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Conceição HND, Gonçalves CFG, Mascarenhas MDM, Rodrigues MTP, Madeiro AP. Disrespect and abuse during childbirth and postpartum depression: a scoping review. CAD SAUDE PUBLICA 2023; 39:e00236922. [PMID: 37162118 PMCID: PMC10549977 DOI: 10.1590/0102-311xpt236922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 02/27/2023] [Accepted: 03/01/2023] [Indexed: 05/11/2023] Open
Abstract
This study aims to map, within the scientific literature, the relationship between disrespect and abuse during childbirth and the occurrence of postpartum depression. This is a scoping review designed in accordance with the recommendations of the Joanna Briggs Institute. The search was performed in Embase, LILACS, MEDLINE, PsycINFO, Web of Science, and in the CAPES Portal of Theses and Dissertations. We included studies that investigated the relationship between disrespect and abuse during childbirth with postpartum depression, considering cases diagnosed by physicians and by self-reports via validated scales, without restrictions regarding the year of publication and language. A total of 3,399 publications were identified and, after removing the duplicates and reading the title, abstracts, and the full-texts, seven articles were selected to integrate this review. Studies were published from 2017 onward, in four countries. Women who had experienced disrespect and abuse during childbirth were more likely to experience symptoms of postpartum depression. A standard terminology is necessary for disrespectful and abusive care during childbirth, as well as the elaboration of a measurement instrument that is universally accepted.
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Affiliation(s)
| | | | | | | | - Alberto Pereira Madeiro
- Programa de Pós-graduação em Saúde e Comunidade, Universidade Federal do Piauí, Teresina, Brasil
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Batista FMDA, Albuquerque LPDA, Dourado GDOL, Rodrigues MTP, Tajra FS, Marinelli NP. Mortality by suicide in Piauí, 2010 to 2018. Rev Enferm UFPI 2023. [DOI: 10.26694/reufpi.v11i1.2925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
Abstract
Objetivo: Descrever as características da mortalidade por suicídio no estado do Piauí, no período de 2010 a 2018. Métodos: Estudo transversal, realizado a partir dos registros de óbitos no Sistema de Informação sobre Mortalidade do Ministério da Saúde, cuja causa básica foi lesão autoprovocada intencionalmente. Os dados foram analisados por meio de estatística descritiva. Resultados: Foram notificados 2.261 óbitos por suicídio no Piauí, sendo que a maior parte ocorreu na faixa etária de 20 a 29 anos, nas regiões de saúde Entre Rios e Guaribas, por enforcamento ou intoxicação exógena. Nos homens, passou de 9,9/100 mil habitantes, em 2010, para 11,7/100 mil habitantes, em 2018. Em mulheres, a taxa de mortalidade foi mais acentuada, passando de 3,1/100 mil habitantes, em 2010, para 4,5/100 mil habitantes, em 2018. Conclusão: O suicídio é um problema de saúde pública no Piauí, sendo necessária a adoção de medidas efetivas para prevenção e controle.
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da Silva VR, Pacheco ES, Cardoso ODO, Lima LHDO, Rodrigues MTP, Mascarenhas MDM. Temporal trend of COVID-19 incidence and mortality rates and their relationship with socioeconomic indicators in the state of Piauí, Brazil: an ecological study, 2020-2021. Epidemiol Serv Saude 2022; 31:e20211150. [PMID: 36134850 PMCID: PMC9887968 DOI: 10.1590/s2237-96222022000200022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 07/08/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE To analyze the temporal trend of COVID-19 incidence and mortality rates and their relationship with socioeconomic indicators. METHODS This was an ecological time series study of COVID-19 cases/deaths in municipalities in Piauí, Brazil, between March, 2020 and May, 2021. Prais-Winsten linear regression model and Spearman's correlation test were used. RESULTS There were 271,228 cases and 5,888 deaths in the period. There was a rising trend in COVID-19 incidence rate, while the mortality trend was stable. The spatio-temporal analyses showed higher incidence/mortality in the second and fifth quarters of the period. There was no statistically significant correlation between COVID-19 and the Social Vulnerability Index (IVS). Significant correlations between the Municipal Human Development Index (IDHM) and COVID-19 incidence (p-value < 0.001) and mortality rates (p-value < 0.001) were found. CONCLUSION There was a rising trend in COVID-19 incidence and stability in COVID-19 mortality. Correlation between the MHDI and these two indicators was moderate and weak, respectively, demanding public service management decisions aimed at improving the population's quality of life.
