scholarly journals Social representations of the sexual life of climacteric women assisted at public health services

2013 ◽  
Vol 22 (1) ◽  
pp. 114-122 ◽  
Author(s):  
Ivonete Alves de Araújo ◽  
Ana Beatriz Azevedo Queiroz ◽  
Maria Aparecida Vasconcelos Moura ◽  
Lúcia Helena Garcia Penna

The present study aimed at studying the social representations of the sexual life of climacteric women. Its theoretical-methodological referential was based on the Theory of Social Representations. Study participants were 40 women between 45 and 65 years of age, who were divided into two groups: perimenopause and postmenopause. Scenarios were two public units of health services for women in the municipality of Rio de Janeiro. Data were collected through the semistructured interview technique and treated according to the analysis of thematic content. Results indicated three representation fields. Two fields emerged in the perimenopause group: continuity of sensuality and sexuality, and representation of the negativity in climacteric leading to a sexual life without pleasure. The postmenopause group was organized into one representational field: sexual life based on the aging process. The authors concluded that the representations regarding sexual life in climacteric are being redesigned by some women despite many conceptions that still persist in association with traditional socio-historical-cultural values regarding women and the aging process.

2019 ◽  
Vol 28 ◽  
Author(s):  
Julyana Gall da Silva ◽  
Márcia de Assunção Ferreira

ABSTRACT Objective: to describe the social representations of healthy eating and to analyze the relationships established with health. Method: an exploratory and descriptive study, with qualitative approach that applied the Social Representations Theory. A semistructured interview was conducted with 31 adolescent students, aged 10 to 13 years, from a municipal school in Rio de Janeiro (Brazil) from September to November 2013. The Alceste software was used to analyze the two classes of greater statistical significance. Results: adolescents choose foods with higher fat content, with faster preparation time and more sugar. They care about health, but they prioritize pleasure and taste. They establish a relationship between diet, body weight and health, understanding that fat people are more prone to diseases. Conclusion: healthy eating is conceptualized by what adolescents consider good or bad for their health, but this evaluation is not directly related to their eating practices. The contradictions between knowledge and practice are evidenced in order to guide propositional interventions with this population group.


2014 ◽  
Vol 5 (1/2) ◽  
pp. 17-20 ◽  
Author(s):  
Sílvio Éder Dias Da Silva ◽  
Maria José Itayra Padilha ◽  
Jéssica Mayara Marques Barboza De Oliveira ◽  
Jeferson Santos Araujo ◽  
Ingrid Mello Barata ◽  
...  

Resumo: Objetivou-se identificar e interpretar as Representações Sociais dos Dependentes Químicos sobre as Drogas, atendidos pela CasaMental Álcool e Drogas (Casa AD). Trata-se de um estudo do tipo descritivo, com abordagem qualitativa. Tem como aporte a Teoria das RepresentaçõesSociais criada por Serge Moscovici, constituída pelos depoimentos de 30 dependentes químicos produzidos a partir de entrevistasemiestruturada e da técnica de associação livre de palavras. Foi realizada análise temática. Os depoentes se sentiam afetados por tudo aquilo queaconteceu e/ou estava ainda acontecendo em suas vidas, mas o vício se faz presente, e emerge sensação de necessidade extrema do consumo.Descritores: Enfermagem, Saúde Mental, Entorpecentes.Dependent yes, not addicted: representations of drugAbstract: This study aimed to identify and interpret the social representations of chemical dependents About Drugs, Mental served by CasaAlcohol and Drugs (House AD). This is a descriptive study with a qualitative approach. Its contribution to the social representations theory createdby Serge Moscovici, comprising the testimonies of 30 drug produced from a semistructured interview and the technique of free association ofwords. Thematic analysis was performed. The respondents felt affected by everything that happened and / or was still happening in their lives,but addiction is present, and emerge feeling of extreme necessity consumption.Descriptors: Nursing, Mental Health, Narcotics.Dependiente sí, no addicted: representaciones de la drogaResumen: Este estudio tuvo como objetivo identificar e interpretar las representaciones sociales de Dependientes químicos sobre las Drogas,Alcohol mentales atendidos por Casa y Medicamentos (Anuncio). Se trata de un estudio descriptivo con un enfoque cualitativo. Su contribucióna la teoría de las representaciones sociales creado por Serge Moscovici, que incluye los testimonios de 30 medicamentos producidos a partirde una entrevista semiestructurada y la técnica de asociación libre de palabras. El análisis temático se realizó. Los encuestados se sintieronafectados por todo lo que pasó y / o que se siguen sucediendo en sus vidas, pero la adicción está presente, y surgen sentimientos de consumode extrema necesidad.Descriptores: Enfermería, Salud Mental, Narcóticos.


