Mestrado em Saúde Coletiva
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- ItemTradução 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/; http://lattes.cnpq.br/; Sarti, Thiago Dias; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Appolinario, José Carlos Carlos Borges ; https://orcid.org/; http://lattes.cnpq.br/; Almeida, Ana Paula Santana Coelho ; https://orcid.org/; http://lattes.cnpq.br/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.
- ItemViolência 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
- ItemSobrevida global de mulheres com câncer de mama no estado do Espírito Santo, Brasil e seus fatores associados(Universidade Federal do Espírito Santo, 2024-06-16) Pessanha, Raphael Manhães; Lopes-Júnior, Luís Carlos ; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Dell’Antônio, Larissa Soares ; https://orcid.org/; http://lattes.cnpq.br/; Leite, Franciele Marabotti Costa ; https://orcid.org/; http://lattes.cnpq.br/Introduction: Despite significant advances in treatment, breast cancer is still responsible for many deaths, being the fifth leading cause of cancer mortality worldwide, with 685,000 deaths. In Brazil, breast cancer ranks first in all Brazilian regions, excluding non-melanoma skin tumors. Survival analysis is crucial to assess the effectiveness of available treatments and to measure the impact of health policies on patients' longevity and quality of life. Survival studies can also reveal disparities in treatment and outcomes, allowing policies to be adjusted to better meet patients' needs. Furthermore, the lack of studies focused on the survival of women with breast cancer in Espírito Santo (ES) represents an important gap. Objective: To investigate the occurrence of malignant breast neoplasms in the state of Espírito Santo; to assess the quality and completeness of data as well as the overall survival of women with breast cancer and its associated factors. Methods: Secondary data were collected via Tumor Registration Form (TRF) from the Hospital Cancer Registries (HCR) of patients who received care at a hospital in the Oncology Care Network (OCN) of ES, and from the Mortality Information System (SIM), in the period between 2000 and 2020. The cohort consisted of women over 18 years of age, who were diagnosed with breast cancer, according to ICD-10: "C50: Malignant Neoplasm of the Breast", with anatomopathological examination and being followed up at the OCN of ES. For data analysis, a descriptive analysis of the epidemiological profile of patients diagnosed with breast cancer was performed, in addition to an analysis of the completeness of the epidemiological variables of the HCR of ES, where data incompleteness was classified as excellent (50%), according to the percentage of missing information. For survival analysis, the deterministic linkage method was used, of the TRF records of the HCR Integrator with the SIM records. For the 5-year survival analysis, the Kaplan-Meier and LogRank methods were used. In addition, the Cox proportional hazard model for specific cause of death was used in the multivariate analysis. For all statistical analyses, alpha was set at 5%. Results: A total of 16,587 cases of breast cancer (BC) were recorded from 2000 to 2020. The variables alcoholism …
- ItemApropriação de conceitos da saúde única como ferramenta educacional para a formação interprofissional em saúde(Universidade Federal do Espírito Santo, 2024-06-27) Fernandes, Bárbara Costa; Vicente, Creuza Rachel ; https://orcid.org/; http://lattes.cnpq.br/; Carvalho, Raquel Baroni de ; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Esposti, Carolina Dutra Degli ; https://orcid.org/; http://lattes.cnpq.br/; Barros, Rodrigo Alves; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/Introduction: The One Health approach is widely recognized by various national and international organizations for its potential to prevent future pandemics, reduce the burden of endemic zoonotic and neglected tropical diseases, mitigate antimicrobial resistance, and promote health sustainably at the human-animal-environment ecosystem interface on a global, regional, and national level. However, a major challenge in operationalizing this concept is the inadequate training of professionals. In Brazil, there are educational and research institutions that have acknowledged the need to include One Health topics as a transversal theme in health education. This project aims to contribute to One Health practices within an interprofessional health education setting at a public university in the southeastern region of Brazil, starting with small groups of future health professionals but with the potential for replication beyond traditional educational environments.Objective: In light of the new challenges in public health and the need to adapt educational processes to new global realities, this project aims to assess the knowledge of students at the Health Sciences Center (CCS) of the Federal University of Espírito Santo (UFES) before and after adopting the One Health approach. Method: This is an interventionist, and descriptive study to be conducted at CCS/UFES. Data collection was based on survey research concepts and characterized through a semi-structured questionnaire developed by the researcher. Results: The study involved 47 health students from UFES, predominantly women, with an average age of 23 years and nine months. These students, from seven different courses, collaborated to promote interprofessionalism and the implementation of One Health in the curriculum. The educational intervention showed significant differences between the pre- and post-intervention stages, with an increase in achieving learning objectives. The study emphasizes the importance of Interprofessional Education in preparing health professionals to face global challenges such as climate change and community health, as advocated by international organizations like the UN and the Global Consortium on Climate and Health Education. The experience also addressed competencies such as collaborative leadership and conflict resolution, essential for the practice of One Health. Conclusions: This study provided contributions to the theory and practice of One Health in an interprofessional health education environment at a public university with potential for replication. It highlighted the effectiveness of integrating One Health into the health courses' curriculum. Training professionals to address global challenges such as climate change and global health, as recommended by international organizations like the United Nations and the Global Consortium on Climate and Health Education, strengthens the ability to tackle multidimensional problems. Additionally, it fosters closer relationships and the exchange of experiences among different knowledge areas within the educational and research institution
- ItemNecessidades de saúde e produção de cuidado nos centros de atenção psicossocial álcool e drogas(Universidade Federal do Espírito Santo, 2024-08-12) Wulpi, Mariana Mendes de Oliveira; Almeida, Isabella Silva de ; https://orcid.org/; http://lattes.cnpq.br/; Esposti, Carolina Dutra Degli ; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Furtado, Juarez Pereira ; https://orcid.org/; http://lattes.cnpq.br/; Portugal, Flávia Batista ; https://orcid.org/; http://lattes.cnpq.br/Attention in the field of alcohol and other drugs necessitates the use of strategies and resources that center practices around the actual health needs of users. Therefore, it is essential to broaden the perspective and listening skills of workers so that they can develop interpretations, practices, and care that consider these needs. This study aimed to understand how health needs contribute to the production of care in Psychosocial Care Centers for Alcohol and Drugs (CAPS AD) in the municipalities of the Metropolitan Region of Greater Vitória (RMGV), Espírito Santo (ES). The specific objectives were: to analyze the process of identifying the health needs of CAPS AD users according to the workers; to map the practices carried out by CAPS AD workers; and to reflect on the extent to which these practices meet the users' needs. Qualitative and participatory research methodologies were used. The study participants were workers from three CAPS AD in RMGV-ES. Data collection was conducted through narrative focus groups, and the constructed narrative was analyzed using argumentative cores. The results indicated a recognition of the importance of incorporating health needs into the planning and execution of therapeutic interventions. It highlighted the absence or even the fragility of using instruments, protocols, and even existing resources, such as the PTS, for systematically identifying health needs. While the actions produced in CAPS AD are diverse, significant challenges were identified regarding their effectiveness. These limitations compromise the continuity and comprehensiveness of the care offered to users, hindering responses to their needs. This study contributed to understanding how health needs have been identified and addressed in the context of a Brazilian metropolitan region, which aids in expanding knowledge on the subject and in managing these services with a view to their qualification