RESUMO
OBJECTIVE: To validate the Comply with post-exposure management among healthcare workersinstrument for Nursing in Brazil. METHOD: A methodological study carried out with 137 nursing professionals exposed to biological material. The existence of floor and ceiling effects was analyzed, evaluating reliability by the internal consistency of the items and test-retest reproducibility. The construct validity was analyzed by the multitrait-multi method analysis. RESULTS: Ceiling effects were found in two subscales. The result of the internal consistency of four subscales varied between 0.81 and 0.91. The results were considered satisfactory, while two subscales presented an unsatisfactory result (0.50 and 0.37). An evaluation of the measurement stability obtained positive results in relation to the statistical significance, with Intraclass Correlation Coefficient values between the two measurements ranging from 0.301 to 0.727; the validity of a convergent and divergent construct was confirmed by multitrait-multi method analysis, except for the Attitude subscale, which presented unsatisfactory values. CONCLUSION: The instrument presents satisfactory results for validity and reliability, except for the Attitude dimension. OBJETIVO: Validar para o Brasil o instrumento Comply with post-exposure management among health care workers para a enfermagem. MÉTODO: Estudo metodológico realizado com 137 profissionais de enfermagem expostos a material biológico. Analisou-se a existência dos efeitos floor e ceiling e avaliou-se a fidedignidade pela consistência interna dos itens e estabilidade da medida (teste-reteste). Analisou-se a validade de construto por meio da análise multitraço-multimétodo. RESULTADOS: Verificaram-se efeitos ceiling em duas subescalas. O resultado da consistência interna, de quatro subescalas, variou entre 0,81 e 0,91, resultados considerados satisfatórios, e duas subescalas apresentaram resultado insatisfatório (0,50 e 0,37). A avaliação da estabilidade da medida obteve resultados positivos em relação à significância estatística, com valores do Coeficiente de Correlação Intraclasse, entre as duas medidas, variando de 0,301 a 0,727; confirmou-se a validade de construto convergente e divergente por meio da análise multitraço-multimétodo, exceto a subescala Atitude, que apresentou valores insatisfatórios. CONCLUSÃO: O instrumento apresenta resultados satisfatórios de validade e fidedignidade, excluindo-se a dimensão Atitude.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Enfermagem , Saúde Ocupacional , Profilaxia Pós-Exposição , Autorrelato , Adulto , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente/estatística & dados numéricos , Reprodutibilidade dos Testes , Adulto JovemRESUMO
OBJECTIVE: Describing the profile of victims and assaults by gunshot, where the outcome was death. METHOD: An ecological study conducted in the city of Maceió/AL, in 2012. Data were collected from the death statements. The variables studied were: the death circumstances, gender, age, marital status, place, date, time, month and proportion according to the occurring neighborhood. RESULTS: The homicide mortality rate was 65.2 per 100,000 inhabitants, with 130.6 per 100,000 men and 7.8 per 100,000 women. Of the total number of homicides, 93.6% of the victims were men. The age group between 15 and 29 years of age was the most affected, with 68.8%. In 97.6% of cases the death occurred at the site of aggression, 74.1% in the streets. In relation to the date, 54.2% of cases occurred between Friday and Sunday. 59.7% of the homicides were concentrated in seven neighborhoods. CONCLUSION: The map of violence presented shows heterogeneous areas for the occurrence of assaults with firearms, characterizing the existing urban inequality in violence distribution.
Assuntos
Armas de Fogo , Homicídio/estatística & dados numéricos , Violência/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
OBJECTIVE: To develop a safety protocol for the management of thirst in the immediate postoperative period. METHOD: Quantitative, methodological, and applied study conducted in April-August 2012. An extensive literature search and expert consultation was carried out to develop the protocol and its operating manual. Theoretical and semantic analyzes were carried out by experts. RESULTS: Assessment of level of consciousness, reflexes of protection of the airways (cough and swallowing), and absence of nausea and vomiting were selected as safety criteria. These criteria were grouped and formatted in a graph algorithm, which indicates the need to interrupt the procedure if a security criterion does not reach the expected standard. CONCLUSION: The protocol was elaborated to fill in the gap in the literature of a specific model concerning nursing actions in the safe management of thirst in the immediate postoperative period.
