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[巴西针对智力障碍者的公共卫生政策:一项综合综述]

[Public health policies for the intellectually disabled in Brazil: an integrative review].

作者信息

Tomaz Rodrigo Victor Viana, Rosa Thiago Lusivo, Van David Bui, Melo Débora Gusmão

机构信息

Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, SP, Brasil,

出版信息

Cien Saude Colet. 2016 Jan;21(1):155-72. doi: 10.1590/1413-81232015211.19402014.

Abstract

This study presents an integrative review of the scientific literature and federal legislation on public health policies for intellectually disabled in Brazil. Nine articles, published in the PubMed, Scopus, Virtual Health Library and Web of Science databases between 2002 and 2012, were selected. Based on the references of these studies, 6 other articles were identified, totaling 15 studies in the review. Forty-one federal laws produced between 2002 and 2012 were identified. The documents were analyzed and categorized according to the main themes of socioeconomic conditions, violence, mental health, ethics, health needs, health promotion and prevention. From the scientific standpoint, non-specific discussions were observed where intellectual disability was examined with other types of handicaps or concomitantly with other Latin American countries. From the legal standpoint, although laws related to health have been located, there is a lack of studies that address the effectiveness and level of implementation of the proposed policies. The increase in research in this area is a demand of the disabled population itself, and will reveal their specific health needs, and will also support issues such as prevention, promotion, diagnosis and treatment.

摘要

本研究对巴西有关智障人士公共卫生政策的科学文献和联邦立法进行了综合综述。选取了2002年至2012年间发表在PubMed、Scopus、虚拟健康图书馆和科学网数据库中的9篇文章。基于这些研究的参考文献,又确定了6篇其他文章,综述中共有15项研究。确定了2002年至2012年间制定的41部联邦法律。根据社会经济状况、暴力、心理健康、伦理、健康需求、健康促进和预防等主要主题对这些文件进行了分析和分类。从科学角度来看,存在一些非特定的讨论,其中智障与其他类型的残疾一起进行研究,或者与其他拉丁美洲国家同时进行研究。从法律角度来看,尽管已经找到了与健康相关的法律,但缺乏研究来探讨所提议政策的有效性和实施水平。该领域研究的增加是残疾人群体自身的需求,将揭示他们的特定健康需求,也将支持预防、促进、诊断和治疗等问题。

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