Pereira de Castro Junior, Aline Alves Ferreira, Rosana Salles-Costa

{"title":"[Social inequalities in food access: an assessment based on patterns of food purchase locations in the city of Rio de Janeiro, Brazil].","authors":"Yoko Ametista Carvalho Suete Matos, Paulo César Pereira de Castro Junior, Aline Alves Ferreira, Rosana Salles-Costa","doi":"10.1590/0102-311XPT159725","DOIUrl":"10.1590/0102-311XPT159725","url":null,"abstract":"This study aimed to evaluate the use of food purchase locations and their association with social inequalities. This cross-sectional study was based on a representative sample of 1,855 households in Rio de Janeiro, Brazil. The use of food purchase locations was assessed using a questionnaire and classified according to the type of food retail outlet. Social profile was defined based on information about the head of household. Logistic regression models were used to evaluate the association between educational attainment and types of food purchase locations. Over two-thirds of households reported supermarkets (97.5%) and outlets selling fresh or minimally processed foods (80.6%) as their main food purchasing establishments. Lower educational attainment of the head of household (OR = 2.1; 95%CI: 1.3-3.4) and lack of paid employment (OR = 1.38; 95%CI: 1.24-2.28) were significantly associated with greater purchasing from outlets selling fresh or minimally processed foods. As protective factors, severe levels of food insecurity (OR = 0.3; 95%CI: 0.2-0.7), lack of paid employment (OR = 0.60; 95%CI: 0.5-08), and the educational attainment of the head of household (5-11 years; OR = 0.55; 95%CI: 0.33-0.93) were associated with lower purchasing at supermarkets, small grocery stores, and outlets selling ultra-processed foods, respectively. Changes in the food environment may help ensure the human right to adequate food by improving access to healthy foods, as its realization depends on equitable and sustainable food supply systems for the population.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00159725"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the Edinburgh Postnatal Depression Scale to assess maternal prenatal depression symptoms in Brazil: an item response theory analysis. 爱丁堡产后抑郁量表评估巴西孕妇产前抑郁症状的有效性：项目反应理论分析

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN090525

Márcia Leonardi Baldisserotto, Mariza Miranda Theme-Filha, Ana Claudia Santos Amaral, Maria Papaterra

{"title":"Validation of the Edinburgh Postnatal Depression Scale to assess maternal prenatal depression symptoms in Brazil: an item response theory analysis.","authors":"Márcia Leonardi Baldisserotto, Mariza Miranda Theme-Filha, Ana Claudia Santos Amaral, Maria Papaterra","doi":"10.1590/0102-311XEN090525","DOIUrl":"10.1590/0102-311XEN090525","url":null,"abstract":"The Edinburgh Postnatal Depression Scale (EPDS) is a widely used tool for assessing depressive symptoms in mothers during the perinatal period. Although it has been validated for postpartum depression screening in Brazil, no study has yet validated its use for prenatal depression screening. Therefore, this study aimed to validate the EPDS for assessing maternal prenatal depression symptoms in Brazil. The study tested the unidimensional structure of the EPDS using confirmatory factor analysis (CFA) and evaluated its reliability using composite reliability (CR). EPDS parameters were also analyzed using Samejima's graded response model within an item response theory (IRT) framework. The results showed that the EPDS presented a unidimensional latent structure, with adequate construct validity (CFI = 0.974; TLI = 0.967; RMSEA = 0.072; 90%CI: 0.059-0.082) and reliability (CR = 0.91) for screening prenatal depression symptoms in Brazil. Additionally, the items showed satisfactory difficulty and discrimination parameters in IRT analyses. The total EPDS score provides more information than measurement error across a broad range of the latent trait (-2 to 4), indicating good accuracy and reliability. Overall, the EPDS seems to be an appropriate tool for screening maternal prenatal depression symptoms in Brazil.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00090525"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Environmental inequities in the metropolis of São Paulo, Brazil: vegetation, heat, and air pollution according to social vulnerability]. [巴西圣保罗大都市的环境不平等：基于社会脆弱性的植被、热量和空气污染]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT177725

