https://repositorio.ufba.br/handle/ufba/548 2026-05-04T04:58:49Z 2026-05-04T04:58:49Z Almeida, Adryanna Cardim de https://repositorio.ufba.br/handle/ri/44246 2026-03-11T19:22:33Z 2023-08-01T00:00:00Z

Título: Diferenças geracionais e transtornos mentais comuns em participantes do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Autor(es): Almeida, Adryanna Cardim de Primeiro Orientador: Matos, Sheila Maria Alvim de Abstract: Aiming to collaborate with the field of workers' health in public services of federal institutions, this thesis proposes to present discussions regarding the occurrence of common mental disorders related to occupational stressors. This research is part of the Longitudinal Study of Adult Health (ELSA-Brazil). This is a cross-sectional study, including 15,105 participants interviewed at baseline, aged between 35 and 74 years. Sociodemographic characteristics, health behaviors, medication use, and work domains were considered in the analyses. Common mental disorders (CMD) were measured by the Clinical Interview Schedule (CIS-R) and occupational stressors by the Swedish scale of the Demand-Control- Social Support Questionnaire (DCSQ). As a result of the thesis, three articles were written: (1) Birth generation, gender, and common mental disorders in public servants participating in ELSA-Brazil; (2) Occupational stress and common mental disorders: generational and gender differences in the ELSA-Brazil cohort; (3) Generational and gender differences in the severity of common mental disorders in the ELSA-Brazil cohort: the influence of occupational stress. In Article 01, the prevalence of CMDs was estimated and described according to race/skin color, education, marital status, alcohol consumption, smoking, use of antidepressants and benzodiazepines. Date of birth characterized the generation of birth. More than 60% of the cohort belongs to the Baby Boomer generation.The prevalence of CMD was 26.7% (women = 33.8% and men = 18.4%). The highest prevalence occurred among Generation X participants (30.4%). CMD were more prevalent among women compared to men in all generations. In Article 02, 12,015 active participants were eligible, excluding retired workers. Among active study participants, 26.8% had CMD. However, the prevalence among women reached 35.9% compared to 19.3% of men (PR = 1.86; 95% CI [1.75-1.98]). Analyzing the association between occupational stressors and CMDs after adjusting the model, the positive and statistically significant association between occupational stress and CMDs was maintained only among women from the Baby Boomer Generation who had active work (PR=1.32; 95%CI [1.13-1.54]) and high-demand/exhausting work (PR=1.41; 95%CI [1.14-1.73]) and among women from Generation X who had active work (PR=1.39; 95%CI [1.09-1.78]).In Article 03, the extent to which occupational stress modified the severity of CMDs according to gender and birth generation among active participants was assessed. Women presented 2.4 times more severe CMDs and 1.5 times more mild to moderate CMDs than men. The presence of interaction between education, occupational stress and severity of CMDs was observed in women from the Baby Boomer Generation. Women with a high school diploma submitted to active work (combined by high demands and high control) when compared to low-demand/exhaustion work (low demand and high control) have 53% more occurrence of mild to moderate CMDs (PR=1.53; 95% CI [1.09-2.15]) and 42% more severe CMDs. Based on these findings, we hope to contribute knowledge to public health, from the perspective of birth generations and gender, suggesting new studies to evaluate the role of public policies in the prevention of common mental disorders. It is important to highlight that new research based on generational cohorts is beneficial in order to analyze the impact of these work demands and domestic tasks on the illness of these workers, seeking alternatives to reduce the current demands at universities, in addition to promoting improvements to minimize gender inequalities. Editora / Evento / Instituição: Universidade Federal da Bahia. Instituto de Saúde Coletiva Tipo: Tese

2023-08-01T00:00:00Z Almeida, Adryanna Cardim de https://repositorio.ufba.br/handle/ri/42569 2025-07-23T13:16:47Z 2023-08-01T00:00:00Z

Título: Diferenças geracionais e transtornos mentais comuns em participantes do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Autor(es): Almeida, Adryanna Cardim de Primeiro Orientador: Matos , Sheila Maria Alvim de Abstract: Aiming to collaborate with the field of workers' health in public services of federal institutions, this thesis proposes to present discussions regarding the occurrence of common mental disorders related to occupational stressors. This research is part of the Longitudinal Study of Adult Health (ELSA-Brazil). This is a cross-sectional study, including 15,105 participants interviewed at baseline, aged between 35 and 74 years. Sociodemographic characteristics, health behaviors, medication use, and work domains were considered in the analyses. Common mental disorders (CMD) were measured by the Clinical Interview Schedule (CIS-R) and occupational stressors by the Swedish scale of the Demand-ControlSocial Support Questionnaire (DCSQ). As a result of the thesis, three articles were written: (1) Birth generation, gender, and common mental disorders in public servants participating in ELSA-Brazil; (2) Occupational stress and common mental disorders: generational and gender differences in the ELSA-Brazil cohort; (3) Generational and gender differences in the severity of common mental disorders in the ELSA-Brazil cohort: the influence of occupational stress. In Article 01, the prevalence of CMDs was estimated and described according to race/skin color, education, marital status, alcohol consumption, smoking, use of antidepressants and benzodiazepines. Date of birth characterized the generation of birth. More than 60% of the cohort belongs to the Baby Boomer generation.The prevalence of CMD was 26.7% (women = 33.8% and men = 18.4%). The highest prevalence occurred among Generation X participants (30.4%). CMD were more prevalent among women compared to men in all generations. In Article 02, 12,015 active participants were eligible, excluding retired workers. Among active study participants, 26.8% had CMD. However, the prevalence among women reached 35.9% compared to 19.3% of men (PR = 1.86; 95% CI [1.75-1.98]). Analyzing the association between occupational stressors and CMDs after adjusting the model, the positive and statistically significant association between occupational stress and CMDs was maintained only among women from the Baby Boomer Generation who had active work (PR=1.32; 95%CI [1.13-1.54]) and high-demand/exhausting work (PR=1.41; 95%CI [1.14-1.73]) and among women from Generation X who had active work (PR=1.39; 95%CI [1.09-1.78]).In Article 03, the extent to which occupational stress modified the severity of CMDs according to gender and birth generation among active participants was assessed. Women presented 2.4 times more severe CMDs and 1.5 times more mild to moderate CMDs than men. The presence of interaction between education, occupational stress and severity of CMDs was observed in women from the Baby Boomer Generation. Women with a high school diploma submitted to active work (combined by high demands and high control) when compared to low-demand/exhaustion work (low demand and high control) have 53% more occurrence of mild to moderate CMDs (PR=1.53; 95% CI [1.09-2.15]) and 42% more severe CMDs. Based on these findings, we hope to contribute knowledge to public health, from the perspective of birth generations and gender, suggesting new studies to evaluate the role of public policies in the prevention of common mental disorders. It is important to highlight that new research based on generational cohorts is beneficial in order to analyze the impact of these work demands and domestic tasks on the illness of these workers, seeking alternatives to reduce the current demands at universities, in addition to promoting improvements to minimize gender inequalities. Editora / Evento / Instituição: Universidade Federal da Bahia. Instituto de Saúde Coletiva Tipo: Tese

