Submitted by Maike Costa (maiksebas@gmail.com) on 2017-07-06T14:34:12Z No. of bitstreams: 1 arquivototal.pdf: 2524791 bytes, checksum: 15d07d9937e0452b345edd0616d97937 (MD5) / Made available in DSpace on 2017-07-06T14:34:12Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 2524791 bytes, checksum: 15d07d9937e0452b345edd0616d97937 (MD5) Previous issue date: 2017-03-09 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Psychic illness, highlighting Common Mental Disorders (CMD), one of bigest issues menking is facing actually, from non-psychotic nature. Those disorders involves a sinals set and related symptoms, mainly, to somatic problems and depressive and anxiety symptons generally related to life conditions and occupational structure. So, our goal is to analyse the vulnerabilities aspects on common mental disorders in Paraíba’s men, comparing urban and rural contexts. There were realized two empiric studies. The first is a quantitative epidemiological research wich its objective was estimate the prevalence of common mental disorders in capital and rural cities’ on men from Paraíba, associated to social economic factors, life style, search for treatment and mental health. In a sample of 432 men (160 linving in capital and 272 living in rural cities), from 21 to 59 years-old age group, were applyed a set of instruments: SRQ-20; Life Style, Acess and Health Atendance, Mental Health and Social-Demographic Questionnaries, which results were evaluated by descriptive statistics, Prevalence ratio, association (chi-square and test t) and multivariate. The CMD prevalence found among men from urban context was 46,3% and 18,4% from rural. It was observed the association between CMD presence and the age group (X2=9,183; p=0,01), with higher prevalence on yougest age group (44%), decreasing during life course (40% on group between 30 and 49 years-old and 15% on group above 50 years-old). The schoolarity association (X2=11,182; p=0,01) points to prevalence increase with schoolarity (basic: 29%; high school: 38%; university: 30%); so, we can deduce, given sample’s low Family income, that suffering can come from Family income increasing abstance after increasing the schoolarity level. At last, there was the association of CMD presence with marital status (X2=11,755; p=0,008), with bigger difference between singles (43%). The second study, qualitative, had as objective to analyse – from the participants description, which vulnerabilities elements (individuals, socials and programmatic) to CMD are presents on men’s lives from cities rurals and urbans. There were 07 men from rural context and 16 from urban context participating, with ages from 21 to 59 years-old, it was utilized individual enterviews analyzed through themactic categorial technique. Thematic categorization allowed obtaining three thematic classes: the first named “Male Suffering Contexts” refered to suffering individual aspects and involved seven analysing categories, a) Symptomatology; b) Main motives to getting ill; c) Illness consequences; d) Selfcare practices; e) Health care; f) Metal Health Care; g) Social support net. In second thematic class, named “Male Psychic Suffering Experiences”, had made refference to suffering social and intersubjetives aspects involved four analysis categories: a) Marital Relations; b) Gender Relations; c) Labor factors which step in metal health; d) Rural and urban everyday. The third thematic class was named “Professionals more sensitive and humanized to male suffering”. The results allowed to conclude, in urban context, that the relation between individual, social and programatic aspects associated to urban violence, finantial issues, unemployment, marital issues, lack of perspective and professional grown, health issues (family and personal), work oveload, social isolation, contrinute to CMD vulnerability situations between men linving on urban context. / O adoecimento psíquico, com destaque para os Transtornos Mentais Comuns (TMC), é um dos grandes problemas enfrentados na atualidade, de natureza não psicótica, tais transtornos envolvem um conjunto de sinais e sintomas relacionados, principalmente, às queixas somáticas e sintomas depressivos e ansiosos, geralmente associadas às condições de vida e à estrutura ocupacional. Neste sentido, objetiva-se analisar os aspectos de vulnerabilidades aos transtornos mentais comuns em homens paraibanos comparando os contextos urbano e rural. Foram realizados dois Estudos Empíricos. O primeiro trata-se de uma pesquisa quantitativa, epidemiológica, com objetivo de estimar a prevalência dos transtornos mentais comuns em homens da capital e de cidades rurais paraibanas, associados com fatores socioeconômicos, de estilos de vida, busca por atendimento e saúde mental. Para uma amostra de 432 homens (160 residentes na capital e 272 em cidades rurais), na faixa etária de 21 a 59 anos, foi aplicado um conjunto de instrumentos: SRQ-20; Questionários de Estilo de Vida; de Acesso e Atendimento em Saúde; de Saúde Mental; Sócio-demográfico, cujos resultados foram analisados por estatística descritiva, razão de prevalência, de associação (qui-quadrado e test t) e multivariada. A prevalência de TMC encontrada entre os homens do contexto urbano foi de 46,3% e 18,4% no rural. Observou-se associação entre a presença de TMC com a faixa etária (X2=9,183; p=0,01), com maior prevalência na faixa etária mais jovem (44%), diminuindo no decorrer da vida (40% na faixa entre 30 e 49 anos e 15% na faixa acima de 50 anos). A associação com a escolaridade (X2=11,182; p=0,01) aponta o aumento da prevalência juntamente com o aumento da escolaridade (fundamental: 29%; médio: 38%; superior: 30%), podendo-se inferir, dado a baixa renda familiar da amostra, que o sofrimento pode decorrer pela ausência de melhoria na renda após o