Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-29T19:59:07Z No. of bitstreams: 1 AilaMaropoAraujo_DISSERT.pdf: 1664889 bytes, checksum: 29482407c33b05eba7bdb64bb5fc4422 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-09-05T22:11:24Z (GMT) No. of bitstreams: 1 AilaMaropoAraujo_DISSERT.pdf: 1664889 bytes, checksum: 29482407c33b05eba7bdb64bb5fc4422 (MD5) / Made available in DSpace on 2016-09-05T22:11:24Z (GMT). No. of bitstreams: 1 AilaMaropoAraujo_DISSERT.pdf: 1664889 bytes, checksum: 29482407c33b05eba7bdb64bb5fc4422 (MD5) Previous issue date: 2016-04-18 / Este estudo objetivou investigar a distribui??o espacial da mortalidade por agress?o em idosos e a correla??o com os determinantes sociais da sa?de. Trata-se de um estudo ecol?gico realizado nas Regi?es de Articula??o Urbana do Brasil entre 2009 e 2013. Os dados foram provenientes do Sistema de Informa??o sobre Mortalidade, Sistema de Indicadores de Sa?de e Acompanhamento de Pol?ticas do Idoso, Instituto Brasileiro de Geografia e Estat?stica e Atlas de Desenvolvimento Humano, coletados entre janeiro e agosto de 2015. Os ?bitos para o c?lculo da taxa de mortalidade por agress?o em idosos foram definidos segundo a Classifica??o Internacional das Doen?as - 10? Revis?o (CID-10). Foi utilizado o programa Tabwin 3.2 para a coleta de dados. Em seguida, realizou-se a an?lise estat?stica com a correla??o de Pearson, com um n?vel de signific?ncia estat?stica de 95%. Foram encontrados 12.600 ?bitos por agress?o em idosos, a maioria (85,53%) do sexo masculino, faixa et?ria de 60 a 69 anos (49,61%), ra?a/cor parda (46,39%), escolaridade de 1 a 3 anos de estudo (17,34%). O local de ocorr?ncia foi no hospital (28%) e a principal fonte de informa??o foi o boletim de ocorr?ncia (57,37%). Os tipos de causas mais frequentes foram agress?o por meio de disparo de arma de fogo ou de arma n?o especificada (X95) (37,25%) e agress?o por meio de objeto cortante ou penetrante (X99) (22,95%). A taxa de mortalidade por agress?o em idosos nacional foi de 9,97 por 100.000, as regi?es sul e sudeste foram as maiores: 18,33/100.000 e 18,42/100.000. Dentre as Unidades da Federa??o, foram: Roraima (23,51 por 100.000), Rond?nia (22,90 por 100.000), Alagoas (22,11 por 100.000), Acre (20,88 por 100.000) e Mato Grosso (20,20 por 100.000). Das Regi?es de Articula??o Urbana, as maiores taxas foram: Uruguaiana (59,87 por 100.000), Curitiba (47,75 por 100.000), S?o F?lix do Araguaia - Confresa - Vila Rica (44,32 por 100.000), Maca? (42,40 por 100.000) e Marab? (41,91 por 100.000). Na an?lise de correla??o de Pearson, as vari?veis com signific?ncia estat?stica e correla??o fraca foram: ?ndice de Gini (r=0,394, p<0,001), propor??o de idosos residentes em domic?lios na condi??o de outro parente (r=0,222, p<0,005), raz?o de depend?ncia de idosos (r=-0,399, p<0,001), propor??o de idosos que vivem em domic?lio adequado (r=-0,147, p<0,06) e mortalidade da popula??o em geral por agress?o (r=0,518, p<0,001). As altas taxas de mortalidade por viol?ncia em idosos s?o explicadas pela estrutura social, econ?mica e de sistemas pol?ticos no territ?rio brasileiro que geram iniquidades sociais, onde a viol?ncia est? arraigada a essa estrutura atingindo toda a popula??o do pa?s. / This study was intended to investigate the spatial distribution of the mortality from aggression in elderly people and the correlation with the social determinants of health. This is an ecological study held in Brazilian Regions of Urban Articulation between 2009 and 2013. Data were originated from the System on Mortality Information, System on Health Indicators and Follow-up of Policies for Elderly People, Brazilian Institute of Geography and Statistics, and Atlas of Human Development, collected between January and August 2015. The deaths for calculating the mortality rate from aggression in elderly people were defined according to the International Classification of Diseases ? 10th Revision (ICD-10). The Tabwin 3.2 software was used to collect data. After that, there was the statistical analysis with the Pearson correlation, with a statistical significance level of 95%. 12.600 deaths from aggression were found in elderly people, the majority (85,53%) were male, aged from 60 to 69 years (49,61%), mixed race/color (46,39%), schooling level between 1 and 3 years of study (17,34%). The place of occurrence was in the hospital (28%) and the main source of information was the police report (57,37%). The most frequent types of causes were aggression by means of shooting of a firearm or another unspecified handgun (X95) (37,25%) and aggression by means of sharp or needle-stick objects (X99) (22,95%). The national mortality rate from aggression in elderly people was 9,97 per 100.000, and the South and Southeast regions were the most prominent: 18,33/100.000 and 18,42/100.000. Among the Federation Units, emerged: Roraima (23,51 per 100.000), Rond?nia (22,90 per 100.000), Alagoas (22,11 per 100.000), Acre (20,88 per 100.000) and Mato Grosso (20,20 per 100.000). From the Regions of Urban Articulation, the highest