Mestrado em Saúde Coletiva

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Acesso aos serviços odontológicos por mulheres no município de Vtória-ES no contexto da pandemia de Covid-19
(Universidade Federal do Espírito Santo, 2025-12.12) Morigaki, Larissa Hitomi; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; Esposti, Carolina Dutra Deoli; https://orcid.org/0000-0001-8102-7771; https://lattes.cnpq.br/; https://orcid.org/0009-0009-8216-5127; http://lattes.cnpq.br/8338243093786963; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; Martinelli, Katrini Guidolini; https://orcid.org/0000-0003-0894-3241; http://lattes.cnpq.br/7493606113282545; Soares, Gabriele Barreto; https://orcid.org/0000-0003-1382-9339; http://lattes.cnpq.br/8931962961946308; Santos Neto, Edson Theodoro dos Santos; https://orcid.org/0000-0002-7351-7719; http://lattes.cnpq.br/5430137427291413; Lucena, Edson Hilan Gomes de; https://orcid.org/0000-0003-3431-115X; http://lattes.cnpq.br/7047172432384185
he study aimed to analyze access to dental services among women in the context of COVID-19. This was a population-based cross-sectional study including 1,083 women aged 18 years or older, residing in Vitória, Espírito Santo, Brazil. The dependent variables were lack of access to and utilization of dental services, while the independent variables included race/skin color, age, education level, economic class, and possession of a dental insurance plan. Bivariate analyses were performed using the chi-square test, and adjusted analyses were conducted using Poisson regression with robust variance, adopting a 5% significance level. Although only 10.6% of the sample reported lack of access, Black and Brown women and those from less advantaged economic classes showed substantially higher prevalence of lack of access. Possession of a dental insurance plan proved to be protective, reducing lack of access by 70%. No association was observed between demographic and socioeconomic characteristics, dental insurance coverage, and utilization. In the description of utilization, there was a predominance of private services, out-of-pocket payments, and the COVID-19 pandemic as the main barrier to care, regardless of dental insurance coverage. This study helps fill gaps regarding barriers to women’s access to dental services in the context of a public health emergency, providing evidence to support public policies that incorporate gender-specific considerations in service planning.
Análise do percurso terapêutico de idosos portadores de catarata: pesquisa nacional de saúde, Brasil, 2019
(Universidade Federal do Espírito Santo, 2025-10-17) Coelho, Roberta Goltara; Sarti, Thiago Dias; https://orcid.org/ 0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/ 0000-0003-4347-0531; http://lattes.cnpq.br/8188728500963658; Rocha, Erika Maria Sampaio; https://orcid.org/ 0000-0003-4347-0531; http://lattes.cnpq.br/6148133355428388; Almeida, Ana Paula Santana Coelho; https://orcid.org/ 0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190
Introduction: Cataracts are the leading cause of reversible blindness and represent a major public health challenge in Brazil. Associated with population aging and social inequalities, the disease affects millions of people and has a significant impact on the Unified Health System (SUS). There is a scarcity of national analyses focusing on the therapeutic itinerary (care pathway) for individuals with cataracts. This gap can be addressed using data from the 2019 National Health Survey (PNS). Such analyses can contribute to identifying the magnitude of the condition and the differences in access to diagnosis and surgical treatment in Brazil. Objectives: To determine the prevalence of cataract diagnosis and associated factors, as well as the indication and effective performance of corrective surgery among Brazilian residents aged 60 and over. Methods: This is a cross-sectional, population-based study using data from the 2019 National Health Survey (PNS). The prevalence rates of cataract diagnosis, surgical indication, and surgical undertaking were calculated. Crude and adjusted Prevalence Ratios (PRs) were estimated using Poisson regression with robust variance for sociodemographic and regional factors. The final sample included 22,728 older adults. Results: Among the study participants, 40.4% (95% CI: 39.7–41.1) had a clinical diagnosis of cataract. Among these, the largest proportion (83.3%; 95% CI: 82.5–84.1) received an indication for surgical treatment, which demonstrates the recognition of the therapeutic need. However, a relevant barrier was observed in access to the subsequent stage: only 73.2% (95% CI: 72.1–74.2) of individuals with an indication for surgery actually underwent the procedure. Thus, it was found that more than a quarter (26.9%; 95% CI: 25.8–27.9) of cases requiring intervention did not complete the care pathway. Final considerations: This study highlighted the high prevalence of cataracts among older adults in Brazil and the barriers to accessing surgery, marked by social and regional inequalities. The findings reinforce the need to strengthen primary care, modernize regulatory mechanisms, and expand funding for eye health to ensure equity and reduce the burden of preventable blindness in the country
Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
(Universidade Federal do Espírito Santo, 2025-03-21) Nunes, Sabrina Ferreira; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/0009-0005-4804-9633; http://lattes.cnpq.br/4247284294506845; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; Nascimento, Ariana Nogueira; https://orcid.org/; http://lattes.cnpq.br/5286353774279763
Introduction: Organ donation for transplants is a relevant topic that has been increasingly gaining attention in the current healthcare landscape. In general, organ transplantation is a field with many specificities, requiring the involvement of various professionals throughout different stages of the donation process. Nurses play a prominent role in this context, as their involvement is evident throughout the entire sequence of events. Objective: The aim of this study was to identify the main problems during the organ donation process that result in the failure to complete the donation. Methodology: This is an exploratory descriptive study with a qualitative approach, using document analysis. The qualitative analysis was conducted by reviewing reports produced by on-duty nurses, with a time frame from January to July 2023. To retain information, a standardized instrument (Appendix A and Appendix B) was used, containing guiding questions that directed the recording of relevant situations for the study. The research was conducted at the State Transplant Center of Espírito Santo, and a reflective thematic analysis was performed. Results: The study identified several problems, which centered around (1) communication between professionals and services—this being the main issue, especially regarding the speed at which necessary responses were provided to close the stages of the donation process, (2) logistics for organ retrieval and transplantation execution, (3) the various conflicts that can arise between professionals and between them and the families, and (4) the clinical evolution of the donor and the quality of the organs to be donated. These issues were not prohibitive but significantly interfered with the donation process. Final Considerations: To overcome the identified challenges, an action plan is proposed, focusing on improving communication, optimizing logistics, updating protocols and procedures, managing conflicts, ensuring the quality of the organs to be donated, and providing regular training for all teams involved.
Coordenação do cuidado pela atenção primária à saúde na atenção às pessoas com doenças crônicas na região norte do Espírito Santo
(Universidade Federal do Espírito Santo, 2021-08-23) Polati, Amanda Morais; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/0000-0003-3713-681X; http://lattes.cnpq.br/6574172043848207; Lima, Rita de Cassia Duarte; https://orcid.org/0000-0002-5931-398X; http://lattes.cnpq.br/2384472795664270; Lima, Luciana Dias de; https://orcid.org/0000-0002-0640-8387; http://lattes.cnpq.br/8035094698187480
In the last decades, there has been a significant increase in chronic diseases in the world population. Thus, it is necessary to organize health services in order to offer comprehensive and continuous care to individuals with chronic diseases, since they are frequent users of health services and need to access different points of the care network, being more susceptible to experience a fragmented care. Therefore, the development of care coordination by Primary Health Care (PHC) has been considered an essential attribute in the care of people with chronic diseases. Thus, the aim of this study was to understand the role of PHC in coordinating care for people with chronic diseases. This is a study that was developed by using two methodological approaches: a scoping review of the literature, carried out during the month of May 2021, in the MEDLINE, LILACS, Web of Science and EMBASE databases; and a study with a qualitative approach, carried out in a health region in the state of Espírito Santo, where data were collected through individual interviews with managers and health professionals, using a semi-structured script. The qualitative research data were analyzed using the thematic analysis technique proposed by Braun and Clarke. From the review, it was possible to identify some barriers in the development of care coordination in the care of people with chronic diseases, related to the integration between the different teams and services, the responsibility for care coordination and informational continuity, considering the configuration of the health services. In the qualitative approach research, the participants highlighted challenges and efforts related to the development of care coordination that cross all the pillars that compose this attribute (clinical coordination; administrative/organizational coordination; information coordination), highlighting that such challenges were intensified during the Covid-19 pandemic period. In general, it was possible to understand the complexity in the development of care coordination in the care of people with chronic diseases, and that it is necessary to intensify efforts that contribute to the realization of this attribute. Thus, it is essential that existing strategies are strengthened and that innovative proposals are carried out both in the scope of macro-management and micro-management.
