Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023210889en
Kauanne Naysa Alves Pegaiani, Noeleni de Souza Pinto, Adriane Pires Batiston, Mara Lisiane de Moraes dos Santos, Károl Veigas Cabral, Márcio Mariath Belloc, Alcindo Antônio Ferla
Abstract Seen as a serious public health problem in different locations, leprosy is marked by taboos and carried by stigma. It is a neglected disease and made up of several explanations throughout history, which update living marks of the past, including in the implementation of public policies. Health conferences are spaces for society to participate in the definition of policies, aiming to impact the care plan of different illnesses. The objective of this article is to understand the relevance and perspectives pointed to public policies for the care of people affected by leprosy present in the municipal, state, and national stages of the 16th National Health Conference. This is a documentary research based on the final reports and in the wake of the ascending process of the 16th National Health Conference. The results show the lack of visibility of leprosy in the reports of the municipal and state stages of the conference and, in the national stage, the record has a double emphasis: producing visibility about the disease and its context, claiming to update social mobilization around it and permanent education actions aimed at workers.
{"title":"Health and leprosy conferences: sayings and silences about the neglected disease and its stigmas","authors":"Kauanne Naysa Alves Pegaiani, Noeleni de Souza Pinto, Adriane Pires Batiston, Mara Lisiane de Moraes dos Santos, Károl Veigas Cabral, Márcio Mariath Belloc, Alcindo Antônio Ferla","doi":"10.1590/s0104-12902023210889en","DOIUrl":"https://doi.org/10.1590/s0104-12902023210889en","url":null,"abstract":"Abstract Seen as a serious public health problem in different locations, leprosy is marked by taboos and carried by stigma. It is a neglected disease and made up of several explanations throughout history, which update living marks of the past, including in the implementation of public policies. Health conferences are spaces for society to participate in the definition of policies, aiming to impact the care plan of different illnesses. The objective of this article is to understand the relevance and perspectives pointed to public policies for the care of people affected by leprosy present in the municipal, state, and national stages of the 16th National Health Conference. This is a documentary research based on the final reports and in the wake of the ascending process of the 16th National Health Conference. The results show the lack of visibility of leprosy in the reports of the municipal and state stages of the conference and, in the national stage, the record has a double emphasis: producing visibility about the disease and its context, claiming to update social mobilization around it and permanent education actions aimed at workers.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135106324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023210693es
Dora María Hernández-Holguín, Beatriz Elena Arias López, Ángel Martínez-Hernáez
Resumen La noción de salud mental colectiva hace referencia a una propuesta alternativa a la perspectiva biomédica y conductual que ha ido adquiriendo centralidad en las publicaciones académicas de Brasil, España y Colombia, especialmente en las dos últimas décadas. Con el fin de comprender el sentido que adquiere dicha noción, se realizó un análisis del concepto desde una revisión narrativa que empleó criterios intencionados para la selección del material. Se identificaron matices particulares en cada país y/o sus problemáticas asociadas, en estrecha conexión con las particularidades históricas y socioculturales de cada escenario. Las violencias relacionadas con las lógicas manicomiales (Brasil, España) y aquellas derivadas del conflicto armado y la violencia política (Colombia) son las problemáticas en las que la salud mental colectiva aporta orientaciones epistemológicas y modelos de prácticas para el acompañamiento en contextos de sufrimiento social. El deslinde entre lo colectivo y lo comunitario es el principal reto conceptual que emerge de la intersección entre la salud mental y la salud colectiva.