rates were: Uruguaiana (59,87 per 100.000), Curitiba (47,75 per 100.000), S?o F?lix do Araguaia ? Confresa ? Vila Rica (44,32 per 100.000), Maca? (42,40 per 100.000) and Marab? (41,91 per 100.000). When analyzing the Pearson correlation, the variables with statistical significance and weak correlation were: Gini index (r=0,394, p<0,001), proportion of elderly people living in domiciles in the condition of another family member (r=0,222, p<0,005), dependency ratio of elderly people (r=-0,399, p<0,001), proportion of elderly people living in appropriate domiciles (r=-0,147, p<0,06) and mortality from aggression in the general population (r=0,518, p<0,001). The high mortality rates from violence in elderly people are explained through social and economic structure and political systems within the Brazilian territory that produce social iniquities, where violence is rooted in this structure affecting the entire population of the country.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:00Z No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:22Z (GMT) No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2016-01-11T17:05:22Z (GMT). No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2014 / Com o prop?sito de conhecer os aspectos epidemiol?gicos da Leishmaniose Visceral (LV) entre os munic?pios sob a jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina (SRSD), realizou-se um estudo da distribui??o da LV humana e canina nestes por meio de dados disponibilizados no Sistema de Informa??o de Agravos de Notifica??o e de dados registrados em livros da SRSD. No munic?pio com maior ocorr?ncia da LV humana, realizou-se o georreferenciamento dos casos humanos e caninos associados a fatores ambientais e sociais; analisou-se a percep??o das pessoas acometidas pela doen?a por meio de entrevistas; aspectos da estrutura e funcionamento do servi?o de controle da doen?a foram analisados por meio de question?rios. No per?odo de 2007 a 2012 houve a notifica??o de 79 casos de LV humana e 451 c?es positivos para a infec??o canina nos munic?pios que comp?em a SRSD. Nestes, a LV humana foi mais prevalente em crian?as, pessoas do g?nero masculino e residentes em ?reas rurais. Em Ara?ua?, munic?pio com maior transmiss?o da LV humana, houve a notifica??o de 41 casos de LV entre os anos de 2007 a 2013. Neste, a infec??o acometeu principalmente crian?as, pessoas do g?nero masculino e residentes da ?rea urbana. A distribui??o espacial dos casos de LV humana e da infec??o canina na ?rea urbana do munic?pio de Ara?ua? exibiu um padr?o aglomerado, com agrupamentos de casos humanos estatisticamente significativos a dist?ncias superiores a 350 metros e agrupamentos estatisticamente significativos de c?es infectados a dist?ncias superiores a 75 metros. A an?lise explorat?ria por meio do estimador de Kernel apontou para maior ocorr?ncia de casos humanos e caninos na ?rea central da cidade. N?o foi observada rela??o entre o ?ndice de Vegeta??o da Diferen?a Normalizada e as ?reas de maior ocorr?ncia da doen?a. A an?lise socioambiental dos ambientes domiciliares das pessoas acometidas pela LV no munic?pio de Ara?ua? revelou um predom?nio de defici?ncias em estruturas de saneamento ambiental; presen?a de arbustos, ?rvores frut?feras e diferentes animais ao redor dos domic?lios; proximidade com ambientes naturais e casas aglomeradas. Por meio das entrevistas com as pessoas que foram acometidas pela LV, foi poss?vel perceber um desconhecimento em rela??o ? doen?a, principalmente no que diz respeito ?s formas de transmiss?o. P?de-se perceber tamb?m que os m?dicos tiveram dificuldade em diagnosticar a LV e que o tratamento que estes prescreveram para os pacientes foi, no geral, demorado. De forma geral, o munic?pio de Ara?ua? desenvolve a maioria das a??es propostas pelo Minist?rio da Sa?de para o Programa de Controle da Leishmaniose Visceral (PCLV), contudo, h? necessidade de melhor estrutura??o do servi?o de controle da LV neste. A realiza??o de planejamentos para os levantamentos das demandas de materiais para a execu??o dos diagn?sticos da LV para que n?o os falte durante a realiza??o dos inqu?ritos e o estabelecimento de condi??es para a execu??o de levantamentos entomol?gicos ? uma necessidade premente. O investimento em trabalhos de educa??o em sa?de para a popula??o, educa??o continuada para os m?dicos, Agentes de Combate a Endemias e demais profissionais envolvidos no PCLV tamb?m ? fundamental. