English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Tuberculosis (TB) among Bolivians has presented an important epidemiological magnitude in the City of São Paulo. Objective: To analyze the sociodemographic characteristics of work and the Health-Disease Process (HDP) for a group of Bolivian immigrants with TB, who were treated in Basic Health Units (BHUs) in the region of Health Technical Supervision in Penha (HTS-Pe), of the Health Department in the City of São Paulo. Methods: A study of qualitative and quantitative approach, developed in the HTS-Pe area that, in the first step, used the database generated by the TBWeb system to identify the epidemiological profile of people with TB, Bolivians and non-Bolivians living in the region during the period of 2006-2013. These data were summarized using the statistical package R. In the second step, interviews were carried out with 22 Bolivians in treatment in BHUs during 2012 e 2013, which were analyzed according to the speech analysis technique and interpreted following hermeneutics-dialectics and the Theory of Social Determination of the HDP. Results: The first stage of the study included 225 Bolivians and 2031 nonBolivians. The comparison between the groups showed significant differences in relation to: age, race/color, occupation, place of residence, comorbidities, clinical form of the disease, type of discovery, place of treatment, HIV testing, BAAR, Directly Observed Treatment (DOT) and outcome. In the second stage the following were prevalent: 59.1% were male, 90.9% between the ages of 20 and 39, 72.8% came from La PazBolívia, 59.1% were in Brazil for at least 5 years, 90.9% had eight or more years of schooling, 85.6 were couturiers/seamstresses, and 71.4% worked 50 or more hours per week. In relation to the disease: 81.8% of TB cases was diagnosed in emergency and hospitalization services; 81.8% were new cases, 90.9% had pulmonary TB, 77.3% had less than 80% of the contacts examined and 27.3% had DOT. Of the interviewees' statements three analytical categories emerged: Work, HDP and Health Assistance. A preponderance of the category Work over HDP was identified. This illness interferes with routine work and respondents identified as causes of disease, the lack of ventilation in the workplace and a poor diet, among others. Adherence to treatment is motivated by confidence in the healing medication and to prevent transmission to close family members. Regarding the assistance provided, the Bolivians have identified problems with the language, and feel discrimination in the attitudes of the health professionals. Most patients did not receive information during the DOT and the benefits that could be coming from the strategy, in addition to having difficulty to receive the medication in the BHUs. However, they had recognized the importance of the free health services. Conclusion: The HDP of immigrants proved to be intrinsically related to the working conditions under which this group is submitted. The need to reorganize the care model in order to match health, as a inherent right of citizenship, was pointed out.

Trabalho e adoecimento por tuberculose em bolivianos atendidos nas Unidades Básicas de Saúde da Supervisão Técnica de Saúde Penha/São Paulo