{"title":"Salud mental colectiva: una revisión del concepto en la literatura académica de Brasil, Colombia y España","authors":"Dora María Hernández-Holguín, Beatriz Elena Arias López, Ángel Martínez-Hernáez","doi":"10.1590/s0104-12902023210693es","DOIUrl":"https://doi.org/10.1590/s0104-12902023210693es","url":null,"abstract":"Resumen La noción de salud mental colectiva hace referencia a una propuesta alternativa a la perspectiva biomédica y conductual que ha ido adquiriendo centralidad en las publicaciones académicas de Brasil, España y Colombia, especialmente en las dos últimas décadas. Con el fin de comprender el sentido que adquiere dicha noción, se realizó un análisis del concepto desde una revisión narrativa que empleó criterios intencionados para la selección del material. Se identificaron matices particulares en cada país y/o sus problemáticas asociadas, en estrecha conexión con las particularidades históricas y socioculturales de cada escenario. Las violencias relacionadas con las lógicas manicomiales (Brasil, España) y aquellas derivadas del conflicto armado y la violencia política (Colombia) son las problemáticas en las que la salud mental colectiva aporta orientaciones epistemológicas y modelos de prácticas para el acompañamiento en contextos de sufrimiento social. El deslinde entre lo colectivo y lo comunitario es el principal reto conceptual que emerge de la intersección entre la salud mental y la salud colectiva.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135106330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023220075pt
Evelise Dias Antunes, Bruno Chapadeiro Ribeiro, Marta Santos, Frida Marina Fischer
Resumo A pandemia do novo coronavírus levou o trabalho para a residência de milhares de trabalhadores no mundo, de maneira compulsória. Portanto, este ensaio objetiva evidenciar os fatores psicossociais de riscos à saúde e o panorama do teletrabalho no primeiro ano da pandemia de covid-19 e, neste contexto, analisar a política do teletrabalho no Brasil. Apresentamos os diferentes conceitos do teletrabalho e discutimos sobre como não é uma modalidade ausente de riscos. Fatores psicossociais, como o isolamento social e profissional, a intensificação do trabalho e sobreposição de atividades profissionais e familiares são alguns dos destacados na literatura. A partir de dados secundários obtidos da Pesquisa Nacional por Amostra de Domicílios e análises do Instituto de Pesquisa Econômica Aplicada durante a pandemia, revelou-se um panorama de desigualdade no perfil daqueles que tem acesso ao teletrabalho, além da acentuação das diferenças regionais. Por fim, identificamos um descompasso entre a regulamentação do teletrabalho e as necessidades dos trabalhadores, impactadas pela pandemia de covid-19. Assim, é necessária a elaboração, reformulação e implementação de políticas, visando garantir os direitos e saúde dos teletrabalhadores.
{"title":"A ponta do iceberg: o teletrabalho durante a pandemia","authors":"Evelise Dias Antunes, Bruno Chapadeiro Ribeiro, Marta Santos, Frida Marina Fischer","doi":"10.1590/s0104-12902023220075pt","DOIUrl":"https://doi.org/10.1590/s0104-12902023220075pt","url":null,"abstract":"Resumo A pandemia do novo coronavírus levou o trabalho para a residência de milhares de trabalhadores no mundo, de maneira compulsória. Portanto, este ensaio objetiva evidenciar os fatores psicossociais de riscos à saúde e o panorama do teletrabalho no primeiro ano da pandemia de covid-19 e, neste contexto, analisar a política do teletrabalho no Brasil. Apresentamos os diferentes conceitos do teletrabalho e discutimos sobre como não é uma modalidade ausente de riscos. Fatores psicossociais, como o isolamento social e profissional, a intensificação do trabalho e sobreposição de atividades profissionais e familiares são alguns dos destacados na literatura. A partir de dados secundários obtidos da Pesquisa Nacional por Amostra de Domicílios e análises do Instituto de Pesquisa Econômica Aplicada durante a pandemia, revelou-se um panorama de desigualdade no perfil daqueles que tem acesso ao teletrabalho, além da acentuação das diferenças regionais. Por fim, identificamos um descompasso entre a regulamentação do teletrabalho e as necessidades dos trabalhadores, impactadas pela pandemia de covid-19. Assim, é necessária a elaboração, reformulação e implementação de políticas, visando garantir os direitos e saúde dos teletrabalhadores.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023211010en
Juan Andrés Pino-Morán, Pía Rodríguez-Garrido, Michelle Lapierre
Abstract The aim of the article was to present a first approach to an epistemological proposal that reflects on and deals with the construction and legitimation of knowledge generated from abject, abnormal, or crippled corporeities geopolitically located in the South. It pays special attention to the sex-gender-ability system in the social and epistemological organization of knowledge. In this development, we identify a positionality and wasted wealth for regional social analysis and transformation as a result of a modern colonial order. Hence, this proposal is inscribed within the Latin American critical thinking to reflect on those other places of abject enunciation.