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT In order to know the epidemiology of visceral leishmaniasis (VL) between the municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina (SRSD), carried out a study of the distribution of human and canine LV these using data available in Diseases Information system Notification and data recorded in the SRSD books. In the city with the highest occurrence of human VL was held georeferencing of human and canine cases associated with environmental and social factors; analyzed the perception of people with the disease through interviews; aspects of the structure and function of disease control service were analyzed by means of questionnaires. In the period 2007-2012 there was a notification of 79 cases of human VL and 451 dogs positive for canine infection in the municipalities that make up the SRSD. In these, the human VL was more prevalent in children, male gender and living people in rural areas. In Ara?ua?, municipality with greater transmission of human VL, there was notification of 41 cases of VL between the years 2007 to 2013. In this, the infection affected mainly children, males and gender residents of the urban area. The spatial distribution of cases of human VL and canine infection in urban Ara?ua? municipality exhibited a pattern crowded with groups of statistically significant human cases at distances greater than 350 meters and statistically significant clusters of infected dogs at distances greater than 75 meters . The exploratory analysis using the Kernel estimator pointed to a higher incidence of human and canine cases in the central area of the city. No relationship was found between the Difference Vegetation Index Normalized and areas of highest incidence of the disease. The environmental analysis of the home environments of people affected by LV in the municipality of Ara?ua? revealed a predominance of deficiencies in environmental sanitation structures; presence of shrubs, fruit trees and different animals around the household; proximity to natural environments and clustered houses. Through interviews with people who have been affected by LV, it was revealed an ignorance about the disease, particularly with regard to forms of transmission. It could be perceived also that doctors had difficulty diagnosing VL and the treatment prescribed for these patients was generally, time consuming. In general, the municipality of Ara?ua? develop most of the actions proposed by the Ministry of Health for the Control Program Visceral Leishmaniasis (PCLV), however, there is need for a better structuring of the LV control this service. The realization of plans for surveys of the demands of materials for the execution of LV diagnostics lest they miss during the surveys and the establishment of conditions for the implementation of entomological surveys is urgently needed. Investment in health education work for the population, continuing education for physicians, Fighting Endemic Diseases agents and other professionals involved in PCLV is also key.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-02-03T22:33:28Z No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-02-04T23:28:08Z (GMT) No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) / Made available in DSpace on 2016-02-04T23:28:08Z (GMT). No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) Previous issue date: 2015-03-03 / A trajet?ria de vida percorrida pelo indiv?duo determina sua forma de adoecer e manter-se saud?vel; al?m disso, os determinantes sociais da sa?de influenciam a sa?de da popula??o ao longo do seu curso de vida. O objetivo deste trabalho foi investigar a sa?de bucal e seus fatores determinantes ao longo do curso de vida dos jovens no munic?pio de Sobral, Cear?. Tratou-se de um estudo de coorte, com tr?s ondas: 2000, 2006 e 2012. Foram examinados e entrevistados 482 indiv?duos nas tr?s ondas, atualmente, na faixa et?ria de 17 a 21 anos. Investigaram-se a c?rie dent?ria, m? oclus?o, doen?a periodontal, edentulismo e traumatismo dent?rio. As vari?veis independentes coletadas na ?ltima onda foram as caracter?sticas sociodemogr?ficas, utiliza??o de servi?os e a??es de sa?de bucal, autopercep??o de sa?de bucal e h?bitos e comportamentos de sa?de bucal. Foi analisada a incid?ncia de c?rie de 2006 para 2012, a trajet?ria da c?rie dent?ria, a trajet?ria da assist?ncia odontol?gica e a trajet?ria da condi??o socioecon?mica familiar. Os dados foram analisados no programa SPSS vers?o 20, no qual foram utilizados os testes t de student, ANOVA e regress?o de Poisson. A incid?ncia m?dia de c?rie de 2006 para 2012 foi de 2,95 dentes. As condi??es socioecon?micas apresentaram-se como fatores de risco para todos os desfechos investigados nas diferentes ondas. A participa??o em grupos de adolescentes apresentou-se como fator de prote??o para sa?de bucal, enquanto a utiliza??o dos servi?os de sa?de bucal implicou no aumento da recidiva de c?rie e mutila??o dent?ria. As teorias explicativas do life course (per?odo cr?tico, mobilidade socioecon?mica e acumula??o de risco) foram comprovadas neste estudo. Aqueles que nunca foram pobres apresentaram melhores condi??es de sa?de bucal, enquanto empobrecer acarretou uma piora no quadro de sa?de bucal. Por?m, o risco foi maior para aqueles que permaneceram sempre pobres e com maior experi?ncia de pobreza ao longo da vida. Verificou-se a presen?a de iniquidades em sa?de bucal e de assist?ncia odontol?gica na popula??o investigada. / The life pathway determines the way of getting sick and staying healthy and the social determinants of health influence population health throughout their life course. The aim of this study was to investigate the oral health and its determinants throughout the life course of young people in Sobral, Cear?. This was a cohort study with three waves: 2000, 2006 and 2012. 