TEDE Coleção:

Programa bolsa família e associação com alterações emocionais em crianças de uma coorte em São Luís - MA.

Tue, 24 Feb 2026 00:00:00 GMT

Título: Programa bolsa família e associação com alterações emocionais em crianças de uma coorte em São Luís - MA. Autor: CARVALHO, Eliane Maria Nascimento de Primeiro orientador: SILVA, Antônio Augusto Moura da Abstract: Childhood is a period sensitive to the impact of socioeconomic factors, especially poverty, which negatively affects emotional, behavioral, and cognitive development. In Brazil in 2022, 62.5 million individuals were living in poverty, of whom 17.9 million were living in extreme poverty. The instability of family income to meet basic needs exposes children to social vulnerability, raising the risk of mental disorders. Income Transfer Programs, such as Bolsa Família, have been implemented as strategies to combat poverty, with positive effects on health, education and nutrition indicators. There is increasing evidence suggesting that PTR may indirectly influence children's mental health, but the results are heterogeneous and not well established. In the Maranhense context, marked by socioeconomic inequalities, investigating this relationship is crucial to understand the associations between income transfer and emotional alterations of children. Objective: Analyze the association between income transfer in early childhood and the presence of emotional problems in adolescents participating in the Brazilian Birth Cohort Studies, Ribeirão Preto and São Luís, Maranhão. Method: Cross-sectional study carried out in São Luís (MA), including 488 children from families with income ≤ R$ 140.00 valued at 1-3 years and 11-13 years of age. The exposition was to be a beneficiary of the Bolsa Família Program (PBF) and the loss was alterations in emotions and behavior, measured by the SDQ score. Negative binomial regression was used to estimate taxa ratios, considering significance of p < 0.05. The theoretical model, represented by directed acyclic graph (DAG), oriented to the selection of adjustment variables. Results: It was observed that 48.2% were beneficiaries of the Bolsa Família Program and the average SDQ score was 10.36 (±6.53). No association was observed between PBF and the presence of emotional and behavioral alterations in adolescents in raw (p = 0.707) or adjusted (p = 0.829) models. As a secondary symptom, the presence of symptoms of psychological distress in most women is associated with higher SDQ scores among children and adolescents (IRR: 1.20; 95% CI: 1.06-1.37). Conclusion: A direct effect of PBF on psychic alterations in children aged 11-13 was not observed. The results suggest that public policies aimed exclusively at poverty reduction, however, may be insufficient to promote consistent improvements in children's mental health. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação

11° Conferência Estadual de Saúde do Maranhão: análise a partir da teoria da desdemocratização

Sun, 22 Mar 2026 00:00:00 GMT

Título: 11° Conferência Estadual de Saúde do Maranhão: análise a partir da teoria da desdemocratização Autor: MUNIZ, Ingrid Feitoza Primeiro orientador: PINHO, Judith Rafaelle Oliveira Abstract: Introduction: the Health Conferences are deliberative instances of Social Control of the Unified Health System institutionalized by Law n° 8142/1990. Every four years, civil society brings together to analyze public health and propose guidelines to compose health plans and policies. Despite their democratic potential, they face organizational and structural weaknesses both at the national and local levels, in a context of de-democratization of democratic institutions. In Maranhão, the 11th State Health Conference of Maranhão took place amid political polarization and budgetary dependence. The study analyzes its organization and challenges, contributing to the understanding of Social Control in the state of Maranhão. Objective: to analyze the organizational and structural context of the 11th State Health Conference of Maranhão. Methods: this is a qualitative research on the organization of the 11th State Health Conference of Maranhão. The study took place in São Luís – MA, from May 2023 to October 2025. The study population consists of the Organizing Committee and the Executive Committee of the conference, which totals 26 members, nine of whom participated in this study. As a research instrument, a semi-structured interview was prepared and data collection took place between June 2023 and August 2024. Content analysis of the interviews was carried out, according to the method of Bardin (2011), through the NVivo platform, resulting in three categories of analysis. The theoretical framework to support the analysis and discussion was Brown's Theory of Dedemocratization (2015). Results and Discussion: the interviews showed that the organization of the conference had weaknesses such as financial dependence, delays in resources, management failures and low leadership renewal, which limited autonomy and participatory effectiveness, reflecting the process of Dedemocratization described by Brown (2015). On the other hand, social mobilization, institutional partnerships, learning, integration and democratic exercise were highlighted as potentialities that strengthened the event. Finally, even in the face of structural and organizational challenges, the resistance of Social Control in the face of institutional dismantling and the advance of neoliberalism was evident. Final Considerations: despite the weaknesses and limitations of the conference in the midst of thecontext of Dedemocratization, the 11th State Health Conference of Maranhão reaffirmed the right to social participation in the management of health policies and evidenced the resistance of democratic institutions. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação

MARCADOR INFLAMATÓRIO COMO MEDIADOR ENTRE ADIPOSIDADE E SONO EM ADULTOS DA COORTE DE 1993 DE PELOTAS

Fri, 20 Feb 2026 00:00:00 GMT

Título: MARCADOR INFLAMATÓRIO COMO MEDIADOR ENTRE ADIPOSIDADE E SONO EM ADULTOS DA COORTE DE 1993 DE PELOTAS Autor: SILVA, Emanuellen Coelho da Primeiro orientador: SILVA, Antônio Augusto Moura da Abstract: Introduction: Evidence shows that body adiposity is associated with changes in sleep, and inflammatory processes may play a mediating role in this relationship. Objective: To evaluate whether C-reactive protein (CRP) at 22 years mediates the association between the Index of Fat Mass (IFM) at 18 years and sleep duration at 30 years in adults from the 1993 Pelotas Birth Cohort. Methods: This longitudinal study included 2,158 participants. IFM was assessed at 18 years using air-displacement plethysmography (Bod Pod®). Serum CRP was measured at 22 years, and mean sleep duration (hours) was estimated at 30 years using accelerometry. Mediation analyses were conducted using the mediation package in R (version 2025.06.1+524), considering crude and adjusted models for sex, skin color, education, employment, alcohol consumption, smoking, screen time, food intake, physical activity, illicit drug use, anxiety, and depressive symptoms. The robustness of the findings was tested through a sensitivity analysis. Results: In the crude analysis, IFM was positively associated with sleep duration (β: 0,016; 95% CI: 0,004; 0,027; p = 0,007). In the adjusted analysis, this association persisted but became negative (β: −0,020; 95% CI: −0,034; −0,006; p = 0,003). In the unadjusted mediation analysis, CRP mediated the association between IFM and sleep (ACME = 0,007; p = 0,004), although the average direct effect (ADE) was not significant. After adjusting for covariates, CRP mediation lost significance (ACME = 0,001; p = 0,374), and the direct effect of IFM became negative and significant (ADE = −0,022; p = 0,004). Sensitivity analysis indicated that the mediating effect was small and not robust to unmeasured confounders. Conclusion: The findings suggest that CRP does not play a relevant mediating role in the association between early adiposity and sleep duration in adulthood. Conversely, higher IFM levels in youth were directly associated with shorter sleep duration at age 30, emphasizing the importance of preventing excess adiposity from early adulthood. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação; Trabalho sob Sigilo. Motivo: o trabalho ainda se encontra em fase de ajustes para submissão a periódico científico, incluindo tramitação prévia com colaboradores externos e validação por coautores. Data Provável de Liberação: 6 meses.

Análise da representação dos profissionais de saúde nos conselhos de saúde brasileiros

Thu, 12 Feb 2026 00:00:00 GMT

Título: Análise da representação dos profissionais de saúde nos conselhos de saúde brasileiros Autor: CAVALCANTE, Marta Rocha Primeiro orientador: PINHO, Judith Rafaelle Oliveira Abstract: Social participation is a structural principle of the Brazilian Unified Health System (SUS), institutionalized through Health Councils, which are collegiate bodies responsible for formulating strategies and monitoring the implementation of public health policies. In this context, the representation of health workers plays an important role by incorporating technical knowledge and professional demands into deliberative processes. This study aimed to analyze the distribution of representative entities of higher-level health professionals in Health Councils across Brazilian health regions, based on data from the Health Councils Monitoring System (SIACS). This is a descriptive and exploratory study with a quantitative approach, using secondary data from SIACS and the National Registry of Health Establishments (CNES). The results revealed an unequal distribution of professional representation, with greater participation of certain professional categories and lower presence of other health professions. It was also observed that 47.8% of health regions did not record representative entities of higher-level health professionals in SIACS, indicating significant informational gaps regarding the composition of Health Councils. These findings suggest weaknesses in monitoring the participation of health workers in social control institutions and possible asymmetries in professional representation within these deliberative spaces. It is concluded that strengthening participatory governance in the SUS requires improvements in information systems and institutional strategies that promote greater diversity and balance in the representation of professional categories in Health Councils. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação