Pesquisando boletins de ocorrências lavrados entre os anos de 1912 e 1920 que ao contrário da maioria dos documentos oficiais do período, informam a cor e a ocupação - e comparando-os com o Recenseamento Geral do Brasil de 1872, constatou-se que diversos trabalhos exercidos por escravos não se mantiveram como ocupação de ex-escravos ou seus descendentes na segunda década do século XX. Analisando as formulações acadêmicas produzidas a partir da segunda metade do século XIX, que abordavam as relações raciais no Brasil e orientaram a transição do trabalho escravo para o trabalho livre; estudando a legislação do período, as ações governamentais e de grandes empresários para favorecer a imigração e as preferências étnicas dos empregadores, podemos perceber que a substancial diminuição de negros no mercado de trabalho foi conseqüência daquele conjunto de elaborações e ações. A exclusão do trabalho, da terra e a dificuldade no acesso a educação levou os negros à marginalização social e política, imprimindo a Republica e ao capitalismo brasileiro, que se afirmaram ao longo do século XX, a marca da discriminação racial e da construção de uma ideologia que a justificava: o racismo. Assim, impedidos pelos mecanismos de discriminação racial, foram infrutíferas as tentativas de inclusão e ascensão social dos descendentes de escravos. Além disso, a condição marginal a que foram relegados imprimia legitimidade a argumentação ideológica que creditava a eles a responsabilidade por sua exclusão e, por conseguinte, reforçava a marginalização a que foram submetidos. / Searching occurrences reports tilled between the years 1912 and 1920 - which unlike most of the official documents of the period, inform the color and occupation - and comparing them to the General Census of Brazil in 1872, it was found that many jobs held by slaves did not remain as occupation of former slaves or their descendants in the second decade of the twentieth century. Analyzing the academic formulations produced from the second half of the nineteenth century, which approached the racial relations in Brazil and guided the transition from slave to free labor, studying the law of the period, the governmental actions and business leaders to favor immigration and ethnic preferences of employers, we realize that this substantial decline of black people in the labor market was a consequence of that set of actions and elaborations. The exclusion of labor, land and the difficulty in accessing to education led black people to social and political marginalization, printing the Republic and the Brazilian capitalism, it said throughout the twentieth century, the brand of racial discrimination and the construction of an ideology the justification: racism. So prevented by the mechanisms of racial discrimination, were unsuccessful attempts to inclusion and social advancement of the descendants of slaves. Furthermore, the marginal condition that were relegated printed legitimacy ideological argumentation that credited them responsibility for their exclusion and therefore reinforced the marginalization they have undergone.

Made available in DSpace on 2015-07-22T20:50:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-01-27 / Diversos estudos evidenciam atitudes e comportamentos discriminatórios da população geral em relação aos portadores de esquizofrenia. Além disso, a discriminação antecipatória e o autoestigma levam portadores a se sentirem desvalorizados, tendo uma percepção negativa de si e de sua doença, culminando no aumento do isolamento e na diminuição da autoestima dos mesmos. Dessa forma, o estigma e a discriminação prejudicam a vida dos portadores e têm efeitos negativos em sua participação social. Objetivo: Examinar o fenômeno da discriminação, tanto experimentada quanto antecipatória/autoestigma, no cotidiano de portadores de esquizofrenia. Materiais e Métodos: O estudo foi realizado na cidade de São Paulo, junto ao Programa de Esquizofrenia (PROESQ) da Universidade Federal de São Paulo e ao Serviço de Orientação à Esquizofrenia (S.O.eSq.) da Associação Brasileira de Familiares, Amigos e Portadores de Esquizofrenia (ABRE) e contou com a participação de 50 portadores de esquizofrenia. Estudo de corte transversal, em amostra de conveniência, utilizandose da aplicação, por um entrevistador, do questionário semiestruturado “Discrimination and Stigma Scale – DISC 10” desenvolvido por Thornicroft et al. (2009), traduzido e adaptado à língua portuguesa e à realidade sócio-cultural brasileira. Os escores para a análise das respostas do questionário foram