This study explores one of the most interesting and least studied issues in Brazil: the consequences of complex and contradictory experiences by replacing the traditional drinks by cachaça, ...introduced through interethnic contact. Given the rarity of the study of Maxakali alcohol consumption in research, this study aims to understand, from the native's point of view, the negative aftereffect of alcohol consumption. Although anthropological studies emphasize functions of traditional and contemporary drinking as social "lubricants", social perceptions of the Maxakali highlight the problems of cachaça bought through interethnic contact. Symbols and meanings of these consequences were interpreted through their daily life histories, recorded by 21 leaders in focus group. Through the interethnic contact, some adaptations have occurred in the Maxakali alcohol use, with negative consequences for those who drink, their families, their villages and their community. In the world-of-life, these changes these changes can be seen through accidents, insults, marital disharmony, neglects, violent behavior, illness and death. This study's findings highlight the importance of producing comprehensive and in-depth knowledge in search of to identify vulnerable groups and to develop participatory solutions.
Healthy eating is one of the main themes of health promotion and source of journalistic information. The research analyzes the content of a popular Rio de Janeiro regional newspaper and the discourse ...of the collective subject of its journalists. With a quantitative, descriptive and exploratory methodology, it was observed that the paper focuses on the effects of specific foods and recommendations of the Dietary Guidelines for the Brazilian Population, and prioritizes information on in natura foods, to the detriment of the ultra-processed ones. There is, however, little room for commensality and predominance of the voice of experts. The journalists’ speech confirms the findings in the print and highlights that part of the texts analyzed is configured as service journalism with aspects related to health promotion.
A alimentação saudável é um dos principais temas da promoção da saúde e fonte de informação jornalística. A pesquisa analisa o conteúdo de jornal regional popular carioca e discurso do sujeito ...coletivo de suas jornalistas. Com metodologia quantiqualitativa, descritiva e exploratória, observou-se que o jornal dá foco aos efeitos de alimentos específicos e a recomendações do Guia Alimentar da População Brasileira e prioriza informações sobre alimentos in natura, em detrimento dos ultraprocessados. Há, porém, pouco espaço para a comensalidade e predominância da voz de especialistas. O discurso das jornalistas confirma os achados no impresso e destaca que parte dos textos analisados se configura como jornalismo de serviço com aspectos que se relacionam à promoção da saúde.
Healthy eating is one of the main themes of health promotion and source of journalistic information. The research analyzes the content of a popular Rio de Janeiro regional newspaper and the discourse of the collective subject of its journalists. With a quantitative, descriptive and exploratory methodology, it was observed that the paper focuses on the effects of specific foods and recommendations of the Dietary Guidelines for the Brazilian Population, and prioritizes information on in natura foods, to the detriment of the ultra-processed ones. There is, however, little room for commensality and predominance of the voice of experts. The journalists’ speech confirms the findings in the print and highlights that part of the texts analyzed is configured as service journalism with aspects related to health promotion.
La alimentación saludable es uno de los principales temas de la promoción de la salud y fuente de información periodística. La investigación analiza el contenido de periódico regional popular de Río de Janeiro y el discurso del sujeto colectivo de sus periodistas. Con metodología cuali-cuanitativa, descriptiva y exploratoria, se observó que el periódico se enfoca en los efectos de alimentos específicos y en recomendaciones de la Guía Alimentar de la Población Brasileña y prioriza informaciones sobre alimentos in natura, contra los ultra-procesados. No obstante, hay poco espacio para la comensalidad y la predominancia de la voz de especialistas. El discurso de las periodistas confirma los hallazgos en la impresión y destaca que parte de los textos analizados se configura como periodismo de servicio con aspectos que se relacionan con la promoción de la salud.
Suicides and suicide attempts are major public health problems, and coping strategies are hampered by insufficient or inadequate notifications. Data accuracy influences the formulation of public and ...mental health policies and suicide prevention strategies. The objective of this study was to analyze the completeness of self-harm and suicide records in the state of Pernambuco, Brazil, 2014-2016.
