Navegando por Palavras-chave "Populações Vulneráveis"
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- ItemSomente MetadadadosAvaliação de danos citogenéticos em mucosa bucal de moradores do estuário de São Vicente - SP(Universidade Federal de São Paulo (UNIFESP), 2019-02-27) Santana, Maria Esther Suarez Alpire [UNIFESP]; Ribeiro, Daniel Araki [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Present study aimed to evaluate possible cytotoxic, genotoxic and mutagenic effects caused by environmental exposure in residents of the submodal cluster of the Middle Channel, known as Mexico 70, in the neighborhood of Vila Margarida in the city of São Vicente - SP. The study is a case-control study. The experimental group consisted of 38 people living in this area and 38 people in the control group, matched for age, sex, absence of disease, and non-smokers. All participants were further divided into two subgroups: adults (n = 18) aged 18-48 years; and children (n = 20) from 7 months to 15 years. Samples of buccal mucosa were collected to perform the micronucleus test. In the adults, peripheral blood samples were also collected for the comet assay. There was a significant difference in the frequency of micronuclei, and an increase in genotoxicity indicating that the inhabitants of the region are in contact with substances that affect genetic stability. In the infantile group, this frequency was higher, which is related to the unique vulnerability pattern of this group in relation to adults when they are exposed to several contaminants. There was no significant difference in relation to cytotoxicity for all groups and subgroups evaluated. In short, the results demonstrate that pollution associated with vulnerability conditions can generate genomic instability in humans.
- ItemSomente MetadadadosAvaliação multidimensional de pessoas idosas em diferentes situações de atenção familiar(Universidade Federal de São Paulo (UNIFESP), 2020-04-30) Perseguino, Marcelo Geovane [UNIFESP]; Horta, Ana Lucia De Moraes [UNIFESP]; Universidade Federal de São PauloIntroduction: The progressive population growth of the elderly leads to the nee d for physical and social adaptations in view of the increased demand for care. The family is the main provider of this assistance and, therefore, it is important to analyze its role for the health of the elderly. This study is presented in the form at of t wo articles. Article 1 Objective: it aimed to assess and correlate the vulnerability and quality of life of elderly people in the community in different situations of family c are. Method: the quantitative approach stands out, with the participatio n of 76 9 people over the age of 65 attended at an interdisciplinary university health clinic in the city of São Paulo from June 2017 to March 1, 2018, with the application of three ins truments of data collection known as VES 13, Whoqol Breef and its comple ment Wh oqol old and a socio contextual data collection instrument developed by the author with variables related to age, sex, marital status, education, profession, number of children, cohabitation , income, contact and presence of family assistance, chara cterist ics of the residence and advanced activities of daily living The statistical analyzes that involved the hypothesis test were processed using the Statiscal Package for Social Sci ences software, version 22.0. For the descriptive analysis of continuous variab les, the mean, standard deviation, median, minimum and maximum were calculated. For categorical variables, frequency and percentage were calculated. For the other analyzes, the Chi Square, Likelihood Ratio, Mann Whitney (2 categories) or Kruskal Wal lis (3 or more categories), Spearman's correlation coefficient and the General Linear Model tests were used. A significance level of 5% (p value <0.05) was used. Results: Regarding vul nerability, 427 (62.2%) did not present vulnerability. The average quali ty of l ife presented was 3.64 (0.56) in Whoqol bref and 3.65 (0.6) in Whoqol old. Non vulnerable patients have a higher Whoqol old score (3.81) and Whoqol--bref (3.78) than vulnerable pbref (3.78) than vulnerable patients (p <0.0001), with a higher score in all atients (p <0.0001), with a higher score in all domains than vulnerable domains than vulnerable patientpatients. s. Conclusion:Conclusion: The relationship between the The relationship between the vulnerability and quality of life of the elderly people evaluated shows that the most vulnerability and quality of life of the elderly people evaluated shows that the most vulnerable elderly people have lower quality ofvulnerable elderly people have lower quality of life, so the assessment of the life, so the assessment of the vulnerability of the elderly person is svulnerability of the elderly person is shown ashown as an important factor in improving the an important factor in improving the quality of life.quality of life. Article 2 icle 2 -- Objective:Objective: it aimed to assess and correlate the functional capait aimed to assess and correlate the functional capacity ancity and d family functionality of elderly people in the community in different situations of family family functionality of elderly people in the community in different situations of family