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  • 1
    Online Resource
    Online Resource
    Todas as ciências são sociais
    FapUNIFESP (SciELO) ; 2021
    In:  Ciência & Saúde Coletiva Vol. 26, No. 10 ( 2021-10), p. 4370-4370
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 26, No. 10 ( 2021-10), p. 4370-4370
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    URL: Article
    DOI: 10.1590/1413-812320212610.13782021
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2078799-6
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  • 2
    Online Resource
    Online Resource
    Avaliação da satisfação de pacientes oncológicos com o serviço de saúde em um hospital público no Brasil
    FapUNIFESP (SciELO) ; 2020
    In:  Cadernos Saúde Coletiva Vol. 28, No. 3 ( 2020-09), p. 353-361
    Details
    In: Cadernos Saúde Coletiva, FapUNIFESP (SciELO), Vol. 28, No. 3 ( 2020-09), p. 353-361
    Abstract: Abstract Background Patient satisfaction is fundamental to improve the quality of health services. In order to standardize the surveys, the EORTC-IN-PATSAT32 questionnaire was created. Objective The objective was to evaluate patients' satisfaction with hospitalization. Method 322 patients were interviewed through the socioeconomic aspects and EORTC-IN-PATSAT32 questionnaires. The multiple items were grouped in the dimensions provided for in the Brazilian version of the questionnaire. Hypothesis tests were used to evaluate differences in the evaluation. Results The majority of the patients were male, older than 60 years, low educational level, married, in clinical care and without metastasis. Higher level of satisfaction was with hospital discharge and greater dissatisfaction with the structure. There was greater satisfaction with the multi-professional team among patients with less education and more than 40 years. Surgical and white patients had the greatest satisfaction with physicians. Married patients were the most satisfied with the therapeutic conduct, while men and elderly were the most satisfied with the structure, as long as whites were more satisfied with the discharge. Conclusion Patient satisfaction is influenced by gender, age, race, education level, marital status and treatment modality. It is recommended the development of studies in other hospitals in the country to relate the satisfaction with the characteristics of the Brazilian population.
    Type of Medium: Online Resource
    ISSN: 2358-291X , 1414-462X
    URL: Article
    DOI: 10.1590/1414-462x202028030175
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2020
    detail.hit.zdb_id: 2617097-8
    SSG: 7,36
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  • 3
    Online Resource
    Online Resource
    O paradoxo de Simpson: um estudo de caso demográfico sobre dinâmica da população, pobreza e desigualdade
    FapUNIFESP (SciELO) ; 2021
    In:  Ciência & Saúde Coletiva Vol. 26, No. 10 ( 2021-10), p. 4453-4469
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 26, No. 10 ( 2021-10), p. 4453-4469
    Abstract: Abstract Brazil is undergoing a demographic transition characterized by regional inequalities. It is reasonable to assume that aspects related to poverty, development and inequality might reverse the sign of the association of indicators of demographic transition, exemplifying a phenomenon known as Simpson’s Paradox. The aim of this study was to analyze the effect of inequality, poverty and social development on population dynamics in Brazil, verifying the occurrence of Simpson’s paradox in demographic transition. We used population data from the 1991, 2000 and 2010 national censuses, broken down by age and federative unit (FU). The correlation between demographic indicators was assessed by stratifying the FUs into groups according to their median social indicators. The findings show that all FUs have progressed against social indicators and are undergoing demographic transition; however, despite reductions in disparities over the study period, persistent gaps exist between regions. Simpson’s paradox was present when the analysis was carried out by census year and social indicators, and was particularly pronounced in 1991. The main challenge is to define how to analyze demographic dynamics in Brazil and understand how contextual factors alter the pace, quantum, and pattern of demographic transition.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    URL: Article
    DOI: 10.1590/1413-812320212610.10902021
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 4
    Online Resource
    Online Resource
    Prevalência e fatores associados ao diagnóstico de câncer de mama em estágio avançado
    FapUNIFESP (SciELO) ; 2022
    In:  Ciência & Saúde Coletiva Vol. 27, No. 2 ( 2022-02), p. 471-482
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 27, No. 2 ( 2022-02), p. 471-482