aumento da escolaridade. Por fim, houve associação da presença de TMC com o estado civil (X2=11,755; p=0,008), com maior diferença entre os solteiros (43%). O segundo estudo, qualitativo, objetivou analisar – a partir do relato dos participantes, quais elementos (individuais, sociais e programáticos) de vulnerabilidades aos TMC estão presentes nas vivências dos homens de cidades rurais e urbana. Participaram 07 homens do contexto rural e 15 do contexto urbano, com idades entre 21 e 59 anos, utilizando-se de entrevistas individuais, analisadas por meio da técnica de análise categorial temática. A categorização temática permitiu a obtenção de três classes temáticas: a primeira intitulada “Contextos de sofrimento masculino” fez referência aos aspectos individuais do sofrimento e envolveu sete categorias de análise, a saber, a) Sintomatologia; b) Principais motivos para o adoecimento; c) Consequências do adoecimento; d) Práticas de autocuidado; e) Cuidado em saúde; f) Cuidado em saúde mental; g) Rede de apoio social. Já a segunda classe temática, intitulada “Vivências de sofrimento psíquico masculino, fez referência aos aspectos sociais e intersubjetivos do sofrimento e envolveu quatro categorias de análise, a) Relações Conjugais; b) Relações de gênero; c) Fatores no trabalho que interferem na saúde psíquica; d) Cotidiano urbano e rural. A terceira classe “Profissionais mais humanizados e sensibilizados ao sofrimento masculino”. Os resultados permitiram concluir que, no contexto urbano, há uma maior prevalência de transtorno mental comum, a relação entre os aspectos individuais, sociais e programáticos, associados à violência urbana, problemas financeiros, desemprego, problemas conjugais, falta de perspectiva e crescimento profissional, problemas de saúde (familiares, pessoal), sobrecarga de trabalho, isolamento social, contribuem para situações de vulnerabilidades aos TMC entre os homens residentes no contexto urbano.

La grossesse est une période sensible et déterminante pour le développement de l’enfant et l’état de santé à l’âge adulte. L'adaptation biologique et physiologique de l'organisme face à des « stresseurs » physiques et psychosociaux au cours de cette période peut ainsi exercer ses effets à l'âge adulte (et possiblement sur plusieurs générations). Cette toxicité différée suppose intrinsèquement la nécessité d’étudier les conséquences des expositions environnementales au cours de la vie foetale et ce suivant une approche holistique intégrant autant les facteurs de risque à des niveaux micro (caractéristiques individuelles) et macro (expositions physiques externes et contexte psycho-social). Etant donné l’hétérogénéité du territoire breton dans lequel s’inscrit ce travail de thèse, nous avons cherché à explorer l’impact des inégalités sociales et de l’environnement physique (pollution atmosphérique) sur l’issue de la grossesse (croissance foetale et risque de prématurité) indépendamment chez des femmes enceintes résidant dans des zones urbaines et rurales. Ce travail s’est appuyé sur les données issues de la cohorte bretonne mère-enfant PELAGIE, qui a inclus 3421 femmes enceintes entre 2002- 2006. Les paramètres anthropométriques et l’âge gestationnel à la naissance ont été renseignés à l’accouchement par le personnel médical. Le contexte urbain et rural breton a été caractérisé à partir de la définition des unités urbaines de l’INSEE. Les concentrations annuelles de pollution atmosphérique (dioxyde d’azote (NO2)) ont été modélisées à une échelle de 100 m à partir d’un modèle de "land-use regression" développé à l’échelle européenne. Enfin, le niveau socio-économique des IRIS a été estimé à l’aide d’un indice de désavantage social - construit à partir des données du recensement de l’INSEE et dont la validité et l’adaptabilité à des territoires à la fois urbains et ruraux a été examinée au préalable. Nos résultats suggèrent une influence délétère d’un contexte de vie socioéconomique défavorable sur la croissance intra-utérine, spécifiquement chez les femmes résidant en milieu rural. Nous avons également observé une augmentation du risque de prématurité associée à des niveaux > 16.4 μg.m-3 de NO2 dans l’air, à l’inverse, uniquement chez les femmes résidant dans des zones urbaines. Les associations entre l’exposition à la pollution atmosphérique et les marqueurs de la croissance intra-utérine, bien que sexe-spécifiques, ne semblent en revanche pas varier sensiblement suivant le gradient urbain-rural. Ce travail confirme la nécessité d’évaluer l’influence des inégalités sociales et environnementales sur le développement intra-utérin et de considérer l’importance et le rôle du contexte de vie, notamment urbain-rural, dans la formation de ces inégalités. / Pregnancy is a sensitive and critical period for the development of the child and the health of adults-to-be. The biological and physiological adaptation of the body dealing physical and psychosocial stressors during this period may exert its effects in adulthood (and possibly over several generations). This delayed toxicity presupposes intrinsically the need to study the effects of exposure to environmental risk factors during fetal life using a holistic approach involving risk factors at both the micro (individual characteristics) and the macro level (physical and psycho-social context). Given the heterogeneity of the Breton territory in which this work was conducted, we explored whether the impact of social inequalities and the physical environment (air pollution) on birth outcomes (fetal growth and the risk of prematurity) could be modified according to an urban or rural place of residence. This work was based on data collected as part of the Breton mother-child cohort PELAGIE, which had included 3421 pregnant women between 2002- 2006. The anthropometric parameters and