Pub Date : 2023-01-01DOI: 10.1590/2317-6369/20722pt2023v48edepi11
Margarete Costa Helioterio, Fernando Ribas Feijó, Guilherme Loureiro Werneck, Fernanda de Oliveira Souza, Paloma de Sousa Pinho, Tânia Maria de Araújo
Resumo Objetivo: analisar a associação entre infecção prévia por Chikungunya e sintomas depressivos em trabalhadores da saúde. Métodos: estudo transversal com amostra probabilística de trabalhadores atuantes na atenção primária e na média complexidade de um município do estado da Bahia, Brasil. Utilizou-se o teste rápido DPP-ZDC-IgM/IgG para identificar infecção recente (IgM) ou prévia (IgG) pelo vírus Chikungunya. O Patient Health Questionnaire-PHQ-9 foi usado para avaliar sintomas depressivos. Regressão de Poisson com variância robusta foi usada para estimar razões de prevalência e intervalos de confiança 95%. Resultados: participaram da pesquisa 392 trabalhadores, sendo 83,2% do sexo feminino. A frequência de infecção pelo vírus Chikungunya foi de 8,9%. A prevalência de sintomas depressivos foi de 22,7%. Na análise ajustada, a infecção por Chikungunya associou-se positivamente aos sintomas depressivos (RP=2,00; IC95%:1,29;3,07). As análises estratificadas apontaram associação de maior magnitude no sexo masculino (RP=7,57;1,15;50,06), em comparação ao feminino (RP=1,68;1,03;2,74). Conclusão: os achados corroboram a hipótese de associação positiva entre Chikungunya e sintomas depressivos. Mecanismos fisiopatológicos decorrentes de ação viral, bem como fatores emocionais, comportamentais e psicossociais associados à doença podem explicar os achados. Reitera-se a importância do cuidado em saúde mental para os trabalhadores da saúde.
{"title":"Associação entre infecção pelo vírus Chikungunya e sintomas depressivos entre trabalhadores e trabalhadoras da saúde","authors":"Margarete Costa Helioterio, Fernando Ribas Feijó, Guilherme Loureiro Werneck, Fernanda de Oliveira Souza, Paloma de Sousa Pinho, Tânia Maria de Araújo","doi":"10.1590/2317-6369/20722pt2023v48edepi11","DOIUrl":"https://doi.org/10.1590/2317-6369/20722pt2023v48edepi11","url":null,"abstract":"Resumo Objetivo: analisar a associação entre infecção prévia por Chikungunya e sintomas depressivos em trabalhadores da saúde. Métodos: estudo transversal com amostra probabilística de trabalhadores atuantes na atenção primária e na média complexidade de um município do estado da Bahia, Brasil. Utilizou-se o teste rápido DPP-ZDC-IgM/IgG para identificar infecção recente (IgM) ou prévia (IgG) pelo vírus Chikungunya. O Patient Health Questionnaire-PHQ-9 foi usado para avaliar sintomas depressivos. Regressão de Poisson com variância robusta foi usada para estimar razões de prevalência e intervalos de confiança 95%. Resultados: participaram da pesquisa 392 trabalhadores, sendo 83,2% do sexo feminino. A frequência de infecção pelo vírus Chikungunya foi de 8,9%. A prevalência de sintomas depressivos foi de 22,7%. Na análise ajustada, a infecção por Chikungunya associou-se positivamente aos sintomas depressivos (RP=2,00; IC95%:1,29;3,07). As análises estratificadas apontaram associação de maior magnitude no sexo masculino (RP=7,57;1,15;50,06), em comparação ao feminino (RP=1,68;1,03;2,74). Conclusão: os achados corroboram a hipótese de associação positiva entre Chikungunya e sintomas depressivos. Mecanismos fisiopatológicos decorrentes de ação viral, bem como fatores emocionais, comportamentais e psicossociais associados à doença podem explicar os achados. Reitera-se a importância do cuidado em saúde mental para os trabalhadores da saúde.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Objective: to describe the profile of occupational accidents involving children and adolescents aged 5 to 17 years in Brazil, in the period from 2011 to 2020. Methods: descriptive study based on data from the Sistema de Informação de Agravos de Notificação (SINAN - Notifiable Diseases Information System) and from the Sistema de Informação sobre Mortalidade (SIM - Mortality Information System). Results: from 2011 to 2020, a total of 24,909 cases of occupational accidents involving minors under 18 years of age were registered on SINAN. Most of these cases occurred with males (82.3%), aged 16 to 17 years (84.6%), whites (44.0%), mainly within “Service workers” job titles subgroup as assigned by Brazilian Classification of Occupations. Almost half of the accidents affected the hands and upper limbs (48.7%) and the main diagnosis was “fist and hand injury” (17.7%). A total of 466 deaths were registered in that time period, with 15.9% referring to deaths of children aged 5 to 13 years. Conclusion: registers show records of occupational accidents and deaths related to child labor, including those involving children under 14 years of age, a group in which work is prohibited. It is necessary to ensure the development of research and actions that contribute to the elimination of child labor.
