Resumo Objetivo: analisar a produção científica sobre a saúde dos trabalhadores da Saúde que atendem pacientes no contexto da pandemia de COVID-19. Métodos: realizou-se revisão de literatura que incluiu artigos publicados em 2020, indexados nas bases PubMed, Web of Science e na Biblioteca Virtual em Saúde (Medline e Lilacs). Resultados: foram analisados 52 artigos, segundo grupo profissional estudado, país onde a pesquisa foi realizada, tipo de estudo e tema abordado. Os conhecimentos e questões mais atuais e relevantes e as lacunas existentes sobre o tema foram evidenciados e discutidos do ponto de vista da Saúde Coletiva, particularmente da Saúde do Trabalhador. Mais da metade dos documentos foi produzida na China (55,7%) e focalizou as diferentes categorias profissionais de saúde em conjunto (57,7%). Estudos do tipo ensaio/opinião (46,1%) e estudos transversais (30,8%) foram os mais frequentes. Os temas destacados foram o conhecimento dos profissionais sobre a doença, os casos de COVID-19 entre os profissionais, a saúde mental dos trabalhadores da saúde e a segurança no trabalho. Conclusão: os estudos publicados no início da pandemia destacam a insuficiência de conhecimentos atualizados e falhas na proteção da saúde dos trabalhadores e recomendam o gerenciamento dos processos e locais de trabalho, dos casos de COVID-19, das políticas públicas e dos direitos dos trabalhadores.

Resumo Introdução: diante da pandemia da COVID-19, torna-se importante rever questões de proteção da saúde dos trabalhadores. Objetivo: discutir as condições de saúde e segurança dos trabalhadores que cuidam de pacientes com COVID-19, sob a perspectiva das informações levantadas por seus representantes de classe profissional e de recomendações institucionais. Métodos: levantamento de informações na literatura científica, em documentos e orientações de entidades oficiais de saúde, em fontes de entidades sindicais e de representação de classes de profissionais de saúde. Discussão: começamos pela descrição das características da infecção pelo SARS-CoV-2 no processo de trabalho em saúde; exemplificamos as iniciativas de organizações representativas dos trabalhadores para o enfrentamento da COVID-19; descrevemos o cenário do trabalho em saúde na pandemia no Brasil; apresentamos o relato das medidas de proteção e de enfrentamento da doença orientadas por entidades e organismos nacionais e internacionais. Finalizamos discutindo que a exposição desses trabalhadores pode levar a outros eventos em saúde, necessitando medidas de adequação em relação a número de profissionais, melhoria na organização e nas condições de trabalho, fornecimento de equipamentos de proteção individual em quantidade e qualidade adequadas e implantação de medidas que propiciem o fortalecimento das equipes para o enfrentamento da COVID-19.

Perfil do absenteísmo em um banco estatal em Minas Gerais

OBJECTIVE:To assess the association between exposure to adverse psychosocial working conditions and poor self-rated health among bank employees. METHODS:A cross-sectional study including a sample of 2,054 employees of a government bank was conducted in 2008. Self-rated health was assessed by a single question: "In general, would you say your health is (…)." Exposure to adverse psychosocial working conditions was evaluated by the effortreward imbalance model and the demand-control model. Information on other independent variables was obtained through a self-administered semistructured questionnaire. A multiple logistic regression analysis was performed and odds ratio calculated to assess independent associations between adverse psychosocial working conditions and poor self-rated health. RESULTS:The overall prevalence of poor self-rated health was 9%, with no signifi cant gender difference. Exposure to high demand and low control environment at work was associated with poor self-rated health. Employees with high effort-reward imbalance and overcommitment also reported poor self-rated health, with a dose-response relationship. Social support at work was inversely related to poor self-rated health, with a dose-response relationship. CONCLUSIONS:Exposure to adverse psychosocial work factors assessed based on the effort-reward imbalance model and the demand-control model is independently associated with poor self-rated health among the workers studied. DESCRIPTORS:Workload. Working Conditions. Job Satisfaction. Occupational Health. Cross-Sectional Studies. Banking work. 408Stress and self-rated health among bank employees Silva LS & Barreto SM Self-rated health is a major robust indicator of overall health among general 15 and working populations. 11,19Despite its subjective nature, longitudinal studies showed that poor self-rated health independently predicts the occurrence of future health events, including hospitalization and death, after adjusting for health variables and socioeconomic conditions. 8,9Also, it has been validated and widely used in different countries and populations. 19Population studies show that self-rated health is infl uenced by demographic, socioeconomic, cultural, lifestyle, and work environment factors and health conditions such as chronic diseases and work-related health conditions. 11 They found greater prevalence of poor self-rated health among subjects exposed to precarious working conditions 5 and adverse psychosocial conditions at work. 28The present study aimed to assess the association between poor self-rated health and exposure to adverse psychosocial working conditions among Brazilian fi nancial services employees. RESUMO OBJETIVO:Analisar a associação entre exposição a condições psicossociais adversas no trabalho e avaliação ruim de saúde entre bancários. MÉTODO:Foi realizado estudo transversal com 2.054 trabalhadores de um banco estatal brasileiro em 2008. Utilizou-se uma pergunta simples e direta: "Em geral, você diria que a sua saúde é" para aferir como eles avaliam se...