This is an evaluative study with a descriptive design. The data were collected from suicide attempt records from the Notifiable Diseases Information System and suicide records from the Mortality Information System. Probabilistic linkage was used to relate these databases, and the degree of completeness of the variables was calculated. Completeness was classified into the following categories: good (≥ 75.1%), regular (50.1%-75.0%), low (25.1%-50.0%), and very low (≤ 25.0%).
In the analyzed period, 1,404 notifications of self-harm were studied, with an overall mean completeness of 86.2%. In addition, 1,050 suicide records were analyzed, with an overall mean completeness of 95.8%. Most variables referring to suicide attempts had good completeness, with the exception of the variables "occupation" and "education." The completeness of all suicide-related variables was rated as good. After linkage, a significant improvement was observed in the degree of completeness of the variable "occupation".
The results of this study showed that the completeness of self-harm and suicide variables improved from the first to the last year. The integration of data from different information systems provides an opportunity to improve suicide prevention programs and the quality of available information. Continuous efforts to increase the completeness and reliability of suicide surveillance systems are fundamental to describe the epidemiological profile and, consequently, plan preventive actions, in addition to contributing to the development and reformulation of strategies aimed at reducing morbidity and mortality related to suicidal behavior.
Abstract Objective: To analyze the phenomenon of judicialization for health mediation and prevention of judicial demands. Methods: Exploratory and explanatory mixed study, from 2017 to 2018, with a ...non-probabilistic sample. We used two structured interview scripts, one to the municipal health secretaries and another to the judges from the Public Treasury of the Brazilian territory. In common, the meaning of judicialization and mechanisms for resolution. For the 162 secretaries: reasons for the judicialization, alternatives for resolution and more demanded inputs; for the 40 judges, the legal basis. Results: 77.5% of the judges resorted to support in the legal actions; 77.5% of the districts do not count on mediation of sanitary conflicts; 65.4% of the municipalities have a group for mediation. The annual expense with the judicialization varies from less than R$ 100 thousand to more than one million. Conclusion: Despite the support for decisions and mediation groups, the judicialization of health centers enlarge courts and has an impact on the budget of municipalities and commit itself to the actions in primary health care.
Resumen Objetivo: Analizar el fenómeno de la judicialización para la mediación sanitaria y prevención de las demandas judiciales. Métodos: Estudio cualitativo cuantitativo exploratorio y explicativo, de 2017 a 2018, con muestra no probabilística. Se utilizaron dos guiones de entrevistas estructuradas, uno para los secretarios municipales de salud y otro para los jueces de Varas de Hacienda Pública del territorio brasileño. En común, el significado de la judicialización y los mecanismos de resolución. Para los 162 secretarios: razones de la judicialización, alternativas de resolución e insumos más demandados; para los 40 jueces, el fundamento jurídico. Resultados: 77,5% de los jueces recurrieron a apoyo en las acciones judicializadas; 77,5% de las comarcas no cuentan con mediación de conflictos sanitarios; 65,4% de los municipios cuentan con un grupo para mediación. El gasto anual con la judicialización varía de menos de R$ 100 mil a más de un millón. Conclusión: A pesar del apoyo a las decisiones y grupos de mediación, la judicialización de la salud acumula tribunales e impacta en el presupuesto de los municipios y comprometen sus acciones en la atención básica a la salud.
Resumo Objetivo: Analisar o fenômeno da judicialização para a mediação sanitária e prevenção das demandas judiciais. Métodos: Estudo qualiquantitativo exploratório e explicativo, de 2017 a 2018, com amostra não probabilística. Utilizou-se dois roteiros de entrevistas estruturados, um para os secretários municipais de saúde e outro para os juízes de Varas de Fazenda Pública do território brasileiro. Em comum, o significado da judicialização e mecanismos de resolução. Para os 162 secretários: razões da judicialização, alternativas de resolução e insumos mais demandados; para os 40 juízes, o embasamento jurídico. Resultados: 77,5% dos juízes recorreram a apoio nas ações judicializadas; 77,5% das comarcas não contam com mediação de conflitos sanitários; 65,4% dos municípios contam com grupo para mediação. O gasto anual com a judicialização varia de menos de R$ 100 mil a mais de um milhão. Conclusão: Apesar do apoio às decisões e grupos de mediação, a judicialização da saúde avoluma tribunais, impacta no orçamento dos municípios e compromete-se com as ações na atenção básica à saúde.
