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The impacts of racisms on the occupations of the Black population: reflections for occupational therapy and science 种族主义对黑人职业的影响:对职业治疗和科学的反思
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220400en
Amanda dos Santos Pereira, L. Magalhães
Abstract In Brazil, the many forms of racisms are structural and structuring, since they are rooted deep within society, in interpersonal relationships, and in institutions, traversing significant occupations of subjects and collectives. This explains the disparities in various sectors of Brazilian society, notably in the employability of Black people, as well as in their forms of getting sick and dying. In understanding the role that racisms play in the occupations of Black people, this study proposes to systematize observations that allow us to understand the phenomenon of the production of injustices based on racialized relations and, eventually, suggest ways to confront this reality. Thus, we discuss how racisms were established in Brazil, gathering elements for the understanding of human occupation and its conditioning factors. We then reflect on the concepts of occupational justice and injustice, which bring light to the occupational processes experienced by Black people. Considering that, in occupational therapy and in Brazilian occupational science, studies relating racisms and occupation are still incipient, we point out some strategies to reorient occupational therapists, practices to make them proactive and transformative.
在巴西,许多形式的种族主义都是结构性的和结构性的,因为它们深深植根于社会、人际关系和制度中,跨越了主体和集体的重要职业。这解释了巴西社会各部门的差异,特别是黑人的就业能力,以及他们生病和死亡的形式。在理解种族主义在黑人职业中所扮演的角色时,本研究提出了系统化的观察,使我们能够理解基于种族化关系的不公正产生的现象,并最终提出面对这一现实的方法。因此,我们讨论种族主义是如何在巴西建立起来的,收集了理解人类职业及其制约因素的要素。然后,我们对职业公正和不公正的概念进行反思,这为黑人所经历的职业过程带来了光明。考虑到,在职业治疗和巴西职业科学中,有关种族主义和职业的研究仍处于起步阶段,我们指出了一些重新定位职业治疗师的策略,实践使他们具有前瞻性和变革性。
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引用次数: 0
Walls, gaps and shortcuts: transmasculine people’s agencies for hormonization in the Transsexualizing Process in the city of São Paulo 墙、缺口和捷径:在<s:1>圣保罗市变性过程中,跨性别者的荷尔蒙化代理
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220589en
Michel de Oliveira Furquim dos Santos, José Miguel Nieto Olivar
Abstract This article proposes to know some factors in the hormonization process of transmasculine people from the idea of agency and care. Initially, the article recovers productions that deal with how body and gender differences raised to natural and biological categories, legitimize and recognize cisgenderism as a norm, were recovered. Then, the ordinances of the Transsexualizing Process for the hormonization process aimed at transmasculine people in the Brazilian National Health System (SUS) were analyzed. Finally, we present the experience of ethnographic work accompanying two transmasculine people in the city of São Paulo between the months of March 2019 and November 2020, as well as discourses on the use of hormones/testosterone by cisgender men on the internet. It is observed that these people seek access to hormones through the Transsexualization Process of the SUS and the agencies put into action in the production of their bodies, with their access facilitated or hindered by gender norms and cisnormativity.
摘要本文从代理和关怀的角度出发,探讨跨性别者激素化过程中的一些因素。最初,文章恢复了处理身体和性别差异如何被提升到自然和生物类别,合法化和承认顺性别主义作为一种规范的作品。然后,分析了巴西国家卫生系统(SUS)中针对变性人的激素化过程的变性过程条例。最后,我们介绍了2019年3月至2020年11月期间在圣保罗市陪同两名跨性别者的民族志工作经历,以及互联网上关于顺性男性使用激素/睾酮的论述。可以观察到,这些人通过SUS的变性过程和在他们身体生产中投入行动的机构寻求获得激素的途径,性别规范和顺规范促进或阻碍了他们的获取。
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引用次数: 0
Everything for an arm and a leg! History, epidemics, and inequalities 一切都是为了一只胳膊和一条腿!历史、流行病和不平等
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220538en
Anna Cristina Rodopiano de Carvalho Ribeiro, M. C. Marques
Abstract Based on the dialogue between the fields of History and Public Health and provoked by the historicity of the present time, this article proposes epistemic advances in the discussion about the end of epidemics. To that end, it uses a historiographical operation in a vast body of documents, to point out the impacts resulting from the Spanish Flu of 1918 in Botucatu, a city in the interior of São Paulo, from the perspective of the deepening of inequalities in this locality in the decades following the epidemic. It concludes by pointing out that, in addition to the immediate effects caused by the epidemic phenomenon, when the Spanish Flu epidemic cooled down in the biological dimension, it followed its course, altering social and cultural conditions and affecting socio-historical structures and our corporeality, becoming a long-term historical event. Thus, we can infer that understanding the historical forces that operate in the advances and setbacks in Public Health can leverage concrete confrontations with inequities, along with the resumption of a civilizing project of social transformation in the country, based on democracy, social justice, and the radical defense of life.