摘要目的:描述2011年至2020年期间巴西5至17岁儿童和青少年职业事故的概况。方法:描述性研究基于Sistema de informa o de Agravos de notifica o (SINAN -呈报疾病信息系统)和Sistema de informa o sobre Mortalidade (SIM -死亡率信息系统)的数据。结果:2011年至2020年,思安共登记18岁以下未成年人职业事故24909起。这些病例大多数发生在男性(82.3%),16至17岁(84.6%),白人(44.0%),主要属于巴西职业分类指定的“服务工作者”职称子组。近一半的事故发生在手部和上肢(48.7%),主要诊断为“拳头和手部损伤”(17.7%)。在此期间,共有466人死亡,其中15.9%为5至13岁儿童死亡。结论:登记册显示了与童工有关的职业事故和死亡记录,包括涉及14岁以下儿童的事故和死亡记录,14岁以下儿童是禁止工作的群体。必须确保开展有助于消除童工现象的研究和行动。
{"title":"Profile of occupational accidents with children and adolescents in Brazil from 2011 to 2020","authors":"Élida Azevedo Hennington, Flávio Astolpho Vieira Souto Rezende","doi":"10.1590/2317-6369/20622en2023v48edepi4","DOIUrl":"https://doi.org/10.1590/2317-6369/20622en2023v48edepi4","url":null,"abstract":"Abstract Objective: to describe the profile of occupational accidents involving children and adolescents aged 5 to 17 years in Brazil, in the period from 2011 to 2020. Methods: descriptive study based on data from the Sistema de Informação de Agravos de Notificação (SINAN - Notifiable Diseases Information System) and from the Sistema de Informação sobre Mortalidade (SIM - Mortality Information System). Results: from 2011 to 2020, a total of 24,909 cases of occupational accidents involving minors under 18 years of age were registered on SINAN. Most of these cases occurred with males (82.3%), aged 16 to 17 years (84.6%), whites (44.0%), mainly within “Service workers” job titles subgroup as assigned by Brazilian Classification of Occupations. Almost half of the accidents affected the hands and upper limbs (48.7%) and the main diagnosis was “fist and hand injury” (17.7%). A total of 466 deaths were registered in that time period, with 15.9% referring to deaths of children aged 5 to 13 years. Conclusion: registers show records of occupational accidents and deaths related to child labor, including those involving children under 14 years of age, a group in which work is prohibited. It is necessary to ensure the development of research and actions that contribute to the elimination of child labor.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/17522en2023v48edepi3
Jéssica de Almeida Fernandes, Ester Paiva Souto, L. Rotenberg, A. Moreno, Odaleia Barbosa de Aguiar, M. Fonseca, R. Griep
Abstract Objective: to describe the stages in the transcultural adaptation and dimensional validation of the “life-work indicator” scale for use in Brazil. Methods: equivalence analyses regarding concept, items, and semantics were conducted by researchers experienced in using scales and/or occupational health. The scale was applied to the third wave of the Longitudinal Study of Adult Health (Estudo Longitudinal de Saúde do Adulto, ELSA-Brasil). Measurement equivalence was then assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: applied to 7,277 participants (50.3% of them male), the scale displayed equivalences regarding concept, items, and semantics proper to the Brazilian context, as well as appropriate correspondences in referential/denotative meaning of terms and overall/connotative meaning of items. EFA and CFA corroborated its theoretical structure in three dimensions -i) personal life invading work, ii) work invading personal life, and iii) perceived boundary control - returning suitable fit indices after exclusion of two items from the first dimension. CFA returned comparative fit index of 0.968, Tucker-Lewis index of 0.957, and root mean square error of approximation of 0.039 (90%CI: 0.035;0.041). Conclusion: the scale shows to be promising for assessing the management of boundaries between work and personal life in the Brazilian context, and will facilitate studies on the influence of such management on workers’ health and wellbeing.
