LILIA BLIMA SCHRAIBER
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
8 resultados
Resultados de Busca
Agora exibindo 1 - 8 de 8
- A Revista de Saúde Pública na produção bibliográfica sobre Violência e Saúde (1967-2015)(2016) SCHRAIBER, Lilia Blima; BARROS, Claudia; DOLIVEIRA, Ana Flavia Pires Lucas; PERES, Maria Fernanda TourinhoThis article retrieved the publications from the Revista de Saude Publica journal (from 1967 to 2015) on violence and health, on the SciELO and PubMed bases, by searching for the terms ""violence"", ""suicide"", ""aggression"", ""bullying"", and ""external causes"",registered in any part of the text. We found 130 articles (the first one published in 1974). We observed: increase of publications over time, with decrease in the last five years; similar production volume in lethal and non-lethal violence; later publication of the latter; few studies in qualitative research; mostly descriptive production; and visualization of the problem more by the acts than by contexts or motivations and aggressors. Social markers were little approached, appearing, from largest to smallest frequency, social class, gender, race/ethnicity, and generation. Human rights were little used and only recently used as analytical framework, connected more to gender than to social class. Although Revista de Saude Publica has registered the theme in its publications, consolidating it as scientific production line, there is still great explanatory theoretical rarefaction and little intersectionality between violence, social inequalities, and human rights.
- Impact of exposure to intimate partner violence on children's behavior(2011) DURAND, Julia Garcia; SCHRAIBER, Lilia Blima; FRANCA-JUNIOR, Ivan; BARROS, ClaudiaOBJECTIVE: To analyze the relationship between intimate partner violence (IPV) against women and children's dysfunctional behaviors and school problems. METHODS: Population-based study part of the WHO Multicountry Study on Domestic Violence Against Women including 790 women living with their children aged five to 12 years in two different regions of Brazil: the city of Sao Paulo, Southeastern Brazil, and Zona da Mata area in the state of Pernambuco, Northeastern Brazil. Three multivariate models were developed to estimate the strength of the relationship between explanatory variables such as social and community support, stressful events of life, sociodemographic factors and ""IPV severity,"" among others, and three outcomes: number of dysfunctional behaviors; aggressive behavior; and school problems (interruption, drop out or failure). RESULTS: Exposure to severe physical and/or sexual IPV was associated to school problems, behavioral dysfunctions in general and aggressive behaviors in the univariate analysis. Exposure to severe IPV against women was associated to the occurrence of three or more dysfunctional behaviors in their children, regardless of common mental disorder, low schooling, physical IPV against maternal grandmother, social and community support in the multivariate models. Severe IPV remained associated to aggressive behavior and school problems after adjustment for other sociodemographic variables, among others. Maternal mental health status was identified as a mediating factor between IPV exposure and dysfunctional behaviors, especially aggressive behaviors. CONCLUSIONS: Severe IPV affects children's behaviors and should be addressed in health policies for school-aged children through the development of common interventions for mothers and children.
- FEAR AND SHAME AS BARRIERS TO OVERCOME DOMESTIC VIOLENCE GENDER(2015) TERRA, Maria Fernanda; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia BlimaThe objective is to understand - by means of the vulnerability concept - how the feelings of fear and shame associated with violent situations have an impact on the possibilities of women overcoming gender-based domestic violence. Although these feelings are considered a problem and are expressed according to each woman's personal viewpoint, this article argues that the relationship between them and gender-based domestic violence is not an individual problem; rather it is a social and cultural violation of human rights. Based on sixteen interviews with women with a history of domestic violence, the vulnerability concept was used to analyse the relationship between the subjective perspectives of the interviewees and the programmatic and social components that make these women vulnerable. This is turn permitted the analyse of women's social representations in relation to violence and to the means of confronting it, as well as women's objective and subjective relationship with health services.
article 2 Citação(ões) na Scopus The gender perspective and health professionals: notes from the Brazilian collective health field(2014) SCHRAIBER, Lilia Blima; D'OLIVEIRA, Ana Flavia Pires LucasWe examine the incorporation of the gender perspective in the health field, considering scientific production, health policies and programs and everyday professional practices within the health services. These distinct layers are necessary given the different possibilities each presents for the incorporation of gender. In scientific production, we identify increasing inclusion of the gender perspective, but with little methodological use of the concept; in health policies and programs, the incorporation of the gender perspective is not comprehensive and varies temporally; and in professional practices, incorporation is anchored more in practical knowledge than in a technical and scientific basis. In the daily work of health professionals, this set of difficulties generates different tensions regarding the scientific and technological basis and the moral basis for intervention.- Violência e sofrimento mental em homens na atenção primária à saúde(2013) ALBUQUERQUE, Fernando Pessoa de; BARROS, Claudia Renata dos Santos; SCHRAIBER, Lilia BlimaOBJECTIVE: To analyze the association between male mental health problems and violence experienced. METHODS: Cross sectional study with 477 males aged between 18 and 60, users of two primary healthcare centers in Sao Paulo, SP, Southeastern Brazil. The selection for the sample was based on a sequentiality criterion, according to the order of arrival of the users. Sociodemographic and health characteristics and reports of having experienced violence at any time and/or having witnessed violence in childhood were collected. Information was also collected on the use of mental health services and/or psychological complaints/diagnoses during consultation at medical clinics by reading medical records, to categorize the dependent variable ""mental suffering"". The variables were described as absolute and relative frequencies. The association was tested using a confirmatory Poisson model with robust variance adjusted for age, marital status, education, violence witnessed in childhood and psychoactive substance use. RESULTS: The prevalence of mental suffering was 29.4%. Mental suffering was associated with experiencing repeated physical and/or sexual violence (RP 1.75, 95%CI 1.13;2.72). The association with a single episode of violence lost significance after the inclusion of psychoactive substance use in the model. Analysis of the fraction attributable to repetitive physical and/or sexual violence for the mental suffering of the men, verified it as 30.4%. CONCLUSIONS: The relationship between violence and mental suffering, already highlighted in studies with women, is also relevant to men's health, drawing attention to the similar need of identification, in the health services, of situations of violence experienced by the male population. For men, this relationship was shown to be influenced by the presence of psychoactive substance use; a situation which must be dealt with, more and in a better way, by the health care service.
