José Rocha

Bio: José Rocha is an academic researcher. The author has contributed to research in topics: Medicine & Cross-sectional study. The author has an hindex of 4, co-authored 5 publications receiving 144 citations.

Gravidez na adolescência: motivos e percepções de adolescentes

Abstract: Tratou-se de pesquisa exploratorio-descritiva, realizada de outubro a dezembro de 2002, com 216 adolescentes gravidas assistidas pela Estrategia de Saude da Familia dos municipios pertencentes a Microrregiao de Saude de Acarau, Ceara. Objetivou caracterizar o perfil socio-demografico e gineco-obstetrico destas, identificando o motivo que as levou a engravidar, e saber como percebiam sua gravidez. A maior parte destas tinha 17 anos, eram pardas, alfabetizadas, donas-de-casa, tinham companheiro fixo e viviam com menos de um salario minimo. Destas, 32,4% menstruou aos 12 anos, 25% teve a primeira relacao sexual aos 16 anos e, 72,7% estava na primeira gestacao. Destaca-se o desejo de ser mae como principal motivo para engravidar, e a percepcao em relacao a gravidez esta relacionada com felicidade e realizacao pessoal.

Auxiliares e técnicos de enfermagem na saúde da família: perfil sociodemográfico e necessidades de qualificação

Abstract: Estudo exploratorio-descritivo, realizado com 38 auxiliares e 17 tecnicos de enfermagem que atuavam na Estrategia Saude da Familia (ESF), nos municipios de Acarau, Chaval, Coreau, Granja, Marco e Santana do Acarau, no estado do Ceara, no periodo de marco a abril de 2005, que objetivou tracar o perfil e as necessidades de qualificacao desses profissionais. O perfil mostrou que, em sua maior parte, eram mulheres casadas, com idade entre 31 e 40 anos, ensino medio concluido, renda de um salario minimo, atuando na area rural. Quanto s necessidades de qualificacao por eles apontadas, destacam-se os temas biosseguranca, internacao domiciliar, metodos e tecnicas de cuidados com feridas e sondas, esterilizacao, atividades educativas e acolhimento. A maior parte das necessidades referidas resume-se a tecnicas e sugere deficiencias na formacao profissional. Enfatiza-se a importância de uma politica de educacao permanente, para melhor capacitacao e melhoria na atuacao deste segmento profissional na ESF.

Problemas vividos por las adolescentes durante la gestación.

Abstract: Pregnancy in adolescence brings with it serious biological implications, family problems, psychological issues, economic stress, besides the negative social repercussions that affect the adolescent and society as a whole. Consequently, in response to the problem a study was developed with the objective of characterizing the socio-demographic profile of teenage mothers and to aid in the identification of the problems they suffer during pregnancy. The study was descriptive-exploratory, conducted in the Municipality of Massape-CE, with 20 adolescents all of whom had recently given birth between the period of October 15th to November 30th, 2004. Open-ended and Close-ended questions were asked. The adolescents were all between the ages of 14 and 19 years old, 45% were single, 60% had not finished high school, 50% had family incomes below that of one minimum monthly salary, 60% were in their first pregnancy, 10% had had an abortion. 80% presented biological, emotional, social, and economic problems. This study suggests the application of more interventionary pre-natal assistance for adolescents with the intention of minimizing risks and damages.

[Pregnancy in adolescence: reason and perceptions of adolescents].

Abstract: This research encompasses the capital Aracaju, Sergipe, and its surroundings health districts. It was dealt from October to December 2002 with 216 pregnant adolescents assisted by the Strategy of the Family Health Program. Its main goal is to raise and identify the social-demographic and the gynecological profile of those young ladies, by identifying the reason which led them to pregnancy and by knowing their pereption of it. The vast majority of them are 17, colored, literate, house-wives who have one single steady partner and survive with less than the minimum wage. Among those 32.4% got their first period by the age of 12; 25% had their first sexual intercourse by the age of 16; anf 72.7% had their first gestation. The reason which stood out from the others was the will to become a mother, for their perception towards pregnancy is related to happiness and personal achievement.

Gravidez na adolescência: um olhar sobre um fenômeno complexo

Abstract: This article presents a selective and non-systematic literature review about the phenomenon of adolescent pregnancy. The text is organized along three themes: (a) risks and problems associated with adolescent pregnancy, (b) precursor factors related to pregnancy in adolescence, and (c) socio-cultural factors associated with the desire to become a mother in adolescence. Conclusions point out to the fact that adolescent pregnancy is an experience that can have both negative and positive consequences for adolescents. Additionally, the phenomenon highlights the need of interventions focused on adolescents' sexual and reproductive health.

