Mestrado em Saúde Coletiva

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    Relação entre o acesso à triagem neonatal e a nutrição de crianças menores de seis meses
    (Universidade Federal do Espírito Santo, 2025-08-01) Alves, Beatriz Ferrari; Vieira, Tamires dos Santos; https://orcid.org/0000-0002-3899-3664; http://lattes.cnpq.br/9014510901567961; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/6796970691432850; https://orcid.org/0000-0002-6486-6618; http://lattes.cnpq.br/3183488153695930 ; Silva, Adriana Madeira Alvares da; https://orcid.org/0000-0002-8078-0304; http://lattes.cnpq.br/6445492335035108; Rocha, João Batista Francalino da; https://orcid.org/0000-0002-0361-6391; http://lattes.cnpq.br/3011622850831237; Silva, Janaína Paula Costa da; https://orcid.org/0000-0003-3801-6967; http://lattes.cnpq.br/7153367589674436
    Introduction: Exclusive breastfeeding until six months, as recommended by the WHO, still shows low prevalence in Brazil. Early introduction of complementary foods is associated with risks of overweight, obesity, consumption of ultra-processed foods, and reflects social inequalities, influenced by factors such as low maternal education, lower income, and limited access to health services. Objective: To analyze the relationship between early complementary feeding in infants under six months, neonatal care, and socioeconomic conditions. Method: Cross-sectional study using data from the National Health Survey (PNS). The chi-square test and Poisson regression were applied to estimate crude and adjusted prevalence ratios. A significance level of p < 0.05 was adopted. Results: Exclusive breastfeeding was observed in 31.9% of infants, while 61.2% received non-nutritive liquids. Most families had a per capita income below two minimum wages. Delays in neonatal screening and high vaccine incompleteness (96.9% for the pentavalent vaccine) were identified. Conclusion: Early complementary feeding was associated with failures in neonatal care and unfavorable socioeconomic conditions. The findings highlight the need for integrated public policies that promote equity and support adequate feeding practices from the beginning of life.
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    Violência no namoro entre adolescentes do ensino médio de uma Região Metropolitana no Sudeste do Brasil: estudo de base escolar
    (Universidade Federal do Espírito Santo, 2025-06-27) Pinto, Isaura Barros Alves; Leite, Franciéle Marabotti Costa; https://orcid.org/0000-0002-6171-6972; http://lattes.cnpq.br/7170760158919766; https://orcid.org/0000-0002-1893-7016; http://lattes.cnpq.br/1612302987159051; Laignier, Mariana Rabello; https://orcid.org/0000-0002-8493-872X; http://lattes.cnpq.br/9400600161821385; Francisco, Rita Mafalda Costa; https://orcid.org/0000-0001-9101-523X; ; Pedroso, Márcia Regina de Oliveira; https://orcid.org/0000-0002-2859-159X; http://lattes.cnpq.br/2028592698652925; Malta, Daniela Vieira; https://orcid.org/0000-0003-1595-714X; http://lattes.cnpq.br/6048904577614788
    Introduction: Dating violence (DV) refers to intimate partner violence occurring between individuals in a close relationship, encompassing physical, emotional, or sexual abuse (including stalking). It also includes abusive behaviors in non-marital intimate relationships, whether heterosexual or homosexual, during early dating stages. DV can occur in person or electronically (e.g., through harassing messages or non-consensual sharing of intimate images online). Harmful relationships may emerge early and persist throughout life, leading to physical, emotional, and psychological trauma with short-, medium-, and long-term consequences. Multiple factors beyond the couple’s relationship—such as personal history and social context—contribute to dating abuse. Objectives: This study aimed to (1) review scientific literature on adolescent dating violence and (2) estimate the prevalence of physical and sexual DV among high school students in the metropolitan region of Vitória, Espírito Santo, Brazil, while examining associations with sociodemographic characteristics, behavioral factors, and prior experiences of violence. Methods: A cross-sectional analytical study was conducted between March and December 2023, using stratified cluster sampling of students from public and private high schools who were in romantic relationships. Data were collected via structured REDCap questionnaires administered on tablets. Outcome variables included physical and sexual DV. Analyses included descriptive statistics, bivariate tests (Pearson’s Chi-square and Fisher’s exact tests), and multivariate logistic regression, with calculation of crude and adjusted Odds Ratios (aOR), 95% confidence intervals (CI), and significance levels (p ≤ 0.05) using Stata 17.0. Results: The narrative review synthesized existing knowledge on DV, highlighting its occurrence across diverse contexts and its association with multiple risk factors. Among 1,238 adolescents (aged 14–19), 5.7% (95% CI: 4.5–7.1) reported physical DV, with higher prevalence among males (7.0%) than females (5.2%). Significant associations were found with age (>16 years), substance use, and prior bullying exposure (p Conclusion: The study highlights the alarming prevalence of physical and sexual DV among adolescents, emphasizing the urgent need for interventions to address violence in young romantic relationships. Early victimization can negatively impact emotional, social, and psychological development, underscoring the importance of prevention strategies. < 0.05). For sexual DV, 7.8% (95% CI: 6.4–9.4) reported victimization, with higher prevalence among females (9.3%) and non-heterosexual adolescents. Significant correlates included sexual activity, substance use, and prior bullying/cyberbullying (p < 0.05)