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Affiliation(s)
| | - Edildete Sene Pacheco
- Universidade Federal do Piauí, Programa de Pós-Graduação em
Saúde e Comunidade, Teresina, PI, Brazil
| | - Osmar de Oliveira Cardoso
- Universidade Federal do Piauí, Programa de Pós-Graduação em
Saúde e Comunidade, Teresina, PI, Brazil
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Viana VAO, Madeiro AP, Mascarenhas MDM, Rodrigues MTP. Temporal trend of sexual violence against adolescent women in Brazil, 2011-2018. Cien Saude Colet 2022; 27:2363-2371. [PMID: 35649023 DOI: 10.1590/1413-81232022276.14992021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 11/03/2021] [Indexed: 11/21/2022] Open
Abstract
This study aimed to analyze the temporal trend of sexual violence (SV) reports against adolescent women in Brazil from 2011 to 2018. An ecological time series study was performed on reports of SV against women aged 10 to 19, which were available in the National Notifiable Diseases Reporting System (SINAN). Data were collected in 2020 but are related to reports filed from 2011 to 2018. The Prais-Winsten linear regression model was applied to analyze the time trend, including a calculation of the annual percentage variation (APC) and 95% confidence intervals (95%CI). We found a significant trend increase in all Brazilian regions. Although the rates in the Northern region are higher at the beginning and at the end of the analyzed time period, the reporting rates of the Southeast (APC 14.56%; 95%CI 7.98;21.54) and the South (APC 14.19%; 95%CI 6.56;22.36) showed a greater increase. The increase of SV reports in recent years shows how vulnerable adolescent women are to this type of violence, but also indicates greater improvement of violence surveillance systems. We conclude that both reporting systems and public policies aimed at tackling SV against women need to be further developed.
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Affiliation(s)
- Vera Alice Oliveira Viana
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim 2280, Centro. 64000-020 Teresina PI Brasil.
| | - Alberto Pereira Madeiro
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim 2280, Centro. 64000-020 Teresina PI Brasil.
| | - Márcio Dênis Medeiros Mascarenhas
- Programa de Pós-Graduação em Saúde e Comunidade, Centro de Inteligência e Agravos Tropicais, Emergentes e Negligenciados. Teresina PI Brasil
| | - Malvina Thaís Pacheco Rodrigues
- Programa de Pós-Graduação em Saúde e Comunidade, Centro de Inteligência e Agravos Tropicais, Emergentes e Negligenciados. Teresina PI Brasil
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Borges LKS, Nascimento FFD, Mascarenhas MDM, Rodrigues MTP. Coverage of food consumption assessment in children participating in the Healthy Growth Program - Brazil, 2015-2018. Cien Saude Colet 2022; 27:2317-2324. [PMID: 35649019 DOI: 10.1590/1413-81232022276.13822021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 09/08/2021] [Indexed: 11/22/2022] Open
Abstract
This study aimed to compare the prevalence of food consumption assessment coverage in children under 10 years old before and after the implementation of the Healthy Growth Program (HGP). In this sense, a cross-sectional study was conducted using data from 548 municipalities registered in the HGP and available in the Food and Nutritional Surveillance System of the Brazilian Ministry of Health. The food consumption assessment coverage indicator was analyzed per geographic regions, a Chi-square test was performed and the Prevalence Ratios (PR) and their respective 95% confidence intervals (95% CI) were estimated. Food consumption assessment coverage increased from 0.25% in 2015 to 1.78% in 2018 (PR=7.09; 95%CI 7.00;7.18). The Southern region showed the highest and the Midwestern region the lowest increase in food consumption coverage. Although food consumption assessment coverage has increased less than the five-percent target set by the HGP, there has been an improvement in monitoring the nutritional status of children, which requires developing actions that support mapping the food and nutritional scenario of children in Brazil.
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Affiliation(s)
- Luana Kelly Silva Borges
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí (UFPI). Av. Frei Serafim 2280, Centro (Sul). 64001-450 Teresina PI Brasil.
| | - Fernando Ferraz do Nascimento
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí (UFPI). Av. Frei Serafim 2280, Centro (Sul). 64001-450 Teresina PI Brasil.
