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      Narrativas da experiência de pais de crianças com fibrose cística Translated title: Narratives of the parents' experience of children with cystic fibrosis Translated title: Narrativas de la experiencia de padres de niños con fibrosis quística.

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          Abstract

          O trabalho analisa a experiência dos pais de crianças com fibrose cística. Segundo referências socioantropológicas, a experiência da doença altera a percepção do mundo. A análise de dez narrativas, durante dois meses de 2010, num hospital público do Rio de Janeiro, Brasil, considerando cenários, persona-gens e enredos, aponta: dificuldades para obtenção de diagnóstico e compre-ensão da doença; a troca de informações com outras famílias; ausência afetiva paterna; sobrecarga emocional e a função de técnica de saúde materna; o so-frimento dos irmãos; a escola como local de vida; a presença constante da morte e as dificuldades com os profissionais de saúde. Aspectos importantes rodeiam os familiares, podendo ser pouco conhecidos pelos profissionais, de-vendo ser considerados nas tomadas de decisão e planos terapêuticos.

          Translated abstract

          This study analyses the parents' experience of children with cystic fibrosis. From the perspective of social anthropology, the experience of disease changes the perception of the world. Ten narratives were analyzed over a two-month period in 2010, at a public hospital in Rio de Janeiro, Brazil. The results, considering scenarios, characters and plots, highlighted: difficulties in obtaining diagnoses and understanding of the disease; exchange of information with other families; absence of paternal affection; maternal emotional overload and the role of ‘health technician'; distress among siblings; school as a place of life; constant presence of death; and difficulties with healthcare professionals. Important issues surrounding family members may be poorly known by the professionals but need to be taken into account in decision-making and in drawing up therapeutic plans.

          Translated abstract

          El trabajo analiza la experiencia de los padres de niños con fibrosis quística. Según referencias socio-antropológicas, la experiencia de la enfermedad altera la percepción del mundo. El análisis de diez narrativas, durante dos meses de 2010, en un hospital público de Río de Janeiro, Brasil, considerando escenarios, personajes y guiones, señala lo siguiente: dificultades para la obtención de diagnóstico y entendimiento de la enfermedad; el intercambio de informaciones con otras familias; la ausencia afectiva paterna; sobrecarga emocional y la función de técnica de salud materna; el sufrimiento de los hermanos; la escuela como local de vida; la presencia constante de la muerte y las dificultades con los profesionales de la salud. Hay aspectos importantes que rodean a los familiares y que pueden ser poco conocidos por los profesionales, debiendo ser considerados en las tomas de decisión y planes terapéuticos.

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          Constructions of masculinity and their influence on men's well-being: a theory of gender and health.

          Men in the United States suffer more severe chronic conditions, have higher death rates for all 15 leading causes of death, and die nearly 7 yr younger than women. Health-related beliefs and behaviours are important contributors to these differences. Men in the United States are more likely than women to adopt beliefs and behaviours that increase their risks, and are less likely to engage in behaviours that are linked with health and longevity. In an attempt to explain these differences, this paper proposes a relational theory of men's health from a social constructionist and feminist perspective. It suggests that health-related beliefs and behaviours, like other social practices that women and men engage in, are a means for demonstrating femininities and masculinities. In examining constructions of masculinity and health within a relational context, this theory proposes that health behaviours are used in daily interactions in the social structuring of gender and power. It further proposes that the social practices that undermine men's health are often signifiers of masculinity and instruments that men use in the negotiation of social power and status. This paper explores how factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States. It also examines how masculinity and health are constructed in relation to femininities and to institutional structures, such as the health care system. Finally, it explores how social and institutional structures help to sustain and reproduce men's health risks and the social construction of men as the stronger sex.
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            Medicine, rationality, and experience: An anthropological perspective

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              Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com ensino superior

              O estudo tem como objetivo analisar as explicações presentes em discursos masculinos para a pouca procura dos homens por serviços de saúde. O método do estudo baseia-se numa abordagem de pesquisa qualitativa. A representação do cuidar como tarefa feminina, as questões relacionadas ao trabalho, a dificuldade de acesso aos serviços e a falta de unidades especificamente voltadas para a saúde do homem são os principais motivos expressos pelos sujeitos para a pouca procura pelos serviços de saúde. Conclui-se, dentre outros aspectos, que o imaginário social que vê o homem como ser invulnerável acaba contribuindo para que ele menos se cuide e mais se exponha a situações de risco.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                icse
                Interface - Comunicação, Saúde, Educação
                Interface (Botucatu)
                UNESP (Botucatu )
                1807-5762
                December 2015
                : 19
                : 55
                : 1077-1088
                Affiliations
                [1 ] Fundação Oswaldo Cruz Brazil
                Article
                S1414-32832015000601077
                10.1590/1807-57622014.0569
                6d9e8df3-6af5-49b2-9b11-d24da8d52f31

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1414-3283&lng=en
                Categories
                Education & Educational Research
                Public, Environmental & Occupational Health

                Educational research & Statistics,Public health
                Fibrosis quística,Enfermedad crónica,Niño,Doença crônica,Criança,Família,Cystic fibrosis,Chronic disease,Child,Family,Familia,Fibrose Cística

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