Fatores de risco e determinantes sociais para as Doenças Crônicas Não transmissíveis (DCNT) em uma área de cobertura da ESF do município de Remígio / PB.

Abstract

Changes occurred in Brazil over the centuries, associated with the way health care systems respond to the problems of the population, are currently considering an epidemiological profile complex, where archaic and contemporary issues "overlap " in a context of social inequality and growing incidence of chronic diseases. This aspect, combined with the characteristics and peculiarities of Brazil, with its contradictions and social inequalities, points to the development of new observations. In this perspective, this study aims to understand the risk factors and social determinants that influence the development of chronic non communicable diseases ( NCDs ) in a coverage area of the municipality of Remígio FHS / PB. This is a study of exploratory- descriptive, considering the quantitative and qualitative approach, which was developed in the period from March to September 2013. The observed data show that prevalence rates varied according to the criteria used and the characteristics of the population studied, and the maximum values obtained for the studied risk factors: overweight 22%, obese 19%, 41% sedentary lifestyle, consumption of fruits and vegetables 5%, 25% fish consumption, consumption of embedded 22%, consumption of soda or artificial juice 19%, alcohol abuse, 6%, smoking 19%, among other observed data. Therefore, variations, draw attention to the lifestyle and social determinants of health that favor the development of NCDs in this locality. It is observed that these factors are linked to the unfinished framework of the theory of social determination of health, which has been widely used in the studies reviewed, but not sufficiently developed to guide public policies. Identifies the ties that bind social groups and health, both systems of interpretation, as the personal stories of individuals related to the illness. Moreover, we indicate that their understanding is based from a " global perspective ", built between individual trajectories, the macro -social context, and the problem of causality. Furthermore, the high prevalence observed in some variables, indicate the need for emergency interventions. Well, Brazil has implemented important policies for the prevention of NCDs. However, adverse trends for most risk factors bring a huge challenge and require additional actions and policies.