divididos segundo as categorias da vivência de discriminação experimentada percebida como desvantajosa, indiferente e vantajosa, e da presença ou ausência de vivência de discriminação antecipatória/autoestigma. Resultados: Portadores de esquizofrenia perceberam suas vivências de discriminação experimentada como indiferente mais do que como desvantajosas ou vantajosas. Atitudes discriminatórias negativas (desvantajosas) foram percebidas principalmente em decorrência de terem o diagnóstico de esquizofrenia, na relação com seus familiares e ao fazerem ou manterem amigos. Experiências de discriminação positiva (vantajosas) foram raras. Portadores de esquizofrenia internados involuntariamente perceberam suas vivências de discriminação experimentada como desvantajosas na maioria das situações. Com relação à discriminação antecipatória/autoestigma, as situações nas quais portadores relataram sua presença foram: quando sentiram necessidade de ocultar o diagnóstico de doença mental, ao desistirem de concorrer ou de se candidatar a um trabalho, estágio ou estudo, ao desistirem de buscar um relacionamento ou de continuar uma relação íntima e ao deixarem de fazer algo importante para si devido ao diagnóstico de doença mental. Portadores internados involuntariamente sentiram-se mais desrespeitados, humilhados ou punidos no contato com profissionais de saúde mental e não sentiram negados, em nada, os benefícios sociais ou de seguridade social aos quais têm direito. E ainda, portadores que se sentiram desrespeitados, humilhados ou punidos no contato com profissionais de saúde mental apresentaram mais vivências de discriminação como desvantajosas. Verificou-se uma associação positiva entre a presença de discriminação antecipatória/autoestigma e a vivência de discriminação experimentada percebida como desvantajosa. O fato de o indivíduo ter sido internado involuntariamente aumenta em quase sete vezes a chance da discriminação experimentada por ele ser vivenciada como desvantajosa. Conclusões: Verificamos que portadores percebem atitudes estigmatizantes e discriminatórias em diversos domínios da vida e vivenciam autoestigma, tendo, tais vivências, um impacto negativo em suas oportunidades de participação social. O presente estudo contribui para afirmar a importância da visão do portador de transtorno mental no planejamento de ações para lidar com tais questões, tendo-o como protagonista nesse processo. xi / Studies show attitudes and discriminatory behaviors of the general population in relation to people who have schizophrenia. Moreover, anticipated discrimination and self stigma lead to feelings of devaluation, and contribute for a negative perception of themselves and their illness leading to increased isolation and poor self esteem. Stigma and discrimination harm the users´ life and have negative effects in their social participation. Objective: To examine the phenomenon of discrimination, both experienced and anticipated, in the everyday life of people who have schizophrenia. Methods: The study was carried out in São Paulo, with 50 users at the Schizophrenia Program (PROESQ) of the Federal University of São Paulo and at the Orientation Services in Schizophrenia (S.O.eSq.) of the Brazilian Schizophrenia Association (ABRE). Study design: A transversal cohort with a convenience sample, through the application of a semistructured questionnaire “Discrimination and Stigma Scale – DISC-10, developed by Thornicroft et al. (2009), translated to Portuguese and culturally adapted to Brazilian socio-cultural reality. The scores for the analysis of the answers of the questionnaire were divided according to the categories of lived discrimination perceived as disadvantageous, indifferent, and advantageous, and of the presence or the absence of anticipated discrimination and self stigma. Results: People with schizophrenia perceived their experience of lived discrimination as indifferent more than disadvantageous or advantageous. Negative discriminatory attitudes (disadvantageous) were perceived mainly as a result of having the diagnosis of schizophrenia, in their relationship with relatives and in making or maintaining friends. Experiences of positive discrimination (advantageous) were rare. People with schizophrenia who had been involuntarily admitted do hospital, in the majority of situations, perceived their experiences of discrimination as disadvantageous. In relation to anticipated discrimination and self stigma, users reported having experienced it in association with feeling the need to hide the diagnosis of the mental illness, giving