| | - Márcio Dênis Medeiros Mascarenhas
- Centro de Inteligência em Agravos Tropicais, Emergentes e Negligenciados, Programa de Pós-Graduação em Saúde e Comunidade, UFPI. Teresina PI Brasil
| | - Malvina Thaís Pacheco Rodrigues
- Centro de Inteligência em Agravos Tropicais, Emergentes e Negligenciados, Programa de Pós-Graduação em Saúde e Comunidade, UFPI. Teresina PI Brasil
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Santana MDA, Leal ARDS, de Sousa RLT, Brandão Dos Santos LV, Mascarenhas MDM, Rodrigues MTP, Mendonça VJ. Epidemiological aspects of Chagas disease in the state of Piauí (Northeast Brazil) in the period 2010-2019. Acta Trop 2022; 228:106338. [PMID: 35114171 DOI: 10.1016/j.actatropica.2022.106338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 01/23/2022] [Accepted: 01/29/2022] [Indexed: 11/16/2022]
Abstract
Chagas disease (ChD), caused by the hemoflagellate protozoan Trypanosoma cruzi, is an important morbidity that affects approximately six million people in the American continent. T. cruzi parasites are mainly transmitted to human by the infected feces of blood-sucking triatomine insects. The persistent disease is endemic in many regions of South America, mostly affecting residents of rural areas. The aim of this study was to evaluate epidemiological aspects of ChD in the state of Pi-auí located in northeastern Brazil. This is an analytical cross-sectional study carried out from the collection of data of the Notifiable Diseases Information System (SINAN, in Portuguese, Sistema de Informações de Agravos de Notificação) of suspected and confirmed cases of acute ChD in the state of Piauí, in the period 2010-2019. Associations between T. cruzi positivity and the study variables were determined by the chi-square test or Fisher's exact test and were raised as prevalence ratios (PR) with 95% confidence interval. According to this survey, 517 suspected cases of acute ChD were reported in Piauí, with 70 cases (13.5%) confirmed. In 88.5% of confirmed cases, confirmation occurred by laboratory diagnosis. Most of the confirmed cases occurred in municipalities located in the semiarid region, with the municipality of São João do Piauí presenting the highest number of cases. Regarding sociodemographic data, females represent 55.7% of cases, people over 50 years of age (55.7%), being three cases in people up to 18 years of age, and less than 8 years of schooling (67.1%). 77.9% of confirmed cases had vector transmission as the probable form of infection. The data available in this study conclude that vectorial transmission of ChD in the state of Piauí remains active. This fact is corroborated by the number of notified and confirmed cases of acute ChD, requiring housing improvement programs and more effective epidemiological surveillance to control the transmission of the disease in the state.
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Affiliation(s)
- Maricélia de Aquino Santana
- Centro de Ciências da Saúde, Departamento de Parasitologia e Microbiologia, Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí Campus Ministro Petrônio Portella, Teresina, Piauí CEP 64049-550, Brazil
| | - Anangela Ravena da Silva Leal
- Departamento de Biologia Parasitária, Laboratório de Biologia Molecular e Doenças Endêmicas-LABIMDOE, Instituto Oswaldo Cruz (IOC/Fiocruz), Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro CEP 21040-900, Brazil
| | - Raimundo Leoberto Torres de Sousa
- Departamento de Biologia Parasitária, Laboratório de Biologia Molecular e Doenças Endêmicas-LABIMDOE, Instituto Oswaldo Cruz (IOC/Fiocruz), Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro CEP 21040-900, Brazil
| | - Luan Victor Brandão Dos Santos
- Centro de Ciências da Saúde, Departamento de Parasitologia e Microbiologia, Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí Campus Ministro Petrônio Portella, Teresina, Piauí CEP 64049-550, Brazil
| | - Márcio Denis Medeiros Mascarenhas
- Centro de Ciências da Saúde, Departamento de Medicina Comunitária, Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí Campus Ministro Petrônio Portella, Teresina, Piauí CEP 64049-550, Brazil; Centro de Inteligências em Agravos Tropicais e negligenciados, Teresina, Piauí, Brazil, CEP 64001-450
| | - Malvina Thaís Pacheco Rodrigues
- Centro de Ciências da Saúde, Departamento de Medicina Comunitária, Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí Campus Ministro Petrônio Portella, Teresina, Piauí CEP 64049-550, Brazil; Centro de Inteligências em Agravos Tropicais e negligenciados, Teresina, Piauí, Brazil, CEP 64001-450
| | - Vagner José Mendonça
- Centro de Ciências da Saúde, Departamento de Parasitologia e Microbiologia, Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí Campus Ministro Petrônio Portella, Teresina, Piauí CEP 64049-550, Brazil; Centro de Inteligências em Agravos Tropicais e negligenciados, Teresina, Piauí, Brazil, CEP 64001-450..
