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- ItemViolência & diversidade: estudo com escolares LGBT+ da Região Metropolitana da Grande Vitória, Espírito Santo(Universidade Federal do Espírito Santo, 2025-03-11) Alves, Micael Franco; Leite, Franciéle Marabotti Costa; https://orcid.org/0000-0002-6171-6972; https://buscatextual.cnpq.br/buscatextual/busca.do; http://lattes.cnpq.br/7170760158919766; Carvalho, Amâncio Antônio Sousa; Tavares, Fábio lūcio; Sacramento, Weverton Pereira do; Almeida, Márcia Valéria de SouzaIntroduction: Violence against LGBT+ adolescents represents a serious public health issue, significantly affecting their physical, psychological, and social well-being. This population is more vulnerable to various forms of violence, including bullying, physical aggression, and discrimination in school and family environments. Objective: To estimate the prevalence of violent experiences among LGBT+ adolescents in the metropolitan region of Vitória, Espírito Santo, and analyze their epidemiological profile. Methods: This is a cross-sectional, descriptive study conducted in 63 public and private schools in the region, with a sample of 949 adolescents aged 14 to 19 years. Data were collected through self-administered electronic questionnaires and analyzed statistically using relative frequencies and 95% confidence intervals. Results: Bullying prevalence was 67.8%, with 13.0% motivated by sexual orientation, and cyberbullying was reported by 11.5%. Condom use was higher during the first sexual intercourse (50.7%) than in the most recent one (40.2%). Current alcohol use was reported by 47.2%, cigarette use by 9.1%, and drug use by 15.1%. The findings revealed high prevalences of emotional abuse (78.6%), physical abuse (55.2%), and sexual abuse (49.8%). Exposure to violence was significant in both domestic and community environments, with 45.1% of adolescents reporting having witnessed beatings outside their homes. Conclusion: The findings highlight the high prevalence of violence and childhood adversities among LGBT+ adolescents and emphasize the need for inclusive public policies and intervention strategies to promote safe and equitable environments for LGBT+ youth
- ItemViolências por parceiro íntimo e adversidades na infância: impacto na ocorrência da depressão em mulheres residentes em Vitória, Espírito Santo(Universidade Federal do Espírito Santo, 2024-01-01) Oliveira, Tiffani Matos; Leite, Franciele Marabotti Costa; https://orcid.org/0000-0002-6171-6972; http://lattes.cnpq.br/7170760158919766; https://orcid.org/0000-0002-5495-6249; http://lattes.cnpq.br/3107960781899947; Fiorotti, Karina Fardin; https://orcid.org/0000-0001-8461-2984; http://lattes.cnpq.br/6521394672956766; Gabira Miguez, Fernanda Garcia; https://orcid.org/0000-0001-7603-3325; http://lattes.cnpq.br/0885248898815204; Abreu, Gracielle Karla Pampolim; https://orcid.org/0000-0002-4157-3521; http://lattes.cnpq.br/1398939161667908Introduction: Depression is a serious public health problem, being a complex phenomenon with multiple etiologies that affects individuals in unique ways, impacting various aspects of life such as personality, autonomy, and behaviors involving intimate partners. Therefore, it is important to understand the life stages and the possibilities for its onset, such as the early years of life and the developmental process. When children experience adversity during childhood, they show changes in their responses to certain circumstances, leading to trauma and stress situations that affect their adult life, including depression. Furthermore, depression is also associated with intimate partner violence, as women with depressive symptoms tend to accept partners with behavioral disorders, one of which is violence. Objectives: The general objective was to conduct a literature review on depression, examine the association between signs and symptoms of depression in adulthood, and its relationship with childhood adversities and intimate partner violence in women from Vitória, ES. The specific objectives were: to conduct a literature review on the topic of depression; estimate the association between signs and symptoms of depression in adulthood and socio-economic and reproductive characteristics; measure the association between childhood adversities and the prevalence of depressive symptoms; and measure the association between intimate partner violence and the prevalence of signs and symptoms of depression. Methodology: This is an observational, cross-sectional epidemiological study, where data from the research titled "Violence Against Women in Vitória, Espírito Santo: A Population-based Study," conducted in 2022, were analyzed, interviewing a total of 1,085 women. The World Health Organization Violence Against Women (WHO VAW) instrument was used to assess intimate partner violence; the International Childhood Adversity Questionnaire (ACE-IQ) was used to evaluate