Saúde e Sociedade
type: channel
description: Our mission To disseminate the production of different areas of knowledge about health practices, aiming at the interdisciplinary development of the field of public health. <p style="box-sizing: border-box; line-height: 25px; margin: 20px 0px; color: rgba(0, 0, 0, 0.87); font-family: 'Noto Serif', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Journal's website on the SciELO portal: https://www.scielo.br/j/sausoc/ <p style="box-sizing: border-box; line-height: 25px; margin: 20px 0px; color: rgba(0, 0, 0, 0.87); font-family: 'Noto Serif', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Journal's submission articles website: https://mc04.manuscriptcentral.com/sausoc-scielo Print version ISSN 0104-1290 On-line version ISSN 1984-0470
publisher: Universidade de São Paulo. Faculdade de Saúde Pública
language: en
publication name: Saúde e Sociedade
issn: 0104-1290
items: Between law and reality: how integrating referral services andprimary health care can strengthen care for legal abortion
items: Cativar e deixar-se cativar: por um humanismo relacional no encontro entre profissionais de saúde e pacientes
items: https://revistas.usp.br/sausoc/en/article/view/244993
items: (Dis)infodemic during the -19 pandemic and the communicative rationality in health in Brazil: an integrative review
items: Training of health professionals for the provision of comprehensive care in abortion situations in public Primary Health Care in Brazil: challenges and innovative experiences
items: Configurations of care at the end of life: the case of palliative care in Brazil
items: Setbacks in sexual and reproductive rights: structural racism and its implications for Black women and girls
items: Asexuality and the sexuality dispositif: biopower, sexual normativity and the limits of health
items: Feminist movements and the construction of comprehensive carestrategies for abortion situations in Brazil
items: Fat bodies and obese bodies on digital screens: an analytical look at images propagated by Google
items: Sexual violence against Black girls: the silencing of the racial debate in national scientific production
items: Challenges, opportunities, and persistent inequalities in Indigenous healthcare in Brazil: critical analysis of the scientific production
items: Human migrations and displacements: concepts for public health. Interview with Enrique Coraza de los Santos
items: Methodological and technopolitical challenges of participation and social control in health
items: The liposuction society: lipophobia as an aesthetic driver and a factor of psychological suffering on social media
items: Violence against dependent elderly people in the perception of health managers in Brazil
items: Ways of (not) providing healthcare to trans women and travestis in the “liquid territory”
items: The Covid-19 pandemic and the care of vulnerable populations: arrangements and responses produced in the State of São Paulo
items: Comprehensive care for abortion-related situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives, and pathways
items: Public policies and cisheteronormativity: impacts on the experiences of LGBTI+ parenthood in healthcare
items: COVID-19 and diabetes: self-care and religion
items: A study on access to health and social assistance for children and youth with situations of social vulnerability in the municipality of Porto Murtinho/MS
items: Gender-based violence and abuse in medical training in Mexico before, during, and after the COVID-19 pandemic: Signs of hysteresis in the medical field?
items: Promoção da saúde mental coletiva mediada por produções sonoras
items: Dossier: Perspectives and approaches between Sociology and Health
items: The healthcare trajectory of riverside women in reproductive planning at a fluvial Primary Health Unit in Amazonas
items: Affections and narratives about obesity in between boxes: a(auto)biographical research in a health education device
items: AI, Global Health and Algorithmic Society: Biodata’s democraticuse and regulation
items: Prevents, but does not eliminate: stigma and the use of preexposure and post-exposure prophylaxis in the context of sex work among cisgender women in São Paulo
items: “Do not defend the indefensible”: elements for a cosmopolitical and antiracist approach to public health at the end of the world

Between law and reality: how integrating referral services andprimary health care can strengthen care for legal abortion
type: item
description: This article analyzes the comprehensiveness of health care in the context of legal abortion in Brazil, highlighting challenges and advances in guaranteeing this right, focusing on Primary Health Care (PHC) and specialized services, such as the Center for Comprehensive Care for Victims of Sexual Assault (NUAVIDAS). It presents how this service operates and innovative aspects in the care provided to cases of sexual violence and legal abortion following violence, such as the adoption of the telehealth model during the pandemic, which expanded access to safe abortion. NUAVIDAS still faces challenges due to the lack of specialized services and weak coordination with primary care. Despite legal support, barriers to the implementation of the right to legal abortion persist, contributing to the maintenance of unsafe abortions and inequalities in access to reproductive health. The article proposes strategies for integration between PHC and specialized services, with the expansion of telehealth and regulation of care flows for greater access and effectiveness in care. Although there has been progress, fully guaranteeing legal abortion requires a strengthened health system, consolidated regulations, and evidence-based public policies, aligned with the principles of the Unified Health System (SUS), within the framework of sexual and reproductive rights and reproductive justice.
subject: Dossier - Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Abortion, Legal
  topic: keywords
subject: Telemedicine
  topic: keywords
subject: Sex Offenses
  topic: keywords
subject: Integrality in Health
  topic: keywords
subject: Primary Health Care.
  topic: keywords
creator: Nicole Geovana Dias Carneiro
creator: Ana Beatriz Amorim Nunes
creator: Samara Silva dos Santos
creator: Mayara Ferreira Biasi
creator: André Vieira Lanza
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2026-02-24
publication date: 2026-02-24
starting page: e250213pt
ending page: e250213pt
doi: 10.1590/

