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Ryngelblum M, Grangeiro A, Zucchi EM, Couto MT, Dourado I, Magno L, Tupinambás U, Peres MFT. Violence, discrimination, and sexual health practices among adolescent men who have sex with men, transgender women and travestis in three cities in Brazil. CAD SAUDE PUBLICA 2023; 39Suppl 1:e00142922. [PMID: 38088647 PMCID: PMC10712915 DOI: 10.1590/0102-311xen142922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 04/20/2023] [Accepted: 05/04/2023] [Indexed: 12/18/2023] Open
Abstract
The HIV epidemic has a disproportionate impact on adolescent and young men who have sex with men (AMSM) and transgender women and travestis (ATGW), with an increased HIV prevalence over the last 10 years. Violence affects the lives of these populations, undermining their ability to self-care and making them more vulnerable to HIV infection. In this study, we aimed to examine the association between different types of victimization by violence and discrimination and sexual health practices of these adolescent populations in steady and casual relationships. We conducted a cross-sectional study using baseline data from the cohort of PrEP1519 project. We used the mean score of sexual health practices as our outcome and the cumulative score of discrimination (within family, community, education, religious, online and public spaces) and violence (physical, sexual and intimate partner) as our exposure variable. We performed linear regression analyses to estimate the association between exposure and outcome. We found that 90% of AMSM and 95% of ATGW experienced at least one form of violence in the three months prior to this study and about 45% of ATGW suffered sexual violence during the same period. Experiencing discrimination within healthcare settings (from facilities or providers) was negatively associated with sexual health practices. Discrimination and violence negatively affect sexual health practices. HIV prevention and care of AMSM and ATGW people should involve listening to their experiences and addressing discrimination and violence in this population.
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Affiliation(s)
| | | | - Eliana Miura Zucchi
- Programa de Pós-graduação em Saúde Coletiva, Universidade Católica de Santos, Santos, Brasil
| | | | - Ines Dourado
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
| | - Laio Magno
- Departamento de Ciências da Vida, Universidade do Estado da Bahia, Salvador, Brasil
| | - Unaí Tupinambás
- Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Silva LRCD, Diógenes SDS, Meneses MN, Arjona FBS, Arruda CAM, Teixeira ACDA, Pessoa VM, Carneiro FF. Popular Health, Environmental and Occupational Surveillance: an integrative literature review. CIENCIA & SAUDE COLETIVA 2023; 28:2565-2582. [PMID: 37672447 DOI: 10.1590/1413-81232023289.13142022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 01/10/2023] [Indexed: 09/08/2023] Open
Abstract
The objective is to identify concepts, experiences, methods, and techniques in Popular Health, Environmental and Occupational Surveillance (VPSAT). This is an integrative review that used the descriptors: Community Participation, Public Health Surveillance, Environmental Health, and Occupational Health, using five databases: Virtual Health Library, EBSCOhost, Embase, Scopus and Web of Science. The review selected 15 studies, based on the inclusion criteria: surveillance experiences with community protagonism; and exclusion criteria: research without primary data and developed only by the health service. The theoretical and methodological bases of the studies were identified as citizen science, popular education, and environmental justice; experiences such as participatory mapping and monitoring; methods such as action research, 'do-it-yourself', and community-based research; and techniques such as "Photovoice" and Community Journal. Low-income urban communities, indigenous peoples, young individuals, and workers stand out as the protagonists. The recognition of the VPSAT as an important source of data and intervention by public health systems and academia contributes to making health surveillance more dialogic and effective.
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de Brito ES, Knauth DR, Brand ÉM, Calvo KDS, Vigo Á, Pilecco FB, Machado FV, de Teixeira MA, de Almeida FM, Hentges B, Silva DL, Teixeira LB. Factors Associated with HIV and Vulnerability Contexts for Women in Brazil. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:3247-3256. [PMID: 33864176 DOI: 10.1007/s10508-021-01960-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 01/31/2021] [Accepted: 02/13/2021] [Indexed: 06/12/2023]
Abstract
The purpose of this study was to identify factors associated with HIV and vulnerability contexts for women in Porto Alegre, Brazil. The participants were 1326 women recruited by complex sampling design, divided into two groups: 640 women with HIV (WLH) and 686 women who did not have HIV (WNLH). Gross and weighted statistical analyses were performed. Logistic regression models were used to estimate the odds ratio (OR) for 12 variables. The main results demonstrated that WLH had lower income (p < .001) and poorer education (p = .038), and few used condoms during their first sexual intercourse (p < .001). The occurrence of HIV was higher among the black population (p < .001). Sex in exchange for money (p < .001) and sexually transmitted infections (p < .001) were more frequent among WLH than among WNLH. The age of sexual debut and age difference from the partner at first sexual intercourse (FSI) were not associated with the outcome. The high percentage of non-use of condoms during the FSI shows how vulnerable individuals are right at the beginning of their sexual lives. More effective prevention strategies can be developed by nurses in view of the contexts of vulnerability surrounding women.