childhood adversities according to subdomains: neglect, abuse, and family conflicts; and the Beck Inventory was used to measure manifestations of depressive symptoms. Bivariate analyses were performed using the Pearson chi-square test, and the association between variables was analyzed using Logistic Regression with a 95% confidence interval. To verify the Beck score, the Shapiro-Wilk normality test was performed. The analyses were conducted using Stata 17, and the project was approved by the Research Ethics Committee of the Federal University of Espírito Santo under opinion no. 2,819,597. Results: Depressive symptoms were found in approximately 24% of the women studied. When associated with the four types of childhood adversity, 34.6% exhibited depressive symptoms, with 45.6% among those with an incarcerated family member and 39.1% among those who experienced sexual abuse. Depressive symptoms were found in 39.1% of women who had their first sexual intercourse forced. Women who experienced partner violence throughout their lifetime had a 44.3% chance of presenting depressive symptoms. Similarly, lower family income was found to be associated with 2.98 (95% CI: 1.86–4.77) times higher chances of depressive symptoms. Those with a history of emotional abuse had 2.5 (95% CI: 1.82–3.44) times higher chances of having depressive symptoms, and having a family member who had been incarcerated increased the odds by 1.90 (95% CI: 1.18–3.05). Conclusion: The study highlights the profile of women affected by depression, associating socio-economic conditions and life histories, particularly concerning intimate partner violence and childhood adversities. These factors are related to an increased probability of depressive symptoms in the woman's adult life. As a result, there is a clear need for prevention efforts and health promotion directed at this group, addressing both mental health and violence. Based on these findings, the need for specific strategies and attention focused on prevention and continuous, integrated intervention is evident, promoting support networks and policies that ensure gender equality
- ItemA cultura de segurança do paciente na perspectiva da equipe multiprofissional de um hospital universitário(Universidade Federal do Espírito Santo, 2025-02-19) Toledo, Michelly Louise Sartório Altoé; Portugal, Flávia Batista; https://orcid.org/0000-0002-4425-2627; http://lattes.cnpq.br/1876697154549534; Wandekoken, Kallen Dettmann; César, Márcia PeixotoObjective: The aim of this study was to analyze aspects related to the patient safety culture of a university hospital from the perspective of the professionals in the multiprofessional unit. Method: This is a cross-sectional and analytical study conducted with professionals from the multiprofessional unit of a university hospital. The data was collected through the application of the Hospital Survey on Patient Safety Culture (HSOPSC), version 2.0, validated and updated for the Brazilian context. To analyze the patient safety culture, the average percentage of positive, neutral, and negative responses for each of the 10 domains of the instrument was calculated. Additionally, to assess the influence of professional categories and hospital departments on the safety culture, a one-way ANOVA statistical test was applied. The significance level adopted was 0.05. Results: Among the 10 dimensions evaluated, only the dimension "supervisor, manager, or clinical leadership support for patient safety" was identified as a strength for the patient safety culture. Four other dimensions showed potential for improvement, while five dimensions were considered weak. The dimensions with the lowest percentage of positive responses were "communication about errors," "openness in communication," and "response to errors." It was also possible to identify specific professional categories and hospital departments with poorer perceptions of the patient safety culture compared to others, with statistical significance (p<0.05) for evaluated items such as "communication about errors" and "hospital management support for patient safety." Conclusions: Based on the results, actions aimed at improving communication processes and raising awareness about the concept of patient safety culture among the professionals in the multiprofessional unit are essential for the development of a more positive safety culture. Additionally, it is important to demystify the "culture of fear" and encourage greater engagement in reporting adverse events