482 individuals aged 17-21 years were examined and interviewed in the three waves. Were investigated tooth decay, malocclusion, periodontal disease, tooth loss and dental trauma. The independent variables collected in the last wave were: sociodemographics factors, use of dental services and actions, self-perceived oral health and habits and oral health behaviors. Caries incidence from 2006 to 2012, the trend of dental caries, the trajectory of dental care and the trajectory of family socioeconomic status was analyzed. Data were analyzed using SPSS version 20, where the student t test, ANOVA and Poisson regression were used. The average incidence of caries from 2006 to 2012 was 2.95 teeth. Socioeconomic conditions presented themselves as risk factors for all outcomes investigated in different waves. The social capital is presented as a protective factor for oral health, while the use of oral health services implied an increase of recurrent caries and mutilation. Explanatory theories of life course (critical period, socioeconomic mobility and accumulation of risk) were proven in this study. Those who were never poor had better oral health conditions, while downwardly mobile entails a worsening in the context of oral health. However, the risk was higher for those who have always remained poor and have had most experienced poverty throughout life. There was the presence of inequalities in oral health and at the utilization of dental services.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-04-02T15:39:52Z No. of bitstreams: 1 MarianaSilvaBezerra_DISSERT.pdf: 1777120 bytes, checksum: 807bcc2f61b63b6d332d28ec1f820f93 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-04-06T16:53:51Z (GMT) No. of bitstreams: 1 MarianaSilvaBezerra_DISSERT.pdf: 1777120 bytes, checksum: 807bcc2f61b63b6d332d28ec1f820f93 (MD5) / Made available in DSpace on 2018-04-06T16:53:51Z (GMT). No. of bitstreams: 1 MarianaSilvaBezerra_DISSERT.pdf: 1777120 bytes, checksum: 807bcc2f61b63b6d332d28ec1f820f93 (MD5) Previous issue date: 2017-12-08 / O objetivo foi analisar a distribui??o espa?o-temporal da inseguran?a alimentar e sua correla??o com indicadores de vulnerabilidade social, condi??es socioecon?micos e mortalidade infantil, no Brasil. Estudo ecol?gico, com dados de dois inqu?ritos nacionais, a Pesquisa Nacional Amostra de Domic?lios (2004, 2009 e 2013) do Instituto Brasileiro de Geografia e Estat?stica e o Altas Brasil do Instituto de Pesquisa Econ?mica Aplicada (2010). Foi realizada uma an?lise descritiva das vari?veis no software Statistical Package for the Social Science Statistics (SPSS) para c?lculo das preval?ncias de inseguran?a alimentar considerando os pesos amostrais e efeito do desenho. Para an?lise temporal da distribui??o espacial das preval?ncias de inseguran?a alimentar nos anos de 2004, 2009 e 2013, foi realizada a divis?o em quartis dos dados de 2004, por ser considerado o primeiro ano de an?lise e o que encontra-se com maiores preval?ncias e, utilizou-se esses valores como pontos de corte para distribui??o das preval?ncias nos tr?s anos. Na an?lise espacial bivariada, para analisar o padr?o de distribui??o espacial e a intensidade dos aglomerados (cluster, aleat?rio ou disperso), foi utilizado o ?ndice de Moran, considerando como signific?ncia estat?stica o valor de p<0,05. A ocorr?ncia de aglomerados e a signific?ncia estat?stica desses aglomerados foram demonstrados pelo MoranMap e pelo LisaMap. As preval?ncias de inseguran?a alimentar diminu?ram nos anos analisados e apresentaram correla??o espacial negativa e moderada com o IDH (-0,643; p<0,05); positiva e moderada com % de extremamente pobres (0,684; p<0,05), mortalidade infantil (0,572; p<0,05), ?ndice de vulnerabilidade social (0,654; p<0,05), ?ndice de vulnerabilidade social capital humano (0,636; p<0,05); positiva e forte com ?ndice de vulnerabilidade social renda e trabalho (0,716; p<0,05) e positiva e fraca com ?ndice de vulnerabilidade social infraestrutura (0,273; p<0,05). Conclui-se que houve diminui??o da preval?ncia de IA de 2004 a 2013 e que o territ?rio brasileiro apresentou dois padr?es distintos, um com territ?rios com maiores preval?ncias de IA e piores condi??es de renda, trabalho e sa?de infantil nas regi?es Norte e Nordeste e outro com menores preval?ncias de IA e menor vulnerabilidade de acordo com os indicadores analisados em UF nas regi?es Centro-Oeste, Sudeste e Sul. / This study aimed to evaluate the temporal and spatial distribution of food insecurity and its correlation with indicators of social vulnerability, socioeconomic conditions and infant mortality in Brazil. Ecological study, with data from two national surveys, the Brazilian National Household Survey (2004, 2009 and 2013) from the Brazilian Institute of Geography and Statistics, and Altas Brasil from the Institute of Applied Economic Research (2010). A descriptive analysis of the variables