Health promotion competencies in the multidisciplinary residency: capacity for change and health advocacy.

Health Promotion consists of individual and group strategies to achieve equity and reduce risks related to the Social Determinants of Health. This study aims to analyze the Capacity for Change and Health Advocacy domains of the CompHP in the reality of a Multidisciplinary Residency Program in Family and Community Health. This qualitative exploratory research was conducted with twenty-one participants.

Absenteeism Due to Mental Disorders in Agents Fighting Endemic Diseases in Ceará/Northeast Brazil.

Objective: The purpose of this study is to quantify the days away from work by mental disorders (MDs) in endemic fighting agents (EFAs) in the state in Northeast Brazil.

Methods: This is a historical cohort carried out from the survey of 584 expert medical records of EFA. The association measures were performed using Poisson regression models.

Chikungunya in Brazil: An epidemic of high cost for private healthcare, 2017.

Objective: We evaluated the impact of direct and indirect medical costs incurred through chikungunya infections in patients treated in Fortaleza, Brazil.

Methods: Cross-sectional study about the cost of illness. The valuation method of medical costs was based on the micro-costing approach (bottom-up).

Global burden of mental illness in agents fighting endemics.

Mental disorders are the main cause of the young and economically active population worldwide and in Brazil to live with disabilities, being an important public health problem nowadays. The objective was to estimate the burden of mental disorders among professionals working to combat endemic diseases in a state in northeastern Brazil. Medical records of workers linked to the Brazilian Ministry of Health in Ceará State and fighting endemic diseases were surveyed and, from this, a historical cohort was made.

Burden and Protection: Heterogeneous Effects of Occupational and Operational Stressors on Burnout Dimensions Among Firefighters.

Objective: To investigate the association between occupational stressors and Burnout dimensions among Brazilian firefighters.

Method: A cross-sectional study about firefighters (n = 237) was developed in Fortaleza, Northeast of Brazil. Logistic regression analysis was applied to investigate the association between high strain (high demand and low job control), low social support, high operational exposure, and Burnout dimensions (emotional exhaustion, depersonalization, and low personal accomplishment).

Exposure to Chemical and Biological Agents at Work and Cardiovascular Disease in Brazil: A Population-Based Study.

Objective: Investigating the relationship between exposure to chemical and biological agents at work and the occurrence of cardiovascular diseases in a Brazilian national health survey.

Methods: A cross-sectional study using the database of 36.442 participants from the Brazilian National Health Survey.

Does Sex-Obesity Intersectionality Play a Role in Labor Inactivity? Results From the Brazilian National Health Survey.

Objective: To investigate the association between sex-obesity intersection and labor inactivity and whether education modifies this relationship in a national health survey.

Methods: Cross-sectional study using the database of 43,456 participants from the Brazilian National Health Survey. Logistic Regression analyses were performed.

Parkinson Disease and Occupational and Environmental Exposure to Pesticides in a Region of Intense Agribusiness Activity in Brazil: A Case-Control Study.

Objective: To evaluate the relationship between occupational and environmental exposure to pesticides and Parkinson disease in a region of intense agribusiness activity in the state of Mato Grosso/Brazil.

Methods: Case-control study carried out in a referral hospital for chronic neurodegenerative diseases. Non-conditional logistic regression analyses were performed.

Common mental disorders among workers chronically exposed to pesticides: the case of workers involved in fighting endemic diseases.

Background: Common mental disorders are a considerable global public health concern and pose a high burden of disease especially in terms of years lived with disability (YLD).

Objective: To establish the prevalence of common mental disorders among workers involved in fighting endemic diseases in the state of Ceará, Brazil.

Methods: In the present cross-sectional study we administered the Self-Reporting Questionnaire 20, a screening tool for common mental disorders previously validated for use in Brazil.

Prevalence and factors associated with respiratory symptoms among civil construction workers: an occupational health surveillance proposal.

Background: The civil construction industry is associated with the some of the highest morbidity and mortality rates in Brazil. Despite their epidemiological relevance, occupational health surveillance actions within the primary care setting still exhibit weaknesses.

Objective: To analyze the prevalence of and factors associated with respiratory symptoms among civil construction workers in Cuiaba, Mato Grosso, Brazil.

