Lucas Eduardo Alexander Júlio César Fonseca, Adorno Rubens de Camargo Ferreira, Santos Antonio Eduardo Vieira Dos, Tyrrell Maria Antonieta Rubio, Halfoun Vera Lucia Rabello de Castro
Faculdade de Medicina, Universidade Federal do Rio de Janeiro. R. Prof. Rodolpho Paulo Rocco 325, Cidade Universitária. 21941-617 Rio de Janeiro RJ Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil.
Cien Saude Colet. 2021 Sep;26(9):4193-4204. doi: 10.1590/1413-81232021269.21882020. Epub 2020 Jul 14.
The scope of this paper was to describe the health promotion practices developed in a community school in the municipality of Rio de Janeiro in the light of public policies and the school culture. It sought to analyze the significance attributed by the students to these practices and discuss the model of care and health promotion practices developed at school, based on the meanings attributed to such practices by the subjects under study. The qualitative and ethnographic approach supported by Geertz facilitated an understanding of the significance emerging around the health issue. The results demonstrated the incorporation of health promotion actions in daily school life, their interface with sectorial policies, and the central importance of these actions in normative aspects. The significance reproduced medical-sanitary clichés portraying the social spaces, the material resources, the procedures involved and the social actors in these actions. The influence of local culture, habits and lifestyles in the construction of the concept of health in the community studied is highlighted.
本文的范围是根据公共政策和学校文化，描述在里约热内卢市一所社区学校开展的健康促进实践。它试图分析学生赋予这些实践的意义，并根据研究对象赋予这些实践的意义，讨论学校制定的护理和健康促进实践模式。格尔茨支持的定性和民族志方法有助于理解围绕健康问题产生的意义。结果表明，健康促进行动融入了学校日常生活，它们与部门政策的衔接，以及这些行动在规范方面的核心重要性。这些意义再现了描绘社会空间、物质资源、所涉程序和这些行动中的社会行为者的医疗卫生陈词滥调。强调了当地文化、习惯和生活方式对所研究社区健康概念构建的影响。
