Desigualdades injustas: o contradireito à saúde

Fleury, Sônia

doi:10.1590/s0102-71822011000400007

Cited by 20 publications

(11 citation statements)

References 17 publications

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“…For the SDGs to be met, no population group can be left behind. In this regard, in recent decades, place of residence has been strongly associated with an individual's socioeconomic circumstances, suggesting that various aspects of population characteristics, economic status, and living conditions in the neighbourhood may be important for the perpetuation of inequities [7].…”

Section: Introductionmentioning

confidence: 99%

A methodology for small area prevalence estimation based on survey data

Bernal

Carvalho

Pell

et al. 2020

Int J Equity Health

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Background: Brazil conducts many health surveys to provide estimates by national level, macro-regions, states, metropolitan regions and capitals. However, estimates for smaller areas are lacking due to their high cost. The Health Vulnerability Index (in Portuguese, Índice de Vulnerabilidade em Saúde, IVS) is a measure that combines socioeconomic and environmental variables in the same indicator and allows for the analysis of the characteristics of population groups residing in census tracts, grouping them into four health risk areas (low, medium, high and very high risk) in addition to showing inequalities in the epidemiological profile of different social groups. This index was developed by the Municipal Health Secretariat of Belo Horizonte to guide health planning. Objective: The aim of the study is to produce a methodology for obtaining reliable estimates for tobacco smoking in small areas for which the IVS was not designed. Methods: The Vigitel dataset from 2006 to 2013 was used to obtain estimates of the prevalence of smokers based on the IVS employing small area estimation methods that use data from a larger domain to obtain estimates in smaller areas. For indirect estimates, the covariates included were sanitation, housing, education, income, and social and health factors. Post-stratification weights were used according to the IVS based on the population of the 2010 census. Results: From 2006 to 2009, 16.2% (95% CI: 13.6-14.8%) of the adult population in Belo Horizonte were smokers, and 14.8% (95% CI: 14.0-15.6%) were smokers between 2010 and 2013. The very high-risk population maintained a high prevalence over the same period of 21.1% (95% CI: 17.1-25.0%) between 2006 and 2009 and 20.8% (95% CI: 17.0-24.6%) between 2010 and 2013, while in the low-risk group, the prevalence in the same period fell from 14.9% (95% CI: 13.7-16.2%) to 11.8% (95% CI, 10.6-13.1%). Conclusions: The present study identified differences in the profile of smokers by the IVS in the city of Belo Horizonte. While the smoking prevalence declined in richer areas, it remained high in poor areas. This methodology can be used to produce reliable estimates for subgroups with greater vulnerability in small areas and thus subsidize the formulation, monitoring and evaluation of public health policies and programmes aimed at smoking.

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Section: Introductionmentioning

confidence: 99%

A methodology for small area prevalence estimation based on survey data

Bernal

Carvalho

Pell

et al. 2020

Int J Equity Health

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“…This occurs in relation to income and socioeconomic status as shown in WHS data ( 20 ). Brazilian women are also more susceptible to discrimination if they are black, unmarried, have a low income, or are pregnant and adolescent ( 34 , 35 ). However, progress has been made in improving gender equality.…”

Section: Discussionmentioning

confidence: 99%

Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil

Rasella

Machado

Castellanos

et al. 2016

Global Health Action

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BackgroundThe importance of the social determinants of health (SDH) and barriers to the access and utilization of healthcare have been widely recognized but not previously studied in the context of universal healthcare coverage (UHC) in Brazil and other developing countries.ObjectiveTo evaluate a set of proposed indicators of SDH and barriers to the access and utilization of healthcare – proposed by the SDH unit of the World Health Organization – with respect to their relevance in tracking progress in moving toward equitable population health and UHC in Brazil.DesignThis study had a mixed methodology, combining a quantitative analysis of secondary data from governmental sources with a qualitative study comprising two focus group discussions and six key informant interviews. The set of indicators tested covered a broad range of dimensions classified by three different domains: environment quality; accountability and inclusion; and livelihood and skills. Indicators were stratified according to income quintiles, urbanization, race, and geographical region.ResultsOverall, the indicators were adequate for tracking progress in terms of the SDH, equity, gender, and human rights in Brazil. Stratifications showed inequalities. The qualitative analysis revealed that many of the indicators were well known and already used by policymakers and health sector managers, whereas others were considered less useful in the Brazilian context.ConclusionsMonitoring and evaluation practices have been developed in Brazil, and the set of indicators assessed in this study could further improve these practices, especially from a health equity perspective. Socioeconomic inequalities have been reduced in Brazil in the last decade, but there is still much work to be done in relation to addressing the SDH.

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“…Seja pela excessiva burocratização, seja pelos limites transformadores de um trabalho marcado por precarizações e injunções utilitaristas e privatistas de várias ordens, o fato é que as propostas de humanização e educação permanente correm o risco de ser reduzidas, pela razão instrumental, a instrumentos da gestão e dispositivos da biopolítica, abrindo notáveis flancos nos seus potenciais transformadores, quedando impotentes diante do instituído 23 .…”

Section: O Trabalho Em Saúde E As Novas Dimensões éTicopolíticas Em Qunclassified

Sobre a saúde de quem trabalha em saúde: revendo afinidades entre a psicodinâmica do trabalho e a saúde coletiva

Aciole

Pedro

2019

Saúde debate

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RESUMO O trabalho em saúde está atravessado pela intensa dinâmica entre intenções e gestos, no seio da qual a construção do Sistema Único de Saúde agudiza questões relativas ao uso da força de trabalho e seu desgaste, ensejando o debate e a reflexão sobre a saúde de quem cuida da saúde. À guisa de ensaio sobre essa questão, este estudo envereda pelo campo discursivo das práticas de cuidado e da gestão do trabalho em saúde, buscando identificar convergências e aproximações entre a teoria da 'psicodinâmica do trabalho', que preconiza a centralidade da subjetividade dos trabalhadores, e as propostas da saúde coletiva brasileira sobre o trabalho em saúde e a produção do cuidado integral e humanizado.PALAVRAS-CHAVE Trabalhador da saúde. Saúde do trabalhador. Atenção integral à saúde. Gestão em saúde. Saúde pública.ABSTRACT The work in health is crossed by the intense dynamics between intentions and gestures, within which the construction of the Unified Health System aggravates questions regarding the use of the work force and its wear, giving rise to the debate and the reflection on the health of those who take care of health. By way of essay on this matter, this study goes down the road of the discursive field of health practices and management of health work, in order to identify the convergences and approximations between the theory of work psychodynamics, which advocates the centrality of the subjectivity of workers, and the Brazilian collective health proposals on the work in health and the production of integral and humanized care. ENSAIO | ESSAYEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

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Desigualdades injustas: o contradireito à saúde

Cited by 20 publications

References 17 publications

A methodology for small area prevalence estimation based on survey data

A methodology for small area prevalence estimation based on survey data

Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil

Sobre a saúde de quem trabalha em saúde: revendo afinidades entre a psicodinâmica do trabalho e a saúde coletiva

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