Efeito da Atenção Primária à Saúde na Associação entre Multimorbidade e Utilização dos Serviços de Emergência
(Universidade Federal do Espírito Santo, 2024-04-26) Lamonato, Larissa Carolina Xavier Lacerda; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/0000-0002-0139-5193; http://lattes.cnpq.br/4193698743184247; Facchini, Luiz Augusto; https://orcid.org/0000-0002-5746-5170; http://lattes.cnpq.br/5795415938371676; Fontenelle, Leonardo Ferreira; https://orcid.org/0000-0003-4064-433X; http://lattes.cnpq.br/9234772336296638
This study aimed to investigate the effect of Primary Health Care (PHC) on the association between multimorbidity and emergency service utilization among adults in Brazil. It is a cross-sectional study, based on national household data from the National Health Survey conducted in 2019. The study tapped into Poisson regression to assess emergency service utilization among individuals with multimorbidity. Additionally, it has implemented the evaluation of the interaction of variables such as Family Health coverage and orientation towards PHC in these associations. Regarding the main variables of the scope analyzed in this study, the prevalence of multimorbidity found was 31.2% (95%CI 30.9-31.5), Family Health coverage was 71.8% (95%CI 71.4-72.0), and low orientation of services towards PHC was 70% (95%CI 69.1-70.9). The outcome adopted here, which is the use of emergency services, had a prevalence of 2.0% (95%CI 1.9-2.0). Analyzing the prevalence of emergency service utilization among individuals with and without multimorbidity, it was observed that the prevalence was twice as high among those with multimorbidity (3.1; 95%CI 2.9-3.3) compared to those without this condition (1.4; 95%CI 1.3-1.5). However, it was observed that individuals with multimorbidity and Family Health coverage had a 20% lower prevalence of emergency service utilization than those with multimorbidity and without Family Health coverage (PR: 0.8; 95%CI 0.6-0.9). The association between emergency service utilization and the presence of multimorbidity was not modified by the assessment of the service as highly oriented towards PHC (p = 0.956). The study showed that PHC had a positive effect on the association between multimorbidity and emergency service utilization. However, the challenge imposed by multimorbidity on the healthcare system is evident. Therefore, further research on this topic is suggested to understand the impact of PHC on health outcomes in individuals with multimorbidity.
Mortalidade por causas externas em crianças e adolescentes de 5 a 14 anos no Espírito Santo
(Universidade Federal do Espírito Santo, 2021-07-26) Alves, Tatiana Feltmann; Sarti, Thiago Dias; https://orcid.org/0000000215456276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/0000-0003-1657-0975; http://lattes.cnpq.br/0622128843062194; Poton, Wanêssa Lacerda; https://orcid.org/0000-0001-5849-0653; http://lattes.cnpq.br/1999728449252485; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190
Introduction: Since the 1980s, external causes have stood out as a cause of morbidity and mortality in Brazil, with high rates of homicides and traffic accidents, mainly involving the male population. Espírito Santo state stands out for having the highest rates of deaths of children and adolescents from traffic accidents and homicides in the Southeastern region. Objective: To analyze the external cause deaths in children and adolescents aged 5 to 14 years in Espírito Santo from the regional (Southeast region) and national (Brazil) contexts, from 2010 to 2019. Methods: Ecological, exploratory study, analyzing the time series of deaths from external causes in children and adolescents aged 5 to 14 years occurring in Espírito Santo, Southeast and Brazil, in the period from 2010 to 2019. Data were collected from the Mortality Information System (SIM), of the Department of Informatics of the Unified Health System (DATASUS), and were described through absolute and relative frequencies, and mortality rates (per 100 thousand inhabitants). The trend of mortality rates was estimated in the form of annual percentage reduction, with 95% confidence intervals (CI), in multivariable negative binomial regression models fitted with the R statistical computing environment and the Stan probabilistic programming language. Results: The majority of deaths in Espírito Santo occurred in the age group of 10 to 14 years (70.8%), in the male gender (71.6%) and in the race/color brown (76.4%), being mostly from assault (33.8%). The mortality rate due to assault of boys between 10 and 14 years old in the state stands out (12.10 per 100,000 inhabitants), being more than double the rate observed in the Southeast and Brazil. In the time trend analysis for Espírito Santo, Southeast and Brazil, a decrease in the mortality rate from external causes was observed as a whole and for all groups of external causes studied. In general, these temporal trends in Espírito Santo were similar to those in the Southeast and Brazil, differing only in the estimated reduction of drowning in children 5 to 9 years of age. The estimate of 10.3% annual reduction in drowning mortality was almost double that found for the same population in the region and in the country. Conclusion: Although the trend in mortality from external causes is downward, the high mortality rates, especially from assaults in Espírito Santo, point to the need to prioritize the prevention of these events, with special attention to boys 10 years and older.