    Abstract: Abstract This cross-sectional study investigated the prevalence and factors associated with advanced stage breast cancer diagnosis among 18,890 women assisted in a specialized hospital in the capital of Rio de Janeiro, Brazil, from 1999 to 2016. We used Poisson regression with robust variance to estimate prevalence ratios and respective 95% confidence intervals. The highest prevalence of diagnosis in this condition was in women aged 20-39 and 40-49 years, black and brown, living without a partner, from other cities of the state of Rio de Janeiro, who were referred by the Unified Health System and diagnosed in the 1999-2004 and 2005-2010 six-year periods. On the other hand, women aged 60-69 and 70-99 years, with some schooling level, with a family history of cancer and who arrived at the hospital with diagnosis and without treatment had lower prevalence of advanced stage breast cancer diagnosis. These results can be considered when planning secondary prevention actions to anticipate and, thus, collaborate to reduce the prevalence the breast cancer diagnosis in the most vulnerable groups.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    URL: Article
    DOI: 10.1590/1413-81232022272.36462020
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2078799-6
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  • 5
    Online Resource
    Online Resource
    Fatores associados ao tempo para submissão ao primeiro tratamento do câncer de mama
    FapUNIFESP (SciELO) ; 2023
    In:  Ciência & Saúde Coletiva Vol. 28, No. 7 ( 2023-07), p. 2155-2164
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 28, No. 7 ( 2023-07), p. 2155-2164
    Abstract: Abstract The present retrospective study investigated factors associated with time-to-treatment initiation of breast cancer of a cohort of 12,100 cases of health facilities qualified for high complexity in oncology within the scope of the Brazilian Public Health System (SUS) of Rio de Janeiro between 2013 and 2019. Multivariate logistic regression was used to estimate odds ratios and 95% confidence intervals. Of all cases, 82.1% were submitted to the first treatment 〉 60 days. Patients without previous diagnosis history, higher education and in stages III and IV were less likely to have their first treatment 〉 60 days, while treatment at a health facility outside the capital showed a higher probability. Patients with a previous diagnosis history, aged ≥50, non-white race/skin color and in stage I were more likely to be submitted to their first treatment 〉 60 days, while subjects with higher education, treated in a health facility outside the capital and in stage IV showed a lower probability. To summarize, sociodemographic, clinical and health facility-related factors are associated with time-to-treatment initiation of breast cancer.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    Uniform Title: Factors associated with time-to-treatment initiation of breast cancer
    URL: Article
    DOI: 10.1590/1413-81232023287.14982022
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2023
    detail.hit.zdb_id: 2078799-6
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  • 6
    Online Resource
    Online Resource
    Excesso de mortalidade segundo grupo de causas no primeiro ano de pandemia de COVID-19 no Brasil
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Epidemiologia Vol. 25 ( 2022)
    Details
    In: Revista Brasileira de Epidemiologia, FapUNIFESP (SciELO), Vol. 25 ( 2022)
    Abstract: ABSTRACT Objective: To estimate excess mortality by cause of death in Brazil and states in 2020. Methods: We estimated the expected number of deaths considering a linear trend analysis with the number of deaths between 2015 and 2019 for each group of causes and each federative unit. We calculated standardized mortality ratios (SMR) and 95% confidence intervals for each SMR assuming a Poisson distribution. We performed the analyses in the R program, version 4.1.3. Results: We observed a 19% excess in deaths in 2020 (SMR=1.19; 95%CI=1.18–1.20). The Infectious and Parasitic Diseases group stood out among the defined causes (SMR=4.80; 95%CI 4.78–4.82). The ill-defined causes showed great magnitude in this period (SMR=6.08; 95%CI 6.06–6.10). Some groups had lower-than-expected deaths: respiratory diseases (10% lower than expected) and external causes (4% lower than expected). In addition to the global analysis of the country, we identified significant heterogeneity among the federative units. States with the highest SMR are concentrated in the northern region, and those with the lowest SMR are concentrated in the southern and southeastern regions. Conclusion: Excess mortality occurs during the COVID-19 pandemic. This excess results not only from COVID-19 itself, but also from the social response and the management of the health system in responding to a myriad of causes that already had a trend pattern before it.