Restructuring of the Brazilian financial sector was consolidated through the combination of mass lay-offs, automation, and outsourcing, in

Adverse Psychosocial Working Conditions and Poor Quality of Life among Financial Service Employees in Brazil: Luiz Sergio SILVA, et al. School of Medicine, Preventive Medicine, Universidade Federal de Minas Gerais, Brazil— Objectives Workers in the financial services sector are exposed to great stress at work. This study investigates whether exposure to adverse psychosocial work conditions is independently associated with poor health‐related physical and mental quality of life among financial services workers. Methods We studied a nationwide representative sample of 2,054 workers of a large Brazilian state bank in 2008. Adverse psychosocial work conditions were investigated by the Effort‐reward imbalance (ERI) scale and the Job content questionnaire (JCQ). Health‐related quality of life (HRQL) was assessed using the Medical Outcomes Study Short‐Form General Health Survey (SF‐12). Poor mental and physical HRQL was defined by the lowest quartiles of the SF‐12 final score distributions. Associations were investigated using multiple logistic regression analysis. Results In the multivariate analysis, exposures to low control and lack of social support at work (JCQ) were associated with poor HRQL in the physical domain. Increasing effort‐reward imbalance and overcommitment (ERI), on the other hand, were associated with poor HRQL in the mental domain, with a significant statistical trend. Overcommitment was also associated with poor physical HRQL. Conclusion The results suggest that exposure to adverse psychosocial work conditions has a negative impact on both domains of HRQL among financial service workers. They also indicate that ERI and DC models capture different aspects of job strain.

Objective: To determine the prevalence of vitamin D deficiency/insufficiency in children 0-18 years of age with recurrent wheezing and/or asthma residing in the microregion of Viçosa, Minas Gerais, Brazil, and treated at a referral center, and to determine its association with major risk factors for wheezing. Methods: A cross-sectional study was performed using a semi-structured questionnaire, which was administered by trained interviewers to the legal guardians of the study participants. Data were obtained regarding general characteristics of recurrent wheezing; general sociodemographic, environmental, and biologic factors; and atopy-related factors. The magnitude of the statistical association was assessed by calculating ORs and their corresponding 95% CIs by using multiple logistic regression. Results: We included 124 children in the study. The prevalence of vitamin D deficiency/insufficiency in the sample was 57.3%. Vitamin D deficiency/insufficiency was found to be associated with wheezing in the first year of life, personal history of atopic dermatitis, environmental pollution, and vitamin D supplementation until 2 years of age. Conclusions: The prevalence of vitamin D deficiency/insufficiency was high in our sample. Vitamin D concentrations were directly associated with vitamin D supplementation until 2 years of age and were inversely associated with wheezing events in the first year of life, personal history of atopic dermatitis, and environmental pollution.

The results indicate that the transcultural adaptation into Brazilian Portuguese of the effort-reward imbalance scale was successful and is adequate to assess this situation in work environments.