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Lima PVC, Rodrigues MTP, Mascarenhas MDM, Gomes KRO, Miranda CES, Frota KDMG. Prevalence and factors associated with violence against high school teachers in Teresina, Piauí, 2016: a cross-sectional study. Epidemiol Serv Saude 2020; 29:e2019159. [PMID: 32321049 DOI: 10.5123/s1679-49742020000100022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 12/15/2019] [Indexed: 11/02/2022] Open
Abstract
OBJECTIVE to analyze prevalence of violence against high school teachers and associated factors in Teresina, Piauí, Brazil. METHODS this was a cross-sectional study using convenience sampling. Data was collected in 2016 in public and private high schools, using a self-administered questionnaire. Prevalence ratios (PR) using Poisson regression and 95% confidence intervals (95%CI) were calculated. RESULTS 279 teachers participated, of whom 54.8% (95%CI 48.8;60.7) reported having suffered at least one type of violence. Verbal insults were most prevalent (39.4%; 95%CI 33.7;45.4), positively associated with public schools (PR=1.45; 95%CI 1.00;2.11) and with schools in the city's Eastern region (PR=1.85; 95%CI 1.17;2.93) and Southern region (PR=1.59; 95%CI 1.05;2.41). Sexual harassment was associated with males (PR=2.38; 95%CI 2.02;2.71). CONCLUSION violence against teachers was higher in public schools in poorer outskirt regions and regions with high indicators of urban violence.
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Sousa CMDS, Mascarenhas MDM, Gomes KRO, Rodrigues MTP, Miranda CES, Frota KDMG. Suicidal ideation and associated factors among high school adolescents. Rev Saude Publica 2020; 54:33. [PMID: 32236384 PMCID: PMC7100950 DOI: 10.11606/s1518-8787.2020054001637] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 08/09/2019] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To analyze the prevalence of suicidal ideation and its associated factors in school adolescents. METHODS Cross-sectional school-based study with 674 students from public and private schools in Teresina, Piauí, in 2016. Bivariate analysis was performed with the chi-square test and multiple analysis by the Poisson regression model to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). RESULTS The study participants were mostly female (56.7%), black (77.4%), who lived with their parents (85%), whose mothers had schooling greater than or equal to 8 years of schooling (68.8%), with family income greater than a minimum wage (58.3%), practitioners of some religion (86.8%) and coming from public school (64.7%). The prevalence of suicidal ideation was 7.9%. Higher frequency of suicidal ideation was reported among female students (10.2%). Suicidal ideation was statistically associated with students who reported not living with their parents (adjusted PR = 2.27; 95%CI 1.26–4.10; p < 0.05) and those who reported having suffered sexual violence by other students, teachers or school staff (adjusted PR = 3.40; 95%CI 1.80–6.44; p < 0.05), among which the prevalence of suicidal ideation was more than three times that observed among those who did not mention this type of violence. CONCLUSION The prevalence of suicidal ideation in school adolescents was associated with female students, who did not live with parents and have been victim of sexual violence at school. We recommend advising the school community and health professionals to identify signs of suicidal behavior, especially in those with suspicion or proof of the occurrence of sexual violence at school.
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Sousa RAD, Sousa CMDS, Silva FRSE, Rodrigues MTP, Cardoso ODO, Mascarenhas MDM. Tendência temporal e distribuição espacial da mortalidade por acidentes de trânsito no Piauí, 2000-2017. Epidemiol Serv Saúde 2020; 29:e2019558. [DOI: 10.1590/s1679-49742020000500005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 07/09/2020] [Indexed: 03/29/2023] Open
Abstract
Resumo Objetivo: Analisar a tendência temporal e a distribuição espacial da mortalidade por acidentes de trânsito (AT) no Piauí, de 2000 a 2017. Métodos: Estudo ecológico de séries temporais, com dados do Sistema de Informações sobre Mortalidade (SIM), referentes à mortalidade por AT em residentes do estado do Piauí, segundo sexo, faixa etária e município. Empregou-se regressão de Prais-Winsten. Resultados: Registraram-se 14.396 óbitos, com taxa de mortalidade por 100 mil habitantes de 13,9 em 2000 e 30,6 em 2017. Houve aumento significativo na taxa de mortalidade por AT (variação percentual anual [VPA] de 6,4% – IC95% 4,3;8,7), maior entre motociclistas (VPA=14,7% – IC95% 9,7;20,0) e entre ocupantes de veículos (VPA=15,2 – IC95% 10,5;20,2). Conclusão: Houve aumento significativo da mortalidade por AT no Piauí, principalmente de motociclistas e ocupantes de veículos. São necessárias ações para promover a segurança viária e prevenir mortes no trânsito.