up to competing or in applying for work, apprenticeship or study, giving up searching for a relationship or in keeping an intimate relationship, and in giving up doing something important due to the diagnosis of mental illness. Users who have been involuntarily admitted a psychiatric hospital felt more disrespected, humiliated or punished in their contact with mental health professionals. However, they didn’t experience in any aspect, a denial of the social benefits or social security that they were entitled to. Moreover, users that felt disrespected, humiliated or punished in their contact with mental health professionals described more experiences of disadvantageous discrimination. The study found a positive association between the presence of anticipated discrimination and self stigma and the experience of discrimination felt as disadvantageous. Being involuntarily admitted to a psychiatric hospital increased almost seven times the chance of the discrimination experienced as disadvantageous. Conclusions: We found that users perceive stigmatized and discriminatory attitudes in several domains of life and experiment self stigma, and that these experiences have a negative impact in their opportunities of social participation. The present study contributes to affirm the importance of the users` view in the planning of actions to address these issues, having them as active participants in such process. / TEDE / BV UNIFESP: Teses e dissertações

Pesquisando boletins de ocorrências lavrados entre os anos de 1912 e 1920 que ao contrário da maioria dos documentos oficiais do período, informam a cor e a ocupação - e comparando-os com o Recenseamento Geral do Brasil de 1872, constatou-se que diversos trabalhos exercidos por escravos não se mantiveram como ocupação de ex-escravos ou seus descendentes na segunda década do século XX. Analisando as formulações acadêmicas produzidas a partir da segunda metade do século XIX, que abordavam as relações raciais no Brasil e orientaram a transição do trabalho escravo para o trabalho livre; estudando a legislação do período, as ações governamentais e de grandes empresários para favorecer a imigração e as preferências étnicas dos empregadores, podemos perceber que a substancial diminuição de negros no mercado de trabalho foi conseqüência daquele conjunto de elaborações e ações. A exclusão do trabalho, da terra e a dificuldade no acesso a educação levou os negros à marginalização social e política, imprimindo a Republica e ao capitalismo brasileiro, que se afirmaram ao longo do século XX, a marca da discriminação racial e da construção de uma ideologia que a justificava: o racismo. Assim, impedidos pelos mecanismos de discriminação racial, foram infrutíferas as tentativas de inclusão e ascensão social dos descendentes de escravos. Além disso, a condição marginal a que foram relegados imprimia legitimidade a argumentação ideológica que creditava a eles a responsabilidade por sua exclusão e, por conseguinte, reforçava a marginalização a que foram submetidos. / Searching occurrences reports tilled between the years 1912 and 1920 - which unlike most of the official documents of the period, inform the color and occupation - and comparing them to the General Census of Brazil in 1872, it was found that many jobs held by slaves did not remain as occupation of former slaves or their descendants in the second decade of the twentieth century. Analyzing the academic formulations produced from the second half of the nineteenth century, which approached the racial relations in Brazil and guided the transition from slave to free labor, studying the law of the period, the governmental actions and business leaders to favor immigration and ethnic preferences of employers, we realize that this substantial decline of black people in the labor market was a consequence of that set of actions and elaborations. The exclusion of labor, land and the difficulty in accessing to education led black people to social and political marginalization, printing the Republic and the Brazilian capitalism, it said throughout the twentieth century, the brand of racial discrimination and the construction of an ideology the justification: racism. So prevented by the mechanisms of racial discrimination, were unsuccessful attempts to inclusion and social advancement of the descendants of slaves. Furthermore, the marginal condition that were relegated printed legitimacy ideological argumentation that credited them responsibility for their exclusion and therefore reinforced the marginalization they have undergone.