O estudo identifica discursos e vozes sobre saude da mulher no que se refere a sua alimentacao, por meio de pesquisa qualitativa utilizando o metodo de analise do discurso jornalistico do impresso ...Folha de Sao Paulo. A partir da selecao dos textos sobre saude, saude da mulher e alimentacao, publicados ao longo do ano de 2013, a amostra resultou em sete textos jornalisticos, nos quais foram identificadas predominantemente vozes provenientes do universo cientifico relacionadas a pesquisas, citacao de periodicos, associacoes cientificas e falas de profissionais da saude e pesquisadores. Entretanto, as falas de cidadas comuns pouco apareceram na amostra analisada. Nos conteudos predominaram o discurso relacionado ao risco a saude e sua relacao com a pratica alimentar, nutricional ou de suplementacao, como tambem a gravidez e/ou ao tipo de parto; a saude como mercadoria associada a produtos ou procedimentos, como dietas, suplementos alimentares, medicamentos e cirurgia bariatrica, sem espaco para a promocao da saude e alimentacao saudavel.
This study analyses the content production about arboviruses on the fan page of the Brazilian Ministry of Health before, during and after the Zika virus epidemic. It uses a mixed methods study that ...comprises the content analysis released from 2015 to 2017 and the Collective Subject Discourse of the workers who produced the contents. The results show that 649 out of 5,732 posts collected addressed arboviruses, with a greater focus on prevention and Zika. The Brazilian National Health System (SUS) was found in a small part of the sample. There is a concern to inform about health with quality, but differences in the specialist’s language and timing between what is published online and what is conveyed to technical health services cause communication noise. It is a transmissional discourse, with no dialogue with the population, underestimating the potential of social media for interaction, sharing and engagement.
A pesquisa analisa a produção de conteúdos sobre arboviroses na fanpage do Ministério da Saúde do Brasil antes, durante e após a epidemia de Zika vírus, com estudo de métodos mistos englobando análise do conteúdo divulgado entre 2015 e 2017 e o Discurso do Sujeito Coletivo (DSC) dos trabalhadores que produziam os conteúdos. Dos 5.732 posts coletados, 649 deles eram sobre arboviroses, com enfoque maior relacionado à prevenção e à Zika. O Sistema Único de Saúde (SUS) aparece em pequena parte da amostra. Há preocupação em comunicar saúde com qualidade e respaldo técnico, mas diferenças na linguagem do especialista e no timming entre o que é publicado on-line e o repassado aos serviços de saúde ocasionam ruídos. O discurso é transmissional, apresentando ausência de diálogo com a população, subestimando o potencial que a rede social tem para interação, compartilhamento e engajamento.
La investigación analiza la producción de contenidos sobre arbovirosis en la fanpage del Ministerio de Salud de Brasil antes, durante y después de la epidemia de Zika virus, con estudio de métodos mixtos englobando análisis del contenido divulgado entre 2015 y 2017 y el discurso del sujeto colectivo de los trabajadores que producían los contenidos. De los 5.732 posts colectados, 649 eran sobre arbovirosis, en un enfoque mayor relacionado a la prevención y al Zika. El Sistema Único de Salud aparece en una pequeña parte de la muestra. Existe la preocupación de comunicar salud con calidad y respaldo técnico, pero diferencias en el lenguaje del especialista y en el timing entre lo que se publica online y lo que se traspasa a los servicios de salud causan ruidos. El discurso es de transmisión, con ausencia de diálogo con la población, subestimando el potencial que la red social tiene para la interacción, compartición y compromiso.
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