|
1
|
Scholze AR, Alves JD, Berra TZ, Ramos ACV, Pieri FM, Pillon SC, Martins JT, Galdino MJQ, Melo EC, Delpino FM, Tártaro AF, Fronteira I, Arcêncio RA. Tuberculosis among People Living on the Street and Using Alcohol, Tobacco, and Illegal Drugs: Analysis of Territories in Extreme Vulnerability and Trends in Southern Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137721. [PMID: 35805377 PMCID: PMC9265499 DOI: 10.3390/ijerph19137721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 06/15/2022] [Accepted: 06/21/2022] [Indexed: 11/30/2022]
Abstract
(1) Background: Tuberculosis presents an epidemiological trend toward inequality, especially among people in social exclusion and situations of vulnerability. This study aimed to analyze territories with a concentration of people diagnosed with tuberculosis in a street situation and who partake in chronic use of alcohol, tobacco, and illicit drugs. We also analyzed trends in this health condition in southern Brazil. (2) Methods: Ecological study, developed in the 399 municipalities of Paraná, southern Brazil, with all tuberculosis cases in the homeless population registered in the Information System of Notifiable Diseases between 2014 and 2018. For data analysis, we used descriptive statistics, the Prais–Winsten autoregression method for the time series, and the Getis-Ord Gi technique* for spatial analysis. (3) Results: in total, 560 cases were reported. We found a predominance of alcohol, smoking, and illicit drug users, with an increasing trend in the state and clusters of spatial risk in the East health macro-region. (4) Conclusions: We observed territories with critical levels of highly vulnerable people who use psychoactive substances and are in a street situation. The results highlight the importance of incorporating public policies of social protection for these individuals and resolutive health services that receive these cases and assist in eradicating TB.
Collapse
Affiliation(s)
- Alessandro Rolim Scholze
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
- Correspondence: ; Tel.: +55-(43)-99602-8846
| | - Josilene Dália Alves
- Institute of Biological Sciences and Health, Federal University of Mato Grosso, Barra do Garças 78605-091, Brazil;
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Flávia Meneguetti Pieri
- Department of Nursing, State University of Londrina, Londrina 86057-970, Brazil; (F.M.P.); (J.T.M.)
| | - Sandra Cristina Pillon
- Department of Psychiatric Nursing and Human Sciences, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil;
| | - Júlia Trevisan Martins
- Department of Nursing, State University of Londrina, Londrina 86057-970, Brazil; (F.M.P.); (J.T.M.)
| | - Maria José Quina Galdino
- Department of Nursing, State University of Northern Paraná, Bandeirantes 86360-000, Brazil; (M.J.Q.G.); (E.C.M.)
| | - Emiliana Cristina Melo
- Department of Nursing, State University of Northern Paraná, Bandeirantes 86360-000, Brazil; (M.J.Q.G.); (E.C.M.)
| | - Felipe Mendes Delpino
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Ariela Fehr Tártaro
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Inês Fronteira
- Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, University Nova de Lisboa, 1349-008 Lisboa, Portugal;
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| |
Collapse
|
|
2
|
Faria FG, Siqueira-Batista R. Perspectivas acerca do cuidado com a saúde das pessoas em situação de rua. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2022. [DOI: 10.5712/rbmfc17(44)2548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Introdução: As pessoas em situação de rua (PSR) estão submetidas, cotidianamente, a significativos riscos, entre os quais se destacam aqueles atinentes à saúde. Objetivo: Discutir as principais questões relativas ao cuidado à saúde das PSR. Métodos: Realizou-se investigação teórica a partir da leitura e apreciação de textos e documentos atuais dirigidos ao tema, a fim de destacar (1) os conceitos chave apresentados e (2) a argumentação desenvolvida. Resultados e discussão: O caminho percorrido em tal empreitada considerou (1) a concepção de saúde-doença e as necessidades e demandas de saúde dessas populações, (2) as políticas públicas e o papel dos serviços na atenção à saúde da PSR e (3) o papel da Atenção Primária à Saúde (APSD), com ênfase no trabalho dos Consultórios na Rua. Conclusões: A sistematização reflexivo-crítica empreendida buscou a delimitação de elementos do aparato jurídico-social e ético-político que envolvem os processos de ampliação do cuidado de tais usuários.
Collapse
|