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Leal MABF, Lima CEBD, Mascarenhas MDM, Rodrigues MTP, Paiva SSCD, Sousa CRDO, Veloso VR. Association between socio-demographic factors and cardiovascular health risk behaviors of Brazilian adolescents aged 13 to 17 years: data from the 2015 National School-Based Health Survey. Epidemiol Serv Saude 2019; 28:e2018315. [PMID: 31664366 DOI: 10.5123/s1679-49742019000300008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Accepted: 06/10/2019] [Indexed: 11/02/2022] Open
Abstract
OBJECTIVE to analyze association between sociodemographic factors and cardiovascular health risk behaviors of Brazilian adolescents aged 13-17 years. METHODS we used data on 10,926 adolescents from the 2015 National School-Based Health Survey (PeNSE) to verify associations between socio-demographic variables and consumption of unhealthy foods, insufficient physical activity, and experimentation with alcoholic beverages and cigarettes, using Poisson regression. RESULTS associations were found between consumption of candies, insufficient physical activity and experimentation with alcoholic beverages and the female sex ([PRa=1.37 - 95%CI 1.25;1.50], [PRa=1.32 - 95%CI 1.26;1.38] and [PRa=1.05 - 95%CI 1.00;1.10]); soda consumption with the male sex (PRa=1.17 - 95%CI 1.03;1.31) and higher maternal schooling (PRa=1.14 - 95%CI 1.01;1.31); cigarette experimentation with the male sex (PRa=1.12 - 95%CI 1.00;1.25), being 16-17 years old (PRa=1.51 - 95%CI 1.33;1.72), not living with father (PRa=1.36 - 95%CI 1.20;1.53) or mother (PRa=1.25 - 95%CI 1.13;1.37). CONCLUSION cardiovascular health risk behaviors influenced by sociodemographic characteristics should be taken into consideration in Brazilian adolescent health promotion.
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Affiliation(s)
| | | | | | | | | | | | - Vandoval Rodrigues Veloso
- Universidade Federal do Piauí, Programa de Pós-Graduação em Saúde e Comunidade, Teresina, PI, Brasil
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Gomes KRO, Miranda CES, Frota KDMG, Rodrigues MTP, Mascarenhas MDM, Araújo RSDRM, Araújo TME. Análise da situação de saúde no ensino médio: metodologia. Rev Epidemiol Control Infect 2019. [DOI: 10.17058/reci.v9i1.11873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Justificativa e Objetivos: Em tempos de escassez de financiamento para pesquisas no Brasil, o estudo transversal ganha importância por suas vantagens. O objetivo é analisar o delineamento de estudo sobre a situação de saúde de estudantes do ensino médio e analisar o currículo escolar quanto à abordagem de promoção de saúde. Métodos: Estudo transversal realizado em 24 escolas de Teresina-PI, das quais 12 públicas e 12 particulares. Os dados foram coletados no primeiro semestre de 2016 de 674 estudantes e 281 professores e dos projetos políticos pedagógicos das escolas. O município foi dividido em quatro áreas geográficas para distribuição das escolas elegíveis ao estudo, que foram organizadas em três portes, de modo a evitar aglomeração da amostra numa mesma área e porte. Seis escolas foram sorteadas para cada área, com uma de cada porte e tipo de gestão (pública e particular). Os dados de alunos e docentes foram coletados por questionários pré-testados. Também foram realizadas medidas antropométricas e de pressão arterial, colheita de sangue periférico e digital dos alunos. Resultados: Após recusa de 11 (1,61%) alunos, 434 alunos de escolas públicas e 240 de escolas particulares participaram do estudo; e 281 docentes. Conclusão: O delineamento transversal e as estratégias utilizadas se mostraram adequadas, gerando dados que permitirão o conhecimento de vários aspectos da situação de saúde de estudantes do ensino médio e da abordagem curricular sobre promoção da saúde nesse nível de ensino.
Descritores: Saúde escolar. Estudos transversais. Estudos epidemiológicos.