OBJECTIVE: Generalized anxiety disorder (GAD) during pregnancy is associated with several adverse maternal and perinatal outcomes. A reliable and valid screening tool for GAD should lead to earlier detection and treatment. Among pregnant Peruvian women, a brief screening tool, the GAD-7, has not been validated. This study aims to evaluate the reliability and validity of the GAD-7. METHODS: Of 2,978 women who attended their first perinatal care visit and had the GAD-7 screening, 946 had a Composite International Diagnostic Interview (CIDI). The Cronbach's alpha was calculated to examine the reliability. We assessed the criterion validity by calculating operating characteristics. The construct validity was evaluated using factor analysis and association with health status on the CIDI. The cross-cultural validity was explored using the Rasch Rating Scale Model (RSM). RESULTS: The reliability of the GAD-7 was good (Cronbach's alpha = 0.89). A cutoff score of 7 or higher, maximizing the Youden Index, yielded a sensitivity of 73.3% and a specificity of 67.3%. One-factor structure of the GAD-7 was confirmed by exploratory and confirmatory factor analysis. Concurrent validity was supported by the evidence that higher GAD-7 scores were associated with poor self-rated physical and mental health. The Rasch RSM further confirmed the cross-cultural validity of the GAD-7. CONCLUSION: The results suggest that the Spanish-language version of the GAD-7 may be used as a screening tool for pregnant Peruvian women. The GAD-7 has good reliability, factorial validity, and concurrent validity. The optimal cutoff score obtained by maximizing the Youden Index should be considered cautiously; women who screened positive may require further investigation to confirm GAD diagnosis. / : This research was supported by an award from the Eunice Kennedy Shriver Institute of Child Health and Human Development (R01-HD-059835) at the National Institutes of Health (NIH). The NIH had no further role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication / Revisión por pares

Introduktion: Forskning har visat att patienter kan uppleva diskriminerande bemötande inom vården. Några faktorer som påverkar bemötande är personers etnicitet, könsidentitet och socioekonomisk position. Diskriminering inom sjukvård kan ha allvarliga konsekvenser, och bidra till lägre förväntad livslängd. Syfte: Syftet med arbetet är att utforska hur patienter med olika etniska bakgrunder, olika könsidentiteter och i socioekonomiskt utsatta positioner upplever bemötandet inom hälso-och sjukvården. Metod: För att besvara syftet genomfördes en allmän litteraturöversikt där elva originalartiklar genomförda med kvalitativ metod analyserades. Artiklar inhämtades från PubMed och APA PsychInfo och granskades med hjälp av Fribergs fyra-stegs analysmetod. Resultat: Personer med olika etniciteter, könsidentiteter och socioekonomisk ställning hade upplevt både positivt och negativt bemötande. Vissa personer som upplevt negativt bemötande och diskriminering valde att inte söka hjälp nästa gång eller att avvakta tills behovet krävde akuta insatser. Strukturella normer kombinerat med patienters individuella faktorer ledde till erfarenheter av diskriminering inom vården. Slutsats: Patienter kan uppleva bemötande som diskriminerade på grund av etnisk tillhörighet, könsidentitet och socioekonomisk utsatthet. Det behövs kunskap och utbildning för att alla ska få möjlighet till jämlik vård. Patienters upplevelser och berättelser är en viktig del för ökad förståelse gällande hur diskriminerande faktorer samverkar. / Introduction: Studies have shown that patients can experience encounters in health care as discriminatory. Factors that affect encounters are people’s ethnicity, gender identity and socioeconomic positions. Discrimination in healthcare can have serious consequences, amongst others lower life expectancies for some groups. The aim: The aim was to explore patients’ experiences of the encounter within healthcare depending on factors such as ethnicity, gender identities and socioeconomical positions. Method: Descriptive design with a literature review was used as method where eleven qualitative original articles were analysed. Articles were found through searches in the databases PubMed and APA PsychInfo and were analysed with a four-step method by Friberg. Result: Individuals with different ethnicities, gender identities’ and socioeconomical positions had experiences of both positive and negative interactions. Some who had negative experiences and had been subjects of discrimination chose to avoid care until the need was so great that they required emergency care. Structural and normative ideas combined with patients’ different conditions created discrimination in health care settings. Conclusion: Patients can experience encounters as discriminatory based on their ethnicity, gender identity and socioeconomic vulnerable positions. More knowledge and education are needed to get closer to the goal of health equity. Patients experiences and stories are an important part to be able to reach a greater understanding of how different discriminatory factors intersect.