摘要:本文基于历史与公共卫生领域的对话,在当下历史性的刺激下,提出了关于流行病终结讨论的认识进展。为此,它在大量文献中采用历史编纂方法,从流行病发生后几十年该地区不平等加剧的角度,指出1918年西班牙流感对圣保罗内陆城市博图卡图造成的影响。报告最后指出,除了流行病现象造成的直接影响外,当西班牙流感在生物方面降温时,它也随之发生,改变了社会和文化条件,影响到社会历史结构和我们的肉体,成为一个长期的历史事件。因此,我们可以推断,理解在公共卫生的进步和挫折中起作用的历史力量,可以利用与不平等的具体对抗,以及在民主、社会正义和激进的生命保护的基础上恢复国家社会转型的文明项目。
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引用次数: 0
Cooking up changes: the act of cooking as a tool for facing the challenges of the Anthropocene 烹饪改变:烹饪作为一种工具来面对人类世的挑战
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220614en
Gabriela Rigote, Alessandra Xavier Bueno, M. Akerman
Abstract Cooking encompasses cultural, environmental, social, economic, and political dimensions, as well as composes the activities contained in a food system and promoting dialogues and transformations. This study aims to describe and to analyze everyday elements related to cooking and its relationship with the food system based on the experience of a group of female urban farmers in the east side of the city of São Paulo. Body-map storytelling was used, a creative visual research method, in which, by drawing the participant’s body contours, visual and oral data were produced on the meanings of cooking. Seven women participated in this study, who develop actions related to agriculture and cooking. The generated data were analyzed using thematic analysis. Cooking proved to be a connector from the field to the table, strengthening and being strengthened by the practices of urban and peri-urban farming, and is an interesting tool to promote health, contemplating biopsychosocial well-being in line with issues of social, economic, and environmental sustainability. Understanding this connection enables to support public policies to promote sustainable food systems and facing the challenges of the Anthropocene.
烹饪涵盖了文化、环境、社会、经济和政治等方面,并构成了食物系统中包含的活动,促进了对话和变革。本研究旨在描述和分析与烹饪相关的日常元素及其与食品系统的关系,该关系基于圣保罗市东部一群女性城市农民的经历。身体地图讲故事是一种创造性的视觉研究方法,通过绘制参与者的身体轮廓,产生关于烹饪意义的视觉和口头数据。七名妇女参加了这项研究,她们发展了与农业和烹饪有关的行动。对生成的数据进行专题分析。事实证明,烹饪是从田间到餐桌的纽带,通过城市和城郊农业实践加强和加强,是促进健康的有趣工具,考虑到与社会,经济和环境可持续性问题相一致的生物心理社会福祉。理解这种联系有助于支持公共政策,以促进可持续粮食系统和面对人类世的挑战。
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引用次数: 0
30 anos após a intervenção no Anchieta, por onde andam os beneficiários do Programa de Volta Para Casa de Santos? 安杰塔手术30年后,桑托斯之家项目的受益者在哪里?
4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220477pt
Paula Andréa Massa, Maria Inês Badaró Moreira
Resumo O Programa de Volta Para Casa (PVC) é uma das Estratégias de Desinstitucionalização da Rede de Atenção Psicossocial do Sistema Único de Saúde. Baseado na mudança de paradigma proposta pela Psiquiatria Democrática Italiana, tem o objetivo de promover a inclusão social e acesso aos direitos humanos de egressos de internações psiquiátricas. Objetivou-se saber quem são, onde moram e por onde andam os moradores da cidade de Santos beneficiários do PVC, local em que o processo de desinstitucionalização foi pioneiro. Por meio de entrevista semiestruturada e observação participante, em uma pesquisa qualitativa, identificou-se que as beneficiárias são pessoas acima de 50 anos, não escolarizadas, negras, com renda média de um salário mínimo; moradoras dos cortiços do centro; usuárias de transporte público e dos serviços de saúde; e frequentadoras de estabelecimentos comerciais e religiosos. Utilizando o método hermenêutico-dialético e a análise interseccional, concluiu-se que os marcadores sociais raça/cor e origem estão relacionados às internações mais longas, ao menor acesso à moradia digna e à vivência de maior exclusão social. Para uma práxis crítica, é necessário garantir acesso ao PVC por pessoas negras e adotar estratégias de descolonização do eu no enfrentamento das relações de opressão mais vivenciadas pelos beneficiários negros e migrantes, bem como de seus descendentes.
