Romeu Gomes

Bio: Romeu Gomes is an academic researcher from Oswaldo Cruz Foundation. The author has contributed to research in topics: Health care & Poison control. The author has an hindex of 35, co-authored 183 publications receiving 4625 citations. Previous affiliations of Romeu Gomes include University of São Paulo.

Why do men use health services less than women? Explanations by men with low versus higher education

Abstract: O estudo tem como objetivo analisar as explicacoes presentes em discursos masculinos para a pouca procura dos homens por servicos de saude. O metodo do estudo baseia-se numa abordagem de pesquisa qualitativa. A representacao do cuidar como tarefa feminina, as questoes relacionadas ao trabalho, a dificuldade de acesso aos servicos e a falta de unidades especificamente voltadas para a saude do homem sao os principais motivos expressos pelos sujeitos para a pouca procura pelos servicos de saude. Conclui-se, dentre outros aspectos, que o imaginario social que ve o homem como ser invulneravel acaba contribuindo para que ele menos se cuide e mais se exponha a situacoes de risco.

Homens e saúde na pauta da Saúde Coletiva

Abstract: Apresenta-se a tematica "homens e saude" como questao contemporânea da Saude Coletiva e produto da interface entre as ciencias humanas e a saude: o carater social do adoecimento; a perspectiva de genero como forma particular da relacao saude-sociedade; e a promocao da saude como conceituacao positiva Elabora-se a tematica em torno de tres eixos de aproximacao, sob a perspectiva dos exercicios das masculinidades: saude sexual e reprodutiva; violencia e genero e morbi-mortalidade em homens. Sao apontadas as contribuicoes que estes eixos produzem como esforco empirico para realizar a categoria genero, ao tempo em que revelam novas problematicas para a area de saude: a paternidade, o exercicio interativo da sexualidade, a violencia interpessoal no âmbito da vida privada, a hiper-masculinidade na violencia entre homens, o cuidado de si e o cuidar em saude para os homens. Estas contribuicoes permitirao nao apenas inserir as masculinidades como questao de saude, mas renovar as formas de tratamento de homens e mulheres no campo da saude.

Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com

Abstract: The objective of this study was to analyze explanations in male discourse for men’s relatively limited use of health services, using a qualitative methodology. Representation of caring as a female task, work-related issues, difficult access to services, and lack of services specifically targeting men’s health were the main reasons for their limited use of health services. By way of conclusion, the social imaginary by which men are viewed as invulnerable leads them to take less care of their own health and expose themselves to greater risk.

O homem na atenção primária à saúde: discutindo (in)visibilidade a partir da perspectiva de gênero

Abstract: Este trabalho apresenta estudo de carater etnografico acerca da relacao entre homens e a assistencia a saude na Atencao Primaria, realizado em oito servicos de quatro estados brasileiros. Seu objetivo e compreender a (in)visibilidade dos homens no cotidiano da assistencia a partir da perspectiva de genero, que discute os mecanismos promotores de desigualdades presentes no trabalho em saude. Foram identificadas, nesse contexto, diferentes dimensoes desta (in) visibilidade: os homens como alvo de intervencoes no campo das politicas publicas de saude; como usuarios que enfrentam dificuldades na busca por atendimento e no estimulo a sua participacao efetiva; como sujeitos do cuidado (de si e de terceiros). O trabalho reforca a importância dos estudos de genero e sua relacao com a saude, na medida em que discute a producao das iniquidades sociais (re) produzidas pelas desigualdades de genero presentes no imaginario social e nos servicos de saude.

Necessidades de saúde e masculinidades: atenção primária no cuidado aos homens

Abstract: This study deals with the relations between masculinities and health care, approaching the recognition of health needs among male users of primary health care and the responses by the services. The study is part of a larger research project in four Brazilian States, with a convenience sample of eight health services. Ethnographic observation was compared with semi-structured interviews with 182 health care users from 15 to 65 years of age and 72 health professionals. Thematic analysis of the ethnographic records and interviews was based on gender references and studies on health work. The findings show how medicalization of health needs affects users, professionals, and services, disguising issues related to masculinity. Primary care focuses mainly on women, thereby reproducing gender inequalities in health services operations and professional performance, with women receiving disciplined care and men receiving insufficient attention and care.

Medicine, rationality, and experience: an anthropological perspective.

Abstract: Inevitably, reading is one of the requirements to be undergone. To improve the performance and quality, someone needs to have something new every day. It will suggest you to have more inspirations, then. However, the needs of inspirations will make you searching for some sources. Even from the other people experience, internet, and many books. Books and internet are the recommended media to help you improving your quality and performance.