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Affiliation(s)
- Emerson Silveira de Brito
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
| | - Daniela Riva Knauth
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Évelin Maria Brand
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
| | - Karen da Silva Calvo
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
- School of Nursing, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Álvaro Vigo
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Flávia Bulegon Pilecco
- Department of Preventive and Social Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Frederico Viana Machado
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
| | - Marsam Alves de Teixeira
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
| | - Franciele Moletta de Almeida
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil
| | - Bruna Hentges
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Danielle Lodi Silva
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Luciana Barcellos Teixeira
- Department of Collective Health, School of Nursing, Federal University of Rio Grande do Sul, 90620-110, Porto Alegre, Brazil.
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
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Schmitz ÉPCR, Silva ECD, Lins Filho ODL, Antunes MMDC, Brandt KG. Blenderized tube feeding for children: an integrative review. REVISTA PAULISTA DE PEDIATRIA 2021; 40:e2020419. [PMID: 34495278 PMCID: PMC8431998 DOI: 10.1590/1984-0462/2022/40/2020419] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 01/29/2021] [Indexed: 01/13/2023]
Abstract
OBJECTIVE To analyze scientific evidence on the use of blenderized tube feeding in children regarding nutritional composition, family satisfaction, and health outcomes. DATA SOURCE Survey was conducted in the PubMed, Scopus, Embase, and Virtual Health Library (VHL) databases using the following search terms: blenderized tube feeding OR blended tube feeding OR homemade OR pureed AND enteral nutrition AND enteral tube. The methodological quality of the selected articles was evaluated using the Critical Appraisal Skill Programme and Hierarchical Classification of Evidence. DATA SYNTHESIS After analysis, 11 articles were included in the present review. Most studies demonstrated improvements in health outcomes and greater family satisfaction after replacing the commercial enteral feeding with blenderized tube feeding. CONCLUSIONS When guided and monitored by the healthcare team, a blenderized tube feeding ensures an adequate nutritional composition. The use of this method is also associated with positive health outcomes such as reductions in gastrointestinal symptoms and hospitalizations. Moreover, a high frequency of family satisfaction was verified.
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de Oliveira Gondim ITG, de Souza CDCB, Rodrigues MAB, Azevedo IM, de Sales Coriolano MDGW, Lins OG. Portable accelerometers for the evaluation of spatio-temporal gait parameters in people with Parkinson's disease: an integrative review. Arch Gerontol Geriatr 2020; 90:104097. [PMID: 32531644 DOI: 10.1016/j.archger.2020.104097] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 04/28/2020] [Accepted: 05/04/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The progression of Parkinson's disease causes an increase in motor dysfunctions, which makes it necessary to evaluate and monitor these changes. This integrative review aimed to gather studies - without any language restrictions - on the use, advantages and disadvantages of portable accelerometers for the evaluation of spatio-temporal gait parameters in people with Parkinson's disease published between 2014 and 2019. METHODS Articles were selected from the PubMed, Web of Science and Science Direct databases by combining descriptors from the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) - "accelerometry", "accelerometer", "ActiGraph", "gait", "gait analysis", "gait rehabilitation", "walking inertial sensors", "Parkinson disease", "Parkinson" and "Parkinson's disease" - using OR and AND. The adapted Critical Appraisal Skill Program was used to analyze the methodological quality. RESULTS All the studies used portable wearable and wireless triaxial accelerometers. Among all types of accelerometers discussed, commercial wearable devices not based on smartphones and prototypes of wearable devices based and not based on smartphones can be pointed out. There was no standardization for the protocols of use, but the sensors were more often attached to the lower back (L3/L4/L5 vertebrae). The advantages included lower cost, possibility of use in outdoor environments and less complexity of data reading for non-specialized users. However, they still seem to show reduced precision and accuracy. CONCLUSIONS Due to the still insufficient number of articles published on the subject, we consider the need for further research, which should detail protocols of evaluation, advantages and disadvantages in stages of disease.
