“…It is observed via a chest x-ray through round opacities and nodules that first appear in the upper lung areas. 2,10 The biomedical model states that silicosis initially leads to mild respiratory symptoms, such as a mild cough. As it progresses, difficulties in gas exchange may appear with progressive dyspnea upon exertion, as reported by the six informants.…”
Section: Discussionmentioning
confidence: 99%
“…3 The epidemiology of silicosis in Brazil reveals risk exposure, especially in Minas Gerais. 2 We cannot lose sight of the fact that silicosis is a preventable occupational disease. In this sense, we stress the role of Occupational Health Nurses, directly involved in reducing the incidence of the disease and in eliminating it, as well as in providing differentiated healthcare access to patients undergoing treatment.…”
Section: Discussionmentioning
confidence: 99%
“…These social characteristics are similar to those reported by other Brazilian studies addressing the incidence of the disease. 2,10 The social characteristics show that the participants are men coming from the low-income class composed of workers living in urban areas and in poor financial conditions that resulted from poor working skills and low education, and, consequently, limited access to public services such as education and health. 11 Given these characteristics, opportunities in the job market are limited and these individuals' only option seems to be working in the quarries in the region.…”
Section: Participants' Social Characterizationmentioning
confidence: 99%
“…This is the case of the Furnas Lake region in the state of Minas Gerais, Brazil, where there is intense exploration for quartzite in the various quarries existing in the area, which in addition to intoxication, causes dermatitis due to excessive exposure to silica and is related to cases of reported silicosis in the region. [1][2] Silicosis is a fibrosing lung disease caused by the inhalation and depositing of crystalline silica particles that leads to a reaction in the lung. It is considered an irreversible and chronic occupational disease, included in a larger set of diseases, pneumoconiosis, that are highly prevalent.…”
Section: Introductionmentioning
confidence: 99%
“…Open quarries are responsible for about 3% of this prevalence, according to the Brazilian National Program for the Elimination of Silicosis. [2][3] We found many papers on silicosis when conducting the literature review but most authors either discuss the disease's incidence, clinics, pathology or highlight associated diseases, while none of the studies present the disease from the perspective of patients, which justifies this study.…”
This study's objective was to identify the meanings of silicosis held by ill quarry workers. It was based on medical anthropology and focal life history. Data were collected through semi-structured interviews and by direct observation in the homes of eight patients with silicosis registered in the Epidemiologic Surveillance Service in Guapé -Minas Gerais, Brazil. The inductive thematic analysis technique was used to synthesize the thematic cores: explanations attributed to the disease, severity of the disease, and its consequences. According to the participants, the disease is permeated by suffering and changes in social identity, in the context of young men working with silica. These meanings allow occupational nurses to provide differentiated healthcare, to develop preventive actions and actions aimed to properly modify the workplace. Additionally, the results can help improve strategies for disease reporting and treatment adherence.
DESCRIPTORS:Silicosis. Culture. Medical anthropology. Occupational health nursing.
OS SENTIDOS DA SILICOSE ATRIBUÍDOS POR TRABALHADORES DE PEDREIRAS ADOECIDOSRESUMO: Este estudo teve o objetivo de identificar os sentidos atribuídos à silicose entre trabalhadores de pedreiras adoecidos. Foi baseado na antropologia médica e na história de vida focal. Os dados foram coletados por entrevistas e observações diretas realizadas no domicílio de oito portadores de silicose, cadastrados no Serviço de Vigilância Epidemiológica de Guapé -Minas Gerais. A técnica de análise temática indutiva foi usada para sintetizar os núcleos temáticos: a explicação para a doença, a sua gravidade e conseqüências. Por eles, consideramos que a doença é permeada pelo sofrimento e alteração da identidade social, contextualizada no trabalho de homens jovens com manuseio da sílica. Esses sentidos fornecem uma base com a qual o enfermeiro do trabalho pode prestar um cuidado diferenciado, desenvolver ações de prevenção aos riscos à saúde, de adequação do ambiente de trabalho, além do aperfeiçoamento das estratégias de notificação dos agravos e de adesão ao tratamento.
