Iara Falleiros Braga

The effects of a skill-based intervention for victims of bullying in Brazil

This study’s objective was to verify whether improved social and emotional skills would reduce victimization among Brazilian 6th grade student victims of bullying. The targets of this intervention were victimized students; a total of 78 victims participated. A cognitive-behavioral intervention based on social and emotional skills was held in eight weekly sessions. The sessions focused on civility, the ability to make friends, self-control, emotional expressiveness, empathy, assertiveness, and interpersonal problem-solving capacity. Data were analyzed through Poisson regression models with random effects. Pre- and post-analyses reveal that intervention and comparison groups presented significant reduced victimization by bullying. No significant improvement was found in regard to difficulties in practicing social skills. Victimization reduction cannot be attributed to the program. This study contributes to the incipient literature addressing anti-bullying interventions conducted in developing countries and highlights the need for approaches that do not exclusively focus on the students’ individual aspects.

Percepções de adolescentes sobre o apoio social na maternidade no contexto da atenção primária

Objective: To analyze the perceptions of adolescents experiencing motherhood concerning social support. Methods: Semi-structured interviews and network maps were used to collect data, which were analyzed according to thematic content analysis. The participants were 20 adolescents aged between 10 and 19 years old experiencing motherhood. Results: The results showed perceptions of both support and abandonment. The first came from family, partner, friends and access to health services. The second derived from an absence of social support, especially on the part of partners, friends and health professionals. Conclusion: The adolescents perceived support as being fragile and inconsistent. In this sense, nursing plays an important role as it can use the concept of social support as a protective factor, contributing to the construction of integral healthcare and improving the life conditions of adolescents.

O impacto da homofobia na saúde do adolescente

Objective: This study had the purpose of recognizing the types of violence suffered by homosexual adolescents and understanding the effects of homophobia on the health of this group. Methods: In-depth interviews were conducted with nine adolescents that live in a country town on the state of Sao Paulo who declared themselves homosexuals. Results: The respondents reported cases of physical, verbal, psychological and sexual violence. Homophobia causes negative perceptions about themselves and the non-adoption of healthy lifestyle related to their nutrition, physical activity practice, sleep patterns and suicidal ideas. Homophobic situations were also described at health units. Conclusion: Homosexual adolescents are more vulnerable to different types of violence and the difficulty of access to health services increases the vulnerability. The relevance of this study is on the problematization of topics that can promote the construction of comprehensive care of this group.Objetivo: Objetivou-se conhecer os tipos de violencia sofrida por adolescentes homossexuais e compreender a influencia da homofobia na saude dessa populacao. Metodos: Foram realizadas entrevistas, em profundidade, com nove adolescentes residentes em um municipio do interior de Sao Paulo que se autodeclararam homossexuais. Resultados: Os tipos de violencia sofridos e referidos pelos adolescentes foram: fisica, verbal, psicologica e sexual. A homofobia provoca percepcoes negativas sobre si mesmo e a nao adocao de habitos de vida saudaveis relacionados aos cuidados com alimentacao, pratica de atividades fisicas, padrao de sono e ideacoes suicidas. Foram relatadas situacoes de homofobia nos servicos de saude. Conclusao: Adolescentes homossexuais sao vulneraveis a diferentes tipos de violencia. A dificuldade de acesso aos servicos de saude e um fator concorrente ao aumento da vulnerabilidade. A contribuicao deste estudo reside na problematizacao de topicos que podem auxiliar na construcao do cuidado integral dos adolescentes homossexuais.

Fatores de proteção para a redução da vulnerabilidade à saúde

Estudo de natureza qualitativa, fundamentado na Teoria Bioecologica do Desenvolvimento Humano, que objetivou conhecer os fatores de protecao para a reducao da vulnerabilidade a saude, a partir da percepcao de adolescentes. Foram realizadas 14 entrevistas semiestruturadas com adolescentes, em uma escola de um municipio do interior do estado de Sao Paulo. A partir da analise tematica dos dados, foi possivel identificar quatro eixos tematicos: conhecer para se proteger; valores humanos como fatores de protecao; protecao familiar; e melhora nos atendimentos dos servicos publicos. Apreende-se que esses fatores refletem aspectos pessoais, processuais, contextuais e temporais vivenciados pelos adolescentes no seu cotidiano e nas suas relacoes sociais ou entre pares, na familia ou na comunidade. Devem ser considerados os fatores de protecao vislumbrados pelos adolescentes e fortalece-los para a busca de espaco que garanta uma participacao efetivamente protagonica, para gerir grandes e promissores caminhos de promocao de processos de enfrentamento as situacoes de vulnerabilidade.(AU) This is a qualitative study based on the Bioecological Theory of Human Development. It aimed at identifying protective factors to reduce adolescent vulnerability to health from the perception of adolescents. Fourteen semi-structured interviews were conducted with adolescents at a school in the state of Sao Paulo. Thematic analysis identified four main themes: knowledge as protective factor; human values as protective factor; family protection and improvement in public health services. Results demonstrated that these factors reflect personal, procedural, contextual and temporal experiences undergone by adolescents in their daily lives and in their social relations (amongst peers, family or community). Protective factors projected by adolescents should be identified and strengthened in order to define spaces that ensure their leading participation, to administer coping strategies in situations of vulnerability.(AU) Estudio cualitativo, basado en la Teoria Bioecologica del Desarrollo Humano, que tiene por objeto identificar los factores de proteccion para reducir la vulnerabilidad de la salud, a partir de la percepcion de los adolescentes. Se llevaron a cabo 14 entrevistas semi-estructuradas a adolescentes de una escuela del estado de Sao Paulo. A partir del analisis tematico de los datos se identificaron cuatro temas: conocer para protegerse; valores humanos como factores de proteccion; proteccion de la familia y mejor atencion en los servicios publicos. Se deduce que estos factores reflejan aspectos personales, procesales, contextuales y temporales vividos por los adolescentes en su vida cotidiana y en sus relaciones sociales o entre pares, en la familia o en la comunidad. Deben considerarse los factores de proteccion mencionados por los adolescentes y fortalecerlos para buscar el espacio que garantice una participacion verdaderamente protagonica con miras a promover procesos para enfrentar las situaciones de vulnerabilidad.(AU)

