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Search Results: 1 - 10 of 38427 matches for " ethnic group and health "
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Hipertens?o arterial na popula??o adulta de Salvador (BA) - Brasil
Lessa, ínes;Magalh?es, Lucélia;Araújo, Maria Jenny;Almeida Filho, Naomar de;Aquino, Estela;Oliveira, M?nica M. C.;
Arquivos Brasileiros de Cardiologia , 2006, DOI: 10.1590/S0066-782X2006001900011
Abstract: objective: to estimate the prevalence of hypertension (h) and its association with other cardiovascular risk factors in a highly multiracial population. methods: a cross-sectional study carried out in salvador, brazil, in a population sample of 1439 adults > 20 years of age. all participants completed a questionnaire at home and had the following measurements taken: blood pressure, body weight, height, waist circumference (wc), and serum glucose and lipids. hypertension was defined as mean sbp e"140 and/or dbp > 90 mmhg. hypertension prevalence was estimated with a 95% confidence interval (ci). the associations were measured by the adjusted odds ratio (aor), using regression analysis. results: overall prevalence of ha was 29.9%: 27.4% ci (23.9-31.2) in men and 31.7%, ci (28.5-34.9) in women. among black men, this prevalence was 31.6%, and among black women, 41.1%. among white men it was 25.8%, and among white women, 21.1%. arterial hypertension was significantly associated with age > 40, overweight/obesity (aor = 2.37[1.57-3.60]) for men and 1,62 (1.02 - 2.58) for women. among men, ha was associated with a high level of education and among women, with dark brown and black skin, abdominal obesity, aor = 2.05 ci (1.31-3.21), diabetes aor = 2.16 ci (1.19-3.93), and menopause. conclusion: arterial hypertension predominated among black people of both genders, and in women. those variables that remained independently associated with ah differed in both genders, except overweight/obesity. our results suggest the need for an in-depth study of ah among black people and early, continuing educational interventions.
Does the way I see you affect the way I see myself? Associations between interviewers' and interviewees' "color/race" in southern Brazil
Bastos, Jo?o Luiz;Dumith, Samuel Carvalho;Santos, Ricardo Ventura;Barros, Aluísio J. D.;Del Duca, Giovani Firpo;Gon?alves, Helen;Nunes, Ana Paula;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009001000003
Abstract: this study assessed the associations between female interviewers' self-classified "color/race" and participants' self- and interviewer-classified "color/race". a cross-sectional study was carried out among adult individuals living in pelotas, southern brazil. associations were examined by means of contingency tables and multinomial regression models, adjusting for interviewees' socioeconomic and demographic factors. individuals aged > 40 years were 2.1 times more likely to classify themselves as brown (versus white) when interviewed by black (as compared to white) interviewers. participants in the same age group were 2.5 times less likely to classify themselves as black (versus white), when interviewed by black interviewers. these differences were even greater among men 40 years or older. compared to white interviewers, black female interviewers were 2.5 times less likely to classify men aged > 40 years as black. these results highlight the complexity of racial classification, indicating the influence of the interviewer's physical characteristics on the interviewee's "color/race".
Cren?as em saúde sobre a dieta: uma perspectiva de pessoas negras hipertensas
Pires, Cláudia Geovana da Silva;Mussi, Fernanda Carneiro;
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/S0080-62342012000300008
Abstract: the objective of this descriptive-exploratory study was to identify the health beliefs of black individuals with hypertension regarding the barriers and benefits of diet for controlling the disease, including the sociodemographic factors associated with the health beliefs surrounding diet control. one hundred and six black adults with hypertension were interviewed using a specific instrument. the data were analyzed considering the percentages, frequency of the cases, scores and prevalence ratio. the global analysis of beliefs showed a preponderance of beliefs regarding the benefits of diet control. it was observed that men, younger individuals, lack of a partner and low educational level and income were related to the beliefs regarding the benefits of adopting a healthy diet. in conclusion, health promotion among the black population requires an interdisciplinary approach and specific health policies addressing this populations' needs, aimed at preventive and curative aspects.