La perception sensorielle est propre à chaque individu. Elle découle du patrimoine génétique (qui définit les récepteurs sensoriels), mais varie en fonction de la maturation et de l’expérience d’un individu. En ce sens, l’étude du bébé nous a permis de tester à la fois 1) l’effet de la maturation, en comparant la perception des bébés avec celle des adultes et 2) l’effet de l’expérience sensorielle précoce, en comparant la perception sensorielle de bébés nés à terme ou prématurés pour un même âge donné. Nos résultats ont souligné une perception sensorielle plus étendue chez le bébé que chez l’adulte, via la perception de stimulations tactiles très fines ou encore la perception d’ultrasons, qui ne sont plus perçus à l’âge adulte. Les mécanismes de maturation des organes sensoriels et de « recentrage sensoriel » envers les stimulations pertinentes, pouvant intervenir au cours du temps, ont été présentés. Nous avons également montré une réactivité particulièrement marquée des bébés prématurés, en comparaison avec les bébés nés à terme. Différents mécanismes sous-jacents potentiels tels qu’une adaptation de la sélectivité neuronale aux stimulations environnementales, une plasticité cérébrale conservée/retardée, ou encore le développement d’une hypersensibilité ont été discutés. En sus du cœur de cette thèse, nous nous sommes intéressés à l’ « Umwelt » social du bébé, en étudiant 1) ses capacités de perception et de discrimination des odeurs corporelles humaines et 2) sa capacité à s’exprimer sur sa perception sensorielle. Nous avons montré que le bébé est un être très réceptif à son monde social, capable de discriminer entre les odeurs de ses partenaires sociaux. De plus, le bébé est également très expressif sur sa perception sensorielle, notamment via l’utilisation d’un répertoire vocal complexe (au-delà des pleurs), dont certains types de vocalisations pourraient refléter son état de confort ou d’inconfort. Les résultats de cette thèse ouvrent de nombreuses pistes de réflexion en termes d’adaptations des pratiques néonatales. / Sensory perception is specific to each individual. It results from the gene pool (which defines the sensory receptors), but varies depending on maturation and experience. In this sense, the study of babies has enabled us to test both 1) the effect of maturation by comparing the babies’ sensory perception to those of adults and 2) the effect of early stage sensory perception by comparing the sensory perception of preterm and full-term infants at a same post-conception age (i.e. term-aged infants). Our results underlined a larger sensory perception in babies than in adults, through the perception of very subtle tactile stimulations, or else the perception of ultrasounds, that cannot be perceived by grown-ups. The mechanisms of the maturation of sensory organs and of ‘’sensory recentering‘’ towards relevant simulations that can happen in the course of time have been presented. We have also shown a particularly strong reactivity of preterm babies in comparison to full-term babies. Various potential subjacent mechanisms such as a neuronal selectivity adaptation to environmental stimulations, a maintained/ delayed cerebral plasticity or else the development of a hypersensitivity have been discussed. In addition to the core of this thesis, we have taken an interest in the baby’s social “Umwelt” and have studied 1) his abilities in perception and discrimination between human body odours and 2) his ability to express his sensory perception. We have shown that babies are very responsive to their social world, capable of discrimination between different social partners’ odours. Furthermore, babies also are highly expressive when it comes to their sensory perception, especially through the use of a complex vocal repertoire (beyond cries/tears). Indeed, some types of these vocalisations could reflect his state of comfort or discomfort. The results of this thesis open numerous grounds for thought in terms of neonatal care adaptations.

