Objective: to assess the effectiveness of auriculotherapy in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. Method: a controlled randomized clinical trial divided into two groups, namely: auriculotherapy for stress group and placebo group. The Shapiro-Wilk test was used to assess data normality. The ANOVA test for repeated measures and the Tukey post-hoc test were applied to the group with normal samples. In turn, the Friedman and Durbin-Conover tests were employed in the group with non-normal distribution. Cohen’s d index was calculated for the therapy effect size. A 95% significance level and p<0.05 were considered. Results: the auriculotherapy group presented 16.3% and 23.7% reductions in occupational stress after the third and sixth auriculotherapy sessions, with Cohen’s d indices of 1.12 (large effect) and 1.82 (very large effect), respectively. Conclusion: auriculotherapy proved to be effective in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. It is suggested that new studies are developed both during and after the pandemic in order to improve health workers’ Quality of Life. ReBEC registration: RBR - 38hjyt3.

Introduction: Health as an inherent right to citizenship in the 1988 constitution of Brazil was a conquest by social groups who, at the time, dissatisfied with inequalities and exclusion of part of the population to health services, fought to consolidate the Unified Health System (SUS). Through this conquest, public policies were implemented to guarantee this right. However, unequal access to health services is still a problem which hinders the effective exercise of SUS due to the barriers found in various aspects, such as structural, operational and relational. Objective: Review of scientific production on accessibility to SUS dental services was performed, characterizing the main barriers to access. Method: Integrative literature review with search of articles published between 2010 and 2017 was carried out on the Scientific Electronic Library Online (SciELO) and Latin American and Caribbean literature on Health Sciences (LILACS) databases, using the following keywords: “access”, “accessibility”, “dental services” and “oral health”. Results: A total of 24 articles were selected, presenting as main barriers to access the lack of information about services and the importance of oral health, self-assessment of oral health, the lack of materials, human resources and supplies, the failure to implement current public policies, among others. Conclusion: Overcoming these barriers to access is fundamental in order to diminish social inequities and to promote social justice, as well as new studies aimed at the groups considered most vulnerable. Introducción: La salud como derecho inherente a la ciudadanía en la Constitución de 1988 fue un logro de grupos sociales que, en su momento, estaban insatisfechos con las desigualdades y la exclusion de parte de la población a los servicios de salud, lucharon por la consolidación del Sistema Único de Salud (SUS). A través de este logro, se implementaron políticas públicas para garantizar esto derecho. Sin embargo, las desigualdades en el acceso a los servicios de salud son, aún así, un problema presente que impiede el ejercício efectivo del SUS debido a barreras encontradas en diferentes dimensiones, tales como estructurales, operacionales y relacional. Objetivo: Revisar la producción científica sobre el accesibilidad a los servicios dentales del SUS, caracterizando las principals barreras de acceso. Método: Revisión de la literatura con búsqueda activa de artículos publicados de 2010 a 2017 en las bases de datos Scientific Electronic Library Online (SciELO) y Literatura Latinoamericana y Caribeña sobre Ciencias de la Salud (LILACS), utilizando las palabras clave “acceso”, “accesibilidad”, “servicios dentales” y “salud dental”. Resultados: Um total de 24 artículos fueron seleccionados, presentando como principales barreras de acesso la falta de información sobre los servicios y la importância de la salud bucal, autoevaluación de la salud bucal, la falta de materiales, recursos humanos e insumos, la falta de implementación de las políticas públicas vigentes, entre otros. Conclusión: Superar estas barreras de acceso es fundamental para reducir inequidades sociales y promover la justicia social, así como nuevos estudios dirigidos a los grupos considerados más vulnerables. Introdução: A saúde como um direito inerente à cidadania na Constituição de 1988 foi uma conquista de grupos sociais que, à época, insatisfeitos com as desigualdades e exclusão de parte da população aos serviços de saúde, lutaram pela consolidação do Sistema Único de Saúde (SUS). Através desta conquista, políticas públicas foram implementadas para garantir este direito. No entanto, as desigualdades de acesso aos serviços de saúde são, ainda, um problema presente que impede o efetivo exercício do SUS em virtude de barreiras encontradas em diferentes dimensões, como a estrutural, operacional e relacional. Objetivo: Revisar a produção científica sobre a acessibilidade aos serviços odontológicos do SUS, caracterizando as principais barreiras de acesso. Método: Revisão integrativa da literatura com busca ativa de artigos publicados no período de 2010 a 2017 nas bases de dados Scientific Electronic Library Online (SciELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), utilizando os descritores “acesso”, “acessibilidade”, “serviços odontológicos” e “saúde bucal”. Resultados: Um total de 24 artigos foram selecionados, apresentando como principais barreiras de acesso a falta de informação sobre os serviços e da importância da saúde bucal, a autoavaliação quanto à saúde bucal, a falta de materiais, recursos humanos e insumos, a não efetivação das políticas públicas vigentes, dentre outros. Conclusão: A superação das barreiras de acesso é fundamental para diminuir as iniquidades sociais e promover a justiça social, bem como novos estudos voltados para os grupos considerados mais vulneráveis.

