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    A midiatização das vacinas durante a pandemia de Covid-19 nas unidades jornalísticas veiculadas no Espírito Santo
    (Universidade Federal do Espírito Santo, 2025-11-25) Scalfoni, Carolina Jann; Santos Neto, Edson Theodoro dos ; https://orcid.org/0000-0002-7351-7719; http://lattes.cnpq.br/5430137427291413; https://orcid.org/0009-0004-9527-2742; http://lattes.cnpq.br/3409133190021956; Carvalho, Clarissa Sousa de ; https://orcid.org/; http://lattes.cnpq.br/8142864530592760; Henriques, Rafael da Silva Paes; https://orcid.org/0000-0002-1812-5886; http://lattes.cnpq.br/4260742302003843; Ramos, Mariela Pitanga; https://orcid.org/0000-0002-2918-3010; http://lattes.cnpq.br/1593636885635918; Primo, Paola Pinheiro Bernardi; https://orcid.org/0000-0002-6954-1046; http://lattes.cnpq.br/5776565227091589
    The COVID-19 pandemic was marked by the rapid spread of the SARS-CoV-2 virus and the swift development of vaccines. This period was accompanied by an infodemic of inaccurate or false information, which harmed the quality of health communication and was related to an increase in vaccine hesitancy. Given this scenario, the objective of this study was to analyze the media information about vaccines disseminated in 21 newspapers in the state of Espírito Santo during the pandemic. This is a quantitative and qualitative, exploratory documentary research, analyzing journalistic articles from 21 electronic media outlets in Espírito Santo. The analyzed period extended from December 29, 2019, to May 6, 2023, the date of the end of the pandemic. The research used Bardin's content analysis and Bruno Latour's Actor-Network Theory (ANT) as references for the qualitative article. The results of the analyses demonstrated a positive correlation between the publication of articles and the application of vaccines (rho = 0.407, p-value < 0.0005). The vaccination data revealed low adherence to the booster dose by the population, with inequality among the state's cities. The analysis of strategies to combat vaccine hesitancy was carried out in the second article; the appearance of influential figures within the journalistic writings was the most found, in addition to records with social mobilization and the use of specific social networks. The research presented the performance of the strategies in the relevant role as non human actors, influencing behaviors and perceptions about vaccination. It was concluded that the journalistic media in Espírito Santo fulfilled its role of disclosing information about vaccines, with coverage and dose application being positively correlated. However, the dissertation reveals the need for more regionalized health strategies to increase the low adherence to the booster dose, especially in rural cities. The analysis using ANT confirmed the influence of actors, especially politicians and specialists, especially in information networks, but also pointed out the need for greater diversification, including social movements and religious leaders, to reach more layers of the population, respecting the principles of the Brazilian Health System (SUS). Furthermore, the low quality and incompleteness of the data in government dashboards limited the analysis of the profile of the vaccinated population
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    Vacinação primária e de reforço contra Covid-19 na doença de Sjögren
    (Universidade Federal do Espírito Santo, 2025-08-01) Lirio, Maressa Barbosa Beloni; Machado, Ketty Lysie Libardi Lira ; https://orcid.org/0000-0003-2545-6795; http://lattes.cnpq.br/5557072286373305; Cristo, Valéria Valim ; https://orcid.org/0000-0002-0625-1308; http://lattes.cnpq.br/3210373469770019; https://orcid.org/0000-0002-2096-7214; http://lattes.cnpq.br/2403559399071209; Calderaro, Débora Cerqueira ; https://orcid.org/0000-0001-5535-3223; http://lattes.cnpq.br/7829833805354605; Motta, Tania Queiroz Reuter ; https://orcid.org/0000-0003-2176-5603; http://lattes.cnpq.br/1608555024268552 ; Pasoto, Sandra Gofinet ; https://orcid.org/0000-0002-7343-6804; http://lattes.cnpq.br/2825364157697922
    Introduction: Sjögren’s Syndrome (SSj) is a systemic autoimmune disease characterized by glandular and extraglandular involvement. Patients with SSj, particularly those on immunosuppressive therapy, may exhibit a reduced immune response to vaccination. The COVID-19 pandemic has posed challenges to protecting this population, highlighting the importance of effective and safe vaccination strategies. Objective: To evaluate the immunogenicity and safety of COVID-19 vaccines in patients with SSj, in a prospective cohort. Methods: This observational, longitudinal, prospective study was part of the SAFER cohort and included 51 patients with primary SSj, classified according to the 2016 ACR/EULAR criteria. Immunogenicity was assessed by anti-Spike IgG (IgG-S) levels, expressed as geometric mean titers (GMT) and fold increase in GMT (FI-GMT). Disease activity was measured by the ESSDAI score. Adverse events and COVID-19 infections were also monitored. Evaluations were conducted at four timepoints: before the first dose (T1), before the second dose (T2), before the third dose (T3), and four weeks after the booster (T4). Participants received primary vaccination with AstraZeneca (AZT) or CoronaVac (VAC), and either a homologous booster (AZT) or heterologous booster (BNT162b2 - BNT). Results: The cohort included 51 participants, with a mean age of 46 years; 90% (n = 46) were women. Comorbidities were present in 41% (n = 21), and 27% (n = 14) had high-level immunosuppression. Medications used included immunosuppressive drugs (18%, n = 9), corticosteroids (5.9%, n = 5), DMARDs (20%, n = 10), and hydroxychloroquine (65%, n = 33); 16% (n = 8) were not taking any medication. At baseline, 11% (n = 4/35) had moderate/high disease activity, decreasing to 6.5% (n = 2/35) at T4. Regarding the primary vaccine scheme, 94% (n = 48) received AZT and 5.9% (n = 3) received VAC. Heterologous schemes were used in 73% (n = 37), and homologous in 27% (n = 14), with BNT used as the booster in heterologous schedules. Post-booster COVID-19 infection occurred in 20% (n = 10). Nearly all participants achieved seroconversion (~100%), except those using biologics, who had rates below 80%. IgG-S titers showed progressive increases across timepoints. Both primary vaccines elicited similar humoral responses. However, BNT boosters led to significantly higher GMTs (2148.03) compared to AZT (324.29) (p < 0.001); the immune response fold increase was 6 times higher with BNT (5.98 [2.97 – 12.03], p = 0.001). Seroconversion frequency was 83% for homologous and 100% for heterologous regimens. Adverse events were mild and without statistical significance. In multivariate analysis, BNT booster remained an independent predictor of higher antibody titers. Conclusion: COVID-19 vaccination was safe and effective in patients with SSj, with high antibody titers and seropositivity rates. Heterologous vaccination showed superior immunogenicity compared to homologous regimens, without triggering disease activity
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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.
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    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
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    Violência sexual e outras violências interpessoais contra mulheres e meninas: desafios da vigilância epidemiológica no Espírito Santo, Brasil (2017–2023)
    (Universidade Federal do Espírito Santo, 2025-08-05) Cupertino, Edleusa Gomes Ferreira; Viana, Maria Carmen Moldes; https://orcid.org/0000-0002-0464-4845; http://lattes.cnpq.br/4338126917250074; https://orcid.org/0000-0001-9539-5997; http://lattes.cnpq.br/8443569407928883 ; Maciel, Ethel Leonor Noia ; https://orcid.org/0000-0003-4826-3355 ; http://lattes.cnpq.br/3761398932271892; Corassa, Rafael Bello ; https://orcid.org/0000-0001-9413-7400; http://lattes.cnpq.br/3152440971038382
    Violence against women and girls is a serious human rights violation, reflecting gender inequality and impacting the health of victims. This study aimed to understand sexual violence against women and girls in Espírito Santo by analyzing SUS reports from 2017 to 2023. This study aimed to identify, in a comparative way, the factors associated with sexual violence in relation to other types of interpersonal violence against women and girls, describing singularities and intersections between victim profiles, contexts of occurrence and temporal trends, including possible impacts of the COVID-19 pandemic in Espírito Santo, between 2017 and 2023. The methodology consisted of a serial cross-sectional study using secondary data on reports of sexual violence and other interpersonal violence against women and girls in Espírito Santo. Data were collected from the Notifiable Diseases Information System (SINAN) for 2017–2019 and from the State Health Surveillance System (e-SUS VS) for 2020–2023. The analysis period covered three years before and three years after the first case of COVID-19 in the state. The results showed that, in Espírito Santo, among the women and girls reported for sexual violence, 69.9% were Black, 54.3% were under 14 years of age, 46.3% had less than 9 years of education, and 13.2% had some disorder or disability. Furthermore, 56.8% had no partner, 11.4% were pregnant, and 2.3% had accessed legal termination of pregnancy. The majority (86.5%) lived in urban areas, 71.1% in the Metropolitan Region, and 67.1% of the cases occurred in the victim's own residence, with 42.4% being repeat cases. The perpetrators were predominantly men (91.8%) over 24 years of age (51.8%), with 19.0% suspected of having consumed alcohol prior to the incident. Poisson regression analysis (PR; 95%CI; p < 0.001) revealed a high prevalence ratio for children up to 9 years old (PR=10.84) and adolescents aged 10 to 14 years old (PR=12.30), decreasing with increasing age (15-19 years: PR=6.89; 20-29 years: PR=2.73; 30-59 years: PR=1.71), reinforcing the robustness of the associations. In conclusion, Sexual violence against women and girls in Espírito Santo presents distinct patterns associated with gender inequality, invisibility, and the heightened vulnerability of children, adolescents, pregnant women, and persons with disabilities. The findings highlight the urgent need to strengthen the Violence and Accident Surveillance System (VIVA) through improved training, human resources, integration, and data quality to enhance the response of the SUS/ES to sexual violence.