ODS/01 - Erradicação da pobreza
URI Permanente desta comunidade
Objetivo: Acabar com a pobreza em todas as suas formas, em todos os lugares.
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Coleções desta Comunidade
- ODS/01 - Erradicação da pobreza
- ODS/01 - Erradicação da pobreza
- ODS/01 - Erradicação da pobreza
Submissões Recentes
Providing support to underprivileged people during the COVID-19 pandemic in Brazil: the role of the Trust Group and women leaders in São Paulo’s favelas
(2023) DOMINGOS, A. L. G.; MITKIEWICZ, J. M.; SALDIVA, P. H. N.
São Paulo was one of the epicenters of the COVID-19 pandemic in Brazil. Amongst underprivileged populations, such as slums residents, the impact of the pandemic was severe. This documentary reports the creation of the Trust Group, made up mostly of women community leaders in São Paulo’s slums, and how their actions inspired public policies in Brazil. Their lessons are examples of governance and solidarity in times of crisis and can serve as models for other cities in Latin America. The documentary describes this history as told by those community leaders. To watch the documentary, kindly visit the following link: https://youtu.be/61elJw0oqCY.
Vocational Rehabilitation and Length of Stay at Work after Work-Related Musculoskeletal Disorders: A Longitudinal Study in Brazil
(2023) MIRANDA, C. B. de; SILVA-JUNIOR, J. S.; GARCIA, K. K. S.; SOUSA, F. N. E. F. de; FISCHER, F. M.
Vocational rehabilitation is an intervention to enhance the return to work and improve quality of life. The aim of this study was to evaluate sociodemographic and occupational factors associated with the length of stay at work among workers with work-related musculoskeletal disorders (WRMDs) who had undergone rehabilitation through the Brazilian public social security system. This was a longitudinal study among 680 workers with histories of disability due to WRMDs who returned to the formal job market after vocational rehabilitation between 2014 and 2018. Survival analysis was performed to identify the factors influencing permanence in work. Job dismissal occurred for 29.26% of the workers. The average duration of employment after returning to the formal job position was 56 months. The following factors were associated with shorter length of employment: living in the southeastern region (HR: 2.78; 95% CI 1.12–6.91) or southern region (HR: 2.68; 95% CI 1.04–6.90) of Brazil; working in transportation, storage or postal services (HR: 2.57; 95% CI 1.07–6.17); or working in financial activities, insurance or related services (HR: 2.70; 95% CI 1.05–6.89). These findings may contribute to the discussion about prevention of disability and interventions to ensure health care for workers with WRMD disabilities who undergo rehabilitation.
Analysis of education level in access and use of health care services, ISA-Capital, São Paulo, Brazil, 2003 and 2015
(2023) SANTOS, Edige Felipe de Sousa; LOUVISON, Marilia Cristina Prado; OLIVEIRA, Elaine Cristina Torres; MONTEIRO, Camila Nascimento; BARROS, Marilisa Berti de Azevedo; GOLDBAUM, Moises; CESAR, Chester Luiz Galvao
The great socioeconomic inequality that prevails in Brazil and the existence of a national health system with universal coverage places the need to monitor the evolution and social inequities regarding access to these services. This study aims to analyze the changes in the prevalence of health care use and the extent of social inequality in the demand, use and, access, resolution of health problems, satisfaction, and health care use of Brazilian Unified National Health System (SUS) according to education levels in the population living in the urban area of the Municipality of Sao Paulo, in 2003 and 2015. We analyzed data from two population-based household health surveys (Health Survey in Sao Paulo City - ISA-Capital) from 2003 and 2015. Dependent variables related to health care use in the two weeks preceding the survey and due to diseases included demand, access, satisfaction, problem resolution, and the public or private nature of the service. Prevalence was estimated using level of education and prevalence ratios (PR) by the Poisson regression. In the period, the demand for health care, access, resolution, and use of public health care increased from 2003 to 2015. Inequities in public health care use changed from 2003 to 2015 according to level of education. We found no social inequities in health care use in the municipality of Sao Paulo regarding demand, access, satisfaction, and resolution according to levels of education. Results show progress in the use and resolution of health care services, as well as the strong concentration of the use of SUS by the population with lower education. Results indicate the progress that SUS has made, but also show persistent challenges in the use and access to services.