Assuntos
Cuidados Pós-Operatórios , Sede , Protocolos Clínicos , Humanos , Guias de Prática Clínica como AssuntoRESUMO
OBJECTIVE: to analyze the psychometric properties of the Incivility in Nursing Education - Revised Survey - Brazilian version with undergraduate nursing students. METHOD: methodological study conducted in a nursing school in São Paulo state. It is the analysis of the psychometric properties (reliability and construct validity) of the items in the INE-R survey - Brazilian version. Construct validity was performed by Confirmatory Factor Analysis, and reliability by test-retest in order to verify the instrument's stability, as calculated by the Intraclass Correlation Coefficient and the Internal Consistency of the items according to Cronbach's alpha, ordinal alpha and McDonalds's omega coefficients. RESULTS: Confirmatory Factor Analysis fitted the proposed model with two factors (low and high incivility), with a suggestion to exclude one of student items. Most of the fitting values for the student items and all of the faculty-member items complied with the references established in the literature; the values for Internal Consistency Coefficients were greater than 0.80, and Intraclasss Correlation Coefficients were greater than 0.75. CONCLUSION: the Brazilian version of the Incivility in Nursing Education - Revised Survey is validated for the studied context, as it has shown satisfactory reliability and validity by means of factor analysis, which has confirmed the original two-factor model, with 23 items addressing student behaviors and 24 items applied to faculty behaviors. HIGHLIGHTS: (1) Incivility is a global and growing phenomenon in higher education.(2) An uncivil environment interferes with learning and health indicators.(3) A validated survey to measure incivility in nursing education is presented.
Assuntos
Educação em Enfermagem , Incivilidade , Psicometria , Humanos , Brasil , Educação em Enfermagem/normas , Masculino , Feminino , Adulto Jovem , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários/normas , Adulto , IdiomaRESUMO
The aims of the present study were to describe cancer causes and risk perception, and to associate behaviors adopted for the prevention of tumors and cancer family history in individuals with suspect of hereditary cancer syndromes. A convenience sample of 51 individuals was selected from an oncogenetic counseling outpatient clinic in a university hospital in the countryside of the state of São Paulo. An instrument adapted to Brazilian culture was used. The respondents considered their own risk as being the same as the population's risk, and family history was not statistically associated with the performing of preventive exams. These findings highlight the need for intervention by health professionals, especially nurses, who may conduct health education activities for this population, which is an essential component of nursing care in oncogenetics.
Assuntos
Atitude Frente a Saúde , Aconselhamento Genético , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias/etiologia , Neoplasias/prevenção & controle , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/genética , Fatores de Risco , Adulto JovemRESUMO
OBJECTIVES: to elaborate and analyze the Pregnancy Depression Risk Scale psychometric properties. METHODS: methodological research, in six steps: theoretical model empirical definition; elaboration of scale items with literature review; consultation with five professional health experts and 15 pregnant women; content validity with six experts; pre-test-semantic validity with 24 pregnant women; scale factor structure definition with 350 pregnant women; pilot study with 100 pregnant women, totaling 489 pregnant women and 11 experts. Data were analyzed by content analysis, exploratory factor analysis, multitrait-multimethod analysis and internal consistency. RESULTS: sixty-eight risk factors were identified for item formulation. The final version of the scale consisted of 24 items in five domains. The scale demonstrated satisfactory construct content, semantic, validity and reliability. CONCLUSIONS: the scale proved to be valid in terms of content and semantics, with a factor structure defined according to the adopted theoretical model and satisfactory psychometric properties.