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Affiliation(s)
- Ihana Thaís Guerra de Oliveira Gondim
- Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco, Avenida da Engenharia, S/N, Prédio dos Programas de Pós-Graduação do Centro de Ciências da Saúde, Cidade Universitária, Recife, PE, CEP 50740-600, Brazil.
| | - Caroline de Cássia Batista de Souza
- Programa de Pós-Graduação em Engenharia Biomédica, Universidade Federal de Pernambuco, Av. da Arquitetura, s/nº - Cidade Universitária, Prédio da Coordenação da Área II, Recife, PE, CEP: 50.740-550, Brazil
| | - Marco Aurélio Benedetti Rodrigues
- Programa de Pós-Graduação em Engenharia Biomédica, Universidade Federal de Pernambuco, Av. da Arquitetura, s/nº - Cidade Universitária, Prédio da Coordenação da Área II, Recife, PE, CEP: 50.740-550, Brazil
| | - Izaura Muniz Azevedo
- Programa de Pós-Graduação em Gerontologia, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego S/N, Cidade Universitária, Recife, PE, CEP: 50.739.970, Brazil
| | | | - Otávio Gomes Lins
- Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco, Avenida da Engenharia, S/N, Prédio dos Programas de Pós-Graduação do Centro de Ciências da Saúde, Cidade Universitária, Recife, PE, CEP 50740-600, Brazil
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Freitas BHBMD, Silva FBE, Jesus JMFD, Alencastro MAB. Leprosy educational practices with adolescents: an integrative literature review. Rev Bras Enferm 2019; 72:1397-1404. [DOI: 10.1590/0034-7167-2017-0458] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 06/08/2018] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objectives: to identify scientific evidence in the literature regarding educational actions on leprosy developed with adolescents. Method: an integrative review of the literature, with the following research question: what are the leprosy educational practices currently being developed with adolescents? The search was performed in the following databases: MEDLINE, Scopus, LILACS, CINAHL, BVS Hanseníase and other sources, using “adolescent”; “leprosy”; “health education”; “public health”, and “public health practice” as keywords. Results: the sample was comprised of nine studies. Leprosy educational practices with adolescents verifiably promote change in knowledge when they are based on constructivist methodologies. The nurse is recognized as a professional with potential for developing these educational practices. Final considerations: actions for leprosy education with adolescents do lead to changes in knowledge, but new research is needed to evaluate their effectiveness in further improving this knowledge as well as changing behaviors and practices.
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Petry S, Padilha MI, Kuhnen AE, Meirelles BHS. Knowledge of nursing student on the prevention of sexually transmitted infections. Rev Bras Enferm 2019; 72:1145-1152. [PMID: 31531634 DOI: 10.1590/0034-7167-2017-0801] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Accepted: 04/08/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To identify the knowledge and self-care actions taken by nursing undergraduate students of a Federal University of the South of Brazil, against Sexually Transmitted Infections. METHOD Exploratory qualitative study, conducted 40 interviews with undergraduate students at the beginning and end of the course. The analysis was thematic, resulting in three categories. RESULTS Knowledge about the subject is a decisive factor for self-care, and the more knowledge, the greater the prevention. The dissemination of knowledge of students at the end of the course not only influences self-care but also health promotion in the social sphere. FINAL CONSIDERATIONS Knowledge is important in self-care and caring for others. The dissemination of knowledge becomes evident according to the complexity of the course. Stable relationships may interfere with the use or disuse of condoms in sexual relationships, a misnomer present in today's society.
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Affiliation(s)
- Stéfany Petry
- Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
| | | | - Adriana Eich Kuhnen
- Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
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Curi DSC, Figueiredo ACL, Jamelli SR. Factors associated with the utilization of dental health services by the pediatric population: an integrative review. CIENCIA & SAUDE COLETIVA 2018; 23:1561-1576. [PMID: 29768610 DOI: 10.1590/1413-81232018235.20422016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 09/07/2016] [Indexed: 11/21/2022] Open
Abstract
This integrative literature review aimed to analyze studies about factors associated with the utilization of dental health services by the pediatric population between zero and 15 years old, published between 2006 and 2016 and available in Portuguese, English or Spanish. A survey of articles in the Lilacs and Medline databases was carried out, using the search strategy: ("dental care/utilization" OR "dental health services/utilization") AND ("child" OR "child, preschool") AND NOT adult. To analyze the methodological quality, the adapted Critical Appraisal Skill Programme (CASP) and the Agency for Healthcare and Research and Quality (AHRQ) were used. The following predictors of use of dental health services stood out: factors associated with children or adolescents (age, frequency of tooth brushing, chronic conditions), caregivers (schooling, perception of child's dental health, perceived oral health needs), dentists (availability at night and on the weekends) and follow up of oral health by the family health team. These are inherent factors for the planning of oral health policies or programs for the pediatric population. However, these factors vary according to the context, and therefore, a contextual analysis should be conducted.
