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Publications (8)4.88 Total impact

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    ABSTRACT: This text deals with violence against women (VAW) as a scientific and practical object of Health. It is a theoretical and critical reflection related to historical processes that show convergences and distances between the approach of this violence as an issue and the health field particularities, creating contemporary conquests and challenges especially to Public Health. The text debates interdisciplinary aspects of this scientific object and some impacts to the knowledge production and to health actions. Considering the different scientific and practical cultures of Health and other fields that already deal with VAW, existing tensions between health perspective and violence as a socio-cultural phenomenon are showed, becoming critical when added the gender approach. Challenges are then created on dialogs between those fields in terms of: paradigms, scientific models and languages of each one; social intervention needs in every field; and the distinct relation between knowledge and social intervention presented in each field. On the other hand, the conquests related to human and social rights and the proposal of integral health are shown as convergences between these fields. To conclude, some possible answers to the challenges are considered.
    No preview · Article · Jul 2009 · Ciencia & saude coletiva
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    ABSTRACT: To estimate the prevalence of physical and/or sexual violence by intimate partners and factors associated with this, in different sociocultural contexts. This cross-sectional study formed part of the 'WHO Multi-country Study on Women's Health and Domestic Violence against Women'. It consisted of representative samples of women from the municipality of São Paulo (Southeastern Brazil) and from the Zona da Mata of Pernambuco (Northeastern Brazil), this latter is a region with more traditional gender norms. Interviews were conducted in the homes of 940 women in São Paulo and 1,188 in the Zona da Mata, in the years 2000-1. The women were aged 15 to 49 years and had all had at least one affective-sexual partnership with a man during their lifetimes. Three sets of factors were constructed, corresponding to hierarchically organized categories: sociodemographic, family and female autonomy/submission characteristics. Hierarchical logistic regression was used to analyze factors associated with intimate partner violence at each location. A prevalence of 28.9% was found in Sao Paulo (95% CI 26.0;31.8) and 36.9% (95% CI 34.1;39.6) in Zona da Mata. Up to eight years of schooling, conjugal physical violence between the women's parents, sexual abuse during childhood, five or more pregnancies and drinking problems were associated with intimate partner violence at both locations. Financial autonomy for the woman, informal partnership, age and consent to the first sexual intercourse were associated with higher rates only in Zona da Mata. The socioeconomic characteristics that presented associations in the first category were mediated by other factors in the final model. The findings show the relativization of socioeconomic factors in relation to other factors, particularly those representing gender attributes. Sociocultural differences were found between the two locations, and these were reflected in the associated factors.
    Full-text · Article · Apr 2009 · Revista de saude publica
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    ABSTRACT: This article presents partial data from a larger qualitative, socio-anthropological survey in five States of Brazil, aimed at grasping the perspec- tives of users in urban and rural areas on their contraceptive and reproductive experiences, and their perceptions concerning contraceptive and family planning care in the Unified National Health System. The article focuses on findings in the State of Rio de Janeiro from 60 individual semi-structured interviews with users 18 to 49 years of age in two primary care clinics in the State capital and one rural clinic under the Fam- ily Health Program (FHP). There was a greater diversity in the use of methods in the capital as compared to the interior, where tubal ligation was the only alternative to the pill. Group edu- cation work in the capital expands the possibili- ties for choice of methods and collective learning, although access to the IUD and tubal ligation is still considered problematic, due to difficulties in providing such care. The health services pri- oritize care for women that have already begun childbearing, and more care is needed for non- pregnant adult women and adolescents, in ad- dition to strengthening the educational work in the FHP.
