Cristiane Maria da Costa Silva

Educação em saúde: uma reflexão histórica de suas práticas

This text aims to contextualize the transformations occurred in the practice of health education since the political scenario in the end of 19th century, when the first extended initiatives of the Brazilian State in the health field were organized, until the creation of the Brazilian Unified Health System.

Dental caries experience and Molar-Incisor Hypomineralization

Abstract Objective. This cross-sectional study assessed the prevalence and severity of the enamel defects, known as Molar-Incisor Hypomineralization (MIH) and its relationship to dental caries. Materials and methods. A sample of 1157 schoolchildren (population based), aged 6–12 years, of the Araraquara city-Brazil, was evaluated according to the European Academy of Paediatric Dentistry (EAPD) criteria by two trained examiners. The dental impact caused by MIH was evaluated with the Decayed, Missing and Filled Teeth (DMFT) index (WHO). Data were analyzed using ANOVA and Chi-square tests (p < 0.05). The socioeconomic status was collected using a questionnaire answered by parents. Results. The prevalence of MIH was 12.3%. Mild impairment was the most frequent diagnosis. DMFT of children with MIH was 0.89 (±1.18), which are higher than those of the unaffected group (0.43 ± 1.01). An association was found between dental caries only in the permanent dentition of children with MIH (p = 0.0001). Family income was considered low in 85% of the families of children with MIH in the public system, while in private school it was 18% (p < 0.05). Conclusion. The prevalence of MIH in Araraquara was associated with greater caries experience in the permanent dentition.

A educação em saúde e suas representações entre alunos de um curso de odontologia

A educacao em saude e um importante instrumento para se promover a participacao ativa das pessoas na conquista de sua autonomia. Desta forma, este estudo exploratorio, de abordagem qualitativa, objetivou avaliar as representacoes em educacao em saude de graduandos de um curso de odontologia, trazendo a tona dados para a discussao sobre quais concepcoes tem sustentado suas praticas educativas. Os dados foram coletados por meio de um instrumento contendo a seguinte questao: particularmente, o que voce entende por educacao em saude? O mesmo foi aplicado em 67 academicos do ultimo ano do curso, perfazendo 85,3 % da populacao-alvo. A analise dos dados foi realizada segundo os pressupostos metodologicos qualitativos do discurso do sujeito coletivo. Os resultados evidenciaram que o conceito de educacao em saude dos academicos esta fortemente ligado ao conceito positivista de ensinamento, instrucao e prevencao de doencas, pautados na ideia de que a falta de informacoes dos individuos e que os induz a nao exercerem praticas saudaveis em saude, sendo funcao do profissional educar as pessoas neste sentido. Observou-se a necessidade de estrategias de ensino-aprendizagem voltadas a transformar a representacao da educacao em saude por parte dos academicos.