was performed in the software Statistical Package for the Social Science Statistics (SPSS) to calculate the prevalence of food insecurity considering sample weights and design effect. For the temporal analysis of the spatial distribution of food insecurity prevalence in 2004, 2009 and 2013, a division into quartiles of the 2004 data was performed, since it was considered the first year of the analysis and the one with the highest prevalence rates, thus these values were used as cut-off points for the distribution of prevalence rates in the three years. In the bivariate spatial analysis, to analyze the spatial distribution pattern and the intensity of the clusters (cluster, random or dispersed), Moran?s Index was used, considering p <0.05 as the statistical significance. The occurrence of clusters and their statistical significance were demonstrated by MoranMap and LisaMap. The prevalence of food insecurity decreased in the years analyzed and showed a negative and moderate spatial correlation with HDI (-0.643; p<0.05); positive and moderate with % of extremely poor (0.684; p<0.05), infant mortality (0.572; p<0.05), social vulnerability index (0.654; p<0.05), social vulnerability index - human capital (0.636; p<0.05); positive and strong with social vulnerability index ? income and labor (0.716; p<0.05) and positive and weak with social vulnerability index ? infrastructure (0.273; p<0.05). It is concluded that the Brazilian there was a decrease in the prevalence of FI from 2004 to 2013 and Brazilian territory presented two distinct patterns, one with territories with higher prevalence of FI and worse conditions of income, work and child health in the North and Northeast regions, and another one with a lower prevalence of FI and lower vulnerability according to the indicators analyzed in federative units of the Central-West, Southeast and South regions.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T14:15:29Z No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-26T12:00:56Z (GMT) No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) / Made available in DSpace on 2017-01-26T12:00:56Z (GMT). No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) Previous issue date: 2016-02-17 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O movimento em favor da inclus?o de pessoas com defici?ncia, vivenciado atualmente, caracteriza um novo olhar sobre as possibilidades de vida outrora invisibilizadas. Entretanto, sobressai neste cen?rio um contexto lesivo, no tocante ao comprometimento da sa?de mental, no conv?vio com um d?ficit nas fun??es sensoriais, notadamente, na defici?ncia visual. Esta realidade infringe no sujeito sofrimento ps?quico e priva??o social, mutilando suas perspectivas de realiza??o pessoal, abarcadas em uma conjuntura micro e macrossocial em constante intera??o. Nesse sentido, na presente pesquisa objetivamos analisar a contribui??o dos determinantes sociais de sa?de no cotidiano de sujeitos com defici?ncia visual, com ?nfase na sa?de mental, identificando as dificuldades percebidas e as estrat?gias de enfrentamento utilizadas em rela??o ?s adversidades cotidianas. Trata-se, portanto, de uma pesquisa descritiva e explorat?ria com abordagem qualitativa. Para a coleta de dados, realizamos entrevistas semiestruturadas junto aos sujeitos deficientes visuais no ambulat?rio de oftalmologia do Hospital Universit?rio Onofre Lopes (HUOL), no per?odo de agosto a setembro de 2015. Os dados foram tratados ? luz do m?todo de an?lise tem?tica descrito por Minayo (2008); e os conte?dos das unidades de registro elencadas, inspirados no modelo de Determina??o social da sa?de, proposto por Dahlgren e Whitehead (1991). Assim sendo, organizamos as seguintes categorias tem?ticas: sa?de e sofrimento ps?quico no encontro com o n?o ver e seus modos de andar a vida; a autonomia e seus desafios cotidianos; intera??o social e suas redes de pertencimento; os valores e a cultura no processo de normaliza??o e estigmatiza??o; a educa??o, seus limites e possibilidades; e o trabalho nos contextos de exclus?o e inclus?o social vivenciados. A reflex?o das informa??es analisadas suscita discuss?es a respeito da persist?ncia de fatores sociais adversos ao processo de inclus?o plena e efetiva, geradores de atitudes normalizadoras. Destarte, a pesquisa revela desafios ?s inst?ncias gestoras e a toda a sociedade, no sentido de promover a aten??o ?s demandas da participa??o social e o respeito ?s diferen?as, a fim de concretizar o princ?pio da dignidade da pessoa humana, corol?rio da diversidade social, refletida nos modos de andar a vida, pr?prios de cada um. / The movement in favor of the inclusion of people with disabilities experienced nowadays features a new look at the possibilities of life once made invisible. However, stands out in this setting one harmful context that regards to mental health endanger about living with a deficit in sensorial functions, especially the visually impaired. This situation breaches to the person psychical suffering and social deprivation, mangling their prospects for