Publications by authors named "Aline Guio Cavaca"

6 Publications

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Peer education: youth protagonism in a preventive approach to alcohol and other drugs.

Cien Saude Colet 2021 Jul 2;26(7):2759-2768. Epub 2021 Apr 2.

Diretoria Regional de Brasília, Fundação Oswaldo Cruz. Campus Universitário Darcy Ribeiro, Asa Norte. 70750540 Brasília DF Brasil.

This article describes the experience of the course in Health and Safety at School, which prepared young people to spread knowledge on prevention of alcohol and other drugs, using the peer education methodology. The participants were sixty 15 to 19 year-old upper secondary school students from 8 public schools in the Federal District. The activity was structured into 8 modules, with each module consisting of a meeting to discuss content, followed by field work at the schools, where students trained their colleagues and passed on information to them; and, lastly, a further meeting for the students to give feedback on their experience in the field. All activities were recorded in field diaries, photographs, and reports, providing input to this experience report. Finally, a student forum was held at which the young people presented projects to be carried out at the schools. The peer education experience enabled the young people to take the lead in their school community and territory, and acknowledged the value of sharing among people with similar experiences. It thus favoured the development of critical, artistically potent strategies for preventive action directed to adolescents in situations of social vulnerability and fostered health promotion in the school.
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http://dx.doi.org/10.1590/1413-81232021267.07322021DOI Listing
July 2021

[Implementation of the More Doctors Program in Espírito Santo State, Brazil: logic model and proposed indicators].

Cad Saude Publica 2020 1;36(5):e00043219. Epub 2020 Jun 1.

University of Massachusetts Boston, Boston, USA.

The study aimed to assess the implementation of the More Doctors Program (PMM in Portuguese) based on a case study of the Espírito Santo State, Brazil. The first stage involved analyzing the documents that launched the PMM, allowing the creation of a logic model. In the second stage, data on the PMM in Espírito Santo State were analyzed (2013-2016) based on population brackets, creating indicators for the proportion of physicians before and after the Program with the following parameters: unacceptable (0 to 0.99 physicians/1,000 inhabitants); acceptable (1 to 1.99); and desirable (2.0 or more). Data were analyzed with the Wilcoxon and Kruskal-Wallis non-parametric tests. The model included the size, inputs, activities, outputs, results, and impact of the PMM, orienting analysis of the Program's implementation. Of all the physicians in the emergency supply to Espírito Santo State (432), the majority (63.8%) were cooperative exchange physicians (Cubans), while 31.2% were regional board-accredited Brazilians. The Brazilian and individual exchange physicians were allocated mainly in medium and large municipalities, while the Cubans were distributed more heterogeneously in municipalities of all population sizes and were thus more common in areas with greater social vulnerability and lower social capital. There was a significant increase in the number of physicians in Espírito Santo State, but the supply to the extremely poor population did not reach the desired level, presenting an unacceptable mean rate in municipalities with up to 10,000 inhabitants and an acceptable rate in municipalities in the other population brackets.
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http://dx.doi.org/10.1590/0102-311x00043219DOI Listing
October 2020

[Diseases neglected by the media and strategies for visibility from the viewpoint of key actors].

Hist Cienc Saude Manguinhos 2019 Sep 16;26(3):933-950. Epub 2019 Sep 16.

Professor, Departamento de Medicina Social/ Universidade Federal do Espírito Santo. Vitória - ES - Brasil.

Although health is a recurrent topic in newspapers, some diseases are visibly excluded from this coverage, originating diseases neglected by the media. The goal of this study was to identify - based on the opinion of journalists, press officers, health managers, and government health advisors - these diseases along with strategies for dealing with media neglect. The qualitative study was based on 19 semi-structured interviews with key actors. Data was submited to thematic content analysis using Maxqda software. The neglected diseases include infectious and parasitic diseases, rare diseases, periodontal diseases, cancer, and work-related illnesses.
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http://dx.doi.org/10.1590/S0104-59702019000300012DOI Listing
September 2019

Diseases Neglected by the Media in Espírito Santo, Brazil in 2011-2012.

PLoS Negl Trop Dis 2016 Apr 26;10(4):e0004662. Epub 2016 Apr 26.

Post-graduate Program in Public Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.