Cativar e deixar-se cativar: por um humanismo relacional no encontro entre profissionais de saúde e pacientes
type: item
description: Diante da urgência de resgatar a centralidade das relações de cuidado nas práticas de saúde, fortalecendo atitudes e espaços para encontros intersubjetivos que se apoiam na tecnologia, mas não se resumem a ela, objetivamos delinear contribuições da Teoria Relacional da Sociedade para a conceituação e vivência da relação com o paciente. Neste ensaio, utilizamos o desenvolvimento da amizade entre a raposa e o pequeno príncipe na célebre fábula de Saint-Exupéry como metáfora para refletir sobre concepções e práticas dos profissionais de saúde no encontro com seus pacientes. Partindo da análise das bases culturais de nossas concepções de identidade e alteridade, apresentamos a potencialidade da perspectiva relacional para o desenvolvimento de um humanismo pautado nas relações de cuidado, a partir do qual, sem negar as assimetrias de poder, profissionais e pacientes cativam e deixam-se cativar, transformando-se reciprocamente e podendo constituir uma autêntica alteridade.
subject: Ensaio
  topic: section
subject: Relational Theory of Society
  topic: keywords
subject: Social Relation
  topic: keywords
subject: Physician-Patient Relation
  topic: keywords
subject: Otherness
  topic: keywords
creator: Pierpaolo Donati
creator: Roberta Vasconcelos Leite
creator: Yuri Elias Gaspar
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2026-02-24
publication date: 2026-02-24
starting page: e240780pt
ending page: e240780pt
doi: 10.1590/S0104-12902025240780pt

https://revistas.usp.br/sausoc/en/article/view/244993
type: item
title: Comprehensive care for abortion situations in Primary Health Care: interview with the Brazilian Association of Family and Community Nursing and the Working Group Women in Family and Community Medicine/SBMFC
description: The development of care pathways is essential to ensure the sexual and reproductive health and rights of women and people who can become pregnant. Given its fundamental features and role within the healthcare network, Primary Health Care is a strategic area to overcome abortion care inequities in Brazil. In this context, we invited ABEFACO and the Women in Family and Community Medicine Working Group of SBMFC to discuss the topic, taking into account the current state of the art and recommendations for developing care pathways. To conduct the written interview, each entity designated representatives with expertise in the field, who received a structured set of questions and instructions, and responded collectively to the proposed questions. The final version, which compiles the contributions from both entities, was approved by the interviewees and the boards of ABEFACO and SBMFC. There is a shared commitment to ensuring comprehensive care in the various abortion situations - both in professional practice and within the organization and delivery of healthcare services - in alignment with the values of the right to health and reproductive justice.
subject: Dossier - Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Abortion
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Integrality in Health
  topic: keywords
subject: Reproductive Rights
  topic: keywords
subject: Professional Organizations
  topic: keywords
creator: Cristiane Teixeira da Silva Vicente
creator: Daiane Maria Cordeiro
creator: Evelin Gomes Esperandio
creator: Jéssica Monique Bellini
creator: Juliana Teixeira Dutra
creator: Patrícia Ana Muller
creator: Raquel Lara Melo Coutinho
creator: Melanie Noël Maia
creator: Andreza Pereira Rodrigues
creator: Carla Cristina Marques
creator: Carolina Pereira Lobato
creator: Claudette Oliveira Alexandrino
creator: Débora Silva Teixeira
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: e250194pt
ending page: e250194pt
doi: 10.1590/S0104-1290202525194pt

(Dis)infodemic during the -19 pandemic and the communicative rationality in health in Brazil: an integrative review
type: item
description: The covid-19 pandemic triggered an infodemic characterized by the massive spread of fake news, harming health in the digital age. This article aims to analyze the links between infodemic, misinformation, and fake news. The method used was an integrative review of scientific articles from 2020 to 2025, combining different Health Sciences Descriptors (DeCS/MESH) such as “Infodemia,” “Covid-19,” “Fake news,” and “Notícias falsas” in the two largest open-access scientific databases in Brazil (BVS and SciELO). The results highlighted challenges in public health communication and strategies to mitigate the effects of misinformation, highlighting the strengths and weaknesses of a communicative rationality in health. It was observed that the infodemic aggravated vaccine hesitancy, generated distrust in institutions, impacted adherence to protective measures, and affected the daily lives of individuals and their practices in the relationship between the offer of care and the demands for healthcare in the country. The need to strengthen digital literacy and public communication policies in the SUS, as well as strategies for Popular Health Education and public participation, was identified. It is concluded that addressing the infodemic requires intersectoral and coordinated actions between government, media, and society, as well as broad discussions on the accountability of digital platforms.
subject: Critical Review of Literature
  topic: section
subject: Misinformation
  topic: keywords
subject: Infodemic
  topic: keywords
subject: Covid-19
  topic: keywords
subject: Health Communication
  topic: keywords
creator: Iago Marafina de Oliveira
creator: Roseni Pinheiro
creator: Francisco Ortega
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250153pt
ending page: e250153pt
doi: 10.1590/

Training of health professionals for the provision of comprehensive care in abortion situations in public Primary Health Care in Brazil: challenges and innovative experiences
type: item
description: This essay’s objectives are to reflect on challenges in the training of health professionals for comprehensive care in abortion situations in Primary Health Care (PHC) in the Brazilian National Health System (Sistema Único de Saúde – SUS) and to bring to debate innovative training initiatives organized by social and institutional actresses/ actors outside of the traditional training apparatus. In the first part, we dialogue with international literature to explore how training challenges are confronted in countries of the Global North and Latin America, where the practice of abortion has been legalized. Next, we discuss the professional training on abortion in Brazil, focusing on traditional spaces (undergraduate, residencies, and post-graduate). We proceed with the presentation and reflection on some innovative experiences for professional training on comprehensive abortion care, organized by a joint of activist organizations, academic groups, health professionals, professional societies, and the services themselves, mapped from the participation of the authors in forums, organizations, research and activist groups, and selected under the criteria of direct approach to professional training on abortion and/or advocacy actions that have clear or potential repercussion on this training. At the end, we summarize a series of aspects that can strengthen these networks of training for comprehensive care of abortion situations with focus on PHC.
subject: Dossier - Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Abortion
  topic: keywords
subject: Integrality in Health
  topic: keywords
subject: Professional Training
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Reproductive Rights
  topic: keywords
creator: Camila Giugliani
creator: Adriana Coser Gutiérrez
creator: Brenda Freitas Costa
creator: Lucélia dos Santos Silva
creator: Claudia Bonan
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250268pt
ending page: e250268pt
doi: 10.1590/S0104-12902025250213pt

