http://repositorio.ufc.br/handle/riufc/57173 Thu, 11 Jun 2026 13:02:14 GMT 2026-06-11T13:02:14Z http://repositorio.ufc.br/handle/riufc/86196 Título: Prevalência de fadiga por compaixão e sua associação com a exposição ocupacional à violência e o risco de adoecimento psíquico entre policiais da perícia forense do Ceará Autor(es): Oliveira, Marizangela Lissandra de Abstract: Occupational exposure to violence represents a risk factor for mental illness among public safety professionals, especially in the context of forensic science. Continuous work with trauma victims can cause mental disorders, notably compassion fatigue (CF), a phenomenon composed of Burnout (BO) and Secondary Traumatic Stress (STS). This condition can be mitigated by Compassion Satisfaction (CS), which arises when the professional feels fulfilled by helping others, and is associated with self-compassion and emotional regulation. This study analyzed the prevalence of CF and its association with exposure to violence and the risk of mental illness among police officers of the Forensic Science Department of Ceará (PEFOCE). This is a cross-sectional, analytical study, a subset of the research project "Experienced Violence, Health Conditions and Illness among Civil and Military Police Officers in the State of Ceará," conducted with police officers from PEFOCE. A structured online questionnaire was used, encompassing the FC (outcome) and sociodemographic variables, work characteristics, lifestyle habits, exposure to violence, common mental disorders (CMD), suicidal ideation, and substance use disorder (SUD). Absolute and relative frequencies were obtained; the prevalence ratio (PR) was calculated to analyze the association between exposures and the outcome; multivariate analysis of factors associated with FC was performed; and Spearman's correlation test was used between the BO, ETS, and SC scales. The analysis was performed taking into account the sampling design, using SPSS 21.0 software, considering a 95% confidence interval. The results indicated a predominance of men (67.1%), Black/mixed-race individuals (56.0%), an average age of 39.4 years, religious beliefs (84.1%), and postgraduate education (66.8%). The majority worked in Fortaleza (53.5%), on shift work (88.1%), with more than six years of service (55.3%). Almost half had another job and intended to change jobs (45.3%). Despite a relatively healthy lifestyle (fruit consumption: 82%; physical activity: 79.5%), 39.8% engaged in excessive screen time during their free time. The work environment was marked by high exposure to violence (93.1%), mainly in assisting victims and their families (75.3%). The prevalence of chronic violence was 58.9%, predominantly influenced by police reports (moderate level in 55.2%). Social security showed a favorable profile (only 3% with a low level), acting as a moderating factor. There was a moderate negative correlation between BO and SC (-0.38), and a moderate positive correlation between BO and ETS (0.36). In the bivariate analysis, factors such as living with up to two people and the absence of chemical dependency were protective; while poor financial health, intention to rotate jobs, harmful use of screens, lack of mental health activities, police victimization, risk of injury/death, victim care, mental distress, and suicide risk were risk factors. In the multivariate analysis, the risk factors for CF were: attending to victims of violence (PR=1.407), harmful use of screens (PR=1.326), activities with high cognitive and psychosocial demands (PR=1.504), mental distress (PR=1.672), and intention to rotate jobs (PR=1.280). It is concluded that compassion fatigue is an important health problem among forensic experts, directly associated with occupational exposure to violence and the risk of other mental disorders. The findings reinforce the urgent need to implement institutional strategies focused on prevention, monitoring, and mental health care for this vulnerable population. Tipo: Tese Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/86196 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/86123 Título: Estudo da composição corporal por absorciometria de dupla emissão de raios X (DEXA) em pacientes com Lipodistrofia Generalizada Congênita Autor(es): Lopes, Fábia Karine de Moura Abstract: Congenital Generalized Lipodystrophy (CGL) is a rare autosomal recessive disorder, characterized by the almost total absence of adipose tissue since birth or childhood, resulting in the accumulation of ectopic fat and the development of metabolic complications. This is a cross- sectional study that analyzed 23 patients with LGC at the Walter Cantídio University Hospital in the city of Fortaleza, Ceará, which aimed to describe the body composition of these individuals by dual-emission X-ray absorptiometry and compare with a healthy control group. matched by sex, age, and body mass index (BMI). Socioeconomic data, measurements of circumference and skinfold thickness, body composition data by dual emission X-ray absorptiometry (DEXA), clinical parameters, and laboratory tests were collected. Continuous variables were described using mean, standard deviation, and median (minimum-maximum), and categorical variables were described using relative and absolute frequencies. To compare variables between groups, the Mann-Whitney test was used. A significance level of 5% was adopted. Among anthropometric parameters, the majority of patients with LGC had a normal BMI, while neck circumference was significantly greater compared to the control group. When analyzing body composition in adults and the pediatric population with LGC, it was observed that adults had a higher muscle mass index. This finding suggests a possible association with the progression of muscular steatosis or hypertrophy secondary to hyperinsulinemia. A higher relative skeletal muscle mass index was also observed in patients with LGC, compared to healthy individuals. From the fat shadow images, residual pubic fat was evident in all women