personal fulfillment, embraced, on a micro and macro-environment, constant interaction. In this sense, this research aims to analyze the contribution of social determinants of health in the daily lives of individuals with visual impairment, emphasizing an emphasis on mental health, identifying the difficulties perceived and coping strategies used in relation to their daily hardships. It is a descriptive and exploratory research that deals with a qualitative approach. To collect data, semi-structured interviews were guided with the visually handicapped people in the Ophthalmology Clinic of the University Hospital Onofre Lopes (HUOL), between August and September 2015. The data were analyzed in the perspective of the thematic analysis method described by Minayo (2008). The matter of the chosen registration units have been inspired by the social health determination model, proposed by Dahlgren and Whitehead (1991). Thus, the following themes were organized: health and psychological suffering in the encounter with the action of ?no-see? in ways of living life; Autonomy and their daily challenges; Social interaction and their belonging networks; Values and culture in the standardization and stigmatization process; Education, its limits and possibilities; The work in contexts of experienced exclusion and social inclusion actions. The reflection of the information analyzed raises discussions about the persistence of adverse social factors to the full and effective inclusion process of normalizing attitudes generators. Therefore, the research reveals challenges to the management levels and to the whole society, to promote attention to the demands of social participation and respect for differences, in order to implement the principle of human dignity, a corollary of social diversity, reflected in ways of living life, proper to each one.

Submitted by Verena Pereira (verenagoncalves@uefs.br) on 2018-07-17T21:43:39Z No. of bitstreams: 1 DISSERTA??O PPGSC CANDISSE ALVES DE ALMEIDA VERS?O FINAL PDF.pdf: 1292449 bytes, checksum: a4006dd589548bd88e4b06311531dacc (MD5) / Made available in DSpace on 2018-07-17T21:43:39Z (GMT). No. of bitstreams: 1 DISSERTA??O PPGSC CANDISSE ALVES DE ALMEIDA VERS?O FINAL PDF.pdf: 1292449 bytes, checksum: a4006dd589548bd88e4b06311531dacc (MD5) Previous issue date: 2017-06-08 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / The objective of this study was to analyze the quality of life (QoL) of people with sickle cell disease (DF) from the perspective of the social health determination model (MDSS). A scientific paper entitled "Quality of life of people with sickle cell disease and the model of social determination of health" was constructed. The study of the QoL assessment of people with DF is considered a tool to reach the social and scientific visibility of this illness in the national scenario. The study of the evaluation of QoL in chronic diseases, like DF, is extremely important, since the impact of the disease on QoL strongly influences the way the subject faces his illness. It was a challenging study that sought to understand QOL in people with FD as a phenomenon of great complexity, on which individual and collective conditions are linked, considering not only biological and hereditary conditions, but also social and cultural, capable of influencing the perception of the individual and determining their health condition and these characteristics illustrate the social determinants of health. In view of this complex scenario, we suggest the development of specific instruments to evaluate the QoL of people with FD, considering all the peculiarities inherent to this disease so prevalent in the northeastern territory / O objetivo deste estudo foi analisar a qualidade de vida (QV) das pessoas com Doen?a falciforme (DF), na perspectiva do modelo de determina??o social da sa?de (MDSS). Para isso foi constru?do um artigo cient?fico intitulado: ?Qualidade de vida de pessoas com Doen?a Falciforme e o modelo de determina??o social da sa?de?. Considera-se o estudo da avalia??o da QV das pessoas com DF uma ferramenta para alcance da visibilidade social e cient?fica deste adoecimento no cen?rio nacional. A realiza??o de estudos sobre a avalia??o da QV em adoecimentos cr?nicos, a exemplo da DF, ? de extrema import?ncia, visto que o impacto exercido pela doen?a sobre a QV influencia intensamente a forma como o sujeito enfrenta o seu adoecimento. Tratou-se de um estudo desafiador, que buscou entender a QV em pessoas com DF como um fen?meno de grande complexidade, sobre o qual est?o atreladas as condi??es individuais e coletivas, considerando n?o somente as condi??es biol?gicas e heredit?rias, mas tamb?m as quest?es sociais e culturais, capazes de influenciar a percep??o do indiv?duo e de determinar a sua condi??o de sa?de e estas caracter?sticas ilustram os determinantes sociais da sa?de. Diante deste cen?rio complexo, sugere-se o desenvolvimento de instrumentos espec?ficos para avalia??o da QV de pessoas com DF, considerando todas as particularidades inerentes a este adoecimento t?o prevalente no territ?rio nordestino