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Fonseca da Rocha A, Oliveira Gomes KR, Pacheco Rodrigues MT, Medeiros Mascarenhas MD, Lima Freire AL. Intenção de engravidar e amamentação: revisão integrativa. RBPS 2018. [DOI: 10.5020/18061230.2017.6960] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Santos MDJ, Mascarenhas MDM, Rodrigues MTP, Monteiro RA. Characterization of sexual violence against children and adolescents in school - Brazil, 2010-2014. Epidemiol Serv Saude 2018; 27:e2017059. [PMID: 29898164 DOI: 10.5123/s1679-49742018000200010] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 11/10/2017] [Indexed: 11/02/2022] Open
Abstract
OBJECTIVE to describe the reports of sexual violence against children and adolescents at school, in Brazil, from 2010 to 2014. METHODS a descriptive study on the characteristics of the victims, the event, the aggressor and the attendance among the records of compulsory notification of sexual violence against children (0-9 years) and adolescents (10-19 years) at school; we used data from the Notification of Injury Information System (Sinan). RESULTS 2,226 reports of sexual violence occurred at school, of which 1,546 (69.5%) were children and 680 (30.5%) were adolescents; the average age of the victims was 7.4 years and the median age was 6 years; prevalence of female victims (63.8%) and, most of the time, the aggressor was male (88.9%). CONCLUSION children and adolescents are exposed to sexual violence at school, a place that supposedly should guarantee protection, healthy development and safety for schoolchildren.
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Affiliation(s)
- Marconi de Jesus Santos
- Universidade Federal do Piauí, Programa de Pós-Graduação em Saúde e Comunidade, Teresina, PI, Brasil
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Savana Nascimento de Sousa L, Thaís Pacheco Rodrigues M, Dênis Medeiros Mascarenhas M, Roberta Vilarouca da Silva A. Conhecimento do enfermeiro sobre a prevenção do pé diabético: revisão integrativa da literatura. RBPS 2017. [DOI: 10.5020/18061230.2017.6602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Lima DBDS, Moreira TMM, Borges JWP, Rodrigues MTP. ASSOCIATION BETWEEN TREATMENT COMPLIANCE AND DIFFERENT TYPES OF CARDIOVASCULAR COMPLICATIONS IN ARTERIAL HYPERTENSION PATIENTS. Texto contexto - enferm 2016. [DOI: 10.1590/0104-07072016000560015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
ABSTRACT: This cross-sectional analytical study was carried out at 23 Family Health Centers in Fortaleza-CE, Brazil. The objective was to verify the link between anti-hypertension treatment compliance and the types of cardiovascular complications present in hypertensive patients. The sample was composed of 182 hypertensive patients registered in the Sistema de Gestão Clínica de Hipertensão Arterial e Diabetes Mellitus da Atenção Básica who accepted to answer and fill in a structured form and an instrument to assess compliance. Among the arterial hypertension patients questioned, 62.0% were women, 66.9% were elderly people, 52.2% were patients with a family income between 1.5 and four monthly minimum wages, 61.2% had between one and eight years of education and 60.4% lived in households with two to four people. The most frequent complications found were cerebrovascular accident (37.9%) followed by acute myocardial infarction (20.3%). Treatment compliance was present in 52.0% of patients and was associated to cerebrovascular accident (p<0.001; OR=3.048; 95%CI=1.633-5.681). The results obtained suggest the need for a behavioral change in hypertensive patients, adopting health promotion measures in order to prevent further cardiovascular complications.
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Rodrigues MTP, Moreira TMM, Andrade DFD. Elaboration and validation of instrument to assess adherence to hypertension treatment. Rev Saude Publica 2015; 48:232-40. [PMID: 24897044 PMCID: PMC4206136 DOI: 10.1590/s0034-8910.2014048005044] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2013] [Accepted: 11/29/2013] [Indexed: 05/28/2023] Open
Abstract
OBJECTIVE To elaborate and validate an instrument of adherence to treatment for
systemic arterial hypertension, based on Item Response Theory. METHODS The process of developing this instrument involved theoretical, empirical and
analytical procedures. The theoretical procedures included defining the
construct of adherence to systemic arterial hypertension treatment,
identifying areas involved and preparing the instrument. The instrument
underwent semantic and conceptual analysis by experts. The empirical
procedure involved the application of the instrument to 1,000 users with
systemic arterial hypertension treated at a referral center in Fortaleza,
CE, Northeastern Brazil, in 2012.. The analytical phase validated the
instrument through psychometric analysis and statistical procedures. The
Item Response Theory model used in the analysis was the Samejima Gradual
Response model. RESULTS Twelve of the 23 items of the original instrument were calibrated and
remained in the final version. Cronbach’s alpha coefficient (α) was
0.81. Items related to the use of medication when presenting symptoms and
the use of fat showed good performance as they were more capable of
discriminating individuals who adhered to treatment. To ever stop taking the
medication and the consumption of white meat showed less power of
discrimination. Items related to physical exercise and routinely following
the non-pharmacological treatment had most difficulty to respond. The
instrument was more suitable for measuring low adherence to hypertension
treatment than high. CONCLUSIONS The instrument proved to be an adequate tool to assess adherence to treatment
for systemic arterial hypertension since it manages to differentiate
individuals with high from those with low adherence. Its use could
facilitate the identification and verification of compliance to prescribed
therapy, besides allowing the establishment of goals to be achieved.