摘要“回家计划”是巴西统一卫生系统心理社会护理网络的非机构化策略之一。它以意大利民主精神病学提出的范式转变为基础,旨在促进精神病住院毕业生的社会包容和获得人权的机会。目的是了解桑托斯市的居民是谁,他们住在哪里,他们在哪里行走,PVC的受益者,那里的非机构化进程是先驱。通过半结构化访谈和参与观察,在定性研究中确定受益人是50岁以上的人,未受教育,黑人,平均收入最低工资;住在市中心的人;公共交通和保健服务的使用者;以及商业和宗教机构的常客。运用解释学-辩证方法和交叉分析,得出种族/肤色和出身的社会标记与住院时间越长、获得体面住房的机会越少、社会排斥程度越高有关。对于一个关键的实践,有必要确保黑人获得聚氯乙烯,并采取非殖民化自我的策略,以对抗黑人和移民受益人及其后代所经历的压迫关系。
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引用次数: 0
Collective mental health: a review of the concept in the academic literature of Brazil, Colombia, and Spain 集体心理健康:对巴西、哥伦比亚和西班牙学术文献中这一概念的回顾
4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023210693en
Dora María Hernández-Holguín, Beatriz Elena Arias López, Ángel Martínez-Hernáez
Abstract INTRODUCTION: The notion of collective mental health refers to an alternative proposal to the biomedical and behavioral perspective that has been gaining centrality in academic publications in Brazil, Spain, and Colombia, especially in the last two decades. METHOD: In order to understand the meaning acquired by this notion, an analysis of the concept was carried out through a narrative review that used intentional criteria for the selection of the material. RESULTS: nuances were identified in each country and/or its associated problems, in close connection with the historical and socio-cultural particularities of each scenario. Violence related to asylum logic (Brazil, Spain), and those derived from armed conflict and political violence (Colombia) are the problems where collective mental health provides epistemological and practical guidelines for accompaniment in contexts of social suffering. CONCLUSION: the delimitation between the collective and the community is the main conceptual challenge that emerges from the intersection between mental health and collective health.
摘要简介:集体心理健康的概念是指生物医学和行为观点的另一种建议,特别是在过去的二十年里,在巴西、西班牙和哥伦比亚的学术出版物中获得了中心地位。方法:为了理解这一概念所获得的意义,对这一概念进行了分析,通过使用有意的标准来选择材料。结果:确定了每个国家和/或其相关问题的细微差别,与每个情景的历史和社会文化特殊性密切相关。与庇护逻辑有关的暴力(巴西、西班牙)以及源于武装冲突和政治暴力的暴力(哥伦比亚)是集体心理健康为社会苦难背景下的陪伴提供认识论和实践指导的问题。结论:集体与社区之间的界限是心理健康与集体健康交叉中出现的主要概念挑战。
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引用次数: 0
The insecurity of Vale’s dams in Minas Gerais, Brazil: applying activity theory to disaster analysis 巴西米纳斯吉拉斯州淡水河谷大坝的不安全:将活动理论应用于灾害分析
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220510en
Marcos Ribeiro Botelho, R. Vilela, S. Beltran, I. Almeida, M. Querol
Abstract The objective of this article is to point out hypotheses of contradictions historically incubated in Vale’s activity systems and that may have led to Brazil’s biggest environmental disaster, the B I dam break in Brumadinho, and the interdiction of many other dams owned by Vale in the state of Minas Gerais, Brazil. This is a case analysis from secondary data available in interviews, documents, and texts published in different media between 2011 and 2021. We try to demonstrate, from the Historical-Cultural Theory of Activity, the contradictions verified in and between Vale’s activity systems, since the company distributed large dividends to its shareholders, remunerated its directors as never before, reduced costs in relation to incomes, and brutally reduced internal debt, but keeping insufficient investments in dam management, culminating with the break of B I in 2019 and with 29 dams interdicted in March 2021. Financialization has become central to the company’s operations. This study points to a methodological path of the interdisciplinary dialogue to help clarify how strategic managerial decisions, especially those of financial management, could influence the production, maintenance, and safety management of tailings dams.