Background: The aims of the present study were to identify and analyse the Diseases Neglected by the Media (DNMs) via a comparison between the most important health issues to the population of Espírito Santo, Brazil, from the epidemiological perspective (health value) and their effective coverage by the print media, and to analyse the DNMs considering the perspective of key journalists involved in the dissemination of health topics in the state media.

Methodology: Morbidity and mortality data were collected from official documents and from Health Information Systems. In parallel, the diseases reported in the two major newspapers of Espírito Santo in 2011-2012 were identified from 10,771 news articles. Concomitantly, eight interviews were conducted with reporters from the two newspapers to understand the journalists' reasons for the coverage or neglect of certain health/disease topics.

Principal Findings: Quantitatively, the DNMs identified diseases associated with poverty, including tuberculosis, leprosy, schistosomiasis, leishmaniasis, and trachoma. Apart from these, diseases with outbreaks in the period evaluated, including whooping cough and meningitis, some cancers, respiratory diseases, ischaemic heart disease, and stroke, were also seldom addressed by the media. In contrast, dengue fever, acquired immune deficiency syndrome (AIDS), diabetes, breast cancer, prostate cancer, tracheal cancer, and bronchial and lung cancers were broadly covered in the period analysed, corroborating the tradition of media disclosure of these diseases. Qualitatively, the DNMs included rare diseases, such as amyotrophic lateral sclerosis (ALS), leishmaniasis, Down syndrome, and verminoses. The reasons for the neglect of these topics by the media included the political and economic interests of the newspapers, their editorial line, and the organizational routine of the newsrooms.

Conclusions: Media visibility acts as a strategy for legitimising priorities and contextualizing various realities. Therefore, we propose that the health problems identified should enter the public agenda and begin to be recognized as legitimate demands.
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http://dx.doi.org/10.1371/journal.pntd.0004662DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4846084PMC
April 2016

[Between evidence and negligence: coverage and invisibilityof health topics in the Portuguese printed media].

Cien Saude Colet 2015 Nov;20(11):3569-80

Centro de Estudos Sociais, Universidade de Coimbra, Coimbra, Portugal.

The scope of this study is to conduct an assessment of the media coverage and dissemination of health issues in Portugal in order to problematize the aspects of coverage and invisibility of health topics and establish the themes neglected in media coverage. To achieve this, the coverage on health issues in the Portuguese daily newspaper Público was compared with the epidemiological context regarding health priorities and the perceptions of key players on media dissemination and the themes that are relevant to the Portuguese population. The results showed that the recurrent health-associated themes do not deal with diseases per se, but with the politics and economics of health and medication. The themes neglected in media coverage identified in the Portuguese context include: communicable diseases, such as hepatitis and tuberculosis; issues related to mental health and suicide; and ailments and social consequences associated with the economic crisis that has beset Portugal recently. From the standpoint of the people interviewed, other neglected diseases include hemochromatosis and other rare diseases. In tandem with this, the study highlights the well covered media themes that revolve around the lives and activities of celebrities, which are exhaustively aired in the communication media in the country.
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http://dx.doi.org/10.1590/1413-812320152011.18342014DOI Listing
November 2015

[Oral health in the printed media: analysis of newspaper articles in the years 2004-2009].

Cien Saude Colet 2012 May;17(5):1333-45

Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

This study seeks to outline the main characteristics of the texts on oral health that appeared in the printed media in the State of Espírito Santo from 2004 to 2009, in order to analyze and compare the issues, approaches and journalistic relevance related to the theme prioritized in A Tribuna and A Gazeta newspapers. Exploratory documentary research was conducted, based on quantitative content analysis of the material, which established that the issues included ranged from information about oral health policies, community service and prevention of oral health diseases, to the "aesthetic tendencies" of the smile. It also covered the dissemination of new technologies and dental specialties and there was a predominance of even-numbered pages, fewer first page texts and full-page coverage. This implies a moderate appreciation of these issues, different editorial projects, plus the difference in target audience that determined the journalistic standard and the predominance of specialized sources. Despite the oral health articles not revealing journalistic "scoops", they can be reworked using conscious journalistic techniques, in order to elicit the extraordinary from the ordinary, giving rise to texts of social relevance in both newspapers.
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http://dx.doi.org/10.1590/s1413-81232012000500027DOI Listing
May 2012
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