Author(s):  
Grazielle de Oliveira Loduvico ◽  
Maria Marjorie Lima Martins ◽  
Thaís Izabel Ugeda Rocha ◽  
Maria Fernanda Terra ◽  
Pamela Lamarca Pigozi

Introdução: O racismo institucional se caracteriza por qualquer ação de discriminação racial praticada dentro de instituições, como a omissão de informação ou atendimento, fortalecimento de estereótipos racistas, comportamentos de desconfiança, de desrespeito e desvalorização da pessoa negra. Objetivo: Analisar a prática de racismo institucional no serviço de saúde público e/ou privado a partir da percepção dos usuários negros acerca do atendimento recebido. Material e Método: Estudo de abordagem quantitativa,realizado a partir de questionário fechado, construído via google forms, e veiculado na rede social Facebook. A coleta de dados ocorreu entre setembro e novembro de 2019, sob os critérios: ser negro, idade superior a18 anos e vivência de racismo nos serviços de saúde público e/ou privado. Participaram33 pessoas neste estudo: 28 pessoas se autodeclararam pretas e 5 pardas. Resultados: Dentre os principais achados, estão que 63,6% referiram ter sofrido racismo em serviços públicos de saúde; 51,5% relataram que a discriminação ocorreu no consultório médico, e 21,9% durante a triagemou na sala de medicação. Do total, 93,9% acreditam que a discriminação foi ocasionada por serem negros. Conclusão: Os usuários identificam o racismo durante a assistência em saúde recebida, e que a violência pode distanciá-los dos cuidados, principalmente de promoção e prevenção. Faz-se necessário efetivar a assistência em saúde à luz da Política Nacional de Saúde da População Negra. Palavras chave: Percepção, Discriminação, Iniquidade em saúde, Racismo, Acesso aos serviços de saúde ABSTRACTIntroduction: Institutional racism is characterized by any action of racial discrimination practiced within institutions, such as information or care omission, strengthening of racist stereotypes, behaviors of distrust, disrespect and devaluation of the black person. Objective: To analyze the practice ofinstitutional racism in the public and/or private health service from the perception of black users about the care received. Material and Method: Quantitative approach study, conducted from a closed questionnaire, built via google forms, and carried on the social network Facebook. Data collectionoccurred between September and November 2019, under the criteria: being black, aged over 18 years and experiencing racism in public and/or private health services. Thirty-three people participated in this study: 28 people declared themselves black and 5 brown. Results: Among the main findingsare that 63.6% reported having suffered racism in public health services; 51.5% reported that discrimination occurred in the doctor’s office, and 21.9% during screening or in the medication room. Of the total, 93.9% believe that discrimination was started because they were black. Conclusion:Users identify racism when receiving health care, and that violence can distance them from care, especially promotion and prevention. It is necessary to affect health care in the light of the National Health Policy of the Black Population.Keywords: Perception, Discrimination, Health inequities,Racism, Access to health services


2009 ◽  
Vol 25 (5) ◽  
pp. 1113-1122 ◽  
Author(s):  
Denise Leite Maia Monteiro ◽  
Alexandre José Baptista Trajano ◽  
Kátia Silveira da Silva ◽  
Fábio Bastos Russomano

This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical lesions upon entry into the study or sexually active < 1 year. The data were collected from 403 adolescents' medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual initiation. In the first year of sexual activity, the incidence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepithelial lesions (HSIL) in 3% (12). Eight (67%) cases of HSIL occurred during the first year of sexual activity. The incidence of cytopathological findings at beginning of sexual life is high, suggesting the importance of including sexually-active adolescents in cervical cancer prevention programs.