Why do men use health services less than women? Explanations by men with low versus higher education

Abstract: O estudo tem como objetivo analisar as explicacoes presentes em discursos masculinos para a pouca procura dos homens por servicos de saude. O metodo do estudo baseia-se numa abordagem de pesquisa qualitativa. A representacao do cuidar como tarefa feminina, as questoes relacionadas ao trabalho, a dificuldade de acesso aos servicos e a falta de unidades especificamente voltadas para a saude do homem sao os principais motivos expressos pelos sujeitos para a pouca procura pelos servicos de saude. Conclui-se, dentre outros aspectos, que o imaginario social que ve o homem como ser invulneravel acaba contribuindo para que ele menos se cuide e mais se exponha a situacoes de risco.

Interventions for increasing fruit and vegetable consumption in children aged five years and under

Abstract: Background Insufficient consumption of fruits and vegetables in childhood increases the risk of future chronic diseases, including cardiovascular disease. Objectives To assess the effectiveness, cost effectiveness and associated adverse events of interventions designed to increase the consumption of fruit, vegetables or both amongst children aged five years and under. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, MEDLINE, Embase Classic and Embase to identify eligible trials on 30 September 2016. We searched CINAHL and PsycINFO in July 2016, Proquest Dissertations and Theses in November 2016 and three clinical trial registers in November 2016 and June 2017. We reviewed reference lists of included trials and handsearched three international nutrition journals. We contacted authors of included studies to identify further potentially relevant trials. Selection criteria We included randomised controlled trials, including cluster-randomised controlled trials and cross-over trials, of any intervention primarily targeting consumption of fruit, vegetables or both among children aged five years and under, and incorporating a dietary or biochemical assessment of fruit or vegetable consumption. Two review authors independently screened titles and abstracts of identified papers; a third review author resolved disagreements. Data collection and analysis Two review authors independently extracted data and assessed the risks of bias of included studies; a third review author resolved disagreements. Due to unexplained heterogeneity, we used random-effects models in meta-analyses for the primary review outcomes where we identified sufficient trials. We calculated standardised mean differences (SMDs) to account for the heterogeneity of fruit and vegetable consumption measures.We conducted assessments of risks of bias and evaluated the quality of evidence (GRADE approach) using Cochrane procedures. Main results We included 50 trials with 137 trial arms and 10,267 participants. Thirty trials examined the impact of child-feeding practices (e.g. repeated food exposure) in increasing child vegetable intake. Eleven trials examined the impact of parent nutrition education in increasing child fruit and vegetable intake. Eight studies examined the impact of multicomponent interventions (e.g. parent nutrition education and preschool policy changes) in increasing child fruit and vegetable intake. One study examined the effect of a nutrition intervention delivered to children in increasing child fruit and vegetable intake. Thirteen of the 50 included trials were judged as free from high risks of bias across all domains; performance, detection and attrition bias were the most common domains judged at high risk of bias of remaining studies. Meta-analysis of trials examining child-feeding practices versus no intervention revealed a positive effect on child vegetable consumption (SMD 0.38, 95% CI 0.15 to 0.61; n = 1509; 11 studies; very low-quality evidence), equivalent to a mean difference of 4.03 grams of vegetables. There were no short-term differences in child consumption of fruit and vegetables in meta-analyses of trials examining parent nutrition education versus no intervention (SMD 0.11, 95% CI -0.05 to 0.28; n = 3023; 10 studies; very low-quality evidence) or multicomponent interventions versus no intervention (SMD 0.28, 95% CI -0.06 to 0.63; n = 1861; 4 studies; very low-quality evidence). Insufficient data were available to assess long-term effectiveness, cost effectiveness and unintended adverse consequences of interventions.Studies reported receiving governmental or charitable funds, except for two studies reporting industry funding. Authors' conclusions Despite identifying 50 eligible trials of various intervention approaches, the evidence for how to increase fruit and vegetable consumption of children remains sparse. There was very low-quality evidence child-feeding practice interventions are effective in increasing vegetable consumption of children aged five years and younger, however the effect size was very small and long-term follow-up is required. There was very low-quality evidence that parent nutrition education and multicomponent interventions are not effective in increasing fruit and vegetable consumption of children aged five years and younger. All findings should be considered with caution, given most included trials could not be combined in meta-analyses. Given the very low-quality evidence, future research will very likely change estimates and conclusions. Such research should adopt more rigorous methods to advance the field. This is a living systematic review. Living systematic reviews offer a new approach to review updating, in which the review is continually updated, incorporating relevant new evidence as it becomes available. Please refer to the Cochrane Database of Systematic Reviews for the current status of this review.