    Type of Medium: Online Resource
    ISSN: 1980-5497 , 1415-790X
    Uniform Title: Excess mortality according to group of causes in the first year of the COVID-19 pandemic in Brazil
    URL: Article
    DOI: 10.1590/1980-549720220029.2
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2183366-7
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  • 7
    Online Resource
    Online Resource
    Occupational exposure and cancer: an umbrella review
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Saúde Ocupacional Vol. 47 ( 2022)
    Details
    In: Revista Brasileira de Saúde Ocupacional, FapUNIFESP (SciELO), Vol. 47 ( 2022)
    Abstract: Resumo Objetivo: fornecer uma visão geral das associações entre exposição ocupacional e risco da ocorrência ou morte por câncer. Métodos: esta revisão guarda-chuva da literatura utilizou as bases Medline e Web of Science. A partir de protocolo de busca, foram incluídas metanálises para diversas circunstâncias ocupacionais e cânceres selecionados que possuíssem algum nível de evidência para associação com ocupação. Resultados: foram incluídas 37 metanálises, abrangendo 18 localizações de câncer. Considerando a avaliação da heterogeneidade dos estudos, da qualidade da evidência e da força de associação, obteve-se evidências altamente sugestivas de associações entre exposição a solvente e mieloma múltiplo; amianto e câncer de pulmão; hidrocarbonetos e câncer de trato aerodigestivo superior; e estresse ocupacional e câncer colorretal. Conclusão: há evidências robustas para associar exposições ocupacionais e tipos de câncer não previstos, inicialmente, nas orientações de vigilância do câncer relacionado ao trabalho no Brasil. Permanecem lacunas sobre exposições de grande relevância, que carecem de metanálises mais consistentes, por exemplo, exposição a poeiras inorgânicas e câncer de pulmão e mesotelioma; exposição a solventes e tumores hematológicos. Evidências de câncer em outras regiões anatômicas foram menos robustas, apresentando indícios de incerteza ou viés.
    Type of Medium: Online Resource
    ISSN: 2317-6369 , 0303-7657
    Uniform Title: Exposição ocupacional e câncer: uma revisão guarda-chuva
    URL: Article
    DOI: 10.1590/2317-6369/37620en2022v47e14
    Language: English , Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
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  • 8
    Online Resource
    Online Resource
    Exposição ocupacional e câncer: uma revisão guarda-chuva
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Saúde Ocupacional Vol. 47 ( 2022)
    Details
    In: Revista Brasileira de Saúde Ocupacional, FapUNIFESP (SciELO), Vol. 47 ( 2022)
    Abstract: Abstract Objective: to provide an overview of the associations between occupational exposure and risk of occurrence or death from cancer. Methods: this umbrella review used the Medline and Web of Science databases. Based on the search protocol, meta-analysis was included for several occupational circumstances and selected cancers that had some level of evidence associated with the occupation. Results: 37 meta-analysis were included, covering 18 cancer locations. By assessing the heterogeneity of studies, quality of evidence, and strength of association, results highly indicated associations between solvent exposure and multiple myeloma, asbestos and lung cancer, hydrocarbons and upper aerodigestive tract cancer, occupational stress and colorectal cancer. Conclusion: robust evidence shows an association between occupational exposures and types of cancer not initially foreseen in the guidelines for work-related cancer surveillance in Brazil. Gaps in relevant exposures require further research and more consistent meta-analysis, including: exposure to inorganic dust and lung cancer and mesothelioma; solvents and hematological tumors. Evidence of cancer in other anatomical regions was less robust, showing signs of uncertainty or bias.