摘要目的:描述“生活-工作指标”量表在巴西使用的跨文化适应阶段和维度验证。方法:由具有使用量表和/或职业健康经验的研究人员对概念、项目和语义进行等效性分析。该量表应用于第三波成人健康纵向研究(Estudo Longitudinal de Saúde do Adulto, ELSA-Brasil)。然后使用探索性因子分析(EFA)和验证性因子分析(CFA)评估测量等效性。结果:该量表适用于7277名参与者(50.3%为男性),在巴西语境中,该量表在概念、项目和语义方面表现出对等性,在术语的指称/外延意义和项目的整体/内涵意义上也表现出适当的对应性。EFA和CFA从三个维度证实了其理论结构——个人生活入侵工作,工作入侵个人生活,以及感知边界控制——在第一个维度排除两个项目后返回合适的适合指数。CFA的比较拟合指数为0.968,Tucker-Lewis指数为0.957,近似均方根误差为0.039 (90%CI: 0.035;0.041)。结论:该量表在评估巴西对工作和个人生活之间界限的管理方面很有前景,并将有助于研究这种管理对工人健康和福祉的影响。
{"title":"Transcultural adaptation and validation of the work-life indicator scale for use in Brazil: Longitudinal Study of Adult Health (ELSA-Brasil)","authors":"Jéssica de Almeida Fernandes, Ester Paiva Souto, L. Rotenberg, A. Moreno, Odaleia Barbosa de Aguiar, M. Fonseca, R. Griep","doi":"10.1590/2317-6369/17522en2023v48edepi3","DOIUrl":"https://doi.org/10.1590/2317-6369/17522en2023v48edepi3","url":null,"abstract":"Abstract Objective: to describe the stages in the transcultural adaptation and dimensional validation of the “life-work indicator” scale for use in Brazil. Methods: equivalence analyses regarding concept, items, and semantics were conducted by researchers experienced in using scales and/or occupational health. The scale was applied to the third wave of the Longitudinal Study of Adult Health (Estudo Longitudinal de Saúde do Adulto, ELSA-Brasil). Measurement equivalence was then assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: applied to 7,277 participants (50.3% of them male), the scale displayed equivalences regarding concept, items, and semantics proper to the Brazilian context, as well as appropriate correspondences in referential/denotative meaning of terms and overall/connotative meaning of items. EFA and CFA corroborated its theoretical structure in three dimensions -i) personal life invading work, ii) work invading personal life, and iii) perceived boundary control - returning suitable fit indices after exclusion of two items from the first dimension. CFA returned comparative fit index of 0.968, Tucker-Lewis index of 0.957, and root mean square error of approximation of 0.039 (90%CI: 0.035;0.041). Conclusion: the scale shows to be promising for assessing the management of boundaries between work and personal life in the Brazilian context, and will facilitate studies on the influence of such management on workers’ health and wellbeing.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67328767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/20722en2023v48edepi11
Margarete Costa Helioterio, Fernando Ribas Feijó, Guilherme Loureiro Werneck, Fernanda de Oliveira Souza, Paloma de Sousa Pinho, Tânia Maria de Araújo
Abstract Objective: to analyze the association between previous Chikungunya infection and depressive symptoms among healthcare workers. Methods: a cross-sectional study with a probabilistic sample of healthcare workers in primary and medium-complexity care settings in a municipality in the state of Bahia, Brazil. We used the rapid test DPP-ZDC-IgM/IgG to identify recent (IgM) or previous (IgG) Chikungunya virus infection, and the Patient Health Questionnaire-PHQ-9 to assess depressive symptoms. We applied regression with robust variance to estimate prevalence ratios and 95% confidence intervals. Results: 392 workers participated, 83.2% female. The frequency of Chikungunya virus infection was 8.9%. The prevalence of depressive symptoms was 22.7%. In the adjusted analysis, Chikungunya infection was positively associated with depressive symptoms (PR=2.00; 95%CI: 1.29; 3.07). Stratified analyses indicated a stronger association among males (PR=7.57; 95%CI: 1.15; 50.06) compared with females (PR=1.68; 95%CI: 1.03; 2.74). Discussion: the findings support the hypothesis of a positive association between Chikungunya and depressive symptoms. Physiopathological mechanisms resulting from viral action, as well as emotional, behavioral, and psychosocial factors associated with the disease, may explain the findings. We reiterate the importance of providing mental health care to healthcare workers.
