Comorbidades e saúde mental dos trabalhadores da saúde no Brasil. O impacto da pandemia da COVID-19
Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: pro...
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Published in | Ciência & saude coletiva Vol. 28; no. 10; pp. 2823 - 2832 |
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01.10.2023
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Abstract | Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas.
Abstract This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies. |
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AbstractList | Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas.
Abstract This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies. Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas. |
Author | Machado, Antônio Vieira Cruz, Eliane Aparecida da Contrera, Marina Athayde Guimarães-Teixeira, Eleny Costa, Lilian Soares da Santos, Beatriz Rodrigues dos Garrido, Paulo Henrique Scrivano Soares, Rayane de Souza Lopes Neto, David Aguiar Filho, Wilson Delgado, Pedro Gabriel Godinho |
AuthorAffiliation | Fundação Oswaldo Cruz Universidade Estácio de Sá Faculdade de Ciências Médicas de Minas Gerais Fundação Técnico-Educacional Souza Marques Universidade Federal do Rio de Janeiro Universidade Federal do Amazonas |
AuthorAffiliation_xml | – name: Fundação Oswaldo Cruz – name: Faculdade de Ciências Médicas de Minas Gerais – name: Universidade Federal do Rio de Janeiro – name: Universidade Estácio de Sá – name: Universidade Federal do Amazonas – name: Fundação Técnico-Educacional Souza Marques |
Author_xml | – sequence: 1 givenname: Eleny orcidid: 0000-0003-0477-3062 surname: Guimarães-Teixeira fullname: Guimarães-Teixeira, Eleny organization: Fundação Oswaldo Cruz (Fiocruz), Brazil – sequence: 2 givenname: Antônio Vieira orcidid: 0000-0002-8021-7538 surname: Machado fullname: Machado, Antônio Vieira organization: Faculdade de Ciências Médicas de Minas Gerais, Brazil – sequence: 3 givenname: David orcidid: 0000-0002-0677-0853 surname: Lopes Neto fullname: Lopes Neto, David organization: Universidade Federal do Amazonas, Brazil – sequence: 4 givenname: Lilian Soares da orcidid: 0000-0002-1099-9124 surname: Costa fullname: Costa, Lilian Soares da organization: Fundação Técnico-Educacional Souza Marques, Brazil – sequence: 5 givenname: Paulo Henrique Scrivano orcidid: 0000-0002-6549-5759 surname: Garrido fullname: Garrido, Paulo Henrique Scrivano organization: Fiocruz, Brazil – sequence: 6 givenname: Wilson orcidid: 0000-0003-2732-8578 surname: Aguiar Filho fullname: Aguiar Filho, Wilson organization: Fiocruz, Brazil – sequence: 7 givenname: Rayane de Souza orcidid: 0009-0005-0997-1211 surname: Soares fullname: Soares, Rayane de Souza organization: Universidade Estácio de Sá, Brazil – sequence: 8 givenname: Beatriz Rodrigues dos orcidid: 0009-0003-9867-7190 surname: Santos fullname: Santos, Beatriz Rodrigues dos organization: Universidade Estácio de Sá, Brazil – sequence: 9 givenname: Eliane Aparecida da orcidid: 0000-0002-2264-5550 surname: Cruz fullname: Cruz, Eliane Aparecida da organization: Fiocruz Brasília, Brazil – sequence: 10 givenname: Marina Athayde orcidid: 0009-0003-6178-4152 surname: Contrera fullname: Contrera, Marina Athayde organization: Universidade Estácio de Sá, Brazil – sequence: 11 givenname: Pedro Gabriel Godinho orcidid: 0000-0001-5239-154X surname: Delgado fullname: Delgado, Pedro Gabriel Godinho organization: Universidade Federal do Rio de Janeiro, Brazil |
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Cites_doi | 10.1016/S0140-6736(21)01330-1 10.1001/jama.2022.5074 10.1136/heartjnl-2020-317901 10.1210/jendso/bvaa102 10.1016/S0140-6736(19)31145-6 10.3892/etm.2021.10932 10.1590/1413-81232023282.05942022 10.1177/1932296820924469 10.1590/0037-8682-0741-2021 |
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Keywords | COVID-19 Profissional de saúde Brasil Health professional Comorbidity Brazil Comorbidade Health worker Trabalhador de saúde |
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