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
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- 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.
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.- Engaging early career researchers in a global health research capacity-strengthening programme: a qualitative study(2023) HAWCROFT, Claire; ROSSI, Evelina; TILOUCHE, Nerissa; D'OLIVEIRA, Ana Flavia; BACCHUS, Loraine J.BackgroundResearch capacity-strengthening is recognized as an important component of global health partnership working, and as such merits monitoring and evaluation. Early career researchers are often the recipients of research capacity-strengthening programmes, but there is limited literature regarding their experience.MethodsWe conducted a qualitative study as part of an internal evaluation of the capacity-strengthening programme of the international HERA (HEalthcare Responding to violence and Abuse) research group. Semi-structured interviews were conducted with group members, and thematic analysis was undertaken.ResultsEighteen group members participated; nine of these were early career researchers, and nine were other research team members, including mid-career and senior researchers. Key themes were identified which related to their engagement with and experience of a research capacity-strengthening programme. We explored formal/planned elements of our programme: mentoring and supervision; training and other opportunities; funding and resources. Participants also discussed informal/unplanned elements which acted as important facilitators and/or barriers to engaging with research capacity-strengthening: English language; open relationships and communication; connection and disconnection; and diversity. The sustainability of the programme was also discussed.ConclusionsOur study gives voice to the early career researcher experience of engaging with a research capacity-strengthening programme in a global health group. We highlight some important elements that have informed adaptations to our programme and may be relevant for consideration by other global health research capacity-strengthening programmes. Our findings contribute to the growing literature and important discussions around research capacity-strengthening and how this relates to the future directions of global health partnership working.
- Domestic violence during the pandemic Healthcare systems have failed to respond adequately despite increased need globally(2021) FEDER, Gene; D'OLIVEIRA, Ana Flavia Lucas; RISHAL, Poonam; JOHNSON, Medina
conferenceObject PATTERNS OF ALCOHOL USE AMONGST MEN RECEIVING TREATMENT FOR HEROIN, COCAINE AND/OR CRACK USE IN ENGLAND, BRAZIL AND SPAIN(2016) GILCHRIST, Gail; RADCLIFFE, Polly; CANFIELD, Martha; D'OLIVEIRA, Ana Flavia; FINCH, Emily; SEGURA, Lidia; TORRENS, Marta- Remote methods for research on violence against women and children: lessons and challenges from research during the COVID-19 pandemic(2022) BHATIA, Amiya; TURNER, Ellen; AKIM, Aggrey; MIREMBE, Angel; NAKUTI, Janet; PARKES, Jenny; DATZBERGER, Simone; NAGAWA, Rehema; KUNG'U, Mary; BABU, Hellen; KABUTI, Rhoda; KIMANI, Joshua; BEATTIE, Tara S.; D'OLIVEIRA, Ana Flavia; RISHAL, Poonam; NYAKUWA, Robert; BELL, Sadie; BUKULUKI, Paul; CISLAGHI, Beniamino; TANTON, Clare; CONOLLY, Anne; MERCER, Catherine H.; SEELEY, Janet; BACCHUS, Loraine J.; DEVRIES, KarenCollecting data to understand violence against women and children during and after the COVID-19 pandemic is essential to inform violence prevention and response efforts. Although researchers across fields have pivoted to remote rather than in-person data collection, remote research on violence against women, children and young people poses particular challenges. As a group of violence researchers, we reflect on our experiences across eight studies in six countries that we redesigned to include remote data collection methods. We found the following areas were crucial in fulfilling our commitments to participants, researchers, violence prevention and research ethics: (1) designing remote data collection in the context of strong research partnerships; (2) adapting data collection approaches; (3) developing additional safeguarding processes in the context of remote data collection during the pandemic; and (4) providing remote support for researchers. We discuss lessons learnt in each of these areas and across the research design and implementation process, and summarise key considerations for other researchers considering remote data collection on violence.
conferenceObject Exploring health systems readiness for domestic violence in Brazil and Palestine(2020) COLOMBINI, M.; D'OLIVEIRA, A. F.; ALKHAYYAT, A.; SHAHEEN, A.; GARCIA-MORENO, C.; FEDER, G.; BACCHUS, L.- Factors associated with the severity of IPV perpetrated by substance using men towards current partner(2019) CANFIELD, Martha; RADCLIFFE, Polly; D'OLIVEIRA, Ana Flavia Pires Lucas; GILCHRIST, GailPurpose The purpose of this paper is to examine frequency and correlates of intimate partner violence (IPV) severity perpetrated by heterosexual men receiving treatment for substance use towards a current partner in the past 12 months. Design/methodology/approach A secondary analysis of a self-reported questionnaire (n=162) completed by men receiving treatment for substance use in England and Brazil was conducted. Types of IPV perpetration (emotional, physical and/or sexual IPV) and frequency of occurrence were assessed. A five level ordinal variable for IPV perpetration severity was created: no IPV, minor; moderate, low severe and high severe. Psychological and cultural correlates of perpetration severity were explored using ordinal logistic regression. Findings Approximately four in ten men reported perpetrating IPV towards their partner in the past 12 months, one in ten reported perpetrating severe IPV (including hitting with something, kicking or beating, choking or burning, threatening with/using a weapon, sexual IPV and frequent emotional IPV) during this period. A number of correlates of perpetration severity were identified: experiencing childhood physical abuse, witnessing IPV in childhood, perpetrating IPV in previous relationships, committing violence towards another man, controlling behaviours, technology-facilitated abuse, depressive symptoms, having a substance using partner, receiving treatment for illicit drug use, hazardous drinking and poly-drug use. Originality/value A strength of this study methodology is the use of a specific 12 months time frame for the perpetration of IPV towards current partner. The categorisation of levels of IPV perpetration based on types and frequency of violence occurrence was an additional valuable contribution of this study.