{"title":"Wild, Indigenous, Lame, Invalid: Anti-Ableist Epistemologies of the South","authors":"Juan Andrés Pino-Morán, Pía Rodríguez-Garrido, Michelle Lapierre","doi":"10.1590/s0104-12902023211010en","DOIUrl":"https://doi.org/10.1590/s0104-12902023211010en","url":null,"abstract":"Abstract The aim of the article was to present a first approach to an epistemological proposal that reflects on and deals with the construction and legitimation of knowledge generated from abject, abnormal, or crippled corporeities geopolitically located in the South. It pays special attention to the sex-gender-ability system in the social and epistemological organization of knowledge. In this development, we identify a positionality and wasted wealth for regional social analysis and transformation as a result of a modern colonial order. Hence, this proposal is inscribed within the Latin American critical thinking to reflect on those other places of abject enunciation.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023220262en
Angela Quijano, Adriane Vieira, C. Víctora
Abstract This article discusses the need for physiotherapists to develop greater cultural competence for a broader approach to chronic pain. We first review different models of body and pain, from an anatomy laboratory training and anthropological perspective. By contrasting these perspectives, we analyze three situations experienced during the field work, while researching six women with chronic low back pain in a rural settlement. Based on these situations, we discuss how life trajectories mark the ways in which we perceive our bodies, how cultural competence is relevant to develop the professional’s ability to listen and take action, and how conviviality and collective action among these women during work in a cooperative can contribute to coping with pain in this rural context. A more qualified understanding of the background of patients with chronic back pain reveals the limits of physical therapy education and allows to rethink the treatment needs and possibilities in different contexts.
{"title":"Women with chronic low back pain in a rural settlement: challenges from a physical therapy perspective","authors":"Angela Quijano, Adriane Vieira, C. Víctora","doi":"10.1590/s0104-12902023220262en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220262en","url":null,"abstract":"Abstract This article discusses the need for physiotherapists to develop greater cultural competence for a broader approach to chronic pain. We first review different models of body and pain, from an anatomy laboratory training and anthropological perspective. By contrasting these perspectives, we analyze three situations experienced during the field work, while researching six women with chronic low back pain in a rural settlement. Based on these situations, we discuss how life trajectories mark the ways in which we perceive our bodies, how cultural competence is relevant to develop the professional’s ability to listen and take action, and how conviviality and collective action among these women during work in a cooperative can contribute to coping with pain in this rural context. A more qualified understanding of the background of patients with chronic back pain reveals the limits of physical therapy education and allows to rethink the treatment needs and possibilities in different contexts.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023220535en
Suzete Maria Lenzi Caminada, M. M. Bocchiglieri, E. D. Velini, W. Paganini
Abstract The presence of residual drugs in the environment is a growing global issue, with many studies seeking to quantify it. However, its behavior and effects, both on the environment and on humans are still mostly unknown. In this study, seven drugs were evaluated: Atenolol, Carbamazepine, Clonazepam, Ibuprofen, Paracetamol, Simvastatin, and Fluoxetine, from samples of sludge from a sewage treatment plant of the public system. The extraction of the compounds from the matrix was based on the leaching of the compounds in water and the analytical quantification was determined by an ultra-performance liquid chromatograph system, coupled to the mass spectrometer. The data indicate the possible movement of some drugs from aqueous to solid phase. We observed that the composting of the sludge could favor the biodegradation or mobilization of the compounds since there was a significant reduction in the concentrations, when comparing the values obtained before and after the composting process. The non-detection of a compound does not necessarily mean that it has been fully degraded by microorganisms; however, past studies reached similar results, which corroborates the adequacy of the methodological proposal and the adopted procedures, contributing to the production of reliable results.