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de Santiago LM, Rodrigues MTP, de Oliveira Junior AD, Moreira TMM. [School Health Program implementation in Fortaleza-CE: performance of the Family Health Strategy staff]. Rev Bras Enferm 2014; 65:1026-9. [PMID: 23559183 DOI: 10.1590/s0034-71672012000600020] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Accepted: 09/04/2012] [Indexed: 11/22/2022] Open
Abstract
This work reports the experience of implementation of the School Health Program (PSE) by a team from the Family Health Strategy (FHS) in a public school in Fortaleza-CE, Brazil. The activities included conference about the deployment of the PSE with teachers and members of the FHS, workshops with students, clinical and dental assessment for adolescents and delivery of Booklets of Adolescent Health. The implementation of the PSE allowed health professionals to perceive their social role as educators and provided adolescents a greater contact with the staff from FHS. The rapprochement between the school and the FHS is crucial to help teenagers to transform scientific knowledge into healthy behaviors.
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Affiliation(s)
- Lindelvania Matias de Santiago
- Secretaria Municipal de Saúde de Fortaleza, Universidade Estadual do Ceará, Grupo de Pesquisa Epidemiologia, Cuidado em Cronicidades e Enfermagem, Fortaleza, CE, Brasil.
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Borges JWP, Moreira TMM, Rodrigues MTP, de Souza ACC, da Silva DB. [Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension]. Rev Esc Enferm USP 2013; 47:1077-83. [PMID: 24346446 DOI: 10.1590/s0080-623420130000500010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2012] [Accepted: 04/01/2013] [Indexed: 11/21/2022] Open
Abstract
The objective of the study was to validate the content of the dimensions that constituted nonadherence to treatment of arterial systemic hypertension. It was a methodological study of content validation. Initially an integrative review was conducted that demonstrated four dimensions of nonadherence: person, disease/treatment, health service, and environment. Definitions of these dimensions were evaluated by 17 professionals, who were specialists in the area, including: nurses, pharmacists and physicians. The Content Validity Index was calculated for each dimension (IVCi) and the set of the dimensions (IVCt), and the binomial test was conducted. The results permitted the validation of the dimensions with an IVCt of 0.88, demonstrating reasonable systematic comprehension of the phenomena of nonadherence.
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Rodrigues MTP, Moreira TMM, Vasconcelos AMD, Andrade DFD, Silva DBD, Barbetta PA. [Instrument to measure adherence in hypertensive patients: contribution of Item Response Theory]. Rev Saude Publica 2013; 47:523-30. [PMID: 24346565 DOI: 10.1590/s0034-8910.2013047004439] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2012] [Accepted: 12/09/2012] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze, by means of "Item Response Theory", an instrument to measure adherence to t treatment for hypertension. METHODS Analytical study with 406 hypertensive patients with associated complications seen in primary care in Fortaleza, CE, Northeastern Brazil, 2011 using "Item Response Theory". The stages were: dimensionality test, calibrating the items, processing data and creating a scale, analyzed using the gradual response model. A study of the dimensionality of the instrument was conducted by analyzing the polychoric correlation matrix and factor analysis of complete information. Multilog software was used to calibrate items and estimate the scores. RESULTS Items relating to drug therapy are the most directly related to adherence while those relating to drug-free therapy need to be reworked because they have less psychometric information and low discrimination. The independence of items, the small number of levels in the scale and low explained variance in the adjustment of the models show the main weaknesses of the instrument analyzed. The "Item Response Theory" proved to be a relevant analysis technique because it evaluated respondents for adherence to treatment for hypertension, the level of difficulty of the items and their ability to discriminate between individuals with different levels of adherence, which generates a greater amount of information. CONCLUSIONS The instrument analyzed is limited in measuring adherence to hypertension treatment, by analyzing the "Item Response Theory" of the item, and needs adjustment. The proper formulation of the items is important in order to accurately measure the desired latent trait.