2020 ◽  
Author(s):  
Bandar Noory ◽  
Sara A Hasssanein ◽  
Asma Elsony ◽  
Gunnar Bjune

Abstract Background: The health system of Sudan has experienced several forms of decentralization, as well as, a radical reform. Authority and governance of secondary and tertiary health facilities have been shifted from federal to state levels. Moreover, the provision of health care services have been moved from large federal tertiary level hospitals such as Khartoum Teaching Hospital (KTH) and Jafaar Ibnaouf Hospital (JIH), located in the center of Khartoum, to smaller district secondary hospitals like Ibrahim Malik (IBMH), which is located in the southern part of Khartoum. Exploring stakeholders’ perceptions on this decentralisation implementation and the relevant consequences is vital in building an empirical benchmark for the improvement of health systems. Methods: This study utilizes a qualitative design which is comprised of an in-depth interviews and qualitative content analysis with an inductive approach. The study was conducted between July and December 2015, and aimed at understanding the personal experiences and perceptions of stakeholders towards decentralization enforcement and the implications on public health services, with a particular focus on the Khartoum locality. It involves community members residing in the Khartoum Locality, specifically in catchments area where hospital decentralization was implemented, as well as, affiliated health workers and policymakers. Results: The major finding suggests that the privatization of health services occurs after decentralization. The study participants also highlighted that scrutiny and reduction of budgets allocated to health services led to an instantaneous enforcement of cost recovery user fee. Devolving KTH Khartoum Teaching and Jafaar Ibnaouf Hospitals into peripherals with less capacity is considered to be a plan to outsource services to the private sector. Another theme that was highlighted in hospitals included the profit-making aspect of the governmental sector in the form of drug supplying and profit-making retail. Conclusions: A change in health services after the enforcement of decentralization was illustrated. Moreover, the empowerment of the privatization concept was the prevailing perception among stakeholders. Having in-depth studies and policy analysis in line with the global liberalization and adjustment programs is crucial for any health sector reform in Sudan. Keywords: decentralization, privatization, stakeholders, global liberalization, profit-making.


