Kelly-Santos Adriana, Rozemberg Brani
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Cad Saude Publica. 2006 May;22(5):975-85. doi: 10.1590/s0102-311x2006000500010. Epub 2006 Apr 28.
This study focuses on the reactions of construction workers to educational materials (posters, folders, and leaflets) produced by the Brazilian Ministries of Health and Labor. The authors conducted two focal groups at construction sites in the city of Rio de Janeiro to analyze four educational materials, employing thematic analysis. The article presents the workers' perspective on the themes discussed in the leaflets, classified in two groups of meaning: health and social control. They go on to discuss how workers' display an expanded vision of health to the extent that it includes social determinants of the health-disease process. The study identified the workers' limited participation in work-process surveillance activities and their lack of knowledge concerning workers' health measures adopted by the Ministry of Health. The authors conclude that the analysis of educational materials by their target public represents a privileged place for negotiating meanings and grasping ways of life in specific groups. They suggest educational activities using leaflets as a means to motivate critical analysis of the health-disease process.
本研究聚焦于建筑工人对巴西卫生部和劳动部制作的教育材料(海报、文件夹和传单)的反应。作者在里约热内卢市的建筑工地进行了两个焦点小组讨论,采用主题分析法分析四份教育材料。文章呈现了工人对传单中讨论主题的看法,这些主题分为两组意义:健康和社会控制。他们接着讨论了工人如何展现出对健康的更广泛理解,这种理解在一定程度上包括了健康 - 疾病过程的社会决定因素。该研究发现工人在工作过程监督活动中的参与有限,且他们对卫生部采取的工人健康措施缺乏了解。作者得出结论,由目标受众对教育材料进行分析是协商意义和把握特定群体生活方式的一个特殊场所。他们建议开展以传单为手段的教育活动,以激发对健康 - 疾病过程的批判性分析。