Saúde e comunidades quilombolas: uma revis?o da literatura
Freitas, Daniel Antunes;Caballero, Antonio Diaz;Marques, Amaro Sérgio;Hernández, Clara Inés Vergara;Antunes, Stéffany Lara Nunes Oliveira;
Revista CEFAC , 2011, DOI: 10.1590/S1516-18462011005000033
Abstract: background: quilombos are part of a sad time in the history of brazil. slavery has left deep marks in the country; wounds that still insist on not healing. in this story of exclusion, inequality and institutionalized racism, emerging communities of afro-descendents, fighting for access and inclusion policies for their populations. access to health care in brazil is still a very controversial issue since the creation of the unified health system (sus). the quilombolas claim full right and access to complete health care. purpose: to introduce health professionals to reflect on issues relevant to the said populations and their difficulties in defending their rights of access to health care. conclusion: it is evident in the trajectory of sus in brazil that there are major flaws in the inclusion of historically marginalized people, jettisoning them in the process of human and social growth. the public health policies should seek equity through comprehensive care for special groups, especially the poor maroon communities in brazil.
Os cursos de extens?o em saúde e etnia na Faculdade de Saúde Pública da USP, ou a diferen?a que precisa fazer diferen?a
Adorno, Rubens de Camargo Ferreira;Oliveira, Lavínia Santos de Souza;
Saúde e Sociedade , 2007, DOI: 10.1590/S0104-12902007000200015
Abstract: this report discusses the introduction of the conceps of race, ethnics and ethnicity in brazilian public health policies highlighting the relationships between ethnicity and universal social policies, departing from universities extension courses in public health.
Mulheres negras e n?o-negras e vulnerabilidade ao HIV/Aids no estado de S?o Paulo, Brasil
Lopes,Fernanda; Buchalla,Cassia Maria; Ayres,José Ricardo de Carvalho Mesquita;
Revista de Saúde Pública , 2007, DOI: 10.1590/S0034-89102007000900008
Abstract: objective: to analyze the characteristics related to individual vulnerability among hiv seropositive women, according to skin color. methods: a multicenter study carried out between 1999 and 2000 in health services specialized in sti/aids in the state of s?o paulo, involving 1,068 women living with hiv who are aged 18 or above. sociodemographic data and characteristics relating to infection and healthcare were obtained by means of individual interviews based on standardized questionnaire. the variable race/color was self-reported and women who referred to themselves as black or mixed-race were grouped together as black. the definition of variables by race/color was done using central tendency and proportions, and an association analysis using the c2 pearson test. results: the differences between black and non-black women were statistically significant with regards to: schooling; monthly, individual and family income per capita; number of direct dependents; opportunities to see a nutritionist, gynecologist or other medical professional; understanding what the infectologist said; speaking with the infectologist or gynecologist about her sex life; having correct knowledge about cd4 exams and viral load; the sexual means of exposure. conclusions: the use of race/color as an analytical category provides opportunities to understand better how social interactions, in the context of gender and socioeconomic conditions, create and recreate disadvantages for black women and their exposure to health risks, and also impose limits on the way they use of resources for their healthcare.
Sistemas médicos tradicionales en la Amazonia nororiental: salud y saberes alternativos
Clavijo úsuga,Carmen Raquel;
Iatreia , 2011,
Abstract: an ethnographic research was carried out between 1997 and 2003, and during four months in 2008- 2009, on the traditional medical systems of indigenous communities in the amazonian colombian departments of guainía and vaupés. puinave, curripaco, piapoco, guahibo, and tucano groups were included. the work was based on community meetings, targeted groups, conversations with shamans and other leaders, home visits, and participation in traditional festivals. analysis centered on the social, ecologic, and identity roles played by traditional indigenous medical systems; the latter are related with the maintenance of alternatives to the development discourse. the hegemony/ subordination relationship that prevails between the western and traditional medical systems ispresented, evidencing how the latter has resignified itself, adapting to the contemporary intercultural context, thus questioning the biologist reductionism of official medicine.
