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Previous issue date: 2017-11-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A constru??o da subjetividade em rela??o ao corpo ocorre ao longo de toda a vida, e nas mulheres privadas de liberdade as condi??es de vida impostas pelo c?rcere podem potencializar ou mesmo influenciar de forma diversa a percep??o de sua imagem corporal (IC). Este trabalho avaliou a IC e fatores associados ? distor??o e ? insatisfa??o da IC em mulheres encarceradas em regime fechado de Natal, Rio Grande do Norte, Brasil. Trata-se de um estudo observacional transversal, desenvolvido com detentas entre 18 e 57 anos de idade. Foram coletadas informa??es pessoais sociodemogr?ficas (idade, escolaridade, renda familiar, estado civil, tempo de reclus?o, frequ?ncia de visitas e n?mero de filhos) por meio de entrevista, e mensurados o peso e a estatura para obten??o do ?ndice de Massa Corporal (IMC). A avalia??o da IC se deu por meio da Escala de Figuras de Silhuetas para adultos brasileiros (EFS). Utilizou-se a Raz?o de Preval?ncia e seu respectivo Intervalo de Confian?a de 95% para avaliar a for?a da associa??o entre as vari?veis dependentes (distor??o e insatisfa??o da IC) e as vari?veis independentes. A concord?ncia entre o IMC obtido por antropometria (IMC-A) e o IMC estimado pela EFS (IMC-E) foi verificada pelo m?todo Bland-Altman. As participantes tinham idade m?dia de 31,7 anos (8,48), e a m?dia de IMC-A foi de 27,67Kg/m?. Cerca de 65% encontrava-se acima do peso e 27,8% apresentava obesidade. Houve distor??o da IC em 83,3% das participantes. Destas, 82,7% superestimaram o tamanho do seu corpo, imputando em m?dia, 5,59 (2,73) Kg/m2 a mais ao seu corpo real. A maioria das mulheres (91,6%) se demonstrou insatisfeita com o corpo. Embora boa parte (58,9%) tenha desejado ter um IMC, em m?dia, 9,01 Kg/m2 (+ 5,25) menor, cerca de um ter?o desejou aumentar o tamanho do corpo, em m?dia, 6,43 Kg/m? (+ 4,34). As caracter?sticas sociodemogr?ficas, o estado nutricional (RP = 0,99 IC95% 0,89-1,11) e o tempo de reclus?o (RP = 1,06 IC95% 0,94-1,19) n?o estiveram associados ? insatisfa??o com a IC. N?o foram verificadas associa??es entre a distor??o da IC e o tempo de encarceramento (RP=1,17 IC95% 0,96-1,42) ou estado nutricional (RP=1,10 IC95% 0,89-1,36). Conclui-se que a maioria das mulheres em reclus?o ? insatisfeita com seus corpos e distorce sua IC, revelando a necessidade de que esses aspectos sejam contemplados nas a??es de promo??o da sa?de no sistema prisional. / The construction of subjectivity in relation to the body occurs throughout live, and in incarcerated women, life conditions imposed by the imprisonment can strengthen or influence body image (BI) perception. This study analyzed the BI distortion and dissatisfaction and its associated factors in incarcerated women in closed regime of Natal, Rio Grande do Norte, Brazil. A observational cross-sectional study was conducted with the 18 to 57 year-old imprisoned women. An interview was conducted regarding personal sociodemographic information (age, education, family income, marital status, time of confinement, visitation frequency and number of children), and measured their weight and height in order to calculate Body Mass Index. BI was evaluated by using a Figure Rating Scale for Brazilian adults (FRS). Prevalence Ratio and its respective Confidence Interval of 95% were taken into consideration to investigate the strength of the association between the dependent (distortion and dissatisfaction of BI) and independent variables. The concordance between BMI-A and BMI-E was verified by the Bland-Altman method. Participants presented, in average, 31.7 (? 8.48) years old, 27.67 Kg/m? of BMI-A. Approximately 65% had excessive weight, of which 27.8% were obese. BI distortion was present in 83.3% of the participants. Amongst these women, 82.7% overestimated their body size, adding in average 5.59 Kg/m? (? 2.73) to their real body. Most of the participants (91.6%) expressed dissatisfaction with their own body. Although the majority expressed the desire to have a BMI 9.01 Kg/m? (? 5.25) lower, one third of them aspired to enlarge their body in 6.43 Kg/m? (+ 4.34). Sociodemographic characteristics, nutritional status (PR = 0.99 95%CI 0.89-1.11) and time of confinement (PR = 1.06 95% CI 0.94-1.19) were independently associated with their BI dissatisfaction. No associations were found between BI distortion and incarceration time (PR = 1.17 95% CI 0.96-1.42), or nutritional status (PR = 1.10 and 95% CI 0.89-1.36). We conclude that the majority of the incarcerated women are dissatisfied with their BI and present distorted BI, revealing the need for such aspects to be included in health promotion activities in the prison system.
Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24901 |
Date | 29 November 2017 |
Creators | Barbosa, Ana Paula Dias Inoc?ncio |
Contributors | 05536208780, Maciel, Bruna Leal Lima, 96256192320, Figueiro, Rafael de Albuquerque, 05109882452, Lyra, Clelia de Oliveira, Bagni, Ursula Viana |
Publisher | PROGRAMA DE P?S-GRADUA??O EM NUTRI??O, UFRN, Brasil |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | English |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
Rights | info:eu-repo/semantics/openAccess |
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