DESCRITORES:Silicose. Cultura. Antropologia médica. Enfermagem do trabalho.
LOS SENTIDOS DE LA SILICOSE ATRUBUIDOS POR TRABAJADORES DE CANTERAS ADOLECIDOS RESUMEN:Este estudio objetivó identificar la atribución de los sentidos de la silicosis por trabajadores de canteras, basándose en la antropología médica y en la historia de vida focal. Los datos fueron recolectados por medio de entrevistas semi-estructuradas y observaciones directas realizadas en el domicilio de ocho portadores de silicosis, registrados en el Servicio de Vigilancia Epidemiológica de Guapé -Minas Gerais, Brasil. El análisis inductivo temático fue usado para sintetizar los núcleos temáticos: explicación para la enfermedad, gravedad de la enfermedad y sus consecuencias. Según los trabajadores, la enfermedad es permeada por el sufrimiento y alteración de la identidad social, contextualizada en el trabajo de hombres jóvenes que manosean la sílice. Los sentidos presentados permit...
“…It is observed via a chest x-ray through round opacities and nodules that first appear in the upper lung areas. 2,10 The biomedical model states that silicosis initially leads to mild respiratory symptoms, such as a mild cough. As it progresses, difficulties in gas exchange may appear with progressive dyspnea upon exertion, as reported by the six informants.…”
Section: Discussionmentioning
confidence: 99%
“…3 The epidemiology of silicosis in Brazil reveals risk exposure, especially in Minas Gerais. 2 We cannot lose sight of the fact that silicosis is a preventable occupational disease. In this sense, we stress the role of Occupational Health Nurses, directly involved in reducing the incidence of the disease and in eliminating it, as well as in providing differentiated healthcare access to patients undergoing treatment.…”
Section: Discussionmentioning
confidence: 99%
“…These social characteristics are similar to those reported by other Brazilian studies addressing the incidence of the disease. 2,10 The social characteristics show that the participants are men coming from the low-income class composed of workers living in urban areas and in poor financial conditions that resulted from poor working skills and low education, and, consequently, limited access to public services such as education and health. 11 Given these characteristics, opportunities in the job market are limited and these individuals' only option seems to be working in the quarries in the region.…”
Section: Participants' Social Characterizationmentioning
confidence: 99%
“…This is the case of the Furnas Lake region in the state of Minas Gerais, Brazil, where there is intense exploration for quartzite in the various quarries existing in the area, which in addition to intoxication, causes dermatitis due to excessive exposure to silica and is related to cases of reported silicosis in the region. [1][2] Silicosis is a fibrosing lung disease caused by the inhalation and depositing of crystalline silica particles that leads to a reaction in the lung. It is considered an irreversible and chronic occupational disease, included in a larger set of diseases, pneumoconiosis, that are highly prevalent.…”
Section: Introductionmentioning
confidence: 99%
“…Open quarries are responsible for about 3% of this prevalence, according to the Brazilian National Program for the Elimination of Silicosis. [2][3] We found many papers on silicosis when conducting the literature review but most authors either discuss the disease's incidence, clinics, pathology or highlight associated diseases, while none of the studies present the disease from the perspective of patients, which justifies this study.…”
This study's objective was to identify the meanings of silicosis held by ill quarry workers. It was based on medical anthropology and focal life history. Data were collected through semi-structured interviews and by direct observation in the homes of eight patients with silicosis registered in the Epidemiologic Surveillance Service in Guapé -Minas Gerais, Brazil. The inductive thematic analysis technique was used to synthesize the thematic cores: explanations attributed to the disease, severity of the disease, and its consequences. According to the participants, the disease is permeated by suffering and changes in social identity, in the context of young men working with silica. These meanings allow occupational nurses to provide differentiated healthcare, to develop preventive actions and actions aimed to properly modify the workplace. Additionally, the results can help improve strategies for disease reporting and treatment adherence.