Equidad de Etnia en el Acceso a los Servicios de Salud en Bogotá, Colombia, 2007
Ariza-Montoya,John F; Hernández-álvarez,Mario E;
Revista de Salud Pública , 2008, DOI: 10.1590/S0124-00642008000600006
Abstract: objective identifying inequalities in gaining access to health services resulting from ethnicity in bogota. methods 39 in-depth interviews with focus groups and six members of ethnic groups were conducted during 2007. qualitative findings were contrasted with the results from statistically processing data from the quality of life survey 2003 and characterising the primary health care strategy called "health in your home in bogota", discriminating the following variables: demographic, socio-economic, needs, access and health outcomes. results the following ethnic groups were characterised: indigenous people, black people, gypsies and islanders. differences in socioeconomic status, education, employment, access to health insurance, use of health services and outcomes were documented as these were considered to be inequities related to the following determinants: ethnic and racial discrimination, differences in social, economic and political status and violation of rights, interactions between immigration, acculturation and assimilation and differentials exposure. conclusions there are ethnic inequities in gaining access to health services because there is no adequate access as required; there is violation of rights, discrimination, a lack of adaptation and appreciation of differences. these situations are considered to be examples of cultural and distributive injustice. ethnicity determines levels of social vulnerability and takes specific forms regarding life, health and disease, thereby becoming a structural determinant of studying ethnic-equity in gaining access to health services.
Mortalidade materna no estado da Paraíba: associa??o entre variáveis
Marinho, Ana Cristina da Nóbrega;Paes, Neir Antunes;
Revista da Escola de Enfermagem da USP , 2010, DOI: 10.1590/S0080-62342010000300026
Abstract: maternal mortality has been established as one of the priority problems of public health, directly affecting women in the pregnant puerperal cycle and belonging to underprivileged social classes. considering this situation, the aim of the present study was to identify associations between the race of women living in the state of paraíba and age, educational level and type of death of women who died of maternal death in the period 2000 to 2004. this cross-sectional study used as a source of data declarations of 109 maternal deaths. bivariate and multivariate statistical analyses were performed to evaluate the association between variables using multiple logistic regression. the odds ratio to investigate the association between variables was calculated. it was observed that there was no statistical significance between race and age variables or with educational level, but there was significant evidence that non-white women from paraíba were more likely to die from direct obstetric death than white women , (or = 3.55; ic: 1,20-10,5). the results showed that the risk of maternal mortality in paraíba was higher among non-white women, revealing an important expression of social inequality.
Os Centros de Testagem e Aconselhamento (CTA) no município do Rio de Janeiro e o acesso ao diagnóstico do HIV entre e popula??o negra: uma análise qualitativa
Araújo, Carla Luzia Fran?a;Costa, Lizete Pontes Macário;Schilkowsky, Louise Bastos;Silva, Sonia Maria Batista da;
Saúde e Sociedade , 2010, DOI: 10.1590/S0104-12902010000600009
Abstract: access to health services is a constitutional right. access is considered as the capacity to obtain health care when necessary, in an easy and convenient way. challenges for health management include unequal access as one of the main problems. clear differences in health service usage rates indicate severe access inequality and reflect social inequality. this research aims at discussing the black population's access to the hiv diagnosis in rio de janeiro city. the qualitative method was chosen. data were collected through 62 semi-structured interviews with people who declared themselves black or mulatto and visited the testing and counseling center (tcc) to take the hiv test. data analysis was based on the premises of the collective subject discourse. most interviewees did not report any difficulties to get access to the hiv test. the repressed demand at the tcc was identified as a barrier, due to the limited test offer caused by material and human resource issues. no statement was found that demonstrated color/race discrimination during contact with the service. factors appointed as facilitating test access included: free test, indication or referral by health professionals or service, access to the test site, service credibility, rapid care and absence of bureaucracy.
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