Objetivo: Evaluar la asociación entre el impacto psicosocial de la estética dental con la discriminación auto percibida en pacientes ambulatorios de un hospital público en Lima. Materiales y Métodos: Un total de 207 pacientes ambulatorios fueron encuestados en este estudio, de edades comprendidas entre los 18 y 30 años. Para la evaluación del impacto psicosocial de la estética dental se utilizó el Cuestionario del Impacto Psicosocial de la Estética dental (PIDAQ). Asimismo, para la discriminación auto percibida se utilizó un pequeño cuestionario extraído de la Encuesta Nacional de Hogares sobre Condiciones de Vida y Pobreza 2017. Además, se evaluaron otras variables como la edad, sexo, educación, ingreso económico, etnicidad y razón de discriminación. Se utilizó la regresión de Poisson con estimador robusto de varianza tanto como para la asociación de las variables, así como para el cálculo de las razones de prevalencia crudas y ajustadas. El nivel de confianza fue al 95% y el nivel de significancia se estableció como p < 0.05. Resultados: Los encuestados si se auto percibieron como discriminadas según el impacto psicosocial de su estética dental, observándose una asociación estadísticamente significativa positiva (RP 1.02 IC 95% 1.01 – 1.03). Conclusiones: Se observó que el impacto psicosocial de la estética dental se encuentra asociado con la discriminación auto percibida. Además, los pacientes que se auto perciben como discriminados en su mayoría son mujeres en promedio de veintitrés años, mestizos, con un ingreso económico medio bajo. / Aim: To evaluate the association between the psychosocial impact of dental aesthetics with self-perceived discrimination in outpatients of a public hospital in Lima. Materials and Methods: A total of 207 outpatients were evaluated, between 18 and 30 years old. The psychosocial impact of dental aesthetics was evaluated with the Psychosocial Impact of Dental Aesthetics questionnaire (PIDAQ). Likewise, for self-perceived discrimination, questions were selected from the Peruvian National Household Survey on Living Conditions and Poverty 2017. In addition, other variables such as age, sex, education, income, ethnicity and reason for discrimination were evaluated. The Poisson regression with robust estimator of variance was used for the association of the variables, as well as for the calculation of the crude and adjusted prevalence ratios. The confidence level was 95% and the level of significance was established as p <0.05. Results: Those surveyed perceived themselves as discriminated according to the psychosocial impact of their dental aesthetics, observing a positive significant association between both variables (PR 1.02, 95% CI 1.01 –1.03). Conclusions: The psychosocial impact of dental aesthetics was found to be associated with self-perceived discrimination. In addition, those who self-perceived themselves discriminated were mostly women, of twenty-three years old on average, mestizos, with a low average economic income. / Tesis

Introdução: As síndromes hipertensivas na gestação (SHG) afetam grande parte das gestantes com uma proporção cada vez maior. É responsável por desfechos negativos importantes para mulheres e bebês, sendo a primeira causa de morte materna no Brasil. As fontes de dados para as SHG em estudos epidemiológicos são exames clínicos ou registros profissionais (cartão de pré-natal ou prontuário hospitalar). Entretanto essas fontes podem ser de difícil acesso para alguns estudos, fazendo necessário conhecer a validade para SHG autorreferida no Brasil. Os fatores tradicionalmente associados às SHG são primiparidade, multiparidade, diabetes, sobrepeso e obesidade, idades nos limites da vida reprodutiva, hipertensão crônica e histórico de SHG. Entretanto fatores socioeconômico-demográficos figuram ocasionalmente entre os fatores associados às SHG. Para orientar políticas públicas, é necessário estudar a ocorrência das SHG no Brasil e seus fatores associados com dados de abrangência nacional. Objetivos: Avaliar a validade da informação autorreferida para SHG, analisar os fatores associados às SHG no Brasil e examinar a invisibilização do efeito da interseccionalidade entre variáveis socioeconômico-demográficas. Método: Trata-se de um estudo transversal com análise secundária da pesquisa \"Nascer no Brasil: Inquérito Nacional sobre o Parto e Nascimento\", realizada em 2011-12. Foram entrevistadas 23.940 puérperas e coletadas informações de seus prontuários e cartões de pré-natal. Para estimar a validade da informação autorreferida sobre SHG foram estabelecidas sensibilidade, especificidade e coeficiente kappa, assumindo por padrão ouro os registros profissionais como padrão ouro, estratificando por variáveis socioeconômico-demográficas e obstétricas. Foi investigada a associação entre a SHG e variáveis socioeconômico-demográficas, estilo de vida, estado de saúde e obstétricas por meio de regressão logística. Resultados: A Ocorrência das SHG foi 11,14% segundo os registros profissionais e 15,87% quando autorreferida. A sensibilidade foi 75%, especificidade foi 90% e coeficiente kappa foi 0,545 (IC95% 0,525 - 0,566) valor