Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/14389 |
Resumo: | Questions about psychic suffering are often associated with the university environment, and they represent challenges that require institutional policies to be sought. It is crucial to understand how psychic suffering manifests in different university contexts, to know which are its actual dimensions and determinants. Through a critical perspective, knowledge about psychic suffering can allow the interpretation of the health-disease process of organizing social life, work, and social reproduction. This study intends to identify the prevalence of psychic suffering and its associations based on the understanding of social determination in health among undergraduate and graduate students at USP São Carlos, at one of its teaching units, the Institute of Mathematical and Computer Sciences (ICMC). The research was based on an exploratory epidemiological population, observational, cross-sectional, institutional studies with a critical analysis of 310 undergraduate students and 122 graduate students. The data collection was carried out electronically between September and November 2020, through a self-administered questionnaire composed of a socio-demographic inventory and on health issues and the instrumental Self-Reporting Questionnaire (SRQ-20), which signals the presence of psychological suffering by screening for Common Mental Disorders (CMDs). Data was exported to the RStudio program (R CORE TEAM, 2020) and the Stata program version 14 (College Station, Texas, USA) to analyze distributions and associations. Among undergraduate students, the results showed a general prevalence of CMDs was 72.9%. There was an association with family per capita income, income variation from the period before the pandemic caused by COVI-19 and the moment of research, being a cisgender woman, LGBTQIA+ sexual orientation, reporting difficulty in staying at the University, being followed up with a mental health professional and making use of psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and being a cisgender woman (OR = 2.69), reporting difficulties in staying at the University (OR = 3.45) and being monitored by a mental health professional (OR = 3.74). For graduate students, the general prevalence of CMDs was 72.1%. We found an association with family per capita income, reporting difficulty staying at the University, being monitored by a Mental Health professional, and using psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and difficulty staying at the University (OR = 10.3). The prevalence of psychic suffering was high in both groups. These findings can serve as the basis for the development and improvement of public policies for Student Assistance in the context of Collective Health and the Unified Health System. Among the recommendations is the strengthening of the national assistance policy student, with the expansion of coverage to graduate students, strengthening and creating actions and diversity policies that combat prejudice and discrimination at the national and local levels. It is necessary to consider the transformation of the university environment as well as beyond its limits, considering that what is lived at the university is also a reflection of life outside it. |
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Silva, Emanuela Pap daBleicher, Taíshttp://lattes.cnpq.br/9075358493860166Barbosa Neto, Jair Borgeshttp://lattes.cnpq.br/9551566039906499http://lattes.cnpq.br/5900630486012011378fe2f6-8758-46fe-9ae5-3c1bec3306a82021-06-17T18:32:15Z2021-06-17T18:32:15Z2021-03-30SILVA, Emanuela Pap da. Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos. 2021. Dissertação (Mestrado em Gestão da Clínica) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14389.https://repositorio.ufscar.br/handle/ufscar/14389Questions about psychic suffering are often associated with the university environment, and they represent challenges that require institutional policies to be sought. It is crucial to understand how psychic suffering manifests in different university contexts, to know which are its actual dimensions and determinants. Through a critical perspective, knowledge about psychic suffering can allow the interpretation of the health-disease process of organizing social life, work, and social reproduction. This study intends to identify the prevalence of psychic suffering and its associations based on the understanding of social determination in health among undergraduate and graduate students at USP São Carlos, at one of its teaching units, the Institute of Mathematical and Computer Sciences (ICMC). The research was based on an exploratory epidemiological population, observational, cross-sectional, institutional studies with a critical analysis of 310 undergraduate students and 122 graduate students. The data collection was carried out electronically between September