care. care. Method:Method: the quantitative approach stands out, with the participation of 769 the quantitative approach stands out, with the participation of 769 peopeople over the age of 65 attended at an interdisciplinary university healtple over the age of 65 attended at an interdisciplinary university health clinih clinic in c in the city of São Paulo from June 2017 to March 1, 2018, with the application of three the city of São Paulo from June 2017 to March 1, 2018, with the application of three instruments of collection of data known as family APGAR, Katz and Lawton scales instruments of collection of data known as family APGAR, Katz and Lawton scales and a sand a socioocio--contextual data collection instrument developed by the author himsecontextual data collection instrument developed by the author himself lf withwith variables related to age, sex, marital status, education, profession, number of variables related to age, sex, marital status, education, profession, number of children, cohabitation, income, contact and presence of family assistance, children, cohabitation, income, contact and presence of family assistance, characteristics of thcharacteristics of the residence and advanced activities of daily living. The statistical e residence and advanced activities of daily living. The statistical anaanalyzes ilyzes involving hypothesis testing were processed using the Statiscal Package for nvolving hypothesis testing were processed using the Statiscal Package for Social Sciences software, version 22.0. For the descriptive analysis of continuous Social Sciences software, version 22.0. For the descriptive analysis of continuous variables, the meanvariables, the mean, standard deviation, median, minimum and maximum were , standard deviation, median, minimum and maximum were calculated. For ccalculated. For categoriategorical variables, frequency and percentage were calculated. For cal variables, frequency and percentage were calculated. For the other analyzes, the Chithe other analyzes, the Chi--Square, Likelihood Ratio, MannSquare, Likelihood Ratio, Mann--Whitney (2 categories) or Whitney (2 categories) or KruskalKruskal--Wallis (3 or more categWallis (3 or more categories), Spearman's correlation coefficient and the ories), Spearman's correlation coefficient and the Generalized Linear MoGeneralized Linear Model tesdel tests were used. A significance level of 5% (pts were used. A significance level of 5% (p--value <0.05) value <0.05) was used. was used. Results:Results: As for functional capacity 355 respondents (51.7%) do not As for functional capacity 355 respondents (51.7%) do not perform advanced daily living activities, 6perform advanced daily living activities, 633 (92.3%) are independent for basic daily 33 (92.3%) are independent for basic daily living activities. As for insliving activities. As for instrumenttrumental daily activities, 403 (58.7%) are partially al daily activities, 403 (58.7%) are partially dependent and 272 (39.7%) are independent. As for family functionality, 69 (10.1%) dependent and 272 (39.7%) are independent. As for family functionality, 69 (10.1%) had high family dysfunction and 518 (75.5%) hadhad high family dysfunction and 518 (75.5%) had good family functionality. Patients good family functionality. Patients with intermediate functionality hav with intermediate functionality have a hige a higher percentage of good family functionality her percentage of good family functionality than patients with less functional capacity. than patients with less functional capacity. Conclusion:Conclusion: Although the studied group Although the studied group has a good ability to perform basic daily activithas a good ability to perform basic daily activities of life, the difficulty in performing ies of life, the difficulty in performing instrumental activities instrumental activities and adand advanced vanced demonstrates loss of functional capacity. Family demonstrates loss of functional capacity. Family functionality proved to be a factor for maintaining functional capabilities.functionality proved to be a factor for maintaining functional capabilities.
- ItemAcesso aberto (Open Access)Pessoas que vivenciam situação de rua sob o olhar da saúde(Assoc Brasileira Enfermagem, 2018) Hino, Paula [UNIFESP]; Santos, Jaqueline de Oliveira; Rosa, Anderson da Silva [UNIFESP]Objective: To know the Brazilian scientific production of the last ten years (2007 to 2016) about people who experience street situations under the health gaze. Method: Integrative literature review using the descriptors: street people, health policy and public health. We analyzed 21 articles available in the Virtual Health Library. Results: Four categories of analysis emerged. There was an increase in the frequency of published work on the subject, showing that the experience of living on the street makes people vulnerable to various diseases and health problems and, in addition, increases the difficulties of access to health services. Conclusion: There was an increase in the discussion of this topic due to the increase in the number of published studies. Despite the existence of public health policies directed to this social group, much still needs to be done to guarantee the health of this population.