本文的目的是指出在淡水河谷的活动系统中历史上孕育的矛盾假设,这些假设可能导致了巴西最大的环境灾难,即布鲁马迪尼奥的B - I水坝决堤,以及巴西米纳斯吉拉斯州淡水河谷拥有的许多其他水坝的中断。这是对2011年至2021年期间在不同媒体上发表的访谈、文件和文本中可获得的二手数据的案例分析。我们试图从活动的历史文化理论来证明,淡水河谷活动系统内部和之间的矛盾,因为该公司向股东分配了大量股息,向董事支付了前所未有的薪酬,降低了与收入相关的成本,并残酷地减少了内部债务,但在大坝管理方面的投资不足,最终导致2019年B I的破裂,并于2021年3月禁止了29座大坝。金融化已成为该公司运营的核心。本研究指出了跨学科对话的方法路径,以帮助阐明战略管理决策,特别是财务管理决策如何影响尾矿坝的生产、维护和安全管理。
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引用次数: 0
“We are invisible to society”: impacts of working conditions on food delivery workers’ health and quality of life during the COVID-19 pandemic “社会看不见我们”:2019冠状病毒病大流行期间,工作条件对外卖工人健康和生活质量的影响
IF 0.6 4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220528en
Vanessa Daufenback, C. M. Bógus, Cecília Rocha, Esther Amorim Ribeiro
Abstract The COVID-19 pandemic aggravated the scenario of low income, hunger, unemployment, and informality generated by the 2017 Labor Reform and the dismantling of social policies, leading many workers to enter the food delivery business that misses labor rights or protection. Thus, this study aimed at investigating how such working conditions impacted food delivery workers’ health and quality of life in Curitiba, Brazil, during the pandemic according to delivery categories. Field research, based on saturation of discourse, was conducted in 10 delivery points using a semi-structured instrument. Despite mentioning several negative aspects regarding working conditions, most delivery workers perceived a positive quality of life, mainly associated with the possibility of work and financial return. App-based delivery workers felt more intensely the negative impacts on health and quality of life. These findings point to the need for further discussions on how these new contemporary and precarious labor arrangements impact occupational health in different contexts and categories.
新冠肺炎疫情加剧了2017年劳动改革和社会政策解体带来的低收入、饥饿、失业和非正规状况,导致许多工人进入了错过劳工权利或保护的外卖行业。因此,本研究旨在调查这种工作条件在大流行期间如何影响巴西库里提巴市送餐工人的健康和生活质量。基于话语饱和的实地研究,使用半结构化仪器在10个交付点进行。尽管提到了工作条件方面的几个消极方面,但大多数送货工人认为生活质量是积极的,主要与工作和经济回报的可能性有关。使用app的外卖工作者对健康和生活质量的负面影响更为强烈。这些发现表明,需要进一步讨论这些新的当代和不稳定的劳动安排如何在不同的背景和类别中影响职业健康。
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引用次数: 0
Teologia-política e pandemia Sars-Cov-2/Covid-19: questões à Saúde Coletiva 神学-政治与Sars-Cov-2/Covid-19大流行:公共卫生问题
4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023210899pt
Luís Henrique da Costa Leão
Resumo Este ensaio teórico apresenta, em linhas gerais, o campo da teologia-política enquanto importante área da filosofia política, demonstra sua relevância no atual cenário sociopolítico brasileiro e problematiza suas possíveis intersecções com o campo da Saúde Coletiva. Na primeira parte, busca-se explorar o pensamento teológico-político de autores centrais dessa área, como Santo Agostinho, Giorgio Agamben, Karl Marx, Enrique Dussel e Boaventura de Souza Santos. À luz desses autores, na segunda parte do artigo, descreve-se a emergência de teologias-políticas no cenário político e na dinâmica sociocultural brasileira, manifestas entre grupos evangélicos durante a pandemia de covid-19. Esse cenário da pandemia revelou muitas contradições da sociedade brasileira e evidenciou controvérsias entre duas linhagens de teologias-políticas evangélicas divergentes: as conservadoras/antidemocráticas e as progressistas. A reemergência dessas teologias políticas tem efeitos relevantes no que tange às respostas de grupos sociais e ações do poder frente aos problemas de saúde pública, que merecem maior atenção do campo da Saúde Coletiva. Elas influenciam as esferas do poder e a dinâmica sociocultural no que se relaciona à saúde-doença-cuidado, contribuindo com medidas de proteção coletiva e/ou estimulando posturas de risco, negligências e negacionismos. Conclui-se problematizando contribuições epistemológicas para uma renovada produção do conhecimento-ação na interface da teologia política com a Saúde Coletiva.
