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Search Results: 1 - 10 of 8711 matches for " Elizabeth;Firmo "
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Signos, significados e a es associados à doen a de Chagas
Uch?a Elizabeth,Firmo Josélia O. A.,Dias Elizabeth C.,Pereira Maria Stella N.
Cadernos de Saúde Pública , 2002,
Abstract: A abordagem antropológica foi empregada para investigar o universo de representa es (maneiras de pensar) e comportamentos (maneiras de agir) associados à doen a de Chagas, por um grupo de trabalhadores de um servi o público de Belo Horizonte (infectados/n o infectados). Procurou-se também avaliar as repercuss es deste universo de representa es e comportamentos sobre a vida dos indivíduos infectados. A coleta e a análise dos dados, inspirou-se no modelo dos "sistemas de signos, significados e a es", elaborado por Corin et al. (1989, 1992). Foram entrevistados 16 informantes chave, selecionados entre os trabalhadores soro-positivos e 12 entre os trabalhadores soro-negativos, com o objetivo de comparar as maneiras de pensar e agir, predominantes nesses dois grupos. A análise dos dados, permitiu identificar diversos elementos do contexto que vêm maximizar as limita es impostas pela doen a de Chagas, e que devem ser levados em conta no planejamento de campanhas educativas e na elabora o de modelos de aten o ao paciente chagásico.
An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil
Uch?a, Elizabeth;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Corin, Ellen;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500007
Abstract: this paper explores the contribution of anthropological perspectives for clarifying the mechanisms through which socioeconomic circumstances influence the strategies developed by elderly for addressing their health problems in a small brazilian city. interviews with 20 key-informants explored the community's broad perception of the health situation of the elderly. life histories collected from 30 elderly women examined their own perception of their health status and their health strategies. narratives converge in emphasising the important role played by financial factors in accessing health services and medication. life histories also describe some damaging strategies resorted to by the elderly to deal with their lack of resources. elderly women emphasize the crucial support they receive from their family and/or neighbours to overcome health problems. thus, the issue of poverty is not only a matter of socioeconomic circumstances, but also the poverty of broader social networks.
Projeto Bambuí: fatores associados ao conhecimento da condi??o de hipertenso entre idosos
Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200019
Abstract: this study aimed to assess factors associated with awareness of hypertension among older adults living in the community. all the 919 hypertensive participants (aged: > 60 years) from the baseline cohort in bambui, minas gerais state, brazil, were selected. 76.6% of these individuals did not know that they were hypertensive. the following variables showed both a positive and independent association with awareness of being hypertensive: female gender (or = 2.04; 1.45-2.87); health perception as bad/very bad (or = 1.93; 1.16-3.20); attempt to lose weight in the last 12 months (or = 1.86; 1.14-3.04); number of visits to a doctor during this period (1-3: or = 2.14; 1.34-3.41; > 4: or = 2.23; 1.76-5.03), and less time elapsed since the last blood pressure measurement (or = 2.97; 1.69-4.93). a negative association was found for age > 80 years (or = 0.40; 0.24-0.68). these results call our attention to the importance of: 1) access to health services by senior citizens, so that their hypertension is diagnosed and treated and 2) information provided by the health care service, so that individuals are aware of being hypertensive and can receive satisfactory treatment.
Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study
Lima-Costa, Maria Fernanda;Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000300017
Abstract: self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. the objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. the study included 1,505 individuals (86.4%) residing in bambui and aged 60 years or older. correlates of self-rated health among lower-income older adults (monthly household income < us$ 240.00) and higher-income seniors were assessed. social network stood out as a major factor in the structure of self-rated health among the poorest. psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, trypanosoma cruzi infection, use of medications, and access to health services. physician visits and hospitalizations were associated with self-rated health in both groups. our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.
The Bambuí Cohort Study of Aging: methodology and health profile of participants at baseline
Lima-Costa, Maria Fernanda;Firmo, Josélia O. A.;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500002
Abstract: the cohort study was initiated in 1997 to investigate the incidence and predictors of health outcomes in an elderly population with low socio-economic level. the eligible population consisted of all 1,742 residents in bambuí, minas gerais state, brazil, aged 60 years and over (1,606 participated). during 10 years of follow-up, 641 participants died and 96 were lost, leading to 13,739 person-years of observation. the baseline health profile of participants revealed a double burden of diseases with high prevalence of chronic non-transmissible diseases and widespread trypanosoma cruzi infection. the most common health condition was hypertension (61.5%), followed by chronic knee or hand symptoms (43.6%), common mental disorders (38.5%), t. cruzi infection (38.1%), and insomnia (36.7%). in general, the baseline prevalence of mental symptoms and cardiovascular diseases or risk factors was comparable to those found in populations in high income countries.
Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry
Nations, Marilyn;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500008
Abstract: this ethno-epidemiological inquiry aims to comprehend hypertension-related experiences in the elderly population of bambuí, in the state of minas gerais, brazil. it combines ethnographic descriptions with statistical data. the subjective significance of factors associated with adequate arterial pressure control is explored. a baseline cohort of 26 people with hypertension, randomly selected from a total number of 1,494 residents over the age of 60, was interviewed utilizing signs, meanings and actions methodology. multivariate analysis shows an association (p < 0.001) between female gender and monthly household income and treatment of hypertension and adequate blood pressure control. the number of doctor visits is associated with treatment but not with adequate blood pressure control. conflicting cultural construction of "blood pressure problems" contributes to "non-adherence" to treatment. there is a fine line between blood pressure "control" and what is perceived as health professionals "controlling" patients' lives. doctor-prescribed regimes are perceived as "prohibiting life's pleasures" and "controlling" personal liberty and free choice. giving elderly people a voice regarding their social context can promote autonomy, well-being and happiness in later life.
The Bambuí Health and Aging Study (BHAS): factors associated with hospitalization of the elderly
Guerra, Henrique L.;Firmo, Josélia O. A.;Uchoa, Elizabeth;Lima-Costa, Maria Fernanda F.;
Cadernos de Saúde Pública , 2001, DOI: 10.1590/S0102-311X2001000600018
Abstract: this study aimed to identify factors associated with hospital admissions of the elderly. all residents of bambuí, minas gerais state 3 60 years (n = 1,742) were selected. some 1,606 of these (92.2%) participated in the study. the dependent variable was the number of hospital admissions (none, one, and two or more) during the previous 12 months. independent variables were grouped as enabling, predisposing, and need-related factors. the strongest associations with multiple hospital admissions were: living alone; financial constraints to purchase of medication; and various indicators of need (worse self-perceived health, more visits to physician, greater use of prescription medications, and history of coronary heart disease). such variables could help identify older adults at greatest risk and thus prevent hospitalization.
Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos
Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000400018
Abstract: the ways older adults think about and react to high blood pressure were studied through an anthropological approach based on the signs, meanings, and actions model 1. twenty-six older adults (> 60 years) participated in the study, randomly selected among hypertensive participants in the baseline of the bambuí cohort study. the central thrust of narratives showed a clear distinction between a "blood pressure problem" and high blood pressure. high blood pressure is perceived as caused mainly by family problems and is easily recognized by the identification of certain specific manifestations; blood pressure is only considered problematic when it increases, and this is the only moment in which interventions are considered necessary. consequently, the importance of seeking treatment or following a medical prescription depends on the identification of rising blood pressure, either by the presence of specific symptoms or subjective conditions favoring the rise. economic difficulties are also identified by seniors as factors hindering their ability to initiate or continue treatment of hypertension.
Projeto Bambuí: um estudo de base populacional da prevalência e dos fatores associados à necessidade de cuidador entre idosos
Giacomin, Karla C.;Uch?a, Elizabeth;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000100010
Abstract: the objective of this study was to determine the prevalence and factors associated with the needs of caregivers for older adults living in the community. all residents (n = 1,742) of bambuí, minas gerais state, brazil (15,000 inhabitants) aged > 60 years were selected. of these, 92% were interviewed and 86% were examined. the dependent variable "need for a caregiver" was defined as the inability to perform at least one of the basic activities of daily living and/or a mini mental score under 13. some 23% of the elderly required caregivers. after adjustment for confounding, independent and positive associations with the need for a caregiver were found for: age, single marital status, history of alcohol abuse, hypertension, obesity, and use of > 2 prescription drugs. independent and negative associations were found for: level of schooling, familiar income, living alone, total cholesterol > 240mmhg, and having a private health plan. those requiring caregivers presented evidence of worse socioeconomic and health status. the study provides evidence that care of the dependent elderly is a public health problem.
Percep??o de risco: maneiras de pensar e agir no manejo de agrotóxicos
Fonseca,Maria das Gra?as Uchoa; Peres,Frederico; Firmo,Josélia Oliveira Araújo; Uch?a,Elizabeth;
Ciência & Saúde Coletiva , 2007, DOI: 10.1590/S1413-81232007000100009
Abstract: the object of this study was to identify context elements that have an influence on pesticide use, related perceptions, and actions in flower production. the study was carried out in barbacena, minas gerais state. the method used was based on an anthropological fast diagnosis approach inspired on the signs, meanings and actions model and on the analysis of semi-structured interviews with 20 workers from four different flower-growing fields. the field data analysis indicates that these workers face two realities: the need for pesticides and suffering generated by pesticide management. furthermore, there is clearly no direct relation between risk awareness and the effective hazards associated with pesticides. this gap is filled by beliefs which are at the basis of their actions. these beliefs reinterpret information and risk, influence behavior, and make it possible for these workers to move between these two paradoxical realities and pesticide. attributing new meanings to pesticide management risks, however, may imply in positively valuing potentially harmful behaviors.
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