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
7 resultados
Resultados de Busca
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- Institutionalization of Public Health Care in Sao Paulo between 1930 and 1940(2013) MOTA, Andre; SCHRAIBER, Lilia BlimaThe aim of the study was to interpret and understand the institutionalization of public health care in the state of Sao Paulo over the years 1930-1940, based on the history of medical specialties. The methodology involved analysis of new sources of documents, which were compared with the existing literature, thereby leading to identification of new indices relating to the issue of eugenics and the presence of physicians' religious beliefs as a social movement. As physicians became public health experts, they proposed a project to elevate the Brazilian race, by merging the hygienist discourse with sanitary actions. Sao Paulo sought primacy in this project, believing that this was a State already constituted by a race of ""historically healthy men"". Religious beliefs influenced the debate and the decisions of that time with regard to the established order within public health. In this manner, it could be shown that, historically, public health discourse was constituted by merging technical-scientific issues with political-ideological and cultural issues, producing a mixture of different interests and corporative perspectives of the profession.
- Intimate partner violence among undergraduate students of two universities of the state of Sao Paulo, Brazil(2013) FLAKE, Tania Aldrighi; BARROS, Claudia; SCHRAIBER, Lilia B.; MENEZES, Paulo RossiINTRODUCTION: The prevalence of violence in intimate relationships, suffered or perpetrated, was estimated among undergraduate students, be it physical, psychological and sexual, describing the overlap between them. This is an original study and there is scarce literature on this matter in Brazil. Men and women were investigated and some issues on gender violence were discussed. METHODS: The study is part of the multicenter survey ""International Study of Violence in Dating - IDVS"" conducted in 2002 - 2003, using its standardized instrument. A total of 362 students, from two universities in the state of São Paulo, one public and one private, answered the self-reported questionnaire, being 37% male and 63% female, mean age of 20 years old. Suffered and perpetrated intimate partner violence during life was examined. RESULTS: Among all interviewees, 75.9% suffered and 76.4% perpetrated some kind of violence throughout life. Psychological violence was the most prevalent type, followed by sexual violence, both suffered and perpetrated. The great superposition between suffered and perpetrated violence (83.9%) reflects the reciprocity of aggression, with no observed difference between men and women. The results of this study are consistent with previous literature on dating violence, which shows high prevalence of suffered and perpetrated violence, besides reciprocity for both men and women. CONCLUSIONS: Intervention actions at this stage of intimate relationships may potentially impact on subsequent marital partnership situations.
- Temporal Relationship Between Intimate Partner Violence and Postpartum Depression in a Sample of Low Income Women(2013) FAISAL-CURY, Alexandre; MENEZES, Paulo Rossi; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia Blima; LOPES, Claudia S.To estimate whether there is a temporal association between Postpartum Depression (PPD) and intimate partner violence (IPV), and to assess the potential role of social support on this relationship. A cross-sectional study was conducted between January 2006 and March 2007 with 701 low income women who received prenatal and postpartum care in primary health care units of the public sector in So Paulo, Brazil. The Self-Report Questionnaire (SRQ-20) was used to assess the presence of PPD. Structured standardized questionnaires were used to assess IPV and social support. The prevalence of PPD was estimated with a 95 % confidence interval. Crude and adjusted prevalence ratios were calculated using Poisson regression to examine the association between PPD and exposure variables. Values of p < 0.05 were considered statistically significant. The prevalence of PPD was 27.9 % (95 %CI 24.6:31.2). The prevalence of psychological IPV was 38.6 %, physical IPV 23.4 %, and sexual IPV 7.1 %. The multivariate analysis showed that PPD was strongly associated with current psychological and physical/sexual violence, after controlling for confounding factors, and less so with past (prenatal or lifetime) IPV. Presence of social support was an independent protective factor for PPD. Identifying and addressing intimate partner violence, including psychological violence, in the postpartum period should be considered as part of a comprehensive approach to caring for new mothers.
- Mulheres com deficiência e sua dupla vulnerabilidade: contribuições para a construção da integralidade em saúde(2013) NICOLAU, Stella Maris; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaWomen with disabilities have few measures geared to their needs in the primary health care services. Despite the attention given to the female population in these facilities, they still fail to address specificities of women with disabilities, such as issues related to their sexual and reproductive rights and their double vulnerability, both as women and as disabled individuals. This research is part of a qualitative study to identify the individual, social and programmed double vulnerability of fifteen women with different types and degrees of disabilities, who are frequenters of three primary health care facilities in Sao Paulo city. The women's narratives highlighted experiences of rejection or overprotection in their family relationships, difficulties in obtaining equipment for their autonomy, poor education and lack of professional qualification, lower social participation, obstacles in their sex lives and motherhood. They face physical and communication barriers and poor care from primary health care services. All of the dimensions of vulnerability are present and addressing them makes it possible to build comprehensive health care practices that ensure the human rights of groups that historically experience violations, namely women and disabled persons.
- 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.
- Humanidades como disciplina da graduação em Medicina(2013) AYRES, José Ricardo de Carvalho Mesquita; RIOS, Izabel Cristina; SCHRAIBER, Lilia Blima; FALCÃO, Marcia Thereza Couto; MOTA, AndréThis paper presents the development of an academic discipline in Medical Humanities. The goal was to analyse both practical and conceptual contributions from humanistic knowledge toward health care. The discipline was organised in four inter-related modules corresponding to particular areas of humanistic knowledge: philosophy, history, socio-anthropology and the psychodynamics of a medical consultation. The text points out the different pedagogic and didactic strategies used, the programmatic content of each module and their bridge-overs, and the impacts on students, lecturers and the actual design of the discipline. The discipline, according to the opinion of lecturers and students, was found to be capable of developing not only specific content but also interrelated content between modules. After the first class had completed the course, some themes and methods were reformulated, but the After the first time, some reorientation of themes and methods were done, but the modular strategy and the choice of specialized researchers as the teacher team were reaffirmed, leading to improvements on knowledge about the concept of health care since a comprehensive perspective in health. The conclusion is that the discipline's design suited the proposed educational goals and reinforces the relevance of humanities to the medical school curricula.
- Violência institucional, autoridade médica e poder nas maternidades sob a ótica dos profissionais de saúde(2013) AGUIAR, Janaina Marques de; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia BlimaThe current article discusses institutional violence in maternity hospitals from the health workers' perspective, based on data from a study in the city of Sao Paulo, Brazil. Eighteen health workers from the public and private sectors were interviewed, including obstetricians, nurses, and nurse technicians. A semi-structured interview was used with questions on professional experience and the definition of violence. The analysis revealed that these health workers acknowledged the existence of discriminatory and disrespectful practices against women during prenatal care, childbirth, and the postpartum. Examples of such practices cited by interviewees included the use of pejorative slang as a form of ""humor"", threats, reprimands, and negligence in the management of pain. Such practices are not generally viewed by health workers as violent, but rather as the exercise of professional authority in what is considered a ""difficult"" context. The institutional violence is thus trivialized, disguised as purportedly good practice (i.e., ""for the patient's own good""), and rendered invisible in the daily routine of care provided by maternity services.