    Type of Medium: Online Resource
    ISSN: 2317-6369 , 0303-7657
    Uniform Title: Occupational exposure and cancer: an umbrella review
    URL: Article
    DOI: 10.1590/2317-6369/37620pt2022v47e14
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
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  • 9
    Online Resource
    Online Resource
    Vigilância civil em saúde, estudos de população e participação popular
    FapUNIFESP (SciELO) ; 2022
    In:  Saúde em Debate Vol. 46, No. spe4 ( 2022-11), p. 81-93
    Details
    In: Saúde em Debate, FapUNIFESP (SciELO), Vol. 46, No. spe4 ( 2022-11), p. 81-93
    Abstract: ABSTRACT In the mid-1990s, Victor Valla proposed to incorporate the population participation in the practice of health surveillance, through Paulo Freire’s popular education. This counterpoint to traditional surveillance practices, called civil health surveillance, added to the expanded concept of health, and has a strong connection with the critical perspective of Epidemiology as a means to understand the dialectical relationship between social classes and their lived spaces. The practice of civil surveillance aims to overcome essential gaps left by traditional methods of public health investigation. It includes a lack of attention to socio-cultural contexts, the construction of risk located only in the individual, and the representation of public health agendas that privilege and pathologize certain behaviors. This paper discusses the concept of civil health surveillance, the locus of discussion of population studies in the reification of the role of the contextual effect in explaining the social production of health and the incorporation of popular participation in health surveillance as an element of social transformation. The deepening of this discussion allows a participatory construction of new health models focused on the effective reduction of health inequities and, consequently, the effective universalization of the right to health.
    Type of Medium: Online Resource
    ISSN: 2358-2898 , 0103-1104
    Uniform Title: Civilian health surveillance, population studies and participation
    URL: Article
    DOI: 10.1590/0103-11042022e406
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    SSG: 7,36
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  • 10
    Online Resource
    Online Resource
    Civilian health surveillance, population studies and participation
    FapUNIFESP (SciELO) ; 2022
    In:  Saúde em Debate Vol. 46, No. spe4 ( 2022-11), p. 81-93
    Details
    In: Saúde em Debate, FapUNIFESP (SciELO), Vol. 46, No. spe4 ( 2022-11), p. 81-93
    Abstract: RESUMO Em meados dos anos 1990, Victor Valla propôs a incorporação da participação da população à prática da vigilância em saúde, por meio da educação popular de Paulo Freire. Esse contraponto às práticas tradicionais da vigilância, nomeadas vigilância civil da saúde, somam-se à concepção ampliada de saúde, e possuem forte ligação com a perspectiva crítica da epidemiologia enquanto meio de compreender a relação dialética entre classes sociais e seus espaços vividos. A prática da vigilância civil pretende superar lacunas importantes deixadas pelos métodos tradicionais de investigação em saúde pública, como falta de atenção aos contextos socioculturais, construção do risco localizada somente no indivíduo e representação de agendas de saúde pública que privilegiam e patologizam certos comportamentos. Nesse sentido, o presente trabalho debate o conceito de vigilância civil da saúde, o locus de discussão dos estudos de população na reificação do papel do efeito contextual para a explicação da produção social da saúde e a incorporação da participação popular à vigilância em saúde como elemento de transformação social. O aprofundamento dessa discussão, no limite, permite uma construção participativa de novos modelos de saúde concentrados na redução efetiva das iniquidades em saúde e, consequentemente, universalização efetiva do direito à saúde.
    Type of Medium: Online Resource
    ISSN: 2358-2898 , 0103-1104
    Uniform Title: Vigilância civil em saúde, estudos de população e participação popular
    URL: Article
    DOI: 10.1590/0103-11042022e406i
    Language: English , Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    SSG: 7,36
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