The impact of homophobia on adolescent health

Objective: This study had the purpose of recognizing the types of violence suffered by homosexual adolescents and understanding the effects of homophobia on the health of this group. Methods: In-depth interviews were conducted with nine adolescents that live in a country town on the state of Sao Paulo who declared themselves homosexuals. Results: The respondents reported cases of physical, verbal, psychological and sexual violence. Homophobia causes negative perceptions about themselves and the non-adoption of healthy lifestyle related to their nutrition, physical activity practice, sleep patterns and suicidal ideas. Homophobic situations were also described at health units. Conclusion: Homosexual adolescents are more vulnerable to different types of violence and the difficulty of access to health services increases the vulnerability. The relevance of this study is on the problematization of topics that can promote the construction of comprehensive care of this group.Objetivo: Objetivou-se conhecer os tipos de violencia sofrida por adolescentes homossexuais e compreender a influencia da homofobia na saude dessa populacao. Metodos: Foram realizadas entrevistas, em profundidade, com nove adolescentes residentes em um municipio do interior de Sao Paulo que se autodeclararam homossexuais. Resultados: Os tipos de violencia sofridos e referidos pelos adolescentes foram: fisica, verbal, psicologica e sexual. A homofobia provoca percepcoes negativas sobre si mesmo e a nao adocao de habitos de vida saudaveis relacionados aos cuidados com alimentacao, pratica de atividades fisicas, padrao de sono e ideacoes suicidas. Foram relatadas situacoes de homofobia nos servicos de saude. Conclusao: Adolescentes homossexuais sao vulneraveis a diferentes tipos de violencia. A dificuldade de acesso aos servicos de saude e um fator concorrente ao aumento da vulnerabilidade. A contribuicao deste estudo reside na problematizacao de topicos que podem auxiliar na construcao do cuidado integral dos adolescentes homossexuais.

El impacto de la homofobia en la salud del adolescente

Objective: This study had the purpose of recognizing the types of violence suffered by homosexual adolescents and understanding the effects of homophobia on the health of this group. Methods: In-depth interviews were conducted with nine adolescents that live in a country town on the state of Sao Paulo who declared themselves homosexuals. Results: The respondents reported cases of physical, verbal, psychological and sexual violence. Homophobia causes negative perceptions about themselves and the non-adoption of healthy lifestyle related to their nutrition, physical activity practice, sleep patterns and suicidal ideas. Homophobic situations were also described at health units. Conclusion: Homosexual adolescents are more vulnerable to different types of violence and the difficulty of access to health services increases the vulnerability. The relevance of this study is on the problematization of topics that can promote the construction of comprehensive care of this group.Objetivo: Objetivou-se conhecer os tipos de violencia sofrida por adolescentes homossexuais e compreender a influencia da homofobia na saude dessa populacao. Metodos: Foram realizadas entrevistas, em profundidade, com nove adolescentes residentes em um municipio do interior de Sao Paulo que se autodeclararam homossexuais. Resultados: Os tipos de violencia sofridos e referidos pelos adolescentes foram: fisica, verbal, psicologica e sexual. A homofobia provoca percepcoes negativas sobre si mesmo e a nao adocao de habitos de vida saudaveis relacionados aos cuidados com alimentacao, pratica de atividades fisicas, padrao de sono e ideacoes suicidas. Foram relatadas situacoes de homofobia nos servicos de saude. Conclusao: Adolescentes homossexuais sao vulneraveis a diferentes tipos de violencia. A dificuldade de acesso aos servicos de saude e um fator concorrente ao aumento da vulnerabilidade. A contribuicao deste estudo reside na problematizacao de topicos que podem auxiliar na construcao do cuidado integral dos adolescentes homossexuais.

Percepciones de los adolescentes sobre el apoyo social en la maternidad en el contexto de atención primaria

Objective: To analyze the perceptions of adolescents experiencing motherhood concerning social support. Methods: Semi-structured interviews and network maps were used to collect data, which were analyzed according to thematic content analysis. The participants were 20 adolescents aged between 10 and 19 years old experiencing motherhood. Results: The results showed perceptions of both support and abandonment. The first came from family, partner, friends and access to health services. The second derived from an absence of social support, especially on the part of partners, friends and health professionals. Conclusion: The adolescents perceived support as being fragile and inconsistent. In this sense, nursing plays an important role as it can use the concept of social support as a protective factor, contributing to the construction of integral healthcare and improving the life conditions of adolescents.

Perceptions of adolescents concerning social support provided during maternity in the context of primary care

Objective: To analyze the perceptions of adolescents experiencing motherhood concerning social support. Methods: Semi-structured interviews and network maps were used to collect data, which were analyzed according to thematic content analysis. The participants were 20 adolescents aged between 10 and 19 years old experiencing motherhood. Results: The results showed perceptions of both support and abandonment. The first came from family, partner, friends and access to health services. The second derived from an absence of social support, especially on the part of partners, friends and health professionals. Conclusion: The adolescents perceived support as being fragile and inconsistent. In this sense, nursing plays an important role as it can use the concept of social support as a protective factor, contributing to the construction of integral healthcare and improving the life conditions of adolescents.