with lipodystrophy. LGC is an important biological model for studying the relationship between adipose tissue distribution and susceptibility to metabolic diseases. Although this study addresses a significant case series from Brazil, the need for additional studies is highlighted to deepen the understanding of the findings of this research and the mechanisms involved. Tipo: Dissertação Sun, 01 Jan 2023 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/86123 2023-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/86066 Título: Prevalência e fatores associados ao autorrelato de violência interpessoal física no contexto comunitário entre escolares do 6° ao 9° ano do Ensino Fundamental no Estado do Ceará: análise da PeNSE 2019 Autor(es): Vale, Cecília Regina Sousa do Abstract: Interpersonal violence in the community context represents a significant public health concern during adolescence, with important implications for physical and mental health as well as social development. This study aimed to analyze the prevalence and factors associated with self-reported interpersonal physical aggression in the community context among students enrolled in the 6th to 9th grades of elementary school in the state of Ceará, Brazil, in 2019. This is a cross-sectional, population-based study using data from the 2019 National School Health Survey (PeNSE). The outcome was defined as self-reported physical aggression experienced in the 30 days prior to the survey, occurring in community settings (such as streets or schools) and perpetrated by individuals outside the family context. Independent variables were organized into analytical blocks grounded in a multidimensional theoretical framework, including sociodemographic characteristics, mental health indicators, lifestyle-related behaviors, social bonding variables, and access to health services. All analyses accounted for the complex sampling design of PeNSE. Prevalence estimates and bivariate analyses were initially conducted, followed by multivariable logistic regression to estimate adjusted odds ratios, adopting a 5% significance level. The prevalence of self-reported interpersonal physical aggression in the community context was 14.7%. After multivariable adjustment, the factors that remained independently associated with the outcome were male sex, frequent feelings of loneliness and hopelessness, alcohol consumption, use of other psychoactive substances, and indicators of weak social bonds. The findings highlight the coexistence of individual and contextual vulnerabilities, supporting the proposed theoretical model by demonstrating that mental health conditions, social bonds, and risk behaviors interact in explaining adolescents’ exposure to community-based violence. Interpersonal physical aggression in the community context shows substantial prevalence among schoolchildren in Ceará and is associated with multifactorial determinants, reinforcing the need for intersectoral strategies focused on health promotion, strengthening social bonds, and violence prevention in adolescence. Tipo: Tese Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/86066 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85691 Título: Marcados pela cor: a percepção da discriminação no cotidiano de adultos Autor(es): Melo, Caroline Batista Abstract: The concept of race has been widely used to justify hierarchies, inequalities, and marginalization. Growing evidence suggests that Black people experience more discrimination attributed to race/color compared to white people. Currently, there are scales designed to assess the perception of these processes. However, there is still no consensus on which scale can capture, in depth and magnitude, the discriminatory experiences that people with darker skin suffer in society. It is also known that black people have lower levels of education, and that this can influence how these experiences are perceived. Furthermore, there is still a denialism that reaffirms that there is no racial discrimination in Brazil. Given the above, this study aims to verify the association between race/color and experiences of discrimination, regardless of education level, in adult users of Primary Health Care. This is a cross-sectional study with 603 participants from Basic Health Units in Fortaleza (CE) and Belo Horizonte (MG). The response variables were 10 experiences of discrimination in daily life; the explanatory variable considered race/color (white, pardo, and black); and possible confounding and mediating variables were age, sex, and education level. Prevalence ratios (PR) and their respective 95% confidence intervals (95% CI) were estimated using Poisson regression with robust variance, with a significance level of 5%. After full adjustment for sex, age, and education level, pardo (PR = 1.94; 95% CI = 1.07 - 3.51) and black (PR = 4.23; 95% CI = 2.31 - 7.71) individuals showed higher prevalences of being watched in places like stores compared to white individuals. Black individuals also showed higher prevalences of experiences in which people act as if they were not intelligent (PR = 1.71; 95% CI = 1.23 - 2.38) and were dishonest (PR = 2.33; 95% CI = 1.09 - 4.95). The findings of this study demonstrate that racial discrimination is not an abstract or episodic phenomenon, but manifests itself concretely through the perpetuation of stereotypes related to the black and pardo population. It is concluded that the perceived experiences of discrimination associated with pardo and black individuals were precisely those most related to discriminatory processes due to skin color, especially among self-declared black individuals. And that these mechanisms were direct and independent of schooling. However, the study population, being users of the Unified Health System (SUS) and consequently of lower socioeconomic status, may not have captured the more subtle mechanisms of discrimination present in the racist structural system. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85691 2026-01-01T00:00:00Z