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Arévalo-mora Leonardo - One of the best experts on this subject based on the ideXlab platform.
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Violencia de pareja contra la mujer que vive con VIH y que es atendida en un programa de atención integral en Bogotá
'Anales de la Facultad de Medicina', 2021Co-Authors: Arévalo-mora LeonardoAbstract:Antecedentes: En el contexto de violencia en VIH están implicadas consecuencias en todos los ámbitos para la mujer, que incluyen la pérdida de apoyo social, rechazo social, abandono, violación de confidencialidad, y aumento en el estigma hacia la persona diagnosticada. En Colombia no hay datos que exploren esta situación en el ámbito cultural propio del país. Objetivo: Identificar las características y los factores que componen la violencia contra la mujer que vive con VIH en la ciudad de Bogotá. Sujetos y métodos: Esta investigación tiene un enfoque multimétodos, con dos vertientes: a) un estudio analítico en el que se identificó y caracterizo los casos de violencia de pareja contra la mujer, b) y un estudio cualitativo descriptivo de tipo fenomenológico de casos con las mujeres que fueron identificadas como víctimas de violencia de pareja. La investigación tuvo 2 fases a lo largo de 12 meses, en la primera fase se realizó la aplicación del componente cuantitativo que comprende el estudio transversal, y se realizó un análisis de los datos obtenidos. Según estos resultados se dispuso según los criterios de inclusión a la segunda fase de desarrollo cualitativo con la técnica de grupo focal. Resultados: Del total de mujeres encuestadas, el 33,6% IC 95% [27-40%] presentaron violencia de pareja de cualquier tipo, física o no física; solo violencia física el 21,9% IC 95% [16-27%], y violencia no física del 31,8% IC 95% [26-38%]. Para la violencia de pareja no física está más relacionada con mujeres separadas o en unión libre (32,4 y 28,2%, respectivamente p=0,000), con una composición familiar nuclear, (42,3% p=0,041), o si la mujer tenía un aporte económico de 100% en el hogar (33,8% p=0,001). Mientras que la violencia física se informa como más frecuente en mujeres separadas (46,9% p=0,000), en parejas con hijos (89,8 p=0,042), familia monoparental (49% p=0,000), en mujeres que se encuentran sin pareja (42,9% p=0,013), y con aporte económico en el hogar del 100% (38,8% p=38,8). Conclusiones: Los resultados en estas mujeres relacionados con violencia de pareja, sugieren que se debe hacer un tamizado en detección de violencia como parte del asesoramiento post prueba del VIH, y que se aborde la violencia como una parte rutinaria del tratamiento y la atención del VIH que conlleven, a mejorar la calidad de vida de las mujeres con VIH.Background: In the context of violence in HIV, consequences are implicated in all areas for women, including loss of social support, social rejection, abandonment, violation of confidentiality and increased stigma to the diagnosed person. These situations lead to dissolution of marriage, abandonment, guilt, and refusal to attend the consultation in care programs. In Colombia there is no data that explores this situation in the country. Objective: To identify the characteristics and factors that make up violence against women who lives with human immunodeficiency virus infection in the city of Bogotá. Subjects and methods: an analytical study in which cases of partner violence against women were identified and characterized, and a descriptive qualitative study of phenomenological type of cases with women who have been identified as victims of partner violence. The research consists of 2 phases over 12 months, in the first phase the application of the quantitative component comprising the cross-sectional study was carried out, and an analysis of the data obtained was carried out. According to these results, it is available according to the inclusion criteria to the second phase of qualitative development with the focus group technique. Results: Of the total of women, 33.6% CI 95% [27-40%] presented Intimate partner violence of any type, physical or not; only physical violence 21.9% CI 95% [16-27%], and non-physical violence 31.8% CI 95% [26-38%]. For non-physical partner violence it is more related to separated women or Consensual Union (32.4 and 28.2%, respectively p = 0.000), with a nuclear family composition, (42.3% p = 0.041), or if the woman had an economic contribution of 100% at home (33.8% p = 0.001). Physical violence is reported as more frequent in separated women (46.9% p = 0.000), in couples with children (89.8 p = 0.042), single-parent family (49% p = 0.000), in women who are they found no partner (42.9% p = 0.013), and with 100% of economic contribution at home (38.8% p = 38.8). Conclusions: The results in these women related to intimate partner violence suggest that screening should be done in detecting violence as part of post-HIV counseling, and that violence be addressed as a routine part of HIV treatment and care.2019-09-18 08:05:02: Script de automatizacion de embargos. Correo recibido el 16 de sep 2019. He subido al repositorio el trabajo de grado: Violencia de pareja contra la mujer que vive con VIH y que es atendida en un programa de atención integral en Bogotá. Le he colocado acceso ""restringido"" para proceder a consideración de publicación en revistas científicas. Agradezco la clasificación y gestión respectiva
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Violencia de pareja contra la mujer que vive con VIH y que es atendida en un programa de atención integral en Bogotá