Configurations of care at the end of life: the case of palliative care in Brazil
type: item
description: The socio-anthropological study of palliative care in Brazil has been consolidated over the last two decades, under the umbrella of the sociology of health, death, and dying. Some approaches adopt a macro perspective, aiming to explain the different contours taken by palliative care in each country or even to propose a particular model, while others look at palliative practice at a micro level, in the interactions between individuals at the hospital or at home. This paper analyzes the mechanisms involved in the formation of configurations of care at the end of life, taking palliative care in Brazil as a case. The methodology is qualitative and exploratory in nature, based on an analysis of review papers on the subject, institutional documents, and websites of healthcare organizations. The aim is to establish a range of operational concepts with the purpose of investigating paths of institutionalization and legitimization of health-illness practices at a national and international level. Thus, the aim is to outline a conceptual apparatus useful for explaining the relationships between discursive, practical, and institutional instances in the circumscribed field of palliative care supply models and, possibly, in healthcare systems in general.
subject: Original research articles
  topic: section
subject: Palliative Care
  topic: keywords
subject: Healthcare Systems
  topic: keywords
subject: Institutionalization
  topic: keywords
subject: Health Social Movements
  topic: keywords
creator: Lucas Faial Soneghet
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250286pt
ending page: e250286pt
doi: 10.1590/S0104-12902025250286pt

Setbacks in sexual and reproductive rights: structural racism and its implications for Black women and girls
type: item
description: Abortion is one of the leading causes of maternal mortality in Brazil. Although permitted in cases of rape, life-threatening conditions for the pregnant person, and anencephaly, multiple barriers hinder access to this right, especially for Black girls and women. Legislative proposals such as Bill 1904/2024 and Resolution 2378/2024 of the Federal Council of Medicine (CFM) pose threats to sexual and reproductive rights (SRHR), further exacerbating the challenges faced by this group. Black girls under 14 are the most affected by sexual violence and suffer additional consequences from the criminalization of abortion. This article discusses the cis hetero normative structural racism and its implications for girls, women, and Black people who gestate, including insufficient access to services and discrimination in healthcare settings. Considering international frameworks such as the Sustainable Development Goals (SDGs) and the recommendations of the Committee on the Elimination of Discrimination against Women (CEDAW) for Brazil, the discussion explores strategies to ensure a more just and equitable scenario. The role of Primary Health Care (PHC) in expanding access to SRHR is highlighted, along with the importance of monitoring the Brazilian state’s responses to international recommendations.
subject: Dossier - Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Sexual and Reproductive Rights
  topic: keywords
subject: Legal Abortion
  topic: keywords
subject: Women’s Health
  topic: keywords
subject: Black Population Health
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Lúcia Maria Xavier de Castro
creator: Mariane Marçal do Nascimento
creator: Mônica Pereira do Sacramento
creator: Marcella Martins Alves Teofilo
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250208pt
ending page: e250208pt
doi: 10.1590/S0104-12902025250208-pt

Asexuality and the sexuality dispositif: biopower, sexual normativity and the limits of health
type: item
description: This article analyzes the effects of the medicalization of sexuality on asexual people, understanding them as outcomes of the sexuality aqui é correto dispositif que é um nome, é uma palavra francesa, mas se usa assim em inglês, dispositive é um adjetivo . The research was conducted through virtual ethnography in an online community, in-person observations, and semi-structured interviews. Thematic analysis identified four categories: sex as a norm and foundation of life; pathologization and symbolic violence in healthcare; biomedicine as a normative device; and resistance, activism, and meaningmaking. The findings show that the absence of sexual desire is often interpreted as dysfunction, reinforcing cis-heteronormative standards in clinical settings. Healthcare professionals tend to delegitimize asexual identity, causing embarrassment, misdiagnoses, and silencing practices. On the other hand, digital spaces emerge as territories of resistance, where narratives of recognition and collective care are constructed. It is concluded that the pathologization of asexuality is upheld by exclusionary biomedical epistemologies, highlighting the urgency of critical professional training and the development of health policies that affirm sexual diversity as a legitimate expression of humanity.
subject: Original research articles
  topic: section
subject: Medicalization
  topic: keywords
subject: Sexuality
  topic: keywords
subject: Social Norms
  topic: keywords
subject: Sexual Health
  topic: keywords
subject: Sexual and Gender Minorities
  topic: keywords
creator: João Batista de Oliveira Junior
creator: Zeno Carlos Tesser Júnior
creator: Dalvan Antônio Campos
creator: Marcelo Vieira
creator: Rodrigo Otávio Moretti-Pires
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250205pt
ending page: e250205pt
doi: 10.1590/S0104-12902025250205pt

Feminist movements and the construction of comprehensive carestrategies for abortion situations in Brazil
type: item
description: This article analyzes the trajectories and strategies developed by Brazilian feminist collectives, Grupo Curumim, Humaniza Coletivo Feminista, and Projeto Vivas, to ensure comprehensive care in abortionrelated situations and to overcome the institutional challenges of the Unified Health System (SUS). It aims to engage in dialogue with these collectives to understand what possible futures can be built to guarantee autonomy and access, through advocacy and harm reduction actions in a context marked by criminalization and stigmatization. The reflection was developed through virtual conversation circles with representatives of the collectives, emphasizing listening, dialogue, and the collective construction of knowledge, in alignment with feminist and decolonial perspectives. The findings highlight practices grounded in welcoming care, information, coordination with health services, and political mobilization, which emerge as feminist and social technologies of comprehensive care. The experiences analyzed reveal both tensions and connections with health services, particularly with Primary Health Care (PHC), whose absence is often noted in care pathways. The study concludes that these collectives broaden the repertoire of abortion care in Brazil and contribute to the formulation of public policies rooted in reproductive justice, autonomy, and dignity.
subject: Dossier - Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Legal Abortion
  topic: keywords
subject: Feminism
  topic: keywords
subject: Reproductive Justice
  topic: keywords
subject: Comprehensive Health Care
  topic: keywords
subject: Social Movements
  topic: keywords
creator: Luanda de Oliveira Lima
creator: Nanda Isele Gallas Duarte
creator: Ana Paula de Andrade Lima Viana
creator: Marília Freire
creator: Rebeca Mendes
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e250197pt
ending page: e250197pt
doi: 10.1590/S0104-129020252525197pt