- Violência por parceiro íntimo no relato de mulheres e de homens usuários de unidades básicas(2017) BARROS, Claudia Renata dos Santos; SCHRAIBER, Lilia BlimaOBJECTIVE: To analyze nonfatal violence suffered and committed by adult men and women, in an intimate relationship. METHODS: The participants in the research were women aged between 15 and 49 years and men between 18 and 60 years, interviewed by face-to-face questionnaire application. The sample selection was of consecutive type, according to the order of arrival of the users. We conducted temporarily independent investigations and covered different health services to avoid couples and relationships in which the retaliation could be overvalued. To improve the comparison, we also examined reports of men and women from the same service, i.e., a service that was common to both investigations. We compared the situations suffered by women according to their reports and cross-linked the information to what men, according to their own reports, do against intimate partners or ex-partners. We also examined the cross-linked situation in reverse: the violence committed by women against their partners, according to their reports, in comparison with the violence suffered by men, also according to their reports, even if, in this case, the exam refers only to physical violence. The variables were described using mean, standard deviation, frequencies and proportions, and the hypothesis testing used was: Fisher's exact and Pearson's Chi-square tests, adopting a significance level of 5%. RESULTS: Victimization was greater among women, regardless of the type of violence, when perpetrated by intimate partner. The perception of violence was low in both genders; however, women reported more episodes of multiple recurrences of any violence and sexual abuse suffered than men acknowledged to have perpetrated. CONCLUSIONS: The study in its entirety shows significant gender differences, whether about the prevalence of violence, whether about the perception of these situations.
- A construção do cuidado: o atendimento às situações de violência doméstica por equipes de Saúde da Família(2014) MOREIRA, Tatiana das Neves Fraga; MARTINS, Cleide Lavieri; FEUERWERKER, Laura Camargo Macruz; SCHRAIBER, Lilia BlimaAs violence has proved to be an important public health issue, it has stimulated scientific production and the development of public policies, The objective of the present article is to understand the care strategies developed by Family Health Program Teams in Diadema to handle domestic violence situations, A qualitative analysis approach of selected cases identified by the teams as ""difficult"", ""typical"" and ""successful"" was adopted, Two Family Health Program teams and different professionals from the intersectoral network were interviewed, Organizing services according to the Family Health Strategy guidelines has shown to be a facilitating factor to develop care strategies to handle domestic violence, Professionals identified different kinds of violence in the assisted families, but the actions of the teams focused mainly on the child abuse related situations. Violence against women in general was not taken into account by the teams, which shows different degrees of ""visibility"" among the various types of violence. Strategies included actions to promote deeper bonds with the family, cases monitoring and biomedical aspects evaluation, as well as more acute actions such as mandatory hospitalization, The strategies developed alternate from a prescriptive perspectivel to one more centered in the concept of Care, during the interaction with the families and regarding their needs, The community health agents and NASF professionals were the main protagonists in these cases, articulating practical and technical knowledge.
- Violence at work and depressive symptoms in primary health care teams: a cross-sectional study in Brazil(2015) SILVA, Andrea Tenorio Correia da; PERES, Maria Fernanda Tourinho; LOPES, Claudia de Souza; SCHRAIBER, Lilia Blima; SUSSER, Ezra; MENEZES, Paulo RossiImplementation of primary care has long been a priority in low- and middle-income countries. Violence at work may hamper progress in this field. Hence, we examined the associations between violence at work and depressive symptoms/major depression in primary care teams (physicians, nurses, nursing assistants, and community health workers). A cross-sectional study was undertaken in the city of Sao Paulo, Brazil. We assessed a random sample of Family Health Program teams. We investigated depressive symptoms and major depression using the nine-item Patient Health Questionnaire (PHQ-9), and exposure to violence at work in the previous 12 months using a standardized questionnaire. Associations between exposure to violence and depressive symptoms/major depression were analyzed using multinomial logistic regression. Of 3141 eligible workers, 2940 (93 %) completed the interview. Of these, 36.3 % (95 % CI 34.6-38.1) presented intermediate depressive symptoms, and 16 % (95 % CI 14.6-17.2), probable major depression. The frequencies of exposure to the different types of violence at work were: insults (44.9 %), threats (24.8 %), physical aggression (2.3 %), and witnessing violence (29.5 %). These exposures were strongly and progressively associated with depressive symptoms (adjusted odds ratio 1.67 for exposure to one type of violence; and 5.10 for all four types), and probable major depression (adjusted odds ratio 1.84 for one type; and 14.34 for all four types). Primary care workers presenting depressive symptoms and those who have experienced violence at work should be assisted. Policy makers should prioritize strategies to prevent these problems, since they can threaten primary care sustainability.