DESCRIPTORS:Silicosis. Culture. Medical anthropology. Occupational health nursing.
OS SENTIDOS DA SILICOSE ATRIBUÍDOS POR TRABALHADORES DE PEDREIRAS ADOECIDOSRESUMO: Este estudo teve o objetivo de identificar os sentidos atribuídos à silicose entre trabalhadores de pedreiras adoecidos. Foi baseado na antropologia médica e na história de vida focal. Os dados foram coletados por entrevistas e observações diretas realizadas no domicílio de oito portadores de silicose, cadastrados no Serviço de Vigilância Epidemiológica de Guapé -Minas Gerais. A técnica de análise temática indutiva foi usada para sintetizar os núcleos temáticos: a explicação para a doença, a sua gravidade e conseqüências. Por eles, consideramos que a doença é permeada pelo sofrimento e alteração da identidade social, contextualizada no trabalho de homens jovens com manuseio da sílica. Esses sentidos fornecem uma base com a qual o enfermeiro do trabalho pode prestar um cuidado diferenciado, desenvolver ações de prevenção aos riscos à saúde, de adequação do ambiente de trabalho, além do aperfeiçoamento das estratégias de notificação dos agravos e de adesão ao tratamento.
DESCRITORES:Silicose. Cultura. Antropologia médica. Enfermagem do trabalho.
LOS SENTIDOS DE LA SILICOSE ATRUBUIDOS POR TRABAJADORES DE CANTERAS ADOLECIDOS RESUMEN:Este estudio objetivó identificar la atribución de los sentidos de la silicosis por trabajadores de canteras, basándose en la antropología médica y en la historia de vida focal. Los datos fueron recolectados por medio de entrevistas semi-estructuradas y observaciones directas realizadas en el domicilio de ocho portadores de silicosis, registrados en el Servicio de Vigilancia Epidemiológica de Guapé -Minas Gerais, Brasil. El análisis inductivo temático fue usado para sintetizar los núcleos temáticos: explicación para la enfermedad, gravedad de la enfermedad y sus consecuencias. Según los trabajadores, la enfermedad es permeada por el sufrimiento y alteración de la identidad social, contextualizada en el trabajo de hombres jóvenes que manosean la sílice. Los sentidos presentados permit...
Background: Silicosis is the most prevalent pneumoconiosis in Brazil. We aimed to estimate mortality rates and temporal trends for silicosis, and to identify areas of highest mortality. Methods: Records of silicosis as the underlying (1980-2017) or contributory (2000-2017) cause of death in adults aged 20 years and older were retrieved from the Brazilian Mortality Database. Age-standardized mortality rates (ASMR) were calculated. The annual trend in ASMR was analyzed by joinpoint regression. Mortality rates per 100,000 person-years were calculated for each municipality. We analyzed temporal trends in municipalities where similar activities with exposure to silica were performed. Results: There were 3164 death records (96.6% men) distributed over 14% of the municipalities. Mean age of death was 59.2 (SD 15.1) and mean ASMR was 0.085/100,000 (confidence interval 0.080-0.091). Joinpoint regression showed a significant increase in ASMR from 1980 to 2006 and a significant decrease after 2006 driven by a decline in deaths of individuals younger than 70 years. The highest mortality rate was 21.83/100,000 person-years, in a municipality with small mining operations for gems. Gold mining municipalities showed the highest composite death rate, 4.0/100,000 person-years. Tuberculosis was the main cause of death when silicosis was a contributing cause. Conclusions: In contrast with developed countries, silicosis mortality in Brazil increased to 2006 and subsequently started to drop, mostly from a plateau or decrease in deaths occurring in municipalities which regulated economic activities. However, this decrease did not occur in the older age group nor in the unregulated sector, the latter being the main challenge for exposure control and surveillance.
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