Fat bodies and obese bodies on digital screens: an analytical look at images propagated by Google
type: item
description: The associations between body and image in terms of image production take on immeasurable contours in digital media, reinforcing the visuality of the body in our scenario. This article aims to study the image production of fat bodies and obese bodies on Google images, considering the similarity of such corporealities in the sociocultural imaginary. This is a qualitative, exploratory study carried out on the Google platform, with reflection inspired by the method of semiotic analysis suggested by Joly (2007). The photographic and public access collection was searched using the descriptors fat body and obese body, and covered the publication period between 2019 and 2022. The images of the fat body show an expression of empowerment. On the other hand, fragmented bodies are linked to a cultural production that associates the fat, so-called obese, body with disease. Analysis of the images reveals their role in perpetuating influential discourses in the collective perception of bodies that can affect health practices, often contributing to dehumanizing approaches to individuals with obesity. It is necessary to re-evaluate and humanize how these pathologized bodies, seen as incapable, are represented and treated in the field of health and in the social context.
subject: Original research articles
  topic: section
subject: Fat Body
  topic: keywords
subject: Obese Body
  topic: keywords
subject: Image
  topic: keywords
creator: Maria Inês Santos Campinho
creator: Cláudia Valéria Cardim da Silva
creator: Micheli Dantas Soares
creator: Ligia Amparo-Santos
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e240894pt
ending page: e240894pt
doi: 10.1590/S0104-12902025240894pt

Sexual violence against Black girls: the silencing of the racial debate in national scientific production
type: item
description: This article aims to analyse how national scientific production in the field of health discusses the ethnicracial issue in studies on sexual violence (SV) against girls. An integrative literature review was conducted, with thematic analysis of the selected studies. Searches were carried out in three indexed databases, covering the years 2013 to 2022. Fifty-seven articles were selected for analysis, organised into four thematic axes: 1. characterization of SV and the profile of children and adolescents; 2. repercussions and consequences of SV; 3. healthcare for SV victims and professionals’ perceptions; 4. Tthe quality and evolution of SV records, reports, and underreporting. Epidemiological studies predominate, yet not all even include the race/colour variable, despite the observed improvement in information quality during the period. The literature reveals a significant gap regarding racial discussion in SV studies, despite the increase in records involving Black girls. The absence of discussion on the impacts of racism and the lack of specific strategies to address the racial dimension of this issue are evident. The invisibility of violence against Black childhood diminishes the reach of actions to combat SV.
subject: Critical Review of Literature
  topic: section
subject: Sexual Offenses
  topic: keywords
subject: Sexual Abuse
  topic: keywords
subject: Racism
  topic: keywords
subject: Child
  topic: keywords
subject: Adolescent
  topic: keywords
creator: Milla Martins Figueiredo Gomes
creator: Suely Ferreira Deslandes
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e240824pt
ending page: e240824pt
doi: 10.1590/S0104-12902025240824pt

Challenges, opportunities, and persistent inequalities in Indigenous healthcare in Brazil: critical analysis of the scientific production
type: item
description: Enhancing healthcare attention to the Indigenous population is a public health challenge in Brazil. This study aims to systematize and critically analyze the knowledge produced on Indigenous healthcare in the Brazilian context. The chosen method was an integrative review of articles published between 2013 and 2023, in the PubMed/MEDLINE, LILACS, BDENF, and Index Psi databases. Ten studies met the eligibility criteria and were selected. The research followed a qualitative approach and crosssectional design, with a predominant ethnographic focus. The studies present both challenges and prospects, taking into account the efforts of the actors involved in providing care to the Indigenous population to implement a differentiated health policy that addresses the specific needs inherent to their healthcare. Among the main challenges identified in the analyzed studies are: the distance between villages and healthcare services for Indigenous peoples, communication barriers and access to healthcare, deficiencies in the training of professionals responsible for care, inadequate resources, and the persistence of discriminatory attitudes toward the Indigenous communities. The analysed studies demonstrate the need to promote progress towards an intercultural and inclusive care model that takes into account the local realities and cultural specificities of Indigenous peoples, promoting integration in care across various levels of attention.
subject: Critical Review of Literature
  topic: section
subject: Health of Indigenous Peoples;
  topic: keywords
subject: Indigenous Peoples
  topic: keywords
subject: Health Services, Indigenous
  topic: keywords
subject: Public Policy
  topic: keywords
subject: Public Health
  topic: keywords
creator: Manoel Antônio dos Santos
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e240777pt
ending page: e240777pt
doi: 10.1590/S0104-12902025240777pt

Human migrations and displacements: concepts for public health. Interview with Enrique Coraza de los Santos
type: item
description: In this interview with Revista Saúde e Sociedade, Professor Enrique Coraza de los Santos, historian and specialist in forced mobility and violence in Latin America, discusses the development of public policies for migrants on this continent. Furthermore, in a very didactic manner, he explains and deconstructs the concepts of forced migration, economic migration, asylum, and exile. He then discusses public policies to address and care for the violence suffered by people on the move, addressing how this violence interrelates with health. This interview contributes to understanding the complexity of the migration issue in Latin America and contributes to reflections on policies to protect and guarantee rights.
subject: Original research articles
  topic: section
subject: Forced Migration
  topic: keywords
subject: Internal Migration
  topic: keywords
subject: Public Health
  topic: keywords
subject: Public Policies
  topic: keywords
creator: Enrique Coraza de los Santos
creator: Fernanda Mendes Lages Ribeiro
creator: Corina Helena Figueira Mendes
creator: Cristiane Batista Andrade
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e240725pt
ending page: e240725pt
doi: 10.1590/S0104-12902025240725pt