这篇理论文章概述了神学-政治领域作为政治哲学的一个重要领域,展示了它在当前巴西社会政治情景中的相关性,并讨论了它与公共卫生领域可能的交叉。第一部分探讨了圣奥古斯丁、阿甘本、马克思、杜塞尔和索萨桑托斯等主要作家的神学和政治思想。根据这些作者,文章的第二部分描述了政治神学在政治场景和巴西社会文化动态中的出现,在covid-19大流行期间福音派团体中表现出来。这一流行病情景揭示了巴西社会的许多矛盾,并突出了两种不同的福音派神学-政治谱系之间的争议:保守/反民主和进步。这些政治神学的重新出现对社会群体对公共卫生问题的反应和权力行动产生了相关影响,这些问题值得公共卫生领域更多的关注。它们影响与健康-疾病-护理有关的权力领域和社会文化动态,促进集体保护措施和(或)鼓励危险态度、忽视和否认。最后,在政治神学和公共卫生的界面上,对行动知识的更新生产的认识论贡献提出了质疑。
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引用次数: 0
Estrategias de acceso a los alimentos implementadas en Venezuela por un grupo de venezolanos que viven en Cuiabá, Brasil 居住在巴西cuiaba的一群委内瑞拉人在委内瑞拉实施的获取食物的战略
4区 医学 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.1590/s0104-12902023220169es
John Edinson Velásquez Vargas, Silvia Angela Gugelmin
Resumen La crisis sociopolítica de Venezuela ha generado diversos problemas como la inseguridad alimentaria, la escasez de productos básicos y medicinas, el aumento del desempleo y la migración masiva hacia otros países de la región. Este estudio tuvo por objetivo identificar las estrategias de acceso a los alimentos vividas en Venezuela por los inmigrantes venezolanos que residen en Cuiabá, en Mato Grosso, Brasil. Esta investigación se realizó bajo el enfoque cualitativo para indagar cómo fue el impacto respecto al acceso y consumo de alimentos en Venezuela vivido por los inmigrantes venezolanos desde la documentación, descripción y comprensión de las experiencias que ellos enfrentan. Se incluyeron 13 participantes, la técnica de recolección de datos que se utilizó fueron las entrevistas individuales. Entre los principales hallazgos encontrados se evidenció que la mayoría de los entrevistados no se sentía a gusto con la alimentación que tenía en Venezuela, dadas las pocas condiciones de acceso y disponibilidad de alimentos, muchos de estos manifestaron percepciones de hambre y angustia por la falta de alimentos, y estas situaciones llevaron a buscar mejores condiciones de vida. La crisis en Venezuela que produjo la poca disponibilidad y acceso a los alimentos les generó estrategias para poder garantizar una alimentación permanente dentro de los hogares donde muchas veces estas estrategias no son acordes a una alimentación saludable y adecuada.
本文的目的是分析该地区的经济和社会状况,并分析该地区的经济和社会状况。这项研究的目的是确定居住在巴西马托格罗索州cuiaba的委内瑞拉移民在委内瑞拉获得食物的策略。本研究采用定性方法,通过记录、描述和理解委内瑞拉移民所面临的经历,探讨委内瑞拉移民在获取和消费食物方面的影响。本研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果。主要结果发现evidenció大多数受访者感到安逸粮食,在委内瑞拉,由于准入条件和食品供应很少焦虑、许多表示对饥饿和缺乏粮食,并使这种情况下寻求改善生活条件。委内瑞拉的危机导致粮食供应和获取不足,这促使他们制定了确保家庭永久粮食供应的战略,而这些战略往往与健康和适当的饮食不一致。
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引用次数: 0
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Saude E Sociedade
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