Resumo Objetivo: avaliar a efetividade da auriculoterapia na redução do estresse ocupacional em trabalhadores de saúde da Estratégia de Saúde da Família durante a pandemia da COVID-19. Método: ensaio clínico controlado randomizado em dois grupos: grupo auriculoterapia para o estresse e grupo placebo. Foi utilizado o teste de Shapiro-Wilk para avaliar a normalidade dos dados. O teste ANOVA de medidas repetidas e o teste post-hoc Tukey foram aplicados para o grupo com amostras normais. Já o teste de Friedman e de Durbin-Conover foram utilizados no grupo com distribuição não normal. Para o tamanho do efeito da terapia, foi calculado o índice d de Cohen. Considerou-se o nível de significância de 95% e valor p<0,05. Resultados: o grupo auriculoterapia apresentou redução do estresse ocupacional de 16,3 e 23,7% após a terceira e sexta sessões de auriculoterapia, com índices d de Cohen de 1,12 (grande efeito) e 1,82 (efeito muito grande), respectivamente. Conclusão: a auriculoterapia mostrou-se efetiva na redução do estresse ocupacional em trabalhadores de saúde da Estratégia Saúde da Família durante a pandemia da COVID-19. Sugere-se que novos estudos sejam desenvolvidos durante e após a pandemia de maneira a melhorar a qualidade de vida dos trabalhadores de saúde. Registro ReBEC: RBR - 38hjyt3.

Background: Labor activities are demanding for workers and can induce occupational stress. Primary health care (PHC) workers have faced problems that can lead to the development of stress and abdominal obesity. The aim of this study was to estimate the prevalence of abdominal adiposity among primary health care physicians in the metropolitan mesoregion of Salvador, Bahia. Methods: This is a cross-sectional study conducted with physicians from the family health units (FHUs) of the metropolitan mesoregion of Salvador, Bahia, Brazil. The number of FHUs corresponded to 41 teams (52 physicians). Anamnesis was performed and a questionnaire was applied. The clinical examination consisted of measuring waist circumference (WC), blood pressure levels (BP), and body mass index (BMI), as well as examining for acanthosis nigricans. Blood samples were collected for biochemical dosages. The data obtained were analyzed by SPSS version 22.0. Results: The sample included 41 physicians (response rate: 78.8%), of which 18 were women (44.0%). The percentage of overweight participants represented by BMI was 31.7%. The hypertriglyceridemia prevalence was 29.2%. HDL-c was low in 48.7% of the participants. The waist circumference measurement revealed a prevalence of abdominal adiposity of 38.8% (women) and 34.8% (men). Conclusions: Medical professionals in PHC are more susceptible to having higher abdominal adiposity, especially female physicians.

Background: Healthcare workers are constantly affected by stress due to their work specificities. The damages of this disorder are not limited to the worker, but extend to the entire society. In this sense, intervention actions are necessary for stress control. Objective: To identify the non-pharmacological therapies used for stress management in healthcare workers and their effects on self-reported and physiological stress. Methods: Integrative review with article search in the databases Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and PubMed. The descriptors “cortisol”; “stress”, “worker” and their combination with the connector “AND” were used. Results: A total of 14 articles were selected. The tested non-pharmacological therapies were meditation, yoga, interaction with dogs, self-care and relaxation techniques, physical activity associated with mindfulness, art therapy, auriculotherapy, forest therapy, and sensory body moisturizing. The results were satisfactory in reducing subjective and/or objective stress. Conclusions: Therapies that promote relaxation, mindfulness, and self-care seem to be effective for stress management in healthcare workers.

Metabolic syndrome (MS) is a clinical condition and a relevant risk factor in the development of cardiovascular diseases; it occurs as a result of lifestyle factors, e.g., work. The aim of this research was to estimate the interaction between work and MS among primary health care (PHC) nursing professionals in the state of Bahia, Brazil. A sectional multicentered study carried out in 43 municipalities in Bahia, whose study population consisted of nursing professionals. The exposure variables were occupation, professional exhaustion, and working time, and the outcome variable was MS. Interaction measures based on the additivity criteria were verified by calculating the excess risks due to the interactions and according to the proportion of cases attributed to the interactions and the synergy index. The global MS prevalence is 24.4%. There was a greater magnitude in the exposure group regarding the three investigated factors (average level occupation, professional exhaustion, and working time in PHC for more than 5 years), reaching an occurrence of 44.9% when compared to the prevalence of 13.1% in the non-exposure group (academic education, without professional burnout, and working time in PHC for up to 5 years). The study’s findings showed a synergistic interaction of work aspects for MS occurrence among PHC nursing professionals.