Methodological and technopolitical challenges of participation and social control in health
type: item
description: The article aims to explore issues relating to Participation and Social Control, taking as a backdrop methodological and technopolitical aspects experienced in the “Training in Monitoring and Evaluation for Social Control in the SUS” course, a partnership between ENSP/Fiocruz and the ISC/UFMT. The course aimed to strengthen Social Participation in the processes of formulating, implementing, and evaluating public policies through the instrumentalization of technical supporters and representatives of health councils and promoting the development of possibilities for applicability, replicability, and multiplicability of the theoretical-methodological framework. The article contains a section “Methodological Considerations”, exposing reflections involving the process of preparing the text; A “Conceptual Considerations” section, which discusses the concepts of Technopolitics, Participation and Social Control; A section “Problematizations and Challenges”, where considerations are made about the methodological and technopolitical limits and potentialities of the radicalization of Participation and Social Control vis-a-vis training in M&A for health advisors and supporters as multipliers, using mapping and comparison of fieldwork produced by course participants; At last, a “Final Considerations” section of the article.
subject: Original research articles
  topic: section
subject: Social Participation
  topic: keywords
subject: Social Control
  topic: keywords
subject: Formal
  topic: keywords
subject: Health Councils
  topic: keywords
subject: Politics
  topic: keywords
subject: Democracy
  topic: keywords
creator: Fernando Manuel Bessa Fernandes
creator: Patrícia dos Santos da Costa
creator: Maria Ângela Conceição Martins
creator: Juliana Fernandes Kabad
creator: Marly Marques da Cruz
rights: Copyright (c) 2025 Revista Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-17
publication date: 2025-12-17
starting page: e240528pt
ending page: e240528pt
doi: 10.1590/S0104-12902025240528pt

The liposuction society: lipophobia as an aesthetic driver and a factor of psychological suffering on social media
type: item
description: Aesthetic standards permeate and impose demands on the individual, immersed in the social context, to adapt to the standardization of an ideal body. In this context, lipophobia, considered as an aesthetic and social discourse that imposes negativity on body fat, remains the tonic of a society that establishes, for itself, the thin and “lean mass” indexes as symbols of a healthy. Rooted in the social imagination for a long time, lipophobia finds, in the recent phenomenon of social networks, fertile ground to proliferate as a moralizing maxim. Therefore, the objective of the present work is to investigate the engines that lead not only to the maintenance, but also to the propagation of lipophobia in social networks. From a diagnosis of society and the behavior of subjects immersed in social networks, we seek to address the foundations and motivators of lipophobic discourses, their reasons, their propagation mechanisms, their effects, and also the psychic impacts arising from body aesthetic pressure. By tracing a profile of this liposuction society, we intend to promote debate and discussion about a research locus that has not yet been investigated — social networks — highlighting its importance in the field of public health.
subject: Ensaio
  topic: section
subject: Lipophobia
  topic: keywords
subject: Social Networks
  topic: keywords
subject: Biomedical Power
  topic: keywords
subject: Psychic Suffering
  topic: keywords
subject: Public Health
  topic: keywords
creator: Maria Camila Gabriele Moura Nogueira
creator: Maria Lúcia Magalhães Bosi
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e250572pt
ending page: e250572pt
doi: 10.1590/S0104-12902025250572pt

Violence against dependent elderly people in the perception of health managers in Brazil
type: item
description: The study aims to understand the experiences of health managers in Brazil regarding the context of violence against dependent elderly individuals at home. This study is a multicentric qualitative investigation conducted in Brazil, involving 16 (sixteen) health managers from primary health care, geriatrics outpatient clinics, and health project coordination for the elderly. The interviews took place from June to December 2019. The study adheres to the principles of hermeneutic dialectics. The results infer that violence is a social phenomenon that impacts everyone, but it has a greater repercussion on elderly people weakened by dependence who require permanent and constant care. In the homes where most of them reside, in addition to suffering from the loss of autonomy, it is quite common for elderly people to be victims of abandonment, neglect, or physical or psychological abuse. We conclude that changes resulting from physical, psychological, and social dependence often intensify violence, encircling the family nucleus and life dynamics.
subject: Original research articles
  topic: section
subject: Violence
  topic: keywords
subject: Elderly Person
  topic: keywords
subject: Abandonment
  topic: keywords
subject: Neglect
  topic: keywords
creator: Jonas Loiola Gonçalves
creator: José Maria Ximenes Guimarães
creator: Raimunda Magalhães da Silva
creator: Luiza Jane Eyre de Souza Vieira
creator: Girliani Silva de Sousa
creator: Maria Cecília de Souza Minayo
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e240610pt
ending page: e240610pt
doi: 10.1590/S0104-12902025240610pt

Ways of (not) providing healthcare to trans women and travestis in the “liquid territory”
type: item
description: From a dynamic space, in constant movement and transformation, here called “liquid territory”, we seek to understand the ways of (not) doing healthcare for trans women and travestis. This is a qualitative, descriptive, and comprehensive-interpretive study, based on the experiences narrated by primary health care workers and trans women and travestis, in Manaquiri, a municipality in the state of Amazonas. The analysis of the narratives revealed three main axes that organized the meanings of care or its absence: “I don’t know”; “I don’t attend to them”; and “So I don’t do anything about it”. This sequence of statements synthesizes the institutional logic that highlights, above all, practices of non-care, marked by silencing, omissions, and denial of the existence of these identities in the daily routine of the services. In conclusion, we emphasize that it is imperative to build inclusive and operational strategies that promote effective health care for trans women and travestis in primary care. These practices must be based on the awareness of the reality experienced by these bodies in different territorial contexts, articulating understandings and affections capable of breaking with the historical cycles of annihilation and opening the main gateway to the services of the Brazilian Unified Health System for trans women and travestis.
subject: Original research articles
  topic: section
subject: Transgender Women
  topic: keywords
subject: Travestis
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Amazonas
  topic: keywords
creator: Willams Costa de Melo
creator: Clarisse Braga de Souza
creator: Fábio Henrique Almeida Dantas
creator: Breno de Oliveira Ferreira
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e240533pt
ending page: e240533pt
doi: 10.1590/S0104-12902025240533pt