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Borges JWP, Moreira TMM, Rodrigues MTP, Oliveira CJD. Utilização de questionários validados para mensurar a adesão ao tratamento da hipertensão arterial: uma revisão integrativa. Rev Esc Enferm USP 2012; 46:487-94. [DOI: 10.1590/s0080-62342012000200030] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2011] [Accepted: 07/26/2011] [Indexed: 11/22/2022] Open
Abstract
Este estudo teve como objetivo analisar na produção científica da saúde coletiva quais questionários validados estão sendo utilizados para avaliar a adesão ao tratamento da hipertensão. Trata-se de uma Revisão Integrativa realizada nas bases de dados SciELO, MEDLINE e LILACS. Foram selecionados nove estudos que utilizaram sete questionários: Teste de Moriski-Green, Cuestionário de Valoración de Adherencia, Cuestionário MBG, Questionário QAM-Q, Teste de Haynes, Escala de Conductas em Salud e Hill-Bone compliance Scale. Concluímos que a avaliação da adesão ao tratamento da hipertensão ainda é campo aberto para pesquisa, os diferentes instrumentos utilizados têm suas limitações e não há um método ideal.
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Rodrigues MTP, Mendes Sobrinho JADC. Obstáculos didáticos no cotidiano da prática pedagógica do enfermeiro professor. Rev Bras Enferm 2008; 61:435-40. [DOI: 10.1590/s0034-71672008000400006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2008] [Accepted: 07/31/2008] [Indexed: 11/22/2022] Open
Abstract
A docência universitária emerge como uma temática freqüentemente discutida no cenário educacional. Este artigo tem como objetivo investigar os obstáculos didáticos emergentes no cotidiano da prática pedagógica do enfermeiro professor do Curso de Graduação em Enfermagem da UESPI, com o intuito de subsidiar a elaboração de propostas de superação desses obstáculos. Trata-se de um estudo descritivo-interpretativo de abordagem qualitativa tendo como instrumentos de coleta de dados questionário e entrevista semi-estruturada e a análise dos dados a partir da análise de conteúdo. Pelas análises, evidencia-se que os obstáculos didáticos estão relacionados à pessoa do professor, aos alunos e à instituição. Assim, é proposto a implantação de um programa de formação continuada na perspectiva da ação-reflexão-ação como forma de superação dos obstáculos.
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Abstract
A docência universitária apresenta-se como uma temática importante em um momento de transformação no ensino de Enfermagem caracterizado por mudanças curriculares e metodológicas. Este trabalho objetivou refletir sobre a formação pedagógica do enfermeiro professor em virtude de adequar esta formação para atender as novas demandas educacionais da sociedade e que estão contempladas nas Diretrizes Curriculares do Curso de Graduação em Enfermagem. Trata-se de um estudo bibliográfico. A análise da literatura permite afirmar que para os enfermeiros professores formarem um enfermeiro apto a atuar em todas as dimensões do cuidado como promotor da saúde do cidadão, da família e da comunidade é necessária a formação pedagógica. Neste contexto, a prática reflexiva é apontada como referencial para o desenvolvimento da formação docente.
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Abstract
OBJETIVOS: caracterizar partos e nascidos vivos de mães residentes no município de Piripiri, Piauí, a partir de dados do Sistema de Informações sobre Nascidos Vivos. MÉTODOS: estudo de corte transversal, de abordagem quantitativa, com dados de 3636 nascimentos ocorridos no triênio 2000-2002. Analisaram-se as variáveis: local de nascimento, sexo e peso do recém-nascido, idade, estado civil e escolaridade da mãe, duração da gestação, tipo de parto e número de consultas de pré-natal. RESULTADOS: quase todos os partos ocorreram no âmbito hospitalar (99,6%). Houve predominância do sexo masculino (51,1%) e freqüência reduzida de baixo peso ao nascer (4,6%). Com relação às mães, observou-se 30% de adolescentes e 74,8% com menos de oito anos de estudo. Verificou-se variação na concentração de nascidos vivos a termo (95,6% em 2000 para 98,3% em 2002), partos vaginais (75,2% em 2000 para 77,5% em 2002) e consultas de pré-natal (78,1% em 2000 para 83,3% em 2002). CONCLUSÕES: o Sistema de Informações sobre Nascidos Vivos apresentou-se como instrumento disponível para o monitoramento da população materno-infantil em nível local. A redução no percentual de preenchimento da categoria "ignorado" no período analisado demonstrou melhoria da qualidade da informação.
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