    Preview · Article · Jan 2009 · Cadernos de Saúde Pública
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    Full-text · Article · Jan 2009
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    ABSTRACT: OBJETIVO: Estimar la prevalencia y los factores asociados a la violencia física y/o sexual por pareja íntima en diferentes contextos socioculturales.MÉTODOS: Estudio transversal, participante del WHO Multi-country Study on Women's Health and Domestic Violence against women, con muestra representativa de mujeres en el municipio de Sao Paulo (Sureste de Brasil) y Zona da Mata de Pernambuco (Noreste de Brasil), región con normas más tradicionales de género. Fueron entrevistadas en el domicilio 940 mujeres de Sao Paulo y 1.188 de la Zona da Mata, entre 2000-1, con edad entre 15 a 49 años, que tuvieron pareja afectiva-sexual con hombres en algún momento de la vida. Fueron construidos tres conjuntos de factores, correspondientes a bloques jerárquicamente ordenados: características sociodemográficas, familiares y aspectos referentes a la autonomía/sumisión femenina. Se utilizó regresión logística jerárquica en el análisis de los factores asociados a la violencia por pareja íntima en cada lugar.RESULTADOS: Se encontró prevalencia de 28,9% en Sao Paulo (IC 95% 26,0;31,8) y 36,9% (IC 95% 34,1;39,6) en la Zona da Mata. Escolaridad hasta ocho años, violencia física conyugal entre los padres de la mujer, abuso sexual en la infancia, cinco o más gestaciones y problemas con la bebida, se mostraron asociados a la violencia por pareja íntima en ambos lugares. Autonomía financiera de la mujer, unión informal, edad y consentimiento en la primera relación sexual, se mostraron asociados con las mayores tasas sólo en la Zona da Mata. Las características socioeconómicas asociadas en el primer bloque fueron mediadas por otros factores en el modelo final.CONCLUSIONES: Los resultados muestran la relatividad de los factores socioeconómicos delante de otros, en especial los representantes de atributos de género. En las dos localidades estudiadas fueron encontradas diferencias socioculturales que se reflejaron en los factores asociados.
    Full-text · Article · Jan 2009 · Revista de Saúde Pública
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    ABSTRACT: This article presents partial data from a larger qualitative, socio-anthropological survey in five States of Brazil, aimed at grasping the perspectives of users in urban and rural areas on their contraceptive and reproductive experiences, and their perceptions concerning contraceptive and family planning care in the Unified National Health System. The article focuses on findings in the State of Rio de Janeiro from 60 individual semi-structured interviews with users 18 to 49 years of age in two primary care clinics in the State capital and one rural clinic under the Family Health Program (FHP). There was a greater diversity in the use of methods in the capital as compared to the interior, where tubal ligation was the only alternative to the pill. Group education work in the capital expands the possibilities for choice of methods and collective learning, although access to the IUD and tubal ligation is still considered problematic, due to difficulties in providing such care. The health services prioritize care for women that have already begun childbearing, and more care is needed for non-pregnant adult women and adolescents, in addition to strengthening the educational work in the FHP.
    Preview · Article · Jan 2009 · Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública
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    ABSTRACT: To analyze the results from the "WHO Multi-country Study on Women's Health and Domestic Violence", on the prevalence of intimate partner violence against women found in Brazil. This cross-sectional study was part of the "WHO Multi-country Study on Women's Health and Domestic Violence against women", which was carried out in ten countries between 2000 and 2003. All the countries used a standardized structured questionnaire, devised for this study. In order to obtain data from contrasting settings within each country, the biggest city and a rural region were investigated whenever feasible. A representative sample of women aged 15 to 49 years was selected from the city of São Paulo and 15 municipalities in a rural region of the northeast, the Zona da Mata de Pernambuco. The study included 940 women from São Paulo and 1,188 from Zona da Mata de Pernambuco who had had an intimate partner at some time in their lives. Violence was classified as psychological, physical and sexual types, and was analyzed in relation to overlapping, recurrence of episodes, severity and when it occurred. The women in São Paulo and Pernambuco respectively reported the following at least once in their lifetimes: psychological (N=383; 41.8% and N=580; 48.9%); physical (N=266; 27.2% and N=401; 33.7%); sexual (N=95; 10.1% and N=170; 14.3%) violence. There was significant overlapping among the types of violence, which seemed to be associated with the most severe types of violence. The greatest single type was psychological violence, in São Paulo and Pernambuco (N=164; 17.5% and N=206; 17.3%), and the smallest was sexual violence (N=2; 0.2% and N=12; 1.0%). The results show that violence is a very common phenomenon. The findings reiterate previous international studies results with regard to high magnitude and overlapping of types of intimate partner violence.
    Full-text · Article · Nov 2007 · Revista de Saúde Pública
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    Full-text · Article · Oct 2007 · Revista de Saúde Pública