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    Entre grades e iniquidades: o racismo como fator determinante no tratamento da tuberculose no sistema prisional brasileiro
    (Universidade Federal do Espírito Santo, 2025-07-10) Corrêa, Milena de Oliveira; Possuelo, Lia Gonçalves; https://orcid.org/0000-0002-6425-3678; http://lattes.cnpq.br/9903194013924888; Prado, Thiago Nascimento do; https://orcid.org/0000-0001-8132-6288; http://lattes.cnpq.br/6388559394015871; https://orcid.org/0000-0003-1014-1133; http://lattes.cnpq.br/2869267932672265; Lima, Rita de Cassia Duarte; https://orcid.org/0000-0002-5931-398X; http://lattes.cnpq.br/2384472795664270; Moura, Heriederson Savio Dias; https://orcid.org/0000-0001-7654-2402; http://lattes.cnpq.br/5096353969767784
    Introduction: Tuberculosis (TB) is an infectious disease with a high incidence of cases mainly in vulnerable populations, especially people deprived of their liberty (PPL). Although curable, TB continues to be one of the main causes of death from infectious diseases, exacerbated by factors such as immunosuppression, precarious conditions and structural racism. Objective: To map and identify the scientific evidence on racism in the outcome of TB treatment in the poor. Methodology: This is a scoping review guided by the recommendations of the Joan Briggs Institute (JBI) and structured according to the PRISMA-ScR roadmap, in studies published between 2014 and 2024. The search was carried out in six databases: MEDLINE/PUBMED, EMBASE, SCOPUS, WEB OF SCIENCE, COCHRANE LIBRARY and LILACS. The review strategy followed the PCC (Population, Concept, Context) approach, focusing on PPL, the impact of race/color and TB treatment outcomes. Results: The search in the six electronic databases resulted in 529 studies, including 27 articles in MEDLINE via PubMed, 89 articles in EMBASE, 73 articles in SCOPUS, 36 articles in Web of Science, 119 articles in the Cochrane Library and 185 articles in LILACS. Of these, 143 were excluded due to duplication, and 386 articles went forward to the selection phase. As a result, 79 studies progressed to the eligibility phase, of which 7 were included in the analysis. Discussion: Structural racism intensifies the vulnerability and negative outcomes of TB in the poor, mainly affecting black, people living in precarious conditions. The adoption of anti-racist policies is essential to promote equity in access to diagnosis, treatment and follow-up of the disease, contributing to the reduction of disparities and improvement in clinical outcomes.
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    Auriculoterapia promovendo qualidade de vida em estudantes de enfermagem de uma universidade pública
    (Universidade Federal do Espírito Santo, 2025-08-01) Ferreira, Gabriel Pinto; 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/0000-0001-7137-7137; http://lattes.cnpq.br/6740748956614645; Piexak, Diéssica Roggia; https://orcid.org/0000-0002-3374-7843; http://lattes.cnpq.br/9940464713562965; Borges, Barbara Juliana Pinheiro ; http://lattes.cnpq.br/3318249404836724
    Introduction: Stress is characterized as a physical, psychological, and hormonal response that arises when the body must adapt to situations that may threaten an individual's homeostasis, potentially compromising their quality of life. In recent years, increasing attention has been directed toward the quality of life and stress levels among students in healthcare programs, particularly in nursing. Nursing is a profession inherently associated with caregiving and is thus considered one of the occupations with the highest risk for developing emotional disorders. Objective: This study aimed to evaluate the effects of auriculotherapy on and quality of life and stress levels among nursing students at a public university. Methods: A simple-blind randomized clinical trial was conducted involving 60 nursing students, who were allocated into three groups: Control Group (CG), Sham Auriculotherapy Group (SAG), and Intervention Group (IG). Participants completed a socioeconomic questionnaire, the LIPP Stress Symptom Inventory (ISSL) for stress assessment, and the WHOQOL-BREF for quality of life assessment. The intervention lasted five weeks, with evaluations conducted at three different time points. The CG received no