{"title":"Evaluation of the presence of drugs in sewage treatment station sludge before and after the bioremediation process by composting","authors":"Suzete Maria Lenzi Caminada, M. M. Bocchiglieri, E. D. Velini, W. Paganini","doi":"10.1590/s0104-12902023220535en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220535en","url":null,"abstract":"Abstract The presence of residual drugs in the environment is a growing global issue, with many studies seeking to quantify it. However, its behavior and effects, both on the environment and on humans are still mostly unknown. In this study, seven drugs were evaluated: Atenolol, Carbamazepine, Clonazepam, Ibuprofen, Paracetamol, Simvastatin, and Fluoxetine, from samples of sludge from a sewage treatment plant of the public system. The extraction of the compounds from the matrix was based on the leaching of the compounds in water and the analytical quantification was determined by an ultra-performance liquid chromatograph system, coupled to the mass spectrometer. The data indicate the possible movement of some drugs from aqueous to solid phase. We observed that the composting of the sludge could favor the biodegradation or mobilization of the compounds since there was a significant reduction in the concentrations, when comparing the values obtained before and after the composting process. The non-detection of a compound does not necessarily mean that it has been fully degraded by microorganisms; however, past studies reached similar results, which corroborates the adequacy of the methodological proposal and the adopted procedures, contributing to the production of reliable results.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023220612en
A. Sousa, Fernanda Fonseca, A. Bousquat
Abstract The Amazon region encompasses a heterogenous territory with singular geographic features, that harbous different vulnerable populations, which require the development of abilities and innovations by health services. However, answers to this challenge become even more distant in the face of a marketing logic that tends to make differences invisible and privilege certain territories. In this scenario, our study analyzed the implementation of a Basic River Health Unit (UBSF), seeking to understand how the needs and singularities of riverside rural areas are included in the planning and execution of health services. To that end, interviews with health services managers and professionals and observations of health care professionals during daily activities were carried out. The results showed the forecast of services, with specific formats and resources for the Amazonian fluvial areas, was an opportunity for the specificities of the region to be evidenced and for more resources, including financial ones, being considered for these localities. However, they also showed that the services offered are still planned in a hierarchical way and organized and executed for urban areas, which points to the need for adaptations.
{"title":"The invisibility of Amazonian singularities in the design and delivery of Primary Health Care (PHC) services: A case study in the rural riverside area of Manaus (AM)","authors":"A. Sousa, Fernanda Fonseca, A. Bousquat","doi":"10.1590/s0104-12902023220612en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220612en","url":null,"abstract":"Abstract The Amazon region encompasses a heterogenous territory with singular geographic features, that harbous different vulnerable populations, which require the development of abilities and innovations by health services. However, answers to this challenge become even more distant in the face of a marketing logic that tends to make differences invisible and privilege certain territories. In this scenario, our study analyzed the implementation of a Basic River Health Unit (UBSF), seeking to understand how the needs and singularities of riverside rural areas are included in the planning and execution of health services. To that end, interviews with health services managers and professionals and observations of health care professionals during daily activities were carried out. The results showed the forecast of services, with specific formats and resources for the Amazonian fluvial areas, was an opportunity for the specificities of the region to be evidenced and for more resources, including financial ones, being considered for these localities. However, they also showed that the services offered are still planned in a hierarchical way and organized and executed for urban areas, which points to the need for adaptations.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67369257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023230228en
Carinne Magnago, C. L. Martins
Abstract In the context of globalization, mentioning contemporary democracy, science, social-economic, sanitary, and environmental crises is recurrent. In Brazil, these crises have worsened due to historical-cultural structures that carry deep unresolved problems and due to governments that have worn down the national institutions that were reconstructed with hard work during its re-democratization process. In this editorial, we reflect on the national crisis context experienced in Brazil in the last years, situating social regressions resulting from neoliberal and conservative policies carried out by the last two heads of the federal government and placing some challenges to be faced by the country beginning by a movement to retrieve democracy.
