Navegando por Palavras-chave "Saúde reprodutiva"
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- ItemAcesso aberto (Open Access)Comportamento sexual e reprodutivo de mulheres indígenas no Alto Xingu, Mato Grosso, Brasil(Universidade Federal de São Paulo (UNIFESP), 2015-05-26) Madeira, Sofia Pereira [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; http://lattes.cnpq.br/5974676551613788; http://lattes.cnpq.br/8364257978330436; Universidade Federal de São Paulo (UNIFESP)Historically, due to contact with colonizing fronts and economic expansion, indigenous peoples have experienced significant population loss, feeding pessimistic forecasts that pointed their disappearance. However, many indigenous peoples in Brazil are in the process of demographic recovery, growing more than the average of the population in recent decades due to high fertility rates among women of the group. This scheme is the result of cultural norms that regulate the size of families according to strategic needs of power and occupation of territories, aiming the operation of their complex systems of social organization. For this, they resort to deliberate practices to encourage and/or limitation of births - depending on the historical, cultural, political and economic context - such as age at marriage, postpartum sexual abstinence, abortions and late practices of birth control. However, the presence and the performance of health teams subsidized by the government or by the Academy within the Alto Xingu communities - where is the target population of this study - appear to inhibit the reporting of certain traditional practices that are doomed from the perspective of brazilian society. Researchers are faced with ethical limits by displaying knowledge of the continuity of these practices, since informants refuse to accept the maintenance of certain customs, such as abortion and late practices of birth control. This apparent inconsistency between theory and practice makes us reflect on the ethical limits of researchers and health professionals in dealing with traditional peoples, in view of the embarrassment and the limitation of sexual and reproductive rights of women of these communities and also reflect on the anthropologist?s place during fieldwork.
- ItemRestritoEstratégias para prevenção e rastreamento do câncer de colo uterino em mulheres indígenas: abordagens interculturais(Universidade Federal de São Paulo, 2023-11-30) Luis, Michele Macena; Hino, Paula [UNIFESP]; Oliveira, Lavínia Santos de Souza [UNIFESP]; http://lattes.cnpq.br/3703502378106601; http://lattes.cnpq.br/6815362006090017; http://lattes.cnpq.br/5198309660293432Objetivo: Analisar as estratégias e as boas práticas na implementação das abordagens de prevenção do câncer de colo uterino, e seu rastreamento e tratamento precoce, ofertadas para as mulheres indígenas atendidas pelo sistemas de saúde indígena e identificar quais são as barreiras para o acesso dessas populações a esses serviços. Metodologia: Revisão sistemática de literatura, com as seguintes etapas: formulação da pergunta com a Estratégia PICO; localização dos estudos nas bases de dados Pubmed, Scielo e BVS com a restrição de tempo de 5 anos (2017-2022); critérios de inclusão e exclusão com o Fluxograma PRISMA; interpretação dos dados coletados através do quadro comparativo e análise crítica. Resultados: Foram encontrados 317 artigos científicos e desses incluídos 36 respondiam à pergunta de pesquisa, dos quais predominaram em quantidade os artigos escritos na Austrália (n=9), Nova Zelândia (n=8) e Canadá (n=7). O rastreamento do câncer de colo uterino se mostrou a estratégia mais frequente, seguido das estratégias de prevenção como o aumento da vacinação de HPV. Conclusão: Os artigos apontaram, como abordagens para a diminuição do câncer de colo uterino em mulheres indígenas, a apresentação de alternativas ao exame citopatológico do colo uterino padrão (Papanicolau), como o teste auto coletável de HPV, e a intensificação das práticas de educação em saúde a fim de aprimorar o conhecimento dessa população sobre a saúde reprodutiva e os vínculos de confiança dos profissionais e as mulheres indígenas e suas comunidades.