intervention and was only monitored. The SAG received sham auriculotherapy applied to non-therapeutic points (elbow, outer ear, knee, and inner ear), while the IG received auriculotherapy at specific therapeutic points: shen men, brainstem, kidney, sympathetic, lung, liver, and anxiety points. The Friedman and Kruskal-Wallis tests with Bonferroni correction were employed to analyze differences over time, with a significance level set at p < 0.05. Results: A reduction in the number of students experiencing severe stages of stress was observed; however, no significant differences were found between the groups. Only the sham group exhibited a statistically significant change over time (p = 0.045). In terms of quality of life, the control group demonstrated significant improvements (p = 0.009) compared to the other groups, particularly in the physical, psychological, and social relationship domains.Conclusion: Auriculotherapy showed potential benefits in improving stress levels and quality of life among nursing students. Nonetheless, further research employing more rigorous methodological designs is necessary to elucidate the effectiveness of auriculotherapy in reducing stress and enhancing quality of life in this population
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    Epidemiologia do transtorno de compulsão alimentar e da bulimia nervosa na população residente na Região Metropolitana de São Paulo, Brasil: prevalência, distribuição e associação com doenças crônicas
    (Universidade Federal do Espírito Santo, 2025-07-31) Musso, Sofia Villela; Viana, Maria Carmen; https://orcid.org/0000-0002-0464-4845; http://lattes.cnpq.br/4338126917250074; https://orcid.org/0000-0002-5587-9644; http://lattes.cnpq.br/2612481398023469; Leitão, Francisco Naildo Cardoso; https://orcid.org/0000-0001-7743-2512; http://lattes.cnpq.br/6042531738477010; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/6796970691432850
    Introduction: Binge eating is often associated with multiple comorbidities, including obesity, metabolic disorders, and cardiovascular diseases, which often cause functional impairment and impose a substantial burden on health. Objective: To analyze the epidemiological profile of binge eating disorder (BED), bulimia nervosa (BN) and any binge eating disorders or behaviors (ABEDB) in a representative sample of the adult population living in the Metropolitan Region of São Paulo, Brazil. Methods: A crosssectional population-based study was conducted with a representative sample of adults living in the Metropolitan Region of São Paulo, Brazil (n=2,942). The CIDI 3.0 diagnostic interview was used to determine estimates of lifetime, 12-month and 30-day prevalence of BN, BED and ABEDB defined by DSM-IV criteria, in addition to sociodemographic data, self-reported anthropometric measures and chronic health conditions, including rheumatologic diseases, chronic pain, hypertension and cardiovascular diseases, chronic lung disease, diabetes or glucose intolerance and gastrointestinal ulcer. Statistical analysis employed cross-tabulations to assess prevalence distributions across sociodemographic variables and comorbidity with chronic conditions and overweight. Bivariate analyses and Poisson regression models adjusted for sex and age (Stata 17.0) evaluated associations, with significance of p< 0.05. Results: Lifetime, 12-month and 30- day prevalence estimates were, respectively, 2.0% (SE 0.3), 0.9% (SE 0.2) and 0.4% (SE 0.1) for BN; 4.7% (SE 0.3), 1.8% (SE 0.3) and 1.2% (SE 0.2) for BED; and 9.0% (SE 0.5), 3.4% (SE 0.4) and 2.0% (SE 0.3) for ABEDB. Women had higher prevalences of binge eating disorders and behaviors. The lifetime prevalence of ABEDB was higher among younger cohorts. No significant differences were observed in the distributions according to marital status, education or income. Lifetime prevalence of BN was higher among individuals with gastrointestinal ulcer (8.2%, SE 2.8, PR 5.2), headache (3.5%, SE 0.6, PR 2.3), cervical/lumbar pain (3.3%, SE 0.6, PR 2.1), and hypertension (3.1%, SE 0.7, PR 2.5). Lifetime prevalence of BED was higher among those with chronic lung disease (13.2%, SE 6.0, PR 3.3), arthritis/rheumatism (10.0%, SE 2.1, PR 2.8), gastrointestinal ulcer (9.2%, SE 2.6), cervical/lumbar pain (8.9%, SE 1.3) and other chronic pain (7.7%, SE 1.2, PR 1.8). Lifetime prevalence of ABEDB was higher among respondents who reported gastrointestinal ulcer (18.1%, SE 3.1, PR 2.5), cervical/lumbar pain (14.0%, SE 1.9, PR 2.0), headaches (12.8%, SE 1.2, PR 1.5), and other chronic pain (11.7%, SE 1.5, PR 1.4). Prevalence estimates of binge eating disorders and behaviors were also elevated among individuals in higher BMI categories. Conclusion: Binge eating disorders and behaviors are highly prevalent in the population studied, especially among women (11.2%; SE 0.92) and have high comorbidity with overweight, obesity and different chronic conditions, including metabolic and cardiovascular diseases, and other conditions such as chronic pain, rheumatologic diseases, and gastrointestinal ulcers.