Women and individuals who were older, poorer or less educated considered their health condition to be fair or poor. The higher the number of self-reported morbidities, the greater the proportion of individuals with negative self-rated health; the effect of morbidities was greater in women.
Objective. To describe the prevalence of medical visits and associated factors in an adult population of a medium-sized municipality in Southern Brazil. MethOds. A cross-sectional population-based study was carried out in a representative random cluster sampling in Lages, state of Santa Catarina, Brazil. The reference population comprised adults (aged 20 to 59 years) and 2,022 individual were interviewed. The outcome was medical visits during the 12 months prior to the study. Data related to the type of service (public/private) and evaluation of this services were also collected. The independent variables were gender, race/skin color, marital status, income, schooling, health self-perception, nutritional status, self-reported diabetes, high blood pressure, smoking, and alcohol-related problems. Poisson regression was carried out and the prevalence rate was obtained. Results. The prevalence of medical visits was 76.0% (95%CI 73.6-78.4). Women, those with higher income, those who had diabetes, smokers, ex-smokers, those having alcohol-related problems, and those who evaluated their health negatively reported a higher prevalence of medical visits. We also found that among lower income people, medical visits to the Unified Health System (Sistema Único de Saúde) were more frequent. cOnclusiOn. Prevalence of medical visits varied according to the population studied. Health policies at the three government levels must acknowledge such inequality to subsidize actions in the sector to suggest equality policies.
The aim of this study was to estimate the prevalence of insufficient physical activity and to find the factors associated to this outcome in Lages, Santa Catarina, Brazil (2007). A cross-sectional population-based study was carried out in a representative sample of individuals between 20 and 59 years of age (n=2,051). Physical activity was estimated using the short version of the International Physical Activity Questionnaire. Insufficient physical activity was defined as less than 150 minutes per week spent in moderate or vigorous physical activity. The prevalence of insufficient physical activity was 29.6% (95%CI: 27.6; 31.7). The associated factors were to be male, obese, have high income, and negative self-perception of health status. The prevalence of insufficient physical activity was lower than reported by other Brazilian studies. Studies that distinguish different types of physical activity can contribute to a better understanding of the problem. The implementation of public policies that encourage the practice of regular exercises is required.
1 INICIANDO A REFLEXÃOEste ensaio tem como propósito refletir e atualizar o conceito de mediação que, minado por incertezas e opacidade, requer um novo exercício de compreensão, de modo a favorecer a renovação da nossa capacidade de agir e educar. Mais do que qualquer outra estratégia de ação, caberá ao professor assumir-se como mediador de emoções num mundo cujas relações sociais se apresentam cada vez mais complexas.No marco de várias contradições, a escola é pressionada a revisar-se como uma instituição transmissora de conteúdos tradicionais inerentes a sua função educadora, alterando esta função para uma maior complexidade. De maneira sistemática, é necessário privilegiar capacidades mais complexas, potencializando no sujeito que aprende a articulação entre o raciocínio lógico (razão) e a sensibilidade humana (emoção), diante do desafio de mediar os conflitos sociais que prejudicam uma convivência saudável.É preciso renovar o modo de pensar a sociedade e refletir sobre uma postura mais integradora, para que os sujeitos sociais possam seguir sua trajetória humana. Para tanto, alguns paradigmas e posturas precisam ser revistos. Vivemos um momento de transição paradigmática, como designa Santos (2000).Essa reflexão 2 , retomada no campo da Educação, área do conhecimento em que atuo, diz respeito ao desafio da "reforma do pensamento" recomendada por Morin (2000, p. 20); e sugere caminhos inovadores para a prática pedagógica que assumimos.
Apresenta-se a discussão do "Grupo de Educação Permanente" do curso de Medicina da Universidade do Planalto Catarinense (Uniplac/Lages-SC) acerca da experiência que desenvolve na capacitação dos professores da saúde. As principais reflexões se voltam à estratégia metodológica de trabalho adotada pelo grupo, que tem como desafio desenvolver a capacidade de aprender a aprender, cujo processo se refere às aprendizagens que o indivíduo realiza por si mesmo, nas quais está ausente a transmissão de conhecimentos. Esta mudança paradigmática diz respeito à busca de uma educação fundamentada na autonomia, no respeito à diferença e na construção de vínculos. As informações aqui registradas permitem analisar a evolução desse trabalho em vários aspectos e constituem fonte de pesquisa e reflexão para a continuidade de nossa proposta de educação permanente.
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