{"title":"Contemporary crisis: social regressions, health policies, and democratic challenges","authors":"Carinne Magnago, C. L. Martins","doi":"10.1590/s0104-12902023230228en","DOIUrl":"https://doi.org/10.1590/s0104-12902023230228en","url":null,"abstract":"Abstract In the context of globalization, mentioning contemporary democracy, science, social-economic, sanitary, and environmental crises is recurrent. In Brazil, these crises have worsened due to historical-cultural structures that carry deep unresolved problems and due to governments that have worn down the national institutions that were reconstructed with hard work during its re-democratization process. In this editorial, we reflect on the national crisis context experienced in Brazil in the last years, situating social regressions resulting from neoliberal and conservative policies carried out by the last two heads of the federal government and placing some challenges to be faced by the country beginning by a movement to retrieve democracy.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67369477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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/s0104-12902023230313en
Fátima Lima, P. Gaudenzi
{"title":"Racism, Racial Iniquities, and Subjectivity - Seeing, Saying, and Doing","authors":"Fátima Lima, P. Gaudenzi","doi":"10.1590/s0104-12902023230313en","DOIUrl":"https://doi.org/10.1590/s0104-12902023230313en","url":null,"abstract":"","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67369582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Resumo Esta pesquisa analisa os processos críticos para a redução de danos entre consumidores de esteroides, no contexto de academias de ginástica da região Metropolitana de Goiânia, Goiás, e os sujeitos do estudo foram selecionados por meio da técnica de Bola de Neve. Foi realizada análise de conteúdo a partir da transcrição de quinze entrevistas, e a exploração do material produzido levou à construção de quatro categorias a posteriori. Foram observadas ações - como o gerenciamento individual de riscos, a exemplo da autoexperimentação para avaliar a qualidade do produto e da automedicação na forma de terapias pós-ciclo - e, ao mesmo tempo, processos que conferem proteção à saúde, especialmente relativos às redes de apoio e à posição socioeconômica favorável dos participantes deste estudo. Considera-se importante estruturar ações proativas, contínuas e integradas de redução de danos que respondam às necessidades de saúde de quem consome esteroides, assim como implementar estratégias que superem tanto a abordagem de guerra às drogas quanto a abordagem apenas pragmática e individual do gerenciamento de riscos.
{"title":"Redução de danos entre praticantes de musculação que consomem esteroides","authors":"Túlio Cândido Ferreira, Alexandre Palma, Heitor Martins Pasquim","doi":"10.1590/s0104-12902023220585pt","DOIUrl":"https://doi.org/10.1590/s0104-12902023220585pt","url":null,"abstract":"Resumo Esta pesquisa analisa os processos críticos para a redução de danos entre consumidores de esteroides, no contexto de academias de ginástica da região Metropolitana de Goiânia, Goiás, e os sujeitos do estudo foram selecionados por meio da técnica de Bola de Neve. Foi realizada análise de conteúdo a partir da transcrição de quinze entrevistas, e a exploração do material produzido levou à construção de quatro categorias a posteriori. Foram observadas ações - como o gerenciamento individual de riscos, a exemplo da autoexperimentação para avaliar a qualidade do produto e da automedicação na forma de terapias pós-ciclo - e, ao mesmo tempo, processos que conferem proteção à saúde, especialmente relativos às redes de apoio e à posição socioeconômica favorável dos participantes deste estudo. Considera-se importante estruturar ações proativas, contínuas e integradas de redução de danos que respondam às necessidades de saúde de quem consome esteroides, assim como implementar estratégias que superem tanto a abordagem de guerra às drogas quanto a abordagem apenas pragmática e individual do gerenciamento de riscos.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135102355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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