Assuntos
Depressão , Gestantes , Humanos , Feminino , Gravidez , Reprodutibilidade dos Testes , Projetos Piloto , Depressão/diagnóstico , Psicometria/métodos , Inquéritos e QuestionáriosRESUMO
Tuberculosis (TB) and HIV coinfection adversely affects the lives of individuals in both the biological and psychosocial aspects. Aiming to describe the quality of life of individuals with HIV/TB coinfection, this descriptive cross-sectional study was conducted in Ribeirão Preto-SP. Participants were HIV-seropositive individuals with and without TB, using the WHOQOL HIV BREF. 115 individuals who were HIV-positive participated: 57 were coinfected and 58 were not; most were male heterosexuals, predominantly aged 40-49 years. Of those coinfected, most had lower education and income. In assessing the quality of life the coinfected individuals showed lower results in all areas, with significant differences in the Physical, Psychological, Level of Independence and Social Relations areas. TB and HIV / AIDS are stigmatized diseases, and overlap of the two may have severe consequences on the physical and psychosocial health of the individual.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Qualidade de Vida , Tuberculose/complicações , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
OBJECTIVES: to develop and validate a scale for assessing the quality of life of women with Human Papillomavirus infection. METHODS: a methodological study to develop the stages of item elaboration, apparent and content validation, semantic validation, pre-test, item allocation in domains, and reliability. RESULTS: 98 items were elaborated and submitted to apparent and content validation (version 2; n=05). In semantic validation, 90.9% of women considered all items clear and understandable (version 3; n=11). In pre-test, the best applicability was in the form of a self-administered questionnaire in relation to the interview (version 4; n=38). The Exploratory Factor Analysis allocated 58 items in 6 domains; (version 5; n=351). For reliability, the general Cronbach's alpha value was 0.883. CONCLUSIONS: the instrument proved to be valid and reliable for assessing the quality of life of women with Human Papillomavirus infection, consisting of 54 items allocated in 6 domains.
Assuntos
Infecções por Papillomavirus , Qualidade de Vida , Análise Fatorial , Feminino , Humanos , Infecções por Papillomavirus/complicações , Psicometria , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To estimate the prevalence of musculoskeletal symptoms and analyze their associated factors in professionals from administrative sectors working predominantly in sitting position. METHODS: This is a cross-sectional study with data obtained from 451 workers from a federal public institution in Southern Brazil. The dependent variable was the number of musculoskeletal symptoms in the prior 12 months, measured using the Nordic Musculoskeletal Questionnaire. In the analyses, 19 independent variables were investigated, divided into four categories: sociodemographic, behavioral, occupational and health characteristics. Univariate analysis and multiple Poisson regression with robust variance were performed. The independent variables were inserted into blocks with stepwise backward criterion, considering the value for Wald statistics equal to 0.20. The effect measures were expressed in a relative increase (RI) in the mean value, and the data were analyzed for a 5% significance level. RESULTS: The estimated prevalence of musculoskeletal symptoms in the prior 12 months was 90% (confidence interval - 95%CI 87-93). In the final model of regression analysis, the variables female gender (RI = 14.75%), low (RI = 100.02%) and moderate (RI = 64.06%) work ability index, use of medications (RI = 48.06%) and waist circumference at risk (RI = 15.59%) had a significant association with the increase in the mean number of symptoms; schooling with technical education acted as a protective factor, reducing the mean by 36.46%. CONCLUSIONS: The high prevalence of musculoskeletal symptoms found and the associated factors indicate the need to propose specific actions and care for this population, such as immediate treatment of symptoms and changes in the organization and work environment, to achieve balance and harmony in the demands of prolonged sitting work and avoid its impact effect of this condition on public health.