'Anales de la Facultad de Medicina', 2021Co-Authors: Arévalo-mora LeonardoAbstract:Antecedentes: En el contexto de violencia en VIH están implicadas consecuencias en todos los ámbitos para la mujer, que incluyen la pérdida de apoyo social, rechazo social, abandono, violación de confidencialidad, y aumento en el estigma hacia la persona diagnosticada. En Colombia no hay datos que exploren esta situación en el ámbito cultural propio del país. Objetivo: Identificar las características y los factores que componen la violencia contra la mujer que vive con VIH en la ciudad de Bogotá. Sujetos y métodos: Esta investigación tiene un enfoque multimétodos, con dos vertientes: a) un estudio analítico en el que se identificó y caracterizo los casos de violencia de pareja contra la mujer, b) y un estudio cualitativo descriptivo de tipo fenomenológico de casos con las mujeres que fueron identificadas como víctimas de violencia de pareja. La investigación tuvo 2 fases a lo largo de 12 meses, en la primera fase se realizó la aplicación del componente cuantitativo que comprende el estudio transversal, y se realizó un análisis de los datos obtenidos. Según estos resultados se dispuso según los criterios de inclusión a la segunda fase de desarrollo cualitativo con la técnica de grupo focal. Resultados: Del total de mujeres encuestadas, el 33,6% IC 95% [27-40%] presentaron violencia de pareja de cualquier tipo, física o no física; solo violencia física el 21,9% IC 95% [16-27%], y violencia no física del 31,8% IC 95% [26-38%]. Para la violencia de pareja no física está más relacionada con mujeres separadas o en unión libre (32,4 y 28,2%, respectivamente p=0,000), con una composición familiar nuclear, (42,3% p=0,041), o si la mujer tenía un aporte económico de 100% en el hogar (33,8% p=0,001). Mientras que la violencia física se informa como más frecuente en mujeres separadas (46,9% p=0,000), en parejas con hijos (89,8 p=0,042), familia monoparental (49% p=0,000), en mujeres que se encuentran sin pareja (42,9% p=0,013), y con aporte económico en el hogar del 100% (38,8% p=38,8). Conclusiones: Los resultados en estas mujeres relacionados con violencia de pareja, sugieren que se debe hacer un tamizado en detección de violencia como parte del asesoramiento post prueba del VIH, y que se aborde la violencia como una parte rutinaria del tratamiento y la atención del VIH que conlleven, a mejorar la calidad de vida de las mujeres con VIH.Background: In the context of violence in HIV, consequences are implicated in all areas for women, including loss of social support, social rejection, abandonment, violation of confidentiality and increased stigma to the diagnosed person. These situations lead to dissolution of marriage, abandonment, guilt, and refusal to attend the consultation in care programs. In Colombia there is no data that explores this situation in the country. Objective: To identify the characteristics and factors that make up violence against women who lives with human immunodeficiency virus infection in the city of Bogotá. Subjects and methods: an analytical study in which cases of partner violence against women were identified and characterized, and a descriptive qualitative study of phenomenological type of cases with women who have been identified as victims of partner violence. The research consists of 2 phases over 12 months, in the first phase the application of the quantitative component comprising the cross-sectional study was carried out, and an analysis of the data obtained was carried out. According to these results, it is available according to the inclusion criteria to the second phase of qualitative development with the focus group technique. Results: Of the total of women, 33.6% CI 95% [27-40%] presented Intimate partner violence of any type, physical or not; only physical violence 21.9% CI 95% [16-27%], and non-physical violence 31.8% CI 95% [26-38%]. For non-physical partner violence it is more related to separated women or Consensual Union (32.4 and 28.2%, respectively p = 0.000), with a nuclear family composition, (42.3% p = 0.041), or if the woman had an economic contribution of 100% at home (33.8% p = 0.001). Physical violence is reported as more frequent in separated women (46.9% p = 0.000), in couples with children (89.8 p = 0.042), single-parent family (49% p = 0.000), in women who are they found no partner (42.9% p = 0.013), and with 100% of economic contribution at home (38.8% p = 38.8). Conclusions: The results in these women related to intimate partner violence suggest that screening should be done in detecting violence as part of post-HIV counseling, and that violence be addressed as a routine part of HIV treatment and care
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Violencia de pareja contra la mujer que vive con VIH y que es atendida en un programa de atención integral en Bogotá. Fase I
'Anales de la Facultad de Medicina', 2018Co-Authors: Arévalo-mora LeonardoAbstract:Antecedentes: En el contexto de violencia en VIH están implicadas consecuencias en todos los ámbitos para la mujer, que incluyen la pérdida de apoyo social, rechazo social, abandono, violación de confidencialidad, y aumento en el estigma a la persona diagnosticada. En Colombia no hay datos que exploren esta situación en el ámbito cultural propio del país. Objetivo: Identificar las características y los factores que componen la violencia contra la mujer que vive con VIH en la ciudad de Bogotá. Sujetos y métodos: Esta investigación tiene un enfoque multimétodos, con dos vertientes: a) un estudio analítico en el que se identificó y caracterizó los casos de violencia de pareja contra la mujer, y b) un estudio cualitativo descriptivo de tipo fenomenológico de casos con las mujeres que fueron identificadas como víctimas de violencia de pareja. La investigación tuvo 2 fases a lo largo de 12 meses, en la primera fase se realizó la aplicación del componente cuantitativo que comprende el estudio transversal, y se realizó un análisis de los datos obtenidos. Según estos resultados y de acuerdo a los criterios de selección se dispuso a la segunda fase de desarrollo cualitativo con la técnica de grupo focal. Pacientes: Mujeres mayores de 18 años con diagnóstico de VIH que son atendidas en una Institución prestadora de servicios de salud (IPS) especializada en atención a VIH de Bogotá en 2017, y que aceptaron desarrollar una encuesta de auto-diligenciamiento. Diseño: La fase I de esta investigación tiene un diseño analítico transversal en el que se