{"title":"Association between Chikungunya infection and depressive symptoms among healthcare workers","authors":"Margarete Costa Helioterio, Fernando Ribas Feijó, Guilherme Loureiro Werneck, Fernanda de Oliveira Souza, Paloma de Sousa Pinho, Tânia Maria de Araújo","doi":"10.1590/2317-6369/20722en2023v48edepi11","DOIUrl":"https://doi.org/10.1590/2317-6369/20722en2023v48edepi11","url":null,"abstract":"Abstract Objective: to analyze the association between previous Chikungunya infection and depressive symptoms among healthcare workers. Methods: a cross-sectional study with a probabilistic sample of healthcare workers in primary and medium-complexity care settings in a municipality in the state of Bahia, Brazil. We used the rapid test DPP-ZDC-IgM/IgG to identify recent (IgM) or previous (IgG) Chikungunya virus infection, and the Patient Health Questionnaire-PHQ-9 to assess depressive symptoms. We applied regression with robust variance to estimate prevalence ratios and 95% confidence intervals. Results: 392 workers participated, 83.2% female. The frequency of Chikungunya virus infection was 8.9%. The prevalence of depressive symptoms was 22.7%. In the adjusted analysis, Chikungunya infection was positively associated with depressive symptoms (PR=2.00; 95%CI: 1.29; 3.07). Stratified analyses indicated a stronger association among males (PR=7.57; 95%CI: 1.15; 50.06) compared with females (PR=1.68; 95%CI: 1.03; 2.74). Discussion: the findings support the hypothesis of a positive association between Chikungunya and depressive symptoms. Physiopathological mechanisms resulting from viral action, as well as emotional, behavioral, and psychosocial factors associated with the disease, may explain the findings. We reiterate the importance of providing mental health care to healthcare workers.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/37622pt2023v48edcinq12
Raoni Rocha, Francisco Pucci, Jorge Walter
Resumo O conceito de Cultura de Segurança (CS) é amplamente utilizado na indústria e literatura científica, ganhando significados que vão de abordagens fatalistas até as integradas. Mesmo naquelas mais avançadas, questões de fundo permanecem na superficialidade: como os conflitos e contradições do trabalho são tratados? Qual o limite para desobedecer a uma regra com segurança? Qual a influência das relações de poder e dominação entre os indivíduos no desenvolvimento da cultura? Ignorar essas questões é deixar de lado o principal elemento na compreensão do tema, qual seja, os determinantes das práticas e valores desenvolvidos pelos indivíduos e grupos sociais. Este ensaio busca discorrer sobre as nuances presentes na CS, trazendo para o centro da reflexão as relações de poder presentes nas organizações. A problematização está construída sob uma perspectiva interdisciplinar, mobilizando não somente referências teóricas específicas acerca da atividade humana no trabalho e da gestão da segurança nas organizações atuais, como também referências clássicas no campo da filosofia, sociologia e psicologia. Concluímos mostrando a necessidade de trazer a experiência das situações cotidianas para o seio da organização, retomar a palavra dos sujeitos por meio de espaços livres de punição e ampliar a autonomia dos indivíduos presentes na ponta dos processos.