- ItemEmbargoO Planejamento Reprodutivo a partir da perspectiva de direito: estudo com mulheres em um serviço de Atenção Básica em saúde da Zona Noroeste de Santos(Universidade Federal de São Paulo, 2024-08-28) Santos, Suellen Cristina Silva dos [UNIFESP]; Devincenzi, Macarena Urrestarazu [UNIFESP]; http://lattes.cnpq.br/9369073345790021; http://lattes.cnpq.br/0612435973339809; Universidade Federal de São Paulo (UNIFESP)O presente trabalho de conclusão de curso, trata-se de uma pesquisa qualitativa vinculada ao projeto de extensão da Universidade Federal de São Paulo(Unifesp) intitulado “Tecendo a Rede de Cuidado à Saúde da Mulher na Zona Noroeste de Santos”. Se desenvolveu a partir de casos acompanhados e discutidos com a equipe da unidade de saúde, os quais optaram pela utilização de métodos contraceptivos e relataram sua experiência enquanto sujeitos usuárias no serviço da Atenção Básica (USF Piratininga) localizado na Zona Noroeste do município de Santos.Teve portanto, como finalidade apreender as condições que perpassam o direito das mulheres sobre seus corpos enquanto uma das prioridades na agenda de saúde pública, em meio a tensões sociais em uma sociedade machista e patriarcal que tende a impor formas de controle sexual e reprodutivo como forma de manutenção dessa ordem social. A vulnerabilidade social, intercorrências no território,tais como a violência, a questão étnico racial prevalente e outros elementos foram norteadores para a análise do material coletado e que enfatizam a relevância desta pesquisa e seu papel político para sensibilizar o olhar para um território que é, por vezes, desconsiderado enquanto parte integrante do município de Santos em decorrência a um processo de segregação social.
- ItemAcesso aberto (Open Access)Prevalência e características das mulheres com aborto provocado. Favela México 70, São Vicente-SP(Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Santos, Tássia Ferreira [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The metropolitan area of Santos, despite being one of the most developed and urbanized of the São Paulo state, is among the six regions with the lowest indicators of education and longevity, having a significant social inequality expressed in the spatial segregation of the impoverished population. This situation interferes with the community reproductive profile. The objective of this research was to estimate the prevalence of women with caused abortion, residents in the community of Mexico 70, according to demographic characteristics. This study is cross-sectional, retrospective, resulted from a random sample of women ranged from 15 to 49 years. Data were collected through questionnaires. Was considered as the dependent variable classification of women on abortion: age, paid activity, income, level of education, marital status, contraceptive use and beliefs about abortion. For the analysis of regression models were used log-binomial. among the total women interviewed (n=860), 79,53% (n=684) are women with no history of induced abortion; considering all women, the prevalence rate of those who had performed the abortion compared to those who hasn‟t is 6,20 times greater (p≤0,0001) among women who always accept abortion; 2,92 times greater (p=0,0046) among those with two or more children born alive; 1,69 times greater (p=0,0461) among those who receive income ≤ 1SM(R{dollar} 484,97); 1,04 times higher (p=0,0375) for each additional year of life for women. Among the 860 women, 85% (n=735) reported have had any pregnancy, and among them, the prevalence of women with induced abortion was 6,9% (n = 51). The prevalence rate of have done the abortion compared to no abortion is 12,22 times greater (p=0,0002), among those who do not have any child born alive; 5,73 times greater (p≤0,0001) between the ones who accept this practice; 5,18 times greater (p=0,0162) among those with six or more live births of children; 4,52 times higher (p=0,0108) among those with two to five children born alive; 1,76 times greater (p=0,0345) among those who receive income (≤R{dollar}484,97); 1,04 times higher (p=0,0216) for each additional year of life for women. Finally, the profile of women who have abortions was determined, and the same is: young, single, with children, level of education and not working out.
- ItemAcesso aberto (Open Access)Prevalência e características de mulheres com aborto provocado - Favela México 70, São Vicente - São Paulo(Associação Brasileira de Saúde Coletiva, 2012-03-01) Santos, Tássia Ferreira [UNIFESP]; Andreoni, Solange [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)In Brazil, abortion is among the leading causes of maternal mortality. Research has shown that abortion is practiced clandestinely by women of all social classes, but has unequal consequences depending on social inclusion, producing risks to poor women. Although the issue has been widely explored in the past 20 years, there is a lack of data about low-income women. Thus, the present study aims to estimate the prevalence of women with induced abortion. Women from a population-based household survey in low-income sectors of São Vicente, São Paulo were recruited. Women of childbearing age from 15 to 49 years were eligible. The evaluation of the prevalence ratios for women with induced abortion was performed by using generalized linear models, with Poisson log-link function and robust variance to approximate the binomial. The most frequent variables that influenced reporting of abortion were: always accept this practice (95% CI 2.98 - 11.02), followed by not having a child born alive (95% CI 1.35 - 19.78), having two to five live births (95% CI 1.42 - 14.40 ), having 'six or more live births (95% CI 1.35 - 19.78), age at interview (95% CI 1.01 - 1.07) and income < R$ 484.97' (95% CI 1.04 - 2.96). A widespread campaign about the practice of abortion, which can raise awareness among women in favor of the cause, especially among those in low-income strata is necessary to prevent unnecessary deaths.