The Covid-19 pandemic and the care of vulnerable populations: arrangements and responses produced in the State of São Paulo
type: item
description: In this article, we analyze the care paths developed by two health regions in the state of São Paulo aimed at populations in vulnerable situations, in response to the covid-19 pandemic. This is a multiple case study type investigation, with a qualitative-quantitative approach. Semi-structured questionnaires and 29 interviews were used involving managers and health professionals working in the Regional Health Departments and Municipal Health Secretariats of 6 municipalities in the Health Regions of the Metropolitan Region of São Paulo and the interior. Our analyses showed that invisibilities and a homogenizing perspective on “being vulnerable” persist. Regarding the topic of innovations, we reiterate the challenges faced by managers and health professionals who have experienced the intensification of forces contrary to the construction of care actions, in view of government choices – at the state/federal level. Despite these identified challenges and care actions, the journeys in the municipalities call us to reflect on the need to expand intersectoral action, due to the needs and potentialities present in the territories in relation to the theme of vulnerabilities, especially considering that the initiatives made visible little points to articulations and arrangements different from those produced from the traditional logic of thinkingacting in health.
subject: Original research articles
  topic: section
subject: Vulnerable Populations
  topic: keywords
subject: Covid-19
  topic: keywords
subject: Healthcare Models
  topic: keywords
subject: Health Management
  topic: keywords
creator: Greice Herédia dos Santos Moura
creator: Carlos Roberto de Castro-Silva
creator: Valéria Monteiro Mendes
creator: Deborah Nimtzovitch Cualhete
creator: Lumena Almeida Castro Furtado
creator: Ademar Arthur Chioro dos Reis
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e240214pt
ending page: e240214pt
doi: 10.1590/S0104-12902025240214pt

Comprehensive care for abortion-related situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives, and pathways
type: item
description: This Editorial presents the dossier “Comprehensive care for abortion-related situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives, and pathways”. Abortions are common events in the reproductive lives of women and pregnant people, whether spontaneous or induced. In the absence or weakness of public policies and comprehensive reproductive health care approaches that address abortion situations, risks to health and life are common, becoming a serious public health problem. The centrality of Primary Health Care (PHC) in ensuring access to comprehensive abortion care has been the subject of growing debate in Brazil and worldwide, and is a WHO recommendation. The five articles comprising the dossier present multiple approaches and were developed based on dialogue between researchers and professors from various research and educational institutions, representatives of professional associations, civil society organizations, and feminist collectives from various regions of the country. By promoting a critical analysis of the challenges and potential of PHC, the works contribute to the construction of theoretical and practical frameworks guided by the principles of comprehensive care and reproductive rights, reaffirming their commitment to social and reproductive justice in the context of public health policies.
subject: Editorial - Dossier Comprehensive care for abortion situations in Primary Health Care within the Brazilian Unified Health System (SUS): challenges, perspectives and pathways
  topic: section
subject: Abortion
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Comprehensive Care
  topic: keywords
subject: Sexual and Reproductive Rights
  topic: keywords
subject: Brazilian Unified Health System (SUS)
  topic: keywords
creator: Claudia Bonan
creator: Andreza Pereira Rodrigues
creator: Nanda Isele Gallas Duarte
creator: Melanie Noël Maia
creator: Luanda de Oliveira Lima
creator: Adriana Coser Gutiérrez
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e250577
ending page: e250577
doi: 10.1590/S0104-12902025250577-pt

Public policies and cisheteronormativity: impacts on the experiences of LGBTI+ parenthood in healthcare
type: item
description: This qualitative study investigated the experiences of LGBTI+ individuals who assume parenthood, as well as the practices of healthcare professionals in providing care to this population. Between November 2023 and February 2024, seven online focus groups were conducted, five with LGBTI+ individuals and two with healthcare professionals. Participants were selected through social media, and the “snowball” method was used to expand the sample. Thematic analysis of the results revealed barriers to accessing equitable and inclusive healthcare, due to a lack of professional preparedness in addressing issues of gender and sexuality, and the cisheteronormative lens present in social relations. The study highlights the erasure of LGBTI+ parenthood in public policies and healthcare practices, as well as the need for further training on sexuality and gender in health curricula. The findings provide insights for promoting more just and welcoming care for this population.
subject: Original research articles
  topic: section
subject: Parenthood
  topic: keywords
subject: Sexual and Gender Minorities
  topic: keywords
subject: Public Policy
  topic: keywords
subject: Health Policy
  topic: keywords
subject: Gender Norms
  topic: keywords
creator: Stephany Yolanda Ril
creator: João Batista de Oliveira Junior
creator: Rodrigo Otávio Moretti-Pires
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e240812pt
ending page: e240812pt
doi: 10.1590/S0104-12902025240812pt

COVID-19 and diabetes: self-care and religion
type: item
description: The first epidemiological studies on covid-19 identified certain “risk groups,” individuals at higher risk of developing severe cases and dying from the disease. Among them are those living with chronic conditions such as type 2 diabetes mellitus (T2DM). For this group with diabetes, glycemic control was identified as one of the main forms of protection against severe cases of covid-19, which should include self-care through medication, diet, and physical activities. However, implementing these measures creates problematic fields in self-care, as well as restrictions and constraints on life and care production. During the pandemic, additional challenges were added to these, further complicating the daily lives of those already living with T2DM. This article presents part of the results from ethnographic research based on semi-structured interviews conducted by phone, analyzing the perspectives of people with T2DM on their self-care experiences during the pandemic. The analysis of the empirical data revealed how the pandemic affected different dimensions of the daily lives of people living with diabetes, with a particular focus in this article on selfcare and religion, revealing the presence of different “worldviews” and “cultural registers”.
subject: Original research articles
  topic: section
subject: Type 2 Diabetes Mellitus
  topic: keywords
subject: Covid-19
  topic: keywords
subject: Self- Care
  topic: keywords
subject: Ethnography
  topic: keywords
subject: Religion
  topic: keywords
creator: Laura Naggiar Giovanoni
creator: Antonio Pithon Cyrino
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e230826pt
ending page: e230826pt
doi: 10.1590/S0104-12902025230826pt