One health approach to toxocariasis in quilombola communities of southern Brazil
(2023) SANTAREM, Vamilton Alvares; PANAZZOLO, Giovanni Kalempa; KMETIUK, Louise Bach; DOMINGUES, Orlei Jose; FERREIRA, Isabella Braghin; SOUZA FILHO, Roberto Teixeira de; FARINHAS, Joao Henrique; DOLINE, Fernando Rodrigo; LESCANO, Susana Angelica Zevallos; BIONDO, Leandro Meneguelli; GIUFFRIDA, Rogerio; BIONDO, Alexander Welker; FAVERO, Giovani Marino
Background Toxocariasis has been listed among the most neglected parasitic diseases worldwide, with approximately one fifth of the global population exposed, particularly those living under poverty. In Brazil, communities of descendants of enslaved blacks (quilombola) have historically had some of the highest rates of vulnerability and poverty, characterized by lack of health assistance, poor quality of life, and nutritional insecurity.Methods A cross-sectional sampling of quilombola individuals living in four communities of southern Brazil, as well as their dogs and the soil, was carried out from December 2021 to March 2022. Sociodemographic and other information such as water source, alimentary habits, and dog and cat ownership were gathered using a semi-structured questionnaire for assessing toxocariasis risk factors. Human serum samples were tested by ELISA for anti-Toxocara spp. IgG antibody detection was carried out on dog feces and hair, and soil samples were surveyed for presence of Toxocara spp. eggs.Results Overall, 172/208 individuals (82.7%, 95% CI = 77.0-87.2) were seropositive, the highest seroprevalence rate to date in Brazil. Male gender (P = 0.029), educational level (P = 0.026), and drinking water source (P = 0.043) were associated with seropositivity by univariate analysis. Final logistic regression revealed increased odds (P = 0.017, OR = 7.6, 95% CI = 1.5-42.7) to have seropositivity in individuals > 50 years old (< 10 years old). As expected, individuals with soil contact were more likely seropositive (P = 0.038, OR = 4.4, 95% CI = 1.1-18.8). Although retrieved in only 5/96 (5.2%) dog feces, Toxocara spp. eggs were found in 18/60 (30.0%) soil samples.Conclusions The high vulnerability and seroprevalence observed in quilombola communities clearly demand a One Health approach for detection, monitoring, and prevention of infection by Toxocara spp. in both human and dog populations.
A web-based educational therapy intervention associated with physical exercise to promote health in fibromyalgia in Brazil: the Amigos De Fibro (Fibro Friends) study protocol
(2023) ANTUNES, Mateus Dias; LOURES, Felipe Cayres Nogueira da Rocha; SOUZA, Ingred Merllin Batista de; CRUZ, Ariela Torres; JANUARIO, Priscila de Oliveira; PINHEIRO, Mara Maria Lisboa Santana; SCHMITT, Ana Carolina Basso; FRUTOS-BERNAL, Elisa; MARTIN-NOGUERAS, Ana Maria; MARQUES, Amelia Pasqual
Background Health education is one of the main items to enable health promotion to patients with fibromyalgia. The objective of the study ""Amigos de Fibro (Fibro Friends)"" is to evaluate the impact of an educational intervention associated with physical exercise based on the web in promoting health and quality of life of patients with fibromyalgia in Brazil.Methods A study with a randomized controlled trial approach will be carried out. The sample will consist of 24 participants, divided into two groups, with 12 individuals each. The experimental group will participate in meetings with lectures, debates, conversation rounds and exercises by a multidisciplinary team. Physical exercises will also be performed in an online environment. On the other hand, the control group will receive an e-book of education and self-care. Primary outcomes will be quality of life. The secondary outcomes will be sociodemographic and health profile, pain intensity, sleep quality, self-care agency, usage and costs of health and social care services, viability of the program and program participation. In addition, a qualitative evaluation process will be carried out with the participants. After the intervention, the data of both groups will be collected again, as well as after 3, 6, and 12 months to verify the effect and the maintenance of the intervention.Discussion The results will provide data for studies to consider the use of this tool in the future by professionals working in the field of rheumatology.
Introduction to the international handbook of teaching and learning in health promotion: What and for whom is it intended?
(2022) AKERMAN, M.; GERMANI, A. C. C. G.; BROUCKE, S.; CHIOU, S.-T.; FRACOLLI, L.; GENDRON, S.; LEVIN-ZAMIR, D.; MORGAINE, K.; NOGUEIRA, J. A. D.; OLIVEIRA, A. A. P.; ROCHA, D. G.; WILLS, J.
Publishers have many books on teaching and learning methods for health education/health promotion focusing on patients, families, and communities, or, more specifically, to develop needs and assessment capacity. We have not found any book specifically for lecturers teaching health promotion for undergraduate students or postgraduate studies in the courses of the health professions. This book is about teaching and learning health promotion in the health professions undergraduate and postgraduate courses as well as other professions. It is suitable for related fields as Architecture, Urban Planning, Social Protection, Public Policy, International Affairs, Demography, etc. This book intends to share analytically what teaching methodologies we university lecturers from different countries use in our health promotion classes and other educational scenarios. This book opens dialogue with faculty from five continents of the world (25 countries) who are authors of the chapters published here mediated by the 12 editors who are from Brazil, Belgium, Canada, Israel, New Zealand, the UK, and Taiwan. Readers will be provided with real-world examples of empowering, participatory, holistic, intersectoral, equitable, and sustainable teaching/learning strategies that aim to improve health and reduce health inequities. At the end of each chapter, you will find ""Take-Home Messages"" that reinforce the Handbook character and offer you six triggering questions for dialogue and reflection on the book's theme. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022. All rights reserved.
Improving Outcomes of Patients with Acute Coronary Disease in Real Life: The Case of Applying in Practice What We Already Know from Clinical Studies
(2023) GARZON, Stefano; LEMOS, Pedro A.