{"title":"Cultura de segurança e relações de poder nas organizações","authors":"Raoni Rocha, Francisco Pucci, Jorge Walter","doi":"10.1590/2317-6369/37622pt2023v48edcinq12","DOIUrl":"https://doi.org/10.1590/2317-6369/37622pt2023v48edcinq12","url":null,"abstract":"Resumo O conceito de Cultura de Segurança (CS) é amplamente utilizado na indústria e literatura científica, ganhando significados que vão de abordagens fatalistas até as integradas. Mesmo naquelas mais avançadas, questões de fundo permanecem na superficialidade: como os conflitos e contradições do trabalho são tratados? Qual o limite para desobedecer a uma regra com segurança? Qual a influência das relações de poder e dominação entre os indivíduos no desenvolvimento da cultura? Ignorar essas questões é deixar de lado o principal elemento na compreensão do tema, qual seja, os determinantes das práticas e valores desenvolvidos pelos indivíduos e grupos sociais. Este ensaio busca discorrer sobre as nuances presentes na CS, trazendo para o centro da reflexão as relações de poder presentes nas organizações. A problematização está construída sob uma perspectiva interdisciplinar, mobilizando não somente referências teóricas específicas acerca da atividade humana no trabalho e da gestão da segurança nas organizações atuais, como também referências clássicas no campo da filosofia, sociologia e psicologia. Concluímos mostrando a necessidade de trazer a experiência das situações cotidianas para o seio da organização, retomar a palavra dos sujeitos por meio de espaços livres de punição e ampliar a autonomia dos indivíduos presentes na ponta dos processos.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135658942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/35422en2023v48edcinq10
Gisele Aparecida Fernandes, Victor Wünsch-Filho
Abtract Introduction: cancer incidence is increasing worldwide, especially in low- and middle-income countries. Objective: to identify and synthesize knowledge about occupational exposure and cancer, with emphasis on Brazilian scientific publications. Method: essay based on reviews carried out in the SciELO and PubMed databases. Results: a recent study identified 47 occupational agents among the 120 classified as definitively carcinogenic to humans by the International Agency for Research on Cancer. Studies carried out in the last two decades suggested fractions of cancer attributable to occupation, ranging from 1.3% in Brazil to 8% in Finland, although the criteria for measuring exposure in these studies can be questioned. In Brazil, scientific production on occupation and cancer is limited. The Revista Brasileira de Saúde Ocupacional (RBSO) published, between January 2003 to July 2022, six articles on the subject. In the PubMed database, from 2012 to 2022, 14 studies carried out in Brazil were identified. Conclusion: expanding research in this subject in Brazil is imperative to obtain more accurate estimates of workers exposed to carcinogens and related malignant tumors, essential to support public health actions and to establish norms on exposure limits or agents banning, reducing the burden of cancer in the Brazilian society.
摘要导读:世界范围内癌症发病率呈上升趋势,特别是在低收入和中等收入国家。目的:识别和综合有关职业暴露与癌症的知识,重点是巴西的科学出版物。方法:论文基于在SciELO和PubMed数据库中进行的综述。结果:最近的一项研究确定了国际癌症研究机构(International Agency for Research on Cancer)确定的120种人类致癌物质中的47种。过去二十年进行的研究表明,癌症的一部分可归因于职业,从巴西的1.3%到芬兰的8%不等,尽管这些研究中测量暴露的标准可能受到质疑。在巴西,关于职业和癌症的科学研究成果有限。2003年1月至2022年7月期间,《巴西职业评论》(resta Brasileira de Saúde occupational, RBSO)发表了六篇有关该主题的文章。在PubMed数据库中,从2012年到2022年,在巴西进行了14项研究。结论:为了更准确地估计接触致癌物和相关恶性肿瘤的工人人数,必须在巴西扩大这一主题的研究,这对于支持公共卫生行动和建立接触限度或禁用物质的规范至关重要,从而减轻巴西社会的癌症负担。
{"title":"Occupation and cancer in Brazil: a perennial challenge","authors":"Gisele Aparecida Fernandes, Victor Wünsch-Filho","doi":"10.1590/2317-6369/35422en2023v48edcinq10","DOIUrl":"https://doi.org/10.1590/2317-6369/35422en2023v48edcinq10","url":null,"abstract":"Abtract Introduction: cancer incidence is increasing worldwide, especially in low- and middle-income countries. Objective: to identify and synthesize knowledge about occupational exposure and cancer, with emphasis on Brazilian scientific publications. Method: essay based on reviews carried out in the SciELO and PubMed databases. Results: a recent study identified 47 occupational agents among the 120 classified as definitively carcinogenic to humans by the International Agency