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-01T22:34:44Z No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-13T23:55:00Z (GMT) No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) / Made available in DSpace on 2017-11-13T23:55:00Z (GMT). No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) Previous issue date: 2017-08-21 / Trata-se de uma disserta??o concentrada na ?rea Sociabilidade, Servi?o Social e Pol?tica social, cuja Linha de Pesquisa ? Servi?o Social, Trabalho e Quest?o Social. Aborda a sa?de do trabalhador, nos marcos da explora??o e degrada??o da organiza??o do trabalho, em um contexto contempor?neo de crise do capital e de contrarreforma do Estado brasileiro. O estudo ? fundamentado pela centralidade da categoria trabalho, presente na tradi??o marxista, e pela teoria da determina??o social da sa?de. Tem como objetivo analisar os afastamentos por motivo de sa?de dos servidores atendidos na unidade SIASS-UFRN, com vistas a contribuir para identifica??o dos determinantes sociais que perpassam o processo sa?de-doen?a. Ainda, como objetivos espec?ficos, visa identificar os determinantes individuais e as condi??es de vida e de trabalho dos servidores afastados, para reconhecer os perfis mais vulner?veis ao adoecimento; dar visibilidade aos determinantes sociais do processo sa?de-doen?a dos servidores que incidem no afastamento de sa?de, a fim de enfrentar as situa??es de risco ? sa?de do trabalhador; evidenciar as patologias adquiridas/agravadas no trabalho, no intuito de estabelecer rela??o com o afastamento; e contribuir para a compreens?o da equipe acerca dos determinantes sociais de sa?de, objetivando a qualifica??o dos processos de trabalho em sa?de. A investiga??o ? orientada pelo m?todo cr?tico dial?tico e apresenta enfoque misto, por agrupar dados qualitativos e quantitativos, a partir de levantamento bibliogr?fico; pesquisa documental junto ao SIAPE-SA?DE e SIGRH; e pesquisa de campo, atrav?s de entrevistas semiestruturadas aos profissionais da unidade que comp?em a equipe multiprofissional, no total de dez. Para a an?lise de dados, adotou-se a t?cnica de An?lise de Conte?do e o tratamento estat?stico com base em planilhas do EXCEL. Constatou-se que os determinantes sociais relacionados ? dimens?o do trabalho no processo sa?de-doen?a dos servidores atendidos s?o aqueles citados na an?lise da equipe com maior frequ?ncia, em um cen?rio no qual os transtornos mentais lideram os afastamentos em n?mero de dias na Unidade SIASS-UFRN. Nesse sentido, o transtorno mental ? apresentado como patologia mais recorrente nos casos de interven??o da equipe multiprofissional, pela complexidade e especificidade que abarca o sofrimento ps?quico. Por fim, tem-se o reconhecimento da significativa rela??o entre o trabalho e o adoecimento sob o olhar dos entrevistados, com destaque para os docentes e profissionais da sa?de, devido ?s particularidades que envolvem essas categorias, tais como: intensa demanda de trabalho intelectual, sobrecarga e stress. Entre os trabalhadores da sa?de, soma-se ainda o lidar com o sofrimento alheio. / It is a dissertation that has as Area of Concentration Sociability, Social Service and Social Policy and as Line of Research, Social Service, Work and Social Question. It addresses the health of the worker within the framework of exploitation and degradation of work organization in a contemporary context of capital crisis and counterreformation of the Brazilian State. The study is based on the centrality of the work category present in the Marxist tradition and on the theory of social determination of health. The objective of this study is to analyze the health reasons for the employees attending the SIASS-UFRN unit, in order to contribute to the identification of the social determinants that go through the health-disease process. It has as specific objectives: to identify the individual determinants and living and working conditions of remote servers to recognize the profiles most vulnerable to illness; To give visibility to the social determinants of the health-disease process of the employees that affect the health remoteness, in order to face situations of risk to the health of the worker; To evidence the acquired / aggravated pathologies in the work in order to establish relation with the distance; And contribute to the team's understanding of the social determinants of health, with a view to qualifying the work processes in health. The research is guided by the critical dialectical method and presents a mixed approach, by grouping qualitative and quantitative data, from a bibliographical survey, documentary research with SIAPE-SA?DE, to SIGRH and field research, through semi-structured interviews with the professionals of the unit Make up the multiprofessional team, in total ten. For data analysis, we adopted content analysis and statistical treatment based on EXCEL worksheets. We found that the social determinants related to the work dimension, in the health and illness process of the servants served, are the most frequently mentioned in the analysis of the team, in a scenario that the mental disorders lead the departures in number of days in the SIASS-UFRN Unit. In this sense, mental disorder is identified as a recurrent pathology in the cases of intervention by the multiprofessional team, due to the complexity and specificity of psychic suffering. Finally, we recognize the significant relationship between work and illness in the eyes of the interviewees, in which teachers and health professionals deserve greater attention because of the particularities involved in these categories, such as: great mental demand, overload, pressure, stress; Among health workers, the suffering of others is added.