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Affiliation(s)
- Davi Silva Carvalho Curi
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE
| | | | - Silvia Regina Jamelli
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE
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Aguiar RB, Leal MCC, Marques APDO, Torres KMS, Tavares MTDB. [Elderly people living with HIV - behavior and knowledge about sexuality: an integrative review]. CIENCIA & SAUDE COLETIVA 2018; 25:575-584. [PMID: 32022197 DOI: 10.1590/1413-81232020252.12052018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Accepted: 06/25/2018] [Indexed: 11/22/2022] Open
Abstract
The scope of this study was to identify and analyze the scientific production on behavior and knowledge about the sexuality of elderly people living with HIV. An integrative review of scientific articles indexed in the Lilacs, IBECS, Medline, BDENF, PubMed and Scopus (Elsevier) databases was conducted, considering publications from January 2007 to December 2016, using the following key words: knowledge, behavior, sexuality, Elderly, HIV/AIDS. Of the 1493 articles located, 11 were included because they met the inclusion criteria and were analyzed through two instruments: Critical Appraisal Skill Program (CASP) and Agency for Healthcare and Research and Quality (AHRQ). The data suggest that HIV-positive elderly people are sexually active and are involved in risk behaviors of virus transmission. It transpires that there is a limited scientific production regarding the behavior and knowledge about sexuality among elderly people living with HIV. The conclusion drawn is that the study may contribute to the improvement of public health policies that promote the approach on sexuality among elderly people, as well as the emergence of new questions regarding this issue.
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Affiliation(s)
- Rosaline Bezerra Aguiar
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.
| | - Márcia Carréra Campos Leal
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.
| | - Ana Paula de Oliveira Marques
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.
| | - Kydja Milene Souza Torres
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.
| | - Maria Tereza Dantas Bezerra Tavares
- Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.
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Genz N, Meincke SMK, Carret MLV, Corrêa ACL, Alves CN. SEXUALLY TRANSMITTED DISEASES: KNOWLEDGE AND SEXUAL BEHAVIOR OF ADOLESCENTS. TEXTO & CONTEXTO ENFERMAGEM 2017. [DOI: 10.1590/0104-07072017005100015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to evaluate the sexual knowledge and behavior of adolescents about Sexually Transmitted Diseases. Method: a descriptive, observational and quantitative study with a convenience sample of 532 adolescents aged between 10 and 19 years old. An individual questionnaire on sexually transmitted diseases was applied. The STATA 11.1 program was used for data analysis. Results: 89.2% of the teenage girls and 90.3% of the teenage boys were able to properly define the concept of a STD. Condom use is the most efficient method for STD prevention for 98.5% of the girls and 98.9% of the boys. However, 37.1% of the girls and 30.5% of the boys mentioned the use of contraceptives as a preventive method for sexually transmitted diseases. Conclusion: it is important to carry out educational actions together with schools on topics such as sexuality and reproductive health.
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Abstract
There are several studies on the best way to raise a child, ie, what would be the consequences of our actions for our children. We tend to think of how to educate children in a traditional family, but society has undergone many changes and, hence, family structures have undergone changes too. Today, we find a large number of stepfamilies facing the same issues concerning how to educate a child. Stepfamily configuration often entails more than just the addition of a new parent figure. The objective of this study was to shed some light on how these stepfamilies deal with issues of parenting style and practices. We reviewed the Brazilian and international literature concerning parenting styles and practices in stepfamilies. The papers identified were organized and submitted to analysis. We identified very few papers addressing parenting styles and practices, pointing to an important but unaddressed social change as reflected in new family structures. There is a need for longitudinal studies aimed at understanding not only a particular moment in time, but also moments within a context, ie, an analysis with a holistic approach without preconceived ideas.
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Affiliation(s)
- Cynthia Cassoni
- Graduate School in Psychology, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP Brazil
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Nichiata LYI, Bertolozzi MR, Gryschek ALPL, Araújo NVDLD, Padoveze MC, Ciosak SI, Takahashi RF. The potential of the concept of vulnerability in understanding transmissible diseases. Rev Esc Enferm USP 2011; 45 Spec No 2:1769-73. [PMID: 22569670 DOI: 10.1590/s0080-62342011000800023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Accepted: 11/29/2011] [Indexed: 11/22/2022] Open
Abstract
This article presents the evolution and the contribution of the scientific production related to the concept of vulnerability and its potential to help studying transmissible diseases. It presents the concept of vulnerability and the production of knowledge in nursing, developed particularly by the CNPq Research Group Vulnerability, Adherence, and Health Needs. The purpose is to improve the understanding of health issues, based on this concept, and permit the proposition of coping interventions that surpass the individual domain, thus contemplating the organization of health care work and the social determination of the health-disease process.
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Affiliation(s)
- Lúcia Yasuko Izumi Nichiata
- Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP,
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