A study on access to health and social assistance for children and youth with situations of social vulnerability in the municipality of Porto Murtinho/MS
type: item
description: This article presents the results of research on access to health and social care for children and youth in the municipality of Porto Murtinho/MS. A border that is characterized as a space marked by singularities and diversities, in which people of different nationalities live and travel, and within this context, weaknesses are evident in relation to access to public policies to serve this population, whose dynamics are built from different cultures and identities. This is a bibliographic and field research study; the approach is qualitative and involves issues of access to social public policies in the border region of Porto Murtinho/MS. The results indicate fragility concerning access to these policies, especially for children and youth, generating social vulnerabilities in a stage of life in which protection is necessary, especially in relation to health and social assistance. The results also reveal the social issues present at Brazil’s borders; in the context of the border where the research is taking place, a significant influence of the transformations resulting from the Bioceanic Route is expected, affecting the urban dynamics and the life of the community due to the increase in human traffic, the emergence of new commercial establishments, and other relevant changes.
subject: Original research articles
  topic: section
subject: Children and Youth
  topic: keywords
subject: Health
  topic: keywords
subject: Social Assistance
  topic: keywords
subject: Porto Murtinho
  topic: keywords
subject: Social Vulnerability
  topic: keywords
creator: Francisca Bezerra de Souza
creator: Luciane Pinho de Almeida
rights: Copyright (c) 2025 Revista Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
starting page: e220882pt
ending page: e220882pt
doi: 10.1590/S0104-12902025220882-pt

Gender-based violence and abuse in medical training in Mexico before, during, and after the COVID-19 pandemic: Signs of hysteresis in the medical field?
type: item
description: In this article, we describe the protests that shook the medical field in the years leading up to the COVID-19 epidemic in Mexico. On the one hand, there were protests by the medical profession against different forms of violence related to organized crime in the context of the so-called war on drugs. On the other hand, there were protests by the feminist movement against gender-based violence within the medical field. We point out the need to more systematically investigate the differential course of these struggles, with only the feminist movement appearing to advance toward producing a possible state of hysteresis of the patriarchal habitus within the field. The article begins with a brief conceptual and methodological note. Next, we show the momentum that the two types of protests against violence in the medical field were gaining. We then seek to illustrate how the basic structures of the field, related to medical training (precariat and authoritarianism), operated to the detriment of these protests, but apparently with different effects. We conclude the article with a reflection on the course these struggles have taken since then, asking whether it is possible to speak of a current state of partial hysteresis within the medical field.
subject: Dossier Health Sociology
  topic: section
subject: Medical Field
  topic: keywords
subject: Mexico
  topic: keywords
subject: Feminist Struggles
  topic: keywords
subject: Violence
  topic: keywords
subject: Hysteresis
  topic: keywords
creator: Roberto Castro
creator: Marcia Villanueva
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-21
publication date: 2025-11-21
starting page: e250154pt
ending page: e250154pt
doi: 10.1590/S0104-12902025250154pt

Promoção da saúde mental coletiva mediada por produções sonoras
type: item
description: Apresentação: A busca por respostas e a reflexão contínua sobre como mobilizar esforços para o bem comum na vida cotidiana levaram à inter-relação de três perspectivas. Epistêmica: saúde mental coletiva e sua promoção. Metodológica: pesquisa-intervenção; e estratégica: comunicação e rádio/podcast. Objetivo: Descrever a experiência plurianual de um grupo de professores-pesquisadores universitários na promoção da saúde mental coletiva por meio de produções em áudio. O processo é apresentado em três etapas. Baseado em uma metodologia de pesquisa-intervenção, um processo espiral de idas e vindas entre diferentes áreas do conhecimento, que visa ampliar a construção do conhecimento sobre fenômenos humanos complexos, muitas vezes considerados de forma linear ou dicotômica. Resultados e discussão: 43 episódios de programas de rádio/podcast e 40 cápsulas de áudio. Resultado de conversas dialógicas em grupo, cuja análise subsidiou um segundo momento conversacional em estúdio de gravação com indivíduos profissionalmente ou academicamente reconhecidos, repensando os saberes disciplinares desafiados pela experiência dos primeiros interlocutores. Conclusões: Na promoção da saúde mental, o rádio/podcast pode contribuir para o engajamento individual e coletivo, desencadeando processos de transformação cultural em prol de uma boa vida em comum.
subject: Original research articles
  topic: section
subject: Rádio/Podcast
  topic: keywords
subject: Promoção da Saúde Mental
  topic: keywords
subject: Saúde Coletiva
  topic: keywords
subject: Pesquisa-Intervenção
  topic: keywords
creator: Ana María Lara S
creator: Nubia Esperanza Torres C
creator: Martha Inés Solano M
creator: Claudia Irene Giraldo V
creator: Cecilia de Santacruz
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-21
publication date: 2025-11-21
starting page: e240677pt
ending page: e240677pt
doi: 10.1590/S0104-12902025240677pt

Dossier: Perspectives and approaches between Sociology and Health
type: item
subject: Editorial - Dossier on the Sociology of Health
  topic: section
creator: Aurea Maria Zöllner Ianni
rights: Copyright (c) 2025 Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e250365pt
ending page: e250365pt
doi: 10.1590/S0104-12902025250365pt

The healthcare trajectory of riverside women in reproductive planning at a fluvial Primary Health Unit in Amazonas
type: item
description: This study analyzes the care trajectory of riverine women assisted by the Fluvial Primary Health Unit (UBSF) in reproductive planning, highlighting challenges in access and continuity of care. Using a qualitative approach within a sequential mixedmethods study, interviews were conducted with users, UBSF professionals, and managers from the Municipal Health Secretariat. The results indicate that, although the presence of the UBSF facilitates care in rural areas, barriers such as river seasonality, logistical difficulties, and limited availability of contraceptive methods compromise the effectiveness of reproductive planning. Additionally, the fragmentation of the care pathway and the lack of coordination between healthcare levels hinder access to specialized contraceptive methods, such as intrauterine devices (IUDs) and tubal ligation, forcing users to face costly travel and excessive bureaucracy. The absence of coordination between Primary and Specialized Care exacerbates these difficulties, placing the burden on women to secure their own access to essential health services. This study underscores the importance of differentiated care flows that ensure comprehensive access to reproductive planning for riverine women.
subject: Original research articles
  topic: section
subject: Rural Population
  topic: keywords
subject: Women’s Health
  topic: keywords
subject: Health Services Accessibility
  topic: keywords
subject: Integrality in Health
  topic: keywords
creator: Anny Beatriz Costa Antony de Andrade
creator: Luiza Garnelo
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e250141pt
ending page: e250141pt
doi: 10.1590/S0104-12902025250141pt