Assuntos
Pessoal Administrativo , Doenças Musculoesqueléticas , Doenças Profissionais , Postura Sentada , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e QuestionáriosRESUMO
OBJECTIVES: to analyze the health vulnerability of young female transgender living with HIV/AIDS. METHODS: qualitative, descriptive, and exploratory study, based on the theoretical reference of Social Representation and concept of vulnerability; developed with six transgender women in a reference Hospital for HIV/AIDS. We analyzed the individual interviews, recorded, and transcribed in full, in the IRaMuTeQ software by Similitude Analysis. RESULTS: the thematic categories are listed based on the Ayres reference: 1) Individual dimension of vulnerability to HIV/AIDS; 2) Social dimension of vulnerability to HIV/AIDS; 3) Programmatic dimension of the vulnerability. Final Considerations: the young female transsexual living with HIV/AIDS experience a context of vulnerability in health associated with a lack of knowledge and difficulties for the realization of self-care. The study evidenced the representations of social abjection and unpreparedness of the health team that compose the Primary Attention in Health in promoting qualified assistance for the execution of the effective and humanized care.
Assuntos
Infecções por HIV/complicações , Estigma Social , Pessoas Transgênero/psicologia , Populações Vulneráveis/psicologia , Adolescente , Feminino , Infecções por HIV/psicologia , Infecções por HIV/terapia , Humanos , Masculino , Pesquisa Qualitativa , Pessoas Transgênero/estatística & dados numéricos , Populações Vulneráveis/estatística & dados numéricos , Adulto JovemRESUMO
OBJECTIVE: To evaluate the family relationships in the social network for young male homosexuals. METHODS: this is a qualitative, descriptive, exploratory study anchored in the theoretical framework Social Network and including 20 male homosexuals selected by the Snowball technique through semi-structured script interview. The IRaMuTeQ software was analyzed by Similitude Analysis. RESULTS: the primary social network was configured in the elements: 1 - Family affective ties: the center of the social network, 2 - Binding family relationship and religiosity. FINAL CONSIDERATIONS: it was evaluated that the primary social network has been rooted to fragile relationships of socialization and solidarity, and that the social dimension is also rooted on conservatism, sexism/bigotry, and violence. When it comes to address this issue creates the contribution to the visibility of the homosexual youth family dynamics, since it represents the central core and first learning experience that will determine the development and ability to deal with adversities.
Assuntos
Relações Familiares , Minorias Sexuais e de Gênero , Adolescente , Homossexualidade Masculina , Humanos , Masculino , Pesquisa Qualitativa , Rede Social , Apoio SocialRESUMO
OBJECTIVE: to describe attributes associated with the Quality of Life of Brazilian transgender children and adolescents according to their own perception. METHOD: descriptive study conducted with 32 participants between eight and 18 years old, who were either interviewed or participated in focus groups. The statements were transcribed, grouped with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software, version 0.7 alpha 2 and described according to the definition of Quality of Life by the World Health Organization concerning to the mental, physical, and social dimensions. RESULTS: it was possible to identify the family nucleus as the main social support for transgender children and adolescents. However, the experience of prejudice and discrimination were negative attributes associated with Quality of Life. CONCLUSION: the statements indicate that lives of transgender children and adolescents are impacted by social, physical, and mental factors due to the stigma and discrimination experienced. It is expected to contribute to the formulation of public policies related to transgender children and adolescents and expand the discussion on the citizens' duties and rights in relation to transsexuality.
Assuntos
Pessoas Transgênero , Adolescente , Brasil , Criança , Humanos , Qualidade de Vida , Estigma Social , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: to analyze the association between the occurrence of new tuberculosis cases and the Adapted Living Condition Index, and to describe the spatial distribution in an endemic municipality. METHOD: this is an analytical and ecological study that was developed from new cases in residents of an endemic municipality in the North Region of Brazil. The data were obtained from the Notifiable Diseases Information System and from the 2010 Demographic Census. The Adapted Living Conditions Index was obtained by factor analysis and its association with the occurrence of the disease was analyzed by means of the chi-square test. The type I error was set at 0.05. Kernel estimation was used to describe the density of tuberculosis in each census sector. RESULTS: the incidence coefficient was 97.5/100,000 inhabitants. The data showed a statistically significant association between the number of cases and socioeconomic class, with the fact that belonging to the highest economic class reduces the chance of the disease occurring. The thematic maps showed that tuberculosis was distributed in a heterogeneous way with a concentration in the Southern region of the municipality. CONCLUSION: tuberculosis, associated with precarious living conditions, reinforces the importance of discussion on social determinants in the health-disease process to subsidize equitable health actions in risk areas, upon a context of vulnerability.
