RESUMO
OBJECTIVE: To analyze the individual and contextual factors associated with the purchase of alcoholic beverages by adolescents in Brazil. METHODOLOGY: A cross-sectional study with data from the National Adolescent Health Survey (2015). The study sample consisted of 21,125 adolescents who reported having consumed alcohol in the 30 days before the survey. Bivariate and multivariate analysis was performed by calculating the Prevalence Ratios in a multilevel Poisson Regression (95%CI) to verify the effect of individual variables, school context, and Brazilian federation units on the outcome. RESULTS: 17.54% (95%CI 17.03-18.06) bought the alcoholic beverage for their consumption. The outcome was associated with male gender (PR 1.69; 95%CI 1.56-1.83), the age group from 15 to 17 years old (PR 1.52 95%CI 1.41-1.65), who ingested alcohol more than six times in 30 days (PR 1.47; 95%CI 1.37-1.61), who work (PR 1.26 95%CI 1.16-1.37), who are children of women with low education, who study in public schools (RP 1.16 95%CI 1.04-1.30), who missed classes (RP 1.14 95%CI 1.05-1.23) and who do not have a follow-up responsible in their free time (PR 1.13 95%CI 1.04-1.21) and who live in states with higher illiteracy rates of people aged 25 years old and over (PR=1.19; 95%CI 1, 02-1.39). CONCLUSION: The adolescents' access to alcohol purchase was associated with individual factors, the school context, and the federation unit. These findings indicate the importance of strengthening health promotion aimed at vulnerable youth people.
Assuntos
Bebidas Alcoólicas , Instituições Acadêmicas , Adolescente , Adulto , Brasil/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Análise Multinível , Fatores SocioeconômicosRESUMO
BACKGROUND: For acting at the level of the community and mediating between it and health services, the role of community health agents (CHA) is essential. For this reason, this occupational group needs satisfactory quality of life and working conditions to ensure their well-being and improve the quality of their work. On these grounds, the present study is justified as a means to reflect on the work process of this occupational group and enable suggestions for improvements. OBJECTIVE: To discuss strategies to improve CHA's quality of life and work. METHODS: Exploratory study with qualitative analysis conducted with CHA in Currais Novos, Rio Grande do Norte, Brazil. RESULTS: Strategies suggested to improve quality of life and work focused on mental and physical aspects and the essential resources needed for work. CONCLUSION: Discussions and sound grounds are needed for initiatives to improve the living and working conditions of CHA and thus achieve a positive impact on this population of workers, and consequently also on their daily actions.
INTRODUÇÃO: O agente comunitário de saúde (ACS) tem papel fundamental ao atuar nas comunidades, interligando os serviços de saúde à população. Nesse contexto, é importante que esses profissionais tenham qualidade de vida e trabalho, para que possam ter bem-estar e ao mesmo tempo proporcionar maior qualidade na prestação de suas atribuições. Dessa forma, a pesquisa justifica-se como uma forma de repensar o processo de trabalho dessa categoria, possibilitando traçar propostas de melhorias. OBJETIVO: Discutir estratégias de melhorias da qualidade de vida e trabalho aos ACSs. MÉTODOS: Trata-se de um estudo exploratório de abordagem qualitativa, realizado com os ACSs que atuam na cidade de Currais Novos, Rio Grande do Norte. RESULTADOS: Foi possível evidenciar que as estratégias relacionadas à qualidade de vida e ao trabalho referem-se aos aspectos mentais e físicos, assim como aos recursos básicos para o desenvolvimento do trabalho. CONCLUSÃO: Há necessidade de discutir e dar sustentação para a implementação de melhorias das condições de vida e trabalho dos ACSs, produzindo um impacto positivo nesses profissionais e, consequentemente, nas ações desempenhadas por eles em seu exercício diário.