for Research on Cancer. Studies carried out in the last two decades suggested fractions of cancer attributable to occupation, ranging from 1.3% in Brazil to 8% in Finland, although the criteria for measuring exposure in these studies can be questioned. In Brazil, scientific production on occupation and cancer is limited. The Revista Brasileira de Saúde Ocupacional (RBSO) published, between January 2003 to July 2022, six articles on the subject. In the PubMed database, from 2012 to 2022, 14 studies carried out in Brazil were identified. Conclusion: expanding research in this subject in Brazil is imperative to obtain more accurate estimates of workers exposed to carcinogens and related malignant tumors, essential to support public health actions and to establish norms on exposure limits or agents banning, reducing the burden of cancer in the Brazilian society.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67328698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/23021en2023v48e17
Tânia Maria de Araújo, Fernanda de Oliveira Souza, Margarete Costa Helioterio, Kaio Vinicius Freitas de Andrade, Paloma de Sousa Pinho, G. Werneck
Abstract Objective: to estimate the seroprevalence of arboviruses, syphilis, HIV, and hepatitis B (HBV) in Healthcare Workers (HCW). Methods: a survey among HCW among was randomly selected in a city in Bahia-Brazil. The research used a structured questionnaire, which collected sociodemographic, occupational, and health information in 2019. Rapid immunochromatographic tests were used to track infections. Thus, positive results for arboviruses, syphilis, HIV, and HBV indicated seropositivity for the respective infection. In addition, simultaneous detection of antibodies for zika (ZIKV) and dengue (DENV) viruses indicated seropositivity for flavivirus infection. Results: a total of 453 HCW were included, 82.8% were women. Most HCW (55.1%) reported contact with biological material; 5.2% reported injuries with biological material. The seroprevalence was 34.7% (95%CI:30.1-39.4) for dengue, 1.7% (95%CI:0.7-3.4) for zika, 9.9% (95%CI:7.2-13.2) for chikungunya, and 39.9% (95%CI:35.2-44.7) for flavivirus (ZIKV+DENV); with 21.9% (95%CI:18.1-26.2) being negative to all arboviruses. Seropositivity to arboviruses increased with age and was higher among endemic disease control agents. Three HCW tested positive for HBV (HBsAg); no HIV cases were detected. Conclusion: a high percentage of HCW was exposed to infectious agents (contact with biological material and/or exposure to arboviruses). Among the necessary conditions for preventing infections in the work environment, the following stand out: monitoring of infectious diseases among HCW, surveillance of work environments, and measures to control occupational exposures, such as the availability of repellents.
{"title":"The high prevalence of infectious diseases among health workers indicates the need for improving surveillance","authors":"Tânia Maria de Araújo, Fernanda de Oliveira Souza, Margarete Costa Helioterio, Kaio Vinicius Freitas de Andrade, Paloma de Sousa Pinho, G. Werneck","doi":"10.1590/2317-6369/23021en2023v48e17","DOIUrl":"https://doi.org/10.1590/2317-6369/23021en2023v48e17","url":null,"abstract":"Abstract Objective: to estimate the seroprevalence of arboviruses, syphilis, HIV, and hepatitis B (HBV) in Healthcare Workers (HCW). Methods: a survey among HCW among was randomly selected in a city in Bahia-Brazil. The research used a structured questionnaire, which collected sociodemographic, occupational, and health information in 2019. Rapid immunochromatographic tests were used to track infections. Thus, positive results for arboviruses, syphilis, HIV, and HBV indicated seropositivity for the respective infection. In addition, simultaneous detection of antibodies for zika (ZIKV) and dengue (DENV) viruses indicated seropositivity for flavivirus infection. Results: a total of 453 HCW were included, 82.8% were women. Most HCW (55.1%) reported contact with biological material; 5.2% reported injuries with biological material. The seroprevalence was 34.7% (95%CI:30.1-39.4) for dengue, 1.7% (95%CI:0.7-3.4) for zika, 9.9% (95%CI:7.2-13.2) for chikungunya, and 39.9% (95%CI:35.2-44.7) for flavivirus (ZIKV+DENV); with 21.9% (95%CI:18.1-26.2) being negative to all arboviruses. Seropositivity to arboviruses increased with age and was higher among endemic disease control agents. Three HCW tested positive for HBV (HBsAg); no HIV cases were detected. Conclusion: a high percentage of HCW was exposed to infectious agents (contact with biological material and/or exposure to arboviruses). Among the necessary conditions for preventing infections in the work environment, the following stand out: monitoring of infectious diseases among HCW, surveillance of work environments, and measures to control occupational exposures, such as the availability of repellents.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67328616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/00223pt2023v48eedfl1
