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
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- Recurrent Violence, Violence with Complications, and Intimate Partner Violence Against Pregnant Women and Breastfeeding Duration(2021) RIBEIRO, Marizelia Rodrigues Costa; BATISTA, Rosangela Fernardes Lucena; SCHRAIBER, Lilia Blima; PINHEIRO, Feliciana Santos; SANTOS, Alcione Miranda dos; SIMOES, Vanda Maria Ferreira; CONFORTIN, Susana Cararo; ARISTIZABAL, Liliana Yanet Gomez; YOKOKURA, Ana Valeria Carvalho Pires; SILVA, Antonio Augusto Moura daBackground:Few studies have investigated the association between violence against pregnant women in terms of recurrence, complications, and perpetrators of violence, and breastfeeding duration. This study verifies whether recurrent violence, violence with pregnancy complications, and intimate partner violence (IPV) against pregnant women are associated with shorter exclusive breastfeeding up to the infant's 6th month and breastfeeding up to the 12th month of life. Materials and Methods:A cohort study with a convenience sample of 1,146 pregnant women was performed. Follow-up assessments were conducted at birth, and at 12-36 months. Survival analysis was used to verify whether recurrent violence, violence with pregnancy complications, and IPV were associated with reduced duration of exclusive breastfeeding and breastfeeding. Results:The adjusted Cox regression revealed no difference regarding exclusive breastfeeding duration among mothers exposed or not exposed to violence and according to who perpetrated the violence. The risk of an infant not being breastfed within the first 12 months of life increased in cases of violence before/during pregnancy (95% confidence interval [CI] = 1.03-1.88), recurrent psychological/physical/sexual violence during pregnancy (95% CI = 1.11-1.92), recurrent psychological violence (95% CI = 1.05-1.96), and recurrent physical/sexual violence (95% CI = 1.01-2.39). Violence with pregnancy complications (95% CI = 0.94-2.22) was not associated with breastfeeding interruption. Similar risks of breastfeeding interruption were observed for IPV (95% CI = 0.96-1.87) and violence perpetrated by other family members (95% CI = 0.83-1.89). Conclusions:We observed a shorter breastfeeding duration up to 12 months of life in cases of recurrent violence.
bookPart Atividades de Ciências Sociais e Humanas em Saúde(2021) AYRES, José Ricardo Carvalho Mesquita; D'OLIVEIRA, Ana Flávia Pires Lucas; MOTA, André; NOVAES, Hillegonda Maria Dutilh; SCHRAIBER, Lilia Blima; FALCãO, Márcia Thereza Couto; SATO, Mariana Eri; SCHEFFER, Mário; SOáREZ, Patrícia Coelho de; TEIXEIRA, Ricardo Rodrigues; MACHIN, Rosana; NASCIMENTO, Thaís Moura Ribeiro do Valle- Intersetorialidade e Atenção Básica à Saúde: a atenção a mulheres em situação de violência(2021) GONSALVES, Emmanuela; SCHRAIBER, Lilia BlimaABSTRACT Actions that happen through an intersectoral network are challenging for the care of women in situations of gender violence. The qualitative research developed in this article used a case study to investigate the possibilities of building an intersectoral network between Primary Health Care and specialized services in the care of those women, specifically in the central region of Rio de Janeiro. Data collected through semistructured interviews and observation of the services were submitted to content analysis. In this article we analyzed: the network of services currently in place; the relationship between primary care and specialized services; and the place of primary care within the comprehensive care of women in situations of violence. The results indicate that there is a tendency towards building a networked assistance, even though several institutional obstacles and the culture of assistance work in each type of service generate a still scarcely integrated configuration as a network. Even so, the results also show that the reference centers for assistance to gender violence are currently the services with the greatest potential to act in a network, especially in relation to the health sector.
bookPart A leishmaniose pelos sertões paulistas: uma longa endemia(2021) MOTA, André; SCHRAIBER, Lilia Blima- Authority, power and violence: a study on humanization in health(2021) AZEREDO, Yuri Nishijima; SCHRAIBER, Lilia BlimaThis article is the result of the dissertation ""Collective health and philosophy: Hannah Arendt's contributions to the humanization debate"" aiming to analyze the humanization concept in the production of the Collective Health field. The study used qualitative methodology, and the empirical material was constituted by official documents of the Ministry of Health as well as selected articles in the field of Collective Health. It analyzed how the term humanization is used, trying to apprehend how it is understood and built as a concept. The reference framework was constituted by the bibliography that examines the historical context of social transformations through which working on health in Modernity has gone through, added to the reflections about the concepts of violence and power developed by Hannah Arendt. Conceptual distinctions necessary in the configuration of medical power in health services were acknowledged, providing new approaches to the topic of humanization.