Made available in DSpace on 2014-12-17T15:39:06Z (GMT). No. of bitstreams: 1 MariaGSGC_DISSERT.pdf: 2555739 bytes, checksum: 0efa18c9d47df1166ff7932c946b8297 (MD5) Previous issue date: 2014-03-14 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / The lack of studies aimed at the mental health of the rural population, the social, economic, familial and emotional impact that mental disorders produce and the vulnerability that women have in this context, lead us to believe in the need to investigate the mental health demands of female rural workers, in order to subsidize the development of more effective and culturally sensitive public health programs and policies that take into account the specificities of this population. The present study aims to investigate the prevalence of common mental disorders (CMD) and the possible factors associated with the emergence of such disorders among women living in a rural settlement in Rio Grande do Norte. This survey has a quantitative and qualitative character with an ethnographic approach. As methodological strategies, we made use of an adapted version of the socio-demographic and environmental questionnaire prepared by The Department of Geology/UFRN s Strategic Analysis Laboratory to evaluate the quality of life of the families from the rural settlement and the mental health screening test Self-Reporting Questionnaire (SRQ-20) to identify the prevalence of CMD in adult women from the community. Complementing the role of methodological tools, we use the participant observation and semi-structured interviews with women who presented positive hypothesis of CMD attempting to comprehend the crossings that build the subjective experience of being a woman in this context. The results point to the high prevalence of CMD (43.6%) and suggest the link between poverty, lack of social support, unequal gender relations and the occurrence of CMD. We also verified that the settled women do not access the health network to address issues relating to mental health and that the only recourse of care offered by primary health care is the prescription of anxiolytic medication. In this context, the religiosity and the work are the most important strategies for mental health support among women / A car?ncia de estudos voltados ? sa?de mental da popula??o rural, o impacto socioecon?mico, familiar e afetivo que os transtornos mentais produzem e o lugar de vulnerabilidade que as mulheres ocupam nas ?reas rurais, imp?em a necessidade de investigar a realidade de mulheres assentadas e trabalhadoras rurais, visando subsidiar a elabora??o de programas e pol?ticas p?blicas de sa?de mais eficazes e culturalmente sens?veis que levem em conta as especificidades dessa popula??o. Diante disso, o presente estudo tem como objetivo investigar a preval?ncia de transtornos mentais comuns (TMC) e os poss?veis fatores associados ? emerg?ncia de tais transtornos entre mulheres residentes de um assentamento rural do RN. Metodologicamente, trata-se de uma pesquisa que parte de uma abordagem quantitativa e qualitativa de inspira??o etnogr?fica. Inicialmente aplicamos uma vers?o adaptada do question?rio s?cio-demogr?fico-ambiental elaborado pelo Laborat?rio de An?lises Estrat?gicas da UFRN/Departamento de Geologia para avaliar a qualidade de vida das fam?lias do assentamento e o instrumento de rastreamento em sa?de mental Self-Reporting Questionnaire (SRQ-20) para identificar a preval?ncia de TMC nas mulheres adultas da comunidade. Complementando o rol de ferramentas, nos valemos da observa??o participante do cotidiano do assentamento e entrevistas semiestruturadas com as mulheres que apresentaram hip?tese positiva de TMC buscando apreender os atravessamentos que constroem a experi?ncia subjetiva de ser mulher nesse contexto. Os resultados apontam a alta preval?ncia de TMC (43,6%) e sugerem a articula??o entre pobreza, falta de redes de apoio social e comunit?ria, rela??es desiguais de g?nero e a ocorr?ncia de TMC. Constatamos ainda que as assentadas n?o acessam a rede de sa?de para tratar de quest?es relativas ? sa?de mental e que o ?nico recurso de cuidado ofertado pela aten??o prim?ria ? prescri??o de medica??o ansiol?tica, destacando-se a religiosidade e o trabalho como os mais importantes fatores de suporte ? sa?de mental entre as mulheres no contexto do assentamento rural