Prevalência de depressão, falta de acesso, utilização e trajetória nos serviços de saúde por mulheres no período pandêmico
(Universidade Federal do Espírito Santo, 2025-11-14) Fraga, Emily de Jesus; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/0009-0003-3238-8812; http://lattes.cnpq.br/1430300906474757; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; https://lattes.cnpq.http://lattes.cnpq.br/7489127535403969br/; Corrêa, Mônica Cola Cariello Brotas; https://orcid.org/0000-0001-6260-7236; http://lattes.cnpq.br/1697609652405231
The COVID-19 pandemic has had negative impacts on the mental health of the population and altered the functioning of health services. Access to care is crucial for prognosis, affecting not only individuals' lives but also collective well-being. In this context, depression stands out as the leading cause of global disability, generating high social costs and putting pressure on health systems. Therefore, it is essential to recognize the factors 6 associated with access to health services by people with this diagnosis. Objectives: To estimate the prevalence and identify the factors associated with the diagnosis of depression and lack of access to medical care, as well as to describe the profile of health service use by women with this diagnosis during the COVID-19 pandemic in the city of Vitória (ES). Methods: A population-based cross-sectional study was conducted with 1,107 women aged 18 years or older, residing in Vitória (ES). Prevalence rates were estimated with respective 95% confidence intervals (95% CI). Bivariate analyses were performed for the three outcomes, and associations involving dichotomous outcomes were assessed using the Rao–Scott chi-square test. Poisson regression was applied to evaluate factors associated with the diagnosis of depression. Results: The prevalence of depression diagnosis was 19.0% (95% CI: 16.8 – 21.4), being more than three times higher among women with negative self-rated health (PR: 3.84; IC95% 2.68-5.50). It was also higher among those without a partner (PR: 1.65; IC95% 1.30 - 2.09) and among those with private health insurance (PR: 1.78; IC95% 1.40 - 2.26). Lack of access to medical care was 4.8% (95% CI: 2.2 - 10.0), with higher proportions among women belonging to economic class D/E (33.3%; 95% CI: 8.4 - 73.1), with low education (25.0%; 95% CI: 6.6 - 61.0) and among those without health insurance (12.1%; 95% CI: 5.7 - 23.7). UBSs were most used among women aged 40 to 59 years (57.4%; 95% CI: 44.2 - 69.6), with elementary school education (80.0%; 95% CI: 54.9-92.9), black (73.1%; 95% CI: 52.2 - 87.1), mixed-race (50.0%; 95% CI: 35.4-64.6), and belonging to class D/E (100%). Private clinics were more frequent among women aged 18 to 39 years (64.2%; 95% CI: 50.2–76.1), with higher education (59.7%; 95% CI: 49.4-69.2), white (71.0%; 95% CI: 60.0 - 81.0) and in class A/B (60.9%; 95% CI: 50.1 - 70.7). Conclusion: The study highlights the impact of the pandemic on the diagnosis of depressive disorders and demonstrates that sociodemographic factors influence both the occupation of spaces in society and the attention given to mental health complaints. In addition, it highlights the fundamental role of the SUS in reducing these inequalities by expanding access to health services, especially for historically marginalized groups
Proporção dos Tratamentos Endodônticos Concluídos no SUS nos Municípios Brasileiros
(Universidade Federal do Espírito Santo, 2022-08-22) Santos, Albina de Fatima Fanni; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/; http://lattes.cnpq.br/; Lucena, Edson Hilan Gomes de; https://orcid.org/0000-0003-3431-115X; http://lattes.cnpq.br/7047172432384185; Pacheco, Karina Tonini dos Santos; https://orcid.org/0000-0002-4687-6062; http://lattes.cnpq.br/1634767264856221
The preservation of teeth in the oral cavity is of great importance for the continuity of oral functions, helping to maintain the patient's health. The pathologies that cause acute inflammatory processes, periapical or pulp, are some of the reasons that most lead patients to seek dental care in the SUS. The implementation of Dental Specialty Centers, through the Brasil Sorridente Program, enabled a greater offer of this specialized service. Taking into account endodontics as a specialty that helps in the maintenance of dental elements in the oral cavity, this study had the general objective to analyze the conclusion of endodontic treatments in the SUS in Brazilian municipalities, in the year 2018. The type of study was ecological, being carried out based on secondary data in the public domain and at the municipal aggregation level. Data were taken from the National Registry of Health Establishments, from the SUS. Outpatient Information System, IBGE, and from the latest