identificó y caracterizó los casos de violencia de pareja contra la mujer. Mediciones: En la recolección de la información se utilizó el instrumento validado “índice de violencia de pareja”, original de Estados Unidos y diseñado en 1981 para determinar presencia de violencia de pareja, y traducido y validado en 2009. Resultados: De las 223 mujeres encuestadas, el 33,6% [IC 95% 27-40%] presentaron violencia de pareja de cualquier tipo, física o no física; solo violencia física el 21,9% [IC 95% 16-27%], y violencia no física del 31,8% [IC 95% 26-38%]. Para la violencia de pareja no física se encontró dependencia con ser mujeres separadas o en unión libre (32,4 y 28,2%, respectivamente p=0,000), con una composición familiar nuclear, (42,3% p=0,041), o si la mujer tenía un aporte económico de 100% en el hogar (33,8% p=0,001). Mientras que la violencia física se informa como más frecuente en mujeres separadas (46,9% p=0,000), en parejas con hijos (89,8 p=0,042), familia monoparenteral (49% p=0,000), en mujeres que se encuentran sin pareja (42,9% p=0,013), y con aporte económico en el hogar del 100% (38,8% p=0.001). Conclusiones: Este es el primer estudio latinoamericano que define la violencia de pareja en la mujer con VIH en un horizonte temporal, estudios en la región definen prevalencias del 37.3 al 59.8% a lo largo de la vida, siendo en nuestra muestra del 33,6%, similar a las poblaciones donde la prevalencia de VIH es mayor que la de nuestro país. Los resultados en estas mujeres relacionados con violencia de pareja, sugieren que se debe hacer un tamizado en detección de violencia como parte del asesoramiento post prueba del VIH, y que se aborde la violencia como una parte rutinaria del tratamiento y la atención del VIH que conlleven, a mejorar la calidad de vida de las mujeres.Background: In the context of violence in HIV, consequences are implicated in all areas for women, including loss of social support, social rejection, abandonment, violation of confidentiality and increased stigma to the diagnosed person. These situations lead to dissolution of marriage, abandonment, guilt, and refusal to attend the consultation in care programs. In Colombia there is no data that explores this situation in the country. Objective: To identify the characteristics and factors that make up violence against women who lives with human immunodeficiency virus infection in the city of Bogotá. Subjects and methods: an analytical study in which cases of partner violence against women were identified and characterized, and a descriptive qualitative study of phenomenological type of cases with women who have been identified as victims of partner violence. The research consists of 2 phases over 12 months, in the first phase the application of the quantitative component comprising the cross-sectional study. According to these results, and to the inclusion criteria, the second phase of qualitative development with the focus group technique will be conducted. Patients: Women over 18 years of age with HIV diagnosis and who agreed to answer a self-administered survey in a HIV-specialized institution providing health services (IPS) at Bogotá in 2017. And for the second phase the invitation was made to women who were identified themselves as victims of partner violence. Design: Phase I of this research has a transversal analytical design in which, cases of partner violence against women were identified and characterized. Measurements: In the collection of the information, the validated instrument "índice de violencia de pareja” was used, originally from the United States and designed in 1981 to determine the presence of partner violence and translated to Spanish and validated in 2009. Results: 223 patients answer the questionnaire, 33.6% of them [CI 95% 27-40%] declared Intimate partner violence of any type; 21.9% only physical violence [CI 95% 16-27%], and 31.8% non-physical violence [CI 95% 26-38%]. Non-physical partner violence depends on being divorced or living in Consensual Union (32.4 and 28.2%, respectively p = 0.000), a nuclear family composition, (42.3% p = 0.041), or if the woman had an economic contribution to the family expenses of 100% (33.8% p = 0.001). Physical violence depended on being divorced (46.9% p = 0.000), families with children (89.8 p = 0.042), single-parent family (49% p = 0.000), women with no actual partner (42.9% p = 0.013), or if the woman had an economic contribution to the family expenses of 100% (38.8% p = 0.001). Conclusions: This is the first Latin American study that defines intimate partner violence in women with HIV in a time horizon, other studies in our continent found prevalence of violence in this women that go from 37.3 to 59.8% throughout life; our sample’s prevalence of 33.6% is similar to populations where the prevalence of HIV is higher than in our country. Intimate partner violence found in this study suggests that screening should be done in detecting violence as part of post-HIV counseling, and that violence should be addressed as a routine part of HIV care and treatment.2020-04-21 01:01:02: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2020-04-2
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Violencia de pareja contra la mujer que vive con VIH y que es atendida en un programa de atención integral en Bogotá. Fase I
