ANA FLAVIA PIRES LUCAS D OLIVEIRA
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
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
44 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 44
- Obstacles and facilitators to primary health care offered to women experiencing domestic violence: a systematic review(2020) D'OLIVEIRA, Ana Flavia Pires Lucas; PEREIRA, Stephanie; SCHRAIBER, Lilia Blima; GRAGLIA, Cecilia Guida Vieira; AGUIAR, Janaina Marques de; SOUSA, Patricia Carvalho De; BONIN, Renata GranussoSystematic review of the literature addressing obstacles and facilitators for the care of women, in situations of domestic violence (DV) in primary health care (PHC) in Brazil. The bibliographic review found 1,048 references. The analysis encompassed 39 articles complying with the inclusion and exclusion criteria. The material was centered on representations and beliefs of practitioners. The main obstacles were related to: conceptualizing DV as a health issue, resulting into difficulties to identify the problem and managing care encounters; lack of training and teamwork; scarce intersectoral network, fear and lack of time. The facilitators were mainly: introducing a gender and human rights perspective, bonding and embracement, teamwork and multisectoral work. Despite the potential of PHC to address the issue, few studies considered perspectives of management and financing, considered as key to overcome the problems pointed out.
- Arte, saúde mental e atenção pública: traços de uma cultura de cuidado na história da cidade de São Paulo(2016) GALVANESE, Ana Tereza Costa; D'OLIVEIRA, Ana Flavia Pires Lucas; LIMA, Elizabeth Maria Freire de Araujo; PEREIRA, Lygia Maria de Frana; NASCIMENTO, Ana Paula; NASCIMENTO, Andreia de FatimaBy studying the inclusion of artistic and cultural activities in the care provided throughout the history of public mental healthcare in greater Sao Paulo, Brazil, we can better understand and characterize the practices adopted in the Psychosocial Care Centers in the city today. Experiments carried out between the 1920s and 1990s are investigated, based on bibliographic research. The contemporary data were obtained from research undertaken at 126 workshops at 21 Psychosocial Care Centers in the same city between April 2007 and April 2008. The findings indicate that the current trend in mental healthcare, whose clinical perspective spans the realms of art and mental health and has territorial ramifications, has maintained some of the features encountered in earlier mental healthcare experiments.
- Bodily and meditative practices in health promotion: an interdisciplinary, multiprofessional and intersectorial challenge(2018) GALVANESE, Ana Tereza Costa; BARROS, Nelson Filice de; D'OLIVEIRA, Ana Flavia Pires Lucas
- Psychometric properties of a condition-specific PROM for the psychosocial consequences of Labelling hypertension by using Rasch analysis(2021) GYURICZA, Janos Valery; CHRISTENSEN, Karl Bang; D'OLIVEIRA, Ana Flavia Pires Lucas; BRODERSEN, JohnBackground A previous qualitative assessment of the psychosocial consequences of labelling hypertension describes the diagnosis of hypertension as a labelling event with potential unintended negative long-term psychosocial consequences (labelling effects). Until now, the benefits of diagnosing hypertension have been far more reported than the harms. To obtain the net result of the preventive interventions for cardiovascular disease, such as diagnosing and treating mild hypertension, assessing benefits and harms in the most comprehensive way possible is necessary, including the psychosocial consequences of labelling. When measuring psychosocial consequences of labelling hypertension, a questionnaire with high content validity and adequate psychometric properties is needed. Objectives The aim of this study was to describe the psychometric parameters of face and content-validated pool of items. Other objectives were also to screen the item pool by using Rasch model analysis and confirmatory factor analysis (CFA) for identifying such items with sufficient fit to the hypothesised models. Methods We surveyed the pool of items as a draft questionnaire to Brazilians recruited via social networks, sending e-mails, WhatsApp (R) messages and posting on Facebook (R). The inclusion criteria were to be older than 18 years old, to be healthy and to have only hypertension. We used Rasch model analysis to screen the item pool, discarding items that did not fit the hypothesised domain. We searched for local dependence and differential item functioning. We used CFA to confirm the derived measurement models and complementarily assessed reliability using Cronbach's coefficient alpha. Results The validation sample consisted of 798 respondents. All 798 respondents completed Part I, whereas 285 (35.7%)-those with hypertension-completed Part II. A condition-specific questionnaire with high content validity and adequate psychometric properties was developed for people labelled with hypertension. This measure is called 'Consequences of Labelling Hypertension Questionnaire' and covers the psychosocial consequences of labelling hypertension in two parts, encompassing a total of 71 items in 15 subscales and 11 single items. Conclusion We developed a tool that can be used in future research involving hypertension, especially in scenarios of screening, prevention, population strategies and in intervention studies. Future use and testing of the questionnaire may still be required.