evaluation of the Program for Improving Access and Quality of Dental Specialty Centers. Analysis of the collected data were organized in a database to be analyzed and compared with the completeness of endodontic treatments, based on the available literature. Variables from the Access and Quality Improvement Program for Dental Specialty Centers and sociodemographic variables were used to better understand these results. The results of the study showed that the highest performance regarding specialized endodontic services in the SUS was associated with municipalities with smaller population sizes, with lower HDI-M, with lower dental plan coverage and with better performance in the 2nd cycle of the PMAQ CEO. In addition to investments in the structure and work process of the CEO, the improvement of public endodontic dental services in Brazil involves positive impacts on the country's oral health after the implementation of the PNSB and the principle of equity in specialized endodontic care in the SUS, given its positive impact especially in small municipalities and with less social development.
Tradução e adaptação transcultural do instrumento de transtornos alimentares : Eating Disorder Examination Questionnaire Short (EDE-QS)
(Universidade Federal do Espírito Santo, 2024-08-03) Pedrosa, Maria Amália Accari; Viana, Maria Carmen Moldes ; https://orcid.org/0000-0002-0464-4845; http://lattes.cnpq.br/4338126917250074; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/0000-0002-4935-565X; http://lattes.cnpq.br/2973897026859238; Appolinario, José Carlos Carlos Borges ; https://orcid.org/0000-0002-6089-4400; http://lattes.cnpq.br/3077853072510341; Almeida, Ana Paula Santana Coelho ; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190
Eating disorders (ED) are conditions that represent a great impairment in the quality of life of the subject, both due to psychosocial repercussions and associated clinical complications. Primary Health Care (PHC) is an important mental health care center of the Psychosocial Care Network (RAPS) of the Brazilian Unified Health System (SUS), where comprehensive and longitudinal care of the user is recommended. However, in the context of ED, the international literature points out some difficulties related to primary care, such as: low recognition of symptoms, either due to the knowledge of professionals or due to the user's resistance to seeking help, late diagnosis in the face of complications, insecurity in management due to the complexity of the conditions, however, studies show that training and the provision of professional tools help in the diagnosis and coordination of the Care. Brazil is a continental country, considered to be middle-income, but with significant social inequality and access to care, including health, therefore, a clinical review of the instruments available for ED screening in PHC was carried out, considering the particularities of care in our country. In view of the search and critical analysis, an instrument with the desired characteristics was identified: application by the non specialist, fast and practical, good discriminatory power, record of applicability in different samples. Thus, the objective of this study was to translate and cross culturally adapt the EDE-QS "Eating Disorder Examination Questionnaire Short (EDE-QS)". A semantic equivalence study was carried out, based on the following steps: 1: translation by two bilingual translators with Portuguese mother tongue, 2: reconciliation between the versions by a third translator, 3: reverse translation of the final preliminary version 4: validation and reconciliation of the back translation by the original authors, 5: cultural validation of the final version of the translation by a panel of six experts 6: Pre-test in a non-clinical sample to assess the understanding of the questions; and, finally, the elaboration of the final version of the instrument The above translation steps were completed according to the protocol described. In the analysis of content validity by experts, equivalences were analyzed at the item and scale level, and S-CVI was reached: 0.93 (semantics), 0.98 (idiomatic), 0.98 (experiential), 0.98 (conceptual) (minimum acceptable of 0.83). In the comprehension assessment, all items received more than 80% of understanding, and the application time was approximately 10 minutes. The Portuguese version of the EDE-QS showed adequate semantic equivalence compared to the original. In the target population, it demonstrated good verbal comprehension and practicality related to the time of application. The availability of tools with applicability in PHC is extremely relevant for early diagnosis and coordination of levels of care, thus enabling comprehensive care for users in line with SUS principles.