and November 2020, through a self-administered questionnaire composed of a socio-demographic inventory and on health issues and the instrumental Self-Reporting Questionnaire (SRQ-20), which signals the presence of psychological suffering by screening for Common Mental Disorders (CMDs). Data was exported to the RStudio program (R CORE TEAM, 2020) and the Stata program version 14 (College Station, Texas, USA) to analyze distributions and associations. Among undergraduate students, the results showed a general prevalence of CMDs was 72.9%. There was an association with family per capita income, income variation from the period before the pandemic caused by COVI-19 and the moment of research, being a cisgender woman, LGBTQIA+ sexual orientation, reporting difficulty in staying at the University, being followed up with a mental health professional and making use of psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and being a cisgender woman (OR = 2.69), reporting difficulties in staying at the University (OR = 3.45) and being monitored by a mental health professional (OR = 3.74). For graduate students, the general prevalence of CMDs was 72.1%. We found an association with family per capita income, reporting difficulty staying at the University, being monitored by a Mental Health professional, and using psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and difficulty staying at the University (OR = 10.3). The prevalence of psychic suffering was high in both groups. These findings can serve as the basis for the development and improvement of public policies for Student Assistance in the context of Collective Health and the Unified Health System. Among the recommendations is the strengthening of the national assistance policy student, with the expansion of coverage to graduate students, strengthening and creating actions and diversity policies that combat prejudice and discrimination at the national and local levels. It is necessary to consider the transformation of the university environment as well as beyond its limits, considering that what is lived at the university is also a reflection of life outside it.Nas Universidades, as questões relativas ao sofrimento psíquico têm permeado seu cotidiano, provocando a busca por respostas ou políticas de enfrentamento institucionais. É importante compreender como esse fenômeno se manifesta em seus diversos contextos, sua real dimensão e seus determinantes, em uma perspectiva crítica, que entende o processo saúde-doença a partir das formas de organização da vida social, trabalho e reprodução social. Este estudo objetivou identificar a prevalência do sofrimento psíquico e suas associações a partir da compreensão da determinação social em saúde entre estudantes de graduação e pós-graduação do campus da USP de São Carlos, em uma de suas unidades do ensino, o Instituto de Ciências Matemáticas e de Computação (ICMC). Trata-se de um estudo exploratório epidemiológico populacional, observacional, transversal, institucional, com abordagem crítica, com a participação de 310 estudantes de graduação e 122 estudantes de pós-graduação. A coleta de dados foi realizada por meio eletrônico, entre setembro e novembro de 2020, por questionário autoaplicável composto por um inventário sociodemográfico e com questões de saúde e pelo instrumental Self-Reporting Questionnaire, (SRQ-20), que sinaliza para a presença de sofrimento psíquico por meio do rastreio de Transtorno Mental Comum (TMC). Os dados exportados para o programa RStudio (R CORE TEAM, 2020) e para o programa Stata versão 14 (College Station, Texas, USA) para análise das distribuições e associações. Entre estudantes de graduação, os resultados apontaram o rastreio positivo para TMC de 72,9% e houve associação com renda familiar per capta, variação da renda do período anterior à pandemia da covid-19 e o momento da pesquisa, ser mulher cisgênera, orientação sexual LGBTQIA+, relatar dificuldade de permanência na Universidade, estar em acompanhamento com profissional de saúde mental e fazer uso de medicação psiquiátrica. Na análise ajustada, encontramos associação e razão de chances entre o rastreio positivo para TMC e ser mulher cisgênera (OR=2,63), relatar dificuldades de permanência na Universidade (OR= 3,45) e estar em acompanhamento com profissional de saúde mental (OR=5,12). Para estudantes de pós-graduação, a prevalência do rastreio positivo para TMC foi de 72,1%, encontramos associação com renda familiar per capta, relatar dificuldade de permanência na Universidade, estar em acompanhamento com profissional de Saúde Mental e fazer uso de medicação psiquiátrica. Na análise ajustada, encontramos associação e razão de chances entre o rastreio positivo para TMC e dificuldade de permanência na Universidade (OR= 10,3). A partir destes resultados, os quais chamam a atenção pela alta prevalência de sofrimento psíquico nos 02 grupos, foram elaboradas propostas