'Anales de la Facultad de Medicina', 2018Co-Authors: Arévalo-mora LeonardoAbstract:Antecedentes: En el contexto de violencia en VIH están implicadas consecuencias en todos los ámbitos para la mujer, que incluyen la pérdida de apoyo social, rechazo social, abandono, violación de confidencialidad, y aumento en el estigma a la persona diagnosticada. En Colombia no hay datos que exploren esta situación en el ámbito cultural propio del país. Objetivo: Identificar las características y los factores que componen la violencia contra la mujer que vive con VIH en la ciudad de Bogotá. Sujetos y métodos: Esta investigación tiene un enfoque multimétodos, con dos vertientes: a) un estudio analítico en el que se identificó y caracterizó los casos de violencia de pareja contra la mujer, y b) un estudio cualitativo descriptivo de tipo fenomenológico de casos con las mujeres que fueron identificadas como víctimas de violencia de pareja. La investigación tuvo 2 fases a lo largo de 12 meses, en la primera fase se realizó la aplicación del componente cuantitativo que comprende el estudio transversal, y se realizó un análisis de los datos obtenidos. Según estos resultados y de acuerdo a los criterios de selección se dispuso a la segunda fase de desarrollo cualitativo con la técnica de grupo focal. Pacientes: Mujeres mayores de 18 años con diagnóstico de VIH que son atendidas en una Institución prestadora de servicios de salud (IPS) especializada en atención a VIH de Bogotá en 2017, y que aceptaron desarrollar una encuesta de auto-diligenciamiento. Diseño: La fase I de esta investigación tiene un diseño analítico transversal en el que se identificó y caracterizó los casos de violencia de pareja contra la mujer. Mediciones: En la recolección de la información se utilizó el instrumento validado “índice de violencia de pareja”, original de Estados Unidos y diseñado en 1981 para determinar presencia de violencia de pareja, y traducido y validado en 2009. Resultados: De las 223 mujeres encuestadas, el 33,6% [IC 95% 27-40%] presentaron violencia de pareja de cualquier tipo, física o no física; solo violencia física el 21,9% [IC 95% 16-27%], y violencia no física del 31,8% [IC 95% 26-38%]. Para la violencia de pareja no física se encontró dependencia con ser mujeres separadas o en unión libre (32,4 y 28,2%, respectivamente p=0,000), con una composición familiar nuclear, (42,3% p=0,041), o si la mujer tenía un aporte económico de 100% en el hogar (33,8% p=0,001). Mientras que la violencia física se informa como más frecuente en mujeres separadas (46,9% p=0,000), en parejas con hijos (89,8 p=0,042), familia monoparenteral (49% p=0,000), en mujeres que se encuentran sin pareja (42,9% p=0,013), y con aporte económico en el hogar del 100% (38,8% p=0.001). Conclusiones: Este es el primer estudio latinoamericano que define la violencia de pareja en la mujer con VIH en un horizonte temporal, estudios en la región definen prevalencias del 37.3 al 59.8% a lo largo de la vida, siendo en nuestra muestra del 33,6%, similar a las poblaciones donde la prevalencia de VIH es mayor que la de nuestro país. Los resultados en estas mujeres relacionados con violencia de pareja, sugieren que se debe hacer un tamizado en detección de violencia como parte del asesoramiento post prueba del VIH, y que se aborde la violencia como una parte rutinaria del tratamiento y la atención del VIH que conlleven, a mejorar la calidad de vida de las mujeres.Background: In the context of violence in HIV, consequences are implicated in all areas for women, including loss of social support, social rejection, abandonment, violation of confidentiality and increased stigma to the diagnosed person. These situations lead to dissolution of marriage, abandonment, guilt, and refusal to attend the consultation in care programs. In Colombia there is no data that explores this situation in the country. Objective: To identify the characteristics and factors that make up violence against women who lives with human immunodeficiency virus infection in the city of Bogotá. Subjects and methods: an analytical study in which cases of partner violence against women were identified and characterized, and a descriptive qualitative study of phenomenological type of cases with women who have been identified as victims of partner violence. The research consists of 2 phases over 12 months, in the first phase the application of the quantitative component comprising the cross-sectional study. According to these results, and to the inclusion criteria, the second phase of qualitative development with the focus group technique will be conducted. Patients: Women over 18 years of age with HIV diagnosis and who agreed to answer a self-administered survey in a HIV-specialized institution providing health services (IPS) at Bogotá in 2017. And for the second phase the invitation was made to women who were identified themselves as victims of partner violence. Design: Phase I of this research has a transversal analytical design in which, cases of partner violence against women were identified and characterized. Measurements: In the collection of the information, the validated instrument "índice de violencia de pareja” was used, originally from the United States and designed in 1981 to determine the presence of partner violence and translated to Spanish and validated in 2009. Results: 223 patients answer the questionnaire, 33.6% of them [CI 95% 27-40%] declared Intimate partner violence of any type; 21.9% only physical violence [CI 95% 16-27%], and 31.8% non-physical violence [CI 95% 26-38%]. Non-physical partner violence depends on being divorced or living in Consensual Union (32.4 and 28.2%, respectively p = 0.000), a nuclear family composition, (42.3% p = 0.041), or if the woman had an economic contribution to the family expenses of 100% (33.8% p = 0.001). Physical violence depended on being divorced (46.9% p = 0.000), families with children (89.8 p = 0.042), single-parent family (49% p = 0.000), women with no actual partner (42.9% p = 0.013), or if the woman had an economic contribution to the family expenses of 100% (38.8% p = 0.001). Conclusions: This is the first Latin American study that defines intimate partner violence in women with HIV in a time horizon, other studies in our continent found prevalence of violence in this women that go from 37.3 to 59.8% throughout life; our sample’s prevalence of 33.6% is similar to populations where the prevalence of HIV is higher than in our country. Intimate partner violence found in this study suggests that screening should be done in detecting violence as part of post-HIV counseling, and that violence should be addressed as a routine part of HIV care and treatment
Helizett Santos De ,lima - One of the best experts on this subject based on the ideXlab platform.
