... 7 Carlos EA Coimbra Jr. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro ... de morbi-mortalidade por doenças infecto-parasitárias, elevada mortalidade infantil e desnutrição (Coimbra & Santos, 2001;... more
... 7 Carlos EA Coimbra Jr. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro ... de morbi-mortalidade por doenças infecto-parasitárias, elevada mortalidade infantil e desnutrição (Coimbra & Santos, 2001; Gugelmin et al., 2001; Pithan et al., 1991). ...
Objetivo. Reflexionar sobre la figura del agente indígena de salud en Brasil y sobre el papel que éste ejerce en el modelo de atención diferenciada o intercultural. Material y métodos. Se revisó la bibliografía de investigaciones... more
Objetivo. Reflexionar sobre la figura del agente indígena de salud en Brasil y sobre el papel que éste ejerce en el modelo de atención diferenciada o intercultural. Material y métodos. Se revisó la bibliografía de investigaciones existentes en el área del trabajo y la formación de los agentes indígenas de salud, del subsistema de salud indígena en Brasil. Resultados. Existe subordinación del agente al modelo médico hegemónico. Los agentes carecen de procesos formativos iniciales, los cursos ocurren con irregularidad y los contenidos se enfocan en la biomedicina. Hay conflictos con el equipo y con la comunidad, lo que genera su desvalorización. El agente no ejerce la función de mediación que se espera entre saberes y prácticas. Conclusiones. La discusión sobre la atención diferenciada debe partir de la relación entre el sector salud y la autoatención.
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O processo de alcoolização em populações indígenas do Alto Rio Negro e as limitações do CAGE como instrumento de screening para dependência ao álcool* The process of alcoholization among the indian population of the Upper Rio Negro river and CAGE's limitations as a screening instrument for alcoho...more
Background: Through a qualitative and interdisciplinary investigation as to the theoretical validity of CAGE as a screening instrument for alcohol dependence among the Upper Rio Negro Indian population, the use of alcohol as a theme among... more
Background: Through a qualitative and interdisciplinary investigation as to the theoretical validity of CAGE as a screening instrument for alcohol dependence among the Upper Rio Negro Indian population, the use of alcohol as a theme among culturally diverse groups is approached by studying the assignment of meanings to drinking and the answers given to CAGE by the interviewed Indians. Methods:
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This study identifies theoretically-based predictors of condom use in a sample of 251 sexually active adults recruited from Sao Gabriel da Cachoeira and six indigneous communities of the Upper Rio Negro region of Amazonas Brazil. The... more
This study identifies theoretically-based predictors of condom use in a sample of 251 sexually active adults recruited from Sao Gabriel da Cachoeira and six indigneous communities of the Upper Rio Negro region of Amazonas Brazil. The information-motivation-behavioral skills (IMB) model of AIDS-preventive behavior was used to describe the roles of HIV/AIDS knowledge, experiences with and attitudes toward condom use, peer influences, perceived vulnerability, monogamy and behavioral skills. A predictive path analytic model revealed significant predictors of more condom use including male gender, greater sexual HIV knowledge, positive experiences and attitudes about condom use, multiple partners, and greater behavioral skills. Results suggest that attention to behavioral skills for negotiating safer sex and instruction in the correct use of condoms are important elements in reducing high risk behaviors. Increasing the specific knowledge level of indigenous people regarding the complexities of sexual transmission of HIV is crucial and should be addressed. Heightening individuals' understanding of the limited protection of serial monogamy, and the need to conduct gender-specific training for behavior change to reduce transmission of HIV should be an additional goal of Brazilian health professionals. Obstacles to the implementation of the IMB HIV prevention program in Amazonas are noted and an alternative Brazilian HIV/AIDS prevention program is discussed.
Research Interests: Immunology, Brazil, Risk Taking, Adolescent, Motivation, and 15 moreSocial behavior, Humans, Sex Education, South American Indians, Female, Male, Sexual Behavior, Middle Aged, Theoretical Models, Adult, Social Behavior, Condoms, Sexual Partners, Cellular Molecular Biology, and Biochemistry and cell biology
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ABSTRACT
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To discuss the role of indigenous health agents in the implementation of the model of differentiated attention or intercultural health in Brazil. We revised the scientific literature about the work and professional education of indigenous... more
To discuss the role of indigenous health agents in the implementation of the model of differentiated attention or intercultural health in Brazil. We revised the scientific literature about the work and professional education of indigenous health agents in the Brazilian indigenous health system. There is a subordination of the agents to the hegemonic medical model. With regards to professional education, we observe the absence and irregularity of these processes, with a general emphasis the biomedicine. There are conflicts with the health team and community, with devaluation of the agents. The agent does not plays the role of mediator between the different health knowledge and practices. We suggest that the discussion of the model of differentiated attention should strengthen the relationship between the health system and the selfcare.
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Representations about youth vary historically and culturally. In the Upper Rio Negro, there are indigenous groups with over three centuries of contact with the non-indigenous world. In recent years, male initiation rites were suppressed... more
Representations about youth vary historically and culturally. In the Upper Rio Negro, there are indigenous groups with over three centuries of contact with the non-indigenous world. In recent years, male initiation rites were suppressed and formal schooling was introduced. These events led to a redefinition of significance in forms of representation at different stages of life. This work sought to understand the construction of the Indian representation of youth; how they correlate with the other life cycle phases and how they contribute to configuring structured social practices in this social group. Several mythical stories dealing with intergenerational relationships have been reviewed; these were correlated with significant stages of life, with other local narratives, and with data gathered from direct observation. The study concludes that the representations about youth have been configured by the social roles of the initiating/initiated, in a currently contradictory fashion, u...