para as políticas públicas de Assistência Estudantil, no contexto do campo da Saúde Coletiva e do Sistema Único de Saúde, e entres as recomendações estão o fortalecimento da política nacional de assistência estudantil, com a expansão da cobertura aos estudantes de pós-graduação, fortalecimento e criação de ações e de políticas de diversidade que combatam o preconceito e a discriminação em âmbito nacional e em âmbito local. É preciso pensar na transformação do ambiente construído no território Universidade e para além dele, considerando que o que se vive na Universidade é também reflexo do que se vive fora dela.Não recebi financiamentoporUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Gestão da Clínica - PPGGCUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessSaúde mentalDeterminantes sociais da saúdeUniversidadesMental healthSocial determinants of healthUniversitiesCIENCIAS SOCIAIS APLICADASCIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIACIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICADeterminação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São CarlosSocial determination of health and psychic suffering at the university: a survey with students from the Instituto de Ciências Matemáticas e de Computação (ICMC) at USP campus of São Carlosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis600600ecc2baf0-6235-40e5-999e-af43e4692e92reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissertação_Emanuela_versão_corrigida.pdfDissertação_Emanuela_versão_corrigida.pdfapplication/pdf2526560https://repositorio.ufscar.br/bitstream/ufscar/14389/1/Dissertac%cc%a7a%cc%83o_Emanuela_versa%cc%83o_corrigida.pdfccd99a2655bc9d0eb2bcef5733df0337MD51Formulário submissão RI Emanuela Pap da Silva.pdfFormulário submissão RI Emanuela Pap da Silva.pdfapplication/pdf82410https://repositorio.ufscar.br/bitstream/ufscar/14389/3/Formul%c3%a1rio%20submiss%c3%a3o%20RI%20Emanuela%20Pap%20da%20Silva.pdf2e23b3196178ed6b46ac8d3a17e01d5bMD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/14389/4/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD54TEXTDissertação_Emanuela_versão_corrigida.pdf.txtDissertação_Emanuela_versão_corrigida.pdf.txtExtracted texttext/plain395724https://repositorio.ufscar.br/bitstream/ufscar/14389/5/Dissertac%cc%a7a%cc%83o_Emanuela_versa%cc%83o_corrigida.pdf.txte8ab3440d506aa3b72d6fa118ff6051bMD55Formulário submissão RI Emanuela Pap da Silva.pdf.txtFormulário submissão RI Emanuela Pap da Silva.pdf.txtExtracted texttext/plain1338https://repositorio.ufscar.br/bitstream/ufscar/14389/7/Formul%c3%a1rio%20submiss%c3%a3o%20RI%20Emanuela%20Pap%20da%20Silva.pdf.txt05bb4caff124adfd4a21fa1499a1e1a2MD57THUMBNAILDissertação_Emanuela_versão_corrigida.pdf.jpgDissertação_Emanuela_versão_corrigida.pdf.jpgIM Thumbnailimage/jpeg7315https://repositorio.ufscar.br/bitstream/ufscar/14389/6/Dissertac%cc%a7a%cc%83o_Emanuela_versa%cc%83o_corrigida.pdf.jpga720d67651ec148bd50df99e4db38b0fMD56Formulário submissão RI Emanuela Pap da Silva.pdf.jpgFormulário submissão RI Emanuela Pap da Silva.pdf.jpgIM Thumbnailimage/jpeg13686https://repositorio.ufscar.br/bitstream/ufscar/14389/8/Formul%c3%a1rio%20submiss%c3%a3o%20RI%20Emanuela%20Pap%20da%20Silva.pdf.jpg814092d7c3aebdb30f4dccae28375e8aMD58ufscar/143892023-09-18 18:32:11.639oai:repositorio.ufscar.br:ufscar/14389Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:11Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
dc.title.alternative.eng.fl_str_mv |
Social determination of health and psychic suffering at the university: a survey with students from the Instituto de Ciências Matemáticas e de Computação (ICMC) at USP campus of São Carlos |
title |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
spellingShingle |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos Silva, Emanuela Pap da Saúde mental Determinantes sociais da saúde Universidades Mental health Social determinants of health Universities CIENCIAS SOCIAIS APLICADAS CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
title_full |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
title_fullStr |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
title_full_unstemmed |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
title_sort |
Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos |
author |
Silva, Emanuela Pap da |
author_facet |
Silva, Emanuela Pap da |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/5900630486012011 |
dc.contributor.author.fl_str_mv |
Silva, Emanuela Pap da |
dc.contributor.advisor1.fl_str_mv |
Bleicher, Taís |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9075358493860166 |
dc.contributor.advisor-co1.fl_str_mv |
Barbosa Neto, Jair Borges |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/9551566039906499 |
dc.contributor.authorID.fl_str_mv |
378fe2f6-8758-46fe-9ae5-3c1bec3306a8 |
contributor_str_mv |
Bleicher, Taís Barbosa Neto, Jair Borges |
dc.subject.por.fl_str_mv |