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Consultório na rua em Goiânia : atenção a pessoas em situação de rua e em uso de substâncias psicoativas
2013Co-Authors: Helizett Santos De ,limaAbstract:O aumento do uso de substâncias psicoativas (SPA) por pessoas em situação de rua repercutiu na criação do Plano Emergencial de Ampliação do Acesso ao Tratamento e Prevenção em Álcool e Outras Drogas (PEAD 2009-2010), no Sistema Único de Saúde (SUS). Este plano tem como objetivo a expansão de estratégias de prevenção e tratamento relacionadas ao consumo de álcool e outras drogas, com base em ações de redução de danos e integrado a outras políticas públicas. Dentre suas prioridades estão os dispositivos Consultórios na Rua (CR) do SUS, que seguem os princípios da universalidade, integralidade da atenção à saúde, equidade, respeito ao modus vivendi da população assistida, promoção de direitos humanos, inclusão e reinserção social, enfrentamento ao preconceito e resgate da cidadania. Os CR dispõem de uma equipe volante multiprofissional, que se desloca em um veículo tipo kombi com dentificação/logotipo, abastecido com insumos para tratamento de situações clínicas comuns (material para curativos e medicamentos) e de prevenção (preservativos, folhetos informativos), realizando trabalho extramuros, nos locais onde se encontra essa população. O presente estudo teve por objetivo geral investigar os modos de atuação e as características do trabalho de intervenção com adultos jovens em situação de rua e usuários de substâncias psicoativas, segundo percepções de profissionais do Consultório na Rua do município de Goiânia e de pessoas atendidas pelo CR. O estudo utilizou metodologia qualitativa com dois roteiros semiestruturados de entrevistas individuais, um para profissionais e outro para usuários. Os dados das entrevistas foram analisados pela técnica de análise de conteúdo. Os participantes foram nove profissionais, de ambos os sexos, com níveis diversificados de formação, do nível médio ao superior completo, com faixa etária de 24 a 64 anos. Participaram também quatro usuários, de ambos os sexos, com ensino fundamental incompleto, faixa etária entre 23 e 37 anos, a maioria em união Consensual, em uso de álcool e crack. Os relatos dos profissionais configuraram sete eixos temáticos: objetivos da nova estratégia de atendimento; as parcerias do CR; aspectos facilitadores do trabalho; dificuldades do trabalho; a atuação profissional no CR; apoio necessário para o trabalho; atuação com base em redução de danos. Os oito eixos temáticos dos usuários foram o primeiro contato com a equipe; a atuação dos profissionais do CR; o que é mais interessante nesse trabalho; atendimentos recebidos com apoio do CR; apreciação sobre os atendimentos recebidos; os motivos para aceitar os atendimentos; mudança da prática de uso de SPA após o atendimento no CR; e os atendimentos mudaram a vida na rua. Categorias diversas ilustraram cada eixo, com exemplos de falas dos participantes. Observou-se uma coerência entre os relatos dos profissionais e dos usuários em aspectos que caracterizam a atuação do CR, o que fala a favor de uma sintonia entre o que está sendo realizado pela equipe e o que está sendo recebido pelos usuários atendidos nesse dispositivo do SUS. O estudo indicou ainda que os princípios que regem a atuação do CR vão ao encontro daqueles preconizados nas políticas públicas da área de álcool e outras drogas, incluindo a redução de danos. ______________________________________________________________________________ ABSTRACTThe increased use of psychoactive substances (PSA) by people on the streets reverberated in creating the Emergency Plan for Expansion of Access to Treatment and Prevention in Alcohol and Other Drugs (PEAD 2009-2010), in the Unified Health System (SUS) .This plan aims to expand the strategies of prevention and treatment related to the consumption of alcohol and other drugs, based on harm reduction and integrated with other public policies. Among its priorities are the Street Offices (SO) service provided by SUS, which follows the principles of universality, comprehensiveness of care, fairness, respect the modus vivendi of the assisted population, promotion of human rights, inclusion and social reintegration, confronting prejudice and recovery of citizenship. The SOs have an itinerant team formed by different professionals, which moves in a van type vehicle with identification / logo, stocked with supplies for treating common clinical situations (bandage materials and medication) and prevention (condoms, brochures), performing an outdoor work in places where this population is found. The present study aimed at investigating the modes of operation and the characteristics of intervention work with young adults on the streets who make use of psychoactive substances, according to the perceptions of professionals Street Offices in the city of Goiânia and people served by the SO. The study has used qualitative methodology with two tours of semi-structured individual interviews, one for professionals and another one for PSA users. The interview data was analyzed using the content analysis technique. The participants of the study were nine professionals of both sexes, with school degree varying from high school to college degree, aged between 24 and 64 years old and four were PSA users of both sexes, who had not completed primary school, aged between 23 and 37. Most of them were users of alcohol and crack and living in Consensual Union. Reports from professional resulted in seven themes: objectives of the new strategy of care; partnerships of SO; facilitating aspects of work; labor difficulties; professional performance in SO; support needed for the job; performance based on harm reduction. The eight users’ themes were: first contact with the team, the performance of the SO professionals, what is most interesting about this work; services received, with support from the SO; assessment of services received, the reasons for accepting the calls, change the practice of usage of SPA in SO after treatment, and the calls have changed life on the streets. Different categories illustrated each theme with examples from the participants' speech. There was a consistency between reports from professionals and SPA users in ways that characterize the performance of the SO, which shows a favorable line between what is being done by the team and being received by SPA users attended in this SUS service. The study also indicated that the principles governing the actions of SO are in accordance with those recommended by the public policy in the area of alcohol and other drugs, including harm reduction
