Mara Rejane Barroso Barcelos

Índice de Desenvolvimento Humano e prevenção secundária de câncer de mama e colo do útero: um estudo ecológico

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.

POLÍTICAS PÚBLICAS PARA ADOLESCENTES EM TERRITÓRIOS VULNERÁVEIS

Objective: To characterize the cross-sector policies aimed at the teenager, from the following analytical variables: adolescence, interdisciplinary, intersectionality and Health System; vulnerability and territory, healthy municipalities and communities. Methods: A documental literature review, in which we sought the meaning of adolescence, the ratio of public investment in this segment and a discussion on the social norm and the state apparatus for their support. We used as categories of analysis: intersectionality, systemic complexity of health, territory of vulnerability, spatial delimitation of policy, social network and healthy spaces. Results: Public policies integrated into healthy spaces have been implemented in several places having adolescence as a focal object. Policies aimed at teenagers, whose symbolic representation considers them more independent and positive in social reality, tend to create more meaningful opportunities and empowerment of individuals. Conclusion: In Brazilian State, new spaces of sociability of the adolescent are welcome, serving as socializing agencies, contributing to the construction of the subjectivity of the adolescent, based in the recovery of social values and preparing for life as from an ethical and civic consciousness.

Human Development Index and secondary prevention of breast and cervical cancer: an ecological study

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.

The construction of the healthy "Habitat-Action" through a theoretical-methodological framework from the field of the semiotics of the built environment

O artigo apresenta o processo de como se da a qualidade do ambiente construido e as inter-relacoes com o seu entorno. Inicia-se com a reflexao sobre o campo da promocao da saude, habitacao saudavel e conceitos correlatos. Em seguida, sao introduzidas questoes fundamentais para o desenvolvimento de propostas sociais de habitats saudaveis. Um caminho possivel de aprofundamento teorico-metodologico desse campo da-se por meio da Semiologia do Ambiente Construido, como ferramenta para a analise dos aspectos da habitabilidade. Aspectos fundamentais para construcao de espacialidades saudaveis. Construcao que se torna possivel por meio da elaboracao de politicas publicas saudaveis e da utilizacao de uma linguagem analitica para o ambiente construido. Ambas importantes no processo de desenvolvimento local, integrado e sustentavel, adicionadas e incorporadas ao conceito e a pratica metodologica da habitacao saudavel, campo intersetorial da promocao da saude, habitacao e meio ambiente.

Extraindo lições de uma história inconclusa: política pública para adolescentes em Serra/ES

Objective: To present a critical-historical report of the Adolescent Citizen Program, a public policy established in 2007 in the municipality of Serra-ES, Brazil. Case description: The lack of space and broad public policies for social integration of young people expressed especially by the lack of vacancies offered in high school and vocational education and lack of policies to encourage the sport, leisure and culture, a reality in the city Serra in 2005. In 2006, the municipal administration conducted a qualitative and quantitative research among adolescents aged 10 to 19 years and from this diagnosis, planned and implemented a policy aimed at that audience. Qualitative methodology focused on the case study, from the standpoint of history and organization, from its monitoring and empirical observation, document analysis and literature review. We describe the national and local political context in which occurred the beginning and implementation of the policy, how and why it was created, its characteristics, proposals, initial results and also approaching its extinction. We analyze if the mechanisms used to delineate it were enough to guarantee its continuity. Conclusion: The program was discontinued with the change of municipal administration, indicating insufficient mechanisms for consolidation of the policy.

Índice de Desarrollo Humano y prevención secundaria del cáncer de mama y cáncer de cuello uterino: un estudio ecológico

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.