Assuntos
Condições Sociais , Tuberculose/epidemiologia , Brasil/epidemiologia , Cidades , Humanos , Fatores SocioeconômicosRESUMO
OBJECTIVES: identify the social representations of transsexual women living with HIV/AIDS. METHODS: this is a qualitative descriptive exploratory study, based on the theory of social representations, conducted with six HIV/AIDS seropositive transsexual women from a hospital for patients with HIV/AIDS. For data collection, semi-structured interviews were conducted and later transcribed and analyzed with the help of Iramuteq (version 0.7) to produce a dendrogram of the descending hierarchical classification. RESULTS: data were grouped into three classes: social thought and health/disease process; subjectivity and identity coping; and social determination and the context of vulnerability. FINAL CONSIDERATIONS: the elements of social representations were identified, based on commonsense knowledge, resulting from the way of thinking and acting and associated with the syndrome and social actors and sectors of the daily life of transsexual women. This study highlights the relevance of representational processes for humanized health care.
Assuntos
Meios de Comunicação de Massa/normas , Identificação Social , Pessoas Transgênero/psicologia , Adaptação Psicológica , Adulto , Feminino , Humanos , Meios de Comunicação de Massa/tendências , Pessoa de Meia-Idade , Pesquisa QualitativaRESUMO
OBJECTIVE: to map the Brazilian scientific production related to the stages of the methodological process for the use of DISABKIDS® instruments and/or forms adapted to Brazil. METHOD: scoping review, with searches conducted on10 electronic databases, plus Google Scholar and contacts with researchers, without restriction of period or language. RESULTS: the mapping identified 90 scientific studies involving 46 instruments. Of these, 11 (23.9%) included the elaboration and/or cultural adaptation of the DISABKIDS® instruments to measure the Quality of Life of children or adolescents with chronic conditions and 35 (76.1%) used the Generic Measures and/or Specific Modules for the semantic validation of other instruments. CONCLUSION: this scoping review allowed a comprehensive evaluation of the use of the DISABKIDS® instrument and forms, in relation to the validation of the instrument adapted to Brazil, presenting a positive advance in the scenario with the development of academic/scientific projects in the country, incorporating the method recommended by the literature for the elaboration, cultural adaptation and validation of instruments and for the systematized and standardized recording of the perception and understanding of the target population about the measure of interest, using DISABKIDS® forms adapted for this purpose.
Assuntos
Comparação Transcultural , Pesquisa/instrumentação , Pesquisa/tendências , Inquéritos e Questionários , Adolescente , Brasil , Criança , Doença Crônica/psicologia , Crianças com Deficiência/psicologia , Humanos , Psicometria , Qualidade de VidaRESUMO
The study aimed to accomplish a cross-cultural adaptation of the 'Diabetes - 39 - D-39' instrument for Brazil, to test the validity of the adapted version in a sample of type 2 diabetes mellitus patients and to describe the participants of the study, according to the scores obtained on the Likert-type scale. The instrument adaptation process followed several steps: instrument translation; achievement of the consensus in Portuguese; evaluation by an expert committee; back-translation; achievement of the consensus in English; comparison of the original and consensus versions in English; semantic analysis and pre-test of the Portuguese version. Results showed that the instrument items, in the first stage of cultural adaptation to Portuguese, presented high internal consistency levels.