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Consultório na rua em Goiânia : atenção a pessoas em situação de rua e em uso de substâncias psicoativas
2013Co-Authors: Helizett Santos De ,limaAbstract:Dissertação (mestrado)—Universidade de Brasília, Instituto de Psicologia, Programa de Pós-Graduação em Processos de Desenvolvimento Humano e Saúde, 2013.O aumento do uso de substâncias psicoativas (SPA) por pessoas em situação de rua repercutiu na criação do Plano Emergencial de Ampliação do Acesso ao Tratamento e Prevenção em Álcool e Outras Drogas (PEAD 2009-2010), no Sistema Único de Saúde (SUS). Este plano tem como objetivo a expansão de estratégias de prevenção e tratamento relacionadas ao consumo de álcool e outras drogas, com base em ações de redução de danos e integrado a outras políticas públicas. Dentre suas prioridades estão os dispositivos Consultórios na Rua (CR) do SUS, que seguem os princípios da universalidade, integralidade da atenção à saúde, equidade, respeito ao modus vivendi da população assistida, promoção de direitos humanos, inclusão e reinserção social, enfrentamento ao preconceito e resgate da cidadania. Os CR dispõem de uma equipe volante multiprofissional, que se desloca em um veículo tipo kombi com dentificação/logotipo, abastecido com insumos para tratamento de situações clínicas comuns (material para curativos e medicamentos) e de prevenção (preservativos, folhetos informativos), realizando trabalho extramuros, nos locais onde se encontra essa população. O presente estudo teve por objetivo geral investigar os modos de atuação e as características do trabalho de intervenção com adultos jovens em situação de rua e usuários de substâncias psicoativas, segundo percepções de profissionais do Consultório na Rua do município de Goiânia e de pessoas atendidas pelo CR. O estudo utilizou metodologia qualitativa com dois roteiros semiestruturados de entrevistas individuais, um para profissionais e outro para usuários. Os dados das entrevistas foram analisados pela técnica de análise de conteúdo. Os participantes foram nove profissionais, de ambos os sexos, com níveis diversificados de formação, do nível médio ao superior completo, com faixa etária de 24 a 64 anos. Participaram também quatro usuários, de ambos os sexos, com ensino fundamental incompleto, faixa etária entre 23 e 37 anos, a maioria em união Consensual, em uso de álcool e crack. Os relatos dos profissionais configuraram sete eixos temáticos: objetivos da nova estratégia de atendimento; as parcerias do CR; aspectos facilitadores do trabalho; dificuldades do trabalho; a atuação profissional no CR; apoio necessário para o trabalho; atuação com base em redução de danos. Os oito eixos temáticos dos usuários foram o primeiro contato com a equipe; a atuação dos profissionais do CR; o que é mais interessante nesse trabalho; atendimentos recebidos com apoio do CR; apreciação sobre os atendimentos recebidos; os motivos para aceitar os atendimentos; mudança da prática de uso de SPA após o atendimento no CR; e os atendimentos mudaram a vida na rua. Categorias diversas ilustraram cada eixo, com exemplos de falas dos participantes. Observou-se uma coerência entre os relatos dos profissionais e dos usuários em aspectos que caracterizam a atuação do CR, o que fala a favor de uma sintonia entre o que está sendo realizado pela equipe e o que está sendo recebido pelos usuários atendidos nesse dispositivo do SUS. O estudo indicou ainda que os princípios que regem a atuação do CR vão ao encontro daqueles preconizados nas políticas públicas da área de álcool e outras drogas, incluindo a redução de danos. ______________________________________________________________________________ ABSTRACTThe increased use of psychoactive substances (PSA) by people on the streets reverberated in creating the Emergency Plan for Expansion of Access to Treatment and Prevention in Alcohol and Other Drugs (PEAD 2009-2010), in the Unified Health System (SUS) .This plan aims to expand the strategies of prevention and treatment related to the consumption of alcohol and other drugs, based on harm reduction and integrated with other public policies. Among its priorities are the Street Offices (SO) service provided by SUS, which follows the principles of universality, comprehensiveness of care, fairness, respect the modus vivendi of the assisted population, promotion of human rights, inclusion and social reintegration, confronting prejudice and recovery of citizenship. The SOs have an itinerant team formed by different professionals, which moves in a van type vehicle with identification / logo, stocked with supplies for treating common clinical situations (bandage materials and medication) and prevention (condoms, brochures), performing an outdoor work in places where this population is found. The present study aimed at investigating the modes of operation and the characteristics of intervention work with young adults on the streets who make use of psychoactive substances, according to the perceptions of professionals Street Offices in the city of Goiânia and people served by the SO. The study has used qualitative methodology with two tours of semi-structured individual interviews, one for professionals and another one for PSA users. The interview data was analyzed using the content analysis technique. The participants of the study were nine professionals of both sexes, with school degree varying from high school to college degree, aged between 24 and 64 years old and four were PSA users of both sexes, who had not completed primary school, aged between 23 and 37. Most of them were users of alcohol and crack and living in Consensual Union. Reports from professional resulted in seven themes: objectives of the new strategy of care; partnerships of SO; facilitating aspects of work; labor difficulties; professional performance in SO; support needed for the job; performance based on harm reduction. The eight users’ themes were: first contact with the team, the performance of the SO professionals, what is most interesting about this work; services received, with support from the SO; assessment of services received, the reasons for accepting the calls, change the practice of usage of SPA in SO after treatment, and the calls have changed life on the streets. Different categories illustrated each theme with examples from the participants' speech. There was a consistency between reports from professionals and SPA users in ways that characterize the performance of the SO, which shows a favorable line between what is being done by the team and being received by SPA users attended in this SUS service. The study also indicated that the principles governing the actions of SO are in accordance with those recommended by the public policy in the area of alcohol and other drugs, including harm reduction
Cortina Clara - One of the best experts on this subject based on the ideXlab platform.
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The contributions of childbearing within marriage and within Consensual Union to fertility in Latin America, 1980-2010
'Max Planck Institute for Demographic Research', 2020Co-Authors: Laplante Benoît, Castro Martín Teresa, Cortina Clara, Fostik, Ana LauraAbstract:BACKGROUND Research has shown that the prevalence of unmarried cohabitation has increased in most Latin American countries and that childbearing within Consensual Union, traditionally confined to low-income groups, is becoming socially acceptable among highly educated women. OBJECTIVE We focus on the increasing importance of childbearing within Consensual Union for overall fertility. We measure the relative contribution of births within marriage and births within Consensual Union to period fertility as a component of population change for 13 Latin American countries from 1980 to 2010. METHODS We use census data and the own-children method to estimate the contribution of marriage and Consensual Union to age-specific fertility rates, to cumulative fertility, and to the TFR. RESULTS In most Latin American countries the contribution of marriage to age-specific fertility rates has decreased over time, whereas the contribution of Consensual Union has increased steadily. In Argentina, Bolivia, Chile, Costa Rica, and Mexico the contribution of marriage to the TFR is still larger than the contribution of Consensual Union. In Ecuador and Uruguay they have become roughly similar. In Brazil, Colombia, Cuba, Panama, Peru, and Venezuela the contribution of Consensual Union to the TFR is larger than that of marriage. CONCLUSIONS In Latin America, fertility, as a component of population change, is less and less related to marriage and increasingly linked to Consensual Union instead.This research was supported in part by a Standard Research Grant from the Social Sciences and Humanities Research Council of Canada. The participation of Teresa Castro-Martín and Clara Cortina in this research has been funded by the European Union’s Seventh Framework Programme (FP7/2007−2013) under Grant Agreement 320116 for the research project FamiliesAndSocietie
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Change and continuity in the fertility of unpartnered women in Latin America, 1980–2010
'Max Planck Institute for Demographic Research', 2019Co-Authors: Castro Martín Teresa, Cortina Clara, Laplante BenoîtAbstract:Despite the diffusion of childbearing within Consensual Union, the share of total fertility attributable to unpartnered women is increasing in many Latin American countries. This association is not confined to adolescent age. We look into this phenomenon using census data from 11 Latin American countries for which it is possible to compare at least two censuses. We focus on the changes in the composition of the population of unpartnered women and on the changes in the relations between their characteristic and their fertility. Results show that despite large variation across countries in the specifics of unpartnered women fertility, the main driver of the increasing share of fertility attributable to unpartnered women is the increasing proportion of unpartnered women. The increasing proportion of separated and divorced women among unpartnered women is not a major source of the increasing share of the overall fertility attributable to unpartnered women.Peer Reviewe
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Childbearing with Marriage and Consensual Union in Latin America, 1980-2010 :
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980–2010:
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980-2010
'Wiley', 2015Co-Authors: Laplante Benoît, Castro Martín Teresa, Cortina Clara, Martín García TeresaAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has passed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women’s childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off.European Union’s Seventh Framework Programme (FP7/2007-2013) under Grant Agreement 320116 for the research project FamiliesAndSocieties.Peer reviewe
Laplante Benoît - One of the best experts on this subject based on the ideXlab platform.