- Patterns of alcohol use among men receiving treatment for heroin and/or cocaine use in England, Brazil and Spain. A cross-country analysis(2020) RADCLIFFE, Polly; CANFIELD, Martha; D'OLIVEIRA, Ana Flavia Pires Lucas; FINCH, Emily; SEGURA, Lidia; TORRENS, Marta; GILCHRIST, GailIntroduction: Although alcohol is widely used concurrently with illicit drugs, the role of alcohol in recovery from and relapse to drug use is under-researched. This study investigates drinking patterns and factors associated with harmful drinking among men receiving community treatment for heroin and/or cocaine use. Methods: Secondary analysis of 3 cross-sectional studies in England (n = 153), Brazil (n = 149) and Spain (n = 131) was conducted. Sociodemographic, alcohol consumption (AUDIT), substance use, treatment characteristics, and physical health were assessed. Logistic regression determined factors associated with harmful drinking. Results: 41% of men receiving heroin and/or cocaine treatment met criteria for harmful drinking. Of this, 28% were not receiving treatment for alcohol. Factors identified with harmful drinking among those who were not receiving treatment for alcohol use were as follows: homeless, unemployment/receiving benefits, poly drug use, history of injecting drug(s), hepatitis C seropositive, and receiving treatment for heroin use with/without treatment for cocaine use. Participants from England who met criteria for harmful drinking were more likely to report not receiving treatment for alcohol use than those from Brazil and Spain. Discussion: Findings show that harmful drinking is common among men in treatment for drug use and remains neglected by the services.
- 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.
article 421 Citação(ões) na Scopus The health-systems response to violence against women(2015) GARCIA-MORENO, Claudia; HEGARTY, Kelsey; D'OLIVEIRA, Ana Flavia Lucas; KOZIOL-MCLAIN, Jane; COLOMBINI, Manuela; FEDER, GeneHealth systems have a crucial role in a multisector response to violence against women. Some countries have guidelines or protocols articulating this role and health-care workers are trained in some settings, but generally system development and implementation have been slow to progress. Substantial system and behavioural barriers exist, especially in low-income and middle-income countries. Violence against women was identified as a health priority in 2013 guidelines published by WHO and the 67th World Health Assembly resolution on strengthening the role of the health system in addressing violence, particularly against women and girls. In this Series paper, we review the evidence for clinical interventions and discuss components of a comprehensive health-system approach that helps health-care providers to identify and support women subjected to intimate partner or sexual violence. Five country case studies show the diversity of contexts and pathways for development of a health system response to violence against women. Although additional research is needed, strengthening of health systems can enable providers to address violence against women, including protocols, capacity building, effective coordination between agencies, and referral networks.bookPart Atenção à situações de risco familiar e social(2017) D'OLIVEIRA, Ana Flávia Pires Lucas; SENNA, Dulce Maria; DARWICHE, Layla Ibraim Silva- Community Theater as social support for youth: agents in the promotion of health(2015) DIBA, Denise; D'OLIVEIRA, Ana FlaviaThere has been much discussion on promotion of the health of young people in vulnerable situations; but little work has been done analyzing its actual operation - and this is especially true in relation to programs and projects that are outside the health services. This article aims to analyze the relationship of an experience in Community Theater with the promotion of health. It is a qualitative, ethnographic study made at the Pombas Urbanas Institute, in the Cidade Tiradentes district of the municipality of Sao Paulo, and is coordinated by a theater group with a history that is relevant to the objective of the study. Participatory observation was carried out for one year, with semi-structured interviews with young people, and with actors of the Pombas Urbanas group, and analysis of documents. The theoretical framework that was used is made up of concepts from the fields of collective health, Community Theater, and liberation pedagogy. The results are presented in two interlinked sub-categories which have arisen from the empiric material and from the references adopted: (i) '`True friends', and (ii) 'Dialog'. The analysis clearly shows the importance of this type of theatrical joint experience for the promotion of health by transforming the quality of relationships between people. Concepts of health, culture and education were used in analysis of the results.
- Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of Sao Paulo, Brazil(2017) GALVANESE, Ana Tereza Costa; BARROS, Nelson Filice de; D'OLIVEIRA, Ana Flavia Pires LucasThe article presents an analysis of contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system. The qualitative study was developed in 16 healthcare units in the city of Sao Paulo, Brazil, using interviews with 29 health professionals and 36 practitioners of bodily practices and meditation, including participant observation of 31 practices such as Tai Chi, Lian Gong, Qigong, Yoga, Capoeira, Dance, Meditation, Relaxation, Mindfulness, and Body Awareness. There was an improvement in joint pain, mobility, balance, memory, depression, and anxiety, besides greater ease in coping with chronic conditions. Such contributions are related to favoring practitioners' autonomy, building health references through self-awareness; the combination of health promotion and therapeutic care in the approaches; and support for access to cultural goods and community spaces. The challenges identified here were precarious integration with the supply of other health services, lack of supervision and evaluation, and the predominance of a health-sector culture.