Assuntos
Características Culturais , Diabetes Mellitus Tipo 2 , Qualidade de Vida , Brasil , Humanos , Idioma , Reprodutibilidade dos TestesRESUMO
OBJECTIVE: To investigate, based on scientific literature, evidence on social participation and personal autonomy of individuals with spinal cord injury. METHOD: Integrative review of the literature including studies published between January 2006 and September 2016, obtained in the databases PubMed, CINAHL and LILACS. The guiding question was: "What evidence is available in the scientific literature about the social participation and/or personal autonomy of individuals with spinal cord injury?" The data were processed by IRaMuTeQ and analyzed by the Hierarchical Descending Classification, according to the expertise of the researchers. RESULTS: Six selected studies discussed social participation, one discussed personal autonomy and two discussed both. 107 text segments were retained and gave rise to five classes. CONCLUSION: There is little specificity regarding the characteristics of social participation and personal autonomy of individuals with spinal cord injury. The existence of barriers forces them to adopt strategies to participate autonomously.
Assuntos
Autonomia Pessoal , Participação Social/psicologia , Traumatismos da Medula Espinal/complicações , Humanos , Traumatismos da Medula Espinal/psicologia , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: to analyze the social network of young female transsexuals who live with HIV/AIDS. METHOD: descriptive and exploratory study of qualitative approach, based on the Social Network Theory, developed in a Brazilian reference hospital for HIV/AIDS, with six transsexual women. Individual interviews were recorded and transcribed, and the data were subjected to analysis of similarities through the software program IRaMuTeQ. RESULTS: the categories observed were: 1) dynamics of primary social network and social challenges; 2) dynamics of secondary social network and the institutional prejudice. FINAL CONSIDERATIONS: the dynamics of the social network is based on the lack of support of primary and secondary networks, and the containment process limits the reach of quality of life and social emancipation. To deal with this theme will provide the visibility of young female transsexuals in confronting vulnerabilities and guaranteeing human rights.
Assuntos
Infecções por HIV/psicologia , Rede Social , Pessoas Transgênero/psicologia , Adolescente , Brasil , Feminino , Infecções por HIV/complicações , Humanos , Masculino , Pesquisa Qualitativa , Estigma Social , Adulto JovemRESUMO
ABSTRACT Objectives: to elaborate and analyze the Pregnancy Depression Risk Scale psychometric properties. Methods: methodological research, in six steps: theoretical model empirical definition; elaboration of scale items with literature review; consultation with five professional health experts and 15 pregnant women; content validity with six experts; pre-test-semantic validity with 24 pregnant women; scale factor structure definition with 350 pregnant women; pilot study with 100 pregnant women, totaling 489 pregnant women and 11 experts. Data were analyzed by content analysis, exploratory factor analysis, multitrait-multimethod analysis and internal consistency. Results: sixty-eight risk factors were identified for item formulation. The final version of the scale consisted of 24 items in five domains. The scale demonstrated satisfactory construct content, semantic, validity and reliability. Conclusions: the scale proved to be valid in terms of content and semantics, with a factor structure defined according to the adopted theoretical model and satisfactory psychometric properties.
RESUMEN Objetivos: elaborar y analizar las propiedades psicométricas de la Escala de Riesgo de Depresión en el Embarazo. Métodos: investigación metodológica, en seis etapas: definición empírica del modelo teórico; elaboración de ítems de escala con revisión de literatura; consulta con cinco profesionales de la salud y 15 mujeres embarazadas; validación de contenido con seis expertos; pre-prueba-validación semántica con 24 gestantes; definición de la estructura factorial de la escala con 350 gestantes; estudio piloto con 100 gestantes, totalizando 489 gestantes y 11 especialistas. Los datos fueron analizados por análisis de contenido, análisis factorial exploratorio, análisis multirrasgo-multimétodo y consistencia interna. Resultados: se identificaron 68 factores de riesgo para la formulación de los ítems. La versión final de la escala constaba de 24 ítems en cinco dominios. La escala demostró validez de contenido, semántica, de constructo y confiabilidad satisfactoria. Conclusiones: la escala se mostró válida en contenido y semántica, con estructura factorial definida según el modelo teórico adoptado y propiedades psicométricas satisfactorias.