Claudio Makoto Kanai, Rafael Buralli, Luis Roberto da Silva, Nelson Gouveia

{"title":"[Environmental inequities in the metropolis of São Paulo, Brazil: vegetation, heat, and air pollution according to social vulnerability].","authors":"Claudio Makoto Kanai, Rafael Buralli, Luis Roberto da Silva, Nelson Gouveia","doi":"10.1590/0102-311XPT177725","DOIUrl":"10.1590/0102-311XPT177725","url":null,"abstract":"Socio-environmental inequalities in large cities affect health in different degrees, more greatly impacting poorer populations. This study analyzed the distribution of urban vegetation (estimated by the Normalized Difference Vegetation Index - NDVI), land surface temperature (LST), and nitrogen dioxide concentrations (NO2) in the Metropolitan Area of São Paulo, Brazil, according to vulnerability groups defined by the São Paulo Social Vulnerability Index (IPVS). Urban census tracts were used as the unit of analysis in this ecological study. The NDVI and LST were obtained by remote sensing and NO2 were derived from a high-resolution global model based on land use regression. Statistical summaries compared the indicators between the IPVS groups (1 - very low to 6 - very high vulnerability). NDVI medians scarcely varied (0.21-0.25) and showed no linear pattern; the high vulnerability group had higher values (possibly due to their peri-urban location). The group with very low vulnerability showed the lowest LST median (31.8ºC). NO2 concentrations showed a downward trend between the less and highly vulnerable groups, with a further increase in the latter. The Metropolitan Area of São Paulo shows heterogeneous environmental exposure without a linear pattern regarding social vulnerability. The most vulnerable areas accumulating critical environmental conditions require particular attention, reinforcing the need for integrated public policies to reduce inequalities and promote healthier and more equitable municipalities.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00177725"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the metropolises: the decentralization of chikungunya to non-metropolitan areas across Brazil. 在大都市之外：基孔肯雅病分散到巴西的非大都市地区。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-06 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN129025

Iasmim Ferreira de Almeida, Cláudia Torres Codeço, Raquel Martins Lana

{"title":"Beyond the metropolises: the decentralization of chikungunya to non-metropolitan areas across Brazil.","authors":"Iasmim Ferreira de Almeida, Cláudia Torres Codeço, Raquel Martins Lana","doi":"10.1590/0102-311XEN129025","DOIUrl":"10.1590/0102-311XEN129025","url":null,"abstract":"Chikungunya virus (CHIKV) was first detected in Brazil in 2014, becoming a significant public health concern. Metropolitan areas were initially the port of entry, but the disease spread to less populated municipalities, challenging the focus of monitoring and control in large cities. This study presents a descriptive analysis of the spread of CHIKV in Brazil up to 2022, examining regional differences. Data on chikungunya cases in municipalities were obtained from the Brazilian Information System for Notifiable Diseases (SINAN) from 2014-2022. Population size data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). The chikungunya introduction dates in the states were organized into timelines and maps. A decentralization index was proposed to estimate the ratio between the incidence in non-metropolitan and metropolitan municipalities. Our analysis revealed that the spread of chikungunya from metropolitan to non-metropolitan areas varied among states. As expected, most states initially showed higher metropolitan incidence rates, with a few exceptions, such as Amapá, located at the national border with French Guiana. The Northeast remained the epicenter during the study period, but significant regional differences in disease patterns were observed across Brazil. Several factors, including environmental suitability and demographic changes such as internal migration, may have facilitated the differential spread of chikungunya to less densely populated regions. In conclusion, the index proved useful for monitoring the dynamics of disease spread, highlighting areas that require specific surveillance and control measures extending beyond large urban centers.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00129025"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13335780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inequalities in access to food in Brazil: a scoping review with a racial and gender focus and policy recommendations. 巴西粮食获取不平等：以种族和性别为重点的范围审查和政策建议。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-06 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN211325

Letícia Lopes Vieira, Raquel Canuto, Ana Maria Thomaz Maya Martins, Laís Amaral Mais, Larissa Loures Mendes, Luana Lara Rocha