considerado de força moderada. A validade da SHG autorreferida foi melhor entre as mulheres brancas, das regiões Sul e Sudeste, que utilizaram financiamento próprio pela assistência ao parto, estrato econômico Classe B ou A, que passaram por uma cesariana na última gestação e ensino médio completo ou mais. A validade foi pior entre mulheres com indicação de cesariana por SHG. Após regressão logística, idade da mãe (&#946;1 = 1,052 [IC95% 1,039-1,065]), IMC (&#946;1 = 1,162 [IC95% 1,148-1,176], histórico pessoal de hipertensão gestacional (OR = 4,041 [IC95% 3,345-4,883]), diabetes (OR = 1,615 [IC95% 1,354-1,926]) e gestação múltipla (OR =2,035 [IC95% 1,288-3,215]) permaneceram independentemente associadas às SHG. Ter tido 1 ou dois partos anteriores (OR = 0,386 [IC95% 0,33-0,452]) e multiparidade (OR = 0,336 [IC95% 0,26-0,434]) apresentaram efeito protetor quando comparadas às primíparas e fonte de pagamento privada (OR = 0,841 [IC95% 0,708-0,998]) e ensino superior completo (OR = 0,652 [IC95% 0,494-0,860]) diminuem a chance de desenvolver uma SHG. As variáveis socioeconômico-demográficas como raça/cor da pele, escolaridade, fonte de pagamento, escore socioeconômico e região de residência apresentam grande sobreposição. Conclusões: A validade da informação autorreferida é moderada, com importantes variações que denotam iniquidades na comunicação entre profissionais e usuárias. As variáveis socioeconômico-demográficas apresentam grande interação por sobreposição, perdendo a significância estatística. A interseccionalidade entre raça/cor da pele, escolaridade, fonte de pagamento, escore socioeconômico e região de residência produz um grupo de mulheres de maior vulnerabilidade. As iniquidades na atenção a gestação e parto revelam a necessidade de pesquisas, ações e políticas públicas que busquem alterar a situação de adversidade vivenciada pelas mulheres na maternidade. / Introduction: Hypertensive disorders of pregnancy (HDP) affect many pregnant women with an increasing proportion. It is responsible for significant negative outcomes for women and babies, and for most maternal deaths in Brazil. The data sources for HDP in epidemiological studies are clinical examinations or professional records (antenatal card or hospital medical records). However, these sources may be difficult to access for some studies, making necessary to know the validity for self-reported HDP in Brazil. The factors traditionally associated with SHG are primiparity, multiparity, diabetes, overweight and obesity, age at reproductive life limits, chronic hypertension and history of HDP. Socioeconomic-demographic factors occasionally appear among the factors associated with HDP. Therefore, it is necessary to know the occurrence of HDP in Brazil and its associated factors through a national study with recent information. Objectives: To evaluate the validity of the self-reported information for SHG, to analyze the occurrence and associated factors with HDP in Brazil and to reflect on the invisibility of the intersectionality effect among socioeconomic-demographic variables. Method: This is a cross-sectional study, a secondary analysis of the \"Birth in Brazil\" survey, conducted in 2011-12. 23,940 postpartum women were interviewed and information was collected from their medical records and antenatal cards. To estimate the validity of self-reported information on HDP, sensitivity, specificity and kappa coefficient was established, with professional records as gold standard, stratified by socioeconomic-demographic and obstetric variables. The association between SHG and socioeconomic-demographic variables, lifestyle, health status and obstetric variables were investigated through logistic regression. Results: The occurrence of HDP was 11.14% according to professional records and 15.87% when self-referenced. The sensitivity was 75%, specificity was 90% and kappa coefficient was 0.545 (95% CI 0.525 - 0.566) considered as moderate. The validity of self-reported SHG was better among white women from the South and Southeast regions, self-financing, Class B or A economic stratum, cesarean section and more education. Validity was worse among women with cesarean section indicated for HDP. After logistic regression, greater maternal age, higher BMI, personal history of gestational hypertension, diabetes, multiple gestation and primiparity remained independently associated with HDP. Women who payed for care and more educated had a decreased chance of developing a HDP. Socioeconomic-demographic variables present great overlap. Conclusions: The validity of self-reported information is moderate, with important variations that denote inequities in communication between professionals and women. The socioeconomic-demographic variables present great interaction by overlapping, losing the statistical significance. The intersectionality of these characteristics produces a group of women of greater vulnerability. Inequities in attention to pregnancy and childbirth reveal the need for research, actions and public policies that seek to change the situation of adversity experienced by women when they experience motherhood.