2015 ◽  
Vol 9 (2) ◽  
pp. 39
Author(s):  
Sulivan Charles Barros

As narrativas cinematográficas exercem grande poder sobre o público. Elas veiculam e constroem relações de gênero e sexualidades o que torna de extrema relevância a investigação dos discursos/práticas/efeitos do cinema na constituição de valores e representações sociais e também contribuem para delimitar os papéis dicotômicos entre homem/mulher, masculino/feminino, hetero/homo, bem como investigar abordagens que problematizem as sexualidades de forma interseccional. O cinema foi priorizado aqui como um lócus de criação marcado pela experiência das identidades de gênero e pela possibilidade de ser o cinema um recurso que possibilita a construção do conhecimento histórico, pois o cinema possui mensagens fílmicas individuais e múltiplas, mensagens que trazem valores culturais, sociais e ideológicos de uma sociedade. Neste sentido, foi analisado os filmes Plata Quemada de Marcelo Piñero e Morango e Chocolate de Tomás Gutiérrez Alea. Estes filmes, no meu entendimento, estão centrados em subjetividades queer que podem contribuir para a crítica cultural às sociedades patriarcais, machistas e sexistas, propiciando outros sentidos para o imaginário social. Buscou-se conferir também nesta pesquisa às práticas discursivas queer esboçadas em parte no cinema, embora tenha claro que elas não são lineares, nem uniformes.Palavras-Chave: Cinema; América Latina; Gênero; Sexualidades.***Abstract:Cinematographic narratives have great power over the public. They convey and to build gender relations and sexuality which makes it extremely important to investigate the discourse / practices / film effects in the formation of values and social representations and also contribute to delimit the dichotomous roles between male / female, male / female, hetero / homo and investigate approaches that problematize the sexualities of intersectional way. The film was prioritized here as a locus of creation marked by the experience of gender identities and the possibility of the film a feature that allows the construction of historical knowledge, because the film has individual filmic messages and multiple messages that bring cultural values, social and ideological of a society. In this sense, the film was analyzed Plata Quemada Marcelo Piñero and Strawberry and Chocolate Tomás Gutiérrez Alea. These films, in my understanding, focus on queer subjectivities that can contribute to the cultural critique of patriarchal, macho and sexist societies, providing other ways for the social imaginary. He attempted to check also in this research to queer discursive practices outlined in part in film, although it clear that they are not linear nor uniform.Keywords: Cinema; Latin America; Genre; Sexualities.***Résumen:Narrativas cinematográficas tienen un gran poder sobre el público. Transmiten y construir relaciones de género y la sexualidad que hace que sea muy importante para investigar las prácticas discursivas / / efectos de cine en la formación de valores y representaciones sociales y también contribuyen a delimitar los roles dicotómicas entre hombre / mujer, masculino / femenino, hetero / homo e investigar enfoques que problematizan las sexualidades de manera intersectorial. La película fue priorizado aquí como un lugar de creación marcada por la experiencia de las identidades de género y la posibilidad de la película una característica que permite la construcción del conocimiento histórico, porque la película tiene mensajes fílmicos individuales y múltiples mensajes que traen los valores culturales, social e ideológica de una sociedad. En este sentido, la película se analizó Plata Quemada Marcelo Piñero y Fresa y Chocolate Tomás Gutiérrez Alea. Estas películas, a mi entender, se centran en las subjetividades extrañas que pueden contribuir a la crítica cultural de las sociedades patriarcales, machistas y sexistas, que proporcionan otras maneras para que el imaginario social. Intentó comprobar también en esta investigación queer prácticas discursivas esbozados en parte en el cine, aunque claro que no es lineal ni uniforme.Palabras clave: Cine; América Latina; Género; Sexualidades.


Author(s):  
Agus Joko Susanto ◽  
Amos Neolaka ◽  
Hafid Abbas ◽  
Evi Nopiyanti

Public health servicesneed serious attention in Indonesia. In fact, the number of health workers is sufficient enough and even excessive in certain areas. This situation is caused by lack of observing principles of the local and national cultural values in carrying out the public health services. We reviewed the published literature over the current satisfactory level of people with regard to thehealth services. Furthermore, we compared the results between residents of the suburb and urban areas regarding the national health services. This critical perspective offerred a concept of health services based on the cultural values with the belief that these values can influence the perceptions, attitudes, and behaviour of individuals, including health workers in rendering health services through health consultations. The purpose was to design a situated cultural learning, through which they can learn to respect and apply cultural values in implementing health services. To implement such cultural values, the concept of industrial revolution 4.0 and 5.0 is also needed, where individuals utilize and work together with machine learning technology or artificial intelligence.


2014 ◽  
Vol 17 (3) ◽  
pp. 600-614 ◽  
Author(s):  
Regiane de Paula ◽  
Fernando Lefevre ◽  
Ana Maria Cavalcanti Lefevre ◽  
Vera Maria Neder Galesi ◽  
Daniela Schoeps

Objective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS) or in the health program Programa de Saúde da Família near their residence. Methods: The survey was conducted in the health services in the municipalities of São Paulo and Guarulhos, Brazil, in hospitals and UBS. We interviewed 20 patients and 20 employees of these units, using the Collective Subject Discourse methodology to analyze their statements. The question presented to the users was: "Why did you seek the urgent emergency hospital and not the UBS to see if you had tuberculosis?" For professionals it was asked: "Why do you think the patient seeks diagnosis in the hospital and not in the UBS?" Results: As a result, two categories were found: (A) the cultural patterns; and (B) faults of the basic network. Conclusion: Analysis of the two explanatory dimensions show that the actions triggered by the health services should take into account the cultural patterns present in the social imaginary of the population; the health staff should receive training on specific knowledge of tuberculosis; there is a necessity of hiring human resources for the UBS and more inputs for programming.


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