Consequências da gravidez na adolescência para as meninas considerando-se as diferenças socioeconômicas entre elas

Abstract: This study aimed to identify and analyze the objective and subjective consequences of teenage pregnancy, considering the socioeconomic differences between them. An exploratory qualitative study was conducted with 20 teenagers who gave birth between June, 2009 and June, 2010. The data gathering instrument was designed as a semi-structured interview and the content analysis has been used to analyze the data. It was found that, despite the lower income, families have better accepted pregnancy, the greatest impact also occurred between these families, especially regarding the postponement or jeopardizing of educational projects, lower chance of qualification and absolute financial dependency on family. Contraceptive methods were known, but not used, which shows the challenge to achieve prevention strategies for this population, a group wherewith the developed programs, besides informative, must approach the emotional, social and cultural experiences.

A adolescente grávida na percepção de médicos e enfermeiros da atenção básica

Abstract: Pesquisa qualitativa descritiva, com os objetivos de conhecer a percepcao de medicos e enfermeiros sobre as mudancas biopsicossociais da adolescente gravida e sobre a atuacao da equipe de saude na gravidez na adolescencia. Os dados foram coletados atraves de entrevistas, com medicos e enfermeiros de uma Unidade Basica de Saude, de agosto a outubro de 2010. Esses foram classificados, organizados e analisados utilizando a analise de conteudo proposta por Minayo, seguindo tres etapas: ordenacao, classificacao e analise dos dados. Apos leitura aprofundada dos discursos, foram recortadas as unidades de registro ou temas, que agrupados por convergencia de ideias originaram as categorias: percepcao dos medicos e enfermeiros sobre a gravidez na adolescencia; percepcoes sobre transformacoes no processo de ser e viver da adolescente; profissionais e a adolescente gravida. Os profissionais reforcam a importância da escuta, atencao personalizada, integral e especifica a esta clientela, necessitando capacitacao para isto. O estudo amplia o conhecimento sobre o tema e oferece subsidios para os profissionais repensarem sua pratica de saude, contribuindo para que assumam uma postura respeitosa e personalizada na atencao as adolescentes gravidas.

Acolhimento no Programa Saúde da Família: revisão das abordagens em periódicos brasileiros

Abstract: Trata-se de uma revisao sistematica de literatura acerca do tema "Acolhimento no Programa de Saude da Familia-PSF" com o objetivo de identificar e analisar as diferentes abordagens em estudos selecionados em periodicos brasileiros. Utilizou-se a Biblioteca Virtual em Saude a partir do argumento de busca "acolhimento" AND "saude da familia", perfazendo, no final da busca e dos refinamentos, um escopo de 39 artigos. Os estudos foram sistematizados segundo as dimensoes do acolhimento no PSF. Compreenderam-se as dimensoes do acolhimento em cinco categorias: 1. Acolhimento: desafios a producao do cuidado; 2. Acolhimento: praticas inovadoras que fortalecem o cuidado no PSF; 3. Acolhimento: dispositivo para a consolidacao da integralidade; 4. Acolhimento: acao produtora de educacao em saude, adesao terapeutica e qualidade de vida; 5. Acolhimento: inclusao social, dignidade e respeito. O acolhimento evidencia-se enquanto uma tecnologia leve de grande impacto na promocao a saude que estreita o vinculo, fortalece o PSF, mobiliza a sensibilidade dos trabalhadores da saude, requerendo uma acao reflexiva, o desenvolvimento etico e solidario para escutar e dialogar, gerando satisfacao dos profissionais e dos usuarios. O acolhimento possibilita que o PSF torne-se a porta de entrada preferencial, contribuindo significativamente para construcao e consolidacao dos principios do Sistema Unico de Saude.

Family psychosocial characteristics, tobacco, alcohol, and other drug use, and teenage pregnancy

Abstract: The aim of this study was to analyze associations between demographic factors, family psychosocial characteristics, tobacco, alcohol, and other drug use, and adolescent motherhood. This was a case-control study in Porto Alegre, Rio Grande do Sul State, Brazil, with 431 adolescents 14 to 16 years of age who gave birth in 2009 (cases) and 862 adolescents who had never given birth (controls). Three-stage hierarchical logistic regression was performed (demographic, family psychosocial, and lifestyle variables). Lower economic class, not having lived with the parents from 10 to 14 years of age (OR = 1.67; 95%CI: 1.12-2.48), having taken care of other children (OR = 1.42; 95%CI: 1.09-1.87), siblings who had children before 20 years of age (OR = 1.56; 95%CI: 1.192.06), having tried smoking (OR = 1.94; 95%CI: 1.35-2.78), and having arrived home intoxicated (OR = 1.67; 95%CI: 1.12-2.48) were associated with adolescent motherhood. Greater attention should be given to family relations in association with tobacco and alcohol consumption, since the use of these substances is associated with adolescent motherhood.