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The contributions of childbearing within marriage and within Consensual Union to fertility in Latin America, 1980-2010
'Max Planck Institute for Demographic Research', 2020Co-Authors: Laplante Benoît, Castro Martín Teresa, Cortina Clara, Fostik, Ana LauraAbstract:BACKGROUND Research has shown that the prevalence of unmarried cohabitation has increased in most Latin American countries and that childbearing within Consensual Union, traditionally confined to low-income groups, is becoming socially acceptable among highly educated women. OBJECTIVE We focus on the increasing importance of childbearing within Consensual Union for overall fertility. We measure the relative contribution of births within marriage and births within Consensual Union to period fertility as a component of population change for 13 Latin American countries from 1980 to 2010. METHODS We use census data and the own-children method to estimate the contribution of marriage and Consensual Union to age-specific fertility rates, to cumulative fertility, and to the TFR. RESULTS In most Latin American countries the contribution of marriage to age-specific fertility rates has decreased over time, whereas the contribution of Consensual Union has increased steadily. In Argentina, Bolivia, Chile, Costa Rica, and Mexico the contribution of marriage to the TFR is still larger than the contribution of Consensual Union. In Ecuador and Uruguay they have become roughly similar. In Brazil, Colombia, Cuba, Panama, Peru, and Venezuela the contribution of Consensual Union to the TFR is larger than that of marriage. CONCLUSIONS In Latin America, fertility, as a component of population change, is less and less related to marriage and increasingly linked to Consensual Union instead.This research was supported in part by a Standard Research Grant from the Social Sciences and Humanities Research Council of Canada. The participation of Teresa Castro-Martín and Clara Cortina in this research has been funded by the European Union’s Seventh Framework Programme (FP7/2007−2013) under Grant Agreement 320116 for the research project FamiliesAndSocietie
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Change and continuity in the fertility of unpartnered women in Latin America, 1980–2010
'Max Planck Institute for Demographic Research', 2019Co-Authors: Castro Martín Teresa, Cortina Clara, Laplante BenoîtAbstract:Despite the diffusion of childbearing within Consensual Union, the share of total fertility attributable to unpartnered women is increasing in many Latin American countries. This association is not confined to adolescent age. We look into this phenomenon using census data from 11 Latin American countries for which it is possible to compare at least two censuses. We focus on the changes in the composition of the population of unpartnered women and on the changes in the relations between their characteristic and their fertility. Results show that despite large variation across countries in the specifics of unpartnered women fertility, the main driver of the increasing share of fertility attributable to unpartnered women is the increasing proportion of unpartnered women. The increasing proportion of separated and divorced women among unpartnered women is not a major source of the increasing share of the overall fertility attributable to unpartnered women.Peer Reviewe
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Childbearing with Marriage and Consensual Union in Latin America, 1980-2010 :
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980–2010:
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980-2010
'Wiley', 2015Co-Authors: Laplante Benoît, Castro Martín Teresa, Cortina Clara, Martín García TeresaAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has passed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women’s childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off.European Union’s Seventh Framework Programme (FP7/2007-2013) under Grant Agreement 320116 for the research project FamiliesAndSocieties.Peer reviewe
Martín García Teresa - One of the best experts on this subject based on the ideXlab platform.
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Childbearing with Marriage and Consensual Union in Latin America, 1980-2010 :
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980–2010:
2015Co-Authors: Martín García Teresa, Laplante Benoît, Castro Martín Teresa, Cortina ClaraAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has changed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women's childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off
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Childbearing within Marriage and Consensual Union in Latin America, 1980-2010
'Wiley', 2015Co-Authors: Laplante Benoît, Castro Martín Teresa, Cortina Clara, Martín García TeresaAbstract:This article compares the fertility patterns of women in Consensual Union and marriage in 13 Latin American countries, using census microdata from the four most recent census rounds and a methodological approach that combines the own-children method and Poisson regression. Results show that in all these countries, fertility is slightly higher within Consensual Union than marriage and that the age pattern of fertility is very similar in marital and non-marital Unions. Further analyses show that over the period considered, childbearing within a Consensual Union has passed from rare to increasingly common, although not yet mainstream, for highly educated women in most countries examined. Results show that in Latin America, at least since the 1980s, women’s childbearing patterns depend on their age and on their being in a conjugal relationship, but not on the legal nature of this relationship. The similarities in reproductive behavior between marital and non-marital Unions are not confined to the socially disadvantaged groups, but apply as well to the better off.European Union’s Seventh Framework Programme (FP7/2007-2013) under Grant Agreement 320116 for the research project FamiliesAndSocieties.Peer reviewe