- ItemPráticas integrativas e complementares em saúde nos Centros de Atenção Psicossocial na perspectiva dos profissionais(Universidade Federal do Espírito Santo, 2024-12-13) Thomes, Caroline Rodrigues; Xavier, Fabiana Gonring ; https://orcid.org/0000-0002-8256-8112; http://lattes.cnpq.br/3162042983625740; Siqueira, Marluce Mechelli de ; https://orcid.org/0000-0002-6706-5015; http://lattes.cnpq.br/5309001654924097; https://orcid.org/0000-0003-3522-5368; http://lattes.cnpq.br/5159064625161423; Silva Júnior, Manoelito Ferreira ; https://orcid.org/0000-0001-8837-5912; http://lattes.cnpq.br/1260232140260557; Meyrelles, Silvana dos Santos ; https://orcid.org/0000-0003-0167-4093; http://lattes.cnpq.br/7731215198101947Introduction: The National Anti-Asylum Movement spurred deinstitutionalization in Brazil, solidified by Law 10216/2001, which reorients mental health care and promotes the progressive closure of asylums. In this context, Psychosocial Care Centers have emerged as strategic coordinators of the Psychosocial Care Network, integrating intersectoral resources to promote autonomy and social reintegration. Simultaneously, Integrative and Complementary Health Practices have gained prominence as complementary approaches to conventional therapies. Objective: This study aimed to understand the perspectives of professionals working in Phychosocial Care Centers and municipal managers in Vitória, Espírito Santo, regarding Integrative and Complementary Health Practices. Methods: This is an exploratory, descriptive study with a qualitative approach. The sample was determined by saturation. Semi-structured interviews were conducted with 24 professionals from Psychosocial Care Centers and four managers. The interviews were recorded, transcribed, and analyzed using Bardin´s content analysis. Results: Integrative and Complementary Health Practices are highlighted as promising tools in mental health care whithin Psychosocial Care Centers, fostering comprehensive care, user autonomy, and strengthening therapeutic bonds. Despite structural and operational challenges, their implementation enhances the psychosocial model, contributing to a more humanized Unified Health System in alignment with the principles of the Brazilian Psychiatric Reform. Conclusions: The findings indicate that Integrative and Complementary Health Practices, when integrated into Psychosocial Care Centers, strengthen the psychosocial model and contribute to more comprehensive and humanized care, these practices promote user autonomy and well-being. However, their consolidation within these settings requires joint efforts from managers, professionals, and users to expand their integration into mental health services and reinforce practices centered on comprehensive care and user well-being
- ItemSaúde é comida no prato : o direito humano à alimentação adequada : estudo sobre o estado do Espírito Santo(Universidade Federal do Espírito Santo, 2024-12-09) Gonçalves, Eduardo Boarato; Sodré, Francis ; https://orcid.org/0000-0003-4037-9388; http://lattes.cnpq.br/7744765390568573; https://orcid.org/0000-0002-1609-0632; Alpino, Tais de Moura Ariza ; https://orcid.org/0000-0001-5045-9483; http://lattes.cnpq.br/0164204629656694; Lima, Rita de Cássia Duarte ; https://orcid.org/0000-0002-5931-398X; http://lattes.cnpq.br/2384472795664270The concept of FNS has evolved in a continuous process and has kept pace with historical changes and economic interests. In Brazil, the concept of FNS has also undergone a process of evolution and is currently recognized as the “realization of the right of all to regular and permanent access to quality food, in sufficient quantity, without compromising access to other essential needs, based on health-promoting eating practices that respect cultural diversity and are environmentally, culturally, economically and socially sustainable. Food has been included in the list of social rights since 2006. Although hunger had already been on the rise since 2019, research by the Penssan network carried out between 2020 and 2022 showed at the time that just over 40% of households had full access to food. Moderate or severe food insecurity was present in 30.7% of the households surveyed, and 15.5% of these had experienced hunger. The regression in progress between 2004 and 2013, a period related to mitigating food and nutritional insecurity and hunger in Brazil due to inequality, was due to the breakdown of social investments. Espírito Santo is among the states with the lowest food insecurity rates, with a severe food insecurity rate of only 2.2% of the population. However, according to the IBGE, more than 84,000 people do not have access to food. There are only 4 public food banks in the state; in the private sector, there is Sesc Mesa Brasil, established in 2003. There are no popular restaurants or community kitchens in the state. An analysis of the food and nutritional insecurity of families assisted by institutions referenced by the Sesc Mesa Brasil Espírito Santo Program revealed that only 9% of these families are food secure. The percentage of mild and moderate food insecurity in both was 27%, and that of severe food insecurity was 37%. Adding together the percentages of moderate and severe food insecurity reveals the reality investigated, 64% of people are under the most severe forms of food insecurity