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
9 resultados
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Agora exibindo 1 - 9 de 9
- Violência institucional e humanização em saúde: apontamentos para o debate(2017) AZEREDO, Yuri Nishijima; SCHRAIBER, Lilia BlimaAbstract This paper starts from humanization policies and the academic debate around them to reflect about institutional violence inside health services. Based on research on scientific publications in Collective Health, it was observed that violence in relationships between health professionals and users – which is at the core of the humanization’s debate – is conceptualized as an excessive power in exercise of professional authority. Using Hannah Arendt thinking as theoretical contributions regarding the concepts of ‘authority’, ‘power’ and ‘violence’, our objective is to define and rethink these phenomena. Melting these reflections with the history of institutionalization of health in Brazil, and especially the changes in medical work during the twentieth century, we conclude that the problem of institutional violence on health services is not based on excess of authority and power of professionals, but rather in its opposite. When there is a vacuum of professional authority, and relationships between people do not happen through power relations, there is space for the phenomenon of violence.
- Individual- and contextual-level factors associated with client-initiated HIV testing(2017) BARROS, Claudia Renata dos Santos; ZUCCHI, Eliana Miura; SCHRAIBER, Lilia Blima; FRANÇA JUNIOR, IvanABSTRACT: Background: Knowing the reasons for seeking HIV testing is central for HIV prevention. Despite the availability of free HIV counseling and testing in Brazil, coverage remains lacking. Methods: Survey of 4,760 respondents from urban areas was analyzed. Individual-level variables included sociodemographic characteristics; sexual and reproductive health; HIV/AIDS treatment knowledge and beliefs; being personally acquainted with a person with HIV/AIDS; and holding discriminatory ideas about people living with HIV. Contextual-level variables included the Human Development Index (HDI) of the municipality; prevalence of HIV/AIDS; and availability of local HIV counseling and testing (CT) services. The dependent variable was client-initiated testing. Multilevel Poisson regression models with random intercepts were used to assess associated factors. Results: Common individual-level variables among men and women included being personally acquainted with a person with HIV/AIDS and age; whereas discordant variables included those related to sexual and reproductive health and experiencing sexual violence. Among contextual-level factors, availability of CT services was variable associated with client-initiated testing among women only. The contextual-level variable “HDI of the municipality” was associated with client-initiated testing among women. Conclusion: Thus, marked gender differences in HIV testing were found, with a lack of HIV testing among married women and heterosexual men, groups that do not spontaneously seek testing.
- A ciência ou as ciências? Encruzilhada para diálogos interdisciplinares(2017) SCHRAIBER, Lilia Blima
- “Paulistanidade” e a construção da Saúde Coletiva no estado de São Paulo, Brasil(2017) MOTA, André; SCHRAIBER, Lilia Blima; AYRES, José Ricardo de Carvalho Mesquita
- Health education in the 70's: a lesser-known facet of Cecilia Donnangelo(2017) MOTA, Andre; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaThe article is the product of historical research about the emergence and up growth of Sao Paulo's Collective Health, through the analysis of an unpublished text, authored in 1976, by Cecilia Donnangelo, one of the main contributors to the construction of this field in Brazil and a pioneer in social thinking in health. In the text, she examines ""Health Education"", shedding light upon the historical roots of how this practice was institutionalized. The words of the author are used in the methodology as pieces related to the context that had when crafted, giving to the discourse the nature of a historical document, thus evidencing issues that are involved in past-present relationships in the interface between health and education. Through this process, the author demonstrates how, through the use of the medicalization concept that she developed in another of her works, health education becomes a public policy in the health domain that extends itself beyond the area of public health to acquire institutionalized formats in the individual medical care. It also enlarges its reach farther on its initial health realm becoming a school-related intervention. In this fashion, health education is molded as an important health policy tool, as well as a device that have direct impact on the social domain, collaborating as an additional instrument strengthening medicalization and its accompanying biopower.
- Effects of Socioeconomic Status and Social Support on Violence against Pregnant Women: A Structural Equation Modeling Analysis(2017) RIBEIRO, Marizelia Rodrigues Costa; SILVA, Antonio Augusto Moura da; ALVES, Maria Teresa Seabra Soares de Britto e; BATISTA, Rosangela Fernandes Lucena; RIBEIRO, Cecilia Claudia Costa; SCHRAIBER, Lilia Blima; BETTIOL, Heloisa; BARBIERI, Marco AntonioFew studies have used structural equation modeling to analyze the effects of variables on violence against women. The present study analyzed the effects of socioeconomic status and social support on violence against pregnant women who used prenatal services. This was a cross-sectional study based on data from the Brazilian Ribeirao Preto and Sao Luis birth cohort studies (BRISA). The sample of the municipality of Sao Luis (Maranhao/Brazil) consisted of 1,446 pregnant women interviewed in 2010 and 2011. In the proposed model, socioeconomic status was the most distal predictor, followed by social support that determined general violence, psychological violence or physical/sexual violence, which were analyzed as latent variables. Violence was measured by the World Health Organization Violence against Women (WHO VAW) instrument. The Sao Luis model was estimated using structural equation modeling and validated with 1,378 pregnant women from Ribeirao Preto (Sao Paulo/Brazil). The proposed model showed good fit for general, psychological and physical/sexual violence for the Sao Luis sample. Socioeconomic status had no effect on general or psychological violence (p>0.05), but pregnant women with lower socioeconomic status reported more episodes of physical/sexual violence (standardized coefficient, SC = -0.136; p = 0.021). This effect of socioeconomic status was indirect and mediated by low social support (SC = -0.075; p<0.001). Low social support was associated with more episodes of general, psychological and physical/sexual violence (p<0.001). General and psychological violence indistinctly affected pregnant women of different socioeconomic status. Physical/sexual violence was more common for pregnant women with lower socioeconomic status and lower social support. Better social support contributed to reduction of all types of violence. Results were nearly the same for the validation sample of Ribeirao Preto except that SES was not associated with physical/sexual violence.
- Interface, vinte anos: a Saúde Coletiva em tempos difíceis(2017) SCHEFFER, Mário; SCHRAIBER, Lilia Blima
bookPart Mulher e violência(2017) SCHRAIBER, Lilia Blima- 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.