- Interventions in sexual and reproductive health services addressing violence against women in low-income and middle-income countries: a mixed-methods systematic review(2022) V, Natalia Lewis; MUNAS, Muzrif; COLOMBINI, Manuela; D'OLIVEIRA, A. F.; PEREIRA, Stephanie; SHRESTHA, Satya; RAJAPAKSE, Thilini; SHAHEEN, Amira; RISHAL, Poonam; ALKAIYAT, Abdulsalam; RICHARDS, Alison; GARCIA-MORENO, Claudia M.; FEDER, Gene S.; BACCHUS, Loraine J.Objectives To synthesise evidence on the effectiveness, cost-effectiveness and barriers to responding to violence against women (VAW) in sexual and reproductive health (SRH) services in low/middle-income countries (LMICs). Design Mixed-methods systematic review. Data sources Medline, Embase, Psycinfo, Cochrane, Cinahl, IMEMR, Web of Science, Popline, Lilacs, WHO RHL, ClinicalTrials.gov, Google, Google Scholar, websites of key organisations through December 2019. Eligibility criteria Studies of any design that evaluated VAW interventions in SRH services in LMICs. Data extraction and synthesis Concurrent narrative quantitative and thematic qualitative syntheses, integration through line of argument and mapping onto a logic model. Two reviewers extracted data and appraised quality. Results 26 studies of varied interventions using heterogeneous outcomes. Of ten interventions that strengthened health systems capacity to respond to VAW during routine SRH consultation, three reported no harm and reduction in some types of violence. Of nine interventions that strengthened health systems and communities' capacity to respond to VAW, three reported conflicting effects on re-exposure to some types of VAW and mixed effect on SRH. The interventions increased identification of VAW but had no effect on the provision (75%-100%) and uptake (0.6%-53%) of referrals to VAW services. Of seven psychosocial interventions in addition to SRH consultation that strengthened women's readiness to address VAW, four reduced re-exposure to some types of VAW and improved health. Factors that disrupted the pathway to better outcomes included accepting attitudes towards VAW, fear of consequences and limited readiness of the society, health systems and individuals. No study evaluated cost-effectiveness. Conclusions Some VAW interventions in SRH services reduced re-exposure to some types of VAW and improved some health outcomes in single studies. Future interventions should strengthen capacity to address VAW across health systems, communities and individual women. First-line support should be better tailored to women's needs and expectations. PROSPERO registration number CRD42019137167.
- Improving health system readiness to address violence against women and girls: a conceptual framework(2022) COLOMBINI, Manuela; MAYHEW, Susannah H.; GARCIA-MORENO, Claudia; D'OLIVEIRA, Ana Flavia; FEDER, Gene; BACCHUS, Loraine J.Background There is an increasing focus on readiness of health systems to respond to survivors of violence against women (VAW), a global human rights violation damaging women's health. Health system readiness focuses on how prepared healthcare systems and institutions, including providers and potential users, are to adopt changes brought about by the integration of VAW care into services. In VAW research, such assessment is often limited to individual provider readiness or facility-level factors that need to be strengthened, with less attention to health system dimensions. The paper presents a framework for health system readiness assessment to improve quality of care for intimate partner violence (IPV), which was tested in Brazil and Palestinian territories (oPT). Methods Data synthesis of primary data from 43 qualitative interviews with healthcare providers and health managers in Brazil and oPT to explore readiness in health systems. Results The application of the framework showed that it had significant added value in capturing system capabilities - beyond the availability of material and technical capacity - to encompass stakeholder values, confidence, motivation and connection with clients and communities. Our analysis highlighted two missing elements within the initial framework: client and community engagement and gender equality issues. Subsequently, the framework was finalised and organised around three levels of analysis: macro, meso and micro. The micro level highlighted the need to also consider how the system can sustainably involve and interact with clients (women) and communities to ensure and promote readiness for integrating (and participating in) change. Addressing cultural and gender norms around IPV and enhancing support and commitment from health managers was also shown to be necessary for a health system environment that enables the integration of IPV care. Conclusion The proposed framework helps identify a) system capabilities and pre-conditions for system readiness; b) system changes required for delivering quality care for IPV; and c) connections between and across system levels and capabilities.