Leila Posenato Garcia
{"title":"Violência e assédio no trabalho: expectativa sobre a ratificação da Convenção 190 da OIT pelo Brasil","authors":"Leila Posenato Garcia","doi":"10.1590/2317-6369/00223pt2023v48eedfl1","DOIUrl":"https://doi.org/10.1590/2317-6369/00223pt2023v48eedfl1","url":null,"abstract":"","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67327949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/00123pt2023v48edcinq1
A. Assunção, E. Algranti, José Marçal Jackson Filho
{"title":"Sociedade neoliberal, saúde e segurança no trabalho","authors":"A. Assunção, E. Algranti, José Marçal Jackson Filho","doi":"10.1590/2317-6369/00123pt2023v48edcinq1","DOIUrl":"https://doi.org/10.1590/2317-6369/00123pt2023v48edcinq1","url":null,"abstract":"","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67328382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/2317-6369/21322en2023v48edepi7
Nayara Silva Alves, Mery Natali Silva Abreu, Ada Ávila Assunção
Abstract Objective: to describe three oral health indicators-the proportions of tooth loss, dental visits, and toothbrushing frequency-according to job market insertion in 2019. Methods: a descriptive study with data from the 2019 Brazilian National Health Survey (PNS). We included individuals aged from 18 years or older, irrespective of employment status. We calculated the oral health indicators, as well as their respective 95% confidence intervals (95%CI). Results: the sample was composed by 54,343 workers, 29,889 (53.9%) being male. The proportion of 13 or more teeth loss was higher in the informal employment sector [10.5% (95%CI: 9.8;11.2)]. The proportion of people that did not consult a dentist in the previous 12 months was higher in the informal sector [51.9% (95%CI: 50.8;53.0)] and among unemployed [52.4% (95%CI: 49.6;55.2)]. Lower toothbrushing frequency was observed in the informal workers’ group [5.2% (95%CI: 4.7;5.6)] and among male workers [7.5% (95%CI: 6.8;8.2)]. Conclusion: worse oral health indicators were found among informal and unemployed workers, in addition to gender inequalities.
{"title":"Oral health indicators and job market insertion: a descriptive study with data from the National Health Survey, Brazil, 2019","authors":"Nayara Silva Alves, Mery Natali Silva Abreu, Ada Ávila Assunção","doi":"10.1590/2317-6369/21322en2023v48edepi7","DOIUrl":"https://doi.org/10.1590/2317-6369/21322en2023v48edepi7","url":null,"abstract":"Abstract Objective: to describe three oral health indicators-the proportions of tooth loss, dental visits, and toothbrushing frequency-according to job market insertion in 2019. Methods: a descriptive study with data from the 2019 Brazilian National Health Survey (PNS). We included individuals aged from 18 years or older, irrespective of employment status. We calculated the oral health indicators, as well as their respective 95% confidence intervals (95%CI). Results: the sample was composed by 54,343 workers, 29,889 (53.9%) being male. The proportion of 13 or more teeth loss was higher in the informal employment sector [10.5% (95%CI: 9.8;11.2)]. The proportion of people that did not consult a dentist in the previous 12 months was higher in the informal sector [51.9% (95%CI: 50.8;53.0)] and among unemployed [52.4% (95%CI: 49.6;55.2)]. Lower toothbrushing frequency was observed in the informal workers’ group [5.2% (95%CI: 4.7;5.6)] and among male workers [7.5% (95%CI: 6.8;8.2)]. Conclusion: worse oral health indicators were found among informal and unemployed workers, in addition to gender inequalities.","PeriodicalId":30075,"journal":{"name":"Revista Brasileira de Saude Ocupacional","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135105023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}