Two decades of socioeconomic inequalities in the prevalence of untreated dental caries in early childhood: Results from three birth cohorts in southern Brazil
(2023) KARAM, Sarah Arangurem; COSTA, Francine dos Santos; PERES, Karen G.; PERES, Marco A.; BARROS, Fernando C.; BERTOLDI, Andrea D.; SANTOS, Ina S.; TOVO, Luciana; MATIJASEVICH, Alicia; MENEZES, Ana M.; GONCALVES, Helen; CORREA, Marcos Britto; DEMARCO, Flavio Fernando
Objectives To estimate the socioeconomic disparities in untreated dental caries in early childhood according to socioeconomic characteristics in three birth cohorts in Southern Brazil. Methods The socioeconomic data to this study were collected at the 48-month follow-up and oral health studies of 1993, 2004 and 2015 Pelotas birth cohort studies. The outcome was untreated dental caries in children aged 6 (1993 cohort), 5 (2004 cohort) and 4 years (2015 cohort), dichotomized into absence/presence. Analyses were stratified by maternal skin colour/race, maternal education and family income. For statistical purposes, the prevalence difference, relative risk and absolute and relative indices of health inequality (Slope Index of Inequality-SII and Concentration Index-CIX) were used. Results The prevalence of untreated dental caries in primary dentition was 63.4%, 45.5% and 15.6%, in 1993, 2004 and 2015 cohorts, respectively. The prevalence of untreated dental caries was concentrated in the poorest quintile and lower maternal education group in both absolute (SII) and relative (CIX) measures of inequality, being characterized as a pro-poor event. A higher risk of untreated caries was found in the poorest quintile of family income compared with the richest quintile in the 1993 cohort (RR 1.44 [95% CI 1.05; 1.98]). That risk was higher considering the 2004 Cohort (RR 1.78 [95% CI 1.42; 2.23]) and 2015 cohort (RR 4.20 [95% CI 2.97; 5.94]) data. Conclusions Over the course of two decades, a higher prevalence of untreated dental caries is concentrated among the most socioeconomically deprived children.
A higher number of SARS-COV-2 infections in quilombola communities than in the local population in Brazil
(2023) MARTINS, Aline Fagundes; SOUZA, Daniela Raguer Valadao de; REZENDE NETO, Jose Melquiades de; SANTOS, Aryanne Araujo; INVENCAO, Grazielly Bispo da; MATOS, Igor Leonardo Santos; SANTOS, Kezia Alves dos; JESUS, Pamela Chaves de; SILVA, Francilene Amaral da; ALMEIDA, Fernando Henrique Oliveira de; VALE, Fernando Yuri Nery do; FONSECA, Dennyson Leandro M.; SCHIMKE, Lena F. F.; MATOS, Saulo Santos; OLIVEIRA, Brenda Morais; FERREIRA, Cyntia Silva; DIAS, Bruna de Paula; SANTOS, Samara Mayra Soares Alves dos; BARBOSA, Camila Cavadas; BARRETO, Ikaro Daniel de Carvalho; MORENO, Ana Karolina Mendes; GONCALVES, Ricardo Lemes; SILVA, Breno de Mello; CABRAL-MARQUES, Otavio; BORGES, Lysandro Pinto
The historical and social vulnerability of quilombola communities in Brazil can make them especially fragile in the face of COVID-19, considering that several individuals have precarious health systems and inadequate access to water. This work aimed to characterize the frequency of SARS-COV-2 infections and the presence of IgM and IgG SARS-CoV-2 antibodies in quilombola populations and their relationship with the presence of risk factors or preexisting chronic diseases in the quilombola communities. We analyzed the sociodemographic and clinical characteristics, serological status, comorbidities, and symptoms of 1,994 individuals (478 males and 1,536 females) from 18 Brazilian municipalities in the State of Sergipe of quilombola communities, which were evaluated at different epidemiological weeks, starting at the 32nd (August 6th) and ending at the 40th (October 3rd) epidemiological week. More than 70% of studied families live in rural areas and they have an extreme poverty social status. Although we found a higher number of SARS-COV-2 infections in quilombola communities than in the local population, their SARS-CoV-2 reactivity and IgM and IgG positivity varied across the communities investigated. Arterial hypertension was the most risk factor, being found in 27.8% of the individuals (9.5% in stage 1, 10.8% in stage 2, and 7.5% in stage 3). The most common COVID-19 symptoms and comorbidities were headache, runny nose, flu, and dyslipidemia. However, most individuals were asymptomatic (79.9%). Our data indicate that mass testing must be incorporated into public policy to improve the health care system available to quilombola populations during a future pandemic or epidemic.
Consumption of ultra-processed foods in Brazil: distribution and temporal evolution 2008-2018
(2023) LOUZADA, Maria Laura da Costa; CRUZ, Gabriela Lopes da; SILVA, Karina Augusta Aparecida Nogueira; GRASSI, Ana Giulia Forjaz; ANDRADE, Giovanna Calixto; RAUBER, Fernanda; LEVY, Renata Bertazzi; MONTEIRO, Carlos Augusto