Abstract
ABSTRACT Objective: to understand the relationship of social determinants in health promotion for women living in a quilombola community, through Paulo Freire's Research Itinerary. Method: a qualitative study, with a participatory character, developed through Paulo Freire's Research Itinerary. Ten quilombola women aged between 24 and 54 years, living in the Morro do Fortunato Community, Garopaba, Brazil, participated in the study from April to June 2016. During the three-month-period, the thematic research, codification, decoding and critical unveiling were performed. Results: 20 generating themes were initially investigated which were coded and decoded in eight and unveiled in two significant themes, quilombola women and access, which, when unveiled, deepened the empowerment and the relationship with health promotion in this community. Conclusion: this study enabled women to be aware of their realities and consequent empowerment and fruitful reflections which provided an increase in self-esteem, appreciation and self-care, as well as the perception of their strengths, often muted by the adversities of the day to day.
Highlights
Multifaceted in its various fields and concepts, health promotion is guided by the definition expressed in the Ottawa Charter which considers it as the process of training individuals, families and communities to increase control over social determinants and thereby act to improve their quality of life and health.[1]the close relationship between health promotion and the social determinants of health (SDH) is emphasized, which are distributed in three levels of care that interact in achieving equity and well-being: structural factors social and environmental policies; governance; social norms and values) social position and the stratification determinants and the intermediate determinants.[2]
The close relationship between health promotion and the social determinants of health (SDH) is emphasized, which are distributed in three levels of care that interact in achieving equity and well-being: structural factors social and environmental policies; governance; social norms and values) social position and the stratification determinants and the intermediate determinants.[2]
This study aims to understand the relationship of social determinants in promoting the health of women living in a quilombola community, by means of Paulo Freire’s Research Itinerary
Summary
Multifaceted in its various fields and concepts, health promotion is guided by the definition expressed in the Ottawa Charter which considers it as the process of training individuals, families and communities to increase control over social determinants and thereby act to improve their quality of life and health.[1]the close relationship between health promotion and the social determinants of health (SDH) is emphasized, which are distributed in three levels of care that interact in achieving equity and well-being: structural factors (work, taxation and protection) social and environmental policies; governance; social norms and values) social position and the stratification determinants (social class, gender, race/ ethnicity, education, occupation and income) and the intermediate determinants (the circumstances, behaviors and biological material factors, psychosocial factors, health care system).[2]. The term vulnerability can be understood as the condition of risk in which a person finds themselves. In this sense, personal vulnerability is related to behaviors that individuals absorb that may be favorable or unfavorable to self-care and health conditions. The concept of social vulnerability emphasizes that social representations, stigmas and social conditions can be factors that benefit health, valuing access to means of communication together with the availability to enjoy favorable resources.[3,4]
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