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Os lugares e a saúde

Os lugares e a saúde


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About the Book

ste estudo tem como objetivo conhecer a forma como diferentes fatores influenciam a saúde da população residente na Área Metropolitana de Lisboa (AML), colocando a ênfase no impacto dos fatores ambientais, físicos e sociais. Sendo o contexto multidimensional, teorizam-se as múltiplas dimensões do ambiente sociomaterial local, insistindo sobretudo nos aspetos que fazem a diferença entre os lugares. Avaliadas as dimensões ambientais, procura-se modelar e explicar a sua influência na saúde individual, recorrendo-se a metodologias de análise estatística multivariada. Os resultados obtidos comprovam a tese colocada: na AML há uma forte relação entre saúde e espaços de vida quotidiana - os lugares. Essa relação, que se verifica para diferentes características contextuais, permanece quando são controladas características individuais tidas como determinantes maiores da saúde. A boa acessibilidade ao transporte público, a maior disponibilidade de serviços de saúde preventiva, níveis elevados de capital social e baixos níveis de privação material contribuem significativamente para um melhor estado de saúde autoavaliado. Todavia, o quadro das variações em saúde não se apresenta linear; o efeito do lugar na saúde não é universal, mas específico, afetando de forma distinta diferentes grupos populacionais. Este trabalho, revelando uma topografia do risco e da proteção na AML, reconhece ao lugar a capacidade de gerir/gerar saúde e doença, constituindo-se como uma nova abordagem a um velho problema de saúde pública. Esta nova abordagem, integradora e local, fundada na análise das determinantes ambientais da saúde, aponta a possibilidade de romper a cadeia de fatores de risco que conduz ao empobrecimento da saúde. Considera-se, pois, que agir sobre os lugares é agir socialmente sobre os indivíduos, integrados nas suas comunidades.
About the Author: Helena Nogueira é Professora Auxiliar de Geografia da Faculdade de Letras da Universidade de Coimbra, nasceu em Luanda em 1966. Licenciada em Coimbra, aí conclui o mestrado em Geografia Humana em 2001 e o doutoramento em Geografia em 2007. A par da sua atividade docente, tem desenvolvido investigação na área da Geografia da Saúde, sobretudo em questões relacionadas com variações, desigualdades e iniquidades em saúde, determinantes ambientais da saúde e planeamento urbano saudável.


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Product Details
  • ISBN-13: 9789898074331
  • Publisher: Imprensa da Universidade de Coimbra
  • Publisher Imprint: Imprensa Da Universidade de Coimbra
  • Edition: Ciências e Culturas
  • Language: Portuguese
  • Returnable: N
  • Spine Width: 13 mm
  • Width: 152 mm
  • ISBN-10: 9898074337
  • Publisher Date: 01 May 2008
  • Binding: Paperback
  • Height: 229 mm
  • No of Pages: 242
  • Series Title: Ciências E Culturas
  • Weight: 376 gr


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