Analysis of Risk Factors in Occupational Accidents in Brazil: A Population-Based Study.

Objective: To investigate the association of occupational risks factors, including specific work characteristics with the occurrence of accidents at workplace and on the way to work in Brazil.

Methods: We used a cross-sectional study design with comparison groups, to inquire data from 47,629 participants of the Brazilian National Health Survey. Logistic regression analysis was performed for distinct multivariate models.

Exposure to pesticides and acute intoxication in a region of intense agricultural production in Mato Grosso, Brazil, 2013.

Objective: to estimate the prevalence of acute poisoning by pesticides and associated factors in Mato Grosso, Brazil.

Methods: this was a cross-sectional study, the outcome of which was acute intoxication in the month prior to the interview, as diagnosed by a physician; multivariate analysis was performed using Poisson regression.

Results: we interviewed 753 individuals; acute intoxication occurred at a rate of 17%; the main associated factors were living near plantations (PR=2.

Surveillance of occupational accidents by sentinel workers' health centers in the municipality of Fortaleza, Northeast of Brazil.

This article examines the factors associated with the notification of occupational accidents by sentinel workers' health centers in the municipality of Fortaleza in the northeast of Brazil. An analytical cross-sectional study was conducted of five sentinel workers' health centers for serious and fatal occupational accidents. A total of 354 interviews were conducted with professionals responsible for notifying occupational accidents.

Management and use of water resources and the expansion of agribusiness: water for what and for whom?

This article aims to conduct an analysis of the correlation between the management and use of water resources with the expansion of agribusiness and its reflections in environmental and human contamination, pointing toward challenges for SUS in the area of monitoring pesticides in water for human consumption. It is qualitative study with an adopted methodological framework of the case study, applied in an area of agribusiness expansion in the semi-arid region of the state of Ceará. The results demonstrate that there exists an unequal relationship in the management and use of water, in which agribusiness in Ceará is prioritized for access to water at the expense of the great majority of the rural population.

Trends of chronic health effects associated to pesticide use in fruit farming regions in the state of Ceará, Brazil.

The lower valley of Jaguaribe has registered, since the XXI century, the arrival of transnational and regional companies, which led to deep transformations in this region. The increased use of the pesticides is one of the most important ones, being able to cause alterations in human procreation and leading to congenital deformations, besides premature birth and low weight newborns. This article is an ecological study related to the period from 2000 to 2010 in the population of some cities in the state of Ceará, and it was divided in two parts: the first one, a draft of historical series of morbidity and mortality databases and trend verification performed by a simple linear regression; the second one comprehends the calculation of the ratio of rates between cities that are highly exposed to pestiides and the cities selected for comparison, with history of little use of these substances.

[Irrigated perimeters as a geopolitical strategy for the development of the semi-arid region and its implications for health, labor and the environment].

An analysis was made of irrigated perimeters as a geopolitical strategy for expanding Brazilian agricultural frontiers and the "development" of the northeastern semi-arid region with respect to social determinants in health in rural communities. Research was conducted in the Chapada do Apodi in the states of Ceará and Rio Grande do Norte between 2007 and 2011. Various research techniques and tools were adopted, such as research-action, ethnographic studies, questionnaires and laboratory exams, water contamination analyses, social cartography and focal groups.

[The green rural economy: challenges to research and to public health policies posed by agricultural modernization].

In this paper, we ask ourselves who should, can and has the will to promote health in the rural zone today. The fields of science and public policy were chosen as our primary focus of dialogue conducted from the perspective of the right to health and a healthy environment. Seven lessons emerged: (1) in addition to the surveillance of isolated chemical risks, the relation between agrochemicals and health should be investigated in the context of conservative agricultural modernization; (2) it is mandatory and urgent to discover the health problems related to the use of agrochemicals; (3) the State has been successful in its support of agribusiness, but highly inefficient at enforcing policies to safeguard social rights; (4) sectors of society linked to rural organizations have played an important role in the public policies combating agrochemicals and protecting health; (5) studies must help deconstruct the myths surrounding the Green Revolution model; (6) we are faced with the challenge of contributing to the construction of an emerging scientific paradigm founded on an ethical-political commitment to the most vulnerable social elements; (7) rural communities are creating agro-ecological alternatives for life in semiarid areas.