-This is the first study to evaluate the prevalence of headache and migraine among Tupiniquim Brazilian natives. A high prevalence of headache was found and the most prevalent headache was migraine. Women were more commonly affected than men. A high impact of headache was found, especially among migraineurs. Half of the headache sufferers were under medical assistance for headache given by the government Family Health Program (PSF). Most of them declared to use common analgesics. None of them was taking prophylactic therapy for this medical problem.Key WordS: Brazilian Tupiniquim natives, headache, impact, migraine, prevalence. Prevalência e impacto da cefaléia e da migrânea em uma população de índios TupiniquinsResumo -este é o primeiro estudo a avaliar prevalência de cefaléias entre índios tuiniquins do Brasil. A prevalência de cefaléia encontrada nesta população foi alta, sendo que a migrânea foi a mais frequente. encontrou-se maior prevalência de cefaléias entre as mulheres do que entre os homens. o impacto da cefaléia foi considerável, sendo maior entre os portadores de migrânea do que nas cefaléias não migranosas. Cinquenta por cento dos indivíduos com cefaléia recebiam atendimento médico devido a este problema, através do Programa de Saúde da Família (PSF). o tratamento empregado consistia apenas em analgésicos comuns para alívio das crises. Nenhum indivíduo estava em uso de tratamento profilático.
OBJECTIVES:The function of a medical expert within the scope of the Brazilian social security system consists of medically evaluating the examinee to draw a conclusive opinion on the person's working ability capacity and to characterize the disability for social security and assistance purposes. Forensic decisions inevitably converge on two opposite outcomes: concession or refusal. Rejection is against the interests of the candidates, who can direct their disappointment and dissatisfaction at the professional, exposing the latter to potentially stressful situations. The present study aimed to determine whether the prevalence of stress and anxiety symptoms is higher among social security medical experts than among medical experts in other public service careers. The study was also intended to propose organizational changes aimed at the preservation and recovery of the mental health of medical experts.METHODS:The evaluation was conducted using a specific, previously validated job-related stress questionnaire and a series of questions about subjective perceptions of work performance, labor stressors and emotional status.RESULTS:We found an overwhelming and alarming prevalence of stress and dissatisfaction related to occupational aspects among social security experts, often culminating in emotional exhaustion, a characteristic feature of burnout syndrome.CONCLUSION:There is a high prevalence of job-related stress among social security doctors in Brazil, warranting implementation of specific measures to ensure the adequate provision of social security services to the population, thus avoiding social injustice and financial damage.
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