Utilização de tratamentos para dor nas costas em adolescentes e jovens brasileiros
(Universidade Federal do Espírito Santo, 2025-03-07) Carmo, Leonardo Alves do; Callo Quinte, Gabriella ; https://orcid.org/0000-0003-4479-2014; https://lattes.cnpq.br/; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/0009-0006-9070-3237; https://lattes.cnpq.br/; Sarti, Thiago; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; Martinelli, Katrini Guidolini; https://orcid.org/0000-0003-0894-3241; http://lattes.cnpq.br/7493606113282545
Background: Back pain is a prevalent condition among adolescents and young adults, leading to functional disability and reduced quality of life. Understanding the utilization of different treatments is crucial for effective healthcare strategies. Objective: To identify the utilization of various treatments for back pain among adolescents and young adults aged 15 to 23 years in Brazil. Methods: This cross-sectional study utilized data from the 2019 National Health Survey (PNS), analyzing a sample of 9,082 individuals aged 15 to 23 years. The study examined the prevalence of back pain and the utilization of treatments, including exercise, physiotherapy, medication, integrative practices, and regular healthcare follow-up. Results: The prevalence of back pain was 9.3%. The use of treatments was associated with socioeconomic factors such as age, health insurance, registration in the Family Health Strategy and self-rated health. Adolescents aged 19 to 23 years and those participating in the Family Health Strategy were more likely to use exercises, physiotherapy and acupuncture. Having a health insurance plan was positively associated with the use of physiotherapy and acupuncture. Self-rated health was associated with medical follow-up. Conclusion: The utilization of back pain treatments among Brazilian adolescents and young adults is influenced by a complex interplay of socioeconomic and health related factors. Strategies to improve access to and utilization of effective treatments should address these disparities to promote equitable healthcare.
Violência contra a mulher e utilização de serviços de saúde no Brasil : Pesquisa Nacional de Saúde, 2019
(Universidade Federal do Espírito Santo, 2024-09-20) Quaresma, Camila Rocha Ataíde; Almeida, Ana Paula Santana Coelho ; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/; Sarti, Thiago Dias ; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/; https://orcid.org/0000-0002-0928-1940; http://lattes.cnpq.br/; Leite, Franciéle Marabotti Costa ; https://orcid.org/0000-0002-6171-6972; http://lattes.cnpq.br/; Rocha, Erika Maria Sampaio ; https://orcid.org/0000-0003-4347-0531; http://lattes.cnpq.br/
Introduction: Based on the 2019 National Health Survey (PNS), carried out in partnership between IBGE, the Ministry of Health and the Oswaldo Cruz Foundation, this dissertation analyzes module V (Violence) experienced by women between 18 and 60 years of age or older and contextualizes the relationship between violence and the use of health services among women in Brazil. Objectives: analyze the relationship between violence and the use of health services among women in Brazil, and specific objectives: measure the prevalence of violence and its subtypes; measure the prevalence of use of medical consultations, hospital admissions, home emergency services and integrative and complementary practices by women in situations of violence in Brazil; identify the pattern of use of medical consultations, hospital admissions, home emergency services and integrative and complementary practices by women in situations of violence in Brazil; verify the association between violence, including its subtypes, and the use of health services. Methods: This is a population based cross-sectional study using data from the PNS 2019. Crude and adjusted prevalence rates and prevalence ratios for the use of health services were calculated by type of violence and according to sociodemographic characteristics. Results: A higher prevalence of psychological, physical and sexual violence was observed among younger black women, belonging to the single group, with poor/very poor self-rated health, with lower family income, without health insurance and no occupation. In general, women who suffered violence used health services more when compared to those who did not suffer. The services most used by women who suffered psychological, physical and sexual violence were medical consultations, followed by hospital admission and Integrative and Complementary Practices (PICs). The use of home emergency services among women who suffered physical and sexual violence reached more than double the prevalence. Final considerations: These results show that the consequence resulting from the act of violence significantly influences the place where women seek care after an episode of violence

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