Saúde mental Determinantes sociais da saúde Universidades |
topic |
Saúde mental Determinantes sociais da saúde Universidades Mental health Social determinants of health Universities CIENCIAS SOCIAIS APLICADAS CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Mental health Social determinants of health Universities |
dc.subject.cnpq.fl_str_mv |
CIENCIAS SOCIAIS APLICADAS CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
description |
Questions about psychic suffering are often associated with the university environment, and they represent challenges that require institutional policies to be sought. It is crucial to understand how psychic suffering manifests in different university contexts, to know which are its actual dimensions and determinants. Through a critical perspective, knowledge about psychic suffering can allow the interpretation of the health-disease process of organizing social life, work, and social reproduction. This study intends to identify the prevalence of psychic suffering and its associations based on the understanding of social determination in health among undergraduate and graduate students at USP São Carlos, at one of its teaching units, the Institute of Mathematical and Computer Sciences (ICMC). The research was based on an exploratory epidemiological population, observational, cross-sectional, institutional studies with a critical analysis of 310 undergraduate students and 122 graduate students. The data collection was carried out electronically between September and November 2020, through a self-administered questionnaire composed of a socio-demographic inventory and on health issues and the instrumental Self-Reporting Questionnaire (SRQ-20), which signals the presence of psychological suffering by screening for Common Mental Disorders (CMDs). Data was exported to the RStudio program (R CORE TEAM, 2020) and the Stata program version 14 (College Station, Texas, USA) to analyze distributions and associations. Among undergraduate students, the results showed a general prevalence of CMDs was 72.9%. There was an association with family per capita income, income variation from the period before the pandemic caused by COVI-19 and the moment of research, being a cisgender woman, LGBTQIA+ sexual orientation, reporting difficulty in staying at the University, being followed up with a mental health professional and making use of psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and being a cisgender woman (OR = 2.69), reporting difficulties in staying at the University (OR = 3.45) and being monitored by a mental health professional (OR = 3.74). For graduate students, the general prevalence of CMDs was 72.1%. We found an association with family per capita income, reporting difficulty staying at the University, being monitored by a Mental Health professional, and using psychiatric medication. In the adjusted analysis, we found an association and odds ratio between positive screening for CMDs and difficulty staying at the University (OR = 10.3). The prevalence of psychic suffering was high in both groups. These findings can serve as the basis for the development and improvement of public policies for Student Assistance in the context of Collective Health and the Unified Health System. Among the recommendations is the strengthening of the national assistance policy student, with the expansion of coverage to graduate students, strengthening and creating actions and diversity policies that combat prejudice and discrimination at the national and local levels. It is necessary to consider the transformation of the university environment as well as beyond its limits, considering that what is lived at the university is also a reflection of life outside it. |
publishDate |
2021 |
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2021-06-17T18:32:15Z |
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2021-06-17T18:32:15Z |
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2021-03-30 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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SILVA, Emanuela Pap da. Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos. 2021. Dissertação (Mestrado em Gestão da Clínica) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14389. |
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https://repositorio.ufscar.br/handle/ufscar/14389 |
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SILVA, Emanuela Pap da. Determinação social da saúde e sofrimento psíquico na universidade: uma pesquisa com estudantes do Instituto de Ciências Matemáticas e de Computação (ICMC) do campus da USP de São Carlos. 2021. Dissertação (Mestrado em Gestão da Clínica) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14389. |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Universidade Federal de São Carlos Câmpus São Carlos |
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