{"title":"Inequalities in access to food in Brazil: a scoping review with a racial and gender focus and policy recommendations.","authors":"Letícia Lopes Vieira, Raquel Canuto, Ana Maria Thomaz Maya Martins, Laís Amaral Mais, Larissa Loures Mendes, Luana Lara Rocha","doi":"10.1590/0102-311XEN211325","DOIUrl":"10.1590/0102-311XEN211325","url":null,"abstract":"Vulnerable populations, such as women and Black individuals, face greater physical and economic challenges in accessing food, revealing that food environments are structured as a reflection of the country's social inequalities. In this context, this study aimed to conduct a scoping review in order to identify studies on food access, acquisition, and availability in Brazil, with a specific focus on gender and race/skin color. The study also aimed to identify recommendations for policymakers in designing public policies to improve food access in Brazil, while considering the existing inequalities across these dimensions. The search was conducted in four databases without date restrictions. The search strategy was constructed by combining the descriptors \"access\", \"acquisition\", and \"availability\" of food with social markers such as \"gender\" and \"race/skin color\", using Boolean operators. All stages of study selection and data extraction were conducted by two independent researchers. The findings reveal structural inequalities in food access, with more pronounced barriers for Black women. A concentration of food deserts and swamps was observed in areas with greater social and racial vulnerability. Nonetheless, a lack of studies addressing gender and the intersection of gender and race/skin color was identified. The results of this review underscore the urgency of fair public policies that incorporate racial and gender equity and can ensure the human right to adequate food equitably for the entire Brazilian population.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00211325"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13335779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women workers' rights and managers' point of view: a qualitative approach to maternity leave and breastfeeding. 女工的权利和管理人员的观点：产假和母乳喂养的定性方法。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-07-06 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN059025

Marília Neves Santos, Alanna Santos de Oliveira, Bruna Souza Pereira Fagundes, Ester William Ferreira, Gabriela Buccini, Leandro Alves Pereira, Luciana Saraiva da Silva, Vivian Mara Gonçalves de Oliveira Azevedo, Ana Elisa Madalena Rinaldi

{"title":"Women workers' rights and managers' point of view: a qualitative approach to maternity leave and breastfeeding.","authors":"Marília Neves Santos, Alanna Santos de Oliveira, Bruna Souza Pereira Fagundes, Ester William Ferreira, Gabriela Buccini, Leandro Alves Pereira, Luciana Saraiva da Silva, Vivian Mara Gonçalves de Oliveira Azevedo, Ana Elisa Madalena Rinaldi","doi":"10.1590/0102-311XEN059025","DOIUrl":"10.1590/0102-311XEN059025","url":null,"abstract":"This study aimed to learn managers' points of view on maternity leave and breastfeeding and find promotion, protection, and support strategies for breastfeeding in the work environment. This qualitative study, using Laurence Bardin's content analysis, was conducted with eight managers in 2023 in Uberlândia, Minas Gerais State, Brazil. We used a semi-structured script with questions about how managers organized women workers' activities before they took their maternity leaves and after their return to work and questions about managers' points of view about breastfeeding and maternity leave. Answers were analyzed using NVivo. We established three big topics from the content of the interviews, namely: (1) managers' point of view regarding the duration of maternity leave and breastfeeding; (2) rights, incentives, and work conditions; and (3) the organization of the work environment during maternity leave. We verified compliance with the 4-month maternity leave provided for in the Brazilian Consolidation of Labor Laws, highlighting the disagreement of leave duration and the health recommendation for exclusive breastfeeding of up to six months. We also found that managers' lack of awareness about government programs encourage companies to support breastfeeding by tax reduction benefits and extended maternity leaves. Managers' point of view and personal experiences permeate knowledge about laws protecting female workers. The pro-breastfeeding strategy only involved complying with the maternity leave duration provided by law, which indicates the need for greater investments in awareness-raising actions for managers regarding the review of the concept of maternal protection.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00059025"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0