gestational age at birth were measured by medical personnel at delivery. We defined urban and rural areas according to the definition of “urban units” from the National Census Bureau (INSEE). The annual concentrations of air pollution (nitrogen dioxide (NO2)) were estimated using a land-use regression modeled at a 100 m scale and developed as part of an European project. Finally, neighbourhood deprivation was estimated using a composite index developed at census blocks level and whose use was legitimated over both urban and rural areas. Neighbourhood deprivation was associated with an increased risk of infants with fetal growth restriction, only for women living in rural areas. We also observed an increased risk of preterm birth associated with NO2 concentrations > 16.4 μg.m-3, only among women residing in urban areas. The associations between air pollution and fetal growth, although sex-specific, did not seem on the other hand, to vary significantly according to the urban-rural spectrum. This work confirms the need to explore the influence of both social and environmental inequalities on intrauterine development, and to assess the role of place-based factors, such as the urban-rural context, in shaping these inequalities.

The research is based on the belief that the Earth's survival is reliant on an understanding of the interconnectedness between people and the planet. The premise that creative expression is an inherent need in human beings and a powerful agent for social change is at the core of this study. The arts permeate all aspects of life and can play a positive pro-active role in economic and social upliftment. The study therefore explored a contemporary public context in which artists intervene in society to provide practical and functional social spaces but also, with the ecological crisis of the planet, to create an awareness of the interconnectedness of life. Place-making was of specific concern and one of the aims was to examine ways of re-shaping the appearance and meaning of public spaces. An equally important issue was the role and responsibility of both the artist and the commissioning process in a social context and the relevance of individual expression as modes of addressing social concerns and as a tool of public empowerment within a new democratic South Africa that can have a genuine impact on community well-being and social inclusion. The research therefore exists in between the arts, social sciences and the ecology of place: that is, the understanding of the role of creative intervention within social spaces. The study provides a historical context and development of new trends in public and collaborative community arts, contextualises the notion of public and argues for a repositioning of assessment criteria for the arts within a social public domain and in the interest of the people. It is based on a critical survey of international collaborative arts and its potential as a guide to alternative solutions and implementation within a South African context for creative interventions and regeneration of public spaces and empowerment and capacity building of its citizens. The research discusses the relevance and the position of the arts and craft industry as a means of poverty alleviation, job creation and empowerment in South Africa. Rebuilding community demands both the rejuvenation of social spaces and the restoration of community esteem together with mutual and self-respect. / Art History, Visual Arts and Musicology / D. Litt. et Phil (Art History)

The research is based on the belief that the Earth's survival is reliant on an understanding of the interconnectedness between people and the planet. The premise that creative expression is an inherent need in human beings and a powerful agent for social change is at the core of this study. The arts permeate all aspects of life and can play a positive pro-active role in economic and social upliftment. The study therefore explored a contemporary public context in which artists intervene in society to provide practical and functional social spaces but also, with the ecological crisis of the planet, to create an awareness of the interconnectedness of life. Place-making was of specific concern and one of the aims was to examine ways of re-shaping the appearance and meaning of public spaces. An equally important issue was the role and responsibility of both the artist and the commissioning process in a social context and the relevance of individual expression as modes of addressing social concerns and as a tool of public empowerment within a new democratic South Africa that can have a genuine impact on community well-being and social inclusion. The research therefore exists in between the arts, social sciences and the ecology of place: that is, the understanding of the role of creative intervention within social spaces. The study provides a historical context and development of new trends in public and collaborative community arts, contextualises the notion of public and argues for a repositioning of assessment criteria for the arts within a social public domain and in the interest of the people. It is based on a critical survey of international collaborative arts and its potential as a guide to alternative solutions and implementation within a South African context for creative interventions and regeneration of public spaces and empowerment and capacity building of its citizens. The research discusses the relevance and the position of the arts and craft industry as a means of poverty alleviation, job creation and empowerment in South Africa. Rebuilding community demands both the rejuvenation of social spaces and the restoration of community esteem together with mutual and self-respect. / Art History, Visual Arts and Musicology / D. Litt. et Phil (Art History)