2023-08-01T00:00:00Z Leão, Silvia Conceição Bomfim Bittencourt https://repositorio.ufba.br/handle/ri/41647 2025-04-01T11:09:18Z 2024-08-13T00:00:00Z

Título: Se louco, incapaz? Caminhos para discutir o viver interditado. Autor(es): Leão, Silvia Conceição Bomfim Bittencourt Primeiro Orientador: Torrenté, Mônica de Oliveira Nunes de Abstract: A civil interdiction and guardianship have undergone contemporary adaptations, stemming from the changes fostered by the New York Convention (2007), which encouraged member countries to promote autonomy practices through monitoring and support strategies. However, in Brazil, there is a tendency to maintain total guardianships, legitimizing absolute incapacity, heteronomy, and restricting the exercise of civil rights for these individuals. As a consequence, there is interference in the process of sociability and socialization, reducing them to psychiatric circuits. From this perspective, this research sought to analyze this phenomenon based on the discourse of individuals experiencing psychological distress, in situations of interdiction, as well as the guardians, the reference technicians from CAPS, the judges, and the experts (doctors, social workers, and psychologists), with the goal of analyzing the meanings, senses, and motivations for the civil interdiction and guardianship of individuals experiencing psychological distress. It is a qualitative research, based on multiple case studies, with a methodology grounded in Foucauldian productions to discuss power relations, control, and standardization imposed on the bodies of the 'mentally ill'. Data analysis was based on discourse and document analysis methodology (court documents and CAPS records of those involved). The results demonstrated the paradigmatic dispute of care assistance models - psychiatric and psychosocial attention - which impact therapeutic itineraries, the structure of the judiciary, the maintenance of control circuits over new discourses and new disguises, as well as revealing social vulnerability and fractures in the family care network. The meanings of interdiction sought to accelerate access to social benefits as a consequence of social vulnerability, chronicity, and psychological crisis. Conversely, the relativity of capacity was reflected, seeking to understand dysfunctionality, which highlighted the importance of stimulating autonomy and possible emancipation through the assistance services of CAPS, by experts, and by the current legal framework, through the promotion of monitoring and support practices, through the Supported Decision-Making (SDM) device. Editora / Evento / Instituição: Universidade Federal da Bahia. Instituto de Saúde Coletiva Tipo: Tese

2024-08-13T00:00:00Z Salles, Rosane Paula de Senna https://repositorio.ufba.br/handle/ri/41646 2025-04-01T11:08:55Z 2024-08-15T00:00:00Z

Título: Cuidado em saúde na internet: como tudo começou ... Autor(es): Salles, Rosane Paula de Senna Primeiro Orientador: Santos, Maria Ligia Rangel Abstract: In the 2000s, the Internet became popular in Brazil. Internet users also started using it to take care of their health. This new way of interacting needed to be studied. There were no theoretical and/or conceptual references about taking care of your health on the Internet. The research assumption was that the Internet, through the devices it provides, enables people to produce, re-signify and act in different ways to care for and interact with the needs of self-care, care, exchanges between peers and consultation to experts. As a general objective, we intended to understand how health promotion and care developed on the Internet. This objective was achieved through field research, observation and interviews with key informants. Specific objectives were also achieved by identifying empowerment, autonomy, co-responsibility, solidarity and social participation as values and principles of health promotion present in health care on the internet. Empowerment was especially relevant, given that in the health field, empowerment is closely related to information. Medicine and health websites, e-groups and blogs were the devices identified for health care on the Internet, in its beginnings. Interactions on websites were more vertical and supportive with passive reception of information. E-groups and blogs, on the other hand, presented horizontal care or care for oneself and/or others. The latter presented greater empowerment and was a precursor to the expert patient. As health care is widespread, it is necessary to monitor and evaluate the information provided, as the Internet is still a field where untruths are easily spread. Editora / Evento / Instituição: Universidade Federal da Bahia. Instituto de Saúde Coletiva Tipo: Tese

2024-08-15T00:00:00Z