RESUMO Objetivos: elaborar e analisar as propriedades psicométricas da Escala de Risco de Depressão na Gravidez. Métodos: pesquisa metodológica, em seis etapas: definição empírica do modelo teórico; elaboração dos itens da escala com revisão da literatura; consulta a cinco especialistas profissionais de saúde e 15 gestantes; validação de conteúdo com seis especialistas; pré-teste-validação semântica com 24 gestantes; definição da estrutura fatorial da escala com 350 gestantes; estudo piloto com 100 gestantes, totalizando 489 gestantes e 11 especialistas. Os dados foram analisados pela análise de conteúdo, análise fatorial exploratória, análise multitraço-multimétodo e consistência interna. Resultados: 68 fatores de risco foram identificados para formulação dos itens. A versão final da escala foi composta por 24 itens em cinco domínios. A escala demonstrou validade de conteúdo, semântica, de construto e fidedignidade satisfatória. Conclusões: a escala mostrou-se válida em conteúdo e semântica, com estrutura fatorial definida segundo modelo teórico adotado e propriedades psicométricas satisfatórias.
RESUMO
Objetivos: estimar a soroprevalência e analisar fatores associados a Toxoplasmose na gestação. Método: investigação epidemiológica, analítica e transversal com mulheres no pré-natal em Ribeirão Preto-SP. Os dados foram obtidos por meio de exames sorológicos e questionário. Modelo de regressão logística foi utilizado, com a seleção das variáveis independentes realizada por meio dos testes Exato de Fisher, ou Qui-quadrado, e t de Student, calculadas razões de chances brutas e ajustadas, com nível de significância de 5%. Resultados: amostra foi composta de 165 mulheres, com soroprevalência total, 34,5% [27,3; 41,8], reagentes para IgG. A chance de ser reagente ao anticorpo antitoxoplasma IgG é 1,09 vezes maior para cada ano a mais de idade; 19,48 para aquelas com Ensino Fundamental I incompleto; 4,41 para o contato direto com a terra. Conclusão: saneamento básico e a rede de serviços de saúde no município estudado favorecem a prevenção da Toxoplasmose na gestação.
Objetivos: estimar la seroprevalencia y analizar factores asociados a Toxoplasmosis en la gestación. Método: investigación epidemiológica, analítica y transversal con mujeres en el prenatal en Ribeirão Preto-SP. Los datos fueron obtenidos por medio de exámenes serológicos y cuestionario. Modelo de regresión logística fue utilizado, con la selección de las variables independientes realizada por medio de las pruebas Exacto de Fisher, o Chi-cuadrado, y t de Student, calculadas razones de probabilidades brutas y ajustadas, con nivel de significación del 5%. Resultados: muestra compuesta de 165 mujeres, con seroprevalencia total, 34,5% [27,3; 41,8], reactivos para IgG. La probabilidad de ser reactivo al anticuerpo antitoxoplasma IgG es 1,09 veces mayor para cada año a más de edad; 19,48 para aquellas con Enseñanza Fundamental I incompleto; 4,41 para el contacto directo con la tierra. Conclusión: saneamiento básico y la red de servicios de salud en el municipio estudiado favorecen la prevención de la Toxoplasmosis en la gestación.
Objectives: to estimate seroprevalence and analyze factors associated with Toxoplasmosis in pregnancy. Method: epidemiological, analytical and cross-sectional investigation with women in prenatal care in Ribeirão Preto-SP. Data were obtained through serological tests and questionnaire. Logistic regression model was used, with the selection of independent variables performed using the Fisher's exact test, or Chi-square test, and Student's t, calculated crude and adjusted odds ratios, with significance level of 5%. Results: sample was composed of 165 women, with total seroprevalence, 34.5% [27.3; 41.8], reagents for IgG. The chance of being reactant to the IgG antitoxoplasm antibody is 1.09 times higher for each year of age; 19.48 for those with incomplete Elementary School I; 4.41 for direct contact with the earth. Conclusion: basic sanitation and the network of health services in the municipality studied favor the prevention of Toxoplasmosis in pregnancy.