Affections and narratives about obesity in between boxes: a(auto)biographical research in a health education device
type: item
description: This work explores the presence of affects in learning within a continuing health education course designed for Primary Care professionals and focused on improving care for individuals with obesity. The course is grounded in socioanthropological studies of obesity. To achieve this, we examined reports from participant students using a pedagogical tool called the “Box of Experiments,” employed in the course as a device for autobiographical production of formative itineraries. As a theoretical and methodological choice, this work was conducted from the perspectives of biographical studies, complemented by philosophical reflections and insights from the field of social and human sciences in health. The results, categorized into two analytical groups, reflect the emotional impacts present in the transformative process of thinking about obesity facilitated by the course. This is particularly evident when participants engage in critical self-reflection on the subject, encompassing personal experiences, knowledge, health professionals’ training, and care performances. Anguish, guilt, and surprise are affects that surface when students narrate their thoughts on the course’s addressed topics, while enthusiasm, impetus, and readiness for change emerge as affects driving the transformation of these professionals’ practices.
subject: Original research articles
  topic: section
subject: Affects
  topic: keywords
subject: Obesity
  topic: keywords
subject: Personal Narratives
  topic: keywords
subject: Continuing Health Education
  topic: keywords
creator: Rafael Arcanjo Tavares Filho
creator: Ligia Amparo da Silva-Santos
creator: Micheli Dantas Soares
rights: Copyright (c) 2025 Saúde e Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e240131pt
ending page: e240131pt
doi: 10.1590/S0104-12902025240131pt

AI, Global Health and Algorithmic Society: Biodata’s democraticuse and regulation
type: item
description: Global health policies within an algorithmic society are developed through tensions between citizenship rights and market interests. In a “global health” timeline, the development of artificial intelligence (AI) has added greater complexity to these policies due to its potentialities and risks. If, on the one hand, the health sector is under the domination of the market’s techno-digital policies, which have undoubtedly brought improvements to the industry through the evolution of AI, on the other hand, one cannot ignore the abusive position of business corporations that feed their algorithmic networks through the mega data flows. In this context, two main points are analysed. The first highlights two ways of using data in the health sector that reflect a democratic and a non-democratic use of the same. While the democratic use emphasizes the potential of AI in the health sector, the non-democratic use reflects the tensions/risks arising from data extraction combined with financial and business logics, with an impact on privacy and security, and transparency. The second, seeking to eliminate or mitigate these main risks, analyzes the axis of governance and regulation of global health data in relation to AI.
subject: Dossier Health Sociology
  topic: section
subject: Artificial Intelligence
  topic: keywords
subject: Global Health
  topic: keywords
subject: Algorithmic Society
  topic: keywords
subject: Use of Biodata
  topic: keywords
creator: Wanda Maria de Lemos Capeller
creator: João António Fernandes Pedroso
creator: Andreia Filipa Gonçalves dos Santos
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e250066pt
ending page: e250066pt
doi: 10.1590/S0104-12902025250066pt

Prevents, but does not eliminate: stigma and the use of preexposure and post-exposure prophylaxis in the context of sex work among cisgender women in São Paulo
type: item
description: Over the past four decades, research and activism have shown that reducing stigma must be a central focus of prevention policies. However, stigma remains both a barrier and a driving force behind the acceptability and use of biomedical technologies among cisgender sex workers. This article explores that paradox by questioning the effectiveness of pre- and postexposure prophylaxis in a context shaped by stigma around prostitution and HIV/AIDS. Our analysis is based on in-depth interviews with cisgender sex workers who use these prophylaxes, conducted in 2015 and 2018/2019. We apply thematic analysis to four categories drawn from the Health Stigma and Discrimination Framework: prevention negotiations, representations of HIV/AIDS, motivations for use, and perceptions of PEP and/or PrEP. The findings show that the pursuit of greater autonomy in selfcare drives interest in these technologies. This motivation, however, often aims to navigate stigma and power imbalances within prevention practices. By situating the discussion within Brazil’s STI/AIDS programs over the past decade, we advocate for a renewed focus on structural factors – particularly stigma – as the “first barriers” to prevention in the context of sex work.
subject: Dossier Biomedical HIV prevention and sexuality: mediations and co-productions of bodies, pleasures, and technologies
  topic: section
subject: Sex work
  topic: keywords
subject: Stigma
  topic: keywords
subject: HIV
  topic: keywords
subject: Pre-exposure prophylaxis
  topic: keywords
subject: Post-exposure prophylaxis
  topic: keywords
creator: Isa da Silva Sorrentino
creator: Laura Rebecca Murray
creator: Marcia Thereza Couto
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e250035pt
ending page: e250035pt
doi: 10.1590/S0104-12902025250035pt

“Do not defend the indefensible”: elements for a cosmopolitical and antiracist approach to public health at the end of the world
type: item
description: In the context of growing discussions about decolonization in the field of health, this essay aims to present a conceptual framework mobilized by the relationship between cosmopolitical propositions, disputes over care, black feminist poetics, and debates about the end of the world. It argues that there is a strong constraint on the imaginative limits of the field and that this is not a technical, funding, or ideological problem. To enable more forceful reorganizations of democratic struggle today, it seems necessary to dismantle and experiment with possibilities for epistemic-political and administrative reorganization. Based on a larger process of anthropological research with people, networks and territories that, in different ways, experience public health (the state, rights, science and modernity) from a certain distance and with suspicion, this essay offers fertile resources to help in the necessary reformulations of public/collective health and to rethink training processes, knowledge production and, potentially, political-administrative estrategies. The speculative possibility that opens up is to venture to see and recreate with and from multiple diverse perspectives, initially adopting the ontological multiplicity of subjects/worlds/relations to/from health, the epistemic multiplicity, and the multiplicity of praxis and political speculations.
subject: Ensaio
  topic: section
subject: Collective Health
  topic: keywords
subject: Capitalocene
  topic: keywords
subject: Care
  topic: keywords
subject: Black Feminist Poetics
  topic: keywords
subject: Anthropology
  topic: keywords
creator: José Miguel Nieto Olivar
rights: Copyright (c) 2025 Saúde Sociedade https://creativecommons.org/licenses/by/4.0
date: 2025-11-